Iingxelo zeCase
Chen Ruoxi
Isini: Ibhinqa
Ubudala: iminyaka eyi-7 kunye neenyanga ezi-5
Imeko yokwamkelwa:
Malunga neminyaka eyi-6 edlulileyo, abazali besigulane baqaphela ukulibaziseka kophuhliso xa kuthelekiswa noontanga beminyaka efanayo. Emva koko, baye bafuna unyango kwisibhedlele sasekuhlaleni, apho kwafunyaniswa ukuba unengxaki yobuchopho kwaye wafumana unyango lokubuyisela kwimeko yesiqhelo. Okwangoku, isigulana sinentetho elinganiselweyo yolwimi, siyakwazi ukuthetha amagama angama-1-2 kuphela, kwaye sifumana imiqobo yonxibelelwano. Izakhono zokuqonda kunye nokuqonda azanelanga, kwaye akakwazi ukwenza izenzo zomyalelo. Izakhono zemoto ezipheleleyo zanele, kodwa izakhono zokuqhuba kakuhle zibuthathaka, zifuna uncedo lokunyuka nokuhla kwizinyuko. Isigulana sinokuzibona iimfuno zaso zokutya nezindlu zangasese kodwa sifuna uncedo lokuzanelisa. Unyango lotyando luthathelwa ingqalelo ukuze kufunyanwe kwaye unyango olongezelelweyo, ngoko ke luthunyelwe kwisibhedlele sethu. Ukususela ekuqaleni kwesi sifo, isigulane siye sahlala sisazi, sikwimeko efanelekileyo yengqondo, kunye neendlela eziqhelekileyo zokutya, ukuhamba kwamathumbu rhoqo, ukuphuma komchamo oqhelekileyo, kunye nobunzima obuzinzile ngaphandle kokuguquguquka okukhulu.
Ukuxilongwa kwe-Admission: Ukungaphuhlisi kweCerebral
Imbali yoNyango kunye neNkqubo yoNyango:
Ngomhla we-17 ku-Epreli, ngo-2023, ngo-11: 15 AM, iminyaka eyi-7 kunye neenyanga ezi-5 ubudala isigulana u-Chen Ruoxi wenziwa utyando lwe-stereotactic oluncediswa yirobhothi kuphuhliso lwecerebral kunye nokukhubazeka kwengqondo. Utyando lwenziwa phantsi kwe-anesthesia jikelele. Emva kokuqalisa utyando, amanqaku aMakisha asetyenziswa, kwaye kwenziwa i-CT scan. Emva koko, idatha ingeniswe kwi-robot ye-Remebot, ijolise kwisigxina sangaphambili sangaphambili se-capsule yangaphakathi, ingena kwingingqi yangaphambili yasekhohlo, kwaye ibeka indlela yokuhlinzwa. Isigulana sibekwe kwindawo yokulala kunye nentloko egxininisekile kwi-pillow ebunjiweyo, i-disinfection yesiqhelo, kwaye i-drape yokuhlinzwa isetyenziswe. Emva kokunqunyulwa kwentloko yendawo, kwagrunjwa umngxuma wethambo, kwagqojozwa i-dura mater, kwaye ukuxhathisa kwezicubu zobuchopho kwabhaqwa kusetyenziswa inaliti ye-electrode. Emva koko, unyango lwe-neuroregulation kunye nokuvuselela umbane oluthambileyo lwenziwa kusetyenziswa inaliti ye-radiofrequency ukugqiba utyando olujoliswe ekhohlo. Emva koko, imilenze yangaphambili yangaphambili ye-capsule yangaphakathi yayijoliswe ngokusebenzisa indlela efanayo yotyando. Utyando lwaqhubeleka kakuhle kwaye malunga ne-3ml yokulahleka kwegazi. Emva kotyando, iinaliti zaye zakhutshwa, kwaye ulusu lwasekuhlaleni lwathanjiswa lwaza lwanxitywa ngokucinezelwa. Intloko ye-postoperative ye-CT ayizange ibonise ukopha okubalulekileyo, iqinisekisa ukubeka indawo ekujoliswe kuyo ngokuchanekileyo. Emva koko isigulane sabuyiselwa ewodini ngokukhuselekileyo. Ulwelo oluqhelekileyo lwe-intravenous lulawulwa emva kokuhlinzwa, kunye nokuxhaswa kwe-oksijini kunye nokubeka iliso kwintliziyo. Iimpawu ezibalulekileyo zesigulana zibekwe esweni ngokusondeleyo, kwaye naziphi na iimpawu ezinokuthi ziqwalaselwe ngokukhawuleza. Intsapho yesigulana yaxelelwa ngeenkcukacha zotyando.
Ngomso ka-Aprili 19, i-2023, ngo-8: 52 AM, imeko yesigulane yahlala izinzile ngosuku lwesibini emva kokuhlinzwa, kunye neemvakalelo ezizinzile kunye nokulungelelaniswa komzimba okuphuculweyo, ukukwazi ukunyuka kunye nokuhla kwezitebhisi ngokuzimeleyo. Akukho zimpawu zentloko ebuhlungu, isicaphucaphu, okanye ukugabha zazixelwa, kwaye umnqweno wakhe wokutya wawulungile. Uqhaqho lotyando alubonisi ukopha okanye ukudumba, kunye nomsebenzi oqhelekileyo wamathumbu kunye nesinyi, kunye nokutya okulungileyo kunye neendlela zokulala. Iziphumo zeemviwo zomzimba bezingqinelana neziphumo zangaphambili. Ugqirha ohambayo u-Song Li uqhube i-ward round, kwaye isigulane asizange sibonise naziphi na iziphumo ezibi emva kokuhlinzwa. Unyango lwe-Antibiotic luye lwasetyenziswa iintsuku ezi-2 kwaye luyekwa namhlanje. Ukuqwalaselwa ngokusondeleyo kwesilonda sotyando kwaqhubeka, ukuqinisekisa ukomisa kunye nokutshintsha ngexesha elifanelekileyo lokunxiba kunye nokubulala iintsholongwane. Ingqalelo nayo yanikwa ukuthintela ukuwa kunye neziganeko zokuminxa ngexesha lokutyisa. Ukubeka iliso okuqhubekayo kwimeko yesigulane kwacwangciswa. Ukuba akukho ziphoso ziye zajongwa, ukukhutshwa kuya kuqwalaselwa emva kovavanyo ngomso.
Isishwankathelo sokukhupha:
Isigulane okwangoku sizinzile, sinokulinganisela ngokomzwelo, kunye nokulungelelaniswa komzimba okuphuculweyo, okukwazi ukunyuka nokuhla kwizinyuko ngokuzimeleyo. Kwakungekho zikhalazo ngenxa yentloko ebuhlungu, isicaphucaphu, okanye ukugabha, yaye umnqweno wakhe wokutya wawulungile. Uqhaqho lotyando alubonisi zimpawu zokopha okanye ukudumba, kunye nomsebenzi oqhelekileyo wamathumbu kunye nesinyi, kunye nokutya okwanelisayo kunye neepatheni zokulala.
Imiyalelo yokukhupha: