Kugadzira Meningocele

Kugadziriswa kweMeningocele (inozivikanwawo seyelomeningocele kugadzirisa) kuvhiya kugadzirisa hurema hwekuberekwa kwemuzongoza uye musana membrane. Meningocele uye myelomeningocele mhando dze spina bifida.

Kune ese meningoceles uye myelomeningoceles, chiremba anovhara anovhara kuvhura kumashure.

Mushure mekuzvarwa, hurema hunofukidzwa neyakaomeswa kupfeka. Mwana wako anogona kuzotamisirwa kuchipatara chekubereka chakanyanya (NICU). Kuchengetedza kuchapihwa neboka rezvechiremba rine ruzivo muvana vane spina bifida.

Mwana wako anogona kunge aine MRI (magnetic resonance imagining) kana ultrasound yekumashure. MRI kana ultrasound yeuropi inogona kuitwa kutsvaga hydrocephalus (yakawedzera mvura muuropi).

Kana iyo myelomeningocele isina kuvharwa neganda kana membrane kana mwana wako achizvarwa, kuvhiya kunoitwa mukati maawa makumi maviri nemana kusvika makumi mana mushure mekuzvarwa. Uku kudzivirira hutachiona.

Kana mwana wako aine hydrocephalus, shunt (plastiki chubhu) inozoiswa muuropi hwemwana kuti abudise iro rinowedzera mvura kuenda mudumbu. Izvi zvinodzivirira kumanikidza kunogona kukuvadza huropi hwemwana. Iyo shunt inonzi ventriculoperitoneal shunt.

Mwana wako haafanire kuratidzwa kune latex pamberi, panguva, uye mushure mekuvhiyiwa. Vana vazhinji vane chirwere ichi vane kurwara kwakashata kune latex.

Kugadziriswa kweiyo meningocele kana myelomeningocele inodiwa kudzivirira hutachiona uye nekuwedzera kukuvara kumuzongoza wemwana uye tsinga. Kuvhiya hakukwanise kugadzirisa izvo zvakakanganisika mumusana kana musana.

Ngozi dzechero anesthesia uye kuvhiyiwa ndezvi:

• Matambudziko ekufema
• Zviitiko kumishonga
• Kubuda ropa
• Utachiona

Ngozi dzekuvhiya uku ndedzekuti:

• Fluid buildup uye kumanikidza muuropi (hydrocephalus)
• Kuwedzera mukana wehutachiona hutachiona hutachiona uye matambudziko ematumbo
• Kutapukirwa kana kuzvimba kwemuzongoza
• Kuoma mitezo, kushaya simba, kana kushanduka kwekunzwa nekuda kwekurasikirwa kwenzara kushanda

Anopa hutano anowanzo kuwana hurema uhwu asati aberekwa achishandisa fetal ultrasound. Iye anopa anoteedzera fetus zvakanyanya kusvika pakuzvara. Zvirinani kana mucheche achiendeswa kuzere izwi. Chiremba wako achada kuita cesarean delivery (C-chikamu). Izvi zvinodzivirira kumwe kukuvara kwesaga kana kufumurwa kwemusana musana.

Mwana wako anowanzoda kupedza anenge mavhiki maviri ari muchipatara mushure mekuvhiyiwa. Mwana anofanira kurara akati sandara pasina kubata nzvimbo yemaronda. Mushure mekuvhiyiwa, mwana wako anowana maantibayoti kudzivirira hutachiona.

MRI kana ultrasound yeuropi inodzokororwa mushure mekuvhiyiwa kuti uone kana hydrocephalus inokura kana iko kuremara kumashure kwagadziriswa.

Mwana wako angangoda kurapwa kwemuviri, kwekushanda, uye kwekutaura. Vana vazhinji vane matambudziko aya vane zvakakomba (zvakakura) uye zvakanaka (zvidiki) kuremara kwemotokari, uye matambudziko ekumedza, vachiri vadiki.

Mwana angangoda kuona timu yevanachiremba mune spina bifida kazhinji mushure mekubuda muchipatara.

Kuita zvakanaka kunoita mwana kunoenderana nemamiriro ekutanga emuzongoza uye tsinga. Mushure mekugadzirisa meningocele, vana vanowanzoita mushe uye havana humwe huropi, huta, kana mhasuru matambudziko.

Vana vanozvarwa vaine myelomeningocele kazhinji vane kuoma mitezo kana kushaya simba kwemhasuru pazasi pehunhu hwemuzongoza wavo pane chakakanganisika. Ivo zvakare vanogona kunge vasingakwanise kudzora yavo dundira kana ura. Ivo vangangoda rubatsiro rwekurapa uye rwekudzidzisa kwemakore mazhinji.

Iko kugona kufamba uye kudzora ura uye dundira basa kunoenderana paive nehurema hwekuzvarwa hwaive pamusana. Kukanganisa kwakaderera pasi pamutsipa wepelinha kunogona kuva nemhedzisiro iri nani.

Myelomeningocele kugadzira; Myelomeningocele kuvharwa; Myelodysplasia kugadzirisa; Spinal dysraphism kugadzirisa; Kugadziriswa kweMeningomyelocele; Neural chubhu yekukanganisa kugadzirisa; Spina bifida kugadzirisa

• Kuchengeta ronda rekuvhiya - rakavhurika

• Meningocele kugadzira - akateedzana

Kinsman SL, Johnston MV. Congenital anomalies epakati etsinga system. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 609.

Ortega-Barnett J, Mohanty A, Desai SK, Patterson JT. Neurosurgery. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier Saunders; 2017: chits. 67.

Robinson S, Cohen AR. Myelomeningocele uye inoenderana neural tube zvikanganiso. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 10th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 65.