Kuvhiya kwehuropi

Kuvhiya kweBongo kuvhiya kurapa matambudziko muuropi uye zvimiro zvakakomberedza.

Usati wavhiyiwa, bvudzi riri muchikamu cheganda rakaveurwa uye nzvimbo yacho inocheneswa. Chiremba anoita yekuvhiya akacheka kuburikidza nemusoro. Iyo nzvimbo yekucheka inoenderana nekuti dambudziko riri muuropi riripo.

Chiremba anovhiya mwena dehenya uye anobvisa pfupa.

Kana zvichibvira, chiremba anovhiya anoita gomba diki uye opinza chubhu ine mwenje uye kamera pamagumo. Iyi inonzi endoscope. Kuvhiya kunoitwa nemidziyo yakaiswa kuburikidza neiyo endoscope. MRI kana CT scan inogona kubatsira kutungamira chiremba kunzvimbo yakakodzera muuropi.

Panguva yekuvhiyiwa, chiremba wako anovhiya anogona:

• Bvisa aneurysm kudzivirira kubuda ropa
• Bvisa bundu kana chidimbu chebundu kune biopsy
• Bvisa zvisina kujairika zvinyama zvehuropi
• Dhonza ropa kana hutachiona
• Sunungura tsinga
• Tora sampuro yeturu tema kuti ubatsire kuongorora chirwere chetsinga

Iyo bhanhire rinoputika rinowanzotsiviwa mushure mekuvhiyiwa, uchishandisa zvidimbu zvidiki zvesimbi, sutures, kana waya. Uku kuvhiyiwa kwehuropi kunonzi craniotomy.

Iyo pfupa inoputika inogona kusadzoserwa kumashure kana kuvhiyiwa kwako kuchisanganisira bundu kana hutachiona, kana kana huropi hwakazvimba. Uku kuvhiyiwa kwehuropi kunonzi craniectomy. Iyo pfupa inoputika inogona kudzorerwa mukati mekuvhiya kwemberi.

Iyo nguva yainotora pakuvhiya zvinoenderana nedambudziko riri kurapwa.

Kuvhiya kwehuropi kunogona kuitwa kana iwe uine:

• Bundu rebongo
• Kubuda ropa (kubuda ropa) muuropi
• Ropa rinovhara (hematomas) muuropi
• Kushaya simba mumidziyo yeropa (brain aneurysm kugadzirisa)
• Midzi yeropa isina kujairika muuropi (arteriovenous malformations; AVM)
• Kukuvadza kumaturu akafukidza huropi (dura)
• Zvirwere muuropi (brain abscesses)
• Uturu hwakanyanya kana kurwadziwa kumeso (senge trigeminal neuralgia, kana tic douloureux)
• Kutsemuka kwehenya
• Kumanikidzwa muuropi mushure mekukuvara kana sitiroko
• Pfari
• Dzimwe hosha dzehuropi (dzakadai seParkinson chirwere) dzinogona kubatsirwa nemidziyo yemagetsi yakaiswa
• Hydrocephalus (uropi kuzvimba)

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko kufema
• Kubuda ropa, kugwamba kweropa, hutachiona

Njodzi dzinogona kuitika dzekuvhiyiwa huropi ndeidzi:

• Matambudziko nekutaura, ndangariro, kushaya simba kwemhasuru, kuenzanisa, kuona, kubatana, uye mamwe mabasa. Matambudziko aya anogona kutora chinguva chidiki kana anogona kusazomboenda.
• Ropa rakavhara kana kubuda ropa muuropi.
• Kufenda.
• Kurohwa.
• Coma.
• Utachiona muuropi, ronda, kana dehenya.
• Kuzvimba kwehuropi.

Chiremba wako achakuongorora, uye anogona kuraira ma laboratory uye imaging bvunzo.

Udza chiremba wako kana mukoti:

• Kana iwe uchigona kuve nepamuviri
• Ndeapi madhiragi auri kutora, kunyangwe zvinodhaka, zvinowedzera, mavitamini, kana mahebhu awakatenga pasina mushonga
• Kana wanga uchinwa doro rakawanda
• Kana iwe ukatora aspirin kana anti-kupisa mishonga senge ibuprofen
• Kana iwe uine allergies kana maitiro kumishonga kana ayodini

Munguva yemazuva asati avhiyiwa:

• Iwe unogona kubvunzwa kumbomira kutora aspirin, ibuprofen, warfarin (Coumadin), uye chero mimwe mishonga yekucheresa ropa.
• Kumbira chiremba wako kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa.
• Edza kurega kusvuta. Kusvuta kunogona kunonoka kupora mushure mekuvhiya kwako. Kumbira chiremba wako kuti akubatsire.
• Chiremba wako kana mukoti anogona kukukumbira kuti ugeze bvudzi rako neshampoo yakakosha husiku hwapamberi pekuvhiyiwa.

Pazuva rekuvhiyiwa:

• Iwe ungangobvunzwa kuti usamwe kana kunwa chero chinhu kwemaawa masere kusvika gumi nemaviri pamberi pekuvhiyiwa.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Svika kuchipatara nenguva.

Mushure mekuvhiyiwa, iwe unozotariswa zvakanyanya nechikwata chako chekuchengetedza hutano kuti uve nechokwadi chekuti huropi hwako huri kushanda nemazvo. Chiremba kana mukoti anogona kukubvunza mibvunzo, kupenya mwenje mumaziso ako, uye kukukumbira iwe kuti uite mabasa akareruka. Ungangoda oxygen kwemazuva mashoma.

Musoro wemubhedha wako unozochengetwa wakasimudzwa kuti ubatsire kudzora kumeso kwechiso chako kana musoro. Iko kuzvimba kunowanzoitika mushure mekuvhiyiwa.

Mishonga ichapihwa kugadzirisa marwadzo.

Kazhinji unogara muchipatara kwemazuva matatu kusvika manomwe. Iwe ungangoda kurapwa kwemuviri (kugadziriswa).

Mushure mekuenda kumba, tevera chero mirairo yekuzvichengeta iwe yaunopihwa.

Kunyatsoita kwaunoita mushure mekuvhiyiwa kwehuropi kunoenderana nemamiriro ari kurapwa, hutano hwako hwese, ndechipi chikamu chehuropi chakabatanidzwa, uye nemhando chaiyo yekuvhiyiwa.

Craniotomy; Kuvhiya - huropi; Neurosurgery; Craniectomy; Stereotactic craniotomy; Stereotactic uropi biopsy; Endoscopic craniotomy

• Brain aneurysm kugadzirisa - kubuda
• Kuvhiya kwehuropi - kubuda
• Kuchengetedza mhasuru kusimba kana kupaza
• Kutaurirana nemumwe munhu ane aphasia
• Kutaurirana nemumwe munhu ane dysarthria
• Pfari muvakuru - chii kubvunza chiremba wako
• Pfari muvana - kubuda
• Pfari muvana - chii kubvunza chiremba wako
• Pfari kana pfari - buditsa
• Stroke - kubuda
• Kumedza matambudziko

• Asati uye shure kwehematoma kugadzirisa
• Craniotomy - akateedzana

Ortega-Barnett J, Mohanty A, Desai SK, Patterson JT. Neurosurgery. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 67.

Zada G, Attenello FJ, Pham M, Weiss MH. Kuronga kwekuvhiya: pfupiso. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 18.