Kuqhelekile ukuba nabani na azive esoyika kwaye exhalabile xa exelelwa ukuba kufuneka enze utyando lwengqondo. Asinguwe wedwa, yimvakalelo eqhelekileyo kuwo wonke umntu. Nangona kunjalo, xa unolwazi olufanelekileyo nolucacileyo ngolu tyando, uloyiko lwakho kunye nokuthandabuza kwakho kunokuncipha kakhulu. Ngoko ke namhlanje, masithethe ngayo yonke into malunga nolu tyando lwengqondo, olubizwa ngokuba yi-`(Craniotomy)` kwezonyango.
Ngamafutshane, yintoni le Craniotomy?
I-craniotomy yinkqubo yotyando apho ugqirha wemithambo-luvo esusa iqhekeza elincinci lethambo ekhayeni lakho okwethutyana ukuze afikelele ebuchotsheni bakho, enze utyando olufunekayo, aze aphinde alincamathisele iqhekeza lethambo elisusiweyo . Olu lutyando olukhulu. Oogqirha badla ngokwenza olu hlobo lotyando kwiimeko ezinzulu ezifana nomhlaza wobuchopho, isifo esisongela ubomi, okanye ukwenzakala entloko ngenxa yengozi enkulu.
Ngoku usenokuba uzibuza ukuba, kukho olunye utyando olufana nolu olubizwa ngokuba yi-craniectomy, yintoni umahluko phakathi kwezi zimbini?
Kwi -craniotomy , iqhekeza lethambo elisusiweyo kwikhakayi liphinda linamathele ngexesha lotyando olufanayo . Nangona kunjalo, kwi -craniectomy , iqhekeza lethambo aliphinde linamathele kwangoko. Oku kungenxa yokuba ukuba kukho ukudumba engqondweni, kufuneka kuvunyelwe ukuba kuphele. Kamva, iqhekeza lethambo liphinda linamathele kutyando olwahlukileyo (`(Cranioplasty)`).
Kutheni kufuneka wenze olu hlobo lotyando?
Zininzi izizathu zokuba kwenziwe i-craniotomy. Ukuba ugqirha wakho ukucebise ngolu hlobo lotyando, kusenokwenzeka ukuba kungenxa yesinye sezi zizathu zilandelayo.
| Isizathu sotyando | Ingcaciso elula |
|---|---|
| Ithumba lobuchopho | Ukususa ukukhula okungaqhelekanga kweeseli engqondweni. |
| Ihlwili legazi | Susa ihlwili legazi ngaphakathi kwengqondo kwaye ubuyisele ukuhamba kwegazi. |
| Iingxaki zemithambo yegazi | Umzekelo, ukulungisa i-aneurysm okanye i-arteriovenous malformation. |
| Ukudumba okanye uxinzelelo engqondweni | Ukuba uxinzelelo olungaphakathi kwengqondo lunyukile, lunciphise. |
| Isifo sokuwa | Kwezinye iimeko ezinzima zesifo sokuwa, ukususa inxalenye yengqondo ebangela esi sifo. |
| Ukuqhekeka kwentloko | Ukubopha kwakhona ukhakhayi xa luqhekekile kwingozi embi kakhulu. |
Uzilungiselela njani ngaphambi kotyando?
Iqela lakho lezonyango licwangcisa yonke into ngononophelo ngaphambi kotyando olukhulu olufana nolu, kwaye nawe kufuneka uxhase loo nto.
Ngaphambi kotyando, kuya kufuneka wenze oku kulandelayo:
- Ukudibana nogqirha: Ugqirha wakho uza kuthetha nawe ngokweenkcukacha malunga notyando, iingozi zalo, kunye neziphumo. Buza nayiphi na imibuzo okanye iinkxalabo onokuba nazo ngeli xesha .
- Iimvavanyo ezininzi: Ukongeza kwiimvavanyo zegazi zokujonga impilo yakho, iimvavanyo zomfanekiso ezifana ne-`(MRI)`, `(CT scan)`, `(PET scan)` nazo zinokuyalelwa ukujonga imeko yengqondo yakho.
- Imiyalelo yangaphambi kotyando:
- Bakuxelela ukuba utye isisu esingenanto ngosuku lotyando.
- Ukuba uthatha amayeza okunciphisa igazi, uza kucelwa ukuba uyeke ukuwathatha kwiintsuku ezimbalwa ngaphambi kotyando.
- Usenokucelwa ukuba uqalise amayeza okubulala iintsholongwane okanye amanye amayeza kwangethuba ukuthintela usulelo.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Oku kubaluleke kakhulu ukuze utyando luphumelele.
Kwenzeka ntoni ngexesha lotyando?
Ngomhla wotyando lwakho, uza kunikwa i-anesthesia (`(Anesthesia)`). Oku kuthetha ukuba uza kube ulele ngokupheleleyo ukuze ungabi nantlungu. Kwigumbi lotyando, intloko nomzimba wakho uza kubekwa kanye njengoko kufuneka, kwaye utyando luza kuqala.
1.Ukulungiselela: Okokuqala, iinwele ezijikeleze indawo yotyando ziyachetywa kwaye indawo leyo icocekile kakuhle ukuze kususwe naziphi na iintsholongwane.
2. Ukusikwa kwesikhumba: Emva koko, ugqirha wenza ukusikwa kwesikhumba.
3. Ukususa ithambo: Okulandelayo, iqhekeza elincinci lethambo lekhakayi liyasikwa kusetyenziswa izixhobo ezikhethekileyo kwaye lisuswe ngononophelo. Eli qhekeza lethambo kuya kufuneka liphinde lincamathiselwe kamva, ukuze libekwe ecaleni ngokukhuselekileyo.
4. Utyando lwengqondo: Ingqondo ngoku ingafumaneka. Ugqirha uza kujongana nengxaki ebangele utyando (umz., ukususa ithumba, ukulungisa umthambo wegazi).
5. Ukudibanisa kwakhona: Emva kokuba utyando lwengqondo lugqityiwe, ithambo lesikhumba elisusiweyo libuyiselwa ndawonye njengephazili, liqiniswe ngeepleyiti ezincinci kunye nezikrufu. Emva koko, ulusu luthungwa kwakhona.
Lonke utyando ludla ngokuthatha malunga neeyure ezi-3-5, kodwa lungathatha ixesha elide kuxhomekeke kwinto eyenziwayo.
Ngaba ngamanye amaxesha uyalwenza olu tyando xa uvukile?
Ewe, kunjalo. Kwezinye iimeko ezikhethekileyo, olu tyando kufuneka lwenziwe ngelixa uvukile. Lubizwa ngokuba yi-"Awake Craniotomy." Khawuthelekelele, ukuba indawo ekufuneka utyandwe kuyo ikufutshane nenxalenye yengqondo yakho elawula intetho, umbono, okanye intshukumo, ugqirha ufuna ukubona ukuba loo misebenzi iyenzeka na ngexesha lotyando. Kodwa ungakhathazeki, awuyi kuva ntlungu . Kuba ingqondo ayiva ntlungu, kwaye ukhakhayi lwakho kunye nolusu lwakho zixinene. Ugqirha uya kukucela ukuba uthethe, uchonge umfanekiso, okanye ushukumise isandla sakho, ukuze akwazi ukwenza utyando kwindawo efanelekileyo.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kungeniswa kwigumbi lonyango olunzima (ICU). Apho, imeko yakho (ukuphefumla, ukubetha kwentliziyo, uxinzelelo lwegazi) iza kuhlolwa rhoqo liqela lezonyango. Xa imeko yakho izinzile, uza kudluliselwa kwigumbi eliqhelekileyo.
- Ukuhlala esibhedlele: Ngokwesiqhelo, kuya kufuneka uhlale esibhedlele kangangeveki.
- Ukuphumla: Kubalulekile ukuphumla ebhedini intloko yakho iphakanyisiwe kancinci ngeli xesha.
- Ukuchacha ekhaya: Emva kokuba ubuyele ekhaya, ukuphumla yeyona nto ibalulekileyo . Ngokuqhelekileyo kuthatha malunga neeveki ezi-6-8 ukuze uphile ngokupheleleyo. Ngokuqinisekileyo kufuneka ubuze ugqirha wakho ngaphambi kokuba uye emsebenzini okanye wenze nawuphi na umsebenzi onzima.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?
Njengakwezinye iintlobo zotyando olukhulu, kukho iingozi kunye neengxaki ezinokwenzeka nge-craniotomy. Nangona kunjalo, ngeendlela zonyango zanamhlanje, ezi azixhaphakanga. Iqela lotyando lenza konke okusemandleni alo ukuthintela oku.
Iingozi ezinokubakho zingabandakanya:
- Ukopha (`(Ukopha)`)
- Intlungu
- Usulelo (`(Usulelo)`)
- Isimo se-epilepticus (`(Ukuxhuzula)`)
- Istroke
- Intloko ebuhlungu
Nangona iziphumo ebezingalindelekanga ezihlala ixesha elide ezifana nobunzima bokuhamba, ubunzima bokuthetha, okanye utshintsho kwindlela yokuziphatha zinokwenzeka, ezi aziqhelekanga. Ugqirha wakho uza kukuchazela ezi ngozi kwangaphambili.
Udinga nini ukubona ugqirha?
Wakuba ubuyele ekhaya, nyamekela impilo yakho kakuhle. Kubalulekile ukuxela naziphi na iingxaki ngokukhawuleza.
| Iimeko ezifuna ingqwalasela ekhawulezileyo | |
|---|---|
| Thetha nogqirha wakho: |
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| Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko: |
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Ekugqibeleni, i-craniotomy lutyando olubaluleke kakhulu olunokunyanga iimeko ezinzulu kwaye lusindise ubomi. Uninzi lwabantu luyaphola ngokupheleleyo kwaye luphile ubomi obuqhelekileyo emva kotyando. Eyona nto ibalulekileyo kukuthemba iqela lakho lezonyango, ulandele imiyalelo yabo, kwaye ubazise ukuba unenkxalabo.
Umyalezo Wokuya Ekhaya
- I-craniotomy lutyando olukhulu apho inxalenye yethambo lekhakayi isuswa okwethutyana ize incamathiselwe kwakhona ukuze ifikelele ebuchotsheni.
- Oku kwenzelwa ukunyanga izifo ezinzulu ezifana neethumba zobuchopho, amahlwili egazi, kunye neengozi.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngononophelo ngaphambi kotyando nokubuza nayiphi na imibuzo onokuba nayo.
- Ukuphumla kubalulekile ukuze umntu aphile ngokupheleleyo emva kotyando, nto leyo edla ngokuthatha malunga neeveki ezi-6-8.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (intlungu eqatha, umkhuhlane, ukuqina komzimba) ngexesha lokuchacha kwakho, funa ingcebiso kagqirha ngoko nangoko.
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