Ubuhinduzi: "Ubumuga bwubwonko - Ntabwo aribyo ubitekereza."

"Ubumuga bwubwonko" ni ijambo rihita rihagarikwa nababyeyi benshi babigizemo uruhare. Mu myumvire gakondo y’ababyeyi benshi, "ubumuga bwubwonko" bisobanura "ubumuga bwubwenge budasubirwaho nuburwayi bwumubiri." Noneho, ubumuga bwubwonko bwaba buteye ubwoba koko? Nta bundi buryo bwo kunoza ubumuga bwubwonko?

Imyumvire mibi 1: Ubumuga bwubwonko ni iki?

Ubumuga bwubwonko bivuga syndrome idatera imbere yubwonko bwatewe nibintu bitandukanye mugihe cyo kubyara kugeza igihe cyo kuvuka, kugeza ukwezi kumwe nyuma yo kuvuka. Igaragaza cyane cyane nk'ubumuga bwo mu gihimba, harimo ibibazo byo hagati ya moteri yo hagati, imiterere yimitsi idasanzwe, imyifatire idasanzwe, hamwe na reflex idasanzwe. Byongeye kandi, ubumuga bwubwonko bukunze guherekeza izindi mikorere mibi yubwonko nkubumuga bwubwenge, igicuri, ubumuga bwo kutabona, strabismus, na nystagmus. Irashobora kandi kuba irimo kunanirwa kwumva, kutavuga ururimi, kubura ubwenge, hamwe nimyitwarire idasanzwe.

Ni ngombwa kumenya ko ku barwayi benshi bafite ubumuga bwo mu bwonko, ibimenyetso nyamukuru ari ukugenda. Iri tandukaniro ni ingenzi mugihe cyo kuvuka. Mugihe cyumwaka umwe cyangwa ibiri nyuma yo kuvuka, biragoye kumenya niba iterambere ryubwenge risanzwe, bigatuma ababyeyi benshi batakaza igihe cyiza cya zahabu cyo gukumira no kuvura ubumuga bwubwonko.

Imyumvire mibi 2: Indwara yo mu bwonko isuzumwa ite?

Kugeza ubu, kwisuzumisha amashusho yonyine (harimo ultrasound, CT, na MRI) ntishobora kwemeza ubumuga bwubwonko. Gusuzuma bigomba gushingira ku bimenyetso by’amavuriro by’imodoka. Ni ukubera ko isuzuma ryose ryerekana amashusho ryerekana ishusho yubwonko mugihe runaka, byerekana aho ubwonko bwangirika; icyakora, ntishobora kumenya niba ibyo byangiritse bizatera ubwonko budasanzwe gukura kandi amaherezo bikaviramo ubumuga bwubwonko.

Gupima ubumuga bwubwonko ahanini biterwa nubuvuzi bugaragara. Kugaragara kwa clinique bikubiyemo kwitegereza ibipimo bitanu byingenzi bya moteri ku bana: ubuhanga bukomeye bwa moteri, ubumenyi bwiza bwa moteri, imvugo, imvugo, iterambere ryubwenge, hamwe nubushobozi bwo gutumanaho. Raporo ya MRI ikunze kuvuga ibintu nko kuva amaraso mu bwonko, koroshya ingirangingo z'ubwonko, ndetse no kudasanzwe kw'iterambere, ariko ibi ntabwo ari ibimenyetso byerekana indwara zifata ubwonko. Isuzuma ryuzuye risaba abaganga kabuhariwe guhuza amateka yubuvuzi bwumwana nibimenyetso byubuvuzi.

Igitekerezo kitari cyo 3: Ni ryari hasuzumwa ubumuga bwubwonko?

Abana benshi bafite ikibazo cyo kuva amaraso mu bwonko bakivuka bahita bavuga ko bafite ubumuga bwubwonko. Ubumuga bwubwonko bivuga imiterere aho ubumenyi bwimodoka bwumwana budahagarara. Nyamara, ubwonko bwumuntu ni urugingo rudasanzwe, cyane cyane ubwonko bwumwana, bugenda bukura vuba mumyaka itatu yambere nyuma yo kuvuka. Hamwe nubuyobozi bugamije gusubiza mu buzima busanzwe, ubwonko bufite ubushobozi runaka bwo gusana no kwishyura.

Kubwibyo, gusuzuma neza ubumuga bwubwonko bigomba gukorwa gusa mugihe umwana afite nibura imyaka ibiri cyangwa itatu. Mugihe abana bamwe bashobora kwerekana ibimenyetso byubumuga bwubwonko nyuma yumwaka umwe, ibi bimenyetso ntabwo bihamye cyangwa ntibishobora guhinduka. Mu yandi magambo, impinja zifite amateka yo kuva amaraso mu bwonko zikivuka zifatwa nk’impanuka nyinshi zo kurwara ubwonko, hamwe n’amanota menshi yo kuva amaraso yerekana ibyago byinshi. Rero, aba bana bashyizwe mubyago byinshi aho gusuzumwa neza ko bafite ubumuga bwubwonko.

Imyumvire mibi 4: Ubumuga bwubwonko ntibushobora gutabarwa.

Kubwamahirwe, niba umwana bamusanganye ubumuga bwubwonko afite imyaka ibiri cyangwa itatu, tekinoroji yubuvuzi ntishobora gukiza. Ariko, gukoresha uburyo bumwe bwo kuvura hamwe nuburyo bwo gusubiza mu buzima busanzwe birashobora kugabanya imibabaro iterwa nubumuga bwubwonko, kuzamura imikorere ya moteri, no kuzamura imibereho.

Ku itsinda rya "risque-risque", ubushakashatsi bwiyongereye bwerekanye ko gutabara hakiri kare, cyane cyane gutangiza igihe gikwiye cyo gusubiza mu buzima busanzwe ibinyabiziga no kubaga imikorere y’ubwonko, bigira ingaruka zigaragara ku gukomeretsa ubwonko ku bana bafite ingaruka.

Ubuvuzi bwuzuye buhuza kubaga stereotactique no guhugura.

Ubushakashatsi bwubuvuzi bugezweho bwabonye kandi bwemeza ko amahugurwa asanzwe yo gusubiza mu buzima busanzwe ashobora gufasha mu gusana imikorere yubwonko. Amahugurwa yo gusubiza mu buzima busanzwe no gusana ubwonko aruzuzanya; amahugurwa akwiye atanga imbaraga nziza mubwonko, guteza imbere plastike no gusana. Mugihe ubwonko bwishyira hamwe bukomeza, byihutisha gahunda yo gusubiza mu buzima busanzwe, kandi uko aya mahugurwa atangira, nibyiza. Ubuvuzi bwo kubaga, cyane cyane kubaga imikorere yubwonko bwo kubaga (kubaga stereotactique), burashobora gukemura ibibazo byo kumugara ingingo imyitozo yo gusubiza mu buzima busanzwe yonyine idashobora gutera imbere, nk'imitsi myinshi, imitsi, n'imikorere mibi ya moteri.

Abana benshi bafite ubumuga bwubwonko bwumubiri bafite imibiri iguma mumaganya menshi mugihe kirekire, bigatuma imitsi igabanuka hamwe namasezerano ahuriweho hamwe nubumuga. Bakunze kugendera kumutwe, kandi mugihe gikomeye, barashobora kugira ubumuga cyangwa hemiplegia mumaguru yombi yo hepfo. Kuri iyi ngingo, intego yo kuvura igomba kuba iy'ubuvuzi bwuzuye bujyanye no kubaga stereotactique no kubaga. Ubuvuzi bwo kubaga ntabwo butezimbere gusa ibimenyetso byubumuga bwa moteri ahubwo binatanga umusingi mwiza wamahugurwa yo gusubiza mu buzima busanzwe. Amahugurwa yo gusubiza mu buzima busanzwe nyuma yo kubaga ashimangira ingaruka zo kubagwa, ateza imbere kugarura imikorere itandukanye ya moteri, kandi amaherezo akagera ku ntego yo kuzamura igihe kirekire mu mibereho.