Nkhani za Case
Koma Muti
Jenda: Mwamuna
Zaka: zaka 3 ndi miyezi 2
Tsatanetsatane Wovomerezeka:
Chifukwa cha kubadwa msanga ndi chithandizo mu chofungatira, kulemera kwa mwana kubadwa kunali magalamu 1500 okha. M’masiku 27 oyambirira a moyo, mwanayo ankadwala matenda a chikasu ndiyo ndiponso kuchepa kwa magazi m’thupi, ndipo kenako anaikidwa magazi. Zinthu zingapo izi zidapangitsa kuti kukula kwa mwanayo kuchedwe, ndipo pakatha miyezi 10, mwanayo sakanathabe kutembenuza yekha. Matenda omaliza anali hydrocephalus ndi cerebral palsy, ndipo kuyambira pamenepo, mwanayo wakhala akulandira chithandizo chamankhwala. Ngakhale kuti mayendedwe a kumtunda kwa miyendo ndi kwachibadwa, pamakhala kuwonjezereka kwa minofu ndi kuuma kwa miyendo yapansi, ndi zala zogwira pansi poyenda. N'zochititsa chidwi kuti chinenero cha mwanayo ndi kukula kwa nzeru zake nthawi zambiri zimakhala zachibadwa.
Kuzindikira Kuvomerezeka: Cerebral Palsy.
Njira Yochizira:
Titavomerezedwa, tidachita kuyezetsa mwatsatanetsatane musanachite opaleshoni, kuphatikiza mayeso atatu akuluakulu, chiwindi ndi impso, ndi ma coagulation panel, omwe sanawonetse vuto lililonse. Kuyeza kothandiza, monga chifuwa cha X-ray ndi ultrasound ya mtima, sikunasonyeze zovuta zazikulu, ndipo panalibe zotsutsana ndi opaleshoni. Pa Julayi 5, 2021, wodwalayo adachitidwa opaleshoni yaubongo yothandizidwa ndi loboti.
Postoperative cranial CT sinawonetse magazi ambiri, kuwonetsa kulunjika kolondola komanso njira yopangira opaleshoni yosalala. Pambuyo pobwerera bwino ku ward, wodwalayo adalandira chithandizo chokhazikika cha mtsempha, kuphatikizapo oxygen supplementation ndi kuyang'anitsitsa mtima. Pa nthawi yonse ya chithandizo, wodwalayo sanakumane ndi zovuta kapena zovuta.
Chidule Chachidule:
Mkhalidwe wa wodwalayo umakhalabe wokhazikika, wokhala ndi thanzi labwino m'maganizo ndi m'maganizo. Wodwala amakhala tcheru ndi mawu omveka bwino a chinenero. Pali kuchepa pang'ono kwa minofu m'miyendo yapansi, ndipo kuyenda paokha sikutheka. Poyerekeza ndi chikhalidwe cha preoperative, pali kuchepa kwa minofu m'miyendo yapansi, kukhala bwino, komanso kukwawa kwamphamvu. Opaleshoniyo yapangidwa ndi sutured ndipo ikuchiritsa bwino, popanda zizindikiro zofiira kapena kutupa.
Malangizo Ochotsa:
1.Pumulani ndi kulimbikitsa chitetezo, kupewa kusuntha kwamutu mwamphamvu.
2.Resume rehabilitation training sabata imodzi mutatha kutulutsa.
3.Fufuzani chithandizo chamankhwala mwamsanga ngati mukukumana ndi vuto lililonse.