Myelomeningocele: chii zvazviri, zviratidzo, zvinokonzera uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Chii chinokonzera myelomeningocele
• Kurapwa kunoitwa sei
• Kuvhiyiwa kunoitwa sei
• Zvinoita here kuvhiyiwa pachibereko?
• Physiotherapy ye myelomeningocele
• Paunodzokera kuna chiremba

Myelomeningocele ndiyo mhando yakatwasuka yespina bifida, umo mapfupa emusana emwana asingakure zvakanaka panguva yekuzvitakura, zvichikonzera kuoneka kwehomwe kumusana ine musana, tsinga uye cerebrospinal fluid.

Kazhinji, kutaridzika kwechikwama chemyelomeningocele kunowanzoitika pazasi pemusana, asi inogona kuoneka chero kupi kumuzongoza, zvichiita kuti mwana arasikirwe nehunyanzvi uye nekushanda kwemitezo pazasi pekushandurwa.

Myelomeningocele haina mushonga nekuti, kunyangwe zvichikwanisika kudzikisa bhegi nekuvhiya, maronda anokonzerwa nedambudziko haakwanise kudzoserwa zvachose.

Zviratidzo zvikuru

Chiratidzo chikuru chemyelomeningocele kutaridzika kwehomwe kumusana kwemwana, zvisinei, zvimwe zviratidzo zvinosanganisira:

• Kuoma kana kusavapo kwekufamba mumakumbo;
• Tsvina kushaya simba;
• Kurasikirwa kwekunzwa kupisa kana kutonhora;
• Urinary uye tsvina kusagadzikana;
• Kukanganisa mumakumbo kana tsoka.

Kazhinji, kuongororwa kwemyelomeningocele kunoitwa panguva yekuzvarwa nekucherechedzwa kwehombodo kumusana kwemwana. Uye zvakare, chiremba anowanzo kumbira bvunzo dzemitsipa kuti atarise kubatanidzwa kwetsinga.

Chii chinokonzera myelomeningocele

Chikonzero chemyelomeningocele hachisati chanyatsosimbiswa, zvisinei zvinofungidzirwa kuti ndizvo zvinokonzerwa nemajini uye ezvakatipoteredza, uye zvinowanzoenderana nenhoroondo yekukanganisa kwemuzongoza mumhuri kana kushomeka kwefolic acid.

Uye zvakare, vakadzi vakashandisa imwe anticonvulsant mishonga panguva yekuzvitakura, kana vane chirwere cheshuga, semuenzaniso, vanowanzove ne myelomeningocele.

Kudzivirira myelomeningocele, zvakakosha kuti vakadzi vane nhumbu vawedzere folic acid nguva isati yasvika uye panguva yepamuviri, nekuti mukuwedzera pakudzivirira myelomeningocele, inodzivirira kuzvarwa nguva isati yakwana uye pre-eclampsia, semuenzaniso. Ona kuti folic acid yekuwedzera inofanirwa kuitwa sei panguva yekuzvitakura.

Kurapwa kunoitwa sei

Kurapa kwe myelomeningocele kunowanzo kutanga mukati memaawa makumi mana nemasere mushure mekuzvarwa nekuvhiyiwa kugadzirisa shanduko musana uye kudzivirira kutanga kwehutachiona kana maronda matsva mumutsipa wepelinha, kudzikisira rudzi rwe sequelae.

Kunyangwe kurapwa kwe myelomeningocele pamwe nekuvhiyiwa kuchishanda pakurapa kukuvara kwemuzongoza kwemwana, hakukwanise kurapa sequela iyo iyo mwana anga ave nayo kubva pakuzvarwa. Ndokunge, kana mwana akazvarwa akaoma mitezo kana kusagadzikana, semuenzaniso, hazvizorapike, asi zvinodzivirira kuoneka kweimwe sequelae nyowani inogona kubuda kubva musana wekusangana.

Kuvhiyiwa kunoitwa sei

Kuvhiya kwekurapa myelomeningocele kunowanzoitwa muchipatara pasi peanesthesia uye inofanirwa, zvine musoro, kuitwe nechikwata chine neurosurgeon uye chiremba wepurasitiki. Imhaka yekuti inowanzo tevera inotevera nhanho-nhanho:

1. Mutsara wepelinha wakavharwa neurosurgeon;
2. Tsandanyama dzeshure dzakavharwa nachiremba wepurasitiki uye neurosurgeon;
3. Ganda rakavharwa nachiremba wepurasitiki.

Kazhinji, sezvo paine ganda diki rinowanikwa panzvimbo yeiyo myelomeningocele, chiremba anovhiya anoda kubvisa chidimbu cheganda kubva kune chimwe chikamu chemusana kana chepasi chemwana, kuti aite chikamu nekuvhara kuvhura kumashure.

Uye zvakare, vazhinji vacheche vane myelomeningocele vanogona zvakare kugadzira hydrocephalus, iri dambudziko rinokonzeresa kuwanda kwemvura mukati mehenya uye, nekudaro, zvingave zvakakodzera kuve nekuvhiya kutsva mushure megore rekutanga rehupenyu kuisa hurongwa hunobatsira kudira zvinwiwa kune dzimwe nhengo dzemuviri. Dzidza zvakawanda nezvekuti hydrocephalus inorapwa sei.

Zvinoita here kuvhiyiwa pachibereko?

Kunyangwe isingawanzoitika, mune zvimwe zvipatara, kune zvakare sarudzo yekuvhiyiwa kupedza myelomeningocele kupera kwemimba, kuchiri mukati mechibereko chemukadzi ane nhumbu.

Kuvhiya uku kunogona kuitwa pamasvondo makumi maviri nemana, asi inova nzira yakashata inofanirwa kungoitwa nachiremba akarovedzwa, izvo zvinopedzisira zvaita kuti kuvhiya kudhure. Nekudaro, mhedzisiro yekuvhiyiwa muchibereko inoita kunge iri nani, sezvo paine mukana mushoma wekukuvara kwemuzongoza panguva yemimba.

Physiotherapy ye myelomeningocele

Physiotherapy ye myelomeningocele inofanirwa kuitwa panguva yekukura kwemwana uye kuita kwehunhu kuchengetedza kukura kwemajoini uye kudzivirira mhasuru atrophy.

Pamusoro pezvo, kurapa panyama zvakare inzira yakanaka yekukurudzira vana kubata nezvisingakwanisike, senge pachiitiko chekuoma mitezo, ichivabvumidza kuva nehupenyu hwekuzvimiririra, kuburikidza nekushandisa madondoro kana wiricheya, semuenzaniso.

Paunodzokera kuna chiremba

Mushure mekunge mwana aburitswa muchipatara zvakakosha kuenda kuna chiremba apo zviratidzo zvakaita se:

• Fivha iri pamusoro pe 38ºC;
• Kusava nechido chekutamba uye kusava nehanya;
• Kutsvuka panzvimbo yekuvhiya;
• Yakadzikira simba mumitezo isina kukanganiswa;
• Kakawanda kurutsa;
• Dilated nyoro nzvimbo.

Zviratidzo izvi zvinogona kuratidza kusangana kwakakomba, senge hutachiona kana hydrocephalus, uye nekudaro zvakakosha kuenda kuimba yekukurumidzira nekukurumidza sezvazvinogona.