Kodi Craniectomy Ndi Chiyani?

Zamkati

• Kodi cholinga cha craniectomy ndi chiyani?
• Cholinga
• Kodi opaleshoniyi imachitika bwanji?
• Zimatenga nthawi yayitali bwanji kuchira kuchokera ku craniectomy?
• Kodi pali zovuta zina?
• Chiwonetsero

Chidule

Craniectomy ndi opaleshoni yochitidwa kuti ichotse gawo la chigaza chanu kuti muchepetse kupsinjika m'deralo ubongo wanu utatupa. Craniectomy nthawi zambiri imachitika pambuyo povulala muubongo. Amagwiritsidwanso ntchito pochiza mikhalidwe yomwe imapangitsa ubongo wanu kutupa kapena kutuluka magazi.

Kuchita opaleshoniyi nthawi zambiri kumakhala ngati njira yopulumutsira moyo. Mukamaliza kuthetsa kutupa, amatchedwa decompressive craniectomy (DC).

Kodi cholinga cha craniectomy ndi chiyani?

Craniectomy imachepetsa kupsyinjika kwa magazi (ICP), kuthamanga kwa magazi (ICHT), kapena kutaya magazi kwambiri (komwe kumatchedwanso kukha mwazi) mkati mwa chigaza chanu. Ngati sanalandire chithandizo, kupanikizika kapena kutuluka magazi kumatha kupondereza ubongo wanu ndikukankhira pansi pa tsinde laubongo. Izi zitha kupha kapena kuwononga ubongo kosatha.

Cholinga

Craniectomy imachepetsa kupsyinjika kwa magazi (ICP), kuthamanga kwa magazi (ICHT), kapena kutaya magazi kwambiri (komwe kumatchedwanso kukha mwazi) mkati mwa chigaza chanu. Ngati sanalandire chithandizo, kupanikizika kapena kutuluka magazi kumatha kupondereza ubongo wanu ndikukankhira pansi pa tsinde laubongo. Izi zitha kupha kapena kuwononga ubongo kosatha.

ICP, ICHT, ndi kukha mwazi kwaubongo kumatha chifukwa cha:

• kuvulala kwam'mutu, monga kugunda kwamphamvu kumutu ndi chinthu
• sitiroko
• magazi m'magazi m'mitsempha yaubongo
• kutsekeka kwa mitsempha muubongo wanu, zomwe zimabweretsa minofu yakufa (infarction infraction)
• kuphatikiza magazi mkati mwa chigaza chako (hematoma yopanda mphamvu)
• kuchuluka kwa madzimadzi muubongo (ubongo edema)

Kodi opaleshoniyi imachitika bwanji?

Craniectomy nthawi zambiri imachitidwa ngati njira yodzidzimutsa pomwe chigaza chimafunikira kutsegulidwa mwachangu kuti muchepetse zovuta zilizonse zotupa, makamaka pambuyo povulala mutu kapena sitiroko.

Musanachite craniectomy, dokotala wanu amayesa kangapo kuti adziwe ngati pali vuto kapena magazi m'mutu mwanu. Mayeserowa adzauzanso dotolo wanu malo oyenera a craniectomy.

Kuti muchite craniectomy, dokotala wanu wamankhwala:

1. Amacheka pang'ono pamutu panu pomwe chigaza cha mutuwo chidzachotsedwe. Kudulidwa kumapangidwa pafupi ndi malo amutu mwanu ndikutupa kwambiri.
2. Amachotsa khungu kapena khungu lirilonse pamwamba pa chigaza lomwe litulutsidwe.
3. Amapanga mabowo ang'onoang'ono mu chigaza ndi chobowolera chamankhwala. Gawo ili limatchedwa craniotomy.
4. Amagwiritsa ntchito macheka ang'onoang'ono kudula pakati pa mabowo mpaka chigaza chonsecho chitachotsedwa.
5. Amasunga chigaza cha chigandacho mufiriji kapena m'thumba laling'ono pathupi panu kuti chibwezeretsedwe m'chigoba mutachira.
6. Amachita njira zilizonse zofunika kuthana ndi kutupa kapena kutuluka magazi m'mutu mwanu.
7. Imakhomerera pamutu panu pakayamba kutupa kapena kutuluka magazi.

Zimatenga nthawi yayitali bwanji kuchira kuchokera ku craniectomy?

Nthawi yomwe mumakhala kuchipatala pambuyo pa craniectomy imadalira kukula kwa kuvulala kapena zomwe zimafunikira chithandizo.

Ngati mwakhala mukuvulala muubongo kapena sitiroko, mungafunikire kukhalabe mchipatala kwa milungu ingapo kapena kupitilira apo kuti gulu lanu lazachipatala lizitha kuwunika momwe muliri. Muthanso kukonzanso ngati mukuvutika kudya, kuyankhula, kapena kuyenda. Nthawi zina, mungafunike kukhala m'chipatala kwa miyezi iwiri kapena kuposerapo musanapite patsogolo kuti mubwerere kuntchito za tsiku ndi tsiku.

Mukamachira, Musachite chilichonse chotsatira mpaka dokotala atakuuzani kuti zili bwino:

• Sambani masiku angapo mutachitidwa opaleshoni.
• Kwezani zinthu zilizonse zoposa mapaundi 5.
• Kuchita masewera olimbitsa thupi kapena kugwira ntchito zamanja, monga ntchito zapakhomo.
• Kusuta kapena kumwa mowa.
• Yendetsani galimoto.

Simungathe kuchira kwathunthu kuvulala koopsa kwa ubongo kapena kupwetekedwa mtima kwazaka zambiri ngakhale mutayambiranso komanso kuchiritsidwa kwakanthawi kwakulankhula, kuyenda, ndi magwiridwe antchito. Kuchira kwanu nthawi zambiri kumadalira kuchuluka kwa kuwonongeka komwe kudachitika chifukwa cha kutupa kapena kutuluka magazi chigaza chanu chisanatsegulidwe kapena momwe kuvulala kwaubongo kunaliri koopsa.

Monga gawo la kuchira kwanu, muyenera kuvala chisoti chapadera chomwe chimateteza kotseguka m'mutu mwanu kuti musavulale.

Pomaliza, dokotalayo amatseka bowo ndi chidutswa cha chigaza chomwe chidasungidwa kapena chokhazikitsira chigaza. Njirayi imatchedwa cranioplasty.

Kodi pali zovuta zina?

Craniectomies ali ndi mwayi wopambana. akuwonetsa kuti anthu ambiri omwe amachita izi chifukwa chovulala kwambiri muubongo (STBI) amachira ngakhale akukumana ndi zovuta zina zazitali.

Craniectomies amakhala ndi zoopsa zina, makamaka chifukwa cha kuvulala kwakukulu komwe kumafuna kuti izi zichitike. Mavuto omwe angakhalepo ndi awa:

• kuwonongeka kwa ubongo kosatha
• kuphatikiza madzi amadzimadzi omwe ali ndi kachilombo mu ubongo (abscess)
• kutupa kwa ubongo (meningitis)
• Kutuluka magazi pakati paubongo ndi khungu (subdural hematoma)
• matenda aubongo kapena msana
• kulephera kuyankhula
• ziwalo zina kapena zathupi lathunthu
• kusazindikira, ngakhale atazindikira (kulimbikira kosadya)
• chikomokere
• imfa yaubongo

Chiwonetsero

Ndi chithandizo chanthawi yayitali ndikukonzanso, mutha kuchira popanda zovuta zilizonse ndikupitiliza moyo wanu watsiku ndi tsiku.

Craniectomy imatha kupulumutsa moyo wanu pambuyo povulala muubongo kapena sitiroko ngati zachitika mwachangu mokwanira kuti zisawonongeke zomwe zimadza chifukwa chamagazi kapena kutupa muubongo wanu.