Iingxelo zeCase

Yena Zhining

Isini: Indoda

Ubudala: iminyaka emi-3 kunye neenyanga ezi-6

Imeko yokwamkelwa:

Isigulane, kwiminyaka engaphezu kwe-1 ubudala, sifunyenwe singakwazi ukuhlala ngokuzimeleyo. Emva koko, baye basiwa kwisibhedlele iHeze Maternal and Child Health ukuze baxilongwe kwaye banyangwe, nalapho kwafunyaniswa ukuba bane-cerebral palsy. Isigulana sasikhe safumana unyango ngaphambili ngezinto zokukhula kwemithambo-luvo, kodwa isicwangciso esithile sonyango asaziwa. Okwangoku, isigulane sibonisa ubukrelekrele obuphantsi, sinolwimi olulinganiselweyo lwamagama angama-7-8 kuphela, kwaye asikwazi ukuma okanye ukuhamba ngokuzimela. Banethoni yemisipha ephezulu kumalungu omabini aphezulu, kunye nokuthambekela kwicala lasekunene kunye nokusetyenziswa kwesandla sasekhohlo. Intloko yazo ayilawuleki kakuhle, amandla omqolo ongezantsi awanelanga, izihlunu zamalungu asemazantsi azinamandla aphantsi, yaye iinyawo zazo zidla ngokugobela ngaphakathi xa ziphakanyiswa. Imisebenzi yamathumbu kunye nesinyi yinto eqhelekileyo. Ukuqhubela phambili ukuxilongwa kunye nokunyanga imeko, isigulane satshintshelwa esibhedlele sethu. Ukususela ekuqaleni kwesi sifo, isigulane siye sagcina ukuqonda okucacileyo, isimo sengqondo esihle, ukutya okuqhelekileyo kunye neendlela zokulala, imisebenzi yamathumbu rhoqo kunye ne-bladder, kunye nobunzima obuzinzile ngaphandle kokuguquguquka okukhulu.

Ukuxilongwa kokwamkelwa: I-Cerebral Palsy

Inkqubo yoNyango

Isigulana, esibizwa ngokuba nguHe Zhining, indoda, eneminyaka eyi-3 kunye neenyanga ze-6, senziwa utyando lobuchopho oluncediswa yirobhothi kwi-cerebral palsy phantsi kwe-intravenous i-anesthesia edibeneyo ngoFebruwari 20, 2023, ngo-16: 00. Utyando lubandakanya ukuncamathisela amanqaku okumakisha entloko kuqala kwi-CT scan, elandelwa kukungenisa idatha yokuskena kwirobhothi yeRemebot. Utyando lujolise kwi-basal ganglia ekhohlo, ingena kwindawo engaphambili esekhohlo kunye nendlela yotyando emiselwe kwangaphambili. Isigulana sabekwa kwindawo ephantsi, kwaye intloko yaso yayingashukumi kusetyenziswa umqamelo olungiselelwe wena. Emva kokubulawa kweentsholongwane okuqhelekileyo kunye nokugquma, ukusika kwendawo kwakusenziwa entloko, kulandelwa kukugrumba umngxuma kunye nokugqobhoza i-dura mater ngenaliti ebukhali. Emva koko, iinaliti ze-electrode zasetyenziselwa ukufunyanwa kombane kwizicubu zobuchopho, zilandelwa lunyango oluthambileyo lokuvuselela umbane kusetyenziswa iinaliti ze-radiofrequency kwindawo ekujoliswe kuyo yokuguqulwa kwemithambo-luvo. Utyando kwindawo ekujoliswe kuyo ekhohlo lugqitywe ngempumelelo malunga ne-3ml yokulahleka kwegazi. Inaliti yasuswa emva kotyando, kwaye indawo yokusikwa yavalwa ngokuvalwa kwesikhumba sendawo kunye nokunxitywa koxinzelelo. I-CT scan yentloko emva kokusebenza ayizange ibonise ukopha okukhulu, ebonisa ukujoliswa ngokuchanekileyo. Isigulana sabuyiselwa ngokukhuselekileyo kwiwadi kwaye safumana ulwelo oluqhelekileyo lwe-intravenous, unyango lwe-oxygen, kunye nokubeka iliso kwintliziyo. Iimpawu zabo ezibalulekileyo zazibekw’ esweni, kwaza kwathatyathwa amanyathelo afanelekileyo ngokukhawuleza. Usapho lwaxelelwa ngesiphumo sotyando.

Isishwankathelo sokukhupha:

Isimo sengqondo somguli sasilungile xa sikhutshwa, ukulala okuqhelekileyo, ukutya, kunye nokusebenza kwamathumbu kunye nesinyi, kunye neempawu ezibalulekileyo ezizinzileyo. Uvavanyo lomzimba luveze izandi ezicacileyo zokuphefumla kwimiphunga yomibini ngaphandle kokuqhekeka okanye ukukhuhlana. Ukubetha kwentliziyo okuqhelekileyo kunye nesingqisho kwaqatshelwa, kungekho zimbombozo ziviwayo phezu kwayo nayiphi na indawo yevalvu. Isigulana sasinokuqonda okucacileyo, abafundi abalinganayo kunye nabajikelezileyo kunye nobubanzi obumalunga ne-3mm, baphendule ekukhanyeni, ukunyakaza kwamehlo okuqhelekileyo, ukuva okungahambi kakuhle, ukungabikho kwe-atrophy yolwimi okanye ukungcangcazela, ukugoba kwe-nasolabial symmetrical, i-midline language protrusion, intamo eqhelekileyo, kunye namandla aqhelekileyo emisipha kuzo zonke izitho ezine kwibanga le-V. I-reflex ye-Babinski yayimbi ngokubili. Isigulane sasikwazi ukuphakamisa imilenze yomibini ngokutshintshana ngaphandle kwebhedi ngaphandle kwe-edema kumalungu angaphantsi. Uqhaqho lotyando lomile ngaphandle kwe-erythema, ukukhutshwa, okanye ukudumba. Ngokusekelwe kwezi ziphumo, kwagqitywa ekubeni kukhululwe isigulane namhlanje.

Imiyalelo yokukhupha:

1, Gcina inxeba lomile emva kokuphuma kwaye ususe imithungo emva kweentsuku ezi-5.

2, Phumla kakuhle, kunqande ukunyakaza kwentloko ngamandla, kwaye womeleze amanyathelo okukhusela.

3, Landela uqeqesho lokubuyisela kwisimo sangaphambili ngokusekelwe kwimeko yomntwana emva kokuphuma.

4,Fumana unyango ngokukhawuleza ukuba kukho nakuphi na ukungaphatheki kakuhle.