Uma sizwa igama elithi ukuhlinzwa kobuchopho, wonke umuntu uyathuka kancane, akunjalo? Kubonakala sengathi kuyinto engathi sína kakhulu kithi. Yiqiniso, akuyona indaba encane. Kodwa ngezinye izikhathi ukuhlinzwa okunjalo kuyadingeka ukuze kusindiswe impilo yomunye umuntu. I-craniotomy iyindlela ekhethekile yokusindisa impilo . Namuhla, ake sisuse ukwesaba ngalokhu futhi sixoxe ngokuthi kuyini ngempela, ukuthi kwenziwa kanjani, nokuthi kwenzeka kanjani.
Kalula nje, kuyini i-craniotomy?
Kalula nje, lokhu kwenzeka lapho udokotela wezinzwa esusa ingcezu yethambo lekhanda lakho okwesikhashana ukuze afinyelele ebuchosheni bakho. Kufana nokuvula umnyango, ukungena, ukwenza noma yini okudingeka uyenze, bese uvala umnyango futhi. Uma ukuhlinzwa sekuqediwe, ingcezu yekhanda esusiwe iyabuyiselwa endaweni yayo.
Lokhu kuwukuhlinzwa okukhulu. Odokotela bavame ukusebenzisa lokhu kuhlinzwa ezimweni ezisongela ukuphila, njengomdlavuza wobuchopho, ukopha ebuchosheni, noma ukulimala ekhanda ngenxa yengozi enkulu.
Uyini umehluko phakathi kwe-Craniotomy ne-Craniectomy?
Nakuba la magama amabili engase azwakale efana, kunomehluko omncane kodwa obaluleke kakhulu phakathi kwalokhu kuhlinzwa okubili.
Cabanga ukuthi ekuhlinzweni kwe-craniotomy , ingxenye yethambo ekhishwe ekhanda ixhunywa kabusha ngesikhathi sokuhlinzwa okufanayo. Kodwa ekuhlinzweni kwe-craniotomy , ingxenye yethambo esusiwe ayixhunywa kabusha ngokushesha. Uma kukhona ukuvuvukala ebuchosheni, ukhakhayi lushiywa luvulekile kuze kube yilapho ukuvuvukala kwehle, bese isikhala sivalwa ngolunye ukuhlinzwa olubizwa ngokuthi i-cranioplasty ngosuku olulandelayo. Yilowo umehluko omkhulu.
Ingabe kunezinhlobo ezahlukene zokuhlinzwa kwe-craniotomy?
Yebo, kunezinhlobo eziningana zalokhu kuhlinzwa, kuye ngokuthi ugebhezi luvuleke kuphi ukuze kufinyelelwe inkinga ebuchosheni. Nakuba la magama engase abonakale engavamile, abhekisela endaweni yogebhezi ehilelekile.
| Uhlobo lokuhlinzwa | Indawo Yokuvula Ekhanda |
|---|---|
| Ngaphambili | Ngaphambili kwekhanda, eduze nebunzi (lapho izinwele ziqala khona) |
| Okwesikhashana | Uhlangothi lwekhanda, phambi kwezindlebe, eduze kwamehlo |
| I-Parietal | Phezulu kanye naphakathi kwekhanda. |
| Okwesithathu (kwesithathu) | Ngemuva kwengcwaba, uhlangothi lwekhanda |
| I-Retrosigmoid | Ukusikwa okuncane okwenziwe ngemuva kwendlebe |
| I-Suboccipital | Ngaphezulu kwentamo, engxenyeni ephansi kakhulu yangemuva kwekhanda |
Yiziphi izinhlobo zezimo eziphathwa nge-craniotomy?
Kunezizathu eziningana zokuthi kungani lokhu kuhlinzwa kungenzeka, zonke ezihilela izimo zobuchopho ezingathi sína.
| Isimo | Incazelo Elula |
|---|---|
| Isimila sobuchopho | Ukususa iqhubu lamangqamuzana angajwayelekile akhula ebuchosheni. |
| Ihluli | Ukunciphisa ingcindezi ebangelwa ukuqhekeka kwegazi ebuchosheni. |
| I-Aneurysm | Ukuvuvukala komthambo wegazi ebuchosheni okufana nebhaluni ukuze kuvinjelwe ukuthi ungaqhumi. |
| Ukukhubazeka kwe-AV | Ukulungisa isimo lapho imithambo yegazi kanye nemithambo yegazi ebuchosheni kubambeke khona ngendlela engavamile. |
| Ukuvuvukala/ukucindezeleka kobuchopho | Ukunciphisa ingcindezi ebangelwa ukuvuvukala ebuchosheni ngenxa yengozi noma esinye isizathu. |
| Isifo Sokuxhuzula | Ukususa ingxenye yobuchopho ebangela ukuxhuzula okubangelwa yisifo sokuwa okungenakulawuleka ngemithi. |
| Ukuphuka kogebhezi | Ukubopha ugebhezi kabusha uma luphukile engozini enkulu. |
Kufanele ngilungiselele kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho uzokuxilonga ngokucophelela futhi ahlele ukuhlinzwa ngokucophelela. Ukuze enze lokhu, kuzodingeka enze izivivinyo eziningana.
- Ukuhlolwa komzimba
- Ukuhlolwa kwegazi
- Ukuskena okukhethekile njenge -MRI , i-CT scan , i-PET scan noma i-Angiography
Ngemva kwalezi zivivinyo, udokotela wakho uzochaza ngokucacile ukuhlinzwa, imiphumela emibi engaba khona, isikhathi sokululama, futhi akunike imiyalelo yokuthi yini okufanele uyenze ngaphambi kokuhlinzwa.
- Kufanele ulambe ngosuku lokuhlinzwa.
- Uma uthatha imithi yokunciphisa igazi , uzocelwa ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Ungase ucelwe ukuthi uqale imithi, njengemithi elwa namagciwane, kusenesikhathi ukuze uvimbele ukutheleleka.
Lesi sikhathi sibaluleke kakhulu. Ungesabi ukubuza udokotela noma yimiphi imibuzo onayo, kungakhathaliseki ukuthi mincane kangakanani. Kuzoba impumuzo enkulu ukuzwa nokwazi konke okucabangayo, njengokuthi "Kuzokwenzekani ngemva kwalokhu?", "Ingabe kuzobuhlungu?", "Ngizokwazi nini ukuya ekhaya?"
Kwenzekani ngempela ngesikhathi sokuhlinzwa?
Ngosuku lokuhlinzwa, uzoqale uhlinzwe nge-anesthesia. Lokhu kusho ukuthi uzonikezwa umuthi ukuze ungezwa ubuhlungu. Uzolala phakathi nokuhlinzwa.
Bese kuthi, egumbini lokuhlinza, ithimba lokuhlinzwa libeke ikhanda lakho endaweni efanele. Indawo lapho kuzohlinzwa khona iyagundwa futhi ihlanzwe kahle ukuze kususwe noma yimaphi amagciwane. Okulandelayo, udokotela wenza ukusika okuncane esikhumbeni bese efika ekhanda.
Manje, kusetshenziswa imishini ekhethekile yezokwelapha, ingcezu yethambo lekhanda elinobukhulu obufanele isuswa ngokucophelela. Le ngcezu esusiwe igcinwa eceleni, ukuze ixhunywe kabusha lapho ukuhlinzwa sekuqediwe.
Bese kuba yinto eyinhloko. Uma usufikile ebuchosheni, wenza lokho okwakuyimbangela yokuhlinzwa (njengokususa isimila, ukususa ihlule legazi, ukusika i-aneurysm).
Uma umsebenzi usuqediwe, ucezu lwekhanda olususiwe luphinde luxhunywe endaweni yalo yokuqala ngamapuleti amancane e-titanium nezikulufo, bese isikhumba sithungwa ndawonye ngokucophelela.
Kuyiqiniso yini ukuthi ngezinye izikhathi lokhu kuhlinzwa kwenziwa uvukile?
Yebo, lokho kuyiqiniso. Kwezinye izimo ezikhethekile, odokotela bangase bafune ukubona ukuthi ubuchopho bakho busebenza kanjani. Ikakhulukazi uma uhlinzwa ezindaweni ezilawula inkulumo, umbono, noma ukunyakaza, ungase uhlale uphapheme. Kodwa ungakhathazeki, ikhanda lakho kuphela eliba ndikindiki ngaleso sikhathi. Ngeke uzwe ubuhlungu.
Ngokuvamile, ukuhlinzwa okunje kungathatha cishe amahora angu-3-5 , kodwa isikhathi singahluka kuye ngokuthi lokho okwenziwayo kunzima kangakanani.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoyiswa egunjini lokunakekelwa okujulile (ICU) . Lapho, ithimba lezokwelapha lizoqhubeka nokuqapha isimo sakho eduze. Bazonaka konke kusukela ekushayeni kwenhliziyo yakho, umfutho wegazi kanye nokuphefumula.
Ezinsukwini ezimbalwa ezizayo, uzodluliselwa ewadini evamile futhi uzohlala esibhedlela cishe isonto. Phakathi nalesi sikhathi, into eyinhloko okufanele uyenze ukuphumula embhedeni ikhanda lakho liphakanyisiwe kancane. Uma usubuyela ekhaya, uzonikezwa uchungechunge lwemiyalelo yokuthi yini okufanele uyenze nokuthi uzinakekele kanjani.
Njengazo zonke izinhlobo zokuhlinzwa, ingabe zikhona izingozi ngalokhu?
Yebo, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Kodwa odokotela bazama konke okusemandleni abo ukunciphisa lezi. Izingozi ezingaba khona yilezi:
- Ukopha
- Ubuhlungu
- Ukutheleleka
- Ukuquleka
- Isifo sohlangothi
- Ukunqwabelana koketshezi ebuchosheni (i-Hydrocephalus)
- I-Coma
Udokotela wakho uzoxoxa nawe ngazo zonke lezi zingozi ngaphambi kokuhlinzwa.
Kuthatha isikhathi esingakanani ukululama ngokuphelele?
Ngokuvamile kuthatha amasonto ayisithupha kuya kwayisishiyagalombili ukululama ngokuphelele. Kodwa-ke, lokhu kungahluka kumuntu nomuntu futhi kuye ngohlobo lokuhlinzwa. Kungcono ukungenzi noma yimuphi umsebenzi onzima noma ukuzivocavoca kuze kube yilapho udokotela wakho ekuyala. Bazokutshela ukuthi ungabuyela nini esikoleni nasemsebenzini. Ukuphumula kuyinto ebaluleke kakhulu ngalesi sikhathi.
Ngingaphila impilo ejwayelekile ngemva kokuhlinzwa?
Lona umbuzo abantu abaningi abanawo. Impendulo ithi, yebo! Iningi labantu liyalulama ngokuphelele ngemva kwalokhu kuhlinzwa futhi liqhubeka nokuphila kwalo ngendlela evamile ngaphandle kwemiphumela emibi. Ngakho ungakhathazeki.
Uma unalezi zimpawu, xhumana nodokotela ngokushesha!
Uma usufikile ekhaya, kunezinto ezimbalwa okufanele uziqaphele. Uma unezinye zezimpawu ezingezansi, funa iseluleko sezokwelapha ngokushesha.
| Khuluma nodokotela wakho: | |
|---|---|
| - Uma inxeba lokuhlinzwa lingapholi kahle. | |
| - Uma kukhona ubuhlungu obukhulu noma ukuvuvukala okuzungeze isilonda. | |
| - Uma uthola umkhuhlane. | |
| Yiya e-Emergency Treatment Unit (ETU) ngokushesha: | |
| - Uma uzwa izimpawu zesifo sohlangothi (ukugoba kolunye uhlangothi lobuso, ukungazweli engalweni, ubunzima bokukhuluma). | |
| - Uma unenkinga yokuphefumula. | |
| - Uma kwenzeka ukuxhuzula. | |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-craniotomy kuyindlela enkulu yokuhlinzwa kobuchopho, kodwa evame ukusindisa impilo.
- Kulokhu, ingcezu yethambo ekhishwe ekhanda ivame ukunamathiselwa kabusha ngesikhathi sokuhlinzwa okufanayo.
- Kuthatha isikhathi ukululama ngokugcwele. Ukuphumula kubalulekile phakathi nalesi sikhathi.
- Zizwe ukhululekile ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
- Abantu abaningi balulama ngokugcwele ngemva kwalokhu kuhlinzwa futhi baphila impilo evamile negcwele.
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