Craniotomy

Yintoni iCraniotomy?

I-craniotomy kukususwa ngotyando kwenxalenye yethambo ukusuka kukhakhayi ukuze ufikelele kwingqondo engaphantsi. Icandelo lokakayi elisuswe okwethutyana libizwa ngokuba yi-bone flap. Emva kokuba utyando lugqityiwe lubuyiselwa kwindawo yalo yokuqala.

Kwenziwa ntoni?

I-craniotomy yenziwa ukunyanga izinto ezininzi ezingaqhelekanga zobuchopho ezifana:

• IAneurysm (ukugqabhuka kwesitya segazi)
• I-AVM (ukuphazamiseka kwemithambo yegazi)
• Ukuxhamla
• Sulelo
• Ukudumba/ukudumba
• I-Hematoma (ihlwili legazi)
• Iphunga leSkull
• Ukususwa kwezinto zangaphandle

Kwenzeka ntoni ngexesha lenkqubo?

Le nkqubo iyahluka ukusuka kwisigulana ukuya kwisigulana ngokuxhomekeke kwimeko ekufuneka inyangwe. Ngokuqhelekileyo, intloko yakho iya kuchetywa kwaye uya kunikwa i-anesthesia jikelele. Emva koko intloko yakho iya kufakwa kwisixhobo sokulungisa ukhakhayi ukuze uyibambe ingashukumi ngexesha lotyando. Ugqirha wakho wotyando uya kwenza i-scalp kwi-scalp kwaye i-flap yesikhumba kunye nezihlunu ziphakanyisiwe kwaye zitsalwe ngasemva ukuze ziveze ukhakhayi. Ugqirha wakho wotyando uya kususa iqhekeza elincinci lethambo lokakayi (i-bone flap) kwaye alibeke ecaleni. Emva koko, ukusika kwenziwa nge-dura. Ulufumene ufikelelo, ugqirha wakho wenza utyando olufunekayo. I-Dura ivaliwe kwaye i-bone flap iphinda ifakwe endaweni yayo. Indawo yokusikwa kwesikhumba ivaliwe.

Ingaba iza kuthatha ixesha elingakanani?

I-Craniotomy ithatha malunga neeyure ezi-3-5 okanye ngaphezulu, kuxhomekeke kwingxaki ephantsi onyangwa ngayo.

Kwenzeka ntoni emva kwenkqubo?

Emva kotyando, uya kuhlala kwi-ICU ukuze ujongwe ngokusondeleyo. Ngokusekelwe ekuchacheni kwakho uya kutshintshelwa kwigumbi lasesibhedlele. Ugqirha wakho uya kujonga ukuba umzimba wakho usebenza ngokufanelekileyo. Uya kukhuthazwa ukuba uhambe. Usenokucetyiswa ukuba ubuyiselwe kwisimo sangaphambili ukuze ufumane amandla kwakhona. Ekuchacheni, ukukhutshwa kuya kucwangciswa kwaye ukulandelelwa kuya kucwangciswa.

Dibana no

Ukuqhagamshelana noGqirha bethu beNeuro, Cofa apha

FAQs

Yeyiphi imingcipheko enokubakho enxulumene nenkqubo?

Njengayo nayiphi na inkqubo yotyando, iCraniotomy ineseti yayo yeengxaki. Umngcipheko wotyando lobuchopho uxhomekeke kwindawo ethile yobuchopho oluya kuthi luchaphazele utyando. Ezinye zeengxaki eziqhelekileyo ziquka:

• Ukuhlamba
• Uxinzelelo lwegazi olungazinzanga
• Ukuxhamla
• Ubuthakathaka obuthathaka
• Ukuvuza kwe-cerebrospinal fluid
• Amacandelo egazi
• Ukulahlekelwa ngumsebenzi othile wengqondo

Yintoni ukunqunyulwa kwe-cerebral aneurysm?

I-Cerebral aneurysm sisimo esingaqhelekanga esenza buthathaka udonga lwemithambo yegazi ebuchotsheni. Le nkqubo yenzelwe ukuba ikliphu ye-titanium ibekwe kwintamo ye-aneurysm ukuyithintela ukopha. Ukusika kwenziwa phezu kwendawo apho ingqondo kufuneka ivulwe. Inxalenye yethambo lokakayi iyasuswa. Ikliphu ye-titanium ibekwe ngapha kwentamo ye-aneurysm. Ukuba ikliphu ayikwazi ukukhusela ngokupheleleyo i-aneurysm, inani elincinci le-gauze lingafuneka ukuba lifakwe kwi-aneurysm. Ithambo lokakayi liphinde lifakwe kwaye livalwe ngeepleyiti zentsimbi kunye nezikrufu. I-cut ivalwe ngee-stitches okanye i-staples.

Yintoni i-craniotomy kunye ne-resection ye-intrinsic lesion?

I-craniotomy kunye ne-resection ye-intrinsic lesion yenziwa ukususa inxeba ngaphakathi kwengqondo. Ukusikwa kwenziwa phezu kwendawo yesilonda kwaye icandelo lethambo liyasuswa. Ukuba ugqirha wakho wotyando akakwazi ukubona isilonda kumphezulu wobuchopho, ukusikwa kwenziwa kwingqondo ukuveza isilonda. Ngenkqubo yokukhangela ekhompyutheni, isilonda sinokufumaneka. Xa isilonda sisusiwe, ithambo lokakayi libuyiselwa umva kwaye livalwe ngeepleyiti zentsimbi kunye nezikrufu kwaye ukusikwa kuvalwe ngemithungo okanye iziseko.