Izindaba Zecala
U-Chen Ruoxi
Ubulili: Owesifazane
Ubudala: Iminyaka engu-7 nezinyanga ezi-5
Umbandela wokungena:
Cishe eminyakeni engu-6 edlule, abazali besiguli babona ukulibaziseka kwentuthuko uma kuqhathaniswa nontanga beminyaka efanayo. Ngemva kwalokho, bathola usizo lwezokwelapha esibhedlela sendawo, lapho kwatholakala ukuthi wayenenkinga yobuchopho futhi wathola nokwelashwa kokuhlunyeleliswa. Njengamanje, isiguli sinolimi olulinganiselwe, sikwazi nje ukusho amagama angu-1-2, futhi sihlangabezana nezithiyo zokuxhumana. Amakhono okuqonda nokuqonda awanele, futhi akakwazi ukwenza izenzo zokuqondisa. Amakhono e-gross motor anele, kodwa amakhono amahle emoto ampofu, adinga usizo lokukhuphuka nokwehla ngezitebhisi. Isiguli singakwazi ukubona izidingo zaso zokudla nezokuya endlini yangasese kodwa sidinga usizo ukuze sizifeze. Ukwelashwa kokuhlinzwa kucatshangelwa ukuze kuhlolwe futhi ukwelashwa okwengeziwe, ngaleyo ndlela kudluliselwe esibhedlela sethu. Kusukela ekuqaleni kwalesi simo, isiguli besilokhu siphapheme, sisesimweni esihle sengqondo, sinemikhuba yokudla evamile, ukuthumbulwa njalo, ukuphuma komchamo ovamile, nesisindo esizinzile ngaphandle kokushintshashintsha okuphawulekayo.
Ukuxilongwa Kokungeniswa: Ukungathuthuki kweCerebral
Umlando Wezokwelapha kanye Nenqubo Yokwelashwa:
Ngomhla ka-April 17, 2023, ngo-11:15 AM, isiguli esineminyaka engu-7 nezinyanga ezingu-5 ubudala u-Chen Ruoxi sahlinzwa nge-stereotactic okusizwa irobhothi ngenxa yokungathuthuki kobuchopho nokukhubazeka kwengqondo. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia jikelele. Ngemva kokuqala ukuhlinzwa, kwasetshenziswa amaphuzu e-Marker, futhi kwenziwa i-CT scan yekhanda. Kamuva, idatha yangeniswa kurobhothi ye-Remebot, iqondise umlenze ongaphambili wesokunxele wekhepsuli yangaphakathi, ingena endaweni engaphambili kwesokunxele, futhi ibeka indlela yokuhlinzwa. Isiguli sasibekwe endaweni yokulala ikhanda libekwe phezu komcamelo obunjiwe, sakhishwa amagciwane ngendlela evamile, kwafakwa idrape yokuhlinzwa. Ngemva kokusikwa kwesikhumba esikhunjeni sendawo, kwabholwa imbobo yethambo, i-dura mater yabhotshozwa, futhi kwatholakala ukungezwani kwezicubu zobuchopho kusetshenziswa inaliti ye-electrode. Khona-ke, ukwelashwa kwe-neuroregulation ngokukhuthazwa kagesi okuncane kwenziwa kusetshenziswa inaliti ye-radiofrequency ukuze kuqedelwe ukuhlinzwa kwephoyinti lesobunxele. Okulandelayo, isitho sangaphambili esingakwesokudla se-capsule yangaphakathi sasiqondiswe kusetshenziswa indlela efanayo yokuhlinza. Ukuhlinzwa kwaqhubeka kahle cishe kwalahleka igazi elingu-3ml. Ngemva kokuhlinzwa, izinaliti zazikhishwa, futhi isikhumba sendawo sashushwa sagqokiswa ngokucindezelwa. Ikhanda le-postoperative CT alikhombisanga ukopha okubalulekile, okuqinisekisa ukuma kwephuzu eliqondiwe okunembile. Isiguli sabe sesidluliselwa ewodini ngokuphepha. Uketshezi olujwayelekile lwe-intravenous lwalulawulwa ngemuva kokuhlinzwa, kuhlinzekwa nge-oxygen supplementation kanye nokuqapha kwenhliziyo. Izimpawu ezibalulekile zesiguli zaziqashwe ngokucophelela, futhi noma yiziphi izimpawu ezingase zibe khona zaxazululwa ngokushesha. Umndeni wesiguli wabikelwa ngemininingwane yokuhlinzwa.
Ekuseni ngo-April 19, 2023, ngo-8:52 AM, isimo sesiguli sahlala sizinzile osukwini lwesibili ngemva kokuhlinzwa, sinemizwa ezinzile nokusebenzelana komzimba okuthuthukisiwe, sikwazi ukwenyuka nokwehla ngezitebhisi ngokuzimela. Azikho izimpawu zekhanda elibuhlungu, isicanucanu, noma ukuhlanza okwabikwa, futhi wayekulangazelela ukudla. Ukusikwa kokuhlinzwa akuzange kubonise ukopha noma ukuvuvukala, nokusebenza okujwayelekile kwamathumbu nesinye, nokudla okuhle nokulala. Imiphumela yokuhlolwa komzimba ibihambisana nokutholwe ngaphambilini. Udokotela okhona u-Song Li wenze umzuliswano wewadi, futhi isiguli asizange sibonise ukusabela okungekuhle kwangemva kokuhlinzwa. Ukwelashwa ngama-antibiotic kwakunikezwe izinsuku ezi-2 futhi kuyekwa namuhla. Ukubhekisisa isilonda sokuhlinzwa kwaqhubeka, kuqinisekisa ukoma kanye nezinguquko zokugqoka ngesikhathi kanye nokukhishwa kwamagciwane. Kwagxilwa futhi ukuvimbela izigameko zokuwa nokuklinywa ngesikhathi sokuncelisa. Ukuqhubeka nokuqapha isimo sesiguli kwakuhleliwe. Uma kungekho okungavamile okubonwayo, ukukhishwa kuzocatshangelwa ngemva kokuhlolwa kusasa.
Isifinyezo Sokukhishwa:
Isiguli okwamanje sizinzile, silinganisela ngokomzwelo, sinokuxhumana okuthuthukisiwe ngokomzimba, siyakwazi ukwenyuka nokwehla ezitebhisini ngokuzimela. Kwakungekho kukhononda ngekhanda elibuhlungu, isicanucanu, noma ukuhlanza, futhi ukudla kwakhe kwakukuhle. Ukusikwa kokuhlinzwa akubonisi zimpawu zokopha noma ukuvuvukala, nokusebenza kwamathumbu nesinye esijwayelekile, nokudla okunelisayo nokulala.
Imiyalelo yokukhipha: