Nkhani za Case
Dong Run
Jenda: Mwamuna
Zaka: 7 zaka 4 miyezi
Mkhalidwe wololedwa:
Wodwala wamwamuna yemwe anali ndi mbiri ya matenda a jaundice ali mwana. Anamva mutu mwadzidzidzi ali ndi zaka 4, anapezeka ndi khunyu ku Linyi Maternal and Child Health Hospital. Omwe adathandizidwa kale ndi sodium valproate, mlingo wosadziwika wosadziwika, ndipo wakhala wopanda kugwidwa kwa chaka chimodzi atasiya. Kanema electroencephalogram (EEG) mu 2022 adawonetsa mafunde ambiri, mafunde akuthwa, ndi mafunde oyenda pang'onopang'ono omwe amagawidwa kumanja, mbali zakutsogolo, parietal, midline, ndi temporal. Mwanayo panopa akumedzera, kuipiraipira m’nyengo yachisanu, satha luntha, salankhula bwino m’chinenerocho, amachita zinthu monyanyira, komanso amasangalala akamavina akasangalala.
Kuzindikira Kuloledwa: Khunyu, kuchedwa kwakukula kwaubongo
Njira Yochizira Mankhwala
Patient Dong Run, wamwamuna, wazaka 7 ndi miyezi 4, adachitidwa opaleshoni yaubongo mothandizidwa ndi roboti pansi pa anesthesia wamba pa Januware 9, 2023, pa 17:40 chifukwa cha khunyu komanso kuchedwa kwaubongo. Njira ya opaleshoniyi inali motere: poyamba, mutu unalembedwa, ndiyeno mutu wa CT scan unachitidwa musanalowetse deta mu robot ya Remebot. Lobe yanthawi yoyenera idasankhidwa kukhala malo omwe amalowera, yofikira kudera lakutsogolo, ndipo njira ya opaleshoni idakhazikitsidwa. Wodwalayo anaikidwa pa malo ogona ndi mutu wokhazikika, adapatsidwa mankhwala ophera tizilombo toyambitsa matenda ndi zogona, ndikutsatiridwa ndi scalp m'deralo ndikubowola dzenje lachigaza. Elekitirodi ya singano idagwiritsidwa ntchito kuti izindikire kulimba kwa minofu yaubongo pambuyo poboola dura mater, kenako ma elekitirodi owunikira ubongo adayikidwa. Atazindikira khunyu, chithandizo cha radiofrequency ablation chidachitika, kenako ndikuyikanso ma electrode owunika kuti atsimikizire kutha kwa khunyu.
Pomaliza, kukondoweza kwamagetsi pang'ono kunagwiritsidwa ntchito pochiza matenda a neuroregulation pamalo omwe akuyembekezeka. Opaleshoniyo inali yosalala ndi kutaya magazi kwa 3ml. Pambuyo pa opaleshoni, singanoyo inachotsedwa, ndipo khungu linali lopangidwa ndi sutured ndi bandeji. Kujambula kwamutu kwa CT kunawonetsa kuti palibe kukhetsa magazi kwakukulu ndi kulunjika kolondola. Wodwalayo anabwerera bwinobwino m’chipindamo ndipo analandira madzi oloŵetsedwa m’mitsempha, chithandizo cha okosijeni, ndi kuyang’anira mtima. Zizindikiro zofunikira zinali kuyang'aniridwa mosamala, ndipo chithandizo cha zizindikiro chinaperekedwa ngati chikufunikira. Banjalo linauzidwa zatsatanetsatane wa opaleshoniyo.
Chidule Chachidule:
Mkhalidwe wa wodwalayo pakadali pano uli wokhazikika, wopanda vuto lililonse. Mkhalidwe wamba ndi wabwino, kugona bwino, zakudya, ndi magwiridwe antchito amthupi. Kupimidwa kwakuthupi kunasonyeza zizindikiro zokhazikika, kuzindikira bwino, ndi mkhalidwe wabwino wamaganizo. Mayeso onse anali m'magulu abwinobwino. Opaleshoniyo yachira bwino, ndipo wodwalayo akhoza kutulutsidwa bwinobwino.
Malangizo Ochotsa: