Nyaya dzenyaya

Asi Muti

Gender: Murume

Zera: makore matatu nemwedzi miviri

Tsanangudzo yekubvuma:

Nekuda kwekuzvarwa nguva isati yakwana uye kurapwa muincubator, uremu hwekuzvarwa kwemwana hwaingova 1500 gramu. Mukati memazuva 27 okutanga eupenyu, mwana akanzwa jaundice uye anemia, achibva awedzerwa ropa. Izvi zvakatevedzana zvakakonzera kunonoka mukukura kwemwana, uye mukati memwedzi gumi, mwana haakwanise kutendeuka akazvimirira. Kuongororwa kwekupedzisira kwaiva hydrocephalus uye cerebral palsy, uye kubvira ipapo, mwana ave achirapwa kugadzirisa. Kunyange zvazvo kufamba kwemakumbo nemakumbo kwakasiyana-siyana, kune kuwedzera kwetsandanyama uye kuoma mumakumbo ezasi, zvigunwe zvichigunzva pasi panguva yekufamba. Zvinokosha kuziva kuti mutauro wemwana uye kukura kwenjere zvinowanzoitika.

Kubvuma Kuongororwa: Cerebral Palsy.

Kurapa Maitiro:

Mushure mekubvumidzwa, takaita ongororo dzakadzama dzepreoperative, kusanganisira bvunzo nhatu huru dzenguva dzose, kushanda kwechiropa neitsvo, uye coagulation panel, zvese zvakaratidza kusakanganiswa. Ongororo dzebetsero, dzakadai seX-ray yechipfuva uye ultrasound yemwoyo, yakaratidza kusakosha kwakakosha, uye pakanga pasina zvinopokana pakuvhiyiwa. Musi waChikunguru 5, 2021, murwere akavhiyiwa robhoti stereotactic brain.

Postoperative cranial CT yakaratidza kusabuda ropa kwakakosha, zvichiratidza kunanga kwakaringana uye kuvhiya kwakatsetseka. Mushure mekudzoka kwakachengeteka kuwadhi, murwere akagamuchira muitiro wemishonga inopinza, pamwe chete neokisijeni yekuwedzera uye kutarisa kwemwoyo. Munguva yose yekurapa, murwere haana kuona chero matambudziko kana maitiro asina kunaka.

Nekuda kwekuzvarwa nguva isati yakwana uye kurapwa muincubator, uremu hwekuzvarwa kwemwana hwaingova 1500 gm4ba.

Nekuda kwekuzvarwa nguva isati yakwana uye kurapwa muincubator, uremu hwekuzvarwa kwemwana hwaingova 1500 gramuskf.

Discharge Summary:

Mamiriro emurwere anoramba akagadzikana, ane pfungwa dzakanaka uye manzwiro akanaka. Murwere akasvinura nekutaura kwemutauro kwakajeka. Pane kuderera kuduku kwetaundi yemasuru mumakumbo ezasi, uye kufamba kwakasununguka hakugoneki. Kuenzaniswa nechimiro chepreoperative, kune kudzikiswa kwetaundi yetsandanyama mumakumbo ezasi, kuvandudzwa kwekugara, uye kugona kukambaira kwakawedzera. Iyo yekuvhiya incision yave sutured uye iri kupora zvakanaka, isina zviratidzo zvekutsvuka kana kuzvimba.

Discharge Mirayiridzo:

1.Zorora uye kusimbisa kudzivirira, kudzivisa kufamba kwemusoro kwakasimba.

2.Resume rehabilitation training vhiki imwe mushure mekubudiswa.

3.Kutsvaga kurapwa nekukurumidza kana uine chero kusagadzikana.