I-Burr Hole Surgery Information

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I-Neurosurgery: Iyini i-hole ye-Burr?

Umgodi we-burr umgodi ohlinzekwa ngokuhlinzwa e-skull, owaziwa nangokuthi i-cranium. Izimbobo ze-Burr zifakwe ukuze kuhlinzekwe ukuhlinzekwa okuqhubekayo, noma kungenzeka kube ukuphazanyiswa kuphela ku-skull, kuye ngokuthi uhlobo luni. Ngokumane nje, i-burr hole iyimbhobho encane eyenziwe ku-skull ne-drill yokuhlinzwa.

Umgodi we-burr ungenziwa ngezizathu ezihlukahlukene, ezifana nokwenza i-craniotomy ekhudlwana, ukudlulisa ama-catheter e-drainage avumela ukugeleza kwe-cerebrospinal fluid noma ukuphuma kwegazi elingapheli.

Umgodi we-burr, noma ngokuvamile izimbobo, yingxenye ebalulekile yobuningi bezinhlinzeko zobuchopho. Kungani? I-skull yinkimbinkimbi kakhulu, okwenza ukufakwa kwendabuko nge-scalpel akunakwenzeka. I-saw ingasetshenziswa ukusika ithambo, kodwa ukusika i-skull kuthatha amakhono akhethekile namasu okuvimbela ukulimala ebuchosheni. I-hole ye-burr yenza kube lula ukwenza izicucu ezilawulwayo ku-skull ngaphandle kokufaka ingozi emathunjini obuchopho obuchopho.

Cabanga ngembobo ye-burr njengengqalasizinda yokuhlinzwa okwenziwa ubuchopho, kunokuba uhlinzekwe ngokwayo. Umgodi we-burr wenza kube lula "ukuxhuma amachashazi" ngakho odokotela abahlinzayo bangafaka izimbobo eziningi, bese usebenzisa ithuluzi elihlukile ukuxhuma lezo zimbobo bese uphakamisa isigaba se-skull kude. Lokhu kushiya iwindi ukuze udokotela ohlinzayo asebenze.

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Kungani Kutholakala I-Hole Ye-Burr?

I-burr hole isetshenziswa uma kunenkinga ebuchosheni okufanele iphathwe ngokuhlinzwa. Ukuze uthole izicubu zobuchopho, i-cranium (noma i-skull) kumele ivulwe ukuze ivumele ukufinyelela ebuchosheni. Eziningi zokuhlinza, ukubeka umgodi ku-skull kuyindlela engcono kakhulu yokwelapha ukulimala noma ukugula.

Kunezizathu eziningi zokuthi kungani udokotela ohlinzayo kwakudingeka enze ukuhlinzwa kobuchopho okuqala ngomgodi we-burr. Lezo zizathu zingafaka:

• Ukunciphisa ingcindezi ebuchosheni
• Ukuqala ukugxila okukhulu, okufana ne-craniotomy
• Ukubeka i-monitor eyenza ingcindezi ngaphakathi kwe-skull
• Ukususa i-clot yegazi
• Ukususa isisu
• Ukwelashwa
• Ukususa into yangaphandle
• Ukubeka idivayisi yezokwelapha, njenge-shunt noma i-chemotherapy wafers

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Izingozi ze-Burr Hole Procedure

Ukufakwa kokungena emgodini kunezingozi ezinkulu, ngaphezu kwezingozi ezihambisana nazo zonke izinqubo zokuhlinzeka nezinkinga ze-anesthesia . Njengazo zonke izinhlinzeko zokuhlinzwa, izingozi zenqubo kumele zilinganiswe ngezinzuzo ezikhona. Kwezinye izimo, ingozi yokulimala unomphela noma ngisho nokufa ingase ibe enye indlela yokuhlinza, ngakho kufanele kucatshangelwe uma kunquma ukuhlinzwa.

Kwezinye izimo - ngokuvamile emva kokuhlukunyezwa noma ukulimala ebuchosheni - ukuhlinzwa kungenziwa njengesenzo sokugcina. Kulezo zimo, izingozi zezinqubo ziphezulu kakhulu, kodwa ukungenzi ukuhlinzwa kungase kubangele nokufa, ngakho-ke isinqumo sinzima kakhulu.

Izingozi zokuhlinzekwa ukubeka ibhuloho ye-burr zihlanganisa:

• Seizure
• Ukuphuza
• Isibungu
• Ukutheleleka kwe-incision noma ubuchopho
• Ukuhlwithwa kobuchopho
• Ukulimala kwebhongo, kufaka phakathi izinguquko ezinyangeni, izinkinga zememori, ubunzima bokuxhumana nokukhubazeka kwenkulumo
• Ukuvuvukala kobuchopho
• I-Coma

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Inqubo Ye-Burr Hole

Ukuhlinza imithi ye-Burr kwenziwa nge-neurosurgeon, udokotela ohlinzayo oqeqeshwe ngokuqondile ebuchosheni nasekuhlinzeni umgogodla, owaziwa ngokuthi umkhuba we- neurosurgery .

Ukwenza inqubo ye-burr hole, indawo ye-scalp lapho izobekwa kuyo kufanele ihlutshwe ihlanzekile izinwele. Khona-ke isikhumba sizobe silungiselelwe ngesisombululo esikhethekile esenzelwe ukuqeda amagciwane esiqongweni sesikhumba. Ngenkathi ikhanda lingase lihlolwe ngaphambi kokuhlinzwa, isikhumba se-prep sizokwenziwa ekamelweni lokusebenza. Lokhu kungenziwa ngokushesha noma ngaphambi kokuba i- anesthesia isinikezwe, futhi kuyadingeka ukunciphisa ingozi yokutheleleka.

Ngemuva kokuba umhlinzeki we- anesthesia ephethe isilation, isiguli sizosizwa futhi sibekwe ku- ventilator , uma bengakatholi usizo ngokuphefumula kwabo. Lokhu kwenziwa ukuvikela umoya womoya nokuhambisa umoya-mpilo ngesikhathi sokuhlinzwa.

Ngezikhathi ezithile, i-anesthesia izoqala ukusebenza, futhi isiguli sizobekwa ukuhlinzwa. Lokhu kuvame ukwenza ngeyodwa yezindlela ezimbili: Noma ngabe ikhanda lisekelwe emithonjeni noma kumathawula, noma izikhonkwane zekhanda zingasetshenziswa, okuyinto idivayisi ephethe ikhanda isesimweni esifaneleka kakhulu ekuhlinzekeni. I- catheter ye- foley ijwayele ukufakwa ngalesi sikhathi, uma ingekho kakade endaweni ngaphambi kwenqubo.

Uma sezibekwa kahle, ukuchotshozwa kokuqala kwenziwa esikhwameni, ukuze isikhumba sisuswe kusayithi lokuhlinzwa. I-air drill ekhethekile isetshenziselwa ukungena ku-skull. Ngenkathi ukugaya kungase kubonakale sengathi ukugoqa okujwayelekile, kuklanyelwe ukuyeka ukubhoboza uma i-crake ingena, ukuvimbela ukulimala ebuchosheni.

Okunye ukuhlinza kobuchopho, njenge-ventriculostomy, kudinga indawo eyodwa kuphela yokufaka ukuhlinzwa. Kwamanye amacala, ingozi noma imingcele ye-burr eyengeziwe ingabekwa, khona-ke imigodi ixhunyiwe ngokusebenzisa i-saw special ekhethekile. Lokhu kuvumela isigaba se-skull ukuba sisuswe, inqubo eyaziwa ngokuthi i-craniotomy, enika udokotela ohlinzayo ithuba lokusebenza engqondweni.

Uma isikebhe se-burr sesiphelile, ukufakwa okungeziwe kufanele kwenziwe kwesikhashana. Indawo yokugcina iyisimbozo esinzima phezu kwengqondo. Nakuba kubonakala sengathi ifilimu encane, iqinisile ngempela futhi kufanele isuswe eceleni.

Zonke ezinye izinqubo zenziwa nge-burr hole noma i-craniotomy. Uma usuqedile, le nsimbi ingahle ihlanganiswe ndawonye noma ukuchotshozwa kushiywe kuvulekile. Isikhumba sizobuyiselwa esimweni sayo esivamile kanye neziqu noma iziqu ezisetshenziselwa ukuvala ukuchotshozwa.

Kuye ngokuthi uhlobo lwenziwa kanjani, ikhanda lingase liboshwe ngama-bandage noma indawo ingahle ihlanganiswe ngokugqoka okuncane.

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Ukubuyiswa Emva kokuhlinzwa kokuhlinzwa kwe-Burr

Akukho ukubuyiswa okujwayelekile emva kokubekwa kwe-burr hole, njengoba izizathu zenqubo zihluka kakhulu. Ezimweni ezinzima, isiguli singase singazi lutho futhi siphathwe i-ICU izinsuku noma ngisho namasonto emva kwenkambiso, kanti ezinye iziguli zingase ziphapheme futhi ziziphathe ngokujwayelekile ngemuva kokuvela ku-anesthesia.

Ezimweni eziningi, isiguli sizobuyela e-ICU, njenge-ICU ehlinzayo noma i-neuro ICU, lapho ingaqashwe khona ngokucophelela ngabasebenzi. Lokhu kuvumela isiguli ukuba siqaphele njalo abasebenzi basebehlengikazi kanye nanoma yiziphi izimpawu zezinkinga okufanele ziphawulwe ngokushesha.

Ubukhulu bokulimala noma ukugula kuzokwenza ukuthi isiguli sibuyele esimweni esivamile, futhi uma sibuyela evamile. Kwabanye, ukubuyela emisebenzini yabo evamile kanye nezici zobuntu kungaba yinto encane; kwabanye, kungase kube nobufakazi obuncane bokuthi babenokuhlinzwa okuphawulekayo izinsuku ezimbalwa ngaphambili.

Ukunakekelwa kwe-incision kuyoba okubaluleke kakhulu, njengoba ukutheleleka ekufakweni kungafinyeleleka kalula izicubu zobuchopho. Ezimweni eziningi, ama-antibiotic ayokwenzelwa ukuvimbela ukutheleleka okungenakwenzeka, ngisho noma kungekho ukutheleleka okwamanje.

I-neurosurgeon eyenza ukuhlinzeka kuyoba umthombo wakho ongcono kakhulu wolwazi mayelana nokuthi yiluhlobo luni lokubuyisela okufanele kulindeleke. Bazokwazi ukucabangela impilo yonke yesiguli, ukungathí sina kokulimala okwenza ibhuloho elidingekile, kanye nobudala, nezinye izinto ezidlala indima ekwenzeni ukutholakala ngokugcwele.

Izwi elivela:

Kuhlale kunzima uma umuntu edinga umgodi we-burr obekwe, kungakhathaliseki ukuqapha noma ukuvumela ukuhlinzwa okunzima kakhulu. Cishe ungalindela njalo ukuhlala okunakekelwa okunamandla ukuze uqhubeke uqapha, futhi ukutakula kungase kube nzima. Kungakhathaliseki isizathu sokuhlinzeka, ukuhlinzwa kobuchopho kuyodinga isikhathi sokubuyiselwa esibalulekile isiguli uma kuqhathaniswa nokuhlinzwa okuvamile.

_Imithombo:

_{Umgodi we-Burr: Hematoma engaphansi. I-Neurosurgery PA. Kufinyelelwe ngoMashi 2011. http://www.neurosurgerypa.com/procedures/Burrhole.html}

_{Izingozi zokuhlinzwa ngobunjongo. Isikhungo Sezokwelapha sase-University of Maryland. Kufinyelelwe ngo-Mashi 2011. http://www.umm.edu/ency/article/003018ris.htm}