Iingxelo zeCase

Liu Caijun

Isini: Indoda

Ubudala: iminyaka emi-6 kunye neenyanga ezi-2

Imeko yokwamkelwa:

Umntwana ufunyenwe ene-autism iminyaka engaphezu kwe-3. Kwiminyaka eyi-3 ubudala, ngenxa yokungabikho kwezakhono zokunxibelelana, waphathwa kwiSibhedlele saBantwana saseJinan, iSibhedlele saseJinan Qilu, kunye neSibhedlele seSithandathu seYunivesithi yasePeking, apho i-autism yaqinisekiswa khona. Emva koko, umntwana wafumana malunga nonyaka we-1 wonyango lokubuyisela kwisimo sangaphambili kwiziko lokubuyisela kwisimo sasekhaya saseDezhou kwaye ngoku ufunda kwisikolo esikhethekileyo semfundo.

Iimpawu zangoku ziquka ukuxakeka kakhulu, ukungakwazi ukuhlala uthe cwaka, ukuthanda ukubaleka nokutsiba, ukungazinzi kakuhle ingqondo, ukungaluqondi kakuhle ukhuseleko, ukuziphatha ngendlela eyiyo, ukuhlehla kolwimi, ukungakwazi ukuthetha ngolwimi oluzenzekelayo kodwa kukufowunelwa kuphela njengo "mama" kunye "notata." Umntwana unengqondo elinganiselweyo yokuqonda, unokwenza izenzo ezilula eziyalelweyo, kodwa akakwazi ukulawula iimvakalelo, utyekelo lokuzenzakalisa, ukukhenkcela ngamathub’ athile, ukuhlafuna nokuginya ubunzima, izakhono zomgudu ongemhle, nangona izakhono zemoto ezigqithisileyo ziqhelekile. Umntwana uyazi ngokusebenza kwesinyi namathumbu kodwa kunzima ukuba alale.

Uvavanyo lomzimba lubonisa ukuqonda okucacileyo, kodwa kukho ukuhlehla kolwimi, kwaye ubukrelekrele busezantsi xa kuthelekiswa noontanga. Bobabini abafundi bayalingana kwaye bajikeleze, basabela ekukhanyeni, ukunyakaza kwamehlo okuqhelekileyo, ukuva okuqhelekileyo, ubukho be-gag reflex, intamo ethambileyo, amandla aqhelekileyo emisipha kuzo zonke izitho, i-tendon reflexes eqhelekileyo. Akukho kunyakaza okuzenzekelayo okubonwayo, kwaye umntwana akazange asebenzisane ngokupheleleyo nezinye iinkqubo zeemviwo. Akukho ziphazamiso zicacileyo zemithambo-luvo okanye iimoto ezifunyenweyo. Ukuhamba okuqhelekileyo, akukho edema kumalungu angaphantsi.

Ngokubanzi, umntwana ufuna ukubuyisela kwisimo sangaphambili kunye nemfundo eyodwa ukukhuthaza ukukhula kolwimi, uhlengahlengiso lokuziphatha, kunye nokuphucula izakhono zentlalo. Unyango kufuneka lugxininise kulawulo lweemvakalelo, amandla okuzikhathalela, imiba yokulala, kunye novavanyo oluthe gqolo lokulandela ukujonga inkqubela.

Ukuxilongwa kokwamkelwa: ukulibaziseka kophuhliso lweCerebral, i-autism

Inkqubo yoNyango

Ngomhla wama-25 kaJulayi, ngo-2023, ngo-10:30, isigulana senziwe utyando lwe-stereotactic oluncediswa yirobhothi phantsi kwe-intravenous edityanisiweyo ye-anesthesia. Ngaphambi kwe-anesthesia, abamakishi basetyenziswe entloko ukuhamba, kulandelwa yi-CT scan. Emva koko idatha ingeniswe kwi-Remebot inkqubo yokuhlinzwa. Utyando lwaqala ngokujolisa kwi-capsule yangaphakathi ekhohlo, ukungena kwindawo engaphambili yasekhohlo, kunye nokuseka umkhondo wotyando. Isigulana sibekwe kwindawo yesigxina kunye nokulungiswa kwentloko, i-disinfection standard, kunye ne-draping yenziwa. I-scalp yahlanjululwa kwindawo, umngxuma wethambo omnye wagrunjwa, i-dura mater yahlatywa ngenaliti ebukhali, emva koko ukuxhathisa kwezicubu zobuchopho kwaphandwa ngenaliti ye-electrode. Inaliti yeRadiofrequency yayisetyenziselwa ukuvuselela umbane ngokuthambileyo kwindawo ekujoliswe kuyo yonyango lwe-neural modulation, ukugqiba utyando kwicala lasekhohlo. Inkqubo efanayo yaphindwa kwindawo efanelekileyo ye-basal ganglia. Utyando lwaqhuba kakuhle malunga ne-3ml yokulahleka kwegazi. Emva kokusebenza, inaliti yasuswa, indawo yotyando yaxutywa kwaye yanxiba, kwaye intloko ye-CT scan ayizange ibonise ukopha okukhulu kunye nokujoliswa ngokuchanekileyo. Isigulana sasivukile, siqaphele, kunye nabafundi abalinganayo kunye nabajikelezileyo, i-reflex yokukhanya eqhelekileyo, kwaye akukho ntshukumo yokuzikhethela. Ukushukuma kwamalungu kwakuqhelekile ngaphandle kokwenza umnyakazo. Ukunyamekela kwe-Postoperative kwakuquka i-IV fluids rhoqo, ukufunxa, kunye nokubeka iliso kwintliziyo, kunye nokuqwalaselwa ngokusondeleyo kweempawu ezibalulekileyo kunye nokulawulwa kweempawu ngexesha elifanelekileyo. Isigulane sabuyiselwa ngokukhuselekileyo kwiwadi.

Isishwankathelo sokukhupha:

Ngosuku lwesibini emva kotyando, imeko yesigulane yahlala izinzile kungekho zimpawu ezifana nentloko, isicaphucaphu, okanye ukugabha. Umdla wokutya wawuqhelekile, izibilini zazihamba rhoqo, kwaye ukulala nokutya kwakufanelekile. Inxeba lotyando alibonisi zimpawu zokopha okanye ukudumba, kwaye iziphumo zovavanyo lomzimba zazihambelana nezo zangaphambili.

Ngexesha lokujikeleza, ugqirha ohambayo waqaphela ukuba isigulane asizange sibonise nayiphi na impembelelo embi emva kokuhlinzwa. Emva kweentsuku ezi-2 zonyango lwe-anti-infection, amayeza angayekwa namhlanje. Kubalulekile ukuqhubeka nokujonga inxeba lotyando, uligcine lomile, utshintshe amanxibo ngexesha, kwaye uthintele iingozi ezinjengokuwa okanye ukuminxa. Ukubeka iliso ngokusondeleyo kwimeko yesigulane kuyimfuneko, kwaye ukuba akukho nto ingaqhelekanga ifunyenwe emva kokuvavanya kusasa, ukukhutshwa kunokuqwalaselwa.

Imiyalelo yokukhupha:

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

2, Phumla kakuhle, kunqande ukushukuma 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.