I-Ake Craniotomy: Yini Ongayilindela

I-Awake craniotomy ukuhlinzwa lapho a ebuchosheni iyasikwa ngenkathi isiguli siphapheme futhi sisabela kithi ngesikhathi sangempela. Le ndlela isetshenziswa kakhulu lapho izimila zobuchopho zitholakala zinamathela ezakhiweni zobuchopho ezinobuciko (Indawo yesandla, isifunda somlenze, indawo yokukhuluma, njll.). Lezi yizindawo ezibucayi lapho ukuphazamiseka okuncane kungabangela izinkinga ezibalulekile ezigulini.


Inhloso yethu lapha ukukhipha lezi zimila nge- i-craniotomy ephapheme, kangangokuthi isiguli asinakho ukulandelana kwemizwa ngemva kokuhlinzwa. Ngaphambi kokuhlinzwa, isiguli siyelulekwa kakhulu. Kungase kube nezinto ezihlukahlukene zokukhathazeka, njengokwesaba ngokuhlinza njengoba kusengqondweni kanye neqiniso lokuthi uzobe ephapheme kuyo yonke inqubo. Kudingeka izikhathi eziningi ukuze kufundiswe isiguli ngokugcwele ngezibopho zaso nendima yaso. Ngoba umgomo uwukuba nomphumela omuhle wezinzwa kanye ne-oncological, ukwenza nje i-biopsy futhi uvumele isimila ngemuva ngaphambi kokuqhubeka nokwelashwa kwe-adjuvant njengokuthi imisebe kungase kungabhekwa njengenkambo engcono kakhulu yokwenza.


Ukukhathazeka kokubangela ukukhubazeka kwezinzwa kufanele kubhekiswe kuqala futhi kuqala; lokhu kunikeza ithimba elihlinzayo ukuzethemba okwengeziwe ekususeni izimila eziningi kunokuba nje i-biopsy. Ukwelulekwa kubalulekile njengoba ukubamba iqhaza kwesiguli kuyisici esibaluleke kakhulu.


Ngisho noma ubuchopho bubona yonke imizwa efana nobuhlungu nokuthinta okuvela kwezinye izindawo zomzimba, izicubu zobuchopho zizonke azinawo umuzwa. Lokhu kunezela eqinisweni lokuthi ukuhlinzwa kobuchopho akubuhlungu ngokuphelele. Isikhumba, ithambo, nokuqina yizakhiwo ezibuhlungu. Uzakwethu obulala izinzwa uyivimba ngokuphelele inzwa ehlinzeka ngesikhumba nethambo, ukuze ubuhlungu bokusikeka kwesikhumba nokususwa kwethambo logebhezi buncishiswe ukuvinjwa kwemizwa yezindawo ezithintekile. Khona-ke ukuqina ngeke kuzwakale kusetshenziswa umuthi obulala izinzwa. Uma ubuhlungu sebuphelile, isiguli sizoqala ukusiphendula ngaphandle kokukhathazeka okuningi.


Uma isimila sisendaweni yesandla/emlenzeni, sikhuthaza isiguli ukuthi sinyakazise izandla/umlenze neminwe ngokuqhubekayo ukuze ukuhlinza kube bushelelezi. Uma sisendaweni yokukhuluma, siyaqhubeka nokuxhumana nesiguli futhi sibanike izinjongo ezihlukahlukene zokukhuluma. Uma sifaka isifunda sokuqonda, sihlinzeka ngemisebenzi efana nokusho izinto ezimbalwa noma ukuphinda izitatimende esizishoyo. Zonke zineqhaza ekulondolozweni komsebenzi endaweni okukhulunywa ngayo. Uma ukuhlinzwa sekuqediwe, sitshela isiguli ngesimo saso futhi ngokuvamile sinikeza i-anesthesia emaphakathi ngesikhathi sokuvalwa ukuze kudambise ubuhlungu bokuthunga.


Le ndlela igcina ukusebenza kobuchopho ngenkathi ikhipha izimila. Ukuze kufezwe ukuhlinzwa ngempumelelo, isiguli, ithimba labahlinzayo, nezisebenzi ezibulala izinzwa kufanele bonke babe nezinga eliphakeme lokuqonda.
Ukuquleka kuwubunzima, ikakhulukazi uma kufanele sikukhuthaze nge-subcortically, okungase kuholele ekubanjweni ngesikhathi senqubo. Ukuze sigweme lokhu, sigcina i-ice cold saline kanye nokunisela okwanele esandleni. Imijovo yokuvimbela ukuquleka Kwesinye isikhathi iziguli ziba nezithukuthezi futhi zingahlaliseki, okudinga ukuthi sizithobe isikhathi esisele sokuhlinzwa; lokhu kungase kuvinjwe ngokwelulekwa okuphelele. Ukunethezeka kwesiguli, ukuzibandakanya okumsulwa, nokubhekisisa okujulile kugcina lokhu kuhlangana kuxakile ngaso sonke isikhathi.