Nkhani za Case
Tian Run
Jenda: Mwamuna
Zaka: 4 zaka 8 miyezi
Mkhalidwe wololedwa:
Chifukwa cha kuvulala kwa ubongo wa perinatal hypoxic-ischemic komanso kulemera kochepa, wodwalayo adachedwa kukula ndi chitukuko, zomwe zimayambitsa kusokonezeka kwa magalimoto. Mkhalidwe wamakono umaphatikizapo kuvutika kukhala paokha, kudalira malo osasunthika, ndi zovuta pakuima nokha. Kuyenda kumatheka ndi kuyenda modutsa, ndipo pali kuwonjezeka kwakukulu kwa minofu ndi kuuma kwa mgwirizano m'miyendo yonse yapansi. Kusuntha kwamphamvu kwamphamvu kwa miyendo yonse kumtunda kumakhudzidwa. Komabe, kumvetsetsa kwachidziwitso, chinenero, ndi luso lolankhulirana zimakhalabe chimodzimodzi. Wodwalayo adapezeka kale ndi "cerebral palsy" pachipatala chapafupi, ndipo kuti adziwe zambiri ndi chithandizo, adasamutsidwa kuchipatala chathu. Chiyambireni matendawa, wodwalayo amakhalabe ndi chikumbumtima choyera, ali bwino m’maganizo, ndiponso amadya yekha. Ngakhale kuti amadziwa ntchito za thupi, thandizo limafunikira pakudzisamalira. Sipanakhale kusintha kwakukulu pa kulemera kwa thupi.
Kuzindikira kovomerezeka: Cerebral palsy.
Njira Yochizira:
Pambuyo pa kuvomerezedwa, kuyezetsa kokwanira kunachitika, ndipo palibe zotsutsana ndi opaleshoni zomwe zidapezeka, zomwe zimakwaniritsa zofunikira za opaleshoni. Pa Novembara 4, 2021, nthawi ya 15:50, wodwalayo adachitidwa opaleshoni yaubongo mothandizidwa ndi loboti pansi pa anesthesia wamba. Opaleshoniyo inali yofanana ndi kale, ikupita patsogolo bwino ndi pafupifupi 3 ml ya magazi. Pambuyo pa opaleshoni, singanoyo inachotsedwa, ndipo khungu la m'deralo linadulidwa, ndikutsatiridwa ndi kuvala kokakamiza. Mutu wa postoperative CT sunawulule magazi ambiri, kutsimikizira kulunjika kolondola. Kayendetsedwe ka madzi m'mitsempha ya m'mitsempha, kuphatikizika kwa okosijeni, ndi kuyang'anira mtima kunakhazikitsidwa popanda zovuta zilizonse.Discharge condition:
Pakalipano, mkhalidwe wa wodwalayo ndi wokhazikika, wokhala ndi maganizo abwino komanso mabala opangira opaleshoni ochira bwino osawonetsa zizindikiro za kutaya magazi kapena kutupa. Kusuntha kwa miyendo ndikwabwino, ndikuchepetsa kamvekedwe ka minofu m'miyendo yapansi poyerekeza ndi opaleshoni isanachitike, komanso kuyenda bwino kwamagulu. Panalibe kukomoka, kuzindikira momveka bwino, mzimu wabwinobwino, ophunzira ofanana komanso ozungulira okhala ndi kuwala kwanthawi zonse, kugunda kwamtima nthawi zonse, komanso mawu osamveka amtima omwe adadziwika.
Malangizo ochotsera:
1. Sungani chilonda cha opaleshoni mukatha kutulutsa ndikuchotsa zotupa pakadutsa masiku asanu.
2. Pumulani bwino, limbitsani chitetezo, ndipo pewani kusuntha mutu mwamphamvu.
3. Sungani kutentha, kupewa matenda, pitirizani maphunziro a kukonzanso, komanso kupewa kugwedezeka kwa mutu, kusowa, electrotherapy, kapena chithandizo china chothandizira mwezi wa 1.
4. Funsani kuchipatala mwamsanga ngati pali vuto lililonse.