Msana wobisika wa bifida: ndi chiyani, zizindikiro ndi chithandizo
Zamkati
Zobisika za msana bifida ndimatenda obadwa nawo omwe amapezeka mumwana m'mwezi woyamba wamimba, womwe umadziwika ndi kutsekedwa kwathunthu kwa msana ndipo sizimapangitsa kuti zizioneka nthawi zambiri, matendawa amapangidwa kudzera pakuwunika , monga kujambula kwa maginito, mwachitsanzo, kapena panthawi yapakati pa ultrasound.
Ngakhale nthawi zambiri sizimapangitsa kuti zizindikilo zizioneka, nthawi zina kupezeka kwa tsitsi kapena malo akuda kumbuyo kumatha kuwonedwa, makamaka mu L5 ndi S1 vertebrae, pofotokoza za msana wobisika.
Spina bifida yobisika ilibe mankhwala, komabe chithandizochi chitha kuwonetsedwa molingana ndi zisonyezo zomwe mwana amapereka. Komabe, pamene kugwidwa kwa msana kumawoneka, zomwe sizachilendo, kuchitidwa opaleshoni kungakhale kofunikira.
Zizindikiro zobisika msana bifida
Spina bifida wobisika nthawi zambiri satsogolera kuwonekera kwa zizindikilo, kupitilira osadziwika m'moyo wonse, makamaka chifukwa sikuphatikizapo msana wam'mimba kapena meninges, omwe ndi zida zoteteza ubongo. Komabe, anthu ena atha kuwonetsa zikwangwani zomwe zikusonyeza za msana wobisika womwe ndi:
- Kapangidwe ka malo pakhungu lakumbuyo;
- Kapangidwe ka bulu wa tsitsi kumbuyo;
- Kupsinjika pang'ono kumbuyo, ngati manda;
- Voliyumu pang'ono chifukwa cha kuchuluka kwamafuta.
Kuphatikiza apo, kukakumana ndi mafupa, zomwe sizachilendo, zizindikilo zina zimatha kuoneka, monga scoliosis, kufooka ndi kupweteka kwamiyendo ndi mikono ndikutaya chikhodzodzo ndi matumbo.
Zomwe zimayambitsa msana wobisika sizimvetsetseka, komabe amakhulupirira kuti zimachitika chifukwa chomwa mowa panthawi yoyembekezera kapena kusakwanira kwa folic acid.
Momwe matendawa amapangidwira
Matenda a msana a bifida amatha kupangidwa panthawi yapakati kudzera pamagetsi ndi kudzera mu amniocentesis, komwe ndi kuyesa komwe kumayang'ana kuchuluka kwa alpha-fetoprotein mu amniotic fluid, yomwe ndi protein yomwe imapezeka kwambiri ngati pamsana bifida.
N'zotheka kupanga matenda a msana pambuyo pobadwa mwa kuwona zizindikilo zomwe munthuyo atha kufotokoza, kuwonjezera pazotsatira zojambula, monga ma x-ray ndi maginito opanga maginito, omwe kuphatikiza pakuzindikira zobisika spina bifida imalola adotolo kuti awone ngati ali ndi vuto la msana.
Momwe mankhwalawa amachitikira
Pamene msana bifida umabisa mobwerezabwereza sipakhala kutengapo gawo kwa msana kapena meninges, palibe chithandizo chofunikira. Komabe, pakakhala zizindikiro zowonekera, chithandizo chimachitidwa molingana ndi malangizo a dokotala ndipo cholinga chake ndi kuchepetsa zizindikilo zomwe zimaperekedwa.
Komabe, kukhudzidwa kwa msana wa msana kumawoneka, opaleshoni imatha kupemphedwa kuti ikonze kusintha kwa msana, ndikuchepetsa zizindikilo zake.