Neurosurgery - Yini lokhu?

Neurosurgery - igatsha ezikhethekile kakhulu ukuhlinzwa okhuluma cwaningo kanye nokwelashwa kuhlinzwa kwezifo of the ephakathi neuropathy isimiso sezinzwa. Ngomqondo obanzi, la magama asho ubuchopho kanye nomgogodla intambo isifo, futhi ukulimala kwenzwa esibuhlungu. Ngaphezu kwalokho, babonisana le ohlinza izinzwa liyadingeka endabeni izilonda semithambo we isimiso sezinzwa esiyinhloko futhi iphimbo, okuyinto eyenzeka kaningi izingane.

Ukuvela nokuthuthuka kancane kancane neurosurgery

Neurosurgery bezilokhu endaweni ehlukile yezinzwa kule 20s yekhulu lamashumi amabili, okwakubekelwa wabizela ubunkimbinkimbi ekwelapheni polytrauma nezimpi. Phakathi buqala, isayensi ebandakanyeke ububanzi lolulingene izifo, ngaphezu, ukuhlola nezindlela zokwelashwa tekusebenta zazinzima nesizotha. Nokho, ekupheleni kwekhulu leminyaka elidlule lapho kuye kwasusa umgoqo okukhulu ukuthuthukiswa imboni, owawungumnyaka ukusetshenziswa kabanzi yokukhanya ezincane nekuphikisana izindlela luhlolo kancane koda. Okwamanje, neurosurgery - okukhethekile ukuthi ine amahle futhi njalo elokhu ivela.

Kwemizwa uhlelo kanye nezidingo Neurosurgery

Isimiso sezinzwa inombolo enkulu babashayeli kanye analizatsii izikhungo letisebenta njengoba iyunithi. Ngakho-ke, ukuze ubuyisele kahle ubuqotho babo kufanele lungabi naphutha futhi ephansi nomthelela eziqhathanisa, okuyinto engavumelekile itholakala kuphela ngokusebenzisa microscopy. cwaningo Ukugqama ivumela ngeso ecacile izinguquko ezihlelekile futhi ukusebenza odongeni semithambo we asebuchosheni nomgogodla ukuthi asitholakali abavamile rentenovskih imisebe kanye ultrasound. Kuyinto lezi ucwaningo olusha kwenza ochwepheshe kuya kumyalo ukuthola kahle ukufeza ekwelapheni aneurysms, thrombosis futhi azalwa naso kombungu ingqondo.

Tifo letibangwa neurosurgery

Udokotela unika nokudluliselwa udokotela ohlinza izinzwa esimweni lapho kukhona izinsolo izimila ingozi noma abulalayo e isimiso sezinzwa esiyinhloko. Ukuze izimila benign zihlanganisa meningiomas, dermoid, hemangioblastoma, Colloid izinhlumba, astrocytoma, neuromas. Ebulalayo isimila kumiswa amelwa izinhlobo ezihlukahlukene zokubusa ngesimiso astrocytomas futhi glioblastomas. Endabeni ubovu izinqubo, futhi ikakhulukazi ithumba ubuchopho kanye ubovu meningitis, futhi kudingeka ngosizo udokotela ohlinza izinzwa. Ikakhulukazi kabanzi ngekhulu xxi ke sandile ubuchopho neurosurgery, futhi iningi ezingaphansi kwayo - ukuhlinzwa neurovascular ukuthi uphatha aneurysms futhi haemorrhages, imikhawulo vasodilation sokugembula, thrombosis futhi kombungu arteriovenous.

Kaningi, eMnyangweni Neurosurgery ithola iziguli ezine radiculitis discogenic, kokucindezelwa futhi stenosis umgogodla, umbhunu umgogodla. Uma wephula noma ngisho yayiyolimaza we fibre emsipheni Kuyadingeka ukuvakashela udokotela ohlinza izinzwa. Shona ukuhlukumezeka nomgogodla ingxenye polytrauma, ngakho lapho nomonakalo onjalo ngaphandle kwalapho umuntu elimele kufanele ihileleke emkhakheni Uchwepheshe Neurosurgery. A division empeleni esasisesisha, okuyinto waziphatha neurosurgery kobuchopho ukuhlinzwa tekusebentisa stereotactic. It ngempumelelo ephatha isithuthwane, isifo i-Parkinson, eliqhaqhazelayo syndrome, ubuhlungu chronic , futhi neuralgia ngababili lesihlanu wesishiyagalolunye nezinzwa cranial.

kombungu esizalweni zobuchopho nomgogodla futhi liphatha ohlinza izinzwa, Nokho, iphrofayela yezingane. Lokhu kuhlanganisa iphimbo, ukuhlinzwa wenziwa izingane mhlawumbe kaningi kunokuba lonke sezinzwa uhlelo pathologies.

Lapho ukubiza udokotela ohlinza izinzwa?

Kuvele izimpawu kukhombisa, okuyokwenza isiguli ukuyokuzwa ukuthi kunesidingo ukuvakashela onguchwepheshe. Neurosurgery emgogodleni ngokuvamile ekubhekaneni hernia umgogodla, okuyinto, kuye ngokuthi indawo kanye nosayizi unezimpawu ezahlukene. Ngakho, ngokwesibonelo, umbhunu yomgogodla wesibeletho kuyinto ephawulekayo ukungabi namizwa iminwe, ubuhlungu kwehlombe layo, isiyezi, izinguquko njalo wegazi. Nge kwasendaweni herniation Isiguli thoracic ngokuvamile ubona ngisezinhlungwini ku sternum, futhi izimpawu intercostal neuralgia. Uma une lumbar herniated ngokuvamile imakwe ndikindiki izinzwane, ezidabukile ubuhlungu emilenzeni, ukuhamba waphendukela esifubeni. Obungapheli okulimala ebuchosheni kuyinto izimpawu azinzile futhi ngokuvamile owabonakaliswa nokulahlekelwa ukwazi, isicanucanu, ikhanda, incoordination ukunyakaza futhi ukuvela tinnitus. ubuchopho neurosurgery babhekana nalesi sifo. ukulimala ebuhlungu emikhawulweni at ukuphazamiseka emsipheni umsebenzi ikakhulukazi ibonakaliswe njengeyenziwe ndikindiki noma okushintshiwe ingxenye isikhumba coloration ukuthi innervated idatha umqhubi. Isimila zokugula kungase ngokujwayelekile izimpawu ezinhlobonhlobo, ngakho kunendawo ukubaluleka kwendawo yelungu CT nama-MRI.

Neurosurgery. imisebenzi

ukungenelela Steel emkhakheni ukuhlinzwa zingahlukaniswa zibe ezinkulu futhi okuthuthukisa. Igama elithi "olukhulu" kusho ukuthi ingasetshenziswa ukwelapha ngokuphelele isiguli. Lokhu kunjalo ngokukhethekile kwabasebasha iningi ukulimala esibuhlungu, umgogodla hernias futhi abanye pathologies semithambo. ukungenelela Palliative okuhloswe ngazo ukunciphisa izimpawu kodwa musa ukususa imbangela yenkinga. imisebenzi enjalo ukungenelela e izimila ebulalayo embodiments ezithile iphimbo.

Neurosurgery - Kunjengoba ukuhlinzwa kwenhliziyo ephezulu ukucacisa umkhakha, esebenzisa ezobuchwepheshe zanamuhla nezindlela izindlela yakamuva luhlolo. Lesi sidingo ngokwengxenye lokunemba ngenxa yokuba yinkimbinkimbi isakhiwo kanye enamandla igazi ligeleze izingxenye ezimaphakathi isimiso sezinzwa. Ngakho-ke, le ohlinza izinzwa kufanele ukuqhuba ngokunemba zokukhwabanisa ukuze kuvinjelwe yezinkinga kungenzeka nemiphumela yabo.

Ukuqeqeshwa Ongoti neurosurgery

Ngemuva kokuphela kweminyaka eyisithupha isifundo at yezokwelapha ongumfundi waseyunivesithi, oye yabonisa isifiso ukuba udokotela ohlinza izinzwa, kumelwe ibhekane i internship ehlala iminyaka 2-3, noma izakhamuzi (eNtshonalanga Yurophu America) iminyaka 6. Lokhu nesokuqeqeshelwa ngenxa yokuba yinkimbinkimbi kokubili ngekubayala nangekubacondzisa izindlela ngingakhululeki ukwelapha izifo asebuchosheni nomgogodla. Phakathi lunye udokotela kufanele bayazi kahle izindlela okuyiwonawona ukuxilongwa kanye nokwelashwa bakwazi ukunquma amacebo, yini siyidinga ikakhulukazi neurosurgery. Odokotela futhi kufanele ifa amakhono esihle esiwusizo. Lokhu kuyofezeka ukuziphatha siqu imisebenzi yokufunda.

Neurosurgery ezweni lethu

Ukuthuthukiswa okusheshayo wezokwelapha, ikakhulukazi yokukhanya ezincane, waba negalelo elikhulu ukutholakala neminyango neurosurgical phesheya hhayi kuphela, kodwa futhi ezweni lethu. Emadolobheni amakhulu, baba baningana kwemitholampilo neurosurgical, okuyinto ingashintshwa ukuze ukuhlinzeka ukunakekelwa ephakeme amaqembu ahlukene iziguli. Ngo izikhungo yesimanje neurosurgical eyenziwa ukwelashwa okuphumelelayo of isithuthwane, trigeminal nezinzwa glossopharyngeal ngu stereotaxis. Ngaphezu kwalokho, ngenkuthalo wafunda ezinye imisebenzi reconstructive ngemva ezibuhlungu izimila, kwakuyisenzakalo esiphawulekayo ifinyelele neurosurgery emgogodleni.

amathiphu ohlinza izinzwa

Nanka amanye amathiphu ezibalulekile enikeza neurosurgery. Lokhu kuncoma, okungaba ezidingekayo ukuze umuntu enempilo, futhi nesineke umnyango neurosurgical. Ikakhulukazi:

• landela njalo imithetho yokuphepha futhi zisebenzise izembatho zokuzivikela amageyimu ahlukahlukene noma imicimbi. isithuthuthu umshayeli kufanele njalo ukugibela isigqoko nokuvimbela ukulimala kabi engqondweni.
• Ukuqeqeshwa umsubathi kudingeka zenzeke uhlelo zangaphambi lohleliwe futhi acabangele izici lomzimba wakhe. Umthwalo amaqembu kwemisipha ngamunye kufanele kube okukhulu, kodwa hhayi ukuba avumele isimo "overtraining" noma kakhulu mpilo.
• ubuthongo ezinempilo kumele kube isilinganiso 8 amahora.
• Ukuphumelela nokuvuselelwa ngemva ukulimala noma ukususwa umbhunu kuncike kakhulu ku-esiguli, futhi kuvela nokuhambisana udokotela izincomo. Kuhlelwe, kodwa ukuvivinya umzimba nokwenza Physiotherapy esimisweni unika imiphumela emihle kakhulu.