Kuthetsa Mtima Kumtima Kumaphatikizapo Njira Yopangira Opaleshoni
Funso: Kodi Opaleshoni Yopambana ndi Craniectomy ndi Chifukwa Chiyani Ikuchitika?
Yankho:
Ngati wokondedwa wanu avulala kwambiri ndi ubongo, imodzi mwa mankhwala ovomerezeka akhoza kukhala craniotomy yovuta kwambiri kapena craniectomy. Opaleshoni yamtundu uwu ndi kwa odwala omwe angafe popanda kuthandizira, ndipo amathetsa kupanikizika kwa ubongo.
Chifukwa Chiyani Craniectomy Yopambana Imapangidwa?
Ubongo ndi wapadera m'thupi la munthu chifukwa uli ndi mafupa.
Ndi kuvulazidwa kwina, monga kupweteka kwa ngongole, chovulaza chidzaphulika popanda kuwonongera khungu. Ubongo uli mkati mwa fupa, kotero palibe malo omwe amaloledwa kutupa, omwe angapangitse ubongo kwambiri, ndipo ukhoza kumatsogolera ku imfa.
Chifukwa ubongo uli mu danga lotsekedwa, kutupa kwina kumatanthauza kuthamanga kwambiri ndipo izi zingachepetse magazi.
Tangoganizani kuyesayesa kuomba buluni. Kumayambiriro kwa njirayi ndi kosavuta kuwombera mpweya mu buluni, koma pamene umakhala wochuluka kwambiri, zimakhala zovuta kupeza mpweya wambiri mu baluni. Tsopano ganizirani munthu wina ali ndi manja ake pa buluni ndipo akukupiza buluni pamene mukuyesa kuwombera mpweya - zosatheka, chabwino? N'chimodzimodzinso ndi kuyesera kutenga magazi ku ubongo. Kupanikizika kwa nyumba ndiko kuponyera manja pa buluni, ndipo mpweya wanu ndiwo mtima wogwira ntchito yopopera magazi ku ubongo.
Kupanikizika kuyenera kuchepetsedwa kuti magazi atenge ubongo kapena ubongo ukhale ndi njala ya mpweya ndipo pomalizira pake ufe. Kuti tichite zimenezo, timapanga dzenje muzulu (buluni) kuti tipatse malo okulitsa.
Decompressive Craniectomy
Kuchita opaleshoni yowonongeka kwambiri ndi njira yomwe imachotsa gawo la chigaza kuti lichotse vuto pa ubongo.
Imeneyi imagwiritsa ntchito fupa loyamba, lomwe limapangitsa kuti chidutswa cha chigazacho chichotsedwe ndi kuika pambali (nthawi zambiri mazira) kuti asinthidwe.
Kuchotsa gawo ili la chigaza kumapatsa malo otukumula, omwe amachepetsa kupanikizika ndipo amapereka ubongo malo oti aziphulika popanda kuwononga kwambiri. Kuvulala kwakukulu kwa ventriculostomy kumachitika, zomwe sizingowonjezereka kwambiri kusiyana ndi craniectomy. Kachilombo kamene kamapangitsa kuti chigoba chilowetse ubongo, koma chidutswacho chimalowetsedwa panthawiyi.
Ndikofunika kukumbukira kuti vuto lopweteka kwambiri limapangidwa chifukwa cha kuvulala kwa ubongo ndi kutukuka komwe sikungayendedwe ndi njira zina kuphatikizapo mankhwala kapena ventriculostomy. Ngakhale njirayi ingathandize kupewa kuwonongeka, kuvulala koyamba ndi kutupa kumeneku kungayambitsenso mavuto. Kutupa kwakukulu kungapangitse kuwonongeka kwa nthawi yaitali kapena ngakhale imfa, komabe, mwayi wopulumuka umakhala wabwino mwa njira ya odwala ambiri.
Zotsatira:
Kusokonezeka kwa Craniectomy Kwa Refractory Intracranial Hypertension Pambuyo Mwachisokonezo cha Ubongo. Scandinavia Journal of Trauma, Resuscitation ndi Emergency Medicine.
. http://ccforum.com/content/10/S1/P458