Khawuthelekelele ukuba umntu ovela kusapho lwakho uphuthunyiswe esibhedlele ngenxa yengozi okanye isifo sohlangothi. Oogqirha apho bathi, "Uxinzelelo engqondweni luphezulu kakhulu, kwaye ukuze basindise ubomi babo, kufuneka benze utyando ngoko nangoko, olubizwa ngokuba yi-craniectomy." Kuqhelekile ukuba sizive soyika kwaye sothukile xa sisiva eli gama. Kodwa ngasemva kweli gama libi kukho ithemba lokusindisa ubomi. Ngoko ke, namhlanje siza kuthetha ngolu tyando lubizwa ngokuba yi-craniectomy ngokulula, ngendlela onokuyiqonda.
Yintoni i-craniectomy ngokulula?
Ngamafutshane, i-craniectomy lutyando olukhulu lobuchopho olubandakanya ukususa okwethutyana inxalenye yokhakhayi lwakho ukuze kuncitshiswe uxinzelelo ngaphakathi kwengqondo yakho.
Kunje, khawucinge nje ngengqondo yakho njengebhaluni. Ikhaka libhokisi elivaliweyo elibamba ibhaluni. Ukuba ngesizathu esithile ingqondo iqala ukudumba, oko kukuthi, ukuba ibhaluni iqala ukufutha, akukho ndawo yaneleyo ngaphakathi ebhokisini. Emva koko ibhaluni ingaqhuma ize iqhume. Utyando lweCraniectomy lususa icala elinye laloo bhokisi kwaye luvumela ibhaluni ukuba ifutha ngokukhululekileyo. Oku kunokunciphisa kakhulu umonakalo engqondweni.
Eyona nto ibalulekileyo kukuba iqhekeza lentloko elisusiweyo ngexesha lotyando lingaphinde linamathele kwangoko. Emva kokuba ukudumba kwengqondo kwehlile ngokupheleleyo kwaye uxinzelelo lubuyele kwisiqhelo, kwenziwa olunye utyando ngosuku olwahlukileyo ukuze kufakwe kwakhona iqhekeza lentloko. Olu tyando lwesibini silubiza ngokuba yi-cranioplasty .
Kuxa kutheni apho olu tyando luyimfuneko?
Oogqirha banokugqiba ekubeni benze olu tyando nakweyiphi na imeko apho uxinzelelo olungaphakathi kwengqondo (uxinzelelo lwangaphakathi kwentloko) lunyuka kwaye lubeka ubomi esichengeni. Izizathu eziphambili zezi meko zezi:
| Unobangela | Ingcaciso elula |
|---|---|
| Ukwenzakala Okubi Kakhulu | Ukwenzakala okukhulu entloko ngenxa yengozi, ukuwa, okanye ukuhlaselwa kunokubangela ukuba ingqondo idumbe. |
| Istroke | Ukuvaleka okanye ukuqhekeka komthambo wegazi ohambisa igazi engqondweni kunokubangela ukuba iiseli zengqondo zife kwaye zidumbe. |
| Igazi Eliqhekekileyo Ebuchotsheni | Ihlwili legazi linokufumaneka ngaphakathi kwemithambo yegazi engqondweni, nto leyo ebangela uxinzelelo olongezelelekileyo. |
| I-Hematoma | Ingqondo iqala ukudumba ngenxa yegazi eliqokelelana ngaphakathi ekhakhayini, elijikeleze ingqondo, okanye ngaphakathi kwengqondo. |
Kwenzeka ntoni ngexesha lotyando?
Olu lutyando olungxamisekileyo, ngoko ke akukho xesha lininzi lokulungiselela. Ugqirha kunye neqela lezonyango benza ngokukhawuleza uvavanyo olufunekayo (uvavanyo lwegazi, i-CT scan, i-MRI scan) baze bakuthumelele utyando. Nantsi isikhokelo senyathelo ngenyathelo sokuba kwenzeka ntoni ngexesha lotyando:
1. I-Anesthesia: Okokuqala, uza kufakwa i-anesthesia ngokupheleleyo. Oku kuthetha ukuba uza kube ulele kwaye awuyi kuva ntlungu ngexesha lotyando.
2. Ukulungiselela: Iinwele ezisentlokweni apho kuza kwenziwa khona utyando ziyasuswa, kwaye indawo leyo icocekile kwaye ihlanjululwe ngeentsholongwane.
3. Ukusikwa: Ugqirha uza kusikwa ulusu ukuze kuvele ukhakhayi. Emva koko, izihlunu kunye nezicubu ziya kususwa kwaye ukhakhayi luya kuphakanyiswa.
4. Ukususwa kwentloko: Kusetyenziswa isixhobo esikhethekileyo sezonyango (ukubhoboza), kwenziwa imingxunya eliqela entloko, kunqunyulwe loo mingxunya, kwaye inxalenye efunekayo yentloko isuswa ngononophelo.
5. Unyango: Emva kokususa ukhakhayi, unobangela woxinzelelo engqondweni (umzekelo, ihlwili legazi) uyasuswa okanye kwenziwe unyango olufunekayo.
6. Ukugqiba utyando: Inxalenye evulekileyo yengqondo igqunywe nge-mesh ekhethekileyo. Emva koko ulusu kunye nezicubu ezisusiweyo ngaphambili zibuyiselwa kwindawo yazo yokuqala kwaye ulusu luvalwa ngezititshi okanye izitayile.
Yonke le nkqubo idla ngokuthatha malunga neeyure ezintathu ukuya kwezintlanu, kodwa oku kunokwahluka ngokuxhomekeke kwimeko yesigulana.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kudluliselwa ngqo kwigumbi lokhathalelo olunzulu (ICU) , apho iqela lezonyango liza kujonga imeko yakho iiyure ezingama-24 ngosuku, kuquka izinga lentliziyo yakho, uxinzelelo lwegazi, kunye nokudumba kobuchopho.
Okubaluleke kakhulu, ekubeni inxalenye yolusu lwakho isusiwe, uza kunikwa isigcina-ntloko esikhethekileyo sokukhusela ukuthintela nawuphi na umonakalo engqondweni yakho kuloo nxalenye.Kwanasemva kokuba uphumile esibhedlele, kuya kufuneka unxibe esi sigcina-ntloko de kube utyando lwesibini lwenziwe kwaye ukhakhayi luphinde lunamathele.
Ngelixa usesibhedlele, iqela lezonyango liza kukunika iingcebiso wena nosapho lwakho malunga nendlela yokuphumla intloko yakho iphezulu kunye nendlela yokuzinyamekela.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando olukhulu, i-craniectomy ineenzuzo kunye neengozi zayo.
| Iinzuzo | Iingozi kunye neengxaki |
|---|---|
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| Kufuneka kuqatshelwe: Nangona ezi ngozi zinokwenzeka, olu tyando lwenziwa njengendlela yokugqibela yokusindisa ubomi xa kungekho ndlela zimbi. Iqela lezonyango lenza konke okusemandleni alo ukunciphisa ezi ngozi. | |
Kuthatha ixesha elingakanani ukuphiliswa?
Le yeyona ngxaki inkulu kubantu abaninzi. Ixesha lokuchacha emva kokuhlinzwa kwentloko liyahluka kakhulu kumntu nomntu. Kuxhomekeke kwisizathu sotyando, ubungakanani bomonakalo engqondweni, kunye nempilo yakho iyonke.
- Inxeba lolusu: Lingaphola kwiiveki ezimbalwa.
- Ukuchacha ngokupheleleyo: Nangona kunjalo, kungathatha iinyanga, kwaneminyaka, ukuba uphile ngokupheleleyo.
- Ukuvuselelwa:Abantu abaninzi banokuba nobunzima bokuthetha, ukuhamba, nokwenza imisebenzi yemihla ngemihla, nto leyo edinga unyango oluhlala ixesha elide olufana nonyango lomzimba, unyango lomsebenzi, kunye nonyango lokuthetha.
Olu luhambo olude olufuna umonde omkhulu kunye nenkxaso yosapho. Musa ukulindela iziphumo ezikhawulezileyo.
Ufika nini kugqirha
Emva kokuphuma esibhedlele, kufuneka ulumke kakhulu ukuba kukho naziphi na iimpawu ezilumkisayo ezibonakala.
| Iimpawu ekufuneka uzijonge | |
|---|---|
| Ukuba unale mpawu, yazisa ugqirha wakho ngoko nangoko. | |
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| Ukuba ezi zinto ziyenzeka, fowunela u-1990 ngoko nangoko okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele. | |
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Umyalezo Wokuya Ekhaya
- I-Craniectomy lutyando olusindisa ubomi olwenziwa ukunciphisa uxinzelelo olusongela ubomi ngaphakathi kwengqondo.
- Apha, inxalenye yentloko isuswa okwethutyana ize incamathiselwe kwakhona emva kweenyanga ezimbalwa ngotyando lwe-cranioplasty.
- Kuyimfuneko ukunxiba isigcina-ntloko esikhethekileyo ukukhusela ubuchopho emva kotyando.
- Inkqubo yokuchacha inde kakhulu, ifuna unyango lokubuyisela kwimeko yesiqhelo, umonde, kunye nenkxaso engagungqiyo yosapho.
- Yazisa ugqirha wakho ngoko nangoko malunga nazo naziphi na iimpawu ezingaqhelekanga ezinokubakho emva kotyando.
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