Amadamu e-Ommaya

-Delile

• Ibekwa kanjani?
• Ukulungiselela
• Inqubo
• Ukubuyiselwa
• Kuphephile?
• Ingabe ingasuswa?
• Okubalulekile

Yini idamu lase-Ommaya?

Idamu lase-Ommaya liyidivayisi yepulasitiki efakwe ngaphansi kwesikhumba sakho. Isetshenziselwa ukuletha imithi ku-cerebrospinal fluid yakho (CSF), uketshezi olucacile ebuchosheni bakho nasentanjeni yomgogodla. Kubuye kuvumele udokotela wakho ukuthi athathe amasampula we-CSF yakho ngaphandle kokwenza umpompi womgogodla.

Izinqolobane ze-Ommaya zivame ukusetshenziselwa ukwelashwa ngamakhemikhali. Ingqondo yakho nomgogodla uneqembu lemithambo yegazi elenza isikrini esivikelayo esibizwa ngokuthi yisithiyo segazi nobuchopho. Ukwelashwa ngamakhemikhali okulethwa ekusakazeni kwegazi lakho akukwazi ukuwela lesi sithiyo ukufinyelela kumaseli omdlavuza. Idamu lase-Ommaya livumela umuthi ukuthi weqe isithiyo segazi nobuchopho.

Idamu lase-Ommaya uqobo lwakhiwe izingxenye ezimbili. Ingxenye yokuqala yisiqukathi esincane esimise okwedome futhi sibekwe ngaphansi kwekhanda lakho. Lesi sitsha sixhunywe ku-catheter ebekwe endaweni evulekile ngaphakathi kobuchopho bakho okuthiwa i-ventricle. I-CSF ijikeleza ngaphakathi kwalesi sikhala futhi inikeze ubuchopho bakho izakhamzimba kanye nesigungu.

Ukuthatha isampula noma ukuphatha imithi, udokotela wakho uzofaka inaliti esikhunjeni sesikhumba sakho ukuze ufinyelele echibini.

Ibekwa kanjani?

Idamu lase-Ommaya lifakwa yi-neurosurgeon ngenkathi ungaphansi kwe-anesthesia ejwayelekile.

Ukulungiselela

Ukutholakala kwesigxobo se-Ommaya kudinga ukulungiswa okuthile, okufana nalokhu:

• ukungaphuzi utshwala uma inqubo ihleliwe
• ukungathathi izengezo zikavithamini E zingakapheli izinsuku eziyi-10 zenqubo
• ukungathathi i-aspirin noma imishanguzo equkethe i-aspirin phakathi nesonto ngaphambi kwenqubo
• ukutshela udokotela wakho nganoma yimiphi imishanguzo eyengeziwe oyithathayo
• ukulandela imihlahlandlela kadokotela wakho mayelana nokudla nokuphuza ngaphambi kwenqubo

Inqubo

Ukutshala echibini lase-Ommaya, udokotela wakho ohlinzayo uzoqala ngokushefa ikhanda lakho eduze kwesiza sokutshala. Okulandelayo, bazokwenza ukusika okuncane ekhanda lakho ukufaka idamu. I-catheter ifakwa emgodini omncane okhakhayini lwakho bese iqondiswa ku-ventricle ebuchosheni bakho. Ukusonga, bazovala i-incision ngeziqholo noma ngemithungo.

Ukuhlinzwa uqobo kufanele kuthathe cishe imizuzu engama-30, kepha yonke inqubo ingathatha cishe ihora.

Ukubuyiselwa

Lapho idamu lase-Ommaya selibekiwe, uzozwa ukuqhuma okuncane ekhanda lakho lapho kukhona khona idamu.

Uzodinga ukuskena kwe-CT noma ukuskena kwe-MRI kungakapheli usuku lokuhlinzwa kwakho ukuze uqiniseke ukuthi kubekwe kahle. Uma idinga ukulungiswa, ungadinga inqubo yesibili.

Ngenkathi usalulama, gcina indawo ezungeze imbobo yomile futhi ihlanzekile kuze kususwe okuyisisekelo. Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi izimpawu zokutheleleka, njenge:

• umkhuhlane
• ikhanda
• ububomvu noma ubumnene eduze kwesiza sokusika
• ukuqhuma eduze kwesiza sokusika
• ukuhlanza
• ukuqina kwentamo
• ukukhathala

Uma usuphulukile enqubeni, ungabuyela kuyo yonke imisebenzi yakho ejwayelekile. Izinqolobane ze-Ommaya azidingi ukunakekelwa noma ukunakekelwa.

Kuphephile?

Amachibi e-Ommaya ngokuvamile aphephile. Kodwa-ke, inqubo yokuyibeka inezingozi ezifanayo nokunye ukuhlinzwa okubandakanya ubuchopho bakho, kufaka phakathi:

• ukutheleleka
• ukopha ebuchosheni bakho
• ukulahleka okuncane kokusebenza kobuchopho

Ukuvimbela ukutheleleka, udokotela wakho angase akunikeze ama-antibiotics alandela inqubo. Khuluma nodokotela wakho nganoma yikuphi ukukhathazeka onakho mayelana nezinkinga. Bangadlula indlela abasebenza ngayo nawe futhi bakwazise nganoma iziphi izinyathelo ezingeziwe abazothatha ukwehlisa ingozi yokuba nezinkinga.

Ingabe ingasuswa?

Izinqolobane ze-Ommaya ngokuvamile azisuswa ngaphandle kokuthi zidale izinkinga, njengokutheleleka. Yize esikhathini esithile esikhathini esizayo ungasasidingi isiziba sakho se-Ommaya, inqubo yokususa inezingozi ezifanayo nenqubo yokuyifaka. Ngokuvamile, ukuyisusa ayifanele ingozi.

Uma unedamu lase-Ommaya futhi ucabanga ukuthi lisuswe, qiniseka ukuthi udlula izingozi ezingaba khona nodokotela wakho.

Okubalulekile

Izinqolobane ze-Ommaya zivumela udokotela wakho ukuthi athathe kalula amasampula we-CSF yakho. Zisetshenziswa futhi ukunikezela ngemithi ku-CSF yakho. Ngenxa yezingozi ezihambisana nokususwa, amadamu e-Ommaya ngokuvamile awakhishwa ngaphandle kokuthi abangela inkinga yezokwelapha.