Kusiyana pakati peKraniotomy uye Craniectomy
Kuvhiyiwa kwehupomberi inzira yakakomba zvikuru, uye kana iwe kana mumwe munhu waunoda wakaziviswa kuti chirwere chepfungwa chakakosha iwe unofanirwa kuva nemibvunzo yakawanda. Zvakawanda zvekuvhiya kweuropi dzinotanga nekuzarura musoro wehenyare kuti ipe mukana wekuvhima uyo chiremba anokwanisa kushanda, kunyange pane zvishoma zvinoitwa kuburikidza nemhino ine mukova muduku uri kuitwa kumashure kwemhino.
Nzira yeCraniotomy
A craniotomy chirurudzo panguva iyo chikamu chehenya-chinonzi bone-flap - chinobviswa kuitira kuti chiremba chiremba apinde muuropi. Ifupa rinoputika rinowanzove rakakomberedza kana rwizi. Iko chaiyo ukuru uye kugadzirirwa kunotsanangurwa nehutano hwehutano uye chii chinofanira kuitwa panguva yekuvhiyiwa.
Mushure mekuvhiyiwa kunoitwa, pfupa rinoputika rinowanzodzorerwa kunzvimbo yaro yapfuura, iyo inogona kuporesa nekugadzirisa sechinhu chipi nechipi chakavhunika pfupa. Pashure pemwedzi inoverengeka, pfupa rinenge rakasimba sezvarakanga rakaita vasati vavhiyiwa. Mune zviitiko zvizhinji, mahwendefa maduku esimbi anoshandiswa kubata pfupa yepfupa panzvimbo kuitira kuti iporeswe, yakaita seyakakanda ruoko rwakakoromoka.
The Craniectomy Process
A craniectomy nzira inosanganisira kubviswa kwepafupa, asi munyaya iyi, haina kudzorerwa kunzvimbo yayo mushure mokunge nzira yapera. Izvi zvinogona kunge zvakakonzerwa nekushungurudzika kune pfupa pachayo, nokuti uropi huri kuvhuvhuta kubvumira kudzoka kwepafupa pfupa, kana kuti chiremba anovhiya anonzwa kuti uri muchitarisiko chakanakirwa nemurwere.
Kana pane utachiona munzvimbo yacho, somuenzaniso, pfupa rinogona kurasikirwa.
Chinangwa cheCraniotomy uye Craniectomy
Mune zvimwe zviitiko zvekurwadziwa kwepfungwa kana kukuvara, chinangwa chose chegadziriro ndechekuita chiraniotomy kana kuti craniectomy - kazhinji kuitira kuderedza kusvitsa nekupa nzvimbo yeuropi kuti irere.
Zvimwe zvinowanzoitika, dzakawanda zvirwere zvepurogiyuta zvinotanga neyoyo craniotomy kana craniectomy, uye kamwechete iyo yakaitwa neurosurgeon ine ruzivo rweuropi kune mamwe matanho anodiwa.
Pamitemo yakawanda, funga nezvechiraniotomy / craniectomy sezvinoitwa kusanganisa kuitira kuti nzira yacho iite. Kusiyana nekukanganiswa kwakaitwa mudumbu kana kune dzimwe nzvimbo dzomuviri, chiremba anovhiya anofanira kupinda nepfupa kuitira kuti apedze nzira yacho. Kungofanana nezvimwe zvinongororwa, uyu acharamba achida sutures kana zvigadziro kuti zvivhare, sezvo ganda riri pamusoro richafanira kuiswa seimwe mimwe mitauro yakawanda yekufungidzirwa.
The Bone Flap
Kana pfupa rinoputirwa, asi risingazokwanisi kudzorerwa panguva yekugadzirisa, rinogona kugadziriswa munzvimbo inouya munguva inotevera. Mumamiriro ezvinhu aya, chiremba anovhiya achaisa pfupa rake mune imwe nzvimbo. Muzviitiko zvakawanda, chiremba anovhiya achaita kuti avhare mumimba, yakakura zvakakwana kuti adimbure chidimbu chepfupa mukati semuvupurupa pasi pemafuta ane simba emuviri. Iko kunochengetedzwa uye kuchengetedzwa nemuviri wemurwere. Ifupa rinoputika rinogona kuiswawo mune imwe nzvimbo yakadzika mufiriji mubazi rechipatara kuitira kuchengetedza kusvikira ishandiswa.
Kana iyo pfupa isingagoni kudzorerwa, prosthetics uye mapfupa emapfupa aripo zvakare kubatsira rubatsiro pane imwe nguva inotevera.
Kudzorera chikamu chisipo chiri chinhu chakakosha, nokuti uropi hunodzivirirwa zvishoma kunze kwefupa panzvimbo. Kufanana ne "nzvimbo inonyorera" pamusoro wechechecheche, kushaiwa kwefupa kunogona kuita kuti zvive nyore kuti uropi hwepfungwa hunopinda huvepo.
Sources:
Bone Bone Flap Management In Neurosurgery. Rev Neurocienc 2008. Yakasvika munaJanuary 2010. http://www.unifesp.br/dneuro/neurociencias/229_revisao.pdf