Iingxelo zeCase
Liu Hao
Isini: Indoda
Ubudala: iminyaka eyi-8 kunye neenyanga ezili-10
Isishwankathelo sokwamkelwa:
Umntwana wafumana i-hypoxia kunye ne-ischemia ekuzalweni. Ngeminyaka eyi-1, kwaphawulwa ukuba umntwana akakwazi ukuhlala okanye ukuhamba ngokuzimeleyo. Emva kokufuna unyango, kwafunyaniswa ukuba i-cerebral palsy, yaye akukho nyango lukhethekileyo lusetyenziswayo. Umntwana ubuyela kwimo yakhe emva kokuba ebuyele ekhaya. Okwangoku, umntwana unobukrelekrele obuncitshisiweyo, intetho engacacanga ene-5-6 syllables, kunye nethoni ye-muscle eyandisiweyo kuwo onke amalungu, ngokukodwa echazwe kwinqanaba eliphezulu lasekhohlo kunye nomlenze ongezantsi wasekunene. Xa uphakanyiswa, unyawo lwasekunene lubonisa ukujika kwangaphakathi. Ukuqhubeka nokuxilonga kunye nokunyanga imeko, umntwana ungeniswe esibhedlele sethu. Ukususela ekuqaleni kwesi simo, umntwana uye wagcina ukuqonda okucacileyo, inhlalakahle yengqondo, ukutya okuqhelekileyo kunye nemikhwa yokulala, kunye nokusebenza rhoqo kwamathumbu kunye nesinye. Akukho tshintsho lubalulekileyo lobunzima. Umntwana akakwazi ukuhamba ngokuzimela kwaye akabonisi zimpawu zokuvuvukala komlenze.
Ukuxilongwa kokwamkelwa: I-Cerebral Palsy.
Inkqubo yoNyango:
Emva kokungeniswa, uviwo olubanzi lwenziwa, lukhupha nayiphi na i-contraindications yotyando. Ngenxa yeempawu ze-cerebral palsy, isigulana senziwa utyando lobuchopho oluncediswa yirobhothi nge-23 kaDisemba, 2021, phantsi kwe-anesthesia edibeneyo yokuphefumlela. Utyando lwahamba ngaphandle kwamagingxigingxi, malunga neemililitha ezi-3 zokulahleka kwegazi ngexesha lotyando. Emva koqhaqho, indawo yotyando yatshintshwa kwindawo kwaye iphantsi koxinzelelo. I-CT scan yentloko elandelwayo ibonise ukuba akukho gazi elibonakalayo, eliqinisekisa ukujoliswa ngokuchanekileyo kwendawo yotyando. Isigulana sabuyela ewadini kakuhle emva kotyando kwaye safumana i-intravenous fluids yesiqhelo, i-oxygen supplementation, kunye nokubeka iliso kwintliziyo. Akukho kusabela okubi okanye iingxaki ezenzeke ukuza kuthi ga ngoku.
Isishwankathelo sokukhupha:
Uvavanyo lwangoku lomzimba wesigulana lubonisa izandi ezicacileyo zokuphefumla kwimiphunga yomibini, ngaphandle kokukhala okuvakalayo, ukuphefumla, okanye izandi ze-pleural friction. Ukubetha kwentliziyo kuqhelekileyo, kunye nesigqi esiqhelekileyo, kwaye akukho zikhalazo zifunyenwe kuyo nayiphi na indawo ye-valve auscultation. Isigulane silumkile kwaye sijolise, sinamandla aqhelekileyo emisipha kuzo zonke izitho ezine, kwaye akukho ukuvuvukala okubonwayo kwiindawo ezisezantsi.
Imiyalelo yokukhupha:
1. Ukuphumla kubalulekile, qinisa ukhuseleko, ugweme ukunyakaza kwentloko ngamandla.
2. Gcina ukufudumala, ukukhusela izifo, ukuqhubeka noqeqesho lokubuyisela, kwaye ugweme ukungcangcazela kwentloko, i-acupuncture, okanye i-electrotherapy ngexesha lonyango lokubuyisela inyanga enye.
3. Funa unyango olukhawulezileyo ukuba kukho nakuphi na ukungakhululeki.