Nkhani za Case
Gong Junyao
Jenda: Mkazi
Zaka: zaka 3 ndi miyezi 7
Mkhalidwe wololedwa:
Wodwalayo adaloledwa pafupifupi zaka ziwiri zapitazo ali ndi zaka pafupifupi 1 ndi theka pamene makolo adawona kusowa kwa chinenero. Analandira chithandizo chamankhwala kuchipatala chapafupi chifukwa cha autism komanso kuchedwa kwachitukuko. Pakalipano, wodwala akadalibe luso la chinenero, ali ndi zolepheretsa kulankhulana, ndipo amasonyeza kuyankha kochepa kwa zokopa zakunja. Kuphatikiza apo, luso lake lozindikira komanso kumvetsetsa ndi losauka, zomwe zimapangitsa kuti zikhale zovuta kumaliza ntchito zolamula. Wodwalayo amaonetsa kusachita zinthu monyanyira, kulephera kudziletsa, ndipo sachedwa kufuula koma samasonyeza khalidwe laukali kapena lodzivulaza. Kugona bwino kumakhala kovutirapo movutikira kugona. Wodwala atha kudzidyetsa yekha koma samadziwa zofunikira zake zakuchimbudzi. Kusuntha kwa miyendo ndikwabwinobwino. Kuti apitirize kuzindikira ndi kuchiza matenda ake, akukonzekera kusamutsa wodwalayo kuchipatala chathu kuti akalandire chithandizo. Chiyambireni matendawa, wodwalayo wakhalabe tcheru, ali ndi chidziwitso chodziwika bwino, chilakolako chachibadwa ndi zizolowezi zamatumbo, ndi kulemera kokhazikika popanda kusintha kwakukulu.
Kuzindikira kovomerezeka: Cerebral dysplasia, autism, khunyu
Chithandizo Njira
Wodwala Gong Junyao, wamkazi, wazaka 3 ndi miyezi 7, adachitidwa opaleshoni yaubongo yothandizidwa ndi loboti pa Januware 15, 2023, nthawi ya 14:30 chifukwa cha cerebral dysplasia, autism, komanso luntha laluntha. Opaleshoniyo inkachitidwa pansi pa anesthesia wamba ndipo inkayenda bwino. Pambuyo pa anesthesia yopambana, mutu unalembedwa, ndikutsatiridwa ndi mutu wa CT scan ndi kulowetsa deta mu robot ya Remebot. Lobe yakumanzere yakumanzere idasankhidwa kukhala malo omwe amatsata, ndipo njira yopangira opaleshoni idakhazikitsidwa kumanzere chakumanzere. Wodwalayo anaikidwa pamalo okwera pamwamba ndi mutu wokhazikika, ndipo nsonga yapamutu inapangidwa kuti ibowole dzenje la cranial ndi kulowa mu dura mater. Pambuyo pake, kuzindikira kwa singano za ma elekitirodi ndi kuyika kwa ma electrode oyang'anira ubongo kunachitika. Pambuyo pozindikira chotupa cha khunyu, ablation ya radiofrequency idachitika, kenako ndikuyikanso ma electrode owunika kuti atsimikizire kutha kwa chotupacho.
Pomaliza, kukondoweza kwamagetsi mofatsa kunagwiritsidwa ntchito pochiza matenda a neuroregulation pamalo omwe chandamale kumanzere. Opaleshoni yomwe ili kumanzere kwa chandamale idamalizidwa bwino ndi kuchuluka kwa magazi kwa 3ml. Pambuyo pa opaleshoni, khungu lidadulidwa ndi kupanikizidwa, ndipo wodwalayo adabwereranso ku ward bwinobwino. Madzi a m'mitsempha nthawi zonse, kupuma kwa mpweya, ndi kuyang'anitsitsa mtima kunaperekedwa, ndi kuyang'anitsitsa zizindikiro zofunika ndi chithandizo chachangu cha kusapeza kulikonse. Zambiri za opaleshoni zafotokozedwa bwino kwa banja la wodwalayo.
Chidule Chachidule:
Mkhalidwe wa wodwalayo uli wokhazikika popanda mutu, nseru, kapena kusanza. Chilakolako chake ndi chabwino, ndipo palibe zizindikiro za kutaya magazi kapena kutupa pamalo opangira opaleshoni. Kugwira ntchito kwa matumbo ndi chikhodzodzo ndikwabwinobwino, ndipo akudya ndikugona bwino. Kuwunika kwakuthupi kumawonetsa zizindikiro zokhazikika, kuzindikira bwino, komanso malingaliro abwino. Wodwalayo alibe zosokoneza m'chinenero, luntha, kapena kaganizidwe. Ana ndi ofanana kukula kwake komanso ozungulira, pafupifupi 3mm m'mimba mwake, okhala ndi mawonekedwe owoneka bwino komanso kayendedwe ka maso. Kumva ndi kwachibadwa, ndipo kukhosi kumakhalapo. Palibe zizindikiro za lilime minofu atrophy kapena kunjenjemera, ndipo maonekedwe a nkhope ndi ofanana. Miyendo ya wodwalayo imakhala ndi mphamvu yanthawi zonse ya minyewa (giredi V), kamvekedwe ka minofu yabwinobwino, komanso ma tendon reflexes. Palibe mayendedwe odziyimira pawokha, ndipo sagwirizana ndi mayeso a chala-mphuno, chidendene-bondo-shin, kapena chizindikiro cha Romberg. Chizindikiro cha Bilateral Babinski ndi choyipa, ndipo zizindikiro za kukwiya kwa meningeal monga chizindikiro cha Kernig palibe. Palibe edema yomwe imawonedwa m'miyendo yapansi, ndipo kuyenda ndikwabwinobwino.
Malangizo Ochotsa: