Kuyini i-Craniectomy?

-Delile

• Iyini inhloso ye-craniectomy?
• Inhloso
• Kwenziwa kanjani lokhu kuhlinzwa?
• Kuthatha isikhathi esingakanani ukuthola kusuka ku-craniectomy?
• Ingabe zikhona izinkinga ezingaba khona?
• Umbono

Ukubuka konke

I-craniectomy wukuhlinzwa okwenziwe ukukhipha ingxenye yogebhezi lwakho ukuze unciphise ingcindezi kuleyo ndawo lapho ubuchopho bakho buvuvukale. I-craniectomy ivame ukwenziwa ngemuva kokulimala kwengqondo okulimazayo. Kuyenziwa futhi ukwelapha izimo ezenza ukuthi ubuchopho bakho buvuvukale noma bophe.

Lokhu kuhlinzwa kuvame ukusebenza njengendlela ephuthumayo esindisa impilo. Lapho kwenziwa ukukhulula ukuvuvukala, kubizwa ngokuthi yi-decompressive craniectomy (DC).

Iyini inhloso ye-craniectomy?

I-craniectomy inciphisa ingcindezi engasebenzi (ICP), umfutho wegazi ophakeme (ICHT), noma ukuphuma kwegazi okunzima (okubizwa nangokuthi ukopha) ngaphakathi kogebhezi lwakho. Uma ishiywe ingalashwa, ingcindezi noma ukuphuma kwegazi kungacindezela ubuchopho bakho bese kuyiphonsa phansi esiqwini sobuchopho. Lokhu kungabulala noma kubangele ukulimala okungapheli kobuchopho.

Inhloso

I-craniectomy inciphisa ingcindezi engasebenzi (ICP), umfutho wegazi ophakeme (ICHT), noma ukuphuma kwegazi okunzima (okubizwa nangokuthi ukopha) ngaphakathi kogebhezi lwakho. Uma ishiywe ingalashwa, ingcindezi noma ukuphuma kwegazi kungacindezela ubuchopho bakho bese kuyiphonsa phansi esiqwini sobuchopho. Lokhu kungabulala noma kubangele ukulimala okungapheli kobuchopho.

I-ICP, ICHT, kanye nokopha ebuchosheni kungavela ku:

• ukulimala kwengqondo okuhlukumezayo, njengokushaywa ngamandla ekhanda ngento
• unhlangothi
• ukujiya kwegazi emithanjeni yobuchopho
• ukuvinjelwa kwemithambo yegazi ebuchosheni bakho, okuholela ezicutshini ezifile (i-cerebral infarction)
• ukuhlanganisa igazi ngaphakathi kogebhezi lwakho (i-hematoma engaphakathi)
• ukwanda ketshezi ebuchosheni (i-cerebral edema)

Kwenziwa kanjani lokhu kuhlinzwa?

I-craniectomy ivame ukwenziwa njengenqubo ephuthumayo lapho ugebhezi ludinga ukuvulwa ngokushesha ukuvimbela noma yiziphi izinkinga ekuvukeleni, ikakhulukazi ngemuva kokulimala ekhanda noma kwesifo sohlangothi.

Ngaphambi kokwenza i-craniectomy, udokotela wakho uzokwenza uchungechunge lwezivivinyo ukuthola ukuthi kukhona yini ingcindezi noma ukopha ekhanda lakho. Lezi zivivinyo zizophinda zitshele udokotela wakho ohlinzayo indawo efanelekile ye-craniectomy.

Ukwenza i-craniectomy, udokotela wakho ohlinzayo:

1. Yenza ukusika okuncane ekhanda lakho lapho kuzosuswa khona ugebhezi. Ukusika kuvame ukwenziwa eduze kwendawo yekhanda lakho ngokuvuvukala okukhulu.
2. Isusa noma yisiphi isikhumba noma isicubu ngaphezu kwendawo yogebhezi oluzokhishwa.
3. Yenza izimbobo ezincane kugebhezi lwakho nge-drill ebangeni lezokwelapha. Lesi sinyathelo sibizwa ngokuthi i-craniotomy.
4. Isebenzisa isaha elincane ukusika phakathi kwezimbobo kuze kukhishwe lonke ugebhezi.
5. Gcina ucezu logebhezi efrijini noma esikhwameni esincane emzimbeni wakho ukuze lubuyiselwe kugebhezi lwakho ngemuva kokululama.
6. Yenza noma yiziphi izinqubo ezidingekayo zokwelapha ukuvuvukala noma ukopha kugebhezi lwakho.
7. Imisa ukusika esikhunjeni sakho sekhanda uma ukuvuvukala noma ukuphuma kwegazi sekulawula.

Kuthatha isikhathi esingakanani ukuthola kusuka ku-craniectomy?

Isikhathi osichitha esibhedlela ngemuva kwe-craniectomy sincike ebucayi bokulimala noma kwesimo esidinga ukwelashwa.

Uma uke walimala kabi ebuchosheni noma wahlaselwa yisifo sohlangothi, kungadingeka ukuthi uhlale esibhedlela amasonto noma ngaphezulu ukuze iqembu lakho lezokunakekelwa kwempilo likwazi ukuqapha isimo sakho. Ungase futhi uhambe ngokulungiswa uma unenkinga yokudla, ukukhuluma, noma ukuhamba. Kwezinye izimo, kungadingeka ukuthi uhlale esibhedlela izinyanga ezimbili noma ngaphezulu ngaphambi kokuthi uthuthuke ngokwanele ukuze ubuyele emisebenzini yansuku zonke.

Ngenkathi usalulama, UNGENZI noma yikuphi okulandelayo kuze kube yilapho udokotela wakho ekutshela ukuthi kulungile:

• Ukugeza izinsuku ezimbalwa ngemuva kokuhlinzwa.
• Phakamisa noma yiziphi izinto ngaphezu kwamakhilogremu ama-5.
• Ukuzivocavoca umzimba noma ukwenza umsebenzi wezandla, njengokusebenzela egcekeni.
• Bhema noma uphuze utshwala.
• Shayela imoto.

Ungahle ungalulami ngokuphelele ekulimaleni kanzima kobuchopho noma kwesifo sohlangothi iminyaka ngisho nangokuvuselelwa okubanzi nokwelashwa kwesikhathi eside kwemisebenzi yokukhuluma, ukunyakaza nokusebenza kwengqondo. Ukululama kwakho kuvame ukuncika ekutheni ungakanani umonakalo owenzekile ngenxa yokuvuvukala noma ukopha ngaphambi kokuba kuvulwe ugebhezi lwakho noma ukuthi ukulimala kwengqondo kwakukubi kangakanani.

Njengengxenye yokululama kwakho, uzodinga ukugqoka isigqoko sokuzivikela esikhethekile esivikela imbobo ekhanda lakho kunoma yikuphi ukulimala okuqhubekayo.

Ekugcineni, udokotela ohlinzayo uzomboza umgodi ngocezu lwengulube olususiwe olwalugcinwe noma ngokufakelwa kogebhezi. Le nqubo ibizwa ngokuthi i-cranioplasty.

Ingabe zikhona izinkinga ezingaba khona?

Ama-Craniectomies anethuba eliphakeme lokuphumelela. iphakamisa ukuthi abantu abaningi abanale nqubo ngenxa yokulimala kanzima kobuchopho (i-STBI) bayalulama yize bekufanele babhekane nezinkinga zesikhathi eside.

Ama-craniectomies athwala izingozi ezithile, ikakhulukazi ngenxa yobunzima bokulimala okudinga ukuthi kwenziwe le nqubo. Izinkinga ezingaba khona zifaka:

• ukulimala okungapheli kobuchopho
• ukuhlanganisa uketshezi olunegciwane ebuchosheni (ithumba)
• ukuvuvukala kobuchopho (meningitis)
• ukopha phakathi kobuchopho bakho nekhanda (i-subdural hematoma)
• ukutheleleka kobuchopho noma komgogodla
• ukulahlekelwa yikhono lokukhuluma
• ukukhubazeka okuyingxenye noma okugcwele komzimba
• ukungazi, noma ngabe uyazi (isimo esiphikelelayo semifino)
• ikhoma
• ukufa kwengqondo

Umbono

Ngokulashwa nokuvuselelwa okuhle kwesikhathi eside, ungakwazi ukululama ngokuphelele ngaphandle kwezinkinga futhi uqhubeke nempilo yakho yansuku zonke.

I-craniectomy ingasindisa impilo yakho ngemuva kokulimala kobuchopho noma isifo sohlangothi uma kwenziwa ngokushesha okwanele ukuvimbela ukulimala okubangelwa ukopha noma ukuvuvukala ebuchosheni bakho.