Izindaba Zecala
I-Dong Run
Ubulili: Owesilisa
Ubudala: Iminyaka engu-7 nezinyanga ezi-4
Umbandela wokungena:
Isiguli sowesilisa esinomlando we-jaundice ye-pathological ebuntwaneni.Ube nekhanda elibuhlungu ngokuzumayo eneminyaka engu-4 ubudala, kwatholakala ukuthi unesifo sokuwa esibhedlela i-Linyi Maternal and Child Health Hospital. Ngaphambilini yalashwa nge-sodium valproate, umthamo othize awaziwa, futhi ibingakaze ibanjwe unyaka ongu-1 ngemva kokuyekwa. I-Video electroencephalogram (EEG) ngo-2022 yabonisa amagagasi e-multifocal spike, amagagasi abukhali, namagagasi ahamba kancane asatshalaliswa endaweni engakwesokudla, engaphambili, emaphakathi, e-parietal, e-midline, nasezifundeni zesikhashana. Ingane njengamanje ihlaselwa amathe, iba kubi kakhulu ebusika, inekhono eliphansi lokuhlakanipha, ukukhuluma ngolimi okulinganiselwe, ukuxakeka ngokweqile, kanye nokujabula ngeziqephu zokudansa uma ijabulile.
Ukuxilongwa Kokungeniswa: Isifo sokuwa, ukubambezeleka kokuthuthukiswa kobuchopho
Inqubo Yokwelashwa Kwezokwelapha
Isiguli u-Dong Run, owesilisa, oneminyaka engu-7 nezinyanga ezi-4 ubudala, wahlinzwa ubuchopho obusizwa irobhothi ngaphansi kwe-anesthesia ejwayelekile ngomhla ka-9 Januwari 2023, ngo-17:40 ngenxa yesifo sokuwa nokubambezeleka kokukhula kobuchopho. Inqubo yokuhlinzwa yayimi kanje: ekuqaleni, ikhanda laliphawulwe, bese kwenziwa i-CT scan yekhanda ngaphambi kokungenisa idatha ku-robot ye-Remebot. I-lobe yesikhashana elungile yakhethwa njengendawo eqondiwe, efinyelelwa endaweni engaphambili engakwesokudla, futhi kwamiswa indlela yokuhlinzwa. Isiguli sasibekwe endaweni ephansi ikhanda lilungisiwe, sakhishwa amagciwane ngendlela evamile kanye nokulala, kwalandelwa ukusikwa kwendawo esikhunjeni sekhanda kanye nokubhobozwa kwembobo yogebhezi. Kwasetshenziswa i-electrode yenaliti ukuze kutholwe ukumelana kwezicubu zobuchopho ngemva kokubhoboza i-dura mater, kwase kufakwa ama-electrode okuqapha ubuchopho. Lapho kutholwa ukugxila kwesifo sokuwa, ukwelashwa kwe-radiofrequency ablation kwenziwa, kwalandelwa ukugxiliswa kabusha kwama-electrode okuqapha ukuze kuqinisekiswe ukunyamalala kokugxila kwesifo sokuwa.
Ekugcineni, ukukhuthazwa kagesi okuncane kwasetshenziswa ekwelapheni kwe-neuroregulation endaweni okuhlosiwe. Ukuhlinzwa kwakushelela futhi ukulahlekelwa igazi lika-3ml. Ngemva kokuhlinzwa, inaliti yakhishwa, futhi isikhumba safakwa futhi sabhandishwa. I-head CT scan ayizange ibonise ukopha okukhulu okuqondiswe kahle. Isiguli sabuyela ewodini siphephile futhi sathola uketshezi oluvamile olufakwa emthanjeni, ukwelashwa komoyampilo, nokuqapha inhliziyo. Izimpawu ezibalulekile zaziqashwe ngokucophelela, futhi ukwelashwa okuwuphawu kwanikezwa njengoba kudingeka. Umndeni waziswe ngemininingwane yokuhlinzwa.
Isifinyezo Sokukhishwa:
Isimo sesiguli okwamanje sizinzile, akukho ukuphatheka kabi okuqondile. Isimo esijwayelekile sihle, ukulala okuvamile, ukudla, kanye nemisebenzi yomzimba. Ukuhlolwa ngokomzimba kwabonisa izimpawu ezibalulekile ezizinzile, ukwazi okucacile, nesimo esihle sengqondo. Zonke izivivinyo bezingaphakathi kwezigaba ezijwayelekile. Ukusikwa kokuhlinzwa kwelulame kahle, futhi isiguli singakhishwa ngokuphepha.
Imiyalelo yokukhipha: