I-Ventriculoperitoneal shunt - ukukhutshwa

Umntwana wakho unehydrocephalus kwaye ufuna i-shunt ebekwe ukukhupha ulwelo olungaphezulu kunye nokunciphisa uxinzelelo kwingqondo. Olu lwakhiwo lobuchwephesha bobuchwephesha (i-cerebrospinal fluid, okanye i-CSF) ibangela ukuba izicwili zobuchopho zicinezele (zixinaniswe) nokhakhayi. Uxinzelelo oluninzi okanye uxinzelelo olukhoyo ixesha elide lunokonakalisa izicwili zobuchopho.

Emva kokuba umntwana wakho egodukile, landela imiyalelo yomboneleli wezempilo ngendlela yokunyamekela umntwana. Sebenzisa olu lwazi lungezantsi njengesikhumbuzo.

Umntwana wakho waye wasikwa (isikhumba) kunye nomngxunya omncinci wagqobhoza ukakayi. Ukusikwa okuncinci kwenziwa nakwisisu. Kwabekwa ivalve ngaphantsi kolusu emva kwendlebe okanye ngasemva kwentloko. Umbhobho omnye (i-catheter) wabekwa kwingqondo ukuzisa ulwelo kwivelufa. Enye ityhubhu yayiqhagamshelwe kwivelufa yaza yasongelwa ngaphantsi kolusu ezantsi esiswini somntwana wakho okanye kwenye indawo efana nemiphunga okanye intliziyo.

Naluphi na umthungo okanye istatshi osibonayo siyakukhutshwa malunga neentsuku ezisi-7 ukuya kwezi-14.

Onke amalungu e-shunt aphantsi kwesikhumba. Ekuqaleni, indawo ephezulu ye-shunt inokuphakanyiswa phantsi kwesikhumba. Njengoko ukudumba kuhamba kunye neenwele zomntwana wakho zikhula zibuye umva, kuyakubakho indawo encinci ephakanyisiweyo malunga nobukhulu bekota edla ngokungabonakali.

Musa ukuhlamba okanye ukuhlamba intloko yomntwana de kube kukhutshwe iziqu kunye nokutya. Nika umntwana wakho isitya sokuhlambela endaweni yoko. Inxeba akufuneki lifakwe emanzini de ulusu luphile ngokupheleleyo.

Sukutyhala kwinxalenye ye-shunt onokuziva okanye oyibone ngaphantsi kwesikhumba somntwana wakho emva kwendlebe.

Umntwana wakho kufuneka akwazi ukutya ukutya okuqhelekileyo emva kokuya ekhaya, ngaphandle kokuba umboneleli ukuxelele ngenye indlela.

Umntwana wakho kufuneka abe nakho ukwenza uninzi lwemisebenzi:

• Ukuba unomntwana, phatha umntwana wakho ngendlela oqhele ukwenza ngayo. Kulungile ukubuyisa usana lwakho.
• Abantwana abadala banokwenza imisebenzi yesiqhelo. Thetha nomboneleli wakho malunga nemidlalo yokunxibelelana.
• Uninzi lwexesha, umntwana wakho unokulala nakwesiphi na isikhundla. Kodwa, jonga oku kunye nomboneleli wakho njengoko umntwana ngamnye ehlukile.

Umntwana wakho unokuba neentlungu. Abantwana abangaphantsi kweminyaka emi-4 ubudala bangathatha i-acetaminophen (iTylenol). Abantwana abaneminyaka emi-4 nangaphezulu banokumiselwa amayeza eentlungu anamandla, ukuba ayimfuneko. Landela imiyalelo yomboneleli wakho okanye imiyalelo kwisingxobo seyeza, malunga nokuba lingakanani iyeza oza kulinika umntwana wakho.

Eyona ngxaki iphambili ekufuneka uyijongile yile shunt inesifo kunye ne-shunt evaliweyo.

Tsalela umnikezeli womntwana wakho ukuba umntwana wakho:

• Ukudideka okanye kubonakala ngathi awazi kangako
• Umkhuhlane we-101 ° F (38.3 ° C) okanye ngaphezulu
• Iintlungu esiswini ezingahambiyo
• Intamo eqinile okanye intloko
• Akukho mdla wokutya okanye awutyi kakuhle
• Imithambo entloko okanye entlonzeni ekhangeleka inkulu kunakuqala
• Iingxaki esikolweni
• Ukukhula kakubi okanye ukuphulukana nobuchule benkqubela phambili obufunyenwe ngaphambili
• Yiba krwada ngakumbi okanye ucaphuke
• Ubomvu, ukuvuvukala, ukuphuma kwegazi, okanye ukwanda kokukhutshwa kwi-incision
• Ukugabha okungapheliyo
• Iingxaki zokulala okanye ulele ngakumbi kunesiqhelo
• Isikhalo esiphakamileyo
• Ujonge ngakumbi
• Intloko ekhula inkulu
• Ukuqhaqhazela okanye ukuthamba kwindawo ethambileyo entloko
• Ukudumba ujikeleze ivalve okanye ujikeleze ityhubhu usuka kwivelufa uye esiswini
• Ukuhlutha

Shunt - ventriculoperitoneal - ukukhutshwa; VP shunt - ukubhobhoza; Uhlaziyo lweShunt-ukukhutshwa; Ukubekwa kwe-Hydrocephalus shunt-ukukhupha

IBadhiwala JH, Kulkarni AV. Iinkqubo zokucima umoya Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 201.

IHanak BW, iBonow RH, iHarris CA, iBrown SR. I-cerebrospinal fluid shunting yeengxaki kubantwana. I-Pediatr Neurosurg. Ngo-2017; 52 (6): 381-400. IINKCUKACHA: 28249297 pubmed.ncbi.nlm.nih.gov/28249297/.

IRosenberg GA. I-edema yobuchopho kunye nokuphazamiseka kokujikeleza kolwelo lwe-cerebrospinal. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahl 88.

• I-Encephalitis
• IHydrocephalus
• Ukunyuka koxinzelelo lwangaphakathi
• Ukudumba kwenwebu yengqondo
• Myelomeningocele
• Uxinzelelo oluqhelekileyo lwehydrocephalus
• Ventriculoperitoneal shunting

• Unonophelo lwenxeba lotyando - luvulekile

• IHydrocephalus