Ingabe uvame ukuba nesifo sokuwa? Noma ingabe othile omaziyo unesifo sokuwa, noma njengoba abanye bekubiza kanjalo, ukuwa? Ngisho noma usebenzisa imithi, kungaba nzima kakhulu ukulawula lesi simo ngezinye izikhathi. Ngakho-ke, ezimweni lapho kunzima ukulawula ngemithi yodwa, indlela ekhethekile yokwelapha enconywa odokotela ukuhlinzwa kwesifo sokuwa. Nakuba leli igama elingathi sína, ake sixoxe ngalo kalula.
Kuyini Ukuhlinzwa Kwesifo Sokuxhuzula?
Kalula nje, isifo sokuwa siwumsebenzi kagesi ongajwayelekile, ongalawuleki owenzeka phakathi kwamangqamuzana ezinzwa ebuchosheni bethu. Yilokhu okubangela ukukhubazeka. Kungabangela izinguquko zesikhashana ekuqondeni kwakho, ekuziphatheni, emizweni, nasekulawuleni umzimba.
Ukuhlinzwa kwesifo sokuwa kuwukuhlinzwa ebuchosheni ukuze kumiswe ngokuphelele lokhu kuwa noma kuncishiswe ukuvama nobukhali bako .
Kodwa lokhu kubaluleke kakhulu: Lesi yisinqumo esikhulu. Akukho siqinisekiso sokuthi ukulingana kuzoma ngokuphelele ngemva kokuhlinzwa. Kodwa-ke, kunethuba elikhulu lokuthuthukisa kakhulu ikhwalithi yempilo yakho.
Udokotela wakho uzochaza ukuthi lokhu kulungile yini kuwe nokuthi imiphumela izoba yini.
Kukuziphi izimo lapho lolu hlobo lokusebenza ludingeka khona?
Ukuhlinzwa akuyona indlela yokuqala yokwelapha isifo sokuwa. Kodwa-ke, udokotela angase acabangele ukuhlinzwa ezimweni ezilandelayo:
- Uma ukulingana kungenakukwazi ukulawulwa ngemithi yokulwa nokuquleka.
- Uma ukuqina komzimba kubangelwa esinye isimo sezokwelapha, njengesimila sobuchopho .
- Uma imiphumela emibi yomuthi idlula izinzuzo.
- Izindlela zokudla ezikhethekile, njengokudla okune-ketogenic, uma ezinye izindlela zokwelapha zingaphumeleli.
- Uma ukuqina komzimba kwenzeka kaningi futhi kukhulu kangangokuthi kuphazamisa impilo yakho kuze kube yilapho ungakwazi ngisho nokwenza imisebenzi yakho yansuku zonke.
Kodwa khumbula, uma indawo lapho ukuxhuzula kutholakala khona engxenyeni yobuchopho bethu elawula izinto ezibaluleke kakhulu njengenkumbulo, ukunyakaza, kanye nokukhuluma, odokotela abahlinzayo ngeke bahlinze kuleyo ndawo. Kunalokho, bazofuna ezinye izindlela zokwelapha.
Yiziphi izinhlobo eziyinhloko zalokhu kuhlinzwa?
Kunezinhlobo eziningana zokuhlinzwa kuye ngokuthi ukuxhuzula kuqala kuphi ebuchosheni nokuthi yini ebangela lokhu. Lokhu kuyinkimbinkimbi kancane, kodwa masikwenze kube lula.
| Uhlobo Lokuhlinzwa | Kalula nje, kwenzekani ngalokhu? |
|---|---|
| Ukuhlinzwa Kokuhlinzwa | Ukuze kuqalwe ukulingana, ingxenye yobuchopho noma izicubu ezinenkinga iyasikwa bese isuswa . Izibonelo: (Lesionectomy, Lobectomy) . |
| Ukunqanyulwa Kokuhlinzwa | Ukuze uvimbele ukuquleka ukuthi kusakazeke ebuchosheni bonke, nqamula ukuxhumana phakathi kwamangqamuzana ezinzwa. Isibonelo: (Corpus Callosotomy) . |
| Ukwelashwa Kokushisa Kwangaphakathi Kwe-Laser | Kusetshenziswa i-MRI scan, kusetshenziswa umsebe omncane we-laser ukubhubhisa amangqamuzana ezinzwa lapho kwenzeka khona ukuxhuzula. Lena indlela elula kunenye. |
| Ukuguqulwa Kwezinzwa (Amadivayisi Afakwe) | Ukufaka idivayisi encane emzimbeni ethumela izimpawu zikagesi ukuze kumiswe ukulingana. Izibonelo: (Vagus Nerve Stimulation, Deep Brain Stimulation) . |
| Ukufakelwa kwama-Electrode | Ngaphambi kokuhlinzwa, ukuze kutholakale indawo eqondile yokuxhuzula, ama-electrode abekwa ebuchosheni bese kuqoqwa idatha . Isibonelo: (Stereoelectroencephalography) . |
Yiziphi izivivinyo ezenziwa ngaphambi kokuhlinzwa?
Ngenxa yokuthi lokhu kuwumsebenzi omkhulu, kwenziwa izivivinyo eziningi ngaphambi kwawo. Izinhloso eziyinhloko zalezi zivivinyo yilezi:
- Ukulingana kuqala ngokuthola ukuthi kukuphi ngqo ebuchosheni.
- Qiniseka ukuthi ingxenye ezosuswa ngesikhathi sokusebenza ingasuswa ngokuphephile .
- Thola izindawo ezilawula imisebenzi ebalulekile njengenkulumo, inkumbulo, kanye nokunyakaza okuseduze nalapho kuhlangana khona.
- Bika imiphumela engaba khona ngemva kokuhlinzwa.
Lezi zivivinyo zingahlukaniswa ngezigaba ezimbili eziyinhloko.
Isigaba I (ukuhlolwa ngaphandle kokuhlinzwa)
- I-EEG (i-Electroencephalogram): Lokhu kulinganisa umsebenzi kagesi wobuchopho. Ungangeniswa esibhedlela futhi i-EEG ingathathwa ngevidiyo ngesikhathi sokuwa.
- Iskeni se-PET (Positron Emission Tomography): Lokhu kuskeni kungasiza ekutholeni inkinga, noma ngabe ayifaneleki.
- Ukuhlolwa Kwezinzwa Zengqondo: Lokhu kulinganisa izinto ezifana nokukhuluma kwakho, inkumbulo, kanye namakhono okufunda. Lokhu kubalulekile ukuze kubonakale ukuthi kukhona yini umehluko ngaphambi nangemva kokuhlinzwa.
- I-Functional MRI (fMRI): Lokhu kuskena umsebenzi wobuchopho ngesikhathi semisebenzi efana nokukhumbula okuthile noma ukufunda, futhi kuhlonza izindawo ezilawula imisebenzi ebalulekile.
Isigaba II (ukuhlolwa okwenziwa ngemva kokuhlinzwa)
Uma ukuhlolwa kweSigaba I kungelona ulwazi olwanele, lokhu kuhlolwa kwenziwa ukuze kubhekwe ngokujulile ukuthi ukuquleka kuvela kuphi. Kulokhu, kwenziwa ukuhlinzwa okuncane bese kubekwa ama-electrode phezu noma ngaphakathi kobuchopho ukuze kuqoqwe ulwazi.
- I-Stereoelectroencephalography (SEEG): Ama-electrode abekwa ekujuleni okuhlukene ebuchosheni futhi ukuqala nokusabalala kokuxhuzula kubonakala ku-3D.
- Ukufakelwa Kwegridi Engaphansi Kwesiyingi: Amapuleti e-electrode abekwa phezu kobuchopho ukuze kuqashwe ukuqala kokuxhuzula kanye nendawo yomsebenzi obalulekile.
Ungase ungadingi ukwenza zonke lezi zivivinyo. Ithimba lakho lezokwelapha lizonquma ukuthi yiziphi izivivinyo ezifanele wena, ngokusekelwe esimweni sakho.
Kwenzekani ngesikhathi sokuhlinzwa?
Okokuqala, bazosika izinwele endaweni yokuhlinzwa. Ungakhathazeki ngalokho , izinwele zakho zizokhula kahle uma usululama. Ngemuva kwalokho uzonikezwa i-anesthesia ejwayelekile, ukuze ungezwa lutho, uzobe ulele.
Udokotela ohlinzayo angase asuse ingxenye encane yogebhezi bese enza i-EEG ngesikhathi sokuhlinzwa ukuqinisekisa ukuthi ukuquleka kwenzeka kuphi.
Ngokumangalisayo, ngezinye izikhathi ungase uvuswe isikhashana ngesikhathi sokuhlinzwa. Lokhu kwenzelwa ukuthola izindawo eziqondile ezilawula ukukhuluma nokunyakaza kwakho. Ngeke uzwe ubuhlungu phakathi nalesi sikhathi.
Ngemuva kwalokho ulaliswa futhi, bese kunikezwa ukwelashwa okudingekayo ezicutshini zobuchopho ezithintekile. Ekugcineni, ingxenye yekhanda esusiwe ibuyiselwa endaweni yayo, iboshwe ngeziqeshana ezincane ze-titanium, bese isikhumba sithungwa.
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoyiswa egunjini lokuqapha. Kungase kudingeke uhlale egunjini lokunakekela abagula kakhulu (ICU) cishe usuku lonke, bese usesibhedlela cishe izinsuku ezintathu kuya kwezinhlanu.
Ungalindela izinto ezifana nokuvuvukala kwekhanda nobuso, ikhanda elibuhlungu, njll. Banikezwa imithi yalokhu. Lokhu kuzophela emavikini ambalwa. Kodwa-ke, uma ubuhlungu bukhulu noma uma uhlangabezana nezinye izimpawu ezingavamile , kufanele utshele udokotela wakho ngokushesha.
Ngokuvamile kuthatha cishe amasonto angu-4-6 ukujwayela imisebenzi yansuku zonke kanye nenyanga eyodwa-3 ukubuyela emsebenzini noma esikoleni. Kodwa-ke, kungathatha cishe iminyaka emibili ukubona imiphumela ephelele yokuhlinzwa.
Yiziphi izinzuzo nezingozi zalokhu?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi.
| Izinzuzo | Izingozi |
|---|---|
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|
Ithimba lezokwelapha lenza konke okusemandleni alo ukunciphisa lezi zingozi.
Ufuna ukuphinde ubonane nodokotela nini?
Ngemva kokubuyela ekhaya, uma uzwa ubuhlungu obukhulu, ukuvuvukala, ukopha , noma izimpawu ezifana nomkhuhlane endaweni yokuhlinzwa, yazisa udokotela wakho ngokushesha. Futhi, qiniseka ukuthi uya emitholampilo ngezinsuku udokotela wakho azinikezayo ukuze aqaphe ukululama kwakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwesifo sokuwa kuyindlela okufanele uyicabangele lapho ukuwa kungenakukwazi ukulawulwa ngemithi, kodwa akuyona indlela yokuqala yokwelapha.
- Umgomo oyinhloko ukunciphisa noma ukumisa ukuqala kokulingana. Kungase kungabi njalo ngempumelelo eyi-100%.
- Ngaphambi kokuhlinzwa, kwenziwa izivivinyo eziningi ukuqinisekisa ukuphepha nokuthola imiphumela emihle kakhulu.
- Kuthatha isikhathi ukululama ngokuphelele. Kuzodingeka uphuze imithi isikhashana ngemva kokuhlinzwa.
- Awuwedwa kulolu hambo. Khuluma nodokotela wakho ngokukhululekile ngazo zonke izinto ozesabayo nokukhathazeka ngazo. Bakhona ukuzokusiza.
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