Evhangeri yevarwere vecerebral palsy: robotic stereotactic neurosurgery

Cerebral Palsy muvana

Cerebral palsy muvana, inozivikanwawo se infantile cerebral palsy kana kungoti CP, inoreva chirwere chinonyanya kuratidzwa nekukanganisa kushanda kwemota muchimiro uye kufamba, kunokonzerwa nekusafambira mberi kwekukuvara kwehuropi kunoitika mukati memwedzi mumwechete mushure mekuzvarwa apo uropi husati hwakwana. development. Chirwere chinowanzoitika muudiki, chine maronda ari muuropi uye anokanganisa makumbo nemaoko. Inowanzoperekedzwa nekuremara kwenjere, pfari, kukanganiswa kwemaitiro, kusagadzikana kwepfungwa, pamwe nezviratidzo zvine chekuita nekuona, kunzwa, uye kukanganisa mutauro.

Zvinhu Zvikuru Zvinotungamira KuCerebral Palsy

Zvitanhatu zvikuru zvinokonzeresa cerebral palsy: hypoxia uye asphyxia, kukuvara kweuropi, kusagadzikana kwekukura, genetic factor, zvikonzero zvaamai, kuchinja kwepamuviri.

Kupindira

Chiratidzo chikuru chevarwere vecerebral palsy ndechekutadza kufamba. Chinonyanya kunetsa kuvabereki vevana vakabatwa nedambudziko iri ndechekuti vangabatsira sei mukugadzirisa muviri, zvichiita kuti vadzokere kuchikoro uye vabatane munzanga nekukurumidza. Saka, tingavandudza sei unyanzvi hwemotokari hwevana vane cerebral palsy?

Rehabilitation Training

Kugadziriswa kwekurapa kwecerebral palsy inzira yenguva refu. Kazhinji, vana vanofanira kutanga kurapwa pavanenge vaine mwedzi mitatu yekuberekwa, uye kuramba vachienderera kweinenge gore kazhinji kunobereka migumisiro inooneka. Kana mwana akawana gore rekugadzirisa kurapa uye akawana zororo kubva mukuoma kwemisumbu, nekufamba kwekufamba uye kukwanisa kuzvimirira kwekufamba kwakafanana nevezera ravo, zvinoratidza kuti kurapa kwekugadzirisa kwave kwakanyatsoshanda.

Kurapa cerebral palsy kunoda nzira dzakasiyana siyana. Kazhinji, vana vari pasi pemakore maviri chete vanowana kurapwa kwekugadzirisa. Kana mushure megore migumisiro yakaenzana kana zviratidzo zvakanyanya kuipa, zvakadai sekuoma mitezo, kuwedzera kwetsandanyama, kuputika kwemhasuru, kana kusashanda zvakanaka kwemotokari, kufungisisa kwekutanga kwekuvhiyiwa kunodiwa.

Kuvhiya Kurapa

Stereotactic neurosurgery inogona kugadzirisa nyaya dzekuoma mitezo dzisingagone kuvandudzwa chete kuburikidza nekudzidziswa kwekuvandudza. Vana vazhinji vane spastic cerebral palsy vanowanzoona nguva yakareba yekushushikana kwetsandanyama, zvichiita kuti tendon ipfupike uye kukanganiswa kwekubatana. Vanogona kazhinji kufamba netsoka, uye mumatambudziko akaoma, vanoona bilateral rezasi remakumbo mitezo kana hemiplegia. Mumamiriro ezvinhu akadaro, kutarisa kwekurapa kunofanirwa kusanganisira nzira yakazara yekubatanidza stereotactic neurosurgery nekugadzirisa. Kurapwa kwekuvhiya hakungonatsiridza zviratidzo zvekukuvara kwemota chete asiwo kunoisa hwaro hwakasimba hwekudzidziswa kwekuvandudza. Post-operative rehabilitation inowedzera kusimbisa migumisiro yekuvhiyiwa, inokurudzira kudzorerwa kwemabasa akasiyana-siyana emotokari, uye pakupedzisira inozadzisa chinangwa chenguva refu chekuvandudza mararamiro ehupenyu.

Nyaya 1

Preoperative

High muscle toni mumakumbo maviri ezasi, isingakwanisi kumira yakazvimiririra, isingakwanisi kufamba yakazvimiririra, simba rezasi rezasi risina kusimba, kusagadzikana kwekugara, kufamba kwechigero nerubatsiro, kupfugama kwemabvi, kufamba kwetiptoe.

Postoperative

Lower limb tsandanyama toni yakaderera, yakawedzera yakaderera kumashure simba kana ichienzaniswa nekare, yakagadziridzwa kugadzikana ugere wakazvimiririra, kumwe kuvandudzwa mukufamba kwetiptoe.

Nyaya 2

Preoperative

Mwana ane hurema hwepfungwa, musana usina simba, haakwanisi kumira kana kufamba akazvimiririra, inzwi rakakwirira retsandanyama mumakumbo ezasi, uye mhasuru dzakasimba dzeadductor, zvichiita kuti pave nechigero kana uchibatsirwa kufamba.

Postoperative

Hungwaru hwave nani kana uchienzaniswa nekare, mhasuru toni yadzikira, uye kuderera kwesimba kwakawedzera, iko zvino kwave kukwanisa kuzvimiririra kwemaminitsi mashanu kusvika matanhatu.

Case 3

Preoperative

Murwere haakwanisi kufamba akazvimiririra, achifamba netsoka netsoka dzose, anokwanisa kubata zvinhu zvakareruka nemaoko maviri, uye ane simba rakaderera retsandanyama.

Postoperative

Kubata kwemaoko maviri kune simba kupfuura kare. Murwere zvino anogona kupinduka akazvimiririra uye oisa tsoka dzese dziri mbiri dzakati sandarara, ogara ega, uye osimuka akazvimiririra.

Case 4

Preoperative

Simba rezasi risina simba, mhasuru yakakwira munhengo dzose dziri mbiri dzezasi, uye kana yabatsirwa kumira, nhengo dzezasi dzinoyambuka uye tsoka dzinopindirana.

Postoperative

Simba rezasi kumashure rakavandudzwa zvishoma, mhasuru yetsandanyama mumakumbo ezasi yadzikira zvishoma, uye pane kuvandudzwa kwetiptoe kufamba gait.