Ukunciphisa Ukucindezela Ubuningi Kudinga Inqubo Yokuhlinza
Umbuzo: Ngukuphi Ukwelashwa Kwe-Decompressive Craniectomy futhi Kungani Kuyenziwe?
Impendulo:
Uma othandekayo wakho ehlaselwe ubuchopho obuhlungu, enye yezokwelapha eziphakanyisiwe kungenzeka kube yi-craniotomy enokucindezeleka noma i-craniectomy. Lolu hlobo lohlinzekwa kobuchopho lungelabagulayo abazofa ngaphandle kokungenelela, futhi kwenziwe ukuze kunciphise ingcindezi ebuchosheni.
Okwenza i-Decompressive Craniectomy Yenziwe
Ubuchopho buhlukile emzimbeni womuntu ngoba buzungezwe ithambo.
Ngezinye izinhlobo zokulimala, njenge-ankle ehlutshiwe, ukulimala kuyovuvuka ngaphandle kokubangela umonakalo owengeziwe emagqumeni. Ubuchopho buboshelwe emthanjeni, ngakho-ke akukho ndawo okuvunyelwe ukuvuvukala, okungabeka ukucindezela okukhulu ebuchosheni, futhi kungaholela ekufeni.
Ngenxa yokuthi ubuchopho bukhona esikhaleni esivinjelwe, ukuvuvukala okwengeziwe kusho ukwakhiwa okukhulu kwengcindezi futhi lokhu kunganciphisa ukugeleza kwegazi.
Cabanga nje uzama ukushaya ibhaluni. Ekuqaleni kwenkambiso kulula ukushaya umoya ebhalini, kepha njengoba ugcwele ngokugcwele, kuba nzima ukuthola umoya ngaphezulu kwibhaluni. Manje ake ucabange ukuthi othile ubeke izandla zakhe ebhaluni bese efaka ibhaluni njengoba uzama ukushaya umoya kuyo - cishe akunakwenzeka, akunjalo? Kuyafana nokuzama ukuthola igazi ebuchosheni. Ukucindezelwa kwesakhiwo ukubeka izandla kwi-balloon, futhi ukuphefumula kwakho kuyinhliziyo esebenza ukupompa igazi ebuchosheni.
Umfutho kufanele wehliswe ukuze uthole igazi ebuchosheni noma ubuchopho buzolamba umoya we-oxygen bese kugcina sekufa. Ukuze senze lokho, sibeka imbobo ku-skull (ibhaluni) ukunikeza indawo yokwandisa.
I-Decompressive Craniectomy
Ukuhlinzwa okweqile kwe-craniectomy yinkqubo esusa isigaba se-skull ukuze kukhululwe ukucindezeleka ebuchosheni.
Kuyinto yokucubungula okokuqala eyenziwe esikhwameni, besebenzisa amathambo usebenzisa i-saw ekhethekile, evumela ukuthi ucezu lweskull lukhishwe futhi lubekwe ngaseceleni (ngokuvamile luqhwa) ukuthi lushintshwe esikhathini esilandelayo.
Ukususa lesi sigaba se-skull kuvumela indawo yokuvuvukala, okukhulula ingcindezi futhi inike ubuchopho indawo yokuvuvukala ngaphandle kokwenza umonakalo omkhulu. Ngokulimala okuncane kakhulu i- ventriculostomy yenziwa ngokujwayelekile, okuyinto encane engavamile kune-craniectomy. I-craniotomy yenza umgodi ofanayo ku-skull ukuze ufinyelele ebuchosheni, kodwa ucezu lushintshwa ngesikhathi senqubo.
Kubalulekile ukukhumbula ukuthi i-craniectomy ehlukumezayo yenziwa ngokulimala okukhulu kobuchopho nokuvuvukala okungenakulawulwa yizinye izindlela kuhlanganise nemithi noma i-ventriculostomy. Nakuba inqubo ingasiza ekuvimbeleni ukulimala okunye, ukulimala kokuqala kanye nokuvuvukala okulandelayo kungase kubangele ukulimala. Ukuvuvukala okukhulu kungase kubangele ukulahlekelwa isikhathi eside noma ngisho nokufa, noma kunjalo, amathuba okuphila asungulwa yinqubo yeziguli eziningi.
I-Craniotomy Versus Craniectomy
Imithombo:
I-Decompressive Craniectomy ye-Refractory Intracranial Hypertension Emva kokulimala kweBrain eyingozi. I-Scandinavia Journal of Trauma, Ukuvuselela kanye Nemithi Ephuthumayo.
. http://ccforum.com/content/10/S1/P458