Nkhani za Case

Zhai Zihan

Jenda: Mkazi

Zaka: zaka 5 ndi miyezi 5

Mkhalidwe wololedwa:

Wodwalayo adagonekedwa ku chipatala cha Linyi District People's Hospital ali ndi zaka 1 ndi miyezi 11 chifukwa cha kusowa kwa chilankhulo, kusowa kwa maso, komanso kusagwirizana ndi zochitika zakunja, ndi chidziwitso choyambirira cha "autism yokayikira." Pambuyo pake, ali ndi zaka ziwiri ndi miyezi khumi, chifukwa cha zizindikiro zosasintha, adapezekanso ndi "autism" pachipatala cha Linyi District Central Hospital ndipo adalandira chithandizo chamankhwala. Pakali pano, wodwalayo amaonetsa kuchulukirachulukira, amavutika kukhala chete kwa nthawi yayitali, nthawi zambiri amakhala ndi zizolowezi zoyipa monga kung'amba mapepala, ali ndi chilankhulo chofooka, amangotulutsa masilabi a 2-3 pakafunika, mawu osadziwika bwino komanso osatsanzira. Ali ndi kusinthasintha kwachidziwitso koma osamvetsetsa, amatha kumaliza ntchito zosavuta zolamula. Wodwalayo amamva kusinthasintha kwakukulu, amafuula mokweza pamene akusangalala, ndipo amasonyeza makhalidwe odzivulaza monga kukanikiza. Pankhani ya luso lalikulu la magalimoto, wodwalayo amagwira ntchito, koma kugwirizana kumakhala kosauka, sangathe kuima pa phazi limodzi, ndipo alibe luso lamagetsi m'manja onse awiri. Zakudya zake, matumbo, ndi mayendedwe a chikhodzodzo ndizabwinobwino, popanda kusintha kwakukulu kwaposachedwa. Chifukwa chofuna kudziwa zambiri komanso chithandizo, wodwalayo adasamutsidwa ku chipatala chathu kuti akapitirize kuyang'aniridwa. Chiyambireni matendawa, wodwalayo wakhala watcheru komanso wokhazikika m’maganizo.

Kuzindikira Kuvomerezeka: Kuchedwa kwakukula kwa ubongo, autism spectrum disorder

Chithandizo Njira

Wodwala Zhai Zihan, wamkazi wazaka 5 ndi miyezi isanu, anachitidwa opaleshoni yaubongo mothandizidwa ndi roboti pansi pa opaleshoni yamba pa Okutobala 17, 2023, nthawi ya 08:00.

Opaleshoniyo inali motere: Poyamba, mutu unkadziwika, kenako ndi mutu wa CT scan. Detayo idatumizidwa ku robot ya Remebot, ndikusankha malo omwe mukufuna kumanzere kumanzere kwa kapisozi wamkati, kulowa kumanzere chakumanzere, ndikuyika njira yopangira opaleshoni. Wodwalayo anayikidwa pampando wamtunda ndi mutu wokhazikika ndipo anapatsidwa mankhwala ophera tizilombo toyambitsa matenda ndi draping. Khungu la pamutu linkadulidwa m'deralo, bowo limodzi la fupa linabowoledwa, dura linabowoledwa ndi singano, kukana kwa minofu ya muubongo kunayesedwa ndi singano ya electrode, ndipo njira yochepetsera mphamvu yamagetsi inagwiritsidwa ntchito pamalo omwe cholinga chake chinali kusintha kwa mitsempha. The kumanzere chandamale opareshoni mfundo inamalizidwa bwino. Njira yomweyi idagwiritsidwanso ntchito posankha malo oyenerera a basal ganglia monga malo omwe mukufuna. Opaleshoniyo inayenda bwino ndi pafupifupi 3 ml ya magazi opangidwa mkati mwa opaleshoni.

Pambuyo pa opaleshoni, singanoyo inachotsedwa, ndipo khungu linali lopangidwa ndi sutured ndi bandeji. Mutu wa postoperative CT sunawulule magazi ochulukirapo, ndikuwunikira kolondola, ndipo wodwalayo adabwerera ku ward bwinobwino. Wodwalayo anakhalabe tcheru, wokhazikika m’maganizo, ali ndi ana ofanana ndi otakataka, kusuntha kwabwino kwa miyendo, ndi kusayenda modzifunira. Chovala pabala la opaleshoni chinali choyera komanso chaudongo. Pambuyo pa opaleshoni, wodwalayo adalandira chithandizo chamadzimadzi nthawi zonse, chithandizo cha okosijeni, kuyang'anitsitsa mtima, ndi kuyang'anitsitsa zizindikiro zofunika kuti athandizidwe panthawi yake. Zambiri zokhudza opaleshoniyo zinaperekedwa kwa banja la wodwalayo.

Chidule Chachidule:

Mkhalidwe wa wodwalayo pakali pano umakhala wokhazikika, kuyenda bwino kumanzere kumanzere (osakokanso) ndikupitiriza kugwira ntchito yamtunda. Pakhala kusintha kwakukulu mumalingaliro poyerekeza ndi opaleshoni isanayambe, ndi nthawi yotalikirapo yokhala ndi kuchepetsedwa kwa chisangalalo. Kuwunika kwakuthupi kumawonetsa zizindikiro zokhazikika, kuzindikira bwino, malingaliro abwino, ophunzira ofanana ndi ochitachita, komanso reflex yowala bwino. Palibe phokoso lachilendo la mpweya lomwe linamveka m'mapapo, kugunda kwa mtima kunali 86 kugunda pa mphindi imodzi, ndi phokoso lokhazikika ndipo palibe kung'ung'udza komwe kunamveka. Mutu wa postoperative CT unawonetsa kuchepa kwa kutupa ndi kuyamwa, poyerekeza ndi October 19, 2023. Dr. Tian Zengmin, dokotala wopezekapo, adasanthula zochitika za postoperative edema ndipo adalimbikitsa kutulutsa ndi ulendo wotsatira.

Malangizo Ochotsa:

1, Pumulani bwino, limbitsani chitetezo, ndipo pewani mayendedwe amphamvu amutu.

2, Kutenga nawo gawo maphunziro kukonzanso zochokera chinenero cha mwanayo ndi udindo galimoto kuchira pambuyo kumaliseche.

3, Chonde konzekerani ulendo wotsatira ku dipatimenti ya odwala kunja pasanafike Epulo 24, 2024.

4, Pitirizani kuyendera maulendo obwereza pambuyo pa kutulutsidwa.