Izindaba Zecala

Yena Zhini

Ubulili: Owesilisa

Ubudala: Iminyaka emi-3 nezinyanga eziyisi-6

Umbandela wokungena:

Isiguli, lapho sineminyaka engaphezu kuka-1 ubudala, sitholakale singakwazi ukuhlala ngokuzimela. Ngemuva kwalokho baphuthunyiswe esibhedlela iHeze Maternal and Child Health ukuze baxilongwe baphinde belashwe, kwatholakala ukuthi bane-cerebral palsy. Ngaphambilini isiguli sasike sathola ukwelashwa ngezici zokukhula kwezinzwa zegundane, kodwa uhlelo oluthile lokwelapha alwaziwa. Njengamanje, isiguli sibonisa ukuhlakanipha okuphansi, nomthamo wolimi olinganiselwe wama-syllables angu-7-8 kuphela, futhi asikwazi ukuma noma ukuhamba ngokuzimela. Zinethoni yemisipha ephakeme kuzo zombili izitho zangaphezulu, ngokuchema ohlangothini lwesokudla nokusebenzisa isandla sobunxele. Ukulawula ikhanda lazo akulungile, amandla angaphansi komgogodla awanele, amandla emisipha yemilenze engezansi aphansi, futhi izinyawo zabo zivame ukugobela ngaphakathi lapho ziphakanyiswa. Ukusebenza kwamathumbu nesinye kujwayelekile. Ukuze kuqhutshekwe nokuxilonga nokwelapha lesi simo, isiguli sadluliselwa esibhedlela sethu. Kusukela ekuqaleni kwalesi simo, isiguli siye sagcina ukwazi okucacile, isimo esihle sengqondo, indlela evamile yokudla nokulala, ukusebenza kwamathumbu okuvamile nesinye, nesisindo esizinzile ngaphandle kokushintshashintsha okuphawulekayo.

Ukuxilongwa Kokungena: I-Cerebral Palsy

Inqubo Yokwelapha

Isiguli, esibizwa ngokuthi u-He Zhining, owesilisa, oneminyaka engu-3 nezinyanga ezingu-6, sahlinzwa ubuchopho obusizwa ngerobhothi ngenxa ye-cerebral palsy ngaphansi kwe-anesthesia ehlanganisiwe yomthambo ngo-February 20, 2023, ngo-16:00. Ukuhlinzwa kwakuhilela ukunamathisela amaphoyinti omaka ekhanda kuqala ukuze kuhlolwe i-CT, okulandelwa ukungenisa idatha yokuskena irobhothi le-Remebot. Ukuhlinzwa kwakuqondiswe ku-basal ganglia yesokunxele, ingena endaweni engaphambili kwesokunxele ngendlela yokuhlinzwa enqunywe kusengaphambili. Isiguli sabekwa endaweni ephansi, futhi ikhanda laso lalingakwazi ukuhamba kusetshenziswa umcamelo owenziwe ngokwezifiso. Ngemva kokukhishwa kwamagciwane okujwayelekile kanye nokucwiliswa, ukusika kwendawo kwakusenziwa ekhanda, okulandelwa ukubhoboza imbobo nokubhoboza i-dura mater ngenaliti ecijile. Kamuva, izinaliti ze-electrode zasetshenziselwa ukutholwa kwe-impedance kagesi yezicubu zobuchopho, kulandelwa ukwelashwa kokuvuselela ugesi okuthambile kusetshenziswa izinaliti ze-radiofrequency endaweni okuhloswe ngayo ukushintshwa kwezinzwa. Ukuhlinzwa endaweni okuhloswe kuyo kwesokunxele kwaqedwa ngempumelelo cishe ngo-3ml wokulahlekelwa igazi. Inalithi yakhishwa ngemva kokuhlinzwa, futhi indawo yokusikwa yavalwa ngokuvalwa kwesikhumba sasendaweni kanye nokufakwa kwengcindezi. I-CT scan yekhanda langemva kokuhlinzwa ayizange ibonise ukopha okukhulu, okubonisa ukukhomba okunembile. Isiguli sabuyiselwa ewodini ngokuphephile futhi sathola uketshezi olujwayelekile lwe-intravenous, ukwelashwa komoyampilo, nokuqapha inhliziyo. Izimpawu zabo ezibalulekile zaziqashwe ngokucophelela, futhi kwathathwa izinyathelo ezifanele ngokushesha. Umndeni waziswa ngomphumela wokuhlinzwa.

Isifinyezo Sokukhishwa:

Isimo sengqondo sesiguli sasisihle lapho sikhishwa, sinobuthongo okuvamile, ukudla, nokusebenza kwamathumbu nesinye, kanye nezimpawu ezibalulekile ezizinzile. Ukuhlola ngokomzimba kwembula imisindo yokuphefumula ecacile kuwo womabili amaphaphu ngaphandle kokuqhekeka noma ukukhuhlana. Ukushaya kwenhliziyo okujwayelekile nesigqi kuye kwaphawulwa, kungekho kukhononda okuzwakele kunoma yiziphi izindawo zamavalvu. Isiguli sasinolwazi olucacile, abafundi abalinganayo nabayindilinga abanobubanzi obungaba ngu-3mm, basabela ekukhanyeni, ukunyakaza kwamehlo okuvamile, ukuzwa okuqinile, i-gag reflex ekhona, ukungabikho kolimi lwe-atrophy noma ukuthuthumela, ukugoqa kwe-nasolabial symmetrical, ukuphuma kolimi oluphakathi, intamo evamile, namandla avamile emisipha kuzo zonke izitho ezine ebangeni V. I-Babinski reflex yayinegethivu ngokubili. Isiguli sakwazi ukuphakamisa imilenze yomibili ngokushintshana embhedeni ngaphandle kwe-edema emilenzeni engezansi. Ukuhlinza komile ngaphandle kwe-erythema, ukukhishwa, noma ukuvuvukala. Ngokusekelwe kulokhu okutholakele, kunqunywe ukuthi isiguli sikhululwe namuhla.

Imiyalelo yokukhipha:

1, Gcina inxeba lomile ngemva kokukhishwa futhi ukhiphe imithungo ngemva kwezinsuku ezi-5.

2, Phumula kahle, gwema ukunyakaza kwekhanda okunamandla, futhi uqinise izinyathelo zokuzivikela.

3, Landela ukuqeqeshwa kokubuyisela esimweni sengane ngemva kokukhishwa.

4, Funa usizo lwezokwelapha ngokushesha uma kukhona ukungaphatheki kahle.