Ventriculoperitoneal shunt - fitarwa

Yaronku yana da hydrocephalus kuma yana buƙatar shunt da aka sanya don zubar da ruwa mai yawa da kuma sauƙaƙa matsa lamba a cikin kwakwalwa. Wannan haɓakar ruwan ƙwaƙwalwar (kwayar cutar cikin kwakwalwa, ko CSF) yana sa ƙwayoyin ƙwaƙwalwar su danna (zama matse) akan ƙwanƙwasa. Matsi mai yawa ko matsin lamba wanda yake da tsayi da yawa na iya lalata ƙwayar kwakwalwar.

Bayan yaronka ya tafi gida, bi umarnin likitocin kiwon lafiya kan yadda zaka kula da yaro. Yi amfani da bayanin da ke ƙasa azaman tunatarwa.

Childanka ya sami yanki (ramin fata) da ɗan rami da aka haƙa ta kwanyar. An kuma yi ƙaramin yanka a cikin ciki. An sanya bawul a ƙarƙashin fata a bayan kunne ko a bayan kai. An saka bututu daya (catheter) a cikin kwakwalwa don kawo ruwan zuwa bawul. Wani bututun an haɗa shi da bawul ɗin kuma an zare shi a ƙasan fata zuwa cikin cikin ɗanka ko wani wuri kamar kusa da huhu ko cikin zuciya.

Duk wani dinki ko dinkakku wanda zaku ganshi za'a kwashe shi kimanin kwana 7 zuwa 14.

Duk sassan shunt ɗin suna ƙarƙashin fata. Da farko, yankin da ke saman shunt na iya tashi a ƙasan fata. Yayin da kumburi ya tafi kuma gashin yaron ya girma, za a sami ƙaramin yanki wanda ya kai girman kwata kwata-kwata wanda ba a cika saninsa ba.

Kar ayi wanka ko shamfu a kan yaron har sai an fitar da dinkin da ƙafafun. Bada yaranka wankan soso maimakon. Raunin bai kamata ya jiƙa a ruwa ba har sai fatar ta warke sarai.

Kada a tura a ɓangaren shunt ɗin da za ku ji ko gani a ƙarƙashin fatar ɗanku a bayan kunne.

Yaron ku yakamata ya iya cin abinci na yau da kullun bayan ya tafi gida, sai dai idan mai bayarwa ya gaya muku akasin haka.

Yaron ku yakamata ya iya yin yawancin ayyukan:

• Idan kuna da ɗa, ku kula da jaririn yadda za ku saba. Yana da kyau a yiwa jaririn jariri.
• Yaran da suka manyanta na iya yin ayyukan yau da kullun. Yi magana da mai baka game da wasannin tuntuɓar ka.
• Yawancin lokaci, ɗanka na iya yin barci a kowane matsayi. Amma, bincika wannan tare da mai ba da sabis kamar yadda kowane yaro ya bambanta.

Yaronku na iya samun ɗan ciwo. Yaran da ke ƙasa da shekaru 4 na iya ɗaukar acetaminophen (Tylenol). Yara agean shekaru 4 da sama da haihuwa na iya sanya musu magunguna masu ƙarfi na ciwo, idan an buƙata. Bi umarnin mai ba da sabis ko umarnin kan kwandon magani, game da yawan maganin da za a ba ɗanka.

Manyan matsalolin da ake jira sune shunt da kamuwa da shuntar da aka toshe.

Kira mai ba da sabis na yaro idan yaro ya:

• Rikicewa ko alama bai waye ba
• Zazzabi na 101 ° F (38.3 ° C) ko mafi girma
• Jin zafi a cikin ciki wanda baya tafiya
• Neckarar wuya ko ciwon kai
• Babu ci ko kuma baya cin abinci mai kyau
• Jijiyoyi a kai ko fatar kan mutum wanda yayi kyau fiye da yadda yake ada
• Matsaloli a makaranta
• Rashin ci gaba ko kuma ya rasa ƙwarewar ci gaban da aka samu a baya
• Ki zama mai yawan damuwa ko kuma jin haushi
• Redness, kumburi, zub da jini, ko ƙara fitar ruwa daga wurin ramin
• Amai wanda ba zai tafi ba
• Matsalolin bacci ko sun fi bacci fiye da yadda aka saba
• Babban kuka
• An duba mafi kodadde
• Kan da yake girma sosai
• Bulging ko taushi a wuri mai laushi a saman kai
• Kusa a kusa da bawul din ko kuma a kusa da bututun da yake tafiya daga bawul din zuwa cikin cikinsu
• Kamawa

Shunt - ventriculoperitoneal - fitarwa; VP shunt - fitarwa; Shunt bita - fitarwa; Hydrocephalus shunt sanyawa - fitarwa

Badhiwala JH, Kulkarni AV. Hanyoyin farauta na ƙwari. A cikin: Winn HR, ed. Youmans da Winn Yin aikin tiyata. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 201.

Hanak BW, Bonow RH, Harris CA, Browd SR. Cerebrospinal ruwa shunting rikitarwa a cikin yara. Pediatr Neurosurg. 2017; 52 (6): 381-400. PMID: 28249297 pubmed.ncbi.nlm.nih.gov/28249297/.

Rosenberg GA. Mawaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 88.

• Cutar sankarau
• Hydrocephalus
• Pressureara matsa lamba intracranial
• Cutar sankarau
• Myelomeningocele
• Matsalar al'ada hydrocephalus
• Untingararrawar ƙwayar cuta

• Kula da rauni na tiyata - a buɗe

• Hydrocephalus