Vuka Ukuhlinzwa Ubuchopho

Ukuhlinzwa kobuchopho okuvukayo, okwaziwa nangokuthi i-awake craniotomy, kuwuhlobo lokuhlinzwa olwenziwa ebuchosheni ngesikhathi uphapheme futhi uqaphile. 

Ukuhlinzwa kwenziwa ukuze kwelaphe izimo ezithile zobuchopho (zezinzwa), njengamathumba obuchopho noma isithuthwane ukuhlukunyezwa.

Mayelana Nokuhlinzwa Kwengqondo Ephapheme

Uma isisu noma indawo yobuchopho lapho kwenzeka khona ukuquleka (ukugxila kwesithuthwane) iseduze nezingxenye zobuchopho ezilawula ukunyakaza noma inkulumo ongase uyidinge ukuthi uphapheme ngenkathi uhlinzwa. Udokotela ohlinzayo angase abuze imibuzo futhi aqaphe umsebenzi wakho wobuchopho njengoba uphendula.

Izimpendulo zakho zingasiza udokotela ohlinzayo ukuqinisekisa ukuthi welapha indawo efanele yobuchopho bakho edinga ukuhlinzwa. Ngaphezu kwalokho, inqubo ingase futhi yehlise ingozi yokulimala ezindaweni ezisebenzayo zobuchopho bakho okungase kuthinte ukunyakaza kwakho, ukukhuluma noma ukubona. Uhlala uqaphile ngesikhathi sokuhlinzwa kobuchopho obuphapheme, okusiza udokotela ohlinzayo ukuthi aqoqe ulwazi olubalulekile mayelana nethagethi yokuhlinzwa. Kodwa-ke, uzothola i-sedation kanye nemithi yokunciphisa ubuhlungu i-anesthesiologist.

Obani Abafanelekela Ukuhlinza Ubuchopho?

Uma isimila noma ingxenye yobuchopho ebangela ukuhlukunyezwa idinga ukususwa ngokuhlinzwa, odokotela kumele baqiniseke ukuthi abalimazi indawo yobuchopho bakho ethinta amakhono akho emoto, nolimi lokukhuluma,.

Lolu hlobo lokuhlinzwa lungasiza odokotela bathole impendulo ngesikhathi sokuhlinzwa. Lokhu kuqinisekisa ukuthi ayikho imisebenzi ebucayi njengamakhono okunyakaza, inkulumo, ulimi, noma amanye amangqamuzana ezinzwa asebenzayo esiguli awonakele. Akwenzeki ngaso sonke isikhathi ukukhomba ngokunembile izindawo zokulawula ubuchopho ngaphambi kokuhlinzwa. Ukuhlinzwa kobuchopho obuphapheme kwenza udokotela ohlinzayo azi izindawo zokusebenza ezibalulekile futhi ahlale ecacile kuzo ngesikhathi sokuhlinzwa.

Cela I-aphoyintimenti Ezibhedlela ze-Apollo

Shayela ku-1860-500-1066 ukuze ubhuke i-aphoyintimenti

Kungani Kwenziwa Ukuhlinzwa Kobuchopho Okuphapheme?

Odokotela abahlinzayo benza ukuhlinzwa kobuchopho okuphapheme ukuze basuse izimila eduze nezindawo zobuchopho ezilawula imisebenzi ebalulekile njengokunyakaza komzimba, ulimi nokukhuluma.

Futhi, ukuhlinzwa kobuchopho obuphapheme kwenziwa kulawo mathumba asakazeke yonke indawo ebuchosheni futhi angenawo umngcele. Esinye isimila esinjalo i-glioma. 

Ukuhlinzwa kobuchopho obuphapheme kungasiza odokotela abahlinzayo basuse lezi zimila ngaphandle kokuphazamisa ukusebenza komzimba. 

Ngokuhlinzwa kobuchopho obuphapheme, udokotela ohlinzayo kanye ne-neuro anesthesiologist basebenza ndawonye. Ngesikhathi sokuhlinzwa, isiguli singalaliswa ngale ndlela elandelayo:

• Vuka ngesikhathi sokuhlinzwa: Isiguli sinikezwa izinzwa zendawo ezingavimba ubuhlungu ekhanda. Isiguli besiyobe siphapheme ngesikhathi sokuhlinzwa.

Ihlaliswe ekuqaleni nasekupheleni kwenqubo futhi iphaphame phakathi nenqubo: Isiguli sinikezwa inani elincane le-anesthesia ekuqaleni kokuhlinzwa. Udokotela obulala izinzwa we-neuro uzomisa i-anesthesia lapho udokotela ohlinzayo eselungele ukukhishwa kwesimila. Ngemva kokuhlinzwa, isiguli singase siphinde silaliswe izinzwa.

Yini Ongayilindela Ngaphambi, Phakathi Nangemuva Kokuhlinzwa Kobuchopho Okuphaphamayo?

Ngaphambi Kokuhlinzwa

Okokuqala, udokotela uzonquma ukuthi ukuhlinzwa kobuchopho obuphapheme kungaba yinketho efanele yini. Ukuhlinzwa kobuchopho okuphapheme kunikeza izinzuzo eziningi. Abantu abanamathumba ebuchosheni noma izikhungo zokuwa (i-epileptic foci) eduze nezicubu zobuchopho ezisebenzayo, lapho ukuhlinzwa ngaphansi kwezinzwa ezivamile (ngisho nokusetshenziswa kobuchwepheshe bakamuva obufana ne-neuronavigation, i-MRI esebenzayo kanye ne-diffusion tensor imaging) kunengozi yokukhiqiza ukusilela ekusebenzeni njengokukhubazeka izitho zomzimba noma ukulahlekelwa ukukhuluma, angacabangela ukuhlinzwa kobuchopho obuphapheme.

Ukuhlinzwa kobuchopho okuphaphamele kungasiza ekwehliseni usayizi wezimila zobuchopho ezikhulayo ngokuphepha, okungase kuthuthukise izinga lempilo. Nokho, udokotela uzochaza ezinye zezingozi zokuhlinzwa, kuhlanganise nokuvuvukala kobuchopho, ukuphuma, okwesikhashana ukulahlekelwa inkumbulo or ubunzima bomzimba kanye nokulahlekelwa ukuzwa kwengxenye yomzimba. Futhi, ngaphambi kokuhlinzwa, udokotela angase akucele ukuba uhlonze izithombe namagama athile. Imibuzo efanayo yayizobuzwa phakathi nokuhlinzwa, futhi izimpendulo zaziyoqhathaniswa.

Ngesikhathi Sokuhlinzwa

Udokotela obulala izinzwa uzokunikeza umuthi wokukwenza ulale ezingxenyeni ezithile phakathi nokuhlinzwa kwakho kobuchopho obuphapheme. 

I-neurosurgeon ingafaka imephu yobuchopho bakho ukugwema noma yimuphi umonakalo kumaseli ezinzwa. Imephu yobuchopho nezithombe ze-3D zamathumba kusiza odokotela abahlinzayo basuse isimila ngaphandle kokulimaza ukusebenza kwezingxenye ezibalulekile zomzimba. Futhi, udokotela ohlinzayo angase akubuze imibuzo efanayo ngesikhathi sokuhlinzwa owabuzwa ngaphambili, akucele ukuthi wenze umnyakazo, ubale izinombolo, futhi ukhombe izithombe. Lokhu kuzosiza udokotela ohlinzayo ukuthi abone izindawo zokusebenza ezibalulekile futhi ahlale ecacile kuzo ngesikhathi sokuhlinzwa.

Ngemuva Kokuhlinzwa

Ngemva kokuhlinzwa udokotela ohlinzayo anga-oda a I-MRI ukuqinisekisa ukuthi ukususwa kwesimila kuqediwe. Ngokushesha ngemva kokuhlinzwa, uzoshintshelwa e-ICU isikhathi esithile futhi uzodinga ukuba esibhedlela usuku noma ezimbili. 

Nokho, ungaqala imisebenzi yakho evamile nomsebenzi, ngokuvamile ezinsukwini ezimbalwa ngemva kokuhlinzwa. Ukuhlolwa kokulandelela nodokotela kunganconywa ngaphambi kokuphinda uqalise imisebenzi yakho evamile. Ngakho, phakathi nokuhlinzwa, udokotela ohlinzayo angasusa ingxenye enkulu yesimila; kodwa kunethuba lokuthi ezimbalwa zeziguli zingadinga ezinye izindlela zokwelapha ezifana imiphumela emibi yokwelashwa ngamakhemikhali noma ukwelashwa ngemisebe ukucekela phansi noma ukulawula ukukhula kwezingxenye ezisele zesimila.

Yiziphi Izinzuzo Zokuhlinzwa Kwengqondo Ephapheme?

Uma isiguli sitholwa sinethumba ebuchosheni elilawula imisebenzi ebalulekile yobuchopho njengokunyakaza kwezitho, ukukhuluma, nokunye, ukuhlinzwa kobuchopho okuphapheme kuyinketho engcono kakhulu. Kuyasiza ukuhlonza isimila futhi kulondoloze namakhono okusebenza komuntu. 

Ukulimaza amangqamuzana ezinzwa anemisebenzi ebalulekile kungaholela ekukhubazekeni unomphela. Ngakho-ke, ukwenza imephu yemizwa ngesikhathi sokuhlinzwa kuyindlela engcono kakhulu yokugwema ezinye izinkinga nokukhubazeka.

Yiziphi Izingozi Ezihambisana Nokuhlinzwa Kwengqondo Ephapheme?

Ezinye izingozi zihlotshaniswa nokuhlinzwa kobuchopho obuphapheme (iningi lazo lingathuthuka ngokuhamba kwesikhathi). Nazi ezinye zezingozi zokuhlinzwa kobuchopho obuphapheme:

1. ukuquleka
2. Imisipha ebuthaka
3. Ubunzima ekukhulumeni
4. Ubunzima bokufunda
5. Ukuxhumana okungasebenzi

Imibuzo evame ukubuzwa (FAQs)

Imuphi umnyango owenza ukuhlinzwa kobuchopho?

Umnyango we-neurosurgery esibhedlela wenza ukuhlinzwa kobuchopho buphapheme.

Iluphi uhlobo lwesimila oludinga ukuhlinzwa kobuchopho obuphapheme?

Ukuhlinzwa kobuchopho okuphapheme kuphakanyiswe ezigulini ezitholwe zinama-glioma aseduze nezindawo zokusebenza zobuchopho.

Umuntu kufanele avakashele nini udokotela ngemva kokuhlinzwa?

Iseshini yokuqala yokulandelela nodokotela ngokuvamile ihlelwe izinsuku ezingu-7-10 ngemva kokuhlinzwa. Kodwa-ke, uma ubona noma yiziphi izimpawu ezinjengomkhuhlane, ubuthakathaka emilenzeni nasezingalweni, izinhlungu zekhanda, ukwanda kokuvuvukala, kanye nokutheleleka kwe-incision, khona-ke kufanele uthintane nodokotela wakho ngokushesha.