Iingxelo zeCase
Renqingcuomao
Isini: Ibhinqa
Ubudala: iminyaka emi-6 kunye neenyanga ezi-2
Isishwankathelo sokwamkelwa:
Umntwana akakwazi ukuhlala ngokuzimeleyo. Emva kokungeniswa, isigulane sibonisa ubuthathaka entanyeni, kwaye xa sincediswa ukuma, i-posture ibonakala ingaqhelekanga. Amalungu angasentla asolulelwe ngasemva ngokuphawulekayo, izandla zibonisa imilo ethi "uzipho" kunye nokujikeleza kwangaphandle, amalungu angaphantsi aqinile, amadolo e-hyperextended, iinzwane ezichukumisa umhlaba, kwaye icala lasekunene lomzimba lichaphazeleka ngakumbi. Isigulana asikwazi ukuhlafuna kunye nokuginya, sikwazi kuphela ukutya ukutya okunesiqingatha solwelo, kwaye ukukhohlela ngamaxesha athile kwenzeka ngexesha lokusela amanzi. Isigulana sithe qwa yaye sikwimeko entle ngokwasengqondweni, asikwazi kuthetha, ukudibana kwamehlo nokunxibelelana. Ukutya okudliwayo kuncinci, isondlo siphantsi, kwaye kukho ukungabikho kolawulo kwimisebenzi yamathumbu kunye nesinyi.
Ukuxilongwa kwe-Admission: I-Cerebral Palsy, ukulibaziseka koPhuhliso lwengqondo.
Inkqubo yoNyango:
Emva kokwamkelwa, siye saqhuba iimviwo ezineenkcukacha zangaphambi kotyando. I-head magnetic resonance imaging (MRI) scan ngo-Okthobha wama-24, 2020, yatyhila ukwanda kobuchopho be-sulci kunye nokuqhekeka, ngokudibana neempawu zeklinikhi. I-morphology ye-cardiac, isakhiwo, kunye nokuhamba kwegazi kwakuqhelekileyo, kwaye umsebenzi we-systolic we-ventricular washiya wawuphakathi koluhlu oluqhelekileyo. Iziphumo zezinye iimviwo ezincedisayo, kubandakanywa inkqubo yegazi, isibindi kunye nokusebenza kwezintso, iphrofayili ye-coagulation, kunye novavanyo lwangaphambili lwezinto ezisibhozo, zonke zaziqhelekileyo. Ngomhla wama-22 ku-Okthobha, ngo-2020, utyando lwe-stereotactic yobuchopho oluncediswa yirobhothi lwenziwa phantsi kwe-anesthesia jikelele. Utyando lwaqhubeka kakuhle, kwaye i-postoperative intloko ye-CT scan yabonisa ukuba akukho gazi elibonakalayo kunye nokujoliswa okuchanekileyo. Isigulana safumana umkhuhlane womgangatho ophantsi wosuku olunye emva kokuhlinzwa, oye wasonjululwa kunye nokuxhaswa kolwelo oluqhelekileyo kunye nokutya okuphuculweyo. Okwangoku, imeko yesigulane izinzile, kwaye ukukhutshwa kucetywa namhlanje.
Isishwankathelo sokukhupha:
Okwangoku, imeko yesigulane izinzile, kunye nemeko yengqondo ephuculweyo xa kuthelekiswa nangaphambili-ukunciphisa ukukhala, ukulala okuqhelekileyo, kunye nokutya okuqhelekileyo okungenazo izinto ezingaqhelekanga kwi-bowel and bladder function. Isigulana silumkile, sinengqondo ephilileyo, kwaye sibonisa ukunyanzeliswa kwemisipha kwimilenze ephezulu, ngokukodwa ukuphucula ukuguquguquka kwisigxina esiphezulu sokunene. Ukusikwa kotyando kuphilise kakuhle, kwaye imeko iyonke izinzile, iqinisekisa ukukhutshwa okucwangcisiweyo.
Imiyalelo yokukhupha:
1.Gcina inxeba lotyando lomile emva kokuphuma. Susa imithungo emva kweentsuku ezi-5-7 emva kokuhlinzwa.
I-2.Ukuphumla kubalulekile, ukuqinisa ukukhuselwa, ukuphepha ukunyakaza kwentloko enamandla.
3.Emva kokukhutshwa, qhubeka noqeqesho lokubuyisela kwimo yesiqhelo esekelwe kulwimi lomntwana kunye nokuvuselelwa kwemoto.
4.Funa unyango olukhawulezileyo ukuba kukho nakuphi na ukungonwabi.