Shunt Ventriculoperitoneal - hoʻokuʻu

Loaʻa i kāu keiki he hydrocephalus a pono i kahi shunt i hoʻokau ʻia e ninini i ka wai a hoʻonui i ke kaomi i ka lolo. ʻO kēia buildup o ka lolo lolo (cerebrospinal fluid, a i ʻole CSF) ke kumu e kaomi ka lolo i ka iwi poʻo. ʻO ka nui o ke kaomi a i ʻole ke kaomi e waiho nei i kahi lōʻihi hiki ke hōʻino i kaʻiʻo o ka lolo.

Ma hope o ka hele ʻana o kāu keiki i ka home, e hāhai i nā ʻōlelo a ke kahu mālama ola no ka mālama ʻana i ke keiki. E hoʻohana i ka ʻike ma lalo i mea hoʻomanaʻo.

He ʻoki (ʻoki ʻili) a kahi keiki i hū ʻia i ka iwi poʻo. Ua hana ʻia kekahi ʻoki liʻiliʻi i loko o ka ʻōpū. Hoʻokomo ʻia kahi kiwikā ma lalo o ka ʻili ma hope o ka pepeiao a i ʻole ke kua o ke poʻo. Hoʻokomo ʻia kahi paipu (catheter) i loko o ka lolo e lawe i ka wai i ka nohona. Ua hoʻohui ʻia kekahi ʻōmole i ka nohona a wili ʻia ma lalo o ka ʻili i lalo i loko o ka ʻōpū o kāu keiki a i ʻole nā ​​wahi ʻē aʻe e like me ka akemāmā a i ʻole ka puʻuwai.

ʻO nā kuʻi a i ʻole staples āu e ʻike ai e lawe ʻia ma kahi o 7 a 14 mau lā.

Ma lalo o ka ʻili nā ʻāpana āpau o ka shunt. I ka mua, hiki ke hāpai ʻia ka wahi ma ka piko o ka shunt ma lalo o ka ʻili. Ke hele nei ka ʻōhū a ulu ka lauoho o kāu keiki, aia kahi wahi liʻiliʻi e pili ana i ka nui o ka hapahā i ʻike ʻole ʻia.

Mai ʻauʻau a shampoo hoʻi i ke poʻo o kāu keiki a hiki i ka lawe ʻia ʻana o nā stitches a me nā staples. E hāʻawi i kāu keiki i kahi ʻauʻau spons. ʻAʻole e pulu ka ʻeha i ka wai a ola pono ka ʻili.

Mai kaomi i ka ʻāpana o ka shunt hiki iā ʻoe ke ʻike a ʻike paha ma lalo o ka ʻili o kāu keiki ma hope o ka pepeiao.

Hiki i kāu keiki ke ʻai i nā meaʻai maʻamau ma hope o ka hoʻi ʻana i ka home, ke ʻole ke haʻi ʻē aʻe ka mea hāʻawi iā ʻoe.

Hiki i kāu keiki ke hana i nā hana he nui:

• Inā he pēpē ʻoe, e lawelawe i kāu pēpē e like me kāu maʻa mau. Maikaʻi ke kūlia i kāu pēpē.
• Hiki i nā keiki makua ke hana i nā hana maʻamau. E kamaʻilio me kāu mea hoʻolako e pili ana i nā haʻuki pili.
• ʻO ka hapanui o ka manawa, hiamoe paha kāu keiki i kēlā me kēia kūlana. Akā, e nānā i kēia me kāu mea hāʻawi no ka mea ʻokoʻa kēlā me kēia keiki.

He ʻeha paha kāu keiki. Hiki i nā keiki ma lalo o 4 mau makahiki ke lawe i ka acetaminophen (Tylenol). Kau ʻia nā kamaliʻi makahiki 4 a ʻoi paha i nā lāʻau ʻoi aku ka ikaika o ka ʻeha, inā pono. E hāhai i nā ʻōkuhi a kāu mea hāʻawi aku ai i ka ipu lāʻau, e pili ana i ka nui o nā lāʻau e hāʻawi ai i kāu keiki.

ʻO nā pilikia nui e kiaʻi no ka shunt maʻi ʻaʻai a me kahi shunt ālai ʻia.

Kāhea i ka hāʻawi o kāu keiki inā loaʻa i kāu keiki:

• Huikau paha a ʻike ʻole paha i ka ʻike
• Fiva o 101 ° F (38.3 ° C) a ʻoi aku paha
• ʻEha i loko o ka ʻōpū hele ʻole
• Ka ʻāʻī ʻoʻoleʻa a poʻo ʻeha paha
• ʻAʻohe makemake a ʻai ʻole paha
• ʻO nā aa i ke poʻo a i ʻole ka ʻili i ʻoi aku ka nui ma mua o ka wā ma mua
• Nā pilikia ma ke kula
• Hoʻolālā maikaʻi ʻole a i ʻole ua nalowale i kahi mākau hoʻomohala i loaʻa ai ma mua
• E lilo i cranky a i ʻole huhū
• ʻO ka ʻulaʻula, ka pehu ʻana, ka hoʻokahe ʻana a i ʻole ka hoʻonui ʻia o ka hoʻokuʻu ʻana mai ka ʻokiʻoki
• ʻO ka luaʻi ʻaʻole e hele
• Pilikia hiamoe a i ʻole ʻoi aku ka hiamoe ma mua o ka maʻamau
• Uē kūho kiʻekiʻe
• Ua mae hou aʻe
• ʻO kahi poʻo e ulu nui ana
• Hoʻomaʻamaʻa a palupalu paha i ka wahi palupalu ma ka piko o ke poʻo
• ʻO ka ʻōhū a puni ka paepae a i ʻole ka paipu e hele ana mai ka pahu i kā lākou ʻōpū
• Ka hopu ʻana

Shunt - ventriculoperitoneal - hoʻokuʻu; VP shunt - hoʻokuʻu; Hoʻoponopono Shunt - hoʻokuʻu; Hoʻonoho ʻia ʻo Hydrocephalus shunt - hoʻokuʻu

Badhiwala JH, Kulkarni AV. Nā ʻōnaehana shunting Ventricular. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 201.

Hanak BW, Bonow RH, Harris CA, Browd SR. Cerebrospinal loli shunting nā pilikia i nā keiki. ʻO Pediatr Neurosurg. 2017; 52 (6): 381-400. PMID: 28249297 pubmed.ncbi.nlm.nih.gov/28249297/.

ʻO Rosenberg GA. ʻO ka edema lolo a me nā maʻi o ka holo ʻana o ka wai cerebrospinal. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 88.

• ʻO Encephalitis
• ʻO Hydrocephalus
• Hoʻonui i ka kaomi intracranial
• Meningitis
• Myelomeningocele
• ʻO ka hydrocephalus kaomi maʻamau
• ʻO shunting Ventriculoperitoneal

• Mālama ʻeha ʻeha - wehe

• ʻO Hydrocephalus