Ukunciphisa uxinzelelo kwiBongo kufuna iNkqubo yokuPhepha
Umbuzo: Iyintoni Intsholongwane Yokunciphisa I-Crongectomy kwaye Kutheni Kuyenziwe?
Impendulo:
Ukuba wakho umthandayo unobungozi obuchotshozayo bobungqingili, enye yezo unyango olucetyiswayo ingaba yi-craniotomy ephazamisayo okanye i-craniectomy. Olu hlobo lotyando lweengqondo luya kubagulane abaya kufa ngaphandle kokungenelela, kwaye kwenziwe ukunciphisa uxinzelelo kwingqondo.
Kutheni iCompaniectomy eyenziwa yiComplexite Craneectomy
Ingqondo iyingqayizivele emzimbeni womntu kuba ijikelezwe ithambo.
Ngezinye iintlobo zokulimala, ezifana ne-ankle ehlanjulweyo, ukulimala kuya kuvuleka ngaphandle kokudala umonakalo kwi-ankle. Ingqondo igxothwe kwithambo, ngoko akukho ndawo ivumelekile ukuvuvukala, nto leyo ingafaka ingcinezelo enkulu kwiingqondo, kwaye ibenokukhokelela ekufeni.
Ngenxa yokuba ingqondo isendaweni efihliweyo, ukuvuvukala okungaphezulu kuthetha ukunyuswa kwengcinezelo kwaye oku kunokunciphisa ukuhamba kwegazi.
Cinga u kuzama ukuvuthela ibhaluni. Ekuqaleni kwinkqubo kulula ukuvuthela umoya kwibhaluni, kodwa njengoko iqhubeka ngokugcwele, kuba nzima ngakumbi ukufumana umoya ngaphezulu kwibhaluni. Ngoku khawucinge ukuba umntu unezandla zakhe kwibhaluni kwaye baxubha ibhaluni njengoko uzama ukuvuthela umoya kuwo - akunakwenzeka, akunjalo? Kuyafana nokuzama ukufumana igazi kwingqondo. Isixinzelelo sakhiwo sisandla sokungqongqola kwibhaluni, kwaye ukuphefumula kwakho kuyintliziyo esebenza ukupompa igazi kwingqondo.
Uxinzelelo kufuneka luyancipha ukuze ufumane igazi kwingqondo okanye ubuchopho buya kulamba i-oksijini kwaye ekugqibeleni bufe. Ukuze senze oko, sibeka umgodi kwi-gaha (ibhaluni) ukubonelela indawo yokwandisa.
Decompressive Craniectomy
Utyando olunzulu lwe-craniectomy yinkqubo ekhupha icandelo le-gawulu ekunciphiseni uxinzelelo kwingqondo.
Yinto yokuqala eyenziwe kwesikhumba, emva kwethambo usebenzisa i-saw ekhethekileyo, evumela isiqwenga skull ukuba sisuswe kwaye sibekelwe bucala
Ukususa eli candelo le-gace kuvumela igumbi lokuvuvukala, elikhupha uxinzelelo kwaye linika ingqondo indawo yokuba ikhule ngaphandle kokudala umonakalo omkhulu. Ngenxa yokulimala okungaphantsi kwe- ventriculostomy ngokuqhelekileyo yenziwe, engenasiphelo esingaphantsi kwe-craniectomy. I-craniotomy yenza umgodi ofanayo kwikrele ukuba ufinyelele ingqondo, kodwa isiqwenga sitshintshwa ngexesha lenkqubo.
Kubalulekile ukukhumbuza ukuba i-craniectomy ephazamisayo yenzelwe ukulimala kwengqondo kunye nokukhukhuma okungenakulawulwa ngenye indlela kuquka imithi okanye i-ventriculostomy. Nangona inkqubo inokukunceda ukukhusela umonakalo omkhulu, ukulimala kokuqala kunye nokukhukhumeza okulandelayo kungabangela umonakalo. Ukuvuvukala okukhulu kunokubangela ukulahleka kwexesha elide okanye nokufa, nangona kunjalo, amathuba okusinda aphuculwe yinkqubo yezigulane ezininzi.
Imithombo:
I-Decompressive Craniectomy ye-Refractory Intracranial Hypertension Emva kokulimala kweBrain Injury. I-Scandinavia Journal of Trauma, Ukuvuselelwa kunye noPhulo oluPhezulu.
. http://ccforum.com/content/10/S1/P458