Ulimi olucacile

Iyini i-Vein of Galen Malformation?

Ubunkimbinkimbi bemithambo yegazi ebuchosheni bengane, endaweni okufanele kube khona uthelawayeka olucolile.

Ebuchosheni obuphilile, igazi lihamba livela emithanjeni emikhulu liye kuthelawayeka lwemithambo emincane, kuphela-ke lapho liye emithanjeni egazi elibuyayo. Uthelawayeka lolu luhambisa igazi kancane.

Ku-Vein of Galen Malformation, lolo thelawayeka aluzange lwakheke. Imithambo emikhulu ithela ngqo emthanjeni omkhulu ojulile phakathi nendawo yobuchopho, ngengcindezi egcwele. Umthambo uyavuvukala, futhi inhliziyo kufanele isebenze kanzima kakhulu ukuze ilingane.

Kwenzeka kusenesikhathi kakhulu esiswini, kade ngaphambi kokuba noma ubani azi. Uzobuye ubone kubhalwe ngokuthi VGAM, VGM, noma “i-aneurysm yomthambo we-Galen”. Konke lokhu yisimo esisodwa esifanayo.

Mayelana nalolu lwazi. Sikubhale lokhu ngolimi olucacile sisusela emithonjeni yezokwelapha eshicilelwe, futhi sixhumanisa kuyo yonke. Kunoma yini ethinta ingane yakho ngqo, odokotela bakho yibona abanegunya.

Akukho oyenzile okubangele lokhu

Ivela e-Great Ormond Street Hospital: i-Vein of Galen Malformation ayibangelwa yalutho unina alwenzile noma angalwenzanga phakathi nesisu. Amacala amaningi awunayo nhlobo imbangela eyaziwayo.

Ingelashwa

Ukwelashwa yi-embolisation. Udokotela udlulisa ushubhu oluncane kakhulu emthanjeni wegazi, kuye ebuchosheni, avale ukuxhumana okungajwayelekile ngaphakathi. Ukhakhayi alukavulwa. Ngokuvamile kwenziwa ngezigaba, kubalulwe ngaphezu kokuhlinzwa kanye.

Kwenziwa udokotela we-interventional neuroradiology. Abekho abaningi babo, futhi ulwazi olutholwe ngokuhamba kwesikhathi lubaluleke kakhulu — yingakho ukucela umbono wesibili kuyinto ejwayelekile futhi ehlakaniphile ukuyenza lapha.

Yini ngempela eshiwo izinombolo

Uzothola izibalo ezesabekayo ku-inthanethi, kanye nezinye eziduduzayo. Zombili ziyiqiniso. Zichaza amaqembu ahlukene ezingane — futhi cishe akekho okutshela ukuthi yiliphi. Ngakho nazi lezi zibalo, kanye namaqembu azo.

Cishe u-6% wafa; cishe u-89% waba nomphumela omuhle — ukuhlaziywa okuhlanganisiwe kweziguli ezelashiwe zabo bonke ubudala, 2022–2024 (i-meta-analysis ezingeni labahlanganyeli)
Cishe u-40% wafa — wonke umntwana osanda kuzalwa oweza ngalesi simo e-UK eminyakeni eyishumi — iqembu elelaphile kakhulu, kungakhathaliseki ukuthi lelashiwe noma cha (iqembu locwaningo lukazwelonke lwase-UK)

Izingane ezisanda kuzalwa esezinokwehluleka kwenhliziyo ziyiqembu elinzima kunawo wonke. Izingane ezitholakala ngaphambi kokuzalwa, noma kamuva ebuncaneni bazo, ngokuvamile zenza kangcono. Ukuthi ingane yakho ime kuphi kuwumbuzo odokotela bakho kuphela abangawuphendula.

Okuvunyelwana ngakho yizo zonke lezi zibalo: ukwelashwa kuyasebenza, futhi izingane ezinalesi simo ziyakhula.

Amagama ozowezwa

I-Embolisation: Ukuvala imithambo yegazi engajwayelekile ngaphakathi, ngoshubhu oluncane. Ukwelashwa.
Udokotela we-Interventional Neuroradiology: Ongcweti owenza lokhu. Ubuye abizwe ngokuthi udokotela we-neuro-endovascular surgery.
I-Hydrocephalus: Ukuqoqana kwamanzi ngaphakathi ebuchosheni.
I-Fontanelle: Isikhala esithambile ekhanda lengane.
I-Shunt: Ushubhu oludonsa amanzi ebuchosheni. Kulesi simo ngokuvamile akuyona isinyathelo sokuqala.
VGAM / VGM: Amanye amagama enye into efanayo ngqo.

Lapho ongafunda khona okwengeziwe

Lezi izikhungo esizethembayo. Sixhumanisa kuzo esikhundleni sokuzibhala kabusha.