Nyaya dzenyaya
Tan Qingling
Gender: Mukadzi
Zera: makore gumi nerimwe nemwedzi gumi
Ruzivo rwekuchipatara:
Anenge makore 8 apfuura, murwere akashanyira chipatara nekuda kwekusakwanisa kufamba uye akaonekwa kuti ane cerebral palsy, achiratidza chimiro chekufamba chisina kujairika. Murwere akanga atsvaga kurapwa muzvipatara zvakawanda uye akaita gore rose rekudzidzira kugadzirisa pachipatara cheko. Parizvino, murwere achiri kuratidza kufamba kusina kujairika nerutsoka rworuboshwe chigunwe-kufamba uye kuoma muruboshwe rwezasi. Mitezo yepamusoro hairatidzi kukanganiswa, uye murwere anogona kuita hurukuro yemuromo nehunyanzvi hwekunzwisisa. Parizvino murwere ari mugiredhi rechishanu rechikoro chepuraimari. Kuti arambe achiongororwa uye kurapwa, murwere akaendeswa kuchipatara chedu akaonekwa kuti ane "cerebral palsy" kuburikidza nemabasa ekunze. Kubva pakatanga mamiriro acho ezvinhu, murwere akachengetedza pfungwa dzakajeka, chimiro chepfungwa chakanaka, kudya uye kunwa kwakajairika, kufamba kwematumbo uye dundira, uye hapana kuchinja kukuru kwehuremu.
Kubvuma Kuongororwa: Cerebral Palsy.
Diagnostic uye Kurapa Maitiro:
Mushure mekubvumidzwa, kuongororwa kwakazara kwepreoperative kwakaitwa. Musoro wemagineti resonance imaging (MRI) muna Gumiguru 23, 2021, yakaratidza akawanda punctate T1-yakaremerwa yakaderera masiginecha mubilateral basal ganglia uye corona radiata, pamwe nekusarudzika kwakaumbwa kweiyo lateral ventricles. Hapana kukanganisa kwakakosha kwakawanikwa mune dzimwe bvunzo dzebetsero, uye pakanga pasina kuvhiya kupikisa. Musi wa25 Gumiguru 2021, na14:00, robhoti-yakabatsirwa frameless stereotactic brain surgery yakaitwa pasi peanesthesia. Kuvhiya kwakafamba zvakanaka, uye postoperative musoro CT wakaratidza kusabuda ropa kunooneka nekunangwa kwakaringana. Routine intravenous fluid administration yaiitwa postoperative kudzivirira utachiona. Kuvhiya kwacho kwakabudirira.
Discharge Summary:
Parizvino, mamiriro emurwere akadzikama, kutaurirana kwakajairika, kunzwisisa kwakajairika, hapana kutemwa nemusoro, kusvotwa, kurutsa, kuda kudya kwakanaka, maronda anosonwa akabviswa, achipora zvakanaka pasina kubuda ropa kana kuzvimba. Hapana kusagadzikana mukufamba ura kana kuita weti, kudya kwakajairika uye kurara. Kurova kwemoyo nguva dzose, hapana manzwi asina kujairika anonzwika. Kuvandudzwa kwekufamba mugumbo rezasi rekuruboshwe.
Discharge Mirayiridzo:
1. Zorora, simbisa dziviriro, uye dzivisa kufamba kwemusoro kune simba.
2. Ramba uchidziya, dzivisa utachiona, ramba uchidzidzira kugadzirisa.
3. Enda kurapwa kana paine kusanzwa zvakanaka kwamuka.