Xa sisiva igama elithi utyando lobuchopho, wonke umntu uba novalo kancinci, akunjalo? Kubonakala ngathi yinto enzulu kakhulu kuthi. Yinyani leyo, ayingomcimbi ulula. Kodwa ngamanye amaxesha olu hlobo lotyando luyimfuneko ukusindisa ubomi bomntu. I-craniotomy lutyando olukhethekileyo nolusindisa ubomi . Namhlanje, masisuse uloyiko malunga noku size sithethe ngento eyiyo ngokwenene, isizathu sokuba kwenziwe, nendlela okwenzeka ngayo.
Ngokufutshane, yintoni i-craniotomy?
Ngamafutshane, oku kwenzeka xa ugqirha wemithambo-luvo esusa iqhekeza lethambo lekhanda lakho okwethutyana ukuze afikelele engqondweni yakho. Kufana nokuvula ucango, ungene, wenze nantoni na ekufuneka uyenze, uze uvale ucango kwakhona. Nje ukuba utyando lugqityiwe, iqhekeza lekhanda elisusiweyo libuyiselwa endaweni yalo.
Olu lutyando olukhulu. Oogqirha badla ngokusebenzisa olu tyando kwiimeko ezisongela ubomi, ezifana nomhlaza wobuchopho, ukopha kwegazi ebuchotsheni, okanye ukwenzakala entloko ngenxa yengozi enkulu.
Yintoni umahluko phakathi kweCraniotomy kunye neCraniectomy?
Nangona la magama mabini esenokuvakala efana, kukho umahluko omncinci kodwa obaluleke kakhulu phakathi kwezi tyando zimbini.
Khawuthelekelele ukuba xa kusenziwa i-craniotomy , ithambo elisusiweyo ekhayeni liphinda linamathele ngexesha lotyando olufanayo. Kodwa xa kusenziwa i-craniectomy , ithambo elisusiweyo aliphinde linamathele kwangoko. Ukuba kukho ukudumba engqondweni, i-khayeni lishiywa livulekile de ukudumba kwehle, kwaye emva koko indawo ivalwe ngolunye utyando olubizwa ngokuba yi-cranioplasty kamva. Nguwo lowo umahluko ophambili.
Ngaba kukho iintlobo ezahlukeneyo zotyando lwe-craniotomy?
Ewe, kukho iintlobo ezahlukeneyo zolu tyando, kuxhomekeke ekubeni luvuleke phi ukhakhayi ukuze lufikelele kwingxaki esebuchotsheni. Nangona la magama esenokubonakala engaqhelekanga, abhekisa kwindawo yokhakhayi echaphazelekayo.
| Uhlobo lotyando | Indawo yokuvula kwiKhakhayi |
|---|---|
| Ngaphambili | Ngaphambili kwentloko, kufutshane nebunzi (apho iinwele ziqala khona) |
| Okwexeshana | Icala lekhakayi, phambi kweendlebe, kufutshane namehlo |
| I-Parietal | Ngaphezulu naphakathi kwentloko. |
| I-Pterional (i-terional) | Emva kwengcwaba, icala lekhakayi |
| I-Retrosigmoid | Ukusika okuncinci okwenziwe ngasemva kwendlebe |
| I-Suboccipital | Ngaphezulu kwentamo, kwicandelo elisezantsi lomqolo wekhakayi |
Ziziphi iintlobo zeemeko ezinyangwa nge-craniotomy?
Kukho izizathu ezahlukeneyo zokuba olu tyando lunokwenziwa, zonke eziquka iingxaki zobuchopho ezinzulu.
| Imeko | Ingcaciso elula |
|---|---|
| Ithumba lobuchopho | Ukususa iqhuma leeseli ezingaqhelekanga ezikhula engqondweni. |
| Ihlwili legazi | Ukunciphisa uxinzelelo olubangelwa kukuqhekeka kwegazi engqondweni. |
| I-Aneurysm | Ukudumba okufana nebhaluni komthambo wegazi engqondweni ukuthintela ukuba ungadubuli. |
| Ukungasebenzi kakuhle kwe-AV | Ukulungisa imeko apho imithambo yegazi kunye nemithambo yegazi engqondweni zibambeke ngendlela engaqhelekanga. |
| Ukudumba/uxinzelelo lobuchopho | Ukunciphisa uxinzelelo olubangelwa kukudumba kwengqondo ngenxa yengozi okanye esinye isizathu. |
| Isifo sokuwa | Ukususa inxalenye yengqondo ebangela ukuxhuzula okungenakulawuleka ngamayeza. |
| Ukuqhekeka kwentloko | Ukubopha kwakhona ukhakhayi xa luqhekekile kwingozi embi kakhulu. |
Ndingazilungiselela njani ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho uza kukuxilonga ngononophelo aze acebe utyando ngononophelo. Ukuze enze oku, kuya kufuneka enze uvavanyo oluninzi.
- Uvavanyo lomzimba
- Uvavanyo lwegazi
- Iiskeni ezikhethekileyo ezifana ne -MRI , i-CT scan , i-PET scan okanye i-Angiography
Emva kwezi mvavanyo, ugqirha wakho uza kuchaza ngokucacileyo utyando, iziphumo ebezingalindelekanga ezinokubakho, ixesha lokuchacha, aze akunike imiyalelo yento omawuyenze ngaphambi kotyando.
- Kuya kufuneka ulambe ngomhla wotyando.
- Ukuba uthatha amayeza okunciphisa igazi , uza kucelwa ukuba uyeke ukuwathatha kwiintsuku ezimbalwa ngaphambi kotyando.
- Usenokucelwa ukuba uqalise amayeza, anjengee-antibiotics, kwangethuba ukuze uthintele usulelo.
Eli xesha libaluleke kakhulu. Ungoyiki ukubuza ugqirha nayiphi na imibuzo onayo, nokuba incinci kangakanani na. Kuya kuba luncedo kakhulu ukuva nokwazi yonke into oyicingayo, njengokuthi "Kuza kwenzeka ntoni emva koku?", "Ngaba kuya kuba buhlungu?", "Ndiza kukwazi nini ukuya ekhaya?"
Kwenzeka ntoni ngokwenene ngexesha lotyando?
Ngomhla wotyando, uza kuqala uhlinzwe i-anesthesia. Oku kuthetha ukuba uza kunikwa amayeza ukuze ungabi nantlungu. Uza kube ulele kulo lonke utyando.
Emva koko, kwigumbi lotyando, iqela lotyando libeka intloko yakho kwindawo efanelekileyo. Indawo apho utyando luza kwenziwa khona iyachetywa kwaye icocwe kakuhle ukuze kususwe naziphi na iintsholongwane. Emva koko, ugqirha wenza umngxuma omncinci eluswini aze afikelele ekhakhayini.
Ngoku, kusetyenziswa izixhobo zonyango ezikhethekileyo, iqhekeza lethambo lentloko elinobukhulu obufanelekileyo liyasuswa ngononophelo. Eli qhekeza lisusiweyo ligcinwa ecaleni, ukuze liphinde lincamathiselwe xa utyando lugqityiwe.
Emva koko kuza into ephambili. Wakufika engqondweni, wenza into eyayisisizathu sotyando (njengokususa ithumba, ukususa ihlwili legazi, ukunqumla i-aneurysm).
Wakuba umsebenzi ugqityiwe, isiqwenga sentloko esisusiweyo siphinda sinamathele kwindawo yaso yokuqala ngeepleyiti ezincinci zetitanium kunye nezikrufu, kwaye ulusu luthungwa ngononophelo.
Ngaba yinyani ukuba ngamanye amaxesha olu tyando lwenziwa xa uvukile?
Ewe, yinyani leyo. Kwezinye iimeko ezikhethekileyo, oogqirha banokufuna ukubona indlela esebenza ngayo ingqondo yakho. Ingakumbi ukuba wenza utyando kwiindawo ezilawula intetho, umbono, okanye intshukumo, ungagcinwa uphaphile. Kodwa ungakhathazeki, yintloko yakho kuphela engavakaliyo ngelo xesha. Awuyi kuva ntlungu.
Ngokwesiqhelo, utyando olunje lunokuthatha malunga neeyure ezi-3-5 , kodwa ixesha linokwahluka ngokuxhomekeke kubunzima bento eyenziwayo.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kuthathwa usiwe kwigumbi lonyango oluphezulu (ICU) . Apho, iqela lezonyango liza kuqhubeka nokujonga imeko yakho ngokusondeleyo. Baza kunikela ingqalelo kuyo yonke into ukususela kwisantya sentliziyo yakho, uxinzelelo lwegazi, kunye nokuphefumla.
Kwiintsuku ezimbalwa, uza kudluliselwa kwigumbi eliqhelekileyo kwaye uza kuhlala esibhedlele kangangeveki. Ngeli xesha, into ephambili ekufuneka uyenze kukuphumla ebhedini intloko yakho iphakanyisiwe kancinci. Xa ubuyela ekhaya, uza kunikwa uthotho lwemiyalelo malunga nokuba wenze ntoni na kwaye uzinyamekele njani.
Njengazo zonke iintlobo zotyando, ngaba kukho iingozi ngale nto?
Ewe, njengalo naluphi na utyando, kukho iingozi ezithile. Kodwa oogqirha bazama konke okusemandleni abo ukunciphisa ezi. Iingozi ezinokubakho zezi:
- Ukopha
- Intlungu
- Usulelo
- Ukuxhuzula
- Istroke
- Ukuqokelelwa kolwelo engqondweni (iHydrocephalus)
- I-Coma
Ugqirha wakho uza kuxoxa nawe ngokucacileyo ngazo zonke ezi ngozi ngaphambi kotyando.
Kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?
Ngokwesiqhelo kuthatha malunga neeveki ezi-6 ukuya kwezi-8 ukuze uphile ngokupheleleyo. Nangona kunjalo, oku kunokwahluka kumntu ngamnye kwaye kuxhomekeke kuhlobo lotyando. Kungcono ungenzi naluphi na uhlobo lomsebenzi onzima okanye umthambo de ugqirha wakho akuxelele ukuba wenze njalo. Baza kukuxelela ukuba ungabuyela nini esikolweni nasemsebenzini. Ukuphumla yeyona nto ibalulekileyo ngeli xesha.
Ndingaphila ubomi obuqhelekileyo emva kotyando?
Lo ngumbuzo abantu abaninzi abanawo. Impendulo ithi, ewe! Uninzi lwabantu luyaphila ngokupheleleyo emva kolu tyando kwaye baqhubeka nobomi babo ngokwesiqhelo ngaphandle kwemiphumo emibi. Ngoko ke ungakhathazeki.
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza!
Wakufika ekhaya, kukho izinto ezimbalwa ekufuneka uzazi. Ukuba unayo nayiphi na kwezi mpawu zingezantsi, funa ingcebiso kagqirha ngokukhawuleza.
| Thetha nogqirha wakho: | |
|---|---|
| - Ukuba inxeba lotyando alipholi kakuhle. | |
| - Ukuba kukho intlungu okanye ukudumba okukhulu okujikeleze inxeba. | |
| - Ukuba ufumana umkhuhlane. | |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ngoko nangoko: | |
| - Ukuba ufumana iimpawu zestroke (ukugoba kwelinye icala lobuso, ukungaziva mnandi engalweni, ubunzima bokuthetha). | |
| - Ukuba unengxaki yokuphefumla. | |
| - Ukuba kukho ukuxhuzula. | |
Umyalezo Wokuya Ekhaya
- I-craniotomy lutyando lobuchopho olunzima, kodwa oluhlala lusindisa ubomi.
- Kule meko, iqhekeza lethambo elisusiweyo ekhayeni lidla ngokuncamathiselwa kwakhona ngexesha lotyando olufanayo.
- Kuthatha ixesha ukuchacha ngokupheleleyo. Ukuphumla kubalulekile ngeli xesha.
- Zive ukhululekile ukuthetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
- Abantu abaninzi bayachacha ngokupheleleyo emva kolu tyando baze baphile ubomi obuqhelekileyo nobupheleleyo.
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