Nkhani za Case

Iye Zhini

Jenda: Mwamuna

Zaka: zaka 3 ndi miyezi 6

Mkhalidwe wololedwa:

Wodwalayo, ali ndi zaka zoposa 1 chaka, adapezeka kuti sangathe kukhala payekha. Pambuyo pake, adawatengera ku chipatala cha Heze Maternal and Child Health komwe adawapeza ndi matenda okhudza ubongo. Wodwalayo anali atalandirapo kale chithandizo ndi kukula kwa mitsempha ya mbewa, koma ndondomeko yeniyeni ya chithandizo sichidziwika. Pakalipano, wodwalayo amasonyeza luntha lochepa, ali ndi mphamvu zochepa za chinenero cha 7-8 syllables, ndipo sangathe kuyima kapena kuyenda payekha. Amakhala ndi kamvekedwe ka minofu m'miyendo yonse iwiri yakumtunda, ndi kukondera kumanja ndikugwiritsa ntchito dzanja lamanzere. Mitu yawo imakhala yochepa, mphamvu za msana sizikwanira, mphamvu ya minofu ya m'munsi imakhala yochepa, ndipo mapazi awo amapindikira mkati akamakweza. Kugwira ntchito kwa matumbo ndi chikhodzodzo ndizabwinobwino. Kuti apitirize kufufuza ndi kuchiza matendawa, wodwalayo adasamutsidwa kuchipatala chathu. Chiyambireni matendawa, wodwalayo wakhala akumva bwino, ali ndi maganizo abwino, amadya bwino komanso amagona bwino, matumbo a m’chikhodzodzo nthawi zonse amagwira ntchito bwino komanso amalemera mokhazikika popanda kusinthasintha kwambiri.

Kuzindikira Kuvomerezeka: Cerebral Palsy

Chithandizo Njira

Wodwalayo, dzina lake He Zhining, wamwamuna, wazaka 3 ndi miyezi 6, adachitidwa opaleshoni yaubongo yothandizidwa ndi loboti chifukwa cha matenda amtundu wa ubongo pansi pa opaleshoni yophatikizika ndi mtsempha pa February 20, 2023, nthawi ya 16:00. Opaleshoniyo idakhudza kumangirira zolembera kumutu koyamba kuti CT sikanidwe, ndikutsatiridwa ndikulowetsa deta mu loboti ya Remebot. Opaleshoniyo imayang'ana kumanzere kwa basal ganglia, kulowa kumanzere chakumaso ndi njira yopangira opaleshoni yodziwiratu. Wodwalayo adamuika pampando, ndipo mutu wawo udasasunthika pogwiritsa ntchito pilo wokhazikika. Pambuyo popha tizilombo toyambitsa matenda komanso kudontha, ankacheka pamutu, kenako n’kuboola bowo ndi kuboola dura ndi singano yakuthwa. Pambuyo pake, singano za ma elekitirodi zidagwiritsidwa ntchito pozindikira kutsekeka kwamagetsi kwa minofu yaubongo, kutsatiridwa ndi njira yotsitsimula yamagetsi yocheperako pogwiritsa ntchito singano za radiofrequency pamalo omwe amayang'aniridwa kuti minyewa isinthe. Opaleshoni yomwe ili kumanzere kwa malo omwe akulowera idamalizidwa bwino ndi pafupifupi 3ml ya kutaya magazi. Singanoyo inachotsedwa pambuyo pa opaleshoni, ndipo malo odulidwawo anatsekedwa ndi kutsekedwa kwapakhungu ndi kuvala kukakamiza. Kujambula kwa mutu wa postoperative CT scan sikunawonetse magazi ambiri, kuwonetsa kulunjika kolondola. Wodwalayo adasamutsidwa bwino ku ward ndipo adalandira madzi okhazikika m'mitsempha, chithandizo cha okosijeni, komanso kuyang'anira mtima. Zizindikiro zawo zofunika zinayang'aniridwa mosamala, ndipo njira zoyenera zinatengedwa mwamsanga. Banjalo linauzidwa za zotsatira za opaleshoniyo.

Chidule Chachidule:

Mkhalidwe wamaganizo wa wodwalayo unali wabwino atatuluka, kugona bwino, zakudya, ndi matumbo ndi chikhodzodzo, komanso zizindikiro zokhazikika. Kuwunika kwakuthupi kunawonetsa kuti m'mapapo onse mumamveka phokoso lomveka bwino popanda ming'alu kapena kugundana. Kugunda kwa mtima wamba ndi kayimbidwe kake kunadziwika, popanda kung'ung'udza komwe kumamveka pamadera aliwonse a valve. Wodwalayo anali ndi chidziwitso chomveka bwino, ophunzira ofanana ndi ozungulira omwe ali ndi mainchesi pafupifupi 3mm, ofulumira ku kuwala, kayendedwe ka maso, kumva bwino, gag reflex, kusowa kwa lilime la atrophy kapena kunjenjemera, symmetrical nasolabial folds, midline lilime protrusion, khosi labwino, ndi mphamvu yachibadwa ya minofu m'miyendo yonse inayi pa kalasi ya V. Babinski reflex inali yoipa. Wodwalayo adatha kukweza miyendo yonse mosinthana kuchoka pabedi popanda edema m'miyendo yapansi. Opaleshoniyo inkapangidwa mouma popanda erythema, kutulutsa, kapena kutupa. Malingana ndi zomwe apezazi, adaganiza kuti atulutse wodwalayo lero.

Malangizo Ochotsa:

1, Sungani chilondacho chouma mukatha kutulutsa ndikuchotsa nsonga pakatha masiku asanu.

2, Pumulani bwino, pewani kusuntha kwamphamvu kwa mutu, ndikulimbikitsa njira zodzitetezera.

3, Tsatirani maphunziro okonzanso potengera momwe mwanayo alili pambuyo potuluka.

4、Fufuzani kuchipatala mwamsanga ngati pali zovuta zilizonse.