Urubanza
Gong Junyao
Uburinganire: Umugore
Imyaka: imyaka 3 n'amezi 7
Imiterere yo kwinjira:
Uyu murwayi yemerewe hashize imyaka ibiri afite imyaka igera kuri 1 nigice ubwo ababyeyi babonaga badafite ururimi. Yakiriye kwisuzumisha no gusubiza mu buzima busanzwe ibitaro byaho kubera autism no gutinda kw'iterambere. Kugeza ubu, umurwayi aracyafite ubushobozi bwururimi, afite inzitizi zitumanaho, kandi yerekana igisubizo gike kubitera imbaraga. Byongeye kandi, ubushobozi bwe bwo kumenya no gusobanukirwa burakennye, bigatuma bigorana kurangiza ibikorwa. Umurwayi agaragaza hyperactivite, kutagenzura amarangamutima, kandi akunda gutaka cyane ariko ntagaragaze imyitwarire ikaze cyangwa yikomeretsa. Ubwiza bwibitotsi burakomeye hamwe no gusinzira. Umurwayi arashobora kwigaburira ariko ntazi ibyo akeneye mu bwiherero. Kugenda kw'amaguru ni ibisanzwe. Kugirango turusheho gusuzuma no kuvura indwara ye, birateganijwe kohereza umurwayi mu bitaro byacu kugira ngo avurwe. Kuva indwara yatangira, umurwayi yakomeje kuba maso, afite ubwenge busobanutse, ubushake bwo kurya no mu nda, hamwe nuburemere buhamye nta mpinduka zikomeye.
Gusuzuma Kwinjira: Dysplasia Cerebral dysplasia, autism, epilepsy
Uburyo bwo kuvura
Patient Gong Junyao, umunyarwandakazi, ufite imyaka 3 n’amezi 7, yabazwe na robo yifashishijwe na robot idafite ubwonko bwa stereotactique yo mu bwonko ku ya 15 Mutarama 2023, saa 14h30 kubera dysplasia yo mu bwonko, autism, n'ubumuga bwo mu mutwe. Kubaga byakozwe muri anesthesia rusange kandi bigenda neza. Nyuma yo kunanirwa neza, umutwe waranzwe, hakurikiraho CT scan hamwe no kwinjiza amakuru muri robot ya Remebot. Ibumoso bwigihe gito bwatoranijwe nkicyerekezo cyerekanwe, kandi inzira yo kubaga yashyizwe mumwanya wibumoso. Umurwayi yashyizwe mu mwanya mwiza kandi ushyizwemo umutwe, hanyuma hacibwa umutwe w’umutwe waho kugira ngo ucukure umwobo wa cranial hanyuma winjire muri dura mater. Nyuma yaho, hakozwe urushinge rwa electrode no gushyiramo electrode ikurikirana ubwonko. Nyuma yo kumenya igisebe cya epileptic, hakozwe gukuraho radiofrequency, hakurikiraho kongera gushyirwaho electrode ikurikirana kugirango hemezwe ko ibisebe byabuze.
Hanyuma, amashanyarazi yoroheje yakoreshejwe kugirango avurwe na neuroregulation ahabigenewe kuruhande rwibumoso. Kubaga kuruhande rwibumoso byarangiye neza hamwe no kuva amaraso ya 3ml. Nyuma yo kubagwa, uruhu rwaradodo kandi rusunikwa, umurwayi asubizwa mu cyumba amahoro. Hatanzwe imiyoboro y'amaraso, guhumeka umwuka wa ogisijeni, no gukurikirana umutima, hamwe no gukurikiranira hafi ibimenyetso by'ingenzi no kuvura bidatinze. Ibisobanuro byo kubaga byasobanuwe neza umuryango wumurwayi.
Incamake yo gusezerera:
Ubu umurwayi ameze neza nta kubabara umutwe, isesemi, cyangwa kuruka. Irari rye ni ryiza, kandi nta kimenyetso cyerekana kuva amaraso cyangwa kubyimba ahabagwa. Imikorere y'amara n'uruhago ni ibisanzwe, kandi ararya kandi asinziriye neza. Isuzuma ry'umubiri ryerekana ibimenyetso by'ingenzi bihamye, ubwenge busobanutse, n'imitekerereze myiza. Umurwayi nta bidasanzwe afite mururimi, ubwenge, cyangwa icyerekezo. Abanyeshuri bangana mubunini no kuzenguruka, hafi 3mm z'umurambararo, hamwe na refleks yoroheje itagaragara hamwe no kugenda kwijisho risanzwe. Kumva nibisanzwe, kandi refleks yo mu muhogo irahari. Nta kimenyetso cyerekana imitsi y'ururimi atrophy cyangwa guhinda umushyitsi, kandi ibimenyetso byo mumaso birasa. Amaguru yumurwayi afite imbaraga zimitsi zisanzwe (urwego V), imiterere yimitsi isanzwe, hamwe na refleks isanzwe. Nta kugenda kubushake, kandi ntafatanya no gupima urutoki-izuru, ikizamini cya heel-ivi-shin, cyangwa ikimenyetso cya Romberg. Ikimenyetso cya Babinski cyombi ni kibi, kandi ibimenyetso byo kurakara meningeal nkikimenyetso cya Kernig ntibihari. Nta ndwara igaragara mu ngingo zo hepfo, kandi kugenda ni ibisanzwe.
Amabwiriza yo gusezerera: