Kusunungura Kunetseka Pamusoro peBongo kunoda nzira yekuvhiya
Mubvunzo: Chii Chinonzi Decompressive Craniectomy Chirwere uye Nei Chichiitwa?
Mhinduro:
Kana mudiwa wako aine kukuvadzwa kwehuropi hutsinye, imwe yezvokurapa zvinorayirwa ingangodaro ichinyanyisa kunetseka kweganiotomy kana kuti craniectomy. Urwu urwu hwekuvhiya kweuropi ndeyevatano vanozofa vasina kupindira, uye zvinoitwa kuti vadzidzise zvinetso pauropi.
Chikonzero Nei Dambudziko reConstressive Craniectomy Rakaitwa
Uropi hwakasiyana nemuviri wemunhu nokuti hwakakomberedzwa nefupa.
Neimwe mhando dzekukuvadzwa, zvakadai sechikwata chinoputika, kukuvara kuchakurira pasina kukonzera kumwe kukuvara kumakumbo. Uropi hwakavharwa mufupa, saka hapana nzvimbo inobvumirwa kubhururuka, iyo inogona kuisa kukanganisa kukuru pauropi, uye inogona kutotungamirira kurufu.
Nemhaka yokuti uropi huri munzvimbo yakapoteredzwa, kuwedzera kwekudzivirira kunoreva zvinodzvinyirira kuwedzera uye izvi zvinogona kuderedza kubuda kweropa.
Fungidzira uchiedza kurira bhoron. Pakuvamba kwekuita izvi zviri nyore kuputira mhepo mumabhoton, asi sezvo inowedzera uye yakazara, zvinova zvakaoma kuwana mhepo yakawanda mubhaluni. Iye zvino fungidzira mumwe munhu ane maoko ake pabhaluni uye vari kukurira bhaluni sezvaunenge uchiedza kupinza mweya mukati maro - zvisingakwanisi, zvakarurama? Ndizvo zvakafanana nekuedza kuisa ropa kuuropi. Chivako chekuvaka ndikumanikidza maoko pabhaluni, uye kufema kwako ndiwo mwoyo unoshanda kupompa ropa kuuropi.
Kushingaira kunofanira kuderedzwa kuitira kuti ropa rive muuropi kana huropi huchava nenzara yehusijeni uye pakupedzisira kufa. Kuti tiite izvozvo, tinoisa gomba muhenya (ibhoti) kupa nzvimbo yekuwedzera.
The Decompressive Craniectomy
Kuvhiyiwa kunokonzera kushungurudzika kwechirwere inzira inobvisa chikamu chedehenya kuti ibvise kushanda kweuropi.
Iko kusanganisa kwekutanga kwakagadzirwa mumusoro, ipapo kuburikidza nemapfupa achishandisa saga chaiyo, iyo inobvumira chikamu chedehenya kuti chibvise uye chigadzikwe parutivi (kazhinji kanyanyiswa) kuti chikatsiviwa pane imwe nguva inotevera.
Kubvisa chikamu chedhehenya kunobvumira nzvimbo yekudzimba, iyo inoderedza simba uye inopa uropi nzvimbo yekuzvimba pasina kukonzera kukanganisa. Nokuda kwekukuvadzwa kwakanyanya kwe ventriculostomy inowanzoitwa, iyo isingasviki yakawanda kudarika chinonzi craniectomy. Chirwere chinotyisa chinokonzera ganda rakafanana mubhehenya kuti riwane huropi, asi chikamu chacho chinotsiviwa panguva yekuita.
Zvakakosha kuyeuka kuti kudengenyeka kwekakaniectomy kwakaitwa nekuda kwekukuvara kwakakuvara kwehuropi nekuputika kusingagoni kudzorwa nedzimwe nzira kusanganisira mishonga kana ventriculostomy. Kunyange zvazvo nzira yacho inogona kubatsira kudzivirira kumwe kukuvadzwa, kukuvadzwa kokutanga uye kukurumidza kuwedzera kunogona kukonzera kukanganisa. Kukurira kukuru kunogona kuguma nekuperevedza kwenguva refu kana kunyange kufa, zvisinei, mikana yekupona inokurudzirwa nenzira yevarwere vakawanda.
Sources:
Decompressive Craniectomy For Refractory Intracranial Hypertension Mushure mekutambudza Bongo Kukuvara. Scandinavian Journal of Trauma, Resuscitation uye Emergency Medicine.
. http://ccforum.com/content/10/S1/P458