I-Burr Hole Surgery Information

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I-Neurosurgery: Yintoni i-Hoar Hole?

Umngcwabo we-burr ngumngxuma ogqitywa ngophahla, owaziwa nangokuthi yi-kribri. Izimbobo zeBurr zifakwe ukulungiselela ukuhlinzwa okuqhubekayo, okanye kunokuphela kokuphazamiseka kwintayi, kuxhomekeke kwimeko yomcimbi. Ngokumane nje, ingqungquthela ye-burr yinkomo encinci eyenziwe kwi-gace ene-drill drill.

Ingxowa ye-burr ingenziwa ngezizathu ezahlukahlukeneyo, ezifana nokwenza i-craniotomy enkulu, ukudlulisa i-catheters emanzini avumela amanzi okuhambisa amanzi okanye ukukhutshwa kwegazi elingapheliyo .

Ingxowa ye-burr, okanye imingxuma edla rhoqo, yinxalenye ebalulekileyo yobuninzi bobuchopho beengqondo. Ngoba? Ikhanga lilukhuni kakhulu, ukwenza ukufakwa kwendabuko nge-scalpel akunakwenzeka. I-saw isingasetyenziswa ekunqumeni amathambo, kodwa ukusika i-crake kuthatha izakhono ezikhethekileyo kunye nezindlela zokuthintela ukulimala kwengqondo. Ingxuma ye-burr yenza kube lula ukucutha okulawulwayo kwikhanga ngaphandle kokufaka ingozi kwi-tissue ebuchopho.

Cinga ngomngcwabo we-burr njengesiqalo sesicatshulwa sokwenza ubuchopho, kunokuba utyando ngokwawo. Ingxowa ye-burr yenza ukuba kube lula "ukudibanisa amachaphaza" ukuze oogqirha banokubeka ezininzi izibonda ze-burr, besebenzisa ithuluzi elihlukileyo ukuxhuma loo mingxuma kwaye uphakamise icandelo lekhanga. Oku kushiya ifestile ukuba ugqirha usebenze.

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Kutheni Kuthiwa I-Burr Hole?

Umngcwabo usetshenzisiweyo xa kukho ingxaki yengqondo emele iphathwe ngokugqithiseleyo. Ukuze ufikelele kwiiyununu zeengqondo, i-kribri (okanye i-gawu) kufuneka ivulekele ukuvumela ukufikelela kwingqondo. Kwininzi yolondolozo, ukubeka umgodi kwi-gace yindlela efanelekileyo yokuphatha ukulimala okanye ukugula.

Kukho izizathu ezininzi ezenza ukuba ugqirha kufuneke enze utyando lwezobuchopho oluqala ngendawo yokungcwaba. Ezi zizathu zingaquka:

• Ukunciphisa uxinzelelo kwingqondo
• Ukuqala ukukhutshwa okukhulu, njenge-craniotomy
• Ukubeka isantya esifunda ingcinezelo ngaphakathi kwekhayi
• Ukususa i-clot yegazi
• Ukususa isisu
• Ukunyangwa kwamatye
• Ukususa into yangaphandle
• Ukubeka ifowuni yonyango, njenge-shunt okanye i-chemotherapy wafers

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Izingozi ze-Burr Hole Inkqubo

Ukubeka indawo ye-Burr kunobungozi obukhulu, ngaphezu kweengozi ezinxulumene nazo zonke iinkqubo zokugonywa kunye neengxaki ze-anesthesia . Njengoko naluphina utyando, ingozi yenkqubo kufuneka ilinganiswe malunga neenzuzo ezinokwenzeka. Kwezinye iimeko, umngcipheko wokulimala ngokusisigxina okanye ukufa kungenokuba yindlela yokuhlinzwa, ngoko kufuneka ukuba uthathelwe ingqalelo xa ugqiba ukuhlinzwa.

Kwezinye iimeko - ngokuqhelekileyo emva kokuxhwaleka okanye ukulimala ekugqibeleni ubuchopho kungenziwa njengento yokugqibela. Kuloo matyala, ingozi yenkqubo iphezulu kakhulu, kodwa ukungenzi ukuhlinzwa kungabangela ukufa, ngoko ke isigqibo sisoloko sinzima kakhulu.

Ubungozi bokuhlinzwa ukubeka umgobo we-burr ziquka:

• Ukuhluma
• Ukuhlamba
• Stroke
• Usulelo lwe-incision okanye ingqondo
• Ukutyhilwa kwengqondo
• Umonakalo wobunjongo, kuquka ukuguquka kwintliziyo, iingxaki zeememori, ubunzima bokusebenzisana kunye nokuphazamiseka kwentetho
• Ukuvuvukala kwengqondo
• Coma

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Inkqubo yeBurr Hole

Ukuhlinzwa ngokugqithiseleyo kwebhola kwenziwa nge-neurosurgeon, ugqirha oqeqeshiwe ngokukhethekileyo kwingqondo nangokwenziwa komgudu, obizwa ngokuba yi- neurosurgery .

Ukwenza inkqubo ye-burr yolongo, ummandla we-scalp apho uya kufakwa khona kufuneka uhlanjwe ucoceke iinwele. Emva koko ulusu luya kulungiswa ngesisombululo esisodwa esilungiselelwe ukuphelisa iintsholongwane phezu kwesikhumba. Nangona intloko ingahlanjululwa ngaphambi kokuhlinzwa, i-prep yesikhumba iya kwenziwa kwigumbi lokusebenza. Oku kunokwenziwa ngokukhawuleza ngaphambi okanye emva kokuba i- aneshesia inikwe, kwaye kuyimfuneko ukunciphisa umngcipheko wokusuleleka.

Emva kokuba umnikezeli we-anesthesia ephethe i-sedation, isigulane siya kutyhulwa kwaye sibeke kwi- ventilator , ukuba ayikafumani uncedo ngokuphefumla. Oku kwenziwa ukwenzela ukukhusela umoya womoya kunye nokuhambisa i-oxygen ngexesha lokuhlinzwa.

Ngexesha elithile, i-anesthesia iya kusebenza, kwaye isigulane siza kutyunjwa. Oku kwenziwa ngokukodwa ngeendlela ezimbini: nokuba intloko ixhaswa kwiimithwalo okanye ityileni, okanye izikhonkwane zentloko zingasetyenziselwa, esisisitoreli esinalo intloko sisesimweni esifanelekileyo ukuhlinzwa. I- catheter ye- foley isetyenziswe ngoku ngeli xesha, ukuba ingekabikho ngaphambili phambi kwenkqubo.

Emva kokubekwa ngokufanelekileyo, ukukhangela kokuqala kwenziwa kwesikhumba, ukwenzela ukuba ulusu lukhutshwe kude kwindawo yokuhlinzwa. I-air drill ekhethiweyo isetyenziselwa ukungena kwikrele. Nangona i-drill ingabonakala ibonakala njenge-drill standard, yenzelwe ukuyeka ukuqhuba xa i-gaqa ingena, ikhusele ukulimala kwengqondo.

Olunye uphando lwezobuchopho, njenge-ventriculostomy, ludinga indawo eyodwa kuphela yokuqhuba utyando. Kwamanye amaxesha, i-hole engaphezulu ye-burr ingafakwa, ke imingxuma ixhunyiwe isebenzisa ithambo ekhethekileyo. Oku kuvumela ukuba inxalenye yeckull ikhutshwe, inqubo eyaziwa ngokuba yi-craniotomy, eyenza ugqirha unika ithuba lokusebenza engqondweni.

Xa isiqithi se-burr sigqityiwe, ukuchaneka okongeziweyo kufuneka kwenziwe kwithuba elide. Ixesha elide ligosa elikhuni phezu kwengqondo. Nangona kubonakala ngathi ifilimu emncinci, yinyani kakhulu kwaye kufuneka isuswe eceleni.

Yonke inqubo iqhutyelwa ngedonga le-burr okanye i-craniotomy. Emva kokugqibeleleyo, i-dura ingafakwa kunye kunye okanye ukushiya kushiywe kuvulekile. Ulusu luya kubuyiselwa kwisimo saso esifanelekileyo kunye neziqu okanye izicwangciso ezisetyenziselwa ukuvala ukufakwa.

Ngokuxhomekeke kwimeko yokuhlinzwa, intloko inokuthi ihlanganiswe ngamabhanji okanye loo ndawo ingabhekiswa ngokukhawuleza.

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Ukubuyiselwa Emva kokugqithisa kweBurr Hole

Akukho ukubuyiswa okusemgangathweni emva kokubekwa kwendawo engumngcwabo, njengoko izizathu zenkqubo zihluka ngokubanzi. Kwiimeko ezinzima, isigulane sinokungazi kwaye siphathwa kwi-ICU iintsuku okanye iiveki emva kwenkqubo, ngelixa ezinye izigulane zihlala ziphaphile kwaye ziziphatha ngokukhawuleza emva kokuba zivela kwi-anesthesia.

Kwiimeko ezininzi, isiguli siya kubuyela kwi-ICU, njenge-ICU yokucoca okanye i-neuro ICU, apho ingaqwalaselwa ngokugqithiseleyo ngabasebenzi. Oku kuvumela isiguli ukuba siqwalaselwe rhoqo kubongikazi kwaye kukho naziphi na iimpawu zeengxaki eziza kuqatshelwa ngokukhawuleza.

Ubunzima bokulimala okanye ukugula kuya kubangela ukuba umguli abuyele ngokukhawuleza kwimeko eqhelekileyo, kwaye ukuba abuyele eqhelekileyo. Kwabanye, ukubuyela kwimisebenzi yabo kunye neempawu zobuntu kunokuba ncothayo; kwabanye, kunokubakho ubungqina obuncinane bokuthi banokuhlinzwa okuphawulekayo iintsuku ezimbalwa ngaphambili.

Ukunyamekelwa kwesi siko kuya kubaluleka kakhulu, njengoko isifo kwisicatshulwa singakwazi ukufikelela kalula kwiisisu zobuchopho. Kwiimeko ezininzi, i- antibiotics iya kunikwa ukukhusela intsholongwane ekungenakwenzeka, nangona kungekho sisifo esele sikhona.

I-neurosurgeon eyenza utyando luya kuba ngumthombo wakho ochanekileyo wolwazi malunga naluphi uhlobo lokubuyisela kulindeleke. Baya kuba nako ukujongana nempilo yengqondo yesigulane, ubunzulu bokulimala okwenza umda obalulekile, kunye nobudala, kunye nezinye izinto ezidlala indima ekunokwenziwa kwakhona.

ILizwi Ku:

Kuhlala kunzulu xa umntu efuna i-burr ekhoyo, ingaba ukubeka iliso okanye ukuvumela ukuhlinzwa okunzima ngakumbi. Unokuze ulindele ukuba ulondolozo olunzulu luhlale lubeka iliso rhoqo, kwaye ukubuyisela kunokuba nzima. Kungakhathaliseki isizathu sokuhlinzwa, utyando lweengqondo luya kufuna ixesha elide lokuphucula isiguli xa kuthelekiswa nokuhlinzwa okungakumbi.

_Imithombo:

_{Umgobo weBurr: iHematoma engezantsi. Neurosurgery PA. Kufumaneka ngoMatshi 2011. http://www.neurosurgerypa.com/procedures/Burrhole.html}

_{Ubungozi boBuchopho. IYunivesithi yaseMary University. Kufumaneke ngoMatshi 2011. http://www.umm.edu/ency/article/003018ris.htm}