Iingxelo zeCase
Kodwa uMthi
Isini: Indoda
Ubudala: iminyaka emi-3 kunye neenyanga ezi-2
Iinkcukacha zoKwamkelwa:
Ngenxa yokuzalwa kwangaphambi kwexesha kunye nokunyangwa kwi-incubator, ubunzima bokuzalwa komntwana buyi-1500 grams kuphela. Kwiintsuku ezingama-27 zokuqala ezelwe, umntwana waba nejaundice kunye neanemia, emva koko watofelwa igazi. Olu luhlu lwemiba lukhokelele ekulibazisekeni ekukhuleni komntwana, kwaye malunga neenyanga ezili-10, umntwana ebengekakwazi ukuzijika ngokuzimeleyo. Ukuxilongwa kokugqibela kwakuyi-hydrocephalus kunye ne-cerebral palsy, kwaye ukususela ngoko, umntwana uye wafumana unyango lokubuyisela. Nangona iintshukumo zamalungu aphezulu ziqhelekile, kukho ukunyanzeliswa kwemisipha kunye nokuqina kwemilenze engezantsi, kunye neenzwane ezichukumisa umhlaba ngexesha lokuhamba. Kuyaphawuleka ukuba ulwimi lomntwana kunye nokukhula kwengqondo kuyinto eqhelekileyo.
Ukuxilongwa kokwamkelwa: I-Cerebral Palsy.
Inkqubo yoNyango:
Emva kokwamkelwa, siye saqhuba iimvavanyo ezineenkcukacha zangaphambi kotyando, kubandakanywa uvavanyo lwesiqhelo oluthathu, ukusebenza kwesibindi nezintso, kunye nephaneli yokudibanisa, zonke ezingabonisi ziphazamiso. Uxilongo oluncedisayo, olufana ne-X-reyi yesifuba kunye ne-cardiac ultrasound, aluzange lubonise ukungahambi kakuhle, kwaye akukho nto iphikisanayo malunga notyando. NgoJulayi 5, 2021, isigulana senziwa uqhaqho lwerobhothi encedisa ingqondo.
I-postoperative cranial CT ayibonisi ukopha okubalulekileyo, ebonisa ukujoliswa okuchanekileyo kunye nenkqubo yotyando egudileyo. Emva kokubuyela ngokukhuselekileyo kwiwadi, isigulane safumana unyango oluqhelekileyo lwe-intravenous, kunye ne-oksijeni yokuncedisa kunye nokubeka iliso kwintliziyo. Kuyo yonke inkqubo yonyango, isigulane asizange sibe naziphi na iingxaki okanye iimpendulo ezimbi.
Isishwankathelo sokukhupha:
Imeko yesigulana ihlala izinzile, isempilweni entle ngokwasengqondweni nangokweemvakalelo. Isigulana silumkile ngolwimi olucacileyo. Kukho ukuncipha okuncinci kwithoni ye-muscle kumalungu angaphantsi, kwaye ukuhamba ngokuzimeleyo akunakwenzeka. Xa kuthelekiswa nesimo sangaphambi kokusebenza, kukho ukunciphisa ithoni ye-muscle kumalungu angaphantsi, ukulungelelaniswa okuphuculweyo kokuhlala, kunye nokukwazi ukukhasa okuphuculweyo. Uqhaqho lotyando lufakwe i-sutured kwaye luphilisa kakuhle, kungekho zimpawu zokubomvu okanye ukudumba.
Imiyalelo yokukhupha:
1.Phumla kwaye uqinise ukukhuselwa, ukuphepha ukunyakaza kwentloko enamandla.
2.Qalisa kwakhona uqeqesho lokubuyisela kwiveki enye emva kokukhutshwa.
3.Funa unyango olukhawulezileyo ukuba ufumana nakuphi na ukungonwabi.