Izindaba Zecala
Gong Junyao
Ubulili: Owesifazane
Ubudala: Iminyaka emi-3 nezinyanga eziyi-7
Umbandela wokungena:
Isiguli sangeniswa cishe eminyakeni emibili edlule sineminyaka engaba ngu-1 nengxenye ubudala lapho abazali bebona ukuntula ikhono lolimi. Wathola ukwelashwa kokuxilongwa kanye nokuvuselelwa esibhedlela sendawo ngenxa ye-autism kanye nokubambezeleka kokuthuthuka. Njengamanje, isiguli sisantula ikhono lolimi, sinezithiyo zokuxhumana, futhi sibonisa ukusabela okulinganiselwe ekushukumiseni kwangaphandle. Ukwengeza, amakhono akhe okuqonda nokuqonda ampofu, okwenza kube nzima ukuqedela izenzo zokuyala. Isiguli sibonisa ukuxhamazela, ukungalawuleki ngokomzwelo, futhi sivame ukumemeza kakhulu kodwa asibonisi ukuziphatha okunolaka noma ukuzilimaza. Ikhwalithi yokulala imbi ngobunzima bokulala. Isiguli singakwazi ukuzondla sona kodwa asizazi izidingo zaso zangasese. Ukunyakaza kwezitho kujwayelekile. Ukuqhubeka nokuxilonga nokwelapha isimo sakhe, kuhlelwe ukudlulisela isiguli esibhedlela sethu ukuze sihlinzwe. Kusukela ekuqaleni kwalesi sifo, isiguli siye sahlala siphapheme, sinolwazi olucacile, isifiso esivamile sokudla kanye nemikhuba yamathumbu, nesisindo esizinzile ngaphandle kwezinguquko ezibalulekile.
Ukuxilongwa Kokungena: I-Cerebral dysplasia, i-autism, isithuthwane
Inqubo Yokwelapha
Isiguli u-Gong Junyao, owesifazane, oneminyaka emi-3 nezinyanga eziyi-7 ubudala, uhlinzwe ubuchopho obungenangqondo ngerobhothi ngoJanuwari 15, 2023, ngo-14:30 ngenxa ye-cerebral dysplasia, i-autism, nokukhubazeka kwengqondo. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kwaqhubeka kahle. Ngemuva kwe-anesthesia ephumelelayo, ikhanda limakwa, lilandelwa yi-CT scan yekhanda kanye nokungeniswa kwedatha ku-robot ye-Remebot. Ilobe yesikhashana yesokunxele yakhethwa njengendawo okuhloswe kuyo, futhi indlela yokuhlinzwa yabekwa endaweni engaphambili kwesokunxele. Isiguli sabekwa endaweni ephansi nekhanda lilungisiwe, kwase kwenziwa i-scalp yendawo ukuze kubhojwe imbobo ye-cranial futhi kungene i-dura mater. Kamuva, ukutholwa kwenaliti ye-electrode nokufakwa kwama-electrode okuqapha ubuchopho kwenziwa. Ngemva kokuhlonza isifo sokuwa, ukukhishwa kwe-radiofrequency ablation kwenziwa, kulandelwa ukufakwa kabusha kwama-electrode okuqapha ukuze kuqinisekiswe ukunyamalala kwesilonda.
Ekugcineni, kwasetshenziswa ukukhuthazwa kagesi okumnene ekwelapheni i-neuroregulation endaweni okuhloswe kuyo ohlangothini lwesobunxele. Ukuhlinzwa endaweni okuhloswe kuyo kwesokunxele kwaqedwa ngempumelelo ngevolumu yokopha engu-3ml. Ngemva kokuhlinzwa, isikhumba sathungwa futhi sicindezelwa, futhi isiguli sabuyiselwa ewodini ngokuphepha. Kwanikezwa uketshezi olujwayelekile lwe-intravenous, ukuhogela umoya-mpilo, nokuqapha kwenhliziyo, ngokubhekwa ngokucophelela kwezimpawu ezibalulekile kanye nokwelashwa okusheshayo kwanoma yikuphi ukungakhululeki. Imininingwane yokuhlinzwa ichazwe kabanzi emndenini wesiguli.
Isifinyezo Sokukhishwa:
Isimo samanje sesiguli sizinzile akukho khanda elibuhlungu, isicanucanu, noma ukuhlanza. Ukukulangazelela ukudla kuhle, futhi azikho izimpawu zokopha noma ukuvuvukala endaweni yokuhlinzwa. Ukusebenza kwamathumbu nesinye kujwayelekile, futhi uyadla futhi ulala kahle. Ukuhlolwa ngokomzimba kubonisa izimpawu ezibalulekile ezizinzile, ukwazi okucacile, nesimo esihle sengqondo. Isiguli asinakho okungavamile olimini, ubuhlakani, noma umumo. Abafundi bayalingana ngosayizi futhi bayindilinga, cishe ububanzi obungu-3mm, banezinzwa zokukhanya ezingaguquki kanye nokunyakaza kwamehlo okuvamile. Ukuzwa kuyinto evamile, futhi kukhona ama-reflexes emphinjeni. Azikho izimpawu zokuwohloka kwemisipha yolimi noma ukundindizela, futhi izici zobuso ziyalingana. Izitho zesiguli zinamandla avamile emisipha (ibanga V), ithoni yemisipha evamile, kanye nezimo ezivamile ze-tendon. Akukho ukunyakaza okungahleliwe, futhi akabambisani nokuhlolwa kwekhala lomunwe, ukuhlolwa kwesithende-edolo-shin, noma uphawu lukaRomberg. Uphawu lwe-Bilateral Babinski lunegethivu, futhi izimpawu zokucasuka kwe-meningeal njengophawu luka-Kernig azikho. Ayikho i-edema ebonwa emilenzeni engezansi, futhi ukuhamba kujwayelekile.
Imiyalelo yokukhipha: