Menene Craniectomy?

Wadatacce

• Mecece manufar craniectomy?
• Manufa
• Yaya ake yin wannan aikin?
• Yaya tsawon lokacin da za a ɗauka don murmurewa daga ciwon mahaifa?
• Shin akwai wasu rikitarwa?
• Outlook

Bayani

Craniectomy shine aikin tiyata don cire wani ɓangare na kwanyar ku don taimakawa matsin lamba a wannan yankin lokacin da kwakwalwar ku ta kumbura. Ana yin craniectomy yawanci bayan raunin ƙwaƙwalwar ƙwaƙwalwa. An kuma yi shi don magance yanayin da ke sa kwakwalwar ku ta kumbura ko zubar jini.

Wannan tiyatar sau da yawa tana aiki azaman matakin ceton rai na gaggawa. Lokacin da aka yi shi don magance kumburi, akan kira shi decompressive craniectomy (DC).

Mecece manufar craniectomy?

Craniectomy yana rage karfin intracranial (ICP), hauhawar jini intracranial (ICHT), ko zubar jini mai nauyi (wanda ake kira zubar jini) a cikin kwanyar ka. Idan ba a kula da shi ba, matsa lamba ko zubar jini na iya dannke kwakwalwar ka ya tura ta zuwa kan kwakwalwar kwakwalwar. Wannan na iya zama m ko haifar da lalacewar kwakwalwa ta dindindin.

Manufa

Craniectomy yana rage karfin intracranial (ICP), hauhawar jini intracranial (ICHT), ko zubar jini mai nauyi (wanda ake kira zubar jini) a cikin kwanyar ka. Idan ba a kula da shi ba, matsa lamba ko zubar jini na iya dannke kwakwalwar ka ya tura ta kasa kan kwayar kwakwalwar. Wannan na iya zama na mutuwa ko kuma haifar da lalacewar kwakwalwa ta dindindin.

ICP, ICHT, da zubar jini na kwakwalwa na iya haifar da:

• raunin ƙwaƙwalwa, kamar daga abu mai ƙarfi zuwa kai da abu
• bugun jini
• zubar jini a jijiyoyin kwakwalwa
• toshewar jijiyoyin cikin kwakwalwarka, wanda ke haifar da lalataccen nama (infarction na kwakwalwa)
• tara jini a cikin kokon ku (hematoma cikin intracranial)
• tarin ruwa a cikin kwakwalwa (cerebral edema)

Yaya ake yin wannan aikin?

Ana yin craniectomy sau da yawa azaman aikin gaggawa lokacin da ake buƙatar buɗe kwanyar da sauri don hana kowane rikitarwa daga kumburi, musamman bayan rauni na rauni na kai ko bugun jini.

Kafin yin aikin craniectomy, likitanka zai yi jerin gwaje-gwaje don sanin ko akwai matsi ko jini a cikin kai. Wadannan gwaje-gwajen za su kuma gaya wa likitanka wurin da ya dace don kwanyar.

Don yin craniectomy, likitan ku:

1. Yana sanya karamin yanka a fatar ku inda za'a cire gutsutsuren kwanyar. Yankewar yawanci ana yinsa kusa da yankin kanku tare da mafi kumburi.
2. Yana cire duk wata fata ko kyalle a saman yankin kwanyar da za'a fitar.
3. Yana sanya ƙananan ramuka a kwanyar ku tare da rawar-aji na likita. Wannan matakin ana kiransa craniotomy.
4. Yana amfani da ƙaramin zarto don yankewa tsakanin ramuka har sai an cire wani ɗan ƙwanƙwan kai.
5. Yana adana ofan kokon kai a cikin firiza ko kuma a ƙaramar jaka a jikinka domin a saka shi a cikin kwanyar ka bayan ka warke.
6. Yi duk wasu hanyoyin da suka dace don magance kumburi ko zubar jini a kwanyar ku.
7. Ara makaɗaɗa a yanke a fatar kan ku sau ɗaya kumburi ko zub da jini yana ƙarƙashin ikon.

Yaya tsawon lokacin da za a ɗauka don murmurewa daga ciwon mahaifa?

Yawan lokacin da za ku yi a asibiti bayan aikin craniectomy ya dogara da tsananin rauni ko yanayin da ya buƙaci magani.

Idan ka samu raunin ƙwaƙwalwar ƙwaƙwalwa ko bugun jini, ƙila za a buƙaci ka kasance a asibiti har tsawon makonni ko fiye don ƙungiyar kiwon lafiyarka su iya lura da yanayinka. Hakanan zaka iya shiga cikin gyara idan kana da matsalar cin abinci, magana, ko tafiya. A wasu lokuta, zaka iya buƙatar zama a cikin asibiti na tsawon watanni biyu ko fiye kafin ka inganta sosai don komawa ayyukan yau da kullun.

Yayin da kake murmurewa, KADA KA yi ɗaya daga cikin waɗannan har sai likitanka ya gaya maka yana da kyau:

• Shawa na yan kwanaki bayan tiyata.
• Anyauka kowane abu sama da fam 5.
• Motsa jiki ko yin aikin hannu, kamar aikin yadi.
• Shan taba ko shan giya.
• Fitar da abin hawa.

Mayila ba za ku iya murmurewa daga mummunan rauni na ƙwaƙwalwa ko bugun jini ba har tsawon shekaru har ma tare da cikakken gyara da magani na dogon lokaci don magana, motsi, da ayyukan fahimi. Samun murmurewar ka ya dogara da yawan lalacewar da aka yi saboda kumburi ko zubar jini kafin buɗewar kwanyar ka ko kuma yadda tsananin raunin kwakwalwa ya kasance.

A matsayin wani ɓangare na murmurewar ku, kuna buƙatar saka hular kwano ta musamman wacce ke kare buɗewar a cikin kanku daga duk wani rauni.

A karshe, likitan zai rufe ramin tare da cire kwanyar da aka cire wanda aka adana ko dasashin kwanyar roba. Wannan hanya ana kiranta cranioplasty.

Shin akwai wasu rikitarwa?

Craniectomies suna da babban dama na nasara. ya nuna cewa yawancin mutanen da suke wannan aikin saboda mummunan rauni na ƙwaƙwalwar ƙwaƙwalwa (STBI) suna murmurewa duk da fuskantar wasu matsaloli na dogon lokaci.

Craniectomies suna ɗaukar wasu haɗari, musamman saboda tsananin raunin da ya buƙaci ayi wannan aikin. Matsalolin da ka iya faruwa sun hada da:

• lalacewar kwakwalwa ta dindindin
• shigar da ruwa mai cutar a cikin kwakwalwa (ƙurji)
• kumburin kwakwalwa (sankarau)
• zub da jini tsakanin kwakwalwarka da fatar kan mutum (ƙananan hematoma)
• kwakwalwa ko cututtukan kashin baya
• rasa ikon magana
• nakasa ko cikakken jiki inna
• rashin sani, koda lokacin sane (yanayin ciyayi mai ci gaba)
• coma
• mutuwar kwakwalwa

Outlook

Tare da kyakkyawar kulawa na dogon lokaci da gyaran jiki, ƙila ku sami damar murmurewa sosai tare da kusan babu rikitarwa kuma ku ci gaba da rayuwar ku ta yau da kullun.

Craniectomy na iya ceton ranka bayan rauni na kwakwalwa ko bugun jini idan an yi shi da sauri don hana lalacewar jini ko kumburi a cikin kwakwalwar ka.