Izindaba Zecala
Huo Tingyu
Ubulili: Owesilisa
Ubudala: iminyaka engu-12
Umbandela wokungena:
Ingane kwatholakala ukuthi "inedevelopmental delay" cishe inezinyanga ezingu-7 ubudala ngenxa yokungalawuleki kahle kwekhanda esibhedlela iZibo Third Hospital. Iminyaka engaba ngu-4 ubudala, umntwana welashelwa esibhedlela iZhoucun District Hospital eZibo kanti kusukela ngaleso sikhathi ubeselashwa. Njengamanje, umntwana ubonisa ikhono elilinganiselwe lokukhuluma ngokuthi "ugogo" noma "umkhulu," inkulumo engacacile, ukungabi namazwi, amakhono aphansi okuqonda nokuqonda, ukufunda okungalungile nokwenza amakhono, ukuxakeka ngokweqile, ukuntula ukugxilisa ingqondo, ubunzima ekulawuleni imizwelo, kanye akukho ukuziphatha okuzilimazayo. Amehlo omntwana athambekele kwangaphakathi, neso lesokunxele lisinda, ubunzima bamakhono amahle okunyakaza kwemisipha, ukuhamba nezinzwane ngaphakathi nakwesokudla kuyasinda, ukuma okungahlangani, nokuhamba okungazinzile. Ingane iyaconsa, inenkinga yokugwinya nokuhlafuna kodwa iyakwazi ukulawula imisebenzi yokuzinakekela. Njengamanje ubhalise ibanga lesine esikoleni sethu semfundo ekhethekile. Ingane iselashwe esibhedlela iZibo Central Hospital kanye naseQingdao Children's Rehabilitation Hospital kodwa yaze yaba ngcono kancane, yingakho idluliselwe esibhedlela sethu ukuze iyothola ukwelashwa okwengeziwe. Ingane ihlale iqaphile futhi iqaphile ngokwengqondo kusukela ekuqaleni kwalesi simo, ngokudla okuvamile kanye nesisindo esizinzile.
Ukuxilongwa Kokungeniswa: Ukubambezeleka kokuthuthukiswa kobuchopho
Inqubo Yokwelapha
Ngemuva kokungena, ukuhlolwa okufanele kwenziwe, okuhlanganisa ukuhlolwa okujwayelekile, i-ultrasound yesisu nenhliziyo, i-electrocardiogram, i-electroencephalogram (EEG), njll., okungavezi ukuphikisana nokuhlinzwa, ngaleyo ndlela kubonakale kulungele ukuhlinzwa. Ngomhla zingama-22 kuMeyi, 2023, ngo-13:00, ngaphansi kokulaliswa kwezinzwa okuvamile, ingane yahlinzwa ubuchopho be-stereotactic okusizwa irobhothi. Ukuhlinzwa kwaqala ngokufaka amaphuzu e-Marker ekhanda, kulandelwa i-CT scan yekhanda, ukudluliswa kwedatha ku-robot ye-Remebot, ukukhetha i-capsule yangaphakathi yesokunxele njengendawo okuhloswe ngayo, ukungena endaweni yangaphambili yesokunxele, nokubeka indlela yokuhlinzwa. Ingane yabekwa endaweni ephansi, ikhanda lalungiswa, futhi kwenziwa ukuhlolwa okujwayelekile kokubulala amagciwane nokudonsa. Isikhumba sasekhanda sasihlinzekile endaweni, kwabholwa imbobo yethambo, i-dura mater yabhotshozwa ngenaliti, ukumelana nezicubu zobuchopho kwaphenywa ngenaliti ye-electrode, kwase kuthi ukuguqulwa kwe-neural nokushukumisa kancane kagesi kusetshenziswa inaliti ye-radiofrequency kwenziwa endaweni okuhlosiwe, kuphothula ukuhlinzwa. ohlangothini lwesobunxele. Kwalandelwa inqubo efanayo yelobe engaphambili engakwesokudla. Ukuhlinzwa kwaba yimpumelelo ngokopha okungaba ngu-3ml, kwalandelwa ukukhishwa kwezinaliti, ukuhlinzwa kwesikhumba, nokugqokwa kwengcindezi. Inhloko ye-postoperative CT ayizange ibonise ukungavamile okuphawulekayo, iqinisekisa ukukhomba okunembile. Ingane yayinengqondo ecacile, inomoya omuhle, ine-pupillary light reflex evamile futhi kungekho mnyakazo ongazikhethelanga. Indawo yokuhlinza yayihlanzekile, ingenawo amashubhu okukhipha amanzi. Ngemva kokuhlinzwa, ingane yathola uketshezi oluvamile lwe-IV, ukwelashwa komoyampilo, nokuqapha inhliziyo, ngokuqapha ngokucophelela izimpawu ezibalulekile.
Isifinyezo Sokukhishwa:
Ngosuku lwesibili ngemva kokuhlinzwa, isimo sengane sahlala sizinzile, amathe ayenciphile, aphathwa yikhanda elibuhlungu, isicanucanu, noma ukuhlanza, futhi ingakwazi nokudla. Inxeba lokuhlinzwa alizange libonise ukopha, ukuvuvukala, ukusebenza okujwayelekile kwamathumbu nesinye, kanye nokulangazelela ukudla nokulala kahle. Imiphumela yokuhlolwa ngokomzimba yayihambisana nesimo sangaphambi kokuhlinzwa. Phakathi nemijikelezo, udokotela owayehambele u-Zhao Xiangyong akazange aphawule ukusabela okubi kwangemva kokuhlinzwa, futhi ngemva kwezinsuku ezi-2 zokwelashwa okulwa nesifo, kwanqunywa ukuthi iyekwe imithi ehlobene nayo namuhla. Kwelulekwa ukuthi kuqhutshekwe nokubhekisiswa kwenxeba lokuhlinzwa, kugcinwe isomile, kushintshwe indlela yokugqokwa ngesikhathi, nokukhishwa kwamagciwane, kuyilapho kuvinjelwa nokuwa ngengozi, ukuminya ngesikhathi sokudla, nezinye izingozi ezingaba khona. Kwatuswa ukubhekwa okwengeziwe kwesimo sengane, futhi uma kungekho okungavamile okuvelayo, ukukhululwa kungase kucatshangelwe ngemva kokuhlolwa kusasa.
Imiyalelo yokukhipha: