Nkhani za Case
Chen Ruoxi
Jenda: Mkazi
Zaka: zaka 7 ndi miyezi 5
Mkhalidwe wololedwa:
Pafupifupi zaka 6 zapitazo, makolo a wodwalayo adawona kuchedwa kwachitukuko poyerekeza ndi amsinkhu womwewo. Pambuyo pake, iwo anapita ku chipatala cha m’deralo, kumene anamupeza ndi matenda a muubongo ndipo analandira chithandizo chamankhwala. Pakalipano, wodwalayo ali ndi chilankhulo chochepa, amatha kunena mawu a 1-2, ndipo amakumana ndi zolepheretsa kulankhulana. Luso lachidziwitso ndi kumvetsetsa ndizosakwanira, ndipo sangathe kuchita zowongolera. Maluso okwera kwambiri agalimoto ndi okwanira, koma luso loyendetsa bwino ndi losauka, zomwe zimafunikira thandizo kukwera ndi kutsika masitepe. Wodwalayo amatha kuzindikira zosowa zake pakudya ndi kuchimbudzi koma amafunikira thandizo kuti akwaniritse. Chithandizo cha opaleshoni chikuganiziridwa kuti chizindikiridwe ndi chithandizo china, motero chimatumizidwa ku chipatala chathu. Chiyambireni matendawa, wodwalayo wakhala akudziwa, ali ndi maganizo abwino, amadya bwino, amayenda m'matumbo nthawi zonse, amatulutsa mkodzo wabwinobwino, komanso kulemera kokhazikika popanda kusinthasintha kwakukulu.
Kuzindikira Kuloledwa: Kukula kwaubongo
Mbiri Yachipatala ndi Njira Yachithandizo:
Pa Epulo 17, 2023, nthawi ya 11:15 AM, wodwala wazaka 7 ndi miyezi 5 Chen Ruoxi adachitidwa opaleshoni yopanda stereotactic mothandizidwa ndi loboti chifukwa cha kuchepa kwaubongo komanso kulumala kwanzeru. Opaleshoniyo inkachitidwa pansi pa anesthesia wamba. Pambuyo poyambitsa opaleshoni, mfundo za Marker zinagwiritsidwa ntchito, ndipo mutu wa CT scan unachitidwa. Pambuyo pake, detayo idatumizidwa ku robot ya Remebot, ikuyang'ana kumanzere kwa kapisozi wamkati, ndikulowera kumanzere chakumanzere, ndikuyika njira ya opaleshoni. Wodwalayo anaikidwa pa malo ogona ndi mutu wokhazikika pa pilo wowumbidwa, anapatsidwa mankhwala ophera tizilombo toyambitsa matenda, ndipo drape ya opaleshoni inayikidwa. Pambuyo pometa m'mutu, bowo linabowoledwa, fupa la dura lidabooledwa, ndipo kulephera kwa minofu yaubongo kunadziwika pogwiritsa ntchito singano ya electrode. Kenako, chithandizo cha neuroregulation chokhala ndi kukondoweza kwamagetsi pang'ono chidachitika pogwiritsa ntchito singano ya radiofrequency kuti amalize opaleshoni yakumanzere. Kenaka, chiwalo chakumanja cha kapisozi wamkati chinkagwiritsidwa ntchito pogwiritsa ntchito njira yomweyi ya opaleshoni. Opaleshoniyo inayenda bwino ndipo pafupifupi 3ml kutaya magazi. Pambuyo pa opaleshoni, singanozo zinachotsedwa, ndipo khungu la m'deralo linadulidwa ndi kuvala ndi kukakamiza. Mutu wa postoperative CT sunawonetse magazi ochulukirapo, kutsimikizira malo omwe akufuna. Wodwalayo ndiye adasamutsidwa bwino ku ward. Madzi a m'mitsempha nthawi zonse ankaperekedwa pambuyo pa opaleshoni, ndi kuwonjezera kwa okosijeni ndi kuyang'anitsitsa mtima. Zizindikiro zofunikira za odwala zidayang'aniridwa mosamalitsa, ndipo zizindikiro zilizonse zomwe zingakhalepo zidathetsedwa mwachangu. Banja la wodwalayo linauzidwa zambiri za opaleshoniyo.
M'mawa wa Epulo 19, 2023, nthawi ya 8:52 AM, mkhalidwe wa wodwalayo udalibe wokhazikika patsiku lachiwiri atamuchita opaleshoni, ali ndi malingaliro okhazikika komanso kulumikizana bwino kwa thupi, wokhoza kukwera ndi kutsika masitepe payekha. Palibe zizindikiro za mutu, nseru, kapena kusanza zomwe zinanenedwa, ndipo chilakolako chake chinali chabwino. Opaleshoniyo inasonyeza kuti palibe kutuluka magazi kapena kutupa, matumbo ndi chikhodzodzo zimagwira ntchito bwino, komanso kudya bwino ndi kugona. Zotsatira zoyezetsa thupi zinali zogwirizana ndi zomwe zapezeka m'mbuyomu. Dokotala wopezekapo a Song Li adayendera wadi, ndipo wodwalayo sanawonetse zovuta zilizonse zapambuyo pa opaleshoni. Mankhwala opha tizilombo anali ataperekedwa kwa masiku awiri ndipo anasiya lero. Kuyang'anitsitsa chilonda cha opaleshonicho chinapitirizabe, kuonetsetsa kuti kuuma ndi kusintha kwa nthawi yake kuvala ndi kupha tizilombo toyambitsa matenda. Chisamaliro chinaperekedwanso kuti tipewe kugwa ndi kutsamwitsa zochitika panthawi yodyetsa. Kupitiliza kuyang'anitsitsa mkhalidwe wa wodwalayo kunakonzedwa. Ngati palibe zolakwika zomwe zidawonedwa, kuchotsedwa kumaganiziridwa pambuyo pakuwunika mawa.
Chidule Chachidule:
Wodwala pakali pano ali wokhazikika, wokhazikika m'maganizo, ndi kugwirizana bwino kwa thupi, wokhoza kukwera ndi kutsika masitepe payekha. Panalibe madandaulo a mutu, nseru, kapena kusanza, ndipo chilakolako chake chinali chabwino. Opanga opaleshoniyo sanasonyeze zizindikiro za magazi kapena kutupa, ndi matumbo abwino ndi chikhodzodzo, komanso kudya komanso kugona mokwanira.
Malangizo Ochotsa: