Izindaba Zecala
Kodwa Muthi
Ubulili: Owesilisa
Ubudala: iminyaka emi-3 nezinyanga ezi-2
Imininingwane Yokungeniswa:
Ngenxa yokuzalwa ngaphambi kwesikhathi nokwelashwa ku-incubator, isisindo sokuzalwa somntwana sasingamagremu angu-1500 kuphela. Ezinsukwini zokuqala ezingu-27 zokuphila, umntwana waba ne-jaundice kanye ne-anemia, kamuva wampontshelwa igazi. Lolu chungechunge lwezici lubangele ukubambezeleka ekukhuleni kwengane, futhi cishe ezinyangeni eziyi-10, ingane yayisakwazi ukuziphendulela ngokuzimela. Ukuxilongwa kokugcina kwakuyi-hydrocephalus kanye ne-cerebral palsy, futhi kusukela lapho, ingane ibilokhu ithola ukwelashwa kokubuyisela. Nakuba ukunyakaza kwezitho ezingenhla kuyinto evamile, kukhona ukushuba kwemisipha nokuqina emilenzeni engezansi, izinzwane zithinta phansi lapho uhamba. Kuyaphawuleka ukuthi ulimi lwengane nokukhula kobuhlakani ngokuvamile kuyinto evamile.
Ukuxilongwa Kokungena: I-Cerebral Palsy.
Inqubo Yokwelapha:
Ngemva kokungeniswa, senze ukuhlolwa okuningiliziwe kwangaphambi kokuhlinzwa, okuhlanganisa ukuhlola okuthathu okuyinhloko, ukusebenza kwesibindi nezinso, kanye nephaneli yokuhlanganisa, konke okungabonisanga ukungahambi kahle. Ukuhlola okusizayo, okufana ne-X-ray yesifuba kanye ne-cardiac ultrasound, akuvezanga ukuthi kukhona okungavamile okuphawulekayo, futhi kwakungekho ukuphikisana nokuhlinzwa. Ngomhla zi-5 kuJulayi, 2021, isiguli sahlinzwa nge-stereotactic yobuchopho okusizwa irobhothi.
I-postoperative cranial CT ayizange ibonise ukopha okukhulu, ekhombisa ukukhomba okunembile kanye nenqubo yokuhlinzwa eshelelayo. Ngemva kokubuyela ewodini ephephile, isiguli sathola ukwelashwa ngokufakwa emthanjeni okujwayelekile, kanye nokwengezwa komoya-mpilo kanye nokuqapha inhliziyo. Kuyo yonke inqubo yokwelashwa, isiguli asizange sibe nezinkinga noma ukusabela okubi.
Isifinyezo Sokukhishwa:
Isimo sesiguli sihlala sizinzile, sinempilo enhle ngokwengqondo nangokomzwelo. Isiguli siqaphile ngenkulumo ecacile. Kukhona ukwehla kancane kwethoni yemisipha emilenzeni engezansi, futhi ukuhamba ngokuzimela akunakwenzeka. Uma kuqhathaniswa nesimo sangaphambi kokuhlinzwa, kukhona ukuncipha kwethoni yemisipha ezithweni ezingezansi, ibhalansi yokuhlala ethuthukisiwe, nekhono lokukhasa elithuthukisiwe. I-incision yokuhlinzwa i-sutured futhi ilulama kahle, azikho izimpawu zokubomvu noma ukuvuvukala.
Imiyalelo yokukhipha:
1.Phumula futhi uqinise ukuvikeleka, ugweme ukunyakaza kwekhanda okunamandla.
2.Qalisa kabusha ukuqeqeshwa kokuvuselela isonto elilodwa ngemuva kokukhishwa.
3.Funa usizo lwezokwelapha ngokushesha uma uzwa noma yikuphi ukungakhululeki.