Umehluko Phakathi kwe-Craniotomy ne-Craniectomy
Ukuhlinza ubongo kuyinkimbinkimbi kakhulu, futhi uma wena noma umuntu omthandayo utshele ukuthi ukuhlinzwa ubuchopho kuyadingeka kumele ube nemibuzo eminingi. Ukuhlinza okuningi kobuchopho kuqala ngokuvula phezulu kwe-skull ukuhlinzeka ngokuvula lapho udokotela ohlinzayo angasebenza khona, nakuba kukhona ezimbalwa ezenziwa emakhaleni enokuvula okuncane okwenziwa ngemuva kwempumu.
I-Craniotomy Procedure
I-craniotomy iyindlela yokuhlinza lapho isikhumba skull-okuthiwa i-flap bone - sisusiwe ukuze kuvunyelwe udokotela ohlinzayo ebuchosheni. I-bone flap isivamile noma i-oval. Usayizi oqondile kanye nokubekwa kunqunywe uhlobo lwenqubo nokuthi yini okumelwe ifezwe ngesikhathi sokuhlinzwa.
Ngemuva kokuhlinzwa, i-bone flap ivame ukubuyiselwa endaweni yayo yangaphambilini, lapho ingaphilisa khona futhi ifake njenganoma yimuphi amathambo aphukile. Ngemuva kwezinyanga ezimbalwa amathambo asuke eqine njengoba ayekhona ngaphambi kokuhlinzwa. Ezimweni eziningi, kusetshenziselwa amapuleti amancane asetshenziswa ukugcina i-flap ye-bone endaweni ukuze ikwazi ukuphulukisa, kufana nokukhishwa kwengalo ephukile.
Inqubo ye-Craniectomy
Inqubo ye- craniectomy ihlanganisa nokususwa kwe-flap bone, kodwa kulokhu, ayibuyiselwa endaweni yayo ngemuva kokuba inqubo isiphelile. Lokhu kungenxa yokuhlukumezeka ithambo ngokwayo, ngoba ubuchopho buvuvukala kakhulu ukuze kuvumele ukubuya kwethefu, noma ngoba udokotela ohlinzayo uzizwa esesithakazelweni esihle somguli.
Uma kukhona ukutheleleka endaweni, isibonelo, i-flap yangasese ingalahlwa.
Inhloso ye-Craniotomy ne-Craniectomy
Kwezinye izimo zokuhlukunyezwa kwengqondo noma ukulimala, inhloso yonke yenqubo ukwenza i-craniotomy noma i-craniectomy - ngokuvamile ukuze unciphise ingcindezi ngokunikeza igumbi lobuchopho ukuba livule.
Ngokuvamile, eziningi ze-neurosurgeries ziqala nge-craniotomy noma i-craniectomy, futhi uma lokho kufeziwe i-neurosurgeon inokufinyelela ebuchosheni ngezinyathelo ezengeziwe ezidingekayo.
Ngezinqubo eziningi, cabanga nge-craniotomy / craniectomy njengokwenziwa komshini ukuze inqubo yenziwe. Ngokungafani ne-incision eyenziwe esiswini noma kwezinye izindawo zomzimba, udokotela ohlinzayo kufanele ahambe emathambo ukuze aqedele inqubo. Njengezinye izinto ezibhekwayo, lokhu kuzodinga ukuthi i-sutures noma izibambiso zivaliwe, njengoba isikhumba esihlokweni kuyodingeka sithungwe njengezinye izinhlobo ezijwayelekile zokucubungula.
I-Flap Bone
Uma i-flap ye-bone isusiwe, kodwa ingakwazi ukubuyiselwa ngesikhathi senqubo, ingakwazi ukubuyiswa emuva esikhathini esizayo. Kulesi simo, udokotela ohlinzayo uzobeka i-bone flap kwenye indawo. Ezikhathini eziningi, udokotela ohlinzayo uyokwenza ukugaya esiswini, sikhulu ngokwanele ukusikhipha isifuba ngaphakathi njengemvilophu ngaphansi kwezicubu ezinamafutha esiswini. Lapho ivikelwe futhi igcinwe ngumzimba wesiguli. Ama-flap ye-Bone angabuye afakwe efrijini ekhethekile ejulile ebhokisini lesibhedlela ukuze alondolozwe kuze kube yilapho ingashintshwa khona.
Uma i-flap ye-bone ayikwazi ukubuyiselwa, i-prosthetics kanye namathambo okufakelwa nawo ayatholakala ukuze kusize ukwakha kabusha esikhathini esizayo.
Ukuguqula uhlamvu olulahlekile kubalulekile, ngoba ubuchopho buvikelwe kancane ngaphandle kwethambo endaweni. Njenge "indawo elithambile" ekhanda lomntwana osanda kuzalwa, ukuntuleka kwethambo kungenza kube lula ukulimala kwengqondo ebuchosheni.
Imithombo:
I-Bone Flap Management In Neurosurgery. Rev Neurocienc 2008. Kufinyelelwe ngoJanuwari 2010. http://www.unifesp.br/dneuro/neurociencias/229_revisao.pdf