Dayactirka Meningocele

Dayactirka Meningocele (sidoo kale loo yaqaan dayactirka myelomeningocele) waa qalliin lagu hagaajinayo cilladaha dhalashada ee lafdhabarta iyo xuubka lafdhabarta. Meningocele iyo myelomeningocele waa nooc ka mid ah laf-dhabarka.

Labada meningoceles iyo myelomeningoceles labadaba, dhakhtarka qalliinka ayaa xiri doona furitaanka dhabarka.

Dhalashada kadib, cilladda waxaa daboolay labis nadiif ah. Canugaaga waxaa markaa loo wareejin karaa qeybta daryeelka degdegga ah ee dhallaanka (NICU). Daryeelka waxaa bixin doona koox caafimaad oo khibrad u leh carruurta qabta laf-dhabarka.

Ilmahaaga waxay u badan tahay inuu yeelan doono MRI (magnetic resonance imagining) ama ultrasound-ka dhabarka. MRI ama ultrasound-ka maskaxda ayaa laga yaabaa in loo sameeyo si loo raadiyo hydrocephalus (dheecaan dheeri ah oo maskaxda ku jira).

Haddii myelomeningocele uusan ku daboolin maqaarka ama xuubka marka ilmahaagu dhasho, qalliin ayaa lagu sameyn doonaa 24 illaa 48 saacadood gudahood dhalashada ka dib. Tani waa in laga hortago infekshinka.

Haddii ilmahaagu qabo hydrocephalus, shunt (tubbo caag ah) ayaa la gelin doonaa maskaxda ilmaha si dheecaanka dheeraadka ah loogu daadiyo caloosha. Tani waxay ka hortagtaa cadaadiska dhaawici kara maskaxda ilmaha. Shunt waxaa loo yaqaan 'ventriculoperitoneal shunt'.

Cunugaaga waa inaanu la kulmin cinjirka kahor, inta lagu jiro, iyo qalitaanka ka dib. Carruur badan oo xaaladan leh ayaa xasaasiyad xun ku leh cinjirka 'latex'.

Dayactirka meningocele ama myelomeningocele ayaa loo baahan yahay si looga hortago infekshinka iyo dhaawaca dheeraadka ah ee laf-dhabarka iyo neerfaha ilmaha. Qalliinka ma sixi karo cilladaha ku jira laf-dhabarka ama neerfaha.

Khataraha suuxdinta iyo qalliin kasta waa:

• Dhibaatooyinka neefsashada
• Falcelinta dawooyinka
• Dhiigbax
• Caabuq

Khataraha qalliinkan waa:

• Kordhinta dareeraha iyo cadaadiska maskaxda (hydrocephalus)
• Fursadda sii kordheysa ee infekshinka kaadi mareenka iyo dhibaatooyinka mindhicirka
• Caabuq ama barar ku dhaca laf-dhabarka
• Curyaannimo, daciifnimo, ama isbeddello dareemid sabab u ah luminta shaqada neerfaha

Bixiyaha xanaanada caafimaadka badanaa wuxuu helayaa cilladahaan dhalashada kahor dhalashada adoo adeegsanaya ultrasound-ka uurjiifka Bixiyaha ayaa si dhow ula socon doona uurjiifka ilaa dhalashada. Way fiicantahay haddii ilmaha dhallaanka ah loo qaado muddo buuxda. Dhakhtarkaagu wuxuu rabaa inuu sameeyo foolashada qalliinka (C-section). Tani waxay ka hortageysaa waxyeelo dheeri ah oo ku timaadda kiishka ama unugyada laf-dhabarka ee la soo saaray.

Ilmahaagu wuxuu badanaa ubaahanyahay inuu kusugnaado ilaa 2 todobaad isbitaalka qalliinka kadib. Ilmuhu waa inuu jiifaa isagoo aan taaban aagga dhaawaca. Qalliinka ka dib, ilmahaaga waxaa la siin doonaa antibiyootiko si looga hortago infekshinka.

MRI ama ultrasound-ka maskaxda ayaa lagu celiyaa qalitaanka ka dib si loo arko haddii hydrocephalus uu soo baxo marka cilladaha dhabarka la hagaajiyo.

Ilmahaagu wuxuu u baahan karaa jimicsi, shaqo, iyo hadal hadal. Carruur badan oo leh dhibaatooyinkan waxay leeyihiin naafonimo guud (weyn) iyo ganaax (yar), iyo dhibaatooyin wax liqitaan, bilowga nolosha.

Ilmuhu wuxuu u baahan karaa inuu arko koox khubaro caafimaad ah oo ku jira laf-dhabarka laf-dhabarka badanaa ka dib marka laga saaro cisbitaalka.

Sida ugu wanaagsan ee ilmuhu wax uqabto waxay kuxirantahay xaalada hore ee lafdhabarta iyo neerfaha. Dayactirka meningocele ka dib, carruurtu badanaa sifiican ayey wax u qabtaan mana laha dhibaatooyin dheeraad ah oo maskaxda, neerfaha, ama murqaha ah.

Carruurta ku dhasha myelomeningocele badanaa waxay leeyihiin curyaannimo ama daciifnimo muruqyada ka hooseeya heerka lafdhabarta ay cilladdu ku jirto. Sidoo kale ma awoodaan inay xakameeyaan kaadiheysta ama caloosha. Waxay u badan tahay inay u baahan doonaan taageero caafimaad iyo waxbarasho sanado badan.

Awoodda socodka iyo xakamaynta shaqada mindhicirka iyo kaadi haysta waxay kuxirantahay halka cilladda dhalashada ay ugu taallay laf dhabarta. Cilladaha hoose ee laf-dhabarka ayaa laga yaabaa inay yeeshaan natiijo wanaagsan.

Dayactirka Myelomeningocele; Xiritaanka Myelomeningocele; Dayactirka Myelodysplasia; Dayactirka laf-dhabarka laf-dhabarka; Dayactirka Meningomyelocele; Dayactirka ciladda tuubada neerfaha; Dayactirka lafdhabarta

• Daryeelka nabarka qalliinka - furan

• Dayactirka Meningocele - taxane

Kinsman SL, Johnston MV. Cilladaha dhalmada ee habka dhexe ee neerfaha. Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 609.

Ortega-Barnett J, Mohanty A, Desai SK, Patterson JT. Qalliinka neerfaha. Gudaha: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buugga Qalitaanka. 20aad. Philadelphia, PA: Elsevier Saunders; 2017: cutubka 67.

Robinson S, Cohen AR. Myelomeningocele iyo cilladaha tuubada neerfaha ee la xiriira. Gudaha: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff iyo Martin ee Neonatal-Perinatal Medicine. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2015: cutubka 65.