I-spina bifida efihliwe: kuyini, izimpawu nokwelashwa
-Delile
I-spina bifida efihlekile iyisifo sokuzalwa esivela enganeni ngenyanga yokuqala yokukhulelwa, ebonakala ngokuvalwa okungapheli komgogodla futhi ayiholeli ekubonakaleni kwezimpawu noma izimpawu ezimweni eziningi, ukuxilongwa kwenziwa ngokuhlolwa kwesithombe , njengokucabanga kwamagnetic resonance, ngokwesibonelo, noma ngesikhathi sokukhulelwa ngesikhathi se-ultrasound.
Yize ezimweni eziningi kungaholeli ekubonakaleni kwezimpawu, kwezinye izimo ukuba khona kwezinwele noma indawo emnyama ngemuva kungabonakala, ikakhulukazi kwi-L5 ne-S1 vertebrae, kusikisela i-spina bifida efihliwe.
I-spina bifida efihlekile ayinakho ukwelashwa, noma kunjalo ukwelashwa kungakhonjiswa ngokuya ngezimpawu ezethulwe yingane. Kodwa-ke, lapho ukubonwa kwentambo yomgogodla kubonakala, okungajwayelekile, ukuhlinzwa kungadingeka.
Izimpawu zespina bifida ezifihliwe
I-spina bifida efihliwe ezimweni eziningi ayiholeli ekubonakaleni kwezimpawu noma izimpawu, ukudlula kungabonwa kukho konke ukuphila, okungenani ngoba akubandakanyi umgogodla noma ama-meninges, okuyizakhiwo ezivikela ubuchopho. Kodwa-ke, abanye abantu bangakhombisa izimpawu eziphakamisa i-spina bifida efihliwe, okuyi:
- Ukwakheka kwendawo esikhunjeni sangemuva;
- Ukwakheka koqweqwe lwezinwele ngemuva;
- Ukucindezeleka kancane ngemuva, njengethuna;
- Ivolumu kancane ngenxa yokuqongelelwa kwamafutha.
Ngaphezu kwalokho, lapho kutholakala ukubandakanyeka komnkantsha wamathambo, okungajwayelekile, kungavela ezinye izimpawu nezimpawu, njenge-scoliosis, ubuthakathaka nobuhlungu emilenzeni nasezingalweni nasekulahlekelweni isinye nokulawulwa kwamathumbu.
Izimbangela ze-spina bifida ezifihliwe azikaqondakali kahle, kepha kukholakala ukuthi zenzeka ngenxa yokuphuza utshwala ngesikhathi sokukhulelwa noma ukunganele i-folic acid.
Ukuxilongwa kwenziwa kanjani
Ukuxilongwa kwe-spina bifida yokulumba kungenziwa ngesikhathi sokukhulelwa ngokusebenzisa ama-ultrasound nange-amniocentesis, okuwukuhlolwa okuhlose ukuhlola inani le-alpha-fetoprotein ku-amniotic fluid, okuyi-protein etholakala ngobuningi obukhulu uma kwenzeka umgogodla bifida.
Kungenzeka futhi ukuthi kutholakale ukuxilongwa kwe-spina bifida ngemuva kokuzalwa ngokubheka izimpawu nezimpawu okungenzeka ukuthi zethulwe ngumuntu, ngaphezu kwemiphumela yokuthwebula, efana ne-x-ray kanye ne-imagination yamagnetic resonance, okungeziwe ekukhombeni okufihliwe i-spina bifida ivumela udokotela ukuthi ahlole izimpawu zokubandakanyeka kwentambo yomgogodla.
Yelashwa kanjani
Njengoba i-spina bifida icasha ezimweni eziningi akukho ukubandakanyeka komgogodla noma ama-meninges, akukho ukwelashwa okudingekayo. Kodwa-ke, lapho kuvela izimpawu, ukwelashwa kwenziwa ngokuyalelwa ngudokotela futhi kuhlose ukunciphisa izimpawu nezimpawu ezethulwayo.
Kodwa-ke, lapho ukubandakanyeka kwentambo yomgogodla kubonakala, ukuhlinzwa kungacelwa ukulungisa ushintsho lwentambo yomgogodla, kunciphise izimpawu ezihambisanayo.