Mlembi: Monica Porter
Tsiku La Chilengedwe: 14 Kuguba 2021
Sinthani Tsiku: 22 Novembala 2024
Anonim
Chilichonse Chimene Muyenera Kudziwa Zokhudza Njira Za Burr Hole - Thanzi
Chilichonse Chimene Muyenera Kudziwa Zokhudza Njira Za Burr Hole - Thanzi

Zamkati

Burr hole tanthauzo

Bowo la burr ndi kabowo kakang'ono kokhomedwa mu chigaza chanu. Mabowo a Burr amagwiritsidwa ntchito opaleshoni yaubongo ikakhala yofunikira.

Phokoso la burr palokha limatha kukhala njira zamankhwala zomwe zimathandizira matenda aubongo, monga:

  • hematoma yamkati
  • zotupa zaubongo
  • matenda am'mimba
  • hydrocephalus

Nthawi zambiri, mabowo a burr amakhala gawo lazomwe zimachitika mwadzidzidzi chifukwa chovulala koopsa ndipo amakonda:

  • kuthetsa kupanikizika kwa ubongo
  • kukhetsa magazi kuchokera muubongo pambuyo povulala koopsa
  • Chotsani chovala kapena zinthu zina zomwe zili mu chigaza

Madokotala ochita opaleshoni amagwiritsanso ntchito mabowo a burr ngati gawo limodzi lazithandizo zazikulu. Zitha kukhala zofunikira kuti:

  • ikani chida chamankhwala
  • chotsani zotupa
  • biopsy chotupa chaubongo

Mabowo a Burr ndi gawo loyamba la maopaleshoni akuluakulu, ovuta kubongo. Kuti achite opaleshoni yaubongo, madokotala ochita opaleshoni amafunika kuti azitha kupeza zofewa zomwe zili pansi pa chigaza chanu. Phokoso la burr limapanga njira yolowera yomwe madokotala amatha kugwiritsa ntchito mosamala zida zawo muubongo wanu.


Nthawi zina, mabowo angapo amatha kuikidwa m'malo osiyanasiyana pa chigaza kuti alole kuti madokotala azitha kulowa m'malo ambiri amubongo.

Ngakhale njira yoyika burr mu chigaza ndiyosakhwima, ndichizolowezi.

Njira yopangira ma Burr hole

Dokotala wa ubongo yemwe amachita bwino muubongo adzalemba komwe mabowo, kapena mabowo, ayenera kupita. Adzagwiritsa ntchito zotsatirazi pakuyesa koyerekeza komwe madotolo anu asonkhanitsa kuti awone momwe muliri komanso kusankha chithandizo chanu.

Mitsempha yanu ikazindikira komwe kuli burr, amatha kuyamba ntchitoyi. Nazi njira zambiri:

  1. Muyenera kuti mudzakhala pansi pa anesthesia nthawi zonse kuti musamve kuwawa. Ngati ndi choncho, mudzakhalanso ndi catheter panthawi yochita izi komanso maola angapo pambuyo pake.
  2. Dokotala wanu azimeta ndikuthira mankhwala m'deralo pomwe pakufunika burr. Akachotsa tsitsilo, adzapukuta khungu lanu ndi yankho loyera losavomerezeka kuti muchepetse matenda.
  3. Dokotala wanu adzakupatsani mankhwala owonjezera oletsa kupweteka pamutu panu kudzera mu singano kuti musamve kuti dzenje la burr likuyikidwa.
  4. Dokotala wanu adzakupangitsani khungu lanu kuti muwonetse chigaza chanu.
  5. Pogwiritsa ntchito kubowola kwapadera, dokotalayo amalowetsa bowo mu chigaza. Bowo litha kugwiritsidwa ntchito nthawi yomweyo kukhetsa magazi kapena madzi ena omwe amachititsa kuti ubongo ukakamizike. Itha kusokedwa kumapeto kwa njira yomwe mukufuna kapena kutsegulidwa ndi kukhetsa kapena kusinthanitsa.
  6. Bowo la burr likamalizidwa, mudzasamukira kumalo ochira. Muyenera kukhala mchipatala kwa mausiku angapo kuti muwonetsetse kuti zikwangwani zanu zofunika ndizokhazikika komanso kuti muchepetse matenda.

Zotsatira za opaleshoni ya Burr hole

Monga opaleshoni iliyonse, opaleshoni ya burr hole imakhala ndi zovuta zoyipa. Zikuphatikizapo:


  • kutuluka magazi mopitilira muyeso wabwinobwino
  • kuundana kwamagazi
  • zovuta kuchokera ku anesthesia
  • chiopsezo chotenga matenda

Palinso zoopsa zenizeni pamachitidwe a burr hole. Opaleshoni yomwe imakhudza ubongo imatha kukhala ndi zotsatirapo zosatha. Zowopsa ndi izi:

  • kulanda panthawiyi
  • kutupa kwa ubongo
  • chikomokere
  • kutuluka magazi muubongo

Opaleshoni ya Burr hole ndi njira yochiritsira yayikulu, ndipo imawopsa.

Burr hole vs. craniotomy

Craniotomy (yotchedwanso craniectomy) ndiye chithandizo chachikulu cha ma hematomas omwe amapezeka pambuyo povulala pamutu. Zina, monga kuthamanga kwa magazi, nthawi zina zimafuna izi.

Mwambiri, mabowo a burr amakhala ocheperako kuposa craniotomy. Pakati pa craniotomy, gawo lina la chigaza lanu limachotsedwa kudzera pakadula kwakanthawi. Dokotala wanu akamaliza kufuna kupeza ubongo wanu, gawo la chigaza chanu limayikidwa kumbuyo kwa ubongo wanu ndikutetezedwa ndi zomangira kapena mbale zachitsulo.


Kuchira kwa Burr hole ndikuwonanso

Kuchira kuchokera ku burr hole hole kumasiyana mosiyanasiyana. Nthawi yomwe imafunikira kuti achire imakhudzana ndi chifukwa chomwe mumafunira opareshoni kuposa momwe zimachitikira ndi njirayo.

Mukadzuka kuchokera ku anesthesia, mungamve kupweteka kapena kupweteka m'dera lomwe dzenje la burr linalowetsedwa. Mutha kuthana ndi ululu ndi mankhwala owawa.

Nthawi zambiri kuchira kwanu kudzachitika kuchipatala cha anthu odwala mwakayakaya. Dokotala wanu angakupatseni maantibayotiki ngati njira yodzitetezera kumatenda.

Dokotala wanu adzagwira ntchito nanu kuti athe kuchira. Pambuyo pa opaleshoniyi, mudzayambiranso kudya ndi kumwa momwe mungakhalire.

Muyenera kuyeretsedwa ndi dokotala musanayendetse kapena kugwiritsa ntchito makina. Muyeneranso kupewa zochitika zilizonse zomwe mungalandire mutu.

Dokotala wanu adzakupatsani malangizo amomwe mungasamalire bala lanu. Akudziwitsaninso za zosankha zilizonse zofunika kutsatira.

Nthawi zina, mungafunikire kubwerera kwa dokotala wanu kuti akachotsereni masitepe kapena ngalande pamalo abowo. M'zaka zaposachedwa, madotolo ena ayamba kubisa mabowo a burr ndi mbale za titaniyamu atakhala kuti safunikanso.

Kodi ndingakonzekere bwanji njira yoboola burr?

Kuchita maopa Burr nthawi zambiri kumakhala njira zadzidzidzi. Izi zikutanthauza kuti anthu ambiri alibe nthawi yokonzekera asanachite.

Ngati muli ndi mabowo a burr omwe adayikidwa kuti muchotse chotupa, ikani chida chamankhwala, kapena kuchiza khunyu, mutha kukhala ndi chenjezo lakutsogolo loti mufunika opaleshoni imeneyi.

Mutha kupemphedwa kuti muzimeta mutu musanachite izi ndipo musadye kapena kumwa chilichonse pakati pausiku patsiku lomwe mungachite opareshoni.

Tengera kwina

Opaleshoni ya Burr hole ndi njira yovuta yochitidwa motsogozedwa ndi neurosurgeon. Kaŵirikaŵiri amachitidwa mwadzidzidzi pamene kupanikizika kwa ubongo kuyenera kumasulidwa nthawi yomweyo.

Pambuyo pa opaleshoni ya burr hole, nthawi yanu yochira imadalira thanzi lomwe lakupangitsani kuti muchitidwe opaleshoniyi. Onetsetsani kuti mukutsatira mosamala malangizo onse a postoperative.

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