Izindaba Zecala

Zhang Yuqing

Ubulili: Owesifazane

Ubudala: iminyaka emi-5 nezinyanga eziyi-9

Ulwazi Lokungeniswa:

Isiguli sangeniswa ngenxa ye-cerebral palsy iminyaka engaphezu kwemi-3. Lapho eneminyaka engu-2 ubudala, watholakala engakwazi ukuhlala noma ukuzihambela futhi ngemva kwalokho kwatholakala ukuthi une-cerebral palsy esibhedlela sase-Tai'an Maternal and Child Health Hospital, nakuba engazange athole ukwelashwa okukhethekile. Ubelokhu elashelwa ukuhlunyeleliswa esikhungweni sendawo sokuhlunyeleliswa kusukela lapho. Njengamanje, isiguli sibonisa ukukhubazeka kwengqondo, inkulumo engacacile enamagama angu-5-6, nokuconsa. Akakwazi kahle ukuhamba kahle ezandleni zombili, nokunyakazisa ukubambelela kancane. Kukhona ithoni yemisipha ekhulayo kuzo zombili izitho ezingezansi, ikakhulukazi ngakwesokudla, okudinga usizo lokuhamba. Ukulawula amathumbu nesinye kwamukelekile, kodwa udinga usizo ngokuncelisa. Ngokwengqondo, ucacile futhi unomoya omuhle, kodwa inkulumo yakhe ayicacile, futhi ubuhlakani bakhe nokuqondisa kungaphansi kontanga yakhe. Abafundi bayalingana, bayindilinga, futhi bayasabela ekukhanyeni, banobubanzi obungaba ngu-3mm. Ukunyakaza kwamehlo kuyinto evamile, futhi ukuzwa kuphelele. I-pharyngeal reflex ikhona. Akukho ukuwohloka kolimi noma ukundindizela, futhi izici zobuso ziyalingana. Isiguli singashintshana ngokuphakamisa imilenze yaso embhedeni. Ayikho i-edema emilenzeni engezansi. Ukusikwa kokuhlinzwa kuhlanzekile ngaphandle kokubabomvu, ukuvuvukala, noma ukukhishwa. Namuhla, uthathwa njengokufanele ukukhululwa.

Ukuxilongwa Kokungeniswa:

I-Cerebral Palsy

Inqubo Yokwelapha:

Isiguli u-Zhang Yuqing, owesifazane, oneminyaka emi-5 nezinyanga ezingu-9 ubudala, wahlinzwa ubuchopho obusizwa irobhothi ngenxa yokukhubazeka kobuchopho ngaphansi kwe-anesthesia ejwayelekile ngomhla ka-Febhruwari 27, 2023, ngo-8:00 ekuseni. Inqubo yokuhlinzwa yayihilela ukubeka izimpawu zekhanda ngemva kokubulala izinzwa, okulandelwa yi-CT scan yekhanda kanye nokungenisa idatha yokuskena irobhothi le-Remebot. Ukuhlinzwa kwakuqondiswe kwilobe yesikhashana yesokunxele, efinyelelwa endaweni engaphambili kwesokunxele, ngomgudu wokuhlinzwa ohlelwe kahle. Isiguli sasibekwe phezu komcamelo obunjiwe ukuze ikhanda lizinze. Ngemva kokukhishwa kwamagciwane okujwayelekile, isikhumba sekhanda sasisikwa endaweni, kwabhojwa imbobo yethambo, futhi inaliti ebukhali yabhoboza ukuqina. Ekuqaleni, inaliti ye-electrode yayisetshenziselwa ukukala ukuphikiswa kwezicubu zobuchopho, kulandelwa ukufakwa kwama-electrode okuqapha kagesi ebuchosheni. Ngemva kokuhlonza ukugxila kwesithuthwane endaweni okuhloswe kuyo, kwasetshenziswa inaliti ye-radiofrequency ukuze ikhishwe, iqede ukugxila kwesithuthwane. Ukwelashwa kwe-Neuroregulatory nge-mild electrical stimulation kwabe sekusetshenziswa endaweni okuhlosiwe ukuze kuqedelwe ukuhlinzwa ohlangothini lwesobunxele. Kamuva, isitho sangaphambili esilungile se-capsule yangaphakathi sakhethwa njengento ehlosiwe, futhi ukwelashwa okufanayo kwe-neuroregulatory kwenziwa kusetshenziswa inaliti ye-radiofrequency. Inqubo ihambe kahle ngokulahleka kwegazi okungu-3ml. Ngemva kokuhlinzwa, inaliti yakhishwa, futhi isikhumba esizungeze umsimbo sathululwa futhi sagqokiswa. I-CT scan yekhanda langemva kokuhlinzwa ayizange ibonise ukopha okukhulu, okuqinisekisa ukuqondiswa okunembile kokuhlinzwa. Isiguli sabuyela ewodini ngokuphepha futhi sathola uketshezi oluvamile olufakwa emthanjeni, ukwelashwa komoyampilo, nokuqapha inhliziyo. Izisebenzi zezokwelapha zizoqapha ngokucophelela izimpawu zakhe ezibalulekile futhi zilungise ngokushesha noma yiziphi izinkinga njengoba kudingeka. Umndeni wesiguli wazisiwe ngemininingwane yokuhlinzwa.

Isifinyezo Sokukhishwa:

Isimo sengqondo sesiguli sihle, sinokulala okuvamile, ukudla, ukusebenza kwamathumbu nesinye, kanye nezimpawu ezibalulekile ezizinzile. Ukuhlola ngokomzimba kwembula imisindo ecacile yamaphaphu, ukushaya kwenhliziyo okuvamile nesigqi ngaphandle kokububula, abafundi abalinganayo nabasabelayo, ukunyakaza kwamehlo nokuzwa okungaguquki, namandla avamile emisipha ezithweni. Ayikho i-edema emaphethelweni aphansi, futhi i-incision yokuhlinzwa ihlanzekile ngaphandle kwezimpawu zokutheleleka noma ukopha. Ngemva kokuhlolwa, isiguli siyakhululwa namuhla.

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.

Ukuxilongwa Kokungeniswa: Ukuthuthukiswa Kobuchopho, I-Autism

Inqubo Yokwelapha

Isiguli u-Wang Zhiqiang, owesilisa, okwamanje oneminyaka eyi-10 nezinyanga ezi-4 ubudala, uhlinzwe i-stereotactic ewusizo ngerobhothi ngenxa yokungathuthuki kobuchopho kanye ne-autism ngaphansi kwe-anesthesia ejwayelekile ngo-April 10, 2023, ngo-3:00 PM. Ukuhlinzwa kwaqala ngokubeka amaphuzu omaka ekhanda nokwenza i-CT scan yekhanda. Idatha yokuskena yabe isingeniswa kurobhothi ye-Remebot. I-basal ganglia yesokunxele yakhethwa njengendlela yokuhlinzwa, futhi indlela yokuhlinzwa yasungulwa ngesifunda esingaphambili kwesokunxele. Isiguli sasibekwe endaweni ephansi ngomcamelo obunjiwe ukuze kulungiswe ikhanda. Ngemuva kokukhishwa kwamagciwane okujwayelekile, ukusika kwesikhumba sekhanda kwenziwa ukuze kubhojwe imbobo yogebhezi olulodwa. I-electrode yenaliti yasetshenziswa ukukala ukuphikiswa kwezicubu zobuchopho, kulandelwa ukwelashwa okuthambile kokuvuselela ugesi kusetshenziswa inaliti ye-radiofrequency endaweni okuhloswe ngayo ukuguquguquka kwemizwa. Ukuhlinzwa endaweni okuhloswe kuyo kwesokunxele kuqedwe ngempumelelo. Inqubo efanayo yabe seyenziwa engxenyeni engaphambili engakwesokudla njengephoyinti eliqondiwe. Ukuhlinzwa kwaqhubeka kahle cishe ngo-3 ml wokulahlekelwa igazi. Ngemva kokuhlinzwa, inaliti yakhishwa, futhi isikhumba sathungwa futhi sagqokiswa ngokucindezelwa. I-CT scan yekhanda langemva kokuhlinzwa ayizange ibonise ukopha okukhulu, okuqinisekisa ukuqondiswa okunembile kwezindawo ezifunwayo. Isiguli sadluliselwa ngokuphepha ewodini futhi sathola uketshezi oluvamile lwe-intravenous, ukwelashwa komoyampilo, nokuqapha inhliziyo. Izimpawu ezibalulekile zaziqashwe ngokucophelela ngokuphathwa ngokushesha kwanoma yiziphi izinkinga ezivelayo. Inqubo yokuhlinzwa kanye nemiphumela iye yaziswa emndenini wesiguli.

Isifinyezo Sokukhishwa:

Isimo sokukhishwa kwesiguli sihle: isimo sizinzile ngaphandle kokukhathazeka okuqondile, futhi isimo esijwayelekile sihle. Ukulala nokudla kuyinto evamile, futhi imikhuba yamathumbu nesinye ivamile futhi akukho okungavamile. Ukuhlolwa ngokomzimba kubonisa izimpawu ezibalulekile ezizinzile, isimo sengqondo esicacile, nesimo esihle sengqondo. Abafundi bayalingana, bayindilinga, futhi bayasabela ekukhanyeni. I-Lung auscultation ayivezi imisindo engavamile, futhi isigqi senhliziyo sivamile ngaphandle kokububula. Uphawu lwe-Babinski lunegethivu. Ukuhlinza akunazifo futhi kuphola kahle, ngakho-ke kunconywa ukukhulula.

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.