Isifo seArnold-Chiari: yintoni, ziindidi, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Unyango lwenziwa njani

Isifo iArnold-Chiari sisifo esingaqhelekanga semfuza apho inkqubo ye-nervous system iphazamisekile kwaye inokubangela ubunzima bokulinganisa, ukuphulukana nokulungelelaniswa kweemoto kunye neengxaki ezibonakalayo.

Oku kugwenxa kuxhaphake kakhulu kwabasetyhini kwaye kuhlala kwenzeka ngexesha lokukhula komntwana, apho, ngesizathu esingaziwayo, i-cerebellum, eyinxalenye yengqondo ejongene nokulingana, ikhula ngokungalunganga. Ngokwophuhliso lwe-cerebellum, isifo sika-Arnold-Chiari sinokuhlelwa ngokweendidi ezine:

• Chiari I: Luhlobo oluxhaphakileyo nolona luqwalaselweyo ebantwaneni kwaye lwenzeka xa i-cerebellum ifikelela kwi-orifice emazantsi okhakhayi, ebizwa ngokuba yi-foramen magnum, apho kufanele ukuba kudlule kuphela intambo yomqolo;
• IChiari II: Kwenzeka xa ukongeza kwi-cerebellum, ubuchwephesha bobuchwephesha buyaqhubeka ukuya kwi-foramen magnum. Olu hlobo lwe-malformation luqhelekile ukuba lubonwe kubantwana abane-spina bifida, ehambelana nokusilela kuphuhliso lomnqonqo kunye nolwakhiwo olukhuselayo. Funda malunga nespina bifida;
• UChiari III: Kwenzeka xa i-cerebellum kunye ne-brain stem, ukongeza ekunwenweleni kwi-foramen magnum, ifikelela kwintambo yomqolo, le malformation iyeyona ibaluleke kakhulu, nangona inqabile;
• IChiari IV: Olu hlobo lukwanqabile kwaye aluhambelani nobomi kwaye lwenzeka xa kungekho phuhliso okanye xa kukho ukukhula okungaphelelanga kwe-cerebellum.

Uxilongo lwenziwa ngokusekwe kwiimviwo zokucinga, ezinje ngemagneti yokubonisa ngemagneti okanye ikhompyuter yecomputer, kunye neemviwo zemithambo-luvo, apho ugqirha enza khona iimvavanyo zokuvavanya amandla emoto kunye namandla emizwa, ukongeza ibhalansi.

Iimpawu eziphambili

Abanye abantwana abazalwa benale ngxaki abanakubonakalisa zimpawu okanye bangabikho xa befika kwinqanaba lokufikisa okanye ebudaleni, beqheleke ngakumbi ukusuka kwiminyaka ye-30. Iimpawu ziyahluka ngokwenqanaba lokuphazamiseka kwenkqubo yemithambo-luvo, kwaye kunokuba:

• Iintlungu zomlomo wesibeleko;
• Buthathaka kwezihlunu;
• Kunzima ukulingana;
• Utshintsho kulungelelwaniso;
• Ukuphulukana nemvakalelo kunye nokuba ndindisholo;
• Utshintsho olubonakalayo;
• Isiyezi;
• Ukunyuka kwentliziyo.

Oku kugwenxa kuqheleke ukwenzeka ngexesha lokukhula komntwana, kodwa kunokwenzeka, kunqabile, kubomi babantu abadala ngenxa yeemeko ezinokwehlisa inani le-cerebrospinal fluid, enjengosulelo, ukubetha entloko okanye ukuvezwa kwezinto ezinetyhefu .

Ukuxilongwa ngu-neurologist ngokusekelwe kwiimpawu ezichazwe ngumntu, iimviwo ze-neurological, ezivumela ukuhlolwa kweengcamango, ukulinganisela kunye nokulungelelanisa, kunye nokuhlalutya i-tomography ekhompyutheni okanye i-imagination magnetic resonance.

Unyango lwenziwa njani

Unyango lwenziwa ngokweempawu kunye nobukhali bazo kwaye zijolise ekunciphiseni iimpawu kunye nokuthintela ukuqhubela phambili kwesi sifo. Ukuba akukho zimpawu, akukho sidingo sonyango. Kwezinye iimeko, nangona kunjalo, ukusetyenziswa kwamayeza okuthomalalisa iintlungu kunokucetyiswa yi-neurologist, enje nge-Ibuprofen, umzekelo.

Xa iimpawu zibonakala kwaye zinzima kakhulu, ziphazamisa umgangatho wobomi bomntu, ugqirha wemithambo-luvo unokucebisa ngenkqubo yotyando, eyenziwa phantsi kwe-anesthesia ngokubanzi, ukuze idibanise intambo yomqolo kwaye ivumele ukujikeleza kolwelo lwe-cerebrospinal fluid. Ukongeza, i-physiotherapy okanye unyango lomsebenzi lunokucetyiswa yi-neurologist ukuphucula ukulungelelaniswa kwemoto, intetho kunye nokulungelelaniswa.