Bambanci tsakanin Craniotomy da Craniectomy
Yin aikin tiyata yana da mahimmanci hanya, kuma idan an gaya maka ko wani wanda kake ƙauna ance aikin tiyata yana da dole dole ne ka sami tambayoyi da dama. Yawancin ciwon kwakwalwa suna farawa tare da buɗe saman kwanyar don samar da budewa ta hanyar da likita zai iya aiki, ko da yake akwai wasu da aka aikata ta hanyoyi masu hanzari tare da karamin budewa a bayan hanci.
Hanyar Craniotomy
Craniotomy ne tiyata a lokacin da wani ɓangaren kwanyar-wanda ake kira ɓawon fata - an cire shi domin ya ba da damar likita mai shiga cikin kwakwalwa. Rashin kashi yana da yawanci zagaye ko maras kyau. Daidaitaccen adadin da jeri ya ƙayyade ta hanyar yanayin da kuma abin da za'a yi a lokacin tiyata.
Bayan an yi aikin tiyata, yawancin kashi yana dawowa zuwa wurin da ta gabata, inda zai iya warkar da gyaran kamar kowane fashe. Bayan watanni da yawa kashin yana kusan ƙarfi kamar yadda yake kafin a tiyata. A lokuta da yawa, ana amfani da faranti na kananan nau'ikan don ɗaukar kashin kashi a wuri domin ya warkar da shi, kamar simintin gyaran kafa.
Hanyar Craniectomy
Hanyar dajiyar jiki ta hada da cire wani ɓangaren kasusuwa, amma a wannan yanayin, ba a sake komawa wurinsa ba bayan an kammala aikin. Wannan na iya zama saboda rauni ga kashi kanta, saboda kwakwalwa ya kumbura don ba da damar dawowa da kashin kashi, ko kuma saboda likitan likita ya ji yana cikin mafi kyawun mai haƙuri.
Idan akwai kamuwa da cuta a yankin, alal misali, za'a iya zubar da kashin kashi.
Manufar Craniotomy da Craniectomy
A wasu lokuta da cututtukan kwakwalwa ko rauni, dukan manufar hanya ita ce yin wani craniotomy ko craniectomy - yawanci don rage matsa lamba ta hanyar ba da ɗakin kwakwalwa don yaɗa.
Bugu da ƙari, ƙwararrun ƙwayoyin cuta suna farawa tare da ko dai ƙwayar cuta ko craniectomy, kuma da zarar an kammala shi ne neurosurgeon yana samun dama ga kwakwalwa don ƙarin matakan da ake bukata.
Domin hanyoyin da yawa, yi la'akari da craniotomy / craniectomy kamar yadda aka sanya incision domin hanyar da za a yi. Ba kamar wani haɗuwa da aka yi a cikin ciki ko wasu sassan jiki ba, likita ne ya kamata ya shiga cikin kashi don kammala aikin. Kamar sauran raguwa, wannan zai buƙaci sutures ko staples su rufe, kamar yadda fata a kan kai zai buƙaci kamar sauran nau'in haɗari.
Ƙungiyar Bone
Idan an cire ɓangaren ƙashi, amma ba za a iya dawowa ba a yayin aikin, za'a iya sake komawa wuri a wani lokaci mai zuwa. A wannan yanayin, likitan likita zai sanya rabi kashi a wani wuri. A mafi yawancin lokuta, likita mai fiɗa zai yi kwata a cikin ciki, ya isa ya zubar da ƙashi a ciki kamar ambulaf a karkashin jiki mai ciki na ciki. A can ne ana kiyaye shi da kuma kiyaye shi ta jiki mai haƙuri. Za a iya sanya filaye ɓoye a cikin daskare mai mahimmanci a cikin asibiti don ajiya har sai an maye gurbin shi.
Idan baza a iya dawowa kashin kashi ba, kuma ana iya samun karuwanci da ƙananan wucin gadi don taimakawa sake sakewa a kwanan wata.
Sauya abin da ya ɓace yana da muhimmanci, saboda kwakwalwa yana kare kariya ba tare da kasusuwa ba. Kamar "laushi mai laushi" a kan kawun jaririn, rashin kasuwa zai iya yuwuwar raunin ƙwaƙwalwar ƙwaƙwalwa a ciki.
Sources:
Kuskuren Yanayin Bone A Neurosurgery. Rev Neurocienc 2008. Samun shiga Janairu 2010. http://www.unifesp.br/dneuro/neurociencias/229_revisao.pdf