Nkhani za Case

Wang Zhiqiang

Jenda: Mwamuna

Zaka: zaka 10 ndi miyezi 4

Mkhalidwe wololedwa:

Wodwalayo anapezeka kuti sanalankhule ndi anzake ali ndi zaka 3. Pambuyo pake anapezeka ndi autism ku chipatala cha Jining People's Hospital koma sanalandire chithandizo chapadera. Kuyambira nthawi imeneyo, wakhala akulandira chithandizo chamankhwala pachipatala chothandizira anthu kuti asinthe. Pakadali pano, wodwalayo akuwonetsa kufooka kwaluntha, zolankhula zosamveka bwino ndi mawu a 5-6 mawu, komanso kusachita bwino komanso kukwiya. Nthaŵi zina, amadzivulaza kapena amapempha kudzitsina mutu. Wodwalayo amakonda kusewera ndi nsapato komanso zoseweretsa zotanuka. Kuti apitirize kuzindikira ndi kuchiza matenda ake, wodwalayo anatumizidwa ku chipatala chathu. Chiyambireni matendawa, wodwalayo wakhala tcheru, ali ndi maganizo omveka bwino, kudya bwino komanso kugona, komanso chizolowezi cha matumbo ndi chikhodzodzo. Sipanakhale kusintha kwakukulu kwa kulemera.

Kuzindikira Kuvomerezeka: Kukula kwa Cerebral, Autism

Chithandizo Njira

Wodwala Wang Zhiqiang, wamwamuna, yemwe pano ali ndi zaka 10 ndi miyezi inayi, adachitidwa opaleshoni yothandizidwa ndi loboti ya cerebral underdevelopment ndi autism pansi pa anesthesia wamba pa Epulo 10, 2023, 3:00 PM. Opaleshoniyo idayamba ndikuyika zolembera pamutu ndikujambula mutu wa CT scan. Deta ya scan idatumizidwa mu robot ya Remebot. Gulu lakumanzere la basal ganglia linasankhidwa kukhala cholinga cha opaleshoni, ndipo njira yopangira opaleshoni inakhazikitsidwa kudera lakumanzere lakumanzere. Wodwalayo anayikidwa pampando wapamwamba ndi pilo wopangidwa kuti akonze mutu. Akamaliza kupha tizilombo toyambitsa matenda, ankadula m'mutu kuti abowole bowo limodzi lachigaza. Elekitirodi ya singano idagwiritsidwa ntchito kuyeza kulimba kwa minofu ya muubongo, kutsatiridwa ndi kutsitsimula kwamagetsi mofatsa pogwiritsa ntchito singano ya radiofrequency pamalo omwe mukufuna kusintha minyewa. Opaleshoni yomwe ili kumanzere kwa chandamale idamalizidwa bwino. Mchitidwe womwewo unkachitikanso pa lobe yakumanja yakumanja ngati malo omwe mukufuna. Opaleshoniyo inayenda bwino ndi kutaya magazi pafupifupi 3 ml. Pambuyo pa opaleshoni, singanoyo inachotsedwa, ndipo khungu linali lopangidwa ndi sutured ndi kuvala ndi kuponderezedwa. Kujambula kwa mutu wa postoperative CT scan sikunawonetse magazi ambiri, kutsimikizira kulunjika kolondola kwa malo omwe mukufuna. Wodwalayo adasamutsidwa bwino ku wodiyo ndipo adalandira madzi a m'mitsempha, chithandizo cha okosijeni, komanso kuyang'anira mtima. Zizindikiro zofunikira zidayang'aniridwa mosamala ndikuwongolera mwachangu zovuta zilizonse zomwe zidabuka. Njira ya opaleshoni ndi zotsatira zake zadziwitsidwa kwa banja la wodwalayo.

Chidule Chachidule:

Kutuluka kwa wodwalayo kuli bwino: chikhalidwecho chimakhala chokhazikika popanda kusokonezeka kwapadera, ndipo mkhalidwe wamba ndi wabwino. Kugona ndi kudya ndi zabwinobwino, ndipo matumbo ndi chikhodzodzo amakhala nthawi zonse popanda vuto lililonse. Kuwunika kwakuthupi kumawonetsa zizindikiro zokhazikika, malingaliro omveka bwino, komanso malingaliro abwino. Ana ndi ofanana, ozungulira, komanso ochita chidwi ndi kuwala. Mapapo auscultation samawonetsa kumveka kwachilendo, ndipo kugunda kwa mtima kumakhala kokhazikika popanda kung'ung'udza. Chizindikiro cha Babinski ndi choyipa. Opaleshoniyo ilibe matenda komanso imachiritsa bwino, chifukwa chake kutulutsa kumalimbikitsidwa.

Malangizo Ochotsa:

1, Sungani chilondacho chouma mukatha kutulutsa ndikuchotsa nsonga pakatha masiku asanu.

2, Pumulani bwino, pewani kusuntha kwamphamvu kwa mutu, ndikulimbikitsa njira zodzitetezera.

3, Tsatirani maphunziro okonzanso potengera momwe mwanayo alili pambuyo potuluka.

4、Fufuzani kuchipatala mwamsanga ngati pali zovuta zilizonse.