Zhang Yifan

Dzina: Zhang Yifan

Jenda: Mkazi

Zaka: zaka 7 ndi miyezi 5

Zambiri Zovomerezeka:

Wodwalayo adapezeka kuti akuchedwa kukula kwaubongo kwazaka zopitilira 5. Pafupifupi zaka 5 zapitazo, makolowo adawona kuchedwa kutsekedwa kwa fontanelle, kukula kwapang'onopang'ono kwa chinenero ndi luntha, ndipo anafuna chithandizo ku chipatala chapafupi kumene matenda a "cerebral development delay" adapangidwa. Pakalipano, wodwalayo ali m'kalasi yoyamba, amatha kulankhulana mwachidule, koma ali ndi luso lochepa lachidziwitso, kumvetsetsa kochepa, ndi zovuta zina zoganiza bwino. Wodwala ali ndi amblyopia m'maso onse awiri, ndi diso lakumanja likuwonetsa exotropia. Pali kusalinganika pang'ono pakuyenda kwa miyendo. Wodwala amatha kudzisamalira yekha pankhani ya zakudya ndi matumbo.

ndi

Kuzindikira Kuloledwa:

Kuchedwa kwa chitukuko cha ubongo

Njira Yochizira:

Wodwala Zhang Yifan, wamkazi, wazaka 7 ndi miyezi 5, adachitidwa opaleshoni yothandizidwa ndi loboti kuti achepetse kukula kwaubongo pansi pa anesthesia wamba pa Epulo 10, 2023, nthawi ya 12:40 PM. Njira ya opaleshoni inali motere: Pambuyo pa anesthesia yopambana, mfundo zolembera zinayikidwa pamutu, ndikutsatiridwa ndi mutu wa CT scan ndi kuitanitsa deta mu robot ya Remebot. Lobe yakumanzere yakumanzere idasankhidwa kukhala chandamale, yofikira kudera lakumanzere lakumanzere kuti ikhazikitse njira yopangira opaleshoni. Wodwalayo anaikidwa pa mpando wa nsonga, ndi pilo woumbidwa wotchinga mutu, ndipo anapatsidwa mankhwala ophera tizilombo. M'derali anacheka m'mutu, kubowola fupa, ndipo singano yakuthwa inaboola dura mater. Poyambirira, singano ya elekitirodi idagwiritsidwa ntchito kuti azindikire kuwonongeka kwa minofu ya muubongo, ndikutsatiridwa ndi singano ya RF pothandizira mphamvu zamagetsi pamalo omwe mukufuna kumanzere. Opaleshoni kumanzere chandamale mfundo anamaliza. Kenako, basal ganglia yolondola idasankhidwa ngati malo omwe mukufuna, ndi njira yochitira opaleshoni yomweyo. Opaleshoniyo inayenda bwino, pafupifupi 3 ml ya magazi pambuyo pa opaleshoni. Singanoyo ankaichotsa, ndipo khungu ankalithira ndi bandeji. Mutu wa postoperative CT sunawonetse magazi owoneka bwino, ndipo cholinga chake chidapezeka molondola. Wodwalayo anabwerera m’chipindamo bwinobwino, akulandira madzi a m’mitsempha, kupatsidwa mpweya wabwino, ndi kuunika mtima. Ogwira ntchito zachipatala amayang'anitsitsa zizindikiro zofunika za wodwalayo ndipo amapereka chithandizo chamankhwala panthawi yake ngati chikufunikira. Banjalo linauzidwa za opaleshoniyo.

Chidule Chachidule:

Mkhalidwe wa wodwalayo pakali pano umakhala wokhazikika popanda kusokonezeka kwapadera, palibe mutu, nseru, kapena kusanza. Wodwala amakhala ndi njala yabwino. Palibe kutuluka magazi kapena kutupa pabala la opaleshoni, kutuluka kwa matumbo abwinobwino, komanso kudya komanso kugona bwino.

Zofufuza zakuthupi zidawonetsa zizindikiro zokhazikika, kuzindikira bwino, komanso malingaliro abwino. Wodwalayo amatha kulankhulana mwachidule, ngakhale pali zolakwika mu luntha ndi kachitidwe. Ana ndi ofanana ndi okhudzidwa ndi kuwala, kayendedwe ka maso ndi kachilendo, kumva kwachibadwa, pharyngeal reflex ilipo, palibe atrophy kapena kugwedezeka kwa lilime minofu, mphuno-labial folds ndi symmetric, lilime protrusion pakati, khosi ndi lofewa, mphamvu yachibadwa ya minofu. m'miyendo yonse inayi (giredi V), kamvekedwe kabwino ka minofu, mawonekedwe owoneka bwino a tendon, kusasuntha kodziyimira pawokha, kuyesa koyipa kwa mphuno zala. Negative Brudzinski chizindikiro ndi Kernig chizindikiro chosonyeza kusakwiya kwa meningeal. No m`munsi miyendo edema, ndi yachibadwa kuyenda.

Malangizo Ochotsa:

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

2, Pumulani bwino, pewani kusuntha kwamphamvu kwa mutu, ndikulimbitsa chitetezo.

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

4、Fufuzani kuchipatala mwamsanga ngati pali zovuta zilizonse.