Izindaba Zecala

Zhai Zihan

Ubulili: Owesifazane

Ubudala: iminyaka emi-5 nezinyanga ezi-5

Umbandela wokungena:

Isiguli sangeniswa esibhedlela saseLinyi District People's Hospital sinonyaka owodwa nezinyanga eziyi-11 ngenxa yokungakwazi ukukhuluma ngolimi, ukungaboni ngaso linye, nokungezwani nezisusa zangaphandle, nokuxilongwa kokuqala "kwe-autism esolwayo." Kamuva, lapho eneminyaka engu-2 nezinyanga ezingu-10, ngenxa yokungabikho ngcono kwezimpawu, waphinde watholakala ukuthi une-"autism" esibhedlela saseLinyi District Central Hospital futhi kusukela ngaleso sikhathi uthole ukwelashwa kokuhlunyeleliswa. Njengamanje, isiguli sibonisa ukushuba, sinenkinga yokuhlala singanyakazi isikhathi eside, sivame ukuzibandakanya ekuziphatheni okungajwayelekile okufana nokuklebhula iphepha, sinekhono lolimi olubuthakathaka, sikhiqiza ama-syllables angu-2-3 kuphela lapho kudingeka, ngenkulumo engacacile nengelona ikulingisa. Unokuguquguquka kwengqondo okuthile kodwa ukuqonda okuncane, ukwazi kuphela ukuqedela izenzo zomyalo ezilula. Isiguli sibhekana nokushintshashintsha kwemizwa okuphawulekayo, simemeze kakhulu lapho sijabule, futhi sibonisa ukuziphatha okuzilimazayo njengokumpintsha. Ngokuphathelene namakhono anzima emoto, isiguli siyasebenza, kodwa ukusebenzisana akukuhle, asikwazi ukuma ngonyawo olulodwa, futhi asinawo amakhono ashukumisayo ezimoto ezandleni zombili. Ukudla kwakhe, amathumbu, nokunyakaza kwesinye kujwayelekile, azikho izinguquko ezibalulekile zakamuva zesisindo. Ngenxa yesidingo sokuqhubeka nokuxilongwa nokwelashwa, isiguli sadluliselwa esibhedlela sethu ukuze siqhubeke siphathwa. Kusukela ekuqaleni kwalesi simo, isiguli besilokhu siphapheme futhi sizinzile ngokwengqondo.

Ukuxilongwa Kokungeniswa: Ukubambezeleka kokukhula kobuchopho, i-autism spectrum disorder

Inqubo Yokwelapha

Isiguli u-Zhai Zihan, owesifazane oneminyaka emi-5 nezinyanga ezi-5 ubudala, wahlinzwa ubuchopho obusizwa yirobhothi ngaphansi kwe-anesthesia ejwayelekile ngomhla ka-Okthoba 17, 2023, ngo-08:00.

Inqubo yokuhlinzwa yayimi kanje: Ekuqaleni, ikhanda laliphawulwe, lilandelwa yi-CT scan yekhanda. Ukwaziswa kwabe sekungeniswa erobhothini le-Remebot, kukhethwa iphoyinti eliqondiswe esithweni sangaphambili se-capsule yangaphakathi kwesokunxele, ingena endaweni engaphambili kwesokunxele, bese ibeka indlela yokuhlinza. Isiguli sasibekwe endaweni yokulala ikhanda lilungisiwe futhi sakhishwa ngendlela evamile yokukhipha amagciwane kanye nokudonsa. Isikhumba sasekhanda sasihlinzekile endaweni, kwabholwa imbobo eyodwa yethambo, ukuqina kwabhotshwa ngenaliti, ukumelana nezicubu zobuchopho kukalwa ngenaliti ye-electrode, futhi ukwelashwa okuthambile kagesi okushukumisayo kwasetshenziswa endaweni okuhloswe ngayo ukuguqulwa kwezinzwa. Ukuhlinzwa kwendawo okuhloswe ngayo kwesokunxele kuqedwe ngempumelelo. Indlela efanayo isetshenziswe ukuze kukhethwe indawo elungile ye-basal ganglia njengendawo okuqondiwe kuyo. Ukuhlinzwa kwaqhubeka kahle nokopha okungaba ngu-3 ml.

Ngemva kokuhlinzwa, inaliti yayikhishwa, futhi isikhumba sasishushwa futhi sibhandishwe. Ikhanda le-postoperative CT liveze ukuthi akukho ukopha okubalulekile, okunenhloso eqondile yendawo, futhi isiguli sabuyela ewadini ngokuphepha. Isiguli sahlala siphapheme, sizinzile ngokwengqondo, sinabafundi abalinganayo futhi abasabelayo, ukunyakaza kwezitho ezivamile, futhi akukho ukunyakaza okuzenzakalelayo. Ibhande lokuhlinzwa lalihlanzekile futhi lihlelekile. Ngemuva kokuhlinzwa, isiguli sathola ukwelashwa okujwayelekile koketshezi, ukwelashwa kwe-oxygen, ukuqapha inhliziyo, nokubhekwa ngokucophelela kwezimpawu ezibalulekile zokungenelela ngesikhathi. Ulwazi oluningiliziwe mayelana nokuhlinzwa lunikezwe umndeni wesiguli.

Isifinyezo Sokukhishwa:

Isimo sesiguli okwamanje sizinzile, ukuhamba okuthuthukisiwe emlenzeni ongezansi kwesokunxele (akusahuduli) futhi kugcinwe ukusebenza kwemisipha engaphezulu. Kube khona ukuthuthuka okukhulu kwemizwa uma kuqhathaniswa nangaphambi kokuhlinzwa, kanye nezikhathi ezinwetshiwe zokuhlala kanye nokuncishiswa kwenjabulo. Ukuhlolwa ngokomzimba kubonisa izimpawu ezibalulekile ezizinzile, ukwazi okucacile, isimo esihle sengqondo, abafundi abalinganayo nabasabelayo, kanye ne-reflex yokukhanya evamile. Ayikho imisindo yokuphefumula engavamile ezwakele emaphashini, ukushaya kwenhliziyo kwakungama-86 ngomzuzu, ngesigqi esivamile futhi akukho kukhononda okuzwakele. Ikhanda le-postoperative CT libonise ukuvuvukala nokunciphisa okuncishisiwe, uma kuqhathaniswa no-Okthoba 19, 2023. UDkt. Tian Zengmin, udokotela okhona, uhlaziye isimo se-edema yangemva kokuhlinzwa futhi wancoma ukukhishwa ngokuvakasha kokulandelela.

Imiyalelo yokukhipha:

1, Phumula kahle, uqinise ukuvikela, futhi ugweme ukunyakaza kwekhanda okunamandla.

2, Zibandakanye ekuqeqesheni ukuvuselela okusekelwe olimini lwengane kanye nesimo sokuthola imoto ngemva kokukhishwa.

3. Sicela uhlele ukuvakasha kokulandelela emnyangweni weziguli ezingalaliswa ngaphambi komhla zingama-24 kuMbasa 2024.

4, Gcina ukuvakasha okujwayelekile kokulandelela ngemuva kokukhishwa.