Abazali abaningi babhekene nenkinga enjengokucindezelwa kokungenwa kwezingane ezinganeni (ICPs). Ezweni lakithi wonke umama wesibili, ethemba izingane ze-neuropathologists zezingane, ukholelwa ukuthi ingane yakhe yanda. Noma kunjalo, ngaphandle, ukuxilongwa okunjalo kwenziwa kaningi kakhulu. Lokhu kuchazwa yiqiniso lokuthi:
- Okokuqala, izinga lokucindezela ukungena emakhanda ezinganeni akuqinisekisiwe. Ngokusho kososayensi bezokwelapha ezahlukene, kungaba ikholomu yamanzi angu-80/40 mm, kanye no-60/200 kumayunithi afanayo wokulinganisa.
- Okwesibili, izinyathelo ezingenhla zisungulwe izinsana ezisendaweni enezingqimba futhi ziphumula. Kodwa-ke, izinsana ekuqokweni kukadokotela zivame ukuphumula, okwenza ukuthi isilinganiso singalungile.
- Okwesithathu, naphezu kwakho konke okuqhubekayo emithi, akukho idivaysi yokulinganisa ukucindezela ngaphakathi kwekhanda lomntwana esakhiwe. Indlela kuphela enokwethenjelwa yokulinganisa ukufaka inaliti ezingxenyeni zokuphefumula zobuchopho noma emgodini ongasemgogodini wesilinganiso esilandelayo sokucindezela ketshezi usebenzisa i-manometer. Okuhlukile yizingane ezingenayo i-fontanelle, okwenza kube lula ukusebenzisa inqubo yokuhlola i-ultrasound ukucacisa i-ICP.
Ngakho-ke, ngokuvamile ukubekwa kwalokhu kutholakala kuphela ngesisekelo somlando we-anamnesis akulungile futhi akulungile. Kodwa-ke, uma ukuxilongwa kungenangqondo, abazali kufanele banakekele ingane yabo.
Izimpawu zokucindezela ukungenwa kwezingane ezinganeni
Eziningi zezimpawu ze-ICP zenzeka hhayi kuphela ezigulini, kodwa nasezingane ezinempilo. Ukubonakaliswa okunjalo kuhlanganisa:
- ukukhathazeka;
- ukuthuthumela izimbambo nemilenze yengane;
- ukukhala okuvamile;
- i-strabismus (nakuba i-strabismus encane ibhekwa njengesimo somzimba);
- ukugoqa kwephoyintili enkulu;
- isibonakaliso sokubheka amehlo;
- ukukhula kwekhanda okungajwayelekile;
- ukuhlukana kwezingxenye ze-skull;
- i- hypertonia yemisipha;
- ukuhlunga okuzenzekelayo okulandelwayo okulandelwa ukulandelwa kwabo esifubeni.
Uma izimpawu eziningana zigcinwa ngesikhathi esisodwa, kubalulekile ukubonana nodokotela.
Izimbangela zokucindezela ukungena emithonjaneni
Ukunyuka kwengcindezi engaphezu kwengane ezitholakala ngenxa yezinsana ezenzeka ngenxa yokweqile kwe-cerebrospinal fluid - cerebrospinal fluid ejikelezayo emgodini wobunogwaja nobuchopho. Utshwala ludala ukucindezela ngokweqile ebuchosheni, okungaba yingozi empilweni yengane. I-ICP ivame ukuvela ngemva kokubeletha okunzima (ukukhishwa kwezintambo, izinyathelo eziqhubekayo) nokukhulelwa okunzima (i-toxicosis, i-hypoxia, ukuphazamiseka kwamapayipi ).
Kubalulekile ukwazi ukuthi i-ICP ayiyona isifo, kodwa isifo esijwayelekile esibonisa ukutholakala kwezifo ezithile. Kungaba i-hydrocephalus (ukucindezela kobuchopho ngokuswakama kwamanzi okuqoqa i-cranium futhi kungenawo umthamo ofanele), i-meningitis, isisu sobuchopho, ukulimala kwekhanda.
Ukwelashwa kwengcindezi yokugonywa kwabantwana
Njengamanje, odokotela bazama ukungasebenzisi imithi yokwelapha i-ICP ephakeme. Indlela yokuhlinzeka ukulungiswa kwemvelo kwenziwa. Ukwenza lokhu, omama banconywa isikhathi eside ngangokunokwenzeka ukuthi badle ingane ngesifuba, ukuxhumana ngokujulile ngokomzwelo nengane, ukugcina indlela yokulala nokuvuka, ukuhamba ngaphezulu emoyeni ovulekile.
Kwesinye isikhathi izidakamizwa ze-diuretics (i-diuretics), izidakamizwa, amavithamini, kanye nezidakamizwa zamathambo, ezithuthukisa ukujikeleza kwegazi kobuchopho, zisasetshenziswa. Izingane eziningi zinconywa ukusikhipha okubuyiselwayo okujwayelekile okubuyisela emuva, ukugcoba umzimba nokubhukuda. Lapho ukwanda kwe-ICP kungenxa yokuphulwa kwe-anatomy, izingane zingasetshenziswa ekubuyiseleni ukuphuza kotshwala.
Ukucindezelwa kokucindezeleka ezinganeni: imiphumela
Imiphumela ye-ICP ephakeme engaphenduliwe ezinganeni zingase zibe nezinkinga engqondweni nangokwenyama. Kwezinye izimo, lokhu kubonakaliswa kungabonisa ukuthuthukiswa kwesithuthwane.