Kwanan nan, Dokta Zhang Guofeng, mataimakin babban likita na sashen ilimin likitancin kasusuwa, asibitin Yantai mai hade da kwalejin likitanci na Binzhou, tare da tawagarsa sun yi nasarar yin aikin tiyatar LDK da aka kera ta hanyar gyaran ciwace-ciwacen daji, kuma sun yi aikin tiyatar "masanin ciwon tumor na mata da aka yi a al'ada". A kan majiyyaci da ke da mawuyacin yanayi, wanda ba wai kawai ya nuna nasarar ci gaban Sashen Nazarin Kashin Kashi ba, Asibitin Yantai na Kwalejin Kiwon Lafiya ta Binzhou, a cikin maganin cutar kansar ƙashi, amma kuma ya nuna ƙwarewar aikin tiyata mai girma ya kai matakin ci gaba na gida. .
Bayanin yanayin
Mara lafiya, mace, shekaru 70
Shekara guda da ta wuce majiyyacin ya sami alamun cututtuka masu raɗaɗi a cinyoyinta na dama, wanda a hankali ya tsananta.Mai haƙuri ya yi tunanin cewa tana da necrosis na femoral, amma ciwon ya kasance mai tsanani bayan shan magungunan kashe zafi.Kwanan nan, ta tuntubi asibitin Yantai Affiliated Hospital na Kwalejin Kiwon Lafiya ta Binzhou tun lokacin da ciwon ya tsananta har ta kasa barci da daddare kuma ba ta iya tafiya.
MRI na haɗin gwiwarta ya ba da shawarar sigina mai yawa a cikin kusa da ƙarshen femur na dama, kuma an yi la'akari da ciwon daji.Sannan an shigar da majiyyacin zuwa Sashen Nazarin Kashi na Kashi don ƙarin magani.
Bayan cikakken bincike, tawagar mataimakin babban likita Zhang Guofeng, ta tabbatar da gano ciwon daji da ke jikin femur dama, kuma cutar ta farko an dauki cutar kansar huhu ta gefe.Bayan cikakkiyar sadarwa tare da majiyyaci da danginta, an yanke shawarar tiyata.
Kalubale Karɓa!Haɗin kai na likitanci-masana'antu don wahala maye gurbin tiyata
Matsalar da ta fi damun likitocin ita ce majinyacin yana da shekaru 70 da haihuwa kuma na dama na sama da na tsakiya ya lalace sosai sakamakon zaizayar ciwace, har ma da distal femur da ba a gushe ba ba a bar shi da yawa ba, don haka hanyoyin sake ginawa na al'ada bayan ƙari. resection ba su da amfani.Bayan wasan kwaikwayo da tattaunawa akai-akai, ƙungiyar Dr. Zhang Guofeng ta yanke shawarar yin gyaran ƙwayar cuta na babba da ta tsakiya + maye gurbin gurɓataccen ƙari.
MRI kafin aiki
Preoperative CT
Ƙirar Wahala
1.
Wahalar farko da dole ne a fuskanta don wannan hanya shine ko majiyyaci na iya jure wa tiyata lafiya la'akari da shekarunta 70, ciwon daji da rashin lafiyar jiki.
2.
Wahala ta biyu ita ce, tiyatar ta kunshi tsagaita bugu da sake gina gabobin jiki, tsawon lokacin aiki, zubar jini mai yawa wanda zai iya haifar da girgizar jini, da yiwuwar kamuwa da cuta.
3.
Bangaren nisa na femur, wanda ba a rushewa ba, yana da ɗan gajeren lokaci don riƙe fil ɗin medullary na prosthesis, don haka yadda za a tsara ingantaccen aiki mai inganci don sake ginawa shine kalubale na uku.
4.
Tun lokacin da aka maye gurbin sassan mata na sama da na tsakiya ta hanyar cire nama na naman mata na sama da na tsakiya (ciki har da kan femoral) da tsoka yana tsayawa wanda ke motsa haɗin gwiwa na hip, yadda za a sake gina kyallen takarda mai laushi a kusa da prosthesis da mayar da aikin gabobin. shine kalubale na hudu a wannan tiyatar.
Dokta Zhang Guofeng, mataimakin babban likitan fiɗa, da farko ya yi magana da ƙungiyar injiniyoyin LDK don tsara aikin gyaran ƙwayar cuta na musamman.Saboda girman matakin wannan tiyata da wahala da kuma haɗarin aikin, an shirya shawarwari da tattaunawa da yawa tare da masana daga Sashen Nazarin Pathology, Sashen Hoto, Ma'aikatar Magungunan Numfashi, Ma'aikatar Magungunan Cardiovascular, Cibiyar Oncology da Cibiyar Oncology. Ma'aikatar Anesthesiology don nazarin yanayin da ƙayyade tsarin kulawa.
Maganin Zane na Prosthesis
1).3D sake ginawa na bayanan hoto 3D sake ginawa na ƙirar kashin mai haƙuri bisa ga bayanan hoto.
2).Tsarin ƙirar prosthesis da samfurin sakamako bayan maye gurbin
samfurin tasirin maye gurbin
Ƙaƙƙarfan prosthesis da ɓangarori na ƙari
Bayan cikakken shiri, tare da tacit hadin gwiwar likitoci da ma'aikatan jinya na sashen maganin sa barci da kuma dakin tiyata, Dokta Zhang Guofeng, mataimakin babban likitan tiyata, ya yi nasarar yin "resection na sama da tsakiyar mata na ciwon daji + na musamman maye gurbin prosthesis na ƙari" don aikin tiyata. mai haƙuri.
X-ray bayan tiyata
An yi aikin ne don cimma manufofin cire ƙashin ƙari, kawar da radadin majiyyaci, maido da aikin gaɓoɓi da inganta rayuwa har zuwa iyakar.Bayan ganewar asali da kulawa da duk ma'aikatan kiwon lafiya da ma'aikatan jinya na Sashen Nazarin Kashin Kashi, mara lafiyar ya warke sosai kuma an sallame shi daga asibiti.An shawo kan matsanancin ciwon cinya wanda ya dade yana damun majiyyaci, kuma majiyyacin ya koma tafiya kamar yadda aka saba bayan aikin kuma ya gamsu sosai da tasirin magani.
Nasiha daga Dr. Zhang Guofeng, mataimakin babban likita
Yawancin ciwace-ciwacen daji na iya haɓaka ƙasusuwan ƙashi.Metastases na kasusuwa suna da zafi na gida a matsayin babban bayyanar asibiti, wanda yake da banƙyama kuma ba a iya gano shi cikin lokaci ba, kuma yana iya haifar da mummunar lalata kashi har ma da karaya.Da farko, marasa lafiya sukan yi kuskuren kamuwa da ciwon huhu na kowa, amma daga baya yakan tashi zuwa ciwo mai tsanani, musamman jin zafi na dare.Anan muna tunatar da cewa idan wadannan alamomin da aka ambata a sama sun bayyana, ya zama dole a je asibiti akai-akai don neman magani cikin lokaci, kuma idan ya cancanta, za a iya yin gwajin X-ray, CT da MRI don gano yawancin cututtukan da ke damun kwarangwal.Da zarar an yi zargin metastases na kashi, yana da mahimmanci a je cibiyar ƙwayar ƙwayar cuta ta musamman don shawarwari da magani.
Lokacin aikawa: Oktoba-24-2022