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Ƙarfafa Rayuwa, Warkar da Hankali, Kulawa koyaushe

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Zhang Yuqing

Karatun Harka

Zhang Yuqing

Jinsi: Mace

Shekaru: shekaru 5 da watanni 9

Bayanin Shiga:

An shigar da majiyyaci saboda ciwon kwakwalwa fiye da shekaru 3. A lokacin da ta kai shekara 2, an same ta ba ta iya zama ko tafiya da kanta, kuma daga baya aka gano cewa tana da nakasa a asibitin mata da kananan yara na Tai’an, duk da cewa ba ta samu kulawa ta musamman ba. Tun daga wannan lokacin ta ke yin aikin gyaran jiki a wata cibiyar gyaran jiki. A halin yanzu, majiyyaci yana nuna rashin hankali, magana mara kyau tare da 5-6 syllables, da faɗuwa. Tana da ƙarancin ƙwarewar motsa jiki a hannaye biyu, tare da saurin riko. Akwai ƙarar ƙwayar tsoka a cikin ƙananan gaɓɓai, musamman a gefen dama, yana buƙatar taimako don tafiya. Sarrafa hanji da mafitsara abin yarda ne, amma tana buƙatar taimako akan ciyarwa. A hankali ta kasance a fili kuma cikin jin dadi, amma maganarta ba ta da tabbas, kuma hazaka da sanin makamarta suna kasa da takwarorinta. Dalibai daidai suke, zagaye, kuma suna amsawa ga haske, tare da diamita na kusan 3mm. Motsin ido na al'ada ne, kuma ji ba shi da kyau. Faryngeal reflex yana nan. Babu ciwon harshe ko rawar jiki, kuma yanayin fuska yana da kamanni. Mara lafiya na iya canzawa ta ɗaga kafafunta daga kan gadon. Babu edema a cikin ƙananan ƙafafu. Ƙwararren tiyata yana da tsabta ba tare da ja, kumburi, ko fitarwa ba. A yau, ana ganin ta dace da sallama.
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Binciken Shiga:
Cerebral palsy
Tsarin Jiyya:
An yi wa majiyyaci Zhang Yuqing, mace mai shekaru 5 da wata 9 tiyata a kwakwalwar mutum-mutumin da aka yi masa aikin tiyatar ciwon gurguwar kwakwalwa a ranar 27 ga Fabrairu, 2023, da karfe 8:00 na safe. Aikin tiyata ya hada da sanya alamomin kai bayan annesthesia, sannan a yi gwajin kai na CT da shigo da bayanan binciken cikin na'urar Robot Remebot. Tiyatar ta yi niyya ga lobe na wucin gadi na hagu, wanda aka shiga ta yankin gaba na hagu, tare da ingantaccen tsarin aikin tiyata. An sanya majiyyaci a kwance tare da gyare-gyaren matashin kai don daidaita kai. Bayan maganin kashe kwayoyin cuta na yau da kullun, an yanka fatar kan kai a cikin gida, an huda ramin kashi, kuma allura mai kaifi ta huda dura. Da farko, an yi amfani da allurar lantarki don auna juriya na nama na kwakwalwa, sannan kuma dasa na'urorin saka idanu na lantarki na kwakwalwa. Bayan gano abin da aka mayar da hankali ga farfadiya a wurin da aka yi niyya, an yi amfani da allurar mitar rediyo don zubarwa, ta kawar da hankalin farfadiya. An yi amfani da jiyya na neuroregulatory tare da ƙarancin motsa jiki na lantarki a wurin da aka yi niyya don kammala aikin tiyata a gefen hagu. Daga baya, an zaɓi gefen dama na capsule na ciki a matsayin manufa, kuma an yi irin wannan maganin neuroregulatory ta hanyar amfani da allurar mitar rediyo. Hanyar ta tafi lafiya tare da asarar jini na 3ml. Bayan an gama aikin, an cire allurar, kuma an yi wa fatar da ke kewaye da shi sutura kuma an yi ado. Wani CT scan na shugaban da aka yi bayan tiyata ya nuna babu wani babban jini, yana tabbatar da ingantacciyar manufa ta tiyata. Majinyacin ya koma dakin lafiya cikin aminci kuma ya karbi ruwa na yau da kullun, maganin iskar oxygen, da lura da zuciya. Ma'aikatan kiwon lafiya za su sa ido sosai kan mahimman alamunta kuma za su magance kowace matsala cikin gaggawa idan an buƙata. An sanar da dangin majiyyaci game da cikakkun bayanan tiyata.
Takaitaccen Bayani:
Halin tunanin majiyyaci yana da kyau, tare da barci na yau da kullun, abinci, aikin hanji da mafitsara, da alamun tabbataccen mahimmanci. Jarrabawar jiki tana bayyana bayyanannun sautin huhu, bugun zuciya na yau da kullun da bugun jini ba tare da gunaguni ba, daidai da ɗalibai masu amsawa, ingantattun motsin ido da ji, da ƙarfin tsoka na yau da kullun a cikin gaɓoɓi. Babu edema a cikin ƙananan ƙafafu, kuma aikin tiyata yana da tsabta ba tare da alamun kamuwa da cuta ko zubar jini ba. Bayan tantancewa, an sallami majiyyaci a yau.
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.

Binciken Shiga: Rashin ci gaban kwakwalwa, Autism

Tsarin Magani

An yi wa majiyyaci Wang Zhiqiang, namiji, mai shekara 10 da watanni 4 a halin yanzu, an yi masa tiyatar da ba ta da tushe ta mutum-mutumi don rashin ci gaban kwakwalwa da kuma Autism karkashin maganin sa barci a ranar 10 ga Afrilu, 2023, da karfe 3:00 na rana. An fara tiyatar ne ta hanyar sanya maki a kai tare da yin na'urar daukar hoto ta kai. Daga nan aka shigo da bayanan binciken cikin mutum-mutumin Remebot. An zaɓi basal ganglia na hagu a matsayin aikin tiyata, kuma an kafa hanyar tiyata ta yankin gaba na hagu. An sanya majiyyaci a cikin matsayi na baya tare da matashin kai don gyaran kai. Bayan daidaitaccen maganin kashe kwayoyin cuta, an yi wani yanki na fatar kai don haƙa rami guda ɗaya. An yi amfani da na'urar lantarki don auna juriya na nama na kwakwalwa, sannan kuma a hankali maganin motsa jiki ta hanyar amfani da allurar mitar rediyo a wurin da aka yi niyya don daidaitawar jijiya. An yi nasarar kammala aikin tiyata a gefen hagu. An yi irin wannan hanya a kan lobe na gaba na dama a matsayin maƙasudin manufa. An ci gaba da aikin tiyata a hankali tare da asarar jini kusan 3 ml. Bayan an gama aikin, an cire allurar, kuma an ɗaure fata kuma an yi ado da matsi. Wani CT scan na shugaban da aka yi bayan tiyata ya nuna babu wani babban jini, yana tabbatar da ingantacciyar manufa na wuraren da ake so. An mayar da majiyyacin lafiya zuwa ɗakin kwana kuma an karɓi ruwa na yau da kullun na ciki, maganin iskar oxygen, da lura da zuciya. An sa ido sosai kan alamu masu mahimmanci tare da saurin sarrafa duk wasu batutuwa masu tasowa. An sanar da aikin tiyata da sakamakon aikin ga dangin mara lafiya.

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Takaitaccen Bayani:

Yanayin fitarwa na mai haƙuri yana da kyau: yanayin yana da kwanciyar hankali ba tare da takamaiman rashin jin daɗi ba, kuma yanayin gaba ɗaya yana da kyau. Barci da abinci na al'ada ne, kuma yanayin hanji da mafitsara na yau da kullun ba tare da wata matsala ba. Gwajin jiki yana nuna tabbatattun alamun mahimmanci, bayyanannen yanayin tunani, da yanayin tunani mai kyau. Almajirai daidai suke, zagaye, kuma suna amsawa ga haske. Ƙwaƙwalwar huhu baya bayyana wasu ƙararrakin da ba na al'ada ba, kuma bugun zuciya na yau da kullun ne ba tare da gunaguni ba. Alamar Babinski mara kyau. Ciwon fiɗa ba shi da kamuwa da cuta da waraka da kyau, don haka ana ba da shawarar 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. Bibiyi horon gyaran jiki bisa yanayin yaron bayan sallama.
4. A nemi kulawar likita da gaggawa idan akwai rashin jin daɗi.