Amachibi eOmaya

Umxholo

• Ibekwa njani?
• Ukulungiselela
• Inkqubo
• Ukuchacha
• Ngaba ikhuselekile?
• Ngaba ingasuswa?
• Umgca wezantsi

Yintoni idama laseOmaya?

Idama laseOmaya sisixhobo seplastikhi esifakwe phantsi kwentloko yakho. Isetyenziselwa ukuhambisa amayeza kwi-cerebrospinal fluid yakho (CSF), ulwelo olucacileyo kwingqondo yakho nakwintambo yomqolo. Ikwavumela ugqirha wakho ukuba athathe iisampulu ze-CSF yakho ngaphandle kokwenza impompo yomqolo.

Amachibi e-Ommaya ahlala esetyenziselwa ukulawula amayeza e-chemotherapy. Ingqondo yakho kunye nentambo yomqolo ineqela lemithambo yegazi eyenza isikrini esikhuselayo esibizwa ngokuba ngumqobo wegazi nengqondo. I-Chemotherapy ehanjiswa ngegazi lakho ayinakuwela lo mqobo ufike kwiiseli zomhlaza. Idama laseOmaya livumela amayeza ukuba agqithe isithintelo segazi-lobuchopho.

Idama laseOmaya ngokwalo lenziwe ngamacandelo amabini. Inxalenye yokuqala sisiqulatho esincinci esimile okwe dome kwaye sibekwe phantsi kwentloko yakho. Esi sikhongozeli sixhunywe kwi-catheter ebekwe kwindawo evulekileyo ngaphakathi kwengqondo yakho ebizwa ngokuba yi-ventricle. I-CSF ijikeleza ngaphakathi kwesi sithuba kwaye inike ingqondo yakho izakhamzimba kunye nomqamelo.

Ukuthatha isampulu okanye ukuhambisa amayeza, ugqirha wakho uya kufaka inaliti kulusu lwentloko yakho ukufikelela echibini.

Ibekwa njani?

Idama lase-Ommaya lifakelwa yinyani ye-neurosurgeon ngelixa uphantsi kwe-anesthesia ngokubanzi.

Ukulungiselela

Ukufumana indawo yokugcina amanzi yase-Ommaya kufuna ukulungiswa, okufana:

• ukungaseli utywala nje ukuba inkqubo icwangcisiwe
• ungathathi zongezelelo ze-vitamin E zingaphelanga iintsuku ezili-10 zenkqubo
• ungathathi iasprini okanye amayeza aneasprini phakathi evekini ngaphambi kwenkqubo
• ukuxelela ugqirha wakho malunga nawaphi na amayeza ongezelelweyo
• ukulandela izikhokelo zikagqirha wakho malunga nokutya nokusela ngaphambi kwenkqubo

Inkqubo

Ukutyala i-Ommaya reservoir, ugqirha wakho wotyando uya kuqala ngokucheba intloko yakho kwindawo yokufaka. Emva koko, baya kwenza ukusika okuncinci entlokweni yakho ukufaka ichibi. I-catheter ifakwe emngxunyeni omncinci kukhakhayi lwakho kwaye ijolise kwi-ventricle kwingqondo yakho. Ukusonga, baya kuvala ukusikwa ngestaples okanye imithungo.

Utyando ngokwalo kufuneka luthathe malunga nemizuzu engama-30, kodwa yonke inkqubo ingathatha malunga neyure.

Ukuchacha

Nje ukuba idama lase-Ommaya libekwe, uya kuziva ngathi kukho iqhuma elincinci entlokweni yakho apho kukho ichibi.

Uya kudinga ukuskena i-CT okanye ukuskena kweMRI ngaphakathi kosuku lotyando lwakho ukuqinisekisa ukuba ibekwe ngokuchanekileyo. Ukuba ifuna ukulungiswa, unokufuna inkqubo yesibini.

Ngelixa uchacha, gcina indawo ejikeleze usiko lomile kwaye ucoce de kube kususwe isitshixo sakho. Qiniseka ukuba uxelela ugqirha wakho malunga nayo nayiphi na imiqondiso yosulelo, enje:

• umkhuhlane
• intloko ebuhlungu
• ubomvu okanye ukuthamba kufutshane nendawo yokuqhawula
• Ukutsala kufutshane nendawo yokusika
• ukugabha
• ukuqina kwentamo
• ukudinwa

Nje ukuba uphilise kwinkqubo, ungabuyela kuyo yonke imisebenzi yakho yesiqhelo. Amachibi e-Ommaya awafuni nkathalo okanye ulondolozo.

Ngaba ikhuselekile?

Amachibi eOmaya akhuselekile ngokubanzi. Nangona kunjalo, inkqubo yokubeka ibeka umngcipheko ofanayo njengalo naluphi na olunye utyando olubandakanya ingqondo yakho, kubandakanya:

• usulelo
• ukopha kwingqondo yakho
• ukuphulukana nenxalenye yokusebenza kwengqondo

Ukuthintela usulelo, ugqirha wakho unokukunika amayeza okubulala iintsholongwane emva kwenkqubo. Thetha nogqirha wakho malunga nayiphi na inkxalabo onayo malunga neengxaki. Banokuya malunga nendlela yabo kunye nawe kwaye bakwazise ngamanyathelo ongezelelweyo abaya kuwathatha ukunciphisa umngcipheko wokuba neengxaki.

Ngaba ingasuswa?

Iindawo zokugcina iOmaya zihlala zingasuswa ngaphandle kokuba zibangela iingxaki, ezinje ngesifo. Nangona ngaxa lithile kwixesha elizayo ungasayidingi indawo yokugcina amanzi yase-Ommaya, inkqubo yokuyisusa inemingcipheko efanayo nenkqubo yokuyifaka. Ngokubanzi, ukuyisusa akubalulekanga emngciphekweni.

Ukuba unayo i-Ommaya reservoir kwaye ucinga ukuyisusa, qiniseka ukuba uya ngaphaya kobungozi obunokubakho nogqirha wakho.

Umgca wezantsi

Amachibi e-Ommaya avumela ugqirha wakho ukuba athathe ngokulula iisampulu ze-CSF yakho. Zikwasetyenziselwa ukuhambisa amayeza kwi-CSF yakho. Ngenxa yomngcipheko onxulunyaniswa nokususwa, amadama e-Ommaya ahlala ethathwa ngaphandle kokuba abangela ingxaki yonyango.