{"id":2898,"date":"2022-04-29T18:11:22","date_gmt":"2022-04-29T18:11:22","guid":{"rendered":"https:\/\/hydroandme.com\/trattamento\/trattamento-con-derivazione-liquorale\/"},"modified":"2022-05-05T08:04:24","modified_gmt":"2022-05-05T08:04:24","slug":"trattamento-con-derivazione-liquorale","status":"publish","type":"page","link":"https:\/\/hydroandme.com\/it\/trattamento\/trattamento-con-derivazione-liquorale\/","title":{"rendered":"Trattamento con derivazione liquorale"},"content":{"rendered":"[vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” bg_image=”523″ bg_position=”center top” background_image_loading=”default” bg_repeat=”no-repeat” scene_position=”center” text_color=”light” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” enable_gradient=”true” color_overlay=”#ffd937″ color_overlay_2=”rgba(255,217,55,0.18)” overlay_strength=”0.95″ gradient_direction=”left_to_right” enable_shape_divider=”true” shape_divider_position=”bottom” shape_divider_height=”100″ bg_image_animation=”none” shape_type=”curve”][vc_column column_padding=”padding-14-percent” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Trattamento<\/strong>
\ncon derivazione liquorale<\/h1>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][nectar_global_section id=”364″][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/6″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”2\/3″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Una derivazione liquorale \u00e8 un dispositivo che sposta il liquido cefalorachidiano (LCR) in eccesso dal cervello o dalla spina dorsale a un\u2019altra parte del corpo dove verr\u00e0 assorbito in modo sicuro. La procedura chirurgica per impiantare un sistema di derivazione \u00e8 relativamente breve e viene eseguita in sala operatoria in anestesia generale da un neurochirurgo. <\/span><\/b> <\/span><\/h3>\n
Esistono tre <\/span> <\/span> tipi di derivazione<\/span>: il medico sceglier\u00e0 il pi\u00f9 appropriato per le specifiche esigenze del paziente.<\/span><\/h5>\n[\/vc_column_text][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/6″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” top_padding=”4%” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_row_inner equal_height=”yes” content_placement=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” text_align=”left”][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”480″ animation=”Fade In” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” el_class=”radius”][\/vc_column_inner][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”2\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Derivazione ventricolo-peritoneale (VP)<\/h3>\n

Per questo <\/span>tipo di <\/span>derivazione, il<\/span> <\/span>neurochirurgo realizza nel cranio <\/span>un piccolo <\/span>foro attraverso<\/span>il quale posizioner\u00e0 <\/span>un catetere <\/span> ventricolare <\/span>all\u2019interno <\/span> <\/span>del ventricolo.<\/span>. Qui viene <\/span>raccolto<\/span><\/span> <\/span>l\u2019LCR <\/span>in <\/span>eccesso <\/span>rimosso <\/span>dal cervello;<\/span> <\/span>il processo <\/span> viene controllato da una valvola a pressione<\/span>. La valvola \u00e8 impiantata sotto il cuoio capelluto, solitamente dietro l\u2019orecchio. L\u2019LCR viene poi convogliato in un altro catetere che viene fatto passare sotto la pelle fino alla cavit\u00e0 addominale, dove viene <\/span> riassorbito <\/span>dal rivestimento addominale (peritoneo).<\/span><\/span> <\/span>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_row_inner equal_height=”yes” content_placement=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” text_align=”left”][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”2\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Derivazione ventricolare-atriale (VA)<\/h3>\n

Anche questa derivazione raccoglie l\u2019LCR dal ventricolo del cervello <\/span>attraverso una valvola di controllo <\/span>, ma scarica <\/span>il liquido <\/span>in eccesso nel cuore <\/span> invece che nell\u2019addome<\/span>. Il <\/span>neurochirurgo <\/span>introduce <\/span>il catetere <\/span>attraverso <\/span> un\u2019incisione nel collo e lo fa passare <\/span>da <\/span> <\/span>diversi <\/span>vasi sanguigni fino <\/span>a fargli <\/span>raggiungere l\u2019atrio destro del cuore.<\/span><\/span> <\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”639″ animation=”Fade In” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” el_class=”radius”][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” top_padding=”4%” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_row_inner equal_height=”yes” content_placement=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” text_align=”left”][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”638″ animation=”Fade In” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” el_class=”radius”][\/vc_column_inner][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”2\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Derivazione lombo-peritoneale<\/h3>\n

Per questa derivazione, <\/span>l\u2019LCR in eccesso <\/span>viene prelevato dalla <\/span>colonna vertebrale invece che dal cervello.<\/span> Il <\/span>neurochirurgo <\/span> esegue <\/span>un\u2019incisione nella regione lombare e il catetere viene inserito tra due vertebre della colonna vertebrale nello spazio subaracnoideo<\/span> contenente l\u2019LCR<\/span>. <\/span>La <\/span>valvola e i relativi cateteri <\/span><\/span> <\/span><\/span><\/span> vengono posizionati sotto la pelle tra la regione lombare e l\u2019addome dove, <\/span>attraverso <\/span>un\u2019altra incisione, <\/span>il fluido <\/span> viene scaricato. <\/span> <\/span> <\/span>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][heading]Dopo l\u2019intervento[\/heading][vc_column_text]Le ferite possono essere chiuse con clip chirurgiche, suture o steri strip. Se questi dispositivi non vengono rimossi durante il ricovero, dovranno essere rimossi da un infermiere in un ambulatorio medico. Alle dimissioni dall\u2019ospedale, ti verr\u00e0 comunicato quando effettuare questa operazione. <\/strong><\/p>\n

Le ferite devono essere osservate per notare eventuali segni di infezione come arrossamento o dolore anomalo, gonfiore, calore o rilascio di liquido. Se noti uno di questi sintomi, contatta un infermiere specializzato in idrocefalo.<\/p>\n

Dovrai informare della derivazione le autorit\u00e0 del tuo paese addette al rilascio della patente di guida. Attualmente, dopo un intervento di derivazione non \u00e8 possibile guidare per sei mesi. Tuttavia, questo pu\u00f2 periodo essere pi\u00f9 lungo in caso di altre condizioni mediche particolari o disabilit\u00e0<\/p>\n

Dopo l\u2019intervento di derivazione ti verr\u00e0 fissato un appuntamento in ambulatorio. Se non ti verr\u00e0 fissato, contatta la segreteria del neurochirurgo o il team di infermieri specializzati in idrocefalo che ti seguono.[\/vc_column_text][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][heading]Domande frequenti<\/span><\/span> <\/span>[\/heading][toggles style=”default”][toggle color=”Default” title=”Quali sono i segnali di pericolo a cui devo prestare attenzione?”][vc_column_text]Monitorare i seguenti sintomi:<\/span> <\/span><\/p>\n

    \n
  • Mal di testa<\/span> <\/span><\/li>\n
  • Nausea e vomito<\/span> <\/span><\/li>\n
  • Disturbi visivi<\/span> <\/span><\/li>\n
  • Sonnolenza o difficolt\u00e0 a svegliarsi<\/span> <\/span><\/li>\n
  • Aumento della temperatura<\/span> <\/span><\/li>\n
  • Peggioramento della memoria<\/span> <\/span><\/li>\n
  • Problemi di equilibrio o instabilit\u00e0 quando si sta in piedi<\/span> <\/span><\/li>\n
  • Peggioramento della concentrazione<\/span> <\/span><\/li>\n
  • Nuova manifestazione dei problemi che si avevano prima della derivazione<\/span> <\/span><\/li>\n<\/ul>\n

    Se si verifica uno di questi casi, potrebbe significare che la derivazione \u00e8 infetta o bloccata; in questo caso \u00e8 necessario contattare immediatamente un infermiere specializzato in idrocefalo o il medico di famiglia. Se l\u2019evento si verifica in orari in cui medico o infermiere non sono disponibili,<\/span> <\/span> recati al Pronto Soccorso e informa il personale della tua derivazione.<\/span> <\/span>[\/vc_column_text][vc_column_text][\/vc_column_text][\/toggle][toggle color=”Default” title=”Per quanto tempo dovr\u00f2 rimanere in ospedale?”][vc_column_text]Di <\/span>solito <\/span>verrai <\/span>dimesso entro un giorno <\/span>dall\u2019intervento <\/span>chirurgico. <\/span>I pazienti con derivazione <\/span>necessitano di un periodo di recupero <\/span>e <\/span>se sono <\/span> <\/span>dipendenti,<\/span><\/span><\/span> <\/span>\u00e8 <\/span>opportuno <\/span>che discutano la loro <\/span>situazione <\/span>con il loro <\/span>datore <\/span>di <\/span>lavor<\/span>o<\/span>.<\/span><\/span> <\/span>[\/vc_column_text][vc_column_text][\/vc_column_text][\/toggle][toggle color=”Default” title=”La derivazione sar\u00e0 visibile dopo l\u2019intervento?”][vc_column_text]Se ti \u00e8 stato applicato un sistema di derivazione VP o VA, sentirai una<\/span> <\/span>piccola <\/span>protuberanza sotto la pelle dietro l\u2019orecchio,<\/span> nel punto in cui si trova la valvola.<\/span>. L\u2019intero sistema,<\/span>tuttavia,<\/span>solitamente non \u00e8 visibile sotto i capelli.<\/span><\/span> <\/span>[\/vc_column_text][\/toggle][\/toggles][\/vc_column][\/vc_row][vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” bg_color=”rgba(73,41,144,0.17)” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][nectar_global_section id=”1128″][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][nectar_global_section id=”96″][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"

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