Cabanga ukuthi othandekayo wakho ube nengozi noma isifo sohlangothi futhi walimala kakhulu ekhanda. Ngezinye izikhathi odokotela bathi, "Ingcindezi ebuchosheni iphezulu kakhulu, ngakho-ke kufanele basuse ucezu lwekhanda ukuze ubuchopho bungene." Ukuzwa into efana nale kwenza wonke umuntu esabe kakhulu futhi ashaqeke, akunjalo? Yilokho esikubiza ngokuthi i-craniectomy kwezokwelapha. Nakuba lokhu kuwukuhlinzwa okukhulu, kuyinto ebaluleke kakhulu okufanele yenziwe ukuze usindise impilo. Ngakho ungesabi, ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Kuyini ngempela i-craniectomy?
Kalula nje, i-craniectomy inqubo yokuhlinzwa lapho udokotela ohlinzayo esusa khona ingxenye yogebhezi lwakho okwesikhashana ukuze afinyelele ebuchosheni bakho. Into ebalulekile okufanele uyiqaphele lapha ukuthi ingxenye yogebhezi esusiwe ayixhunywanga ngesikhathi sokuhlinzwa.
Cabanga ukuthi ubuchopho bethu bungaphakathi kwekhanda elifana nebhokisi eliqinile. Uma kwenzeka into efana nokuvuvukala noma ukuphuma kwegazi ebuchosheni, ingcindezi engaphakathi kwalelo bhokisi iyanda kakhulu. Lokhu kucindezela okwandisiwe kungabangela umonakalo omkhulu ebuchosheni, noma kube yingozi empilweni. Ukuhlinzwa kwe-craniectomy kuhilela ukususa ingxenye yekhanda ukuze kuvuleke indawo yobuchopho obuvuvukile. Lokhu kunganciphisa umonakalo ebuchosheni.
Kamuva, lapho ukuvuvukala ebuchosheni sekuphelile, ingxenye yogebhezi esusiwe ihlanganiswa kabusha ekuhlinzeni okuhlukile (esikubiza ngokuthi i-cranioplasty ) ngalolo suku.
Yiziphi izizathu eziyinhloko zokwenza lolu hlobo lokuhlinzwa?
Lolu hlobo lokuhlinzwa luvame ukwenziwa esimweni esiphuthumayo. Noma yisiphi isimo esibangela ukwanda okuyingozi komfutho wegazi ongaphakathi kwekhanda singabangela lokhu.
| Isizathu | Incazelo elula |
|---|---|
| Ukulimala Okukhulu Okubuhlungu | Ukuvuvukala kobuchopho ngenxa yokulimala okukhulu ekhanda, njengengozi yemoto noma ukuwa. |
| Isifo sohlangothi | Ubuchopho buyalimala futhi buvuvukale lapho umthambo wegazi ohambisa igazi ebuchosheni uqhuma noma uvaleka. |
| Igazi Eligobile Ebuchosheni | Ukwanda kwengcindezi ngenxa yokuqhekeka kwegazi ebuchosheni. |
| I-Hematoma | Ukuqongelela kwegazi ebuchosheni noma emaqakaleni amboze ubuchopho. |
Kwenziwa kanjani ukuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okuphuthumayo, isiguli asinaso isikhathi esiningi sokukulungiselela. Odokotela benza ngokushesha izivivinyo ezidingekayo bese bethumela isiguli ukuze sihlinzwe.
- I-Anesthesia: Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokunikeza imithi yokubulala izinhlungu ukuze aqede ubuhlungu bakho. Ezimweni eziningi, isiguli sizolaliswa.
- Ukulungiselela: Izinwele engxenyeni yekhanda lapho kuzokwenziwa khona ukuhlinzwa ziyasuswa bese indawo ihlanzwa kahle.
- Ukwenza i-incision: Udokotela ohlinzayo wenza i-incision esikhumbeni, esunduza imisipha eceleni, futhi eveza ugebhezi.
- Ukususwa kwekhanda: Okulandelayo, kusetshenziswa umshini omkhulu okhethekile (ukubhoboza) ukwenza imigodi eminingana ekhanda, bese kususwa ingxenye yekhanda ngokucophelela ngokusika kuleyo migodi.
- Ukwelashwa: Ngemva kokususa ugebhezi, imbangela yokucindezeleka ebuchosheni (isib. ukususa ihlule legazi) iyelashwa.
- Ukuvalwa kwesikhashana: Ingxenye evulekile yogebhezi imbozwe nge-mesh ekhethekile.
- Ukuvalwa kwesikhumba: Okulandelayo, isikhumba nemisipha esusiwe kuyabuyiselwa, bese isikhumba sivalwa kusetshenziswa izithungo noma izinti.
Ngokuvamile, lokhu kuhlinzwa kungathatha amahora amathathu kuya kwamahlanu , kodwa isikhathi singahluka kuye ngembangela.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, isiguli singeniswa egunjini lokunakekelwa okujulile (i-ICU) , lapho ithimba lezokwelapha lihlala liqapha isimo sesiguli kanye nanoma yiziphi izimpawu zokopha noma ukuvuvukala ebuchosheni.
Into ebaluleke kakhulu ukuthi njengoba ingxenye yogebhezi isisusiwe, kuzodingeka ugqoke isigqoko esikhethekile sokuvikela ukuvimbela noma yimuphi umonakalo ebuchosheni. Lokhu kuyinto okumele uyenze.
Isiqeshana sekhanda esisusiwe sigcinwa ngokuphephile ukuze kwenziwe ukuhlinzwa kwe-cranioplasty esikhathini esizayo. Ngezinye izikhathi kungasetshenziswa ipuleti lensimbi noma i-prosthesis esikhundleni salokho. Kubaluleke kakhulu ukuphumula ikhanda lakho liqonde ngenkathi usesibhedlela.
Yiziphi izingozi kanye nezinkinga ezingaba khona?
Njengoba lokhu kuyindlela enkulu yokuhlinzwa esindisa impilo, kunezingozi ezithile nezinkinga ezingase zenzeke. Kodwa-ke, odokotela benza konke okusemandleni abo ukunciphisa lezi zingozi.
| Ingozi/Inkinga | Incazelo |
|---|---|
| Ukopha | Ukopha ebuchosheni ngesikhathi noma ngemva kokuhlinzwa. |
| Ukutheleleka | Inxeba lokuhlinzwa noma ukutheleleka kobuchopho. |
| Ukuquleka | Izimo ezifana nokuquleka ngenxa yemiphumela ebuchosheni. |
| Ukulimala Kobuchopho | Ukusebenza kobuchopho kuthintwa yisimo noma ukuhlinzwa okukhona. |
| Ukukhubazeka | Ukulahlekelwa yizitho zomzimba. |
| Izinguquko ekuziphatheni noma emizweni | Izinguquko ekukhumbuleni, entukuthelweni, ebuntwini, njll. |
Ngemva kokuhlinzwa, kunobungozi obukhulu bokulahlekelwa yibhalansi nokuwa, ngakho-ke kubalulekile ukugwema imisebenzi efana nokuhamba wedwa uze ululame ngokuphelele.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lona umbuzo abantu abaningi abawubuzayo. Isikhathi sokululama sincike esizathwini sokuhlinzwa kanye nempilo yesiguli iyonke. Ukuphuka kwekhanda kungathatha inyanga noma ezimbili ukuphola. Kodwa-ke, ukululama okuphelele kuyenzeka.Uhambo olude oluthatha izinyanga, mhlawumbe iminyaka.
Ukwelashwa kokuvuselelwa kubalulekile phakathi nalolu hambo. Ukwelashwa kokukhuluma kanye ne-physiotherapy kukusiza ukuthi ubuyele empilweni evamile. Futhi, ukuhlinzwa kwe-cranioplasty kudinga isikhathi sokululama.
Kufanele umshayele nini udokotela ucingo?
Ngemva kokubuya ekhaya esibhedlela, kubaluleke kakhulu ukuqaphela lezi zimpawu.
| Uma unalezi zimpawu, tshela udokotela wakho: | |
| - Imfiva | - Ikhanda elibuhlungu kakhulu |
| - Ubuhlungu obukhulu noma ukuvuvukala endaweni yokuhlinzwa | - Izinguquko ekuqondeni, ekuziphatheni, noma emizweni |
| Lezi yizimo eziphuthumayo! Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha! | |
| - Uma kwenzeka ukuxhuzula | - Uma unenkinga yokuphefumula |
| - Uma ubonisa izimpawu zesifo sohlangothi (isib., ukugoba kolunye uhlangothi lobuso, ubunzima bokukhuluma, ukulahlekelwa umuzwa wengalo) | |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-craniectomy kuyindlela ebaluleke kakhulu, enkulu yokuhlinzwa eyenziwa ukunciphisa ingcindezi ebuchosheni nokusindisa impilo.
- Lokhu kuvame ukwenziwa ngemva kokulimala ekhanda noma isifo sohlangothi ngokuzumayo.
- Ngemva kokuhlinzwa, kuyimpoqo ukugqoka isigqoko esikhethekile sokuvikela ubuchopho kuze kube yilapho ugebhezi luphinde lunamathele (cranioplasty).
- Ukululama kuwuhambo olude, futhi kudinga isineke, ukuphumula okufanele, kanye nokuvuselelwa.
- Landela imiyalelo yethimba lakho lezokwelapha kahle. Ungangabazi ukukhuluma nabo nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
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