Karatun Harka

Liu Caijun

Jinsi: Namiji

Shekaru: shekaru 6 da watanni 2

Yanayin shiga:

An gano yaron yana da Autism fiye da shekaru 3. Yana da kimanin shekaru 3, saboda rashin fasahar sadarwa, an yi masa jinya a Asibitin Yara na Jinan, Asibitin Jinan Qilu, da Asibitin Mutane na Shida na Jami'ar Peking, inda aka tabbatar da cutar Autism. Daga baya, yaron ya sami kimanin shekara 1 na aikin gyaran jiki a wata cibiyar gyarawa a Dezhou kuma a halin yanzu yana halartar makarantar musamman don ilimi.

Alamomin da ke faruwa a yanzu sun haɗa da haɓakawa, rashin iya zama, son gudu da tsalle, ƙarancin maida hankali, rashin fahimtar aminci, ɗabi'a mara kyau, koma bayan harshe, babu furcin harshe na kwatsam sai dai kawai kiraye-kiraye kamar "mahai" da "baba." Yaron yana da iyakataccen fahimtar fahimi, yana iya aiwatar da ayyuka masu sauƙi na koyarwa, amma yana da ƙarancin kulawar motsin rai, halayen cutar kansa, ɗigon ruwa lokaci-lokaci, wahalar taunawa da haɗiye, ƙarancin ƙwarewar motsa jiki, kodayake gabaɗayan ƙwarewar motsa jiki na al'ada ne. Yaron ya san aikin mafitsara da aikin hanji amma yana da wahalar yin barci.

Binciken jiki yana nuna fahimi sarai, amma akwai koma bayan harshe, kuma hankali yana da ƙasa kaɗan idan aka kwatanta da takwarorinsa. Dukan daliban biyu daidai suke da zagaye, suna amsawa ga haske, motsin ido na yau da kullun, ji na yau da kullun, kasancewar gag reflex, wuyan taushi, ƙarfin tsoka na yau da kullun a duk gaɓɓai, al'adar tsokar tsoka. Ba a lura da motsi na son rai ba, kuma yaron bai ba da cikakken haɗin kai tare da wasu hanyoyin bincike ba. Ba a sami wata matsala ta jijiyoyi ko motsi ba. Tafiya ta al'ada, babu edema a cikin ƙananan gaɓɓai.

Gabaɗaya, yaron yana buƙatar cikakkiyar gyarawa da ilimi na musamman don haɓaka haɓaka harshe, daidaita ɗabi'a, da haɓaka ƙwarewar zamantakewa. Jiyya ya kamata ya mayar da hankali kan kulawa da motsin rai, iyawar kulawa da kai, al'amurran barci, da kuma kima na yau da kullum don lura da ci gaba.

Binciken Shiga: Jinkirin ci gaban cerebral, Autism

Tsarin Magani

A ranar 25 ga Yuli, 2023, da ƙarfe 10:30, an yi wa majiyyacin aikin tiyatar-robot-taimaka wa marasa ƙarfi a ƙarƙashin maganin sa barci. Kafin a yi maganin sa barci, an yi amfani da alamomi a kan kai don kewayawa, sannan a yi hoton kai na CT. Daga nan aka shigo da bayanan cikin tsarin Remebot don aikin tiyata. An fara aikin tiyata ta hanyar yin niyya ga capsule na ciki na hagu, shiga ta gefen hagu na gaba, da kafa yanayin aikin tiyata. An sanya mai haƙuri a cikin matsayi mai tsayi tare da gyare-gyaren kai, daidaitaccen ƙwayar cuta, da draping an yi. An yanka fatar kai a gida, an huda ramin kashi daya, an huda dura mater da allura mai kaifi, sannan aka yi gwajin juriyar kwakwalwa da allurar lantarki. An yi amfani da allurar mitar rediyo don tausasa kuzarin wutar lantarki a wurin da aka yi niyya don gyaran gyaran jijiyoyi, kammala aikin tiyata a gefen hagu. An sake maimaita wannan hanya don yankin basal ganglia na dama. An ci gaba da aikin tiyata a hankali tare da asarar jini kusan 3ml. Bayan an gama aikin, an cire allurar, an yi wa wurin tiyata sutura kuma an yi ado, kuma CT scan na kai bai nuna wani babban jini tare da manufa mai kyau ba. Mai haƙuri ya kasance a farke, faɗakarwa, tare da ɗalibai daidai da zagaye, haske na yau da kullun, kuma babu motsi na son rai. Motsin hannu ya kasance na al'ada ba tare da motsin kansa ba. Kulawar bayan tiyata ya haɗa da ruwa na IV na yau da kullun, tsotsa, da sa ido na zuciya, tare da kula sosai da alamun mahimmanci da sarrafa alamun lokaci. An mayar da majiyyaci lafiya zuwa ɗakin kwana.

Takaitaccen Bayani:

A rana ta biyu bayan tiyata, yanayin majiyyaci ya tsaya tsayin daka ba tare da wata alama kamar ciwon kai, tashin zuciya, ko amai ba. Ci abinci ya kasance al'ada, motsin hanji ya kasance akai-akai, kuma barci da abinci suna da kyau. Rauni na tiyata bai nuna alamun zubar jini ko kumburi ba, kuma binciken binciken jiki ya yi daidai da na baya.

A lokacin zagaye, likitan da ke halartar ya lura cewa mai haƙuri bai nuna wani takamaiman mummunan halayen bayan tiyata ba. Bayan kwanaki 2 na maganin rigakafi, ana iya dakatar da magunguna a yau. Yana da mahimmanci a ci gaba da lura da raunin tiyata, kiyaye shi bushe, canza sutura akan lokaci, da hana hatsarori kamar faɗuwa ko shaƙewa. Kulawa kusa da yanayin majiyyaci ya zama dole, kuma idan ba a gano rashin lafiya ba bayan kimantawa gobe, ana iya la'akari da fitarwa.

Umarnin fitarwa:

1. A sa raunin ya bushe bayan fitarwa kuma a cire stitches bayan kwanaki 5.

2. Huta da kyau, kauce wa motsin kai mai ƙarfi, da ƙarfafa matakan kariya.

3. A rika bibiyar horon gyaran jiki dangane da yanayin yaron bayan sallama.

4. A nemi kulawar likita da gaggawa idan akwai rashin jin daɗi.