Nkhani za Case

Liu Caijun

Jenda: Mwamuna

Zaka: zaka 6 ndi miyezi 2

Mkhalidwe wololedwa:

Mwanayo wapezeka ndi autism kwa zaka zoposa 3. Pafupifupi zaka 3, chifukwa cha kusowa kwa luso loyankhulana, adathandizidwa kuchipatala cha Jinan Children's Hospital, Jinan Qilu Hospital, ndi Peking University Sixth People's Hospital, kumene autism inatsimikiziridwa. Pambuyo pake, mwanayo adalandira pafupifupi chaka chimodzi cha chithandizo chamankhwala ku malo ophunzitsira anthu ku Dezhou ndipo pano akupita kusukulu yapadera ya maphunziro.

Zizindikiro zomwe zilipo panopa ndi monga kusachita zinthu mopitirira muyeso, kulephera kukhala phee, kukonda kuthamanga ndi kudumpha, kusaika maganizo pa zinthu, kusazindikira chitetezo, khalidwe lodziŵika bwino, kusalankhula bwino chinenero, kusalankhula chinenero chongochitika mwachisawawa koma kuyimba mongolankhula ngati "mayi" ndi "bambo." Mwanayo amakhala ndi chidziwitso chochepa, amatha kuchita zinthu zosavuta zolangizidwa, koma amakhala ndi vuto lodziletsa, chizolowezi chodzivulaza, nthawi zina, kumangokhalira kumeza, kutafuna ndi kumeza, kusakhoza bwino kuyendetsa galimoto, ngakhale kuti luso la magalimoto onse ndi lachilendo. Mwanayo amadziwa ntchito ya chikhodzodzo ndi matumbo koma amavutika kugona.

Kupenda thupi kumasonyeza kuzindikira bwino, koma pali kuchepa kwa chinenero, ndipo nzeru zimakhala zochepa poyerekeza ndi anzawo. Ana onsewa ndi ofanana komanso ozungulira, amachitira kuwala, kayendedwe ka maso, kumva bwino, kukhalapo kwa gag reflex, khosi lofewa, mphamvu ya minofu yachibadwa m'miyendo yonse, ma tendon reflexes. Palibe mayendedwe adzidzidzi anawona, ndipo mwanayo sanagwirizane kwathunthu ndi njira zina zowunikira. Palibe zodziwika bwino za minyewa kapena zovuta zamagalimoto zomwe zidapezeka. Kuyenda mwachizolowezi, palibe edema m'miyendo yapansi.

Ponseponse, mwanayo amafunikira kukonzanso kwathunthu ndi maphunziro apadera kuti alimbikitse chitukuko cha chinenero, kusintha khalidwe, ndi kupititsa patsogolo luso la chikhalidwe cha anthu. Chithandizo chiyenera kuyang'ana pa kayendetsedwe ka maganizo, luso lodzisamalira, nkhani za kugona, ndi kufufuza kotsatira nthawi zonse kuti awone momwe zikuyendera.

Kuzindikira Kuvomerezeka: Kuchedwa kwakukula kwaubongo, autism

Chithandizo Njira

Pa Julayi 25, 2023, nthawi ya 10:30, wodwalayo anachitidwa opaleshoni yopanda stereotactic mothandizidwa ndi loboti molumikizana ndi mtsempha. Asanayambe opaleshoni, zizindikiro zinkagwiritsidwa ntchito pamutu kuti ziyende, ndikutsatiridwa ndi mutu wa CT scan. Detayo idatumizidwa ku Remebot dongosolo la opaleshoni. Opaleshoniyo idayamba ndikulunjika kumanzere kwa kapisozi wamkati, kulowa kumanzere chakumaso, ndikukhazikitsa njira yopangira opaleshoni. Wodwalayo anaikidwa pa malo ogona ndi kukonza mutu, mankhwala ophera tizilombo toyambitsa matenda, ndi draping anachitidwa. Khungu la pamutu linkadulidwa m'deralo, bowo limodzi la fupa linabowoledwa, fupa la dura linabowoledwa ndi singano yakuthwa, ndiyeno kukana kwa minofu ya ubongo kunafufuzidwa ndi singano ya electrode. Singano ya radiofrequency idagwiritsidwa ntchito pokondoweza pang'onopang'ono kwa magetsi pamalo omwe chandamale cha neural modulation therapy, kumaliza opaleshoniyo kumanzere. Njira yomweyi idabwerezedwa kugawo loyenera la basal ganglia. Opaleshoniyo inayenda bwino ndipo pafupifupi 3ml ya kutaya magazi. Pambuyo pa opaleshoniyo, singanoyo inachotsedwa, malo opangira opaleshoni anali opangidwa ndi sutured ndi kuvala, ndipo mutu wa CT scan unasonyeza kuti palibe magazi ambiri omwe ali ndi cholinga cholondola. Wodwalayo anali wogalamuka, watcheru, ali ndi ana ofanana ndi ozungulira, kuwala kwabwino kwa reflex, ndipo palibe mayendedwe osasamala. Kusuntha kwa miyendo kunali kwabwinobwino popanda kudziyendetsa nokha. Chisamaliro cha pambuyo pa opaleshoni chinaphatikizapo madzi a IV nthawi zonse, kuyamwa, ndi kuyang'anitsitsa mtima, komanso kuyang'anitsitsa zizindikiro zofunika komanso kusamalira zizindikiro panthawi yake. Wodwalayo adasamutsidwa bwino ku ward.

Chidule Chachidule:

Patsiku lachiwiri pambuyo pa opaleshoni, mkhalidwe wa wodwalayo unakhalabe wokhazikika popanda zizindikiro monga mutu, nseru, kapena kusanza. Kulakalaka kudya kunali kwabwinobwino, kutuluka m'matumbo kunali kokhazikika, ndipo kugona ndi zakudya zinali zabwino. Chilonda cha opaleshoni sichinasonyeze zizindikiro za kutaya magazi kapena kutupa, ndipo zofufuza zakuthupi zinali zogwirizana ndi zam'mbuyo.

Panthawi yozungulira, dokotalayo adawona kuti wodwalayo sanawonetse zovuta zilizonse zapambuyo pa opaleshoni. Pambuyo 2 masiku odana ndi matenda mankhwala, mankhwala akhoza anasiya lero. Ndikofunika kupitiriza kuyang'ana bala la opaleshoni, kulisunga louma, kusintha zovala pa nthawi yake, komanso kupewa ngozi monga kugwa kapena kutsamwitsidwa. Kuyang'anitsitsa mkhalidwe wa wodwalayo ndikofunikira, ndipo ngati palibe zolakwika zomwe zimadziwika pambuyo powunika mawa, kutulutsa kumatha kuganiziridwa.

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.