Nyaya dzenyaya
Renqingcuomao
Gender: Mukadzi
Zera: 6 makore uye 2 mwedzi
Pfupiso Yekubvumidzwa:
Mwana haakwanisi kugara akazvimiririra. Pakubvumirwa, murwere airatidza kushaya simba mumutsipa, uye paakabatsirwa kumira, chimiro chacho chaioneka chisina kujairika. Mitezo yepamusoro yakatambanudzwa kumashure zvakanyanya, maoko airatidza chimiro che "claw" nekutenderera kwekunze, makumbo ezasi aive akaomarara, mabvi akawedzera kuwedzera, zvigunwe zvichibata pasi, uye rutivi rwerudyi rwemuviri rwainyanya kukanganiswa. Murwere ane kusagona kutsenga nekumedza, anongokwanisa kushandisa semi-mvura chikafu, uye apo neapo kukosora kunoitika panguva yekunwa mvura. Murwere akasvinura uye ari mumamiriro ezvinhu akanaka epfungwa, haakwanisi kutaura nemashoko, kuonana nemaziso, uye kuonana. Kudya kwekudya kunogumira, kudya kunovaka muviri kwakaderera, uye pane kushaikwa kwekutonga pamusoro pematumbu uye dundira.
Kubvuma Kuongororwa: Cerebral Palsy, Brain Developmental Kunonoka.
Kurapa Maitiro:
Mushure mekubvumidzwa, takaita bvunzo dzakadzama dzepreoperative. Musoro wemagineti resonance imaging (MRI) scan muna Gumiguru 24, 2020, yakaratidza kuwedzera kwehuropi sulci uye fissures, pamwe chete nezviratidzo zvekiriniki. Iyo cardiac morphology, chimiro, uye kubuda kweropa zvaive zvakajairika, uye kuruboshwe ventricular systolic basa raive mukati meyakajairika. Migumisiro yezvimwe zviongorori zvekubatsira, kusanganisira ropa, chiropa uye itsvo basa, coagulation profile, uye preoperative sere-item assessment, zvose zvakajairika. Musi waGumiguru 22, 2020, robhoti-yakabatsirwa isina uropi stereotactic kuvhiyiwa kwakaitwa pasi peanesthesia. Kuvhiyiwa kwacho kwakafamba zvakanaka, uye postoperative head CT scan yakaratidza kuti hapana kubuda ropa kwakajeka. Murwere akasangana nefivha yakaderera-giredhi kwezuva rimwe mushure mekuvhiyiwa, iyo yakagadziriswa neyakajairwa mvura yekuwedzera uye yakagadziridzwa kudya. Parizvino, mamiriro emurwere akagadzikana, uye kubudiswa kunorongwa nhasi.
Discharge Summary:
Parizvino, mamiriro emurwere akadzikama, ane chimiro chepfungwa chakavandudzwa kana chichienzaniswa nekare-kuderera kwekuchema, kurara kwemazuva ose, uye kudya kwemazuva ose pasina kukanganisa mumatumbo uye dundira. Murwere akasvinura, ane pfungwa dzakanaka, uye anoratidza kuderera kwetsandanyama mumakumbo epamusoro, kunyanya kunatsiridza kuchinjika muchikamu chepamusoro chekurudyi. Iyo yekuvhiya incision yapora zvakanaka, uye mamiriro ese akagadzikana, achibvumidza kuburitswa kwakarongwa.
Discharge Mirayiridzo:
1.Chengetedza ronda rekuvhiya rakaoma mushure mekubuda. Bvisa masitichi mushure memazuva 5-7 mushure mekuvhiya.
2.Kuzorora kunokosha, kusimbisa kudzivirira, kudzivisa kufamba kwemusoro kwakasimba.
3.Mushure mokusunungurwa, rambai nekudzidziswa kwekugadzirisa kunobva pamutauro wemwana uye kupora motokari.
4.Tsvaka kurapwa nekukurumidza kana paine kusagadzikana kwakamuka.