Isigulane samkelwa ngenxa ye-cerebral palsy iminyaka engaphezu kwe-3. Ngeminyaka eyi-2, wafunyanwa engakwazi ukuhlala okanye ukuhamba ngokuzimeleyo kwaye emva koko wafunyaniswa ukuba une-cerebral palsy kwisibhedlele saseTai'an Maternal and Child Health Hospital, nangona engazange afumane unyango olukhethekileyo. Uye wafumana unyango lokubuyisela kwisimo sangaphambili kwiziko lokubuyisela kwisimo sangaphambili ukususela ngoko. Okwangoku, isigulane sibonisa ukuphazamiseka kwengqondo, intetho engacacanga kunye ne-5-6 syllables, kunye nokuvuza. Unezakhono zemoto ezilambathayo kwizandla zozibini, kunye neentshukumo ezicothayo zokubambelela. Kukho ithoni ye-muscle eyandisiweyo kumalungu omabini angaphantsi, ngakumbi kwicala lasekunene, efuna uncedo lokuhamba. Ukulawula amathumbu nesinyi kwamkelekile, kodwa ufuna uncedo lokutyiswa. Ngengqondo, ucacile kwaye unomoya omhle, kodwa intetho yakhe ayicacanga, kwaye ubukrelekrele bakhe kunye nokuqhelaniswa kwakhe kungaphantsi koontanga bakhe. Abafundi bayalingana, bangqukuva, kwaye basebenza ekukhanyeni, kunye nobubanzi obumalunga ne-3mm. Ukushukuma kwamehlo kuqhelekile, kwaye ukuva akubi njalo. I-pharyngeal reflex ikhona. Akukho lwimi lune-atrophy okanye ukungcangcazela, kwaye iimpawu zobuso ziyalingana. Isigulane sinokutshintsha ngokuphakamisa imilenze yakhe ebhedini. Akukho edema kumalungu angaphantsi. Ukusikwa kotyando kucocekile ngaphandle kokubomvu, ukudumba, okanye ukukhupha. Namhlanje, ubonwa ekulungele ukukhutshwa.
Uxilongo lokungeniswa:
Umvakalelo yokitazo
Inkqubo yoNyango:
Isigulana uZhang Yuqing, owasetyhini, iminyaka emi-5 kunye neenyanga ezili-9 ubudala, wenziwa utyando lobuchopho oluncediswa yirobhothi kwi-cerebral palsy phantsi kwe-anesthesia jikelele ngoFebruwari 27, 2023, ngo-8: 00 ekuseni. Inkqubo yotyando ibandakanya ukubeka abamakishi bentloko emva kwe-anesthesia, elandelwa yi-CT scan kunye nokungenisa idatha ye-scan kwi-robot ye-Remebot. Utyando lujolise kwi-lobe yesikhashana ekhohlo, efikeleleke kwindawo yasekhohlo yangaphambili, kunye nesicwangciso sotyando esicwangciswe kakuhle. Isigulana sasibekwe phezu komqamelo obunjiweyo ukuzinzisa intloko. Emva kokubulawa kweentsholongwane ngokwesiqhelo, isikhumba sentloko sasihlatywa ekuhlaleni, kwagqojozwa umngxuma wethambo, yaza inaliti ebukhali yahlaba idura. Ekuqaleni, inaliti ye-electrode yayisetyenziselwa ukulinganisa ukuxhathisa kwezicubu zobuchopho, ilandelwa kukufakelwa kwee-electrode zokujonga umbane wobuchopho. Emva kokuchonga ujoliso lwesifo sokuxhuzula kwindawo ekujoliswe kuyo, inaliti yeradiofrequency yasetyenziselwa ukukhutshwa, ukuphelisa ukugxila kwesifo sokuxhuzula. Unyango lwe-Neuroregulatory kunye nokuvuselela umbane oluthambileyo emva koko kwasetyenziswa kwindawo ekujoliswe kuyo ukugqiba utyando kwicala lasekhohlo. Emva koko, umlenze wangaphambili wangaphambili we-capsule yangaphakathi ukhethwe njengento ekujoliswe kuyo, kwaye unyango olufanayo lwe-neuroregulatory lwenziwa kusetyenziswa inaliti ye-radiofrequency. Inkqubo yahamba kakuhle kunye nokulahlekelwa kwegazi le-3ml. Emva kokuhlinzwa, inaliti yasuswa, kwaye ulusu olujikeleze i-incision lwaluxutywe kwaye lunxitywe. I-CT scan ye-postoperative intloko ayizange ibonise ukopha okukhulu, iqinisekisa ukujoliswa ngokuchanekileyo kotyando. Isigulana sibuyele ngokukhuselekileyo kwiwadi kwaye safumana i-intravenous fluids yesiqhelo, unyango lwe-oxygen, kunye nokubeka iliso kwintliziyo. Abasebenzi bezonyango baya kubeka iliso elibukhali iimpawu zakhe ezibalulekileyo kwaye balungise ngokukhawuleza nayiphi na imiba njengoko kufuneka. Usapho lwesigulane luye lwaxelelwa ngeenkcukacha zotyando.
Isishwankathelo sokukhupha:
Isimo sengqondo somguli silungile, ngokulala okuqhelekileyo, ukutya, ukusebenza kwamathumbu kunye nesinyi, kunye neempawu ezibalulekileyo ezizinzileyo. Uvavanyo lomzimba lubonisa izandi ezicacileyo zemiphunga, ukubetha kwentliziyo okuqhelekileyo kunye nesigqi ngaphandle kokumbombozela, abafundi abalinganayo nabasebenzayo, ukunyakaza kwamehlo kunye nokuva, kunye namandla aqhelekileyo emisipha emilenzeni. Akukho i-edema kwiindawo ezisezantsi, kwaye i-incision yotyando ihlambulukile ngaphandle kweempawu zokusuleleka okanye ukopha. Emva kovavanyo, isigulane siyakhululwa 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.
