Iingxelo zeCase
I-Tian Run
Isini: Indoda
Ubudala: 4 iminyaka 8 iinyanga
Imeko yokwamkelwa:
Ngenxa yokulimala kwengqondo ye-perinatal hypoxic-ischemic kunye nobunzima bokuzalwa obuphantsi, isigulane siye safumana ukukhula okulibazisekayo kunye nophuhliso, okubangele ukuphazamiseka kwemoto. Imeko yangoku ibandakanya ubunzima bokuhlala ngokuzimeleyo, ukuxhomekeka kwi-passive positioning, kunye nemingeni ekumeni wedwa. Ukuhamba kufezekiswa nge-gait enqamlezileyo, kwaye kukho ukwanda okukhulu kwithoni ye-muscle kunye nokuqina kwamalungu kuzo zombini izitho eziphantsi. Zombini iintshukumo ezinzulu nezicolekileyo zemilenze yamalungu aphezulu ziyachaphazeleka. Nangona kunjalo, ukuqonda kwengqondo, ulwimi kunye nezakhono zokunxibelelana zihlala zifana. Isigulana ngaphambili safunyaniswa ukuba sinesifo "cerebral palsy" kwisibhedlele sasekuhlaleni, kwaye ukuxilongwa nokunyangwa okungaphezulu, sele idluliselwe esibhedlele sethu. Ukususela ekuqaleni kwesi sifo, isigulane siye sagcina ukuqonda okucacileyo, isimo sengqondo esiqhelekileyo, kunye nokutya okuzimeleyo. Nangona uyazi imisebenzi yomzimba, uncedo luyafuneka ukuze uzikhathalele. Akukho tshintsho lubalulekileyo kubunzima bomzimba.
Ukuxilongwa kokwamkelwa: I-Cerebral palsy.
Inkqubo yoNyango:
Emva kokwamkelwa, iimviwo ezibanzi zenziwa, kwaye akukho zichaso zotyando ezifunyenweyo, ukuhlangabezana nemilinganiselo yokuhlinzwa. Ngomhla we-4 kaNovemba ka-2021, ngo-15:50, isigulana safumana inkqubo yobuchopho encediswa yirobhothi phantsi kwe-anesthesia jikelele. Inkqubo yotyando yayifana nangaphambili, iqhubela phambili kakuhle malunga ne-3 ml yokopha. Emva kokuhlinzwa, inaliti yasuswa, kwaye isikhumba sendawo sahluthwa, silandelwa yi-compression dressing. Intloko ye-CT ye-postoperative ayibonakalisi ukuphuma kwegazi, iqinisekisa ukujoliswa ngokuchanekileyo. Ukulawulwa kwe-intravenous fluid yesiqhelo, ukuxhaswa kwe-oksijini, kunye nokujongwa kwentliziyo kwaphunyezwa ngaphandle kweengxaki.Imeko yokukhupha:
Okwangoku, imeko yesigulana izinzile, inesimo esihle sengqondo kunye namanxeba otyando achache kakuhle angabonisi zimpawu zokopha okanye ukudumba. Ukunyakaza kwemilenze kulungile, kunye nokunciphisa ithoni ye-muscle kumalungu angaphantsi xa kuthelekiswa nangaphambi kokuhlinzwa, kunye nokuphucula ukuhamba kwamalungu. Kwakungekho kuxhuzula, ukuqonda okucacileyo, imimoya eqhelekileyo, abafundi abalinganayo kunye nabajikelezayo abajikelezayo abane-reflex yokukhanya okuqhelekileyo, isingqisho sentliziyo esiqhelekileyo, kwaye akukho zandi ezingaqhelekanga zentliziyo zifunyenweyo.
Imiyalelo yokukhupha:
1. Gcina inxeba lotyando lomile emva kokuphuma kwaye ususe imithungo emva kweentsuku ezi-5.
2. Phumla kakuhle, uphucule ukhuseleko, kwaye uphephe iintshukumo zentloko ezinamandla.
3. Gcina ukufudumala, ukukhusela ukusuleleka kwintsholongwane, ukuqhubeka noqeqesho lokubuyisela, kwaye ugweme ukuxubha kwentloko, i-needling, i-electrotherapy, okanye ezinye iindlela zonyango zokuvuselela inyanga ye-1.
4. Funa unyango ngokukhawuleza ukuba kukho nakuphi na ukungaphatheki kakuhle.