Zhang Yifan

Igama: Zhang Yifan

Ubulili: Owesifazane

Ubudala: Iminyaka engu-7 nezinyanga ezi-5

Ulwazi Lokungeniswa:

Isiguli kwatholakala ukuthi sinokubambezeleka kokukhula kobuchopho iminyaka engaphezu kwemi-5. Cishe eminyakeni engu-5 edlule, abazali baqaphela ukuvalwa kokubambezeleka kwe-fontanelle, ukukhula kancane kolimi nokuhlakanipha, futhi bafuna ukwelashwa esibhedlela sendawo lapho kutholakala khona "ukubambezeleka kokuthuthukiswa kobuchopho". Njengamanje, isiguli sisebangeni lokuqala, siyakwazi ukuxhumana kafushane, kodwa sinciphise kancane ikhono lokuqonda, ukuqonda okulinganiselwe, nobunzima obuthile ekucabangeni okunengqondo. Isiguli sine-amblyopia kuwo womabili amehlo, iso langakwesokudla libonisa i-exotropia. Kukhona ukungalingani okuncane ekuhambeni kwezitho. Isiguli siyakwazi ukuzinakekela ngokwendlela yokudla nokukhipha amathumbu.

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Ukuxilongwa Kokungeniswa:

Ukubambezeleka kokuthuthukiswa kobuchopho

Inqubo Yokwelapha:

Isiguli u-Zhang Yifan, owesifazane, oneminyaka engu-7 nezinyanga ezingu-5 ubudala, uhlinzwe i-stereotactic yerobhothi ukuze kubambezeleke ukukhula kobuchopho ngaphansi kwe-anesthesia ejwayelekile ngomhla ka-April 10, 2023, ngo-12:40 PM. Inqubo yokuhlinzwa yaba kanje: Ngemva kwe-anesthesia ephumelelayo, amaphuzu omaka abekwe ekhanda, alandelwa yi-CT scan yekhanda kanye nokungenisa idatha ku-robot ye-Remebot. Ilobe yangaphambili yesokunxele yakhethwa njengethagethi, efinyelelwa endaweni engaphambili kwesokunxele ukuze kusungulwe indlela yokuhlinzwa. Isiguli sasibekwe endaweni ephansi, nomcamelo obunjiwe ovikela ikhanda, futhi sakhishwa amagciwane ngendlela evamile. Kwasikwa isikhumba sekhanda sendawo, kwabholwa imbobo yethambo, futhi inaliti ebukhali yabhoboza i-dura mater. Ekuqaleni, inaliti ye-electrode yayisetshenziswa ukuze kutholwe ukungasebenzi kahle kwezicubu zobuchopho, okulandelwa ukusebenzisa inaliti ye-RF yokwelapha okuthambile okushukumisa ugesi endaweni okuhloswe kuyo kwesokunxele. Ukuhlinzwa endaweni okuhloswe kuyo kwesokunxele kuqediwe. Khona-ke, i-basal ganglia efanele yakhethwa njengendawo okuhloswe ngayo, ngendlela efanayo yokuhlinzwa. Ukuhlinzwa kwaqhubeka kahle, nokopha okungama-3 ml ngemva kokuhlinzwa. Inalithi yakhishwa, futhi isikhumba sashushwa endaweni ngebhandeshi lokucindezela. Ikhanda le-postoperative CT alizange libonise ukopha okusobala, futhi iphuzu elihlosiwe lalitholakala ngokunembile. Isiguli sabuyela ewodini ngokuphepha, sithola uketshezi olujwayelekile lokungena emthanjeni, ukwelashwa komoyampilo nokuhlolwa kwenhliziyo. Izisebenzi zezokwelapha zaziqapha ngokucophelela izimpawu ezibalulekile zesiguli futhi zanikeza ukwelashwa okufika ngesikhathi lapho kudingeka. Umndeni waziswa ngokuhlinzwa.

Isifinyezo Sokukhishwa:

Isimo sesiguli njengamanje sizinzile akukho ukuphatheka kabi okuqondile, akukho ikhanda elibuhlungu, isicanucanu, noma ukuhlanza. Isiguli sinesifiso esihle sokudla. Akukho ukopha noma ukuvuvukala esilondeni sokuhlinzwa, ukunyakaza kwamathumbu okuvamile, kanye nemikhuba emihle yokudla nokulala.

Imiphumela yokuhlolwa ngokomzimba ibonise izimpawu ezibalulekile ezizinzile, ukwazi okucacile, nesimo esihle sengqondo. Isiguli singahlanganyela ekukhulumisaneni okufushane, nakuba kukhona okungavamile ekuhlakanipheni nasekuqondeni. Abafundi bayalingana futhi bayasabela ekukhanyeni, ukunyakaza kwamehlo kuyinto evamile, ukuzwa kuyinto evamile, i-pharyngeal reflex ikhona, akukho ukuthuthumela noma ukuthuthumela emisipha yolimi, ukugoqa kwekhala-labial ku-symmetric, ukuphuma kolimi kuphakathi, intamo ithambile, amandla avamile emisipha. kuzo zonke izitho ezine (ibanga V), ithoni yemisipha evamile, i-tendon reflexes evamile, akukho ukunyakaza okuzenzakalelayo, ukuhlolwa okungalungile kwekhala lomunwe. Uphawu lwe-Brudzinski olungalungile kanye nophawu lwe-Kernig olubonisa ukuthi akukho ukucasuka kwe-meningeal. Ayikho i-edema yesitho esingezansi, nokuhamba okuvamile.

Imiyalelo yokukhipha:

1, Gcina inxeba lomile ngemva kokuphuma 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.