Craniotomy Ukuhlinzwa Kwekhanda

Ukuhlinzwa kwekraniotomi kuhilela ukususa ingxenye yengqondo ukuze kwenziwe ukuhlinzwa kwengqondo. Ukuhlinzwa kwekraniotomi kungenzeka kwenziwe ukuze kuthathwe isampula yethishu yengqondo noma ukwelapha izimo noma ukulimala okubangela ingqondo. Le nqubo isebenza ekwelapheni iziphundu zengqondo, ukuphuza kwegazi engqondweni, amaqanda egazi noma ukuhlushwa yizigwegwe. Kungase futhi kwenziwe ukwelapha isikhutha segazi esikhulu engqondweni, esaziwa ngokuthi yi-aneurysm yengqondo. Noma ukulandelwa kwekraniotomi kungase kwenziwe ukwelapha imithambo yegazi eyenziwe ngokungajwayelekile, okuyaziwa ngokuthi yi-malformation ye-vascular. Uma ukulimala noma isiguli sesithinta ingqondo, ukulandelwa kwekraniotomi kunganciphisa uxinzelelo engqondweni.

Ukucutshulwa kwekhanda kungase kwenziwe ukuze kuthathwe isampula yethishu yengqondo ukuze kuhlolwe. Noma ukucutshulwa kwekhanda kungase kwenziwe ukuze kuphathwe isimo esithinta ingqondo. Ukucutshulwa kwekhanda kuyizinqubo eziqhelekile kakhulu ezisetshenziswa ukususa iziphundu zengqondo. Isifundo sengqondo singafaka ingcindezi ekhanda noma sibangele ukuhlushwa noma ezinye izimpawu. Ukususa ingxenye yekhanda ngesikhathi sokucutshulwa kwekhanda kunika udokotela amandla okufinyelela engqondweni ukuze asuse isifundo. Ngezinye izikhathi ukucutshulwa kwekhanda kuyadingeka uma umdlavuza oqala kwenye ingxenye yomzimba usakazeka engqondweni. Ukucutshulwa kwekhanda kungase futhi kwenziwe uma kukhona ukuphuza kwegazi engqondweni, okwaziwa ngokuthi ukuphuza kwegazi, noma uma amaqanda egazi engqondweni adinga ukususwa. Isikhafu segazi esiphuphumayo, esaziwa ngokuthi i-aneurysm yengqondo, singalungiswa ngesikhathi sokucutshulwa kwekhanda. Ukucutshulwa kwekhanda kungase futhi kwenziwe ukuze kuphathwe ukwakheka okungajwayelekile kwesikhwama segazi, okwaziwa ngokuthi ukwakheka okungajwayelekile kwe-vascular. Uma ukulimala noma isifo sokuqhaqhazela kubangele ukukhula kwengqondo, ukucutshulwa kwekhanda kunganciphisa ingcindezi engqondweni.

Izingozi ze-craniotomy ziyahluka kuye ngohlobo lokuhlinzwa. Ngokuvamile, izingozi zingafaka: Ukushintsha kwesimo sengqondo. Ukungabi namqondo. Ukushintsha konukho noma ukubona. Ubuhlungu uma uqama. Ukutheleleka. Ukuphuza igazi noma ama-blood clots. Ukushintsha kwezinga lokucindezela kwegazi. Ukuhlanza. Ubuthakathaka nobunzima nokujwayelekile noma ukuhambisana. Ubunzima ngamakhono okucabanga, kufaka phakathi ukungakhumbuli. Isiguli. Ukukhuluphala okukhulu ebuchosheni noma ukukhuluphala. Ukuvuza kwelaphu eliphakathi kwengqondo ne-spinal cord, okuyaziwa ngokuthi yi-cerebrospinal fluid leak. Ngokungavamile, i-craniotomy ingabangela i-coma noma ukufa.

Iqembu lakho lezeMpilo lizokwazisa okufanele ukwenze ngaphambi kokuthi wenze i-craniotomy. Ukuze ulungiselele i-craniotomy, ungadinga ukuhlolwa okuningi okungafaka: Ukuhlolwa kwe-Neuropsychological. Lokhu kungahlola ukucabanga kwakho, okwaziwa njengomsebenzi wobuchopho. Imiphumela isebenza njengesisekelo esizosetshenziswa ukuqhathanisa nezivivinyo kamuva futhi ingasiza ekucwaningeni ukululama ngemuva kokuthi kwenziwe ukuhlinzwa. Izithombe zobuchopho ezinjenge-MRI noma i-CT scans. Izithombe zisiza iqembu lakho lezeMpilo ukuhlela ukuhlinzwa. Ngokwesibonelo, uma ukuhlinzwa kwakho kuwukususa isibopho sobuchopho, izithombe zobuchopho zisiza udokotela wezinzwa ukubona indawo nobukhulu besibopho. Ungase ube nokufakwa kwento ebonakalayo nge-IV ku-vein esandleni sakho. Into ebonakalayo iyasiza isibopho ukubonakala ngokucacile ezithombeni. Uhlobo lwe-MRI oluthi yi-functional MRI (fMRI) lungasiza udokotela wakho ukuthi afake imephu izindawo zobuchopho. I-fMRI ibonisa izinguquko ezincane ekugelezeni kwegazi uma usebenzisa izindawo ezithile zobuchopho. Lokhu kungasiza udokotela ukuba agweme izindawo zobuchopho eziqondisa imisebenzi ebalulekile efana nolimi.

Ikhanda lakho lingase ligqokwe ngaphambi kokuthi kwenziwe i-craniotomy. Ngezinye izikhathi, ulela ngemuva uma kwenziwa ubuyekezo. Kodwa ungase ubekwe esiswini noma eceleni noma ubekwe esihlalweni. Ikhanda lakho lingase libekwe ku-frame. Noma kunjalo, abantwana abaneminyaka engaphansi kwengu-3 abanefreyimu yekhanda ngesikhathi se-craniotomy. Uma une-brain tumor ebizwa nge-glioblastoma, ungase unikezwe i-fluorescent contrast material. Leli zinto liyenza i-tumor ibonakale ngaphansi kwe-fluorescent light. Lokhu kukhanya kusiza udokotela wakho ukuthi ahlukanise nokunye ukuqina kwengqondo. Ungase ubekwe esimweni sokulala ngesikhathi sokuhlinzwa. Lokhu kuwaziwa ngokuthi yi-general anesthesia. Noma ungase uqaphele ingxenye yokuhlinzwa uma udokotela wakho edinga ukuhlola imisebenzi yengqondo efana nokunyakaza nokukhuluma ngesikhathi sokuhlinzwa. Lokhu ukuqinisekisa ukuthi ukuhlinzwa akuthinti imisebenzi ebalulekile yengqondo. Uma indawo yengqondo ehlinzwa eduze nezindawo zokukhuluma zengqondo, isibonelo, ucelwa ukuba uqambe izinto ngesikhathi sokuhlinzwa. Ngokuhlinzwa okuqaphile, ungase ube sesimweni sokulala isikhathi esithile sokuhlinzwa bese uvuka isikhathi esithile sokuhlinzwa. Ngaphambi kokuhlinzwa, imithi yokunciphisa ubuhlungu ifakwa endaweni yengqondo ezohlolwa. Uphinde unikezwe imithi ekusiza ukuthi uzizwe ukhululekile.