Iingxelo zeCase

Zhai Zihan

Isini: Ibhinqa

Ubudala: iminyaka emi-5 kunye neenyanga ezi-5

Imeko yokwamkelwa:

Isigulana sangeniswa kwiSibhedlele seSithili saseLinyi sineminyaka eyi-1 kunye neenyanga ezili-11 ngenxa yokungakwazi ukuthetha ulwimi, ukungabikho kwamehlo, kunye nokungaphenduli kwizinto zangaphandle, kunye nokuxilongwa kwangaphambili "kokukrokrelwa kwe-autism." Emva koko, kwiminyaka emi-2 kunye neenyanga ezili-10, ngenxa yokungaphucuki kweempawu, wafunyaniswa ukuba une-"autism" kwiSibhedlele esiPhakathi seSithili saseLinyi kwaye sele efumene unyango lokubuyisela kwisimo sangaphambili. Okwangoku, isigulana sibonisa ukuxakeka, kunzima ukuhlala ixesha elide, sihlala siziphatha ngendlela ecacileyo efana nephepha lokukrazula, sinamandla olwimi olubuthathaka, sivelisa kuphela ii-syllables ezi-2-3 xa kuyimfuneko, kunye nentetho engacacanga kunye neyokuxelisa. Unengqondo ebhetyebhetye kodwa akaqondi kakuhle, uyakwazi kuphela ukugqiba izenzo zomyalelo ezilula. Isigulana sifumana utshintsho oluphawulekayo lweemvakalelo, sikhwaze kakhulu xa sinemincili, kwaye sibonisa ukuziphatha okuzenzakalisa njengokuzimpintsha. Ngokubhekiselele kwizakhono ezinzulu zemoto, isigulane sisebenza, kodwa ukulungelelaniswa akubi, akukwazi ukuma ngonyawo olunye, kwaye akanalo izakhono zemoto ezandleni zombini. Ukutya kwakhe, amathumbu, kunye nokushukuma kwesinyi kuqhelekile, akukho tshintsho lubalulekileyo lwamva nje lobunzima. Ngenxa yesidingo sokuxilongwa nonyango olongezelelweyo, isigulana satshintshelwa kwisibhedlele sethu ukuze siphathwe ngakumbi. Ukususela ekuqaleni kwesi sifo, isigulane siye saqaphela kwaye sizinzile ngengqondo.

Ukuxilongwa kokwamkelwa: ukulibaziseka kophuhliso lweCerebral, ukuphazamiseka kwe-autism spectrum

Inkqubo yoNyango

Isigulana u-Zhai Zihan, oneminyaka emi-5 kunye neenyanga ezi-5 ubudala, uye wenziwa utyando lobuchopho oluncediswa yirobhothi phantsi kwe-anesthesia jikelele ngo-Okthobha 17, 2023, ngo-08:00.

Inkqubo yotyando yayilolu hlobo lulandelayo: Ekuqaleni, intloko yayiphawulwe, ilandelwa yi-CT scan. Idatha yabe ithunyelwa kwi-robot ye-Remebot, ikhetha indawo ekujoliswe kuyo kwi-capsule yangaphakathi yangaphakathi ye-capsule yangaphambili, ingena kwindawo yangaphambili yasekhohlo, kwaye ibeka indlela yokuhlinzwa. Isigulana sibekwe kwindawo ye-supine kunye nentloko egxininisekileyo kwaye yenze i-disinfection yesiqhelo kunye ne-draping. I-scalp yayigxilwe kwindawo, imbobo enye yethambo yachithwa, i-dura yahlatywa ngenaliti, ukuxhathisa kwezicubu zengqondo kulinganiswa ngenaliti ye-electrode, kwaye unyango oluthambileyo lokuvuselela umbane lusetyenziswe kwindawo ekujoliswe kuyo kwi-nerve modulation. Utyando olujoliswe kwicala lasekhohlo lwagqitywa ngempumelelo. Indlela efanayo isetyenziswe ekukhetheni indawo efanelekileyo ye-basal ganglia njengendawo ekujoliswe kuyo. Utyando lwaqhuba kakuhle malunga ne-3 ml yokopha kuqhaqho.

Emva kotyando, inaliti yakhutshwa, yaye ulusu lwatyhutyha lwaza lwabotshwa. Intloko ye-postoperative ye-CT ayibonakalisi ukuphuma kwegazi okubalulekileyo, kunye nendawo ekujoliswe kuyo ngokuchanekileyo, kwaye isigulane sibuyele ngokukhuselekileyo kwiwadi. Isigulane sahlala siphapheme, sizinzile ngengqondo, kunye nabafundi abalinganayo kunye nabasebenzayo, ukunyakaza kwemilenze eqhelekileyo, kwaye akukho ntshukumo yokuzikhethela. Ukunxitywa kwenxeba lotyando kwakucocekile kwaye kucocekile. Emva kokuhlinzwa, isigulane safumana unyango oluqhelekileyo lwe-fluid, unyango lwe-oksijini, ukubeka iliso kwintliziyo, kunye nokuqwalaselwa ngokukhawuleza kweempawu ezibalulekileyo zokungenelela ngexesha. Inkcazelo eneenkcukacha ngotyando yanikwa intsapho yesigulana.

Isishwankathelo sokukhupha:

Imeko yesigulane ngoku izinzile, kunye nokuhamba okuphuculweyo kwisigxina esisezantsi esisekhohlo (ayisarhuqisi) kunye nokugcinwa kwemoto yelungu eliphezulu. Kubekho ukuphucuka okubonakalayo kwemood xa kuthelekiswa nangaphambi kotyando, kunye namaxesha okuhlala okwandisiweyo kunye nokunciphisa ukonwaba. Uvavanyo lomzimba lubonisa iimpawu ezibalulekileyo ezizinzileyo, ukuqonda okucacileyo, isimo sengqondo esihle, abafundi abalinganayo nabasebenzayo, kunye ne-reflex yokukhanya okuqhelekileyo. Akuzange kuviwe izandi zokuphefumla ezingaqhelekanga emiphungeni, ukubetha kwentliziyo kwakungama-86 ngomzuzu, kunye nesingqi esiqhelekileyo kwaye akukho zimbombozo zivakalayo. Intloko ye-postoperative ye-CT ibonise ukunciphisa ukuvuvukala kunye nokufunxa, xa kuthelekiswa no-Oktobha 19, 2023. UDkt Tian Zengmin, ugqirha ohambayo, uhlalutye imeko ye-edema emva kokusebenza kunye nokukhutshwa okucetyiswayo kunye nokutyelela ngokulandelelana.

Imiyalelo yokukhupha:

1, Phumla ngokufanelekileyo, uqinise ukhuseleko, kwaye uphephe iintshukumo zentloko ezinamandla.

I-2, Zibandakanye kuqeqesho lokubuyisela kwimo esekelwe kulwimi lomntwana kunye nesimo sokubuyisela imoto emva kokukhutshwa.

3, Nceda ucwangcise utyelelo olulandelayo kwisebe lezigulane ezingalaliswayo ngaphambi komhla wama-24 ku-Epreli 2024.

4, Gcina utyelelo lokulandelela rhoqo emva kokukhutshwa.