Ukulungiswa kweMeningocele

Ukulungiswa kweMeningocele (okwaziwa nangokuthi ukulungiswa kwe-myelomeningocele) ukuhlinzwa ukulungisa ukukhubazeka kokuzalwa komgogodla nolwelwesi lomgogodla. IMeningocele ne-myelomeningocele yizinhlobo zespina bifida.

Kokubili i-meningoceles ne-myelomeningoceles, udokotela ohlinzayo uzovala ukuvuleka ngemuva.

Ngemuva kokuzalwa, ukukhubazeka kumbozwa ngokugqoka okuyinyumba. Ingane yakho ingahle idluliselwe egunjini lokunakekelwa kwabagula kakhulu (i-NICU). Ukunakekelwa kuzonikezwa yithimba lezokwelapha elinolwazi ezinganeni ezine-spina bifida.

Ingane yakho kungenzeka ibe ne-MRI (magnetic resonance imagining) noma i-ultrasound yangemuva. I-MRI noma i-ultrasound yobuchopho kungenziwa ukubheka i-hydrocephalus (uketshezi olwengeziwe ebuchosheni).

Uma i-myelomeningocele ingamboziwe ngesikhumba noma ulwelwesi lapho ingane yakho izalwa, ukuhlinzwa kuzokwenziwa kungakapheli amahora angama-24 kuya kwangu-48 ngemuva kokuzalwa. Lokhu ukuvikela ukutheleleka.

Uma ingane yakho ine-hydrocephalus, i-shunt (ipulasitiki) izofakwa ebuchosheni bengane ukukhipha uketshezi oluthe xaxa oluya esiswini. Lokhu kuvimbela ingcindezi engalimaza ubuchopho bengane. I-shunt ibizwa nge-ventriculoperitoneal shunt.

Ingane yakho akufanele ivezwe i-latex ngaphambi, ngesikhathi nangemva kokuhlinzwa. Izingane eziningi ezinalesi sifo zinezifo ezimbi kakhulu ku-latex.

Ukulungiswa kwe-meningocele noma i-myelomeningocele kuyadingeka ukuvimbela ukutheleleka nokulimala okuqhubekayo emgogodleni wezinzwa zomgogodla nezinzwa. Ukuhlinzwa akukwazi ukulungisa ukukhubazeka kwentambo yomgogodla noma izinzwa.

Izingozi zanoma iyiphi i-anesthesia nokuhlinzwa yilezi:

• Izinkinga zokuphefumula
• Ukusabela emithini
• Ukopha
• Ukutheleleka

Izingozi zalokhu kuhlinzwa yilezi:

• Ukwakhiwa kwamanzi nokucindezela ebuchosheni (i-hydrocephalus)
• Ukwanda kwamathuba okutheleleka ngomgudu womchamo nezinkinga zamathumbu
• Ukutheleleka noma ukuvuvukala komgogodla
• Ukukhubazeka, ubuthakathaka, noma izinguquko zemizwa ngenxa yokulahleka komsebenzi wezinzwa

Umhlinzeki wezokunakekelwa kwempilo uvame ukuthola la maphutha ngaphambi kokuzalwa esebenzisa i-fetal ultrasound. Umhlinzeki uzolandela umbungu eduze kakhulu kuze kuzalwe. Kungcono uma usana lwenziwa isikhathi esigcwele. Udokotela wakho uzofuna ukulethwa ngokuhlinzwa (isigaba se-C). Lokhu kuzovimbela ukulimala okuqhubekayo esikhwameni noma izicubu zomgogodla eziveziwe.

Ingane yakho izodinga ukuchitha cishe amasonto amabili esibhedlela ngemuva kokuhlinzwa. Ingane kufanele ilale phansi ngaphandle kokuthinta indawo yesilonda. Ngemuva kokuhlinzwa, ingane yakho izothola ama-antibiotic ukuvikela ukutheleleka.

I-MRI noma i-ultrasound yobuchopho iyaphindwa ngemuva kokuhlinzwa ukubona ukuthi i-hydrocephalus iyakhula yini lapho iphutha elingemuva selilungisiwe.

Ingane yakho ingadinga ukwelashwa ngokomzimba, emsebenzini, nangendlela yokukhuluma. Izingane eziningi ezinalezi zinkinga zinokukhubazeka okukhulu (okukhulu) nokuhle (okuncane) kwezimoto, nezinkinga zokugwinya, zisencane.

Ingane ingadinga ukubona iqembu lochwepheshe bezokwelapha ku-spina bifida kaningi ngemuva kokuphuma esibhedlela.

Ukwenza kahle kwengane kuncike esimweni sokuqala somgogodla nezinzwa zabo. Ngemuva kokulungiswa kwe-meningocele, izingane zivame ukwenza kahle kakhulu futhi zingabe zisaba nezinkinga zobuchopho, imizwa, noma imisipha.

Izingane ezizalwa zine-myelomeningocele zivame ukuba nokukhubazeka noma ubuthakathaka bemisipha engaphansi kwezinga lomgogodla wayo lapho kukhubazeka khona. Futhi kungenzeka bangakwazi ukulawula isinye noma amathumbu abo. Cishe bazodinga ukwesekwa kwezokwelapha nezemfundo iminyaka eminingi.

Amandla okuhamba nokulawula ukusebenza kwamathumbu nesinye kuncike lapho ukukhubazeka kokuzalwa kwakukhona emgogodleni. Amaphutha aphansi emgogodleni angaba nomphumela ongcono.

Ukulungiswa kweMyelomeningocele; Ukuvalwa kweMyelomeningocele; Ukulungiswa kweMelodysplasia; Ukulungiswa komgogodla womgogodla; Ukulungiswa kweMeningomyelocele; Ukulungiswa kwesici se-Neural tube; Ukulungisa i-Spina bifida

• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• Ukulungiswa kweMeningocele - uchungechunge

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