Iingxelo zeCase
I-Dong Run
Isini: Indoda
Ubudala: 7 iminyaka 4 iinyanga
Imeko yokwamkelwa:
Isigulana esiyindoda esinembali ye-jaundice yesifo se-jaundice ebuntwaneni.Wafumana intloko ebuhlungu ngesiquphe eneminyaka eyi-4, wafunyaniswa ukuba unesifo sokuxhuzula kwisibhedlele iLinyi Maternal and Child Health. Ngaphambili iphathwe nge-valproate ye-sodium, i-dosage ethile engaziwa, kwaye i-seizure-free for 1 unyaka emva kokuyeka. Ividiyo ye-electroencephalogram (EEG) ngo-2022 ibonise amaza e-multifocal spike, amaza abukhali, kunye namaza acothayo asasazwe kumphambili wasekunene, wecala lambini ngaphambili, kwiparietal, midline, kunye nakwimimandla yethutyana. Umntwana kungoku nje uvuza amathe, uba mandundu ebusika, akanamandla obulumko obukrelekrele, akakwazi ukuthetha kakuhle ngolwimi, udlamkile, nemincili ngeziqendu zokudanisa xa echwayitile.
Ukuxilongwa kokwamkelwa: Ukuxhuzula, ukulibaziseka kokuphuhliswa kwengqondo
Inkqubo yoNyango lwezoNyango
Isigulana se-Dong Run, indoda, iminyaka eyi-7 kunye neenyanga ze-4 ubudala, yenze utyando lwe-robot-assisted stereotactic brain under anesthesia jikelele ngoJanuwari 9, 2023, ngo-17: 40 ngenxa yokuxhuzula kunye nokulibaziseka kophuhliso lwe-cerebral. Inkqubo yokuhlinzwa yayilolu hlobo lulandelayo: ekuqaleni, intloko yayiphawulwe, kwaye emva koko i-CT scan yenziwa ngaphambi kokungenisa idatha kwi-robot ye-Remebot. I-lobe yesikhashana echanekileyo ikhethwe njengendawo ekujoliswe kuyo, ifikeleleke kwindawo yangaphambili yangaphambili, kwaye indlela yotyando yamiselwa. Isigulana sibekwe kwindawo ye-supine kunye nentloko ehleliweyo, safumana i-disinfection yesiqhelo kunye nebhedi, elandelwa yi-scalp yendawo ye-scalp kunye nokugrunjwa komngxuma we-skull. I-electrode yenaliti yasetyenziswa ukubona ukunganyangeki kwezicubu zobuchopho emva kokugqobhoza i-dura mater, emva koko kwafakelwa ii-electrode zokuhlola ubuchopho. Ekuboneni ukugxila kwesifo sokuxhuzula, unyango lwe-radiofrequency ablation lwenziwa, lulandelwa kukufakelwa kwakhona kwee-electrode zokubeka iliso ukuze kuqinisekiswe ukunyamalala kokugxila kwesifo sokuxhuzula.
Ekugqibeleni, ukuvuselela umbane othobekileyo kwasetyenziswa unyango lwe-neuroregulation kwindawo ekujoliswe kuyo. Utyando lwalugudileyo ngelahleko yegazi le-3ml. Emva kokuhlinzwa, inaliti yasuswa, kwaye ulusu lwaluxutywe kwaye luboshwe. I-CT scan yentloko ayizange ibonise ukopha okubalulekileyo ngokujoliswa ngokuchanekileyo. Isigulana sabuyela ngokukhuselekileyo kwiwadi kwaye safumana i-intravenous fluids yesiqhelo, unyango lwe-oxygen, kunye nokubeka iliso kwintliziyo. Iimpawu ezibalulekileyo zazibekwe iliso elibukhali, kwaye unyango lweempawu lwanikezelwa njengoko luyimfuneko. Usapho lwachazelwa ngeenkcukacha zotyando.
Isishwankathelo sokukhupha:
Imeko yesigulane okwangoku izinzile, akukho nto ibuhlungu. Imeko ngokubanzi ilungile, ukulala okuqhelekileyo, ukutya, kunye nemisebenzi yomzimba. Uvavanyo lomzimba lubonise iimpawu ezibalulekileyo ezizinzileyo, ukuqonda okucacileyo, kunye nesimo esihle sengqondo. Zonke iimviwo beziphakathi kwamabanga aqhelekileyo. Uqhaqho lotyando luphile kakuhle, kwaye isigulane sinokukhutshwa ngokukhuselekileyo.
Imiyalelo yokukhupha: