Umehluko phakathi kwe-craniotomy kunye ne-Craniectomy
Ukuhlinzwa ngokugqithisileyo yinkqubo enzulu kakhulu, kwaye ukuba wena okanye umntu omthandayo utshelwe ukuba unyango lobuchopho kuyimfuneko kufuneka ube nemibuzo emininzi. Uninzi lwezobuchopho lwezobuchopho luqala ngokuvula intloko yekhayi ukunikezela ngokuvula apho ugqirha onokusebenza khona, nangona kukho ezimbalwa ezenziwa ngamacinci kunye nokuvula encinci eyenziwe ngasemva kwempumlo.
Inkqubo yeCraniotomy
I-craniotomy yindlela ekutyunjeni apho i-blade-ebizwa ngokuthi i-flap flap - isuswe ukuze ivumele ukuba ugqirha ufikelele kwingqondo. I-bone flap yinto ejikelezayo okanye i-oval. Ubungakanani obuchanekileyo kunye nokubekwa kubekwe ngohlobo lwenkqubo kunye noko kuya kwenziwa ngexesha lotyando.
Emva kokuba utyando lwenziwa, ithambo lesithambo livame ukubuyela kwindawo yalo yangaphambili, apho ingaphilisa kwaye iguqulwe njenganoma iliphi ithambo elaphukileyo. Emva kweenyanga ezimbalwa ithambo liye lomelele njengoko laliphambi kokuhlinzwa. Kwiimeko ezininzi, iiplateshi zetsimbi ezincinci zisetyenziselwa ukubamba i-flap ye-bone endaweni ukuze ikwazi ukuphilisa, kufana nokuphosa ingalo ephukileyo.
Inkqubo yeCrananiectomy
Inkqubo ye- craniectomy iquka ukukhutshwa kwethambo lesithambo, kodwa kulo mzekelo, ayibuyiselwa kwindawo yayo emva kokuba inkqubo iphelile. Oku kungakho ngenxa yentlekele kwithambo ngokwayo, ngenxa yokuba ingqondo ivuvuke kakhulu ukuvumela ukubuyela kwethambo le-bone, okanye ngenxa yokuba ugqirha uvakalelwa kukuba uyona mdla omkhulu.
Ukuba kukho isifo kummandla, umzekelo, ityhupta yethambo ingalahlwa.
Injongo yeCraniotomy neCraniectomy
Kwezinye iimeko zoxinzelelo lweengqondo okanye ukulimala, injongo yonke yenkqubo yenzelwa ukwenza i-craniotomy okanye i-craniectomy-ngokuqhelekileyo ukwenzela ukunciphisa uxinzelelo ngokunika igumbi lobuchopho ukuba likhule.
Ngokuqhelekileyo, ezininzi ze-neurosurgeries ziqala nge-craniotomy okanye i-craniectomy, kwaye kanye kanye xa kufezwa i-neurosurgeon inokufikelela kwingqondo kumanyathelo afanelekileyo afunekayo.
Kwiinkqubo ezininzi, cinga nge-craniotomy / craniectomy njengento eyenziwa ukuba kwenziwe inkqubo ukuze kwenziwe inkqubo. Ngokungafani nesicatshulwa esenziwe kwisisu okanye kwezinye iindawo zomzimba, ugqirha kufuneka aphume emathambo ukuze azalise inkqubo. Njengezinye izigqibo, le nto iya kusasa ukuba i-sutures okanye i-staples zivale, njengoko isikhumba esisekhanda siya kufuneka sibekwe njengezinye iintlobo eziqhelekileyo zokubakho.
I-Bone Flap
Ukuba isalathiso sethambo siyasuswa, kodwa ayikwazi ukubuyiselwa ngexesha le nkqubo, iyakwazi ukubuyiswa kwakhona ngexesha elizayo. Kule meko, ugqirha uya kufaka i-bone flap kwenye indawo. Kwiimeko ezininzi, ugqirha uya kwenza isiswini kwisisu, sikhulu ngokwaneleyo ukutshitshisa ithambo lesangaphakathi ngaphakathi njengemvulophu phantsi kweethambo ezinamafutha zesisu. Kukho ukhuselwe kwaye igcinwe ngumzimba wesigulane. Iipopu ze-Bone nazo zinokufakwa kwifriji ekhethekileyo kwifribhu yesibhedlele ukuze igcinwe kuze kube yinto engatshintshwa.
Ukuba i-flap ye-bone ayikwazi ukubuyiselwa, i-prosthetics kunye namathambo okufakelwayo ayakhona ukuze ancedise ukuvuselelwa emva komhla.
Ukutshintshwa kwecatshulwa ephosakeleyo kubalulekile, kuba ingqondo ikhuselwe ngokukodwa ngaphandle kwethambo endaweni. Njenge "ndawo epholileyo" entloko entsha, ukungabikho kwethambo kunokukwenza ukuba kubekho ukulimala kwengqondo ebangela ukuba kwenzeke.
Imithombo:
Ulawulo lwe-Bone Flap Kwi-Neurosurgery. Rev Neurocienc 2008. Ukufikelela ngoJanuwari 2010. http://www.unifesp.br/dneuro/neurociencias/229_revisao.pdf