Yintoni iCraniectomy?

Umxholo

• Yintoni injongo yecraniectomy?
• Injongo
• Lwenziwa njani olu tyando?
• Kuthatha ixesha elingakanani ukubuyela kwi-craniectomy?
• Ngaba zikhona iingxaki ezinokubakho?
• Imbonakalo

Ushwankathelo

I-craniectomy lutyando olwenziwe ukususa inxenye yokakayi ukuze kukhululeke uxinzelelo kuloo ndawo xa ingqondo yakho idumbile. I-craniectomy ihlala yenziwa emva kokonzakala kwengqondo ebuhlungu. Kuyenziwa kwakhona ukunyanga iimeko ezibangela ukuba ingqondo yakho idumbe okanye yophe.

Olu tyando luhlala lusebenza njengenyathelo lokugcina ubomi likaxakeka. Xa kusenziwa ukukhupha ukudumba, kubizwa ngokuba yi-craniectomy (DC) yokudakumba.

Yintoni injongo yecraniectomy?

I-craniectomy inciphisa uxinzelelo lwe-intracranial (ICP), uxinzelelo lwexinzelelo lwe-intracranial (ICHT), okanye ukuphuma kwegazi okunzima (okubizwa ngokuba kukopha) ngaphakathi kukakayi lwakho. Ukuba ishiywe inganyangwa, uxinzelelo okanye ukopha kunokucinezela ingqondo yakho kwaye kuyityhalele ezantsi kwingcambu yengqondo. Oku kunokubulala okanye kubangele ukonakala kwengqondo okungapheliyo.

Injongo

I-craniectomy inciphisa uxinzelelo lwe-intracranial (ICP), uxinzelelo lwexinzelelo lwe-intracranial (ICHT), okanye ukuphuma kwegazi okunzima (okubizwa ngokuba kukopha) ngaphakathi kukakayi lwakho. Ukuba ishiywe inganyangwa, uxinzelelo okanye ukopha kunokucinezela ingqondo yakho kwaye kuyityhalele ezantsi kwingcambu yengqondo. Oku kunokubulala okanye kubangele ukonakala kwengqondo okungapheliyo.

I-ICP, i-ICHT, kunye nokuchaphazeleka kobuchopho kunokubangela oku:

• ukwenzakala kwengqondo ebuhlungu, njengokuvela entlokweni enamandla yento
• ukubetha
• ihlwili legazi kwimithambo yengqondo
• Ukuvaleka kwemithambo kwingqondo yakho, okukhokelela kwizicubu ezifileyo (inferection yecerebral)
• ukudityaniswa kwegazi ngaphakathi kolukakayi lwakho (i-hematoma yangaphakathi)
• ulwakhiwo lwencindi kwingqondo (i-edema yobuchopho)

Lwenziwa njani olu tyando?

I-craniectomy ihlala yenziwa njengenkqubo engxamisekileyo xa ukhakhayi kufuneka luvulwe ngokukhawuleza ukuthintela naziphi na iingxaki ekudumbeni, ngakumbi emva kokonzakala entloko okanye ukubetha.

Ngaphambi kokwenza i-craniectomy, ugqirha wakho uya kwenza uthotho lweemvavanyo ukumisela ukuba kukho uxinzelelo okanye ukopha entlokweni yakho. Ezi mvavanyo ziya kuthi zixelele ugqirha wakho indawo elungileyo ye-craniectomy.

Ukwenza i-craniectomy, ugqirha wakho wotyando:

1. Yenza ukusikwa okuncinci entlokweni yakho apho kuya kususwa khona ukhakhayi. Ukunqunyulwa kuhlala kwenziwa kufutshane nendawo yentloko yakho ngokudumba okukhulu.
2. Isusa naluphi na ulusu okanye isicwili ngaphezulu kwendawo yokakayi eya kukhutshwa.
3. Yenza imingxunya encinci kukakayi lwakho kunye ne-grade-drill drill. Eli nyathelo libizwa ngokuba yi-craniotomy.
4. Sebenzisa isarha encinci ukusika phakathi kwemingxunya kude kususwe lonke ukhakhayi.
5. Gcina isiqwenga sokhakhayi kwisikhenkcezisi okanye kwisingxobo esincinci emzimbeni wakho ukuze sibuyiselwe kwikhakhayi lakho emva kokuba uchache.
6. Yenza nayiphi na inkqubo eyimfuneko yokunyanga ukudumba okanye ukopha kukhakhayi lwakho.
7. Thunga ukusikwa kwentloko yakho xa ukudumba okanye ukopha kulawula.

Kuthatha ixesha elingakanani ukubuyela kwi-craniectomy?

Ixesha olichitha esibhedlele emva kwe-craniectomy lixhomekeke kubuzaza bokwenzakala okanye imeko efuna unyango.

Ukuba uye wenzakala ngengqondo ebuhlungu okanye wabethwa sistroke, kungafuneka uhlale esibhedlele kangangeeveki okanye nangaphezulu ukuze iqela lakho lokhathalelo lwempilo likwazi ukujonga imeko yakho. Unokuphinda uye ekuvuseleleni ukuba unengxaki yokutya, ukuthetha, okanye ukuhamba. Ngamanye amaxesha, kusenokufuneka uhlale esibhedlele kangangeenyanga ezimbini okanye nangaphezulu ngaphambi kokuba uphucule ngokwaneleyo ukuze ubuyele kwimisebenzi yemihla ngemihla.

Ngelixa uchacha, UNGENZI naziphi na ezi zinto zilandelayo de ugqirha akuxelele ukuba kulungile:

• Ukuhlamba iintsuku ezimbalwa emva kotyando.
• Phakamisa naziphi na izinto ngaphezu kweeponti ezi-5.
• Ukuzivocavoca okanye ukwenza umsebenzi wezandla, onjengomsebenzi weyadi.
• Ukutshaya okanye ukusela utywala.
• Qhuba isithuthi.

Awunakho ukuphola ngokupheleleyo ekonzakaleni kwengqondo okanye ekubethweni yimithambo kangangeminyaka kwanokubuyiselwa kwimeko yesiqhelo kunye nonyango lwexesha elide kwintetho, ukuhamba, kunye nemisebenzi yokuqonda. Ukuchacha kwakho kuhlala kuxhomekeke ekubeni ungakanani umonakalo owenzekileyo ngenxa yokudumba okanye ukopha phambi kokuba ukakayi lwakho luvulwe okanye ubungakanani bokwenzakala kwengqondo.

Njengengxenye yokuchacha, kuya kufuneka unxibe isigcina-ntloko esikhusela ukuvuleka kwentloko yakho kuko nakuphi na ukwenzakala okungaphezulu.

Okokugqibela, ugqirha wotyando uya kuwugubungela umngxunya ngesiqwenga sokhuselo esigciniweyo okanye ukufakelwa kokakayi. Le nkqubo ibizwa ngokuba yi-cranioplasty.

Ngaba zikhona iingxaki ezinokubakho?

I-Craniectomies inethuba eliphezulu lokuphumelela. icebisa ukuba uninzi lwabantu olunale nkqubo ngenxa yokulimala kwengqondo ebuhlungu kakhulu (i-STBI) bayachacha nangona bejamelene neengxaki zexesha elide.

I-Craniectomies ithwala umngcipheko othile, ngakumbi ngenxa yobunzima bokwenzakala okufuna ukuba kwenziwe le nkqubo. Iingxaki ezinokubakho zibandakanya:

• ukulimala kwengqondo okungapheliyo
• ukudibanisa ulwelo olosulelekileyo kwingqondo (ithumba)
• ukudumba kwengqondo (meningitis)
• ukopha phakathi kwengqondo yakho kunye ne-scalp (subdural hematoma)
• usulelo lobuchopho okanye lomqolo
• ukulahleka kokukwazi ukuthetha
• ukukhubazeka okugcweleyo okanye okugcweleyo komzimba
• ukunqongophala kokuqonda, nokuba uyazi (imeko eqhubekayo yezityalo)
• ikhoma
• ukufa kwengqondo

Imbonakalo

Ngonyango lwexesha elide kunye nokubuyiselwa kwimeko yesiqhelo, unokuphola ngokupheleleyo ngaphandle kwengxaki kwaye uqhubeke nobomi bakho bemihla ngemihla.

I-craniectomy inokugcina ubomi bakho emva kokulimala kwengqondo okanye ukubetha ukuba yenziwa ngokukhawuleza ngokwaneleyo ukuthintela umonakalo obangelwe kukopha okanye ukudumba engqondweni yakho.