Kuyini i-craniotomy, kwenzelwa ini nokululama
-Delile
I-Craniotomy ukuhlinzwa lapho kukhishwa khona ingxenye yethambo logebhezi ukuze kusebenze izingxenye zobuchopho, bese leyo ngxenye ibekwa futhi. Lokhu kuhlinzeka kungakhonjiswa ukususa izicubu zobuchopho, ukulungisa ama-aneurysms, ukulungisa ukuphuka kogebhezi, ukukhulula ingcindezi yangaphakathi nokususa amahlule ebuchosheni, uma kwenzeka isifo sohlangothi, ngokwesibonelo.
I-Craniotomy inqubo eyinkimbinkimbi ethatha isilinganiso samahora ama-5, yenziwa ngaphansi kwe-anesthesia ejwayelekile futhi idinga ukuthi umuntu alaliswe esibhedlela ngokwesilinganiso sezinsuku eziyi-7 ukuthola ukwelashwa futhi aqhubeke nokubona imisebenzi yomzimba eqondiswa ubuchopho, njengenkulumo ukunyakaza komzimba.Ukubuyiselwa esimweni kuncike ohlotsheni lokuhlinzwa okwenziwe futhi umuntu kudingeka aqaphele ngokugqoka, agcine indawo ihlanzekile futhi yomile.
Yenzelwe ini
I-Craniotomy ukuhlinzwa okwenziwa ebuchosheni futhi kungakhonjiswa ngezimo ezilandelayo:
- Ukuhoxiswa kwezicubu zobuchopho;
- Ukwelashwa kwe-aneurysm ye-cerebral;
- Ukususwa kwamahlule ekhanda;
- Ukulungiswa kwe-fistula yemithambo nemithambo yekhanda;
- Ukukhipha ithumba lobuchopho;
- Lungisa ukuphuka kogebhezi;
Lokhu kuhlinzwa kungakhonjiswa nodokotela wezinzwa ukukhulula ukucindezela okungasebenzi okubangelwa ukuhlukumezeka kwekhanda noma isifo sohlangothi, futhi ngaleyo ndlela kunciphise ukuvuvukala ngaphakathi kobuchopho.
I-Craniotomy ingasetshenziselwa ukubeka izimila ezithile zokwelashwa kwesifo sikaParkinson nesifo sokuwa, okuyisifo sesistimu yezinzwa esibonakala ngokukhishwa kukagesi okungazibandakanyi okuholela ekubukeni kokunyakaza komzimba okungazibandakanyi. Qonda ukuthi siyini isithuthwane, yiziphi izimpawu nokwelashwa.
Kwenziwa kanjani
Ngaphambi kokuqala kwe-craniotomy, kunconywa ukuthi umuntu azile ukudla okungenani amahora ayi-8 futhi ngemuva kwalesi sikhathi, adluliselwe esikhungweni sokuhlinzwa esibhedlela. Ukuhlinzwa kwe-Craniotomy kwenziwa ngaphansi kwe-anesthesia ejwayelekile, kuthatha isilinganiso samahora ama-5 futhi kwenziwa ithimba lodokotela abahlinzayo bezokwelapha abazosika ekhanda ukususa izingxenye zethambo logebhezi, ukuze bakwazi ukufinyelela ebuchosheni.
Ngesikhathi sokuhlinzwa, odokotela bazothola izithombe zobuchopho ezikrinini zamakhompiyutha, besebenzisa i-computed tomography kanye ne-magnetic resonance imaging futhi lokhu kunikeza ukunikela indawo ngqo yengxenye yobuchopho okudingeka ihlinzwe kuyo. Ngemuva kokuhlinzwa ebuchosheni, ingxenye yethambo logebhezi ibekwa futhi futhi imithungo yokuhlinzwa yenziwa esikhumbeni.
Ukubuyiselwa emuva kwe-craniotomy
Ngemuva kokwenza i-craniotomy, umuntu kufanele agcinwe e-ICU, bese ethunyelwa egumbini lesibhedlela, lapho angalaliswa khona ngokwesilinganiso izinsuku eziyi-7 ukuthola ama-antibiotic emthanjeni, ukuvikela ukutheleleka, nemithi ukudambisa izinhlungu., Njenge-paracetamol, isibonelo.
Ngesikhathi umuntu angeniswa esibhedlela, kwenziwa izivivinyo eziningi ukuhlola ukusebenza kobuchopho nokubheka ukuthi ngabe ukuhlinzwa kubangele noma iyiphi i-sequelae, njengobunzima bokubona noma ukuhambisa noma iyiphi ingxenye yomzimba.
Ngemuva kokuphuma esibhedlela, kubalulekile ukugcina ukugqoka endaweni lapho kwenziwa khona ukuhlinzwa, ukunakekela ukugcina ukusika kuhlanzekile futhi komile njalo, kubalulekile ukuvikela ukugqoka ngesikhathi sokugeza. Udokotela angacela ukubuyiselwa ehhovisi ezinsukwini zokuqala, ukubheka ukuphola nokususa imithungo.
Izinkinga ezingenzeka
I-Craniotomy yenziwa ngochwepheshe, ama-neurosurgeons, alungiselelwe kahle le nqubo, kepha noma kunjalo, ezinye izinkinga zingenzeka, njenge:
- Ukutheleleka;
- Ukopha;
- Ukwakhiwa kwamahlule egazi;
- Inyumoniya;
- Ukudlikizela;
- Ubuthakathaka bemisipha;
- Izinkinga zememori;
- Ubunzima ekukhulumeni;
- Izinkinga zebhalansi.
Ngakho-ke, kubalulekile ukufuna usizo lwezokwelashwa ngokushesha okukhulu uma, ngemuva kokuhlinzwa, uhlangabezana nezimpawu ezinjengomkhuhlane, ukugodola, ukuguquka kombono, ukulala ngokweqile, ukudideka kwengqondo, ubuthakathaka ezingalweni noma emilenzeni, isiyezi, ukuphefumula kanzima, isifuba ubuhlungu.