I-Pediatric Neurosurgery

Isibhedlela esihamba phambili se-Pediatric Neurosurgery e-Hyderabad

I-Pediatric Neurosurgery iwuhlobo lokuhlinzwa kwezinzwa okwelapha izingane ezinezinkinga zemizwa. Lokhu kuhlinzwa kuhilela izinqubo zokuhlinzwa ezihlobene nomgogodla, isimiso sezinzwa nobuchopho. 

Ezinye izifo zemizwa zidinga ukwelashwa ngemva kwezinyanga ezimbalwa zokubeletha. Uhlobo lokuhlinzwa luncike ebucayi besimo. Lokhu kuhlinzwa kwemizwa kwenziwa odokotela abahlinzayo abaqeqeshiwe nabanolwazi ukuze kuthuthukiswe izinga lempilo yezingane.

Isibhedlela i-CARE sithathwa njengesinye sezibhedlela ezingcono kakhulu zokuhlinza izingane eHyderabad. Isibhedlela sihlinzeka ngokunakekelwa nokwelashwa ezinganeni zabo bonke ubudala. Ithimba lodokotela bezinhlaka eziningi lisizwa abahlengikazi abaqeqeshiwe kanye nabanye ochwepheshe bezokwelapha ngesikhathi sokuhlinzwa. Basebenzisa izinqubo ezingenele kancane zokwelashwa kwezingane futhi banikeze imiphumela engcono kakhulu.

Uchwepheshe Bezinzwa Ezibhedlela ze-CARE

Esibhedlela i-CARE, odokotela nodokotela abahlinzayo bahlangabezana nazo zonke izidingo zezokwelapha zezingane. Odokotela bezinzwa zezingane kulesi sibhedlela bahlinzeka ngokwelashwa kwezinkinga zezokwelapha ezilandelayo:

• Izimila zobuchopho - Kuwukuphazamiseka lapho ukukhula kwamangqamuzana angavamile kwenzeka ebuchosheni bengane. Uhlobo lokuhlinzwa lokwelapha lesi sifo luncike ohlotsheni lwesimila sobuchopho, indawo ekuso kanye neminyaka yengane.

• I-Neurofibromatosis - Kuyisifo sofuzo lapho kwakheka khona izimila emthanjeni. Amathumba angakhula emithanjeni, ebuchosheni nasentanjeni yomgogodla. Ukuhlinzwa kunganciphisa izimpawu zalesi sifo kanti ezinye izindlela zokwelapha zingase zelaphe i-neurofibromatosis.

• Ukukhubazeka kokuzalwa - Lezi zinkinga zaziwa nangokuthi ukukhubazeka kokuzalwa. Ezinye zezinkinga zokuzalwa ezijwayelekile yilezi:

1. Ulwanga/ udebe oluqhekeziwe

2. Ukukhubazeka kwenhliziyo

3. I-Down syndrome

4. I-Spine bifida

Izimbangela zalezi zinkinga yizici zemvelo noma izici zofuzo noma inhlanganisela yakho kokubili.

• I-Stroke - Ukulimala kwengqondo okungapheli okubangelwa ukuntuleka komoyampilo noma ukopha kakhulu. Izinhlobo ze-stroke yilezi:

1. I-Cerebral venous thrombosis

2. I-Perinatal stroke

3. I-Arterial ischemic stroke

4. I-Ischemic stroke

5. Isifo sohlangothi esopha kakhulu

6. I-Sinovenous thrombosis stroke

• Ukukhubazeka komgogodla - Ijika elingavamile entanjeni yomgogodla laziwa ngokuthi ukukhubazeka komgogodla. Lesi sici sithinta imisebenzi yomgogodla. Kuholela ekuhambeni okungalungile, ubuhlungu kanye nokuphazamiseka kwezinzwa. Izinhlobo zokukhubazeka komgogodla yilezi:

1. Lordosis

2. I-Scoliosis

3. I-Kyphosis

• Isifo sokuwa - Kuyisimo sobuchopho lapho ingane iba nokuquleka. Lokhu kuquleka kuvela lapho amasignali obuchopho avamile ephazanyiswa amasignali kagesi angavamile.

• I-nerve trauma - Lapho kuhlukumezeka izinzwa, inzwa iyalimala futhi umuntu uzwa ukulahlekelwa ukuzwa, ubuhlungu obungabekezeleleki, ukuntlinya noma ukuzwa ukushisa endaweni ethintekile.

Need For I-Pediatric Neurosurgery

I-neurosurgery yezingane inconywa kulabo bantwana ababonisa izimpawu zokuphazamiseka kwesistimu yezinzwa zezingane. Kunezimpawu ezihlukene zezinkinga ze-neuron ezihlukene. Ezinye zezimpawu zibalwe ngezansi:

• Ukulahlekelwa umuzwa

• Ikhanda elibuhlungu noma elibeleselayo

• Okungalungile noma ukuntuleka kokukhula kosayizi wekhanda

• Ukuqina emisipha

• Ukuquleka noma ukundindizela

• Ukubambezeleka ekuthuthukisweni

• Ukuntuleka kokuxhumana

• I-Mood iyashintsha

• Inkulumo emisiwe

• Ukubola kwemisipha

• Izinguquko ukunyakaza, umsebenzi kanye ingqondo

• Ukulahlekelwa kwememori

• Ukubona kabili noma ukuntuleka kombono

Izinkinga Ku-Pediatric Neurosurgery

Izinto eziyingozi ezihlotshaniswa ne-neurosurgery yezingane ezimweni ezingavamile ngokuvamile zibangelwa i-anesthesia nezinqubo zokuhlinzwa. Ezinye zezinkinga yilezi:

• Ukuvuza kwe-cerebrospinal fluid

• Ukushoda kwezinzwa

• Ukutheleleka kanye nokuvinjwa kwama-shunts e-ventriculoperitoneal

• Ukuphuma ngokweqile

• I-Bradyarrhythmia

Ukuhlolwa Kokuxilongwa Kwenziwa Ngaphambi Kokuhlinzwa Kwezingane

Ezibhedlela ze-CARE, ithimba lodokotela abanolwazi benza ukuhlola okuhlukahlukene ngaphambi kokuhlinzwa kwezinzwa zezingane. Lezi zivivinyo zokuxilonga yilezi:

• I-CT Scan - Lokhu kuhlola kusebenzisa ama-X-ray ukuthola izithombe ezinemininingwane yengxenye ethile yomzimba okuhlanganisa amathambo, imisipha, ubuchopho nezinye izitho.

• I-Electroencephalogram (EEG) - Ukuhlola kusiza ukuqapha ukusebenza kukagesi kobuchopho.

• I-Magnetic resonance imaging (MRI) - Kulokhu kuhlolwa, kusetshenziswe izizibuthe namaza omsakazo ukuze kutholwe izithombe ezinemininingwane yezitho zomzimba.

• Ukuhlaziywa kwe-cerebral spinal fluid - Kulokhu kuhlolwa, odokotela bathatha isampula yoketshezi lwe-cerebrospinal entanjeni yomgogodla ukuze bayohlolwa.

• Isonografi - Lokhu kuhlolwa kokuxilonga kusebenzisa ikhompuyutha namagagasi omsindo wemvamisa ephezulu ukudala izithombe zezicubu, izitho nemithambo yegazi.

• I-Neurosonography - Ngalokhu kuhlolwa, odokotela abahlinzayo baqapha izakhiwo zesimiso sezinzwa okuhlanganisa umgogodla, ubuchopho nezinye izakhiwo njengoba sisebenzisa amaza omsindo aphezulu kakhulu.

Ukwelashwa Kuhlinzekwa Izibhedlela Ze-CARE

Ezibhedlela ze-CARE, odokotela abahlinzayo bezingane benza izinqubo ezihlukahlukene ze-neurosurgical zezingane ukuze belaphe izifo ezihlukahlukene zesimiso sezinzwa:

• Ukususwa noma ukususwa kwesimila ebuchosheni

  • Enqubweni yokuhlinza i-debulking, ingxenye yesimila isuswa ngokuphepha ebuchosheni. 

  • Ngokususa isisu, isimila sisuswa ngokuphelele ebuchosheni. 

  • Odokotela abahlinzayo basusa izimila ngamazono nasemakhaleni besebenzisa i-endoscope ekuhlinzweni kwe-endonasal endoscopy.

  • Zonke lezi zinqubo zenziwa ukunciphisa amathuba ezingozi ezigulini.

• Biopsy

I-biopsy yenziwa ngezinjongo zokuxilonga. Phakathi nale nqubo yokuhlinzwa, udokotela ohlinzayo uzothatha isampula yethishu esilonda noma ukukhula okungavamile kobuchopho. Isampula libe selithunyelwa ukuze lihlolwe imiphumela yalo esiza odokotela abahlinza izinzwa ukuthi bazi uhlobo lokukhula kwesiguli sabo.

• I-Embolization noma i-microvascular clipping 

I-aneurysm yenzeka lapho ingxenye yomkhumbi wegazi igcwala igazi futhi inwebeka njengebhaluni. Ukuvimbela ukuqhuma kwe-aneurysm, odokotela abahlinzayo baya embolization. Kuyinqubo lapho bevimba ukugeleza kwegazi ku-aneurysm. Bangakwazi futhi ukwenza i-microvascular clipping lapho odokotela abahlinzayo besusa umthambo ohambisa igazi emithanjeni yegazi ethintekile.

• Ukwelashwa kokuhlinzwa kokuphazamiseka kwemizwa noma ukulimala

Udokotela ohlinzayo angase enze inqubo yokuhlinzwa eyaziwa ngokuthi i-rhizotomy ukwelapha ukugogeka kwemisipha okuzenzakalelayo. Basebenzisa ukuvuselela kagesi ukuze bathole inzwa eyonakele.

Izibhedlela ZOKUNAKEKELA Zingasiza Kanjani?

Ezibhedlela ze-CARE, senza konke ukuhlinzwa okuhlanganisa i-neurosurgery yezingane ngokwemigomo yokwelapha yamazwe ngamazwe. Ithimba elinolwazi lodokotela abahlinzayo ezibhedlela ze-CARE lihlinzeka ngezinketho zokwelashwa eziqondene nawe ezigulini. Basebenzisa izinqubo ezihlasela kancane phakathi nokuhlinzwa ukuze banciphise amathuba ezingozi. Abasebenzi abaqeqeshiwe besibhedlela bahlinzeka ngosizo oluphelele kanye nokunakekelwa kokugcina ezigulini ngesikhathi sokululama kwazo.