Zhang Yifan

Name: Zhang Yifan

Jinsi: Mace

Shekaru: shekaru 7 da watanni 5

Bayanin Shiga:

An gano majiyyaci tare da jinkirin ci gaba na cerebral fiye da shekaru 5. Kimanin shekaru 5 da suka wuce, iyayen sun lura da jinkirta rufe fontanelle, jinkirin haɓaka harshe da hankali, kuma sun nemi magani a asibitin gida inda aka gano "jinkirin ci gaba na kwakwalwa". A halin yanzu, majiyyaci yana cikin aji na farko, yana iya ɗan taƙaitaccen sadarwa, amma tare da ɗan rage ƙarfin fahimi, ƙarancin fahimta, da ɗan wahalar tunani. Mai haƙuri yana da amblyopia a cikin idanu biyu, tare da ido na dama yana nuna exotropia. Akwai ɗan rashin daidaituwa a cikin motsin hannu. Mai haƙuri yana da ikon kulawa da kansa dangane da abinci da motsin hanji.

da

Binciken Shiga:

Jinkirin ci gaban kwakwalwa

Tsarin Jiyya:

An yi wa majiyyaci Zhang Yifan, mace mai shekaru 7 da wata 5 tiyata, ba tare da wani robobi ba, don jinkirin ci gaban kwakwalwa a karkashin maganin sa barci a ranar 10 ga Afrilu, 2023, da karfe 12:40 na dare. Aikin tiyatar ya kasance kamar haka: Bayan an yi nasarar maganin sa barci, an sanya maki masu alama a kai, sannan a yi gwajin kai na CT da shigo da bayanan cikin robobin Remebot. An zaɓi lobe na gaba na hagu a matsayin manufa, samun dama ta yankin gaba na hagu don kafa hanyar tiyata. An sanya majiyyacin a wani wuri na kwance, tare da matashin kai da aka ƙera wanda ke tsare kansa, kuma an sha maganin kashe kwayoyin cuta na yau da kullun. An yi wani yanki na fatar kai, an huda ramin kashi, sannan wata allura mai kaifi ta huda dura mater. Da farko, an yi amfani da allurar lantarki don gano raunin nama na kwakwalwa, sannan ta yin amfani da allurar RF don tausasawa da motsa jiki a wurin da aka nufa a gefen hagu. An kammala aikin tiyata a gefen hagu. Sa'an nan kuma, an zaɓi ganglia na dama na dama a matsayin maƙasudin manufa, tare da hanyar tiyata iri ɗaya. An ci gaba da aikin tiyata a hankali, tare da kusan 3 ml na zubar da jini bayan tiyata. An cire allurar, kuma an dinke fata a gida tare da bandeji mai matsa lamba. Shugaban CT bayan tiyata ya nuna babu zubar jini a fili, kuma wurin da aka nufa ya kasance daidai. Majinyacin ya koma dakin lafiya lami lafiya, yana karbar ruwan jijiya na yau da kullun, maganin iskar oxygen, da lura da zuciya. Ma'aikatan kiwon lafiya sun sa ido sosai kan mahimman alamun majiyyaci kuma sun ba da jiyya na alamun lokaci kamar yadda ake buƙata. An sanar da dangin tsarin aikin tiyata.

Takaitaccen Bayani:

A halin yanzu yanayin majiyyaci yana da ƙarfi ba tare da takamaiman rashin jin daɗi ba, babu ciwon kai, tashin zuciya, ko amai. Mai haƙuri yana da abinci mai kyau. Babu zubar jini ko kumburi a raunin tiyata, motsin hanji na yau da kullun, da kyawawan halaye na abinci da halayen barci.

Sakamakon gwajin jiki ya nuna alamun tabbatattun tabbatattu, bayyanannen sani, da kyakkyawan yanayin tunani. Mai haƙuri zai iya shiga cikin gajeriyar sadarwa, kodayake akwai rashin daidaituwa a cikin hankali da daidaitawa. Almajirai daidai suke kuma suna amsawa ga haske, motsin ido na al'ada ne, ji na al'ada ne, pharyngeal reflex yana nan, babu atrophy ko rawar jiki a cikin tsokoki na harshe, folds nasal-labial folds suna daidaitawa, haɓakar harshe na tsakiya, wuyansa yana da taushi, ƙarfin tsoka na yau da kullun. a cikin dukkan gaɓoɓi huɗu (jin V), sautin tsoka na yau da kullun, motsin jijiya na al'ada, babu motsi na son rai, gwajin hanci mara kyau. Alamar Brudzinski mara kyau da alamar Kernig da ke nuni da rashin jin haushin meningeal. Babu ƙananan kumburin hannu, da tafiya ta al'ada.

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. Bibiyi horon gyaran jiki bisa yanayin yaron bayan sallama.

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