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Kusimbisa Hupenyu, Kuporesa Pfungwa, Kuchengeta Nguva Yese

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Chen Ruoxi

Nyaya dzenyaya

Chen Ruoxi

Gender: Mukadzi

Zera: makore 7 nemwedzi mishanu

Mamiriro ekubvumirwa:

Anenge makore matanhatu apfuura, vabereki vemurwere vakaona kunonoka kwekukura mukuenzanisa nevezera rezera rimwe chete. Mushure mezvo, vakatsvaga kurapwa kuchipatara cheko, kwaakaonekwa kuti ane cerebral underdevelopment uye akawana kurapwa. Parizvino, murwere ane mashoma ekutaura mutauro, anongokwanisa kutaura mazwi 1-2, uye anosangana nezvipingamupinyi zvekutaurirana. Mano ekuziva nekunzwisisa haana kukwana, uye haakwanise kuita zviito zvekuraira. Hunyanzvi hwemotokari hwakakwana hwakakwana, asi hunyanzvi hwemotokari hwakashata, zvinoda rubatsiro kukwira nekudzika masitepisi. Murwere anogona kuona zvaanoda pakudya uye zvechimbuzi asi anoda rubatsiro kuti azviite. Kuvhiya kurapwa kuri kutariswa kuti kuwedzere kuongororwa uye kurapwa, nekudaro kuendeswa kuchipatara chedu. Kubva pakatanga chirwere ichi, murwere akaramba achiziva, ari mundangariro yakanaka, aine madyiro akajairika, kufamba ura nguva dzose, kubuda weti yakajairika, uye uremu hwakagadzikana pasina kuchinja kukuru.

Kubvuma Kuongororwa: Cerebral underdevelopment

Nhoroondo Yezvokurapa uye Maitiro Okurapa:

Musi waKubvumbi 17, 2023, na11:15 AM, makore manomwe nemwedzi mishanu murwere Chen Ruoxi akavhiyiwa robhoti-akabatsirwa frameless stereotactic yekusakura kwecerebral uye hurema hwepfungwa. Kuvhiyiwa kwakaitwa pasi peanesthesia. Mushure mekutanga kuvhiyiwa, Marker points akaiswa, uye musoro CT scan wakaitwa. Mushure meizvozvo, iyo data yakaunzwa kunze murobhoti yeRemebot, yakananga kuruboshwe rwemberi yemukati capsule, ichipinda nekuruboshwe kumberi nharaunda, uye kugadzirisa nzira yekuvhiya. Murwere wacho akaiswa panzvimbo yakasimudzwa musoro wakagadzikwa pamutsago wakaumbwa, akaitwa disinfection yenguva dzose, uye jira rokuvhiya rakaiswa. Mushure mekuchekwa kweganda remumusoro, buri rebhonzo rakaboorwa, dura mater rakaboorwa, uye kusamira kwehuropi kwakaonekwa pachishandiswa tsono ye electrode. Zvadaro, neuroregulation therapy ine munyoro magetsi stimulation yakaitwa pachishandiswa radiofrequency tsono kupedzisa kuvhiya kwakananga kuruboshwe. Zvadaro, chikamu chakanaka chepamberi chemukati capsule chakanangidzirwa uchishandisa nzira imwechete yekuvhiya. Kuvhiyiwa kwacho kwakafamba zvakanaka nekurasikirwa neropa rinosvika 3ml. Mushure mekuvhiyiwa, tsono dzakabviswa, uye ganda remunharaunda rakashongedzwa uye rakapfekedzwa nekumanikidzwa. Musoro wePostoperative CT wakaratidza kusabuda ropa kwakakosha, zvichisimbisa nzvimbo yakatarwa yekunongedza. Murwere akabva adzoserwa muwadhi zvakanaka. Routine intravenous fluids yaiitwa mushure mekuvhiyiwa, neokisijeni yekuwedzera uye kutarisa kwemoyo kwakapihwa. Zviratidzo zvinokosha zvevarwere zvakanyatsoongororwa, uye chero zviratidzo zvingave zvakagadziriswa nokukurumidza. Mhuri yemurwere yakaudzwa nezvemashoko ekuvhiya.

Mangwanani emusi waKubvumbi 19, 2023, na8:52 AM, mamiriro emurwere akaramba akagadzikana pazuva rechipiri mushure mekuvhiyiwa, aine manzwiro akagadzikana uye nekubatana kwemuviri, achikwanisa kukwira nekudzika masitepisi akazvimirira. Hapana zviratidzo zvemusoro, kusvotwa, kana kurutsa zvakashumwa, uye havi yake yakanga yakanaka. Kuvhiya kwacho kwakaratidza kusabuda ropa kana kuzvimba, kuine ura uye dundira, uye kudya kwakanaka nekurara. Migumisiro yekuongorora kwepanyama yaienderana nezvakawanikwa kare. Chiremba aipinda Song Li akaita wadhi kutenderera, uye murwere haana kuratidza chero chaiwo maitiro akashata mushure mekuvhiyiwa. Mishonga inorwisa mabhakitiriya yakanga yaitwa kwemazuva maviri uye yakamiswa nhasi. Kunyatsocherechedza ronda rekuvhiya kwakaramba kuchienderera mberi, kuve nechokwadi chekuoma uye kuchinja panguva yakakodzera yekupfeka uye disinfection. Kuchenjerera kwakapiwawo kudzivirira kudonha uye kukachidzwa zviitiko panguva yekudya. Kuenderera mberi kwekutarisa kwehutano hwemurwere kwakarongwa. Kana pasina kukanganisa kwakaonekwa, kuburitswa kwaizotariswa mushure mekuongorora mangwana.

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Discharge Summary:

Murwere iye zvino akagadzikana, akadzikama mupfungwa, ane hutano huri nani, anokwanisa kukwira nekudzika masitepisi akazvimiririra. Pakanga pasina zvichemo zvemusoro, kusvotwa, kana kurutsa, uye kuda kudya kwake kwakanga kwakanaka. Kuvhiya kwacho kwakaratidza kusabuda ropa kana kuzvimba, nekusashanda kwemukati medundira, uye kudya kunogutsa nekurara.


Discharge Mirayiridzo:

1, Zorora uye dzivirira kufamba kwakasimba kwemusoro mushure mekubuda.
2, Ronda rekuvhiya riri pamusoro rinofanira kuongororwa uye kupfekedzwa zuva nezuva mushure mekubuda. Ita shuwa kuti ronda rinoramba rakaoma, uye matinji anobviswa mushure memazuva mashanu.
3, Ndokumbira uende kumusangano wekutevera kuDhipatimendi reNeurosurgery pamberi paGumiguru 19, 2023.
4, Kugaro tevera kugadzwa kunorairwa mushure mekuburitswa.