Source: [Shenzhen Health Commission]
"Bang!"
"Bang!"
The kettle fell to the ground, and the 4-year-old Tongtong (pseudonym) cried even harder: "I want a kettle, I want a mother!"
Mother Cheng Hua (pseudonym) suddenly collapsed. When the ex-husband held his daughter out of the house, he picked up the kettle on the ground and chased after him crying...
ex-husband said a sentence-
"(kettle) no longer, don't want anything."
Then he hugged Tongtong without looking back. The daughter's cry resounded throughout the corridor.
htmlFor 2004, this scene has often penetrated Cheng Hua's thoughts, making her cry involuntarily.Since then, she and her daughter have become "sneaky" every time they meet.
Base image source: soogif
Daughter was born
The family broke up
2013, just after Tongtong was born, Cheng Hua and her ex-husband's marriage came to an end, and her daughter was raised by her.
In Shenzhen, the life of a single mother is not easy.
She is a tour guide, flying all over the country. She takes care of her baby the first second, and then has to fly the next. She gets off the plane the first second, and goes straight to her mother's house to pick up the baby the next second.
"Thank you hard, but I'm very happy. My daughter loves to talk and laugh, and she's very lively."
When my daughter was over 4 years old, Cheng Hua found a new partner.
But just as she was about to remarry, her ex-husband appeared:
"If you want to get married, your daughter must be raised by me."
was arguing, so she went to court and gave it to her father, which led to the scene of the mother and daughter parting heart-wrenchingly.
"After Tongtong was taken away, I have to go to Hunan to see her seven or eight times a year."
The ex-husband is not very willing to be together with the mother and daughter, so Cheng Hua and his daughter can only meet "sneaky".
She ran to school to see Tongtong and enjoyed a short time between mother and daughter. I added the teacher’s WeChat privately and asked the teacher to take care of her more.
Stationery and toys are all delivered to the school, please ask the teacher to forward it...
This "sneak" lasted for two years. In December 2019, the ex-husband suddenly took the initiative to call:
"Come quickly and see Tongtong."
This time I saw my daughter openly, but I was in the hospital.
Meningitis twice in a year and a half
"Is it because my grandma didn't take it well?"
When Cheng Hua arrived in Hunan, Tongtong had already entered ICU.
From the words of grandma, Cheng Hua realized that Tongtong had a headache for no reason, "so painful it hit her head", and had an inexplicable high fever, and she went straight to 40 degrees as soon as she was inflamed. After being taken to the hospital, the doctor immediately asked to transfer to the ICU.
is meningitis!
Outside the ICU, Cheng Hua's heart was as if he was shattered. It was pitiful that Tongtong did not have her mother by her side, but she did not dare to complain that her grandmother was not taking good care of her in the countryside.
Fortunately, Tongtong recovered after staying in the hospital for more than ten days. After a year of this incident, Cheng Hua spoke with his grandmother openly to learn about Tongtong's situation, and instructed him: "Let her contact with chickens, ducks, geese, etc.."
But in April 2021, Tongtong's meningitis relapsed and was sent to the ICU again.
Chen Hua can't hold back now. First, he blamed himself for not fulfilling his mother's responsibilities; second, he couldn't help complaining, "I'm not saying that my grandmother can't take care of her, but there is always a reason for this kind of problem, right?"
In the half month after her daughter was hospitalized, Cheng Hua decided to regain Tongtong's custody anyway. She didn't believe it, "Carry the child by your side to take care of him, and will he take care of the child?"
ex-husband agreed readily this time. In 2021, Tongtong, who had been away from her mother for 4 years, returned to Shenzhen.
Cheng Hua and her mother took care of the child like little flowers, and ensured that they would eat and drink cleanly. The homework that they had fallen into when they were sick also helped her get back "badly". In addition to frequent , is also as lively and cute as she was when she was a child.
"It's better to be assured to keep it by your side.”
Source: "Late Night Cafeteria"
One night in November 2021, Cheng Hua returned to Shenzhen on a business trip. As soon as the plane landed, she received a call from her mother: "Tongtong has a headache again and vomits! "
Oops, the familiar terrible feeling came again! Cheng Hua immediately ran home, picked up Tongtong and rushed to the hospital.
This time the hospital sent " critical illness notice "
Tongtong had a fever of nearly 40 degrees and muttered to herself: "My head hurts so much, I want to hit my head. "The consciousness is getting more and more unclear.
Cheng Hua's judgment is correct, bacterial meningitis is coming to the door again!
Grandma also rushed from Hunan. Cheng Hua and her took turns to take care of Tongtong, and they didn't dare to close their eyes for several days and nights.
However, what was waiting for was a critical illness notice.
"I'm so careful, why is meningitis still more serious? "Cheng Hua kept blaming himself and cried at the door of the ICU.
After more than 20 days of treatment, Tongtong's symptoms improved. But this time, Cheng Hua no longer satisfied with "it's better if it's better". The root cause of the disease was not found. What should I do if it happens next time?
"How can an 8-year-old child withstand repeated meningitis? "
The doctor who received the doctor also had the same questions and concerns. Where did the bacteria that cause meningitis come from?
He suddenly thought of a possibility: Will
be related to ears and nose?
He quickly called an ENT doctor he knew. After listening to the other end of the phone, he talked about a case. Two years ago, a young man in his 20s was also suffering from meningitis, but the result was...
"Then let her come and have a check-up! "The doctor was already 50% clear in his heart.
Early in the morning of New Year's Day in 2022, Cheng Hua took Tongtong to Longgang in the east of Shenzhen and met Brother Hai.
He is the doctor Zeng Xianhai on the other end of the phone, known as "Brother Hai". He was just promoted to the director two years ago and became the "No. 1" of this only public hospital in the city's otolaryngology specialty.
Hai Ge kept asking questions, trying to find the "unusual" in Tongtong's daily life.
Mother said: She lowered her head or tilted her head to the right, and came to her as soon as she talked to her. Sometimes she could hear it, sometimes she couldn't hear it...
"It's so similar to that young man! "
Brother Hai has a good idea. The young man he treated 2 years ago also likes to clear his nose. If you bend over and pick up something, the snot can flow out.
" Let's do a temporal bone CT first. "
Immediately afterwards, Brother Hai said something that shocked Cheng Hua -
"I suspect
The child's brain is 'leaked'! "
I have heard of "water in the brain" and I still have brain "leakage" now?
Brother Hai said, I'm not kidding, I suspect that Tongtong, like that young man, got cerebrospinal fluid ear leakage or rhinoplasty leak . The "water" leaked by
is actually cerebrospinal fluid , commonly known as cerebrospinal fluid , commonly known as cerebrospinal fluid.
Originally, the normal cranial cavity was closed and not connected to the ear.
If the inner ear was deformed, or the temporal bone was injured, there was a leak between the brain and the ear. If there is a hole, the brain water will flow into the inner ear, middle ear , which is called cerebrospinal fluid ear leakage.
The ear and nose are connected. The brain water flowing into the ear will also enter the nasal cavity through the Eustachian tube. The patient's "clear nose" is cerebrospinal fluid.
"brain hole" is not a good thing.
With this loophole, bacteria will take advantage of the situation and run into the head from the ear and nose. All the avenues lead to Rome, causing symptoms of meningitis and other infections, which will kill people at any time.
"This cannot be blamed on other doctors. This disease is rare, and it is good to be able to deal with meningitis! "
But doctors with clinical experience in ENT will be more vigilant about recurrent meningitis and have more brain circuits.
Sure enough, the examination found that Tongtong had "clear nose" in both nasal cavity and the pharyngeal mouth of the Eustachian tube on both sides of the nasal cavity and on the right side of the Eustachian tube.
temporal bone CT results show that there are congenital malformations in her right ear:
The right inner ear is dysplasia, the internal auditory tract is enlarged, and the internal auditory tract is bone defective.
Source: Tencent Medical Dictionary
What made my mother even more blamed was that Tongtong's right ear was also diagnosed with neurodeafness .
"This should also be caused by inner ear malformation or cerebrospinal fluid leakage." The treatment method for
is to perform surgery as soon as possible to plug the "loophole".
Dig a "stop"
plug your brain
Zeng Xianhai leads the team, and the first step of is to find the "leakage point" .
is like a bicycle tire repair, you must first touch the leak point.
He started from the middle ear canal of the right ear first, and saw under the microscope that the "tympani" of the middle ear canal was filled with "water".
The minimally invasive equipment in Brother Hai’s hand is like sneaking in a water hole, with a unclear vision, so he has to drain the water in the tympanum first.
The "tide" receded, and a 0.1 mm "small hole" was exposed.
At this moment, it was like a spring, and the brain water kept gushing out.
The place is called the stapes base plate, which is usually responsible for transmitting sound vibration to cochlear .
small hole is caused by partial bone defects in the base plate of stapes .
In addition, the "door" of the inner ear - the vestibular window membrane, is also missing.
The second step is to "block".
Brother Hai took a soybean-sized muscle flap behind Tongtong's ear, but he couldn't just block it. He had to prevent the brain from shaking the "dam".
He stuffed more muscle flaps to the other side of the hole, pulled them back a little, slowly working hard, and finally let the muscle flaps tightly block the hole.
"Treat cerebrospinal fluid as water in the bathtub. The muscle flap that blocks the hole is like a soft plug in the bathtub. After being placed in the right position, the water pressure will make the plug tighter and tighter."
"Spring" blocked, and the brain water will stop leaking. Brother Hai was not at ease and continued to "fix the gap" and "seal" the gap between the muscle flap and the hole with venous blood, so as to ensure that everything was foolproof. The cerebrospinal fluid extracted from
was very successful. The only regret is that Tongtong's right ear neurodeafness has lost the opportunity to treat it.
After Tongtong fully recovered, Brother Hai wanted to tailor her hearing compensation plan based on Xiaotong's actual situation to restore her hearing that had been lost for a long time.
Does the head have " ear leakage "
How to judge?
The snot is as clear as water, and the "flow" is beyond normal levels.
When sleeping, it often has coughing, as if you are choking. This is actually choking on the nasal cavity by brain water.
Repeated meningitis of unknown causes, this cannot cope with meningitis, and you also need to find out the source of the bacteria.
If you find the above symptoms, you should go to the specialist as soon as possible.
Remember: Cerebrospinal fluid ear leakage, the earlier the treatment, the better. Hearing damage is irreversible!
-End-
"Dispersible if it is useful"
Cover of this issue:
Writer: Zheng Jianyang
Information source: Shenzhen Longgang District Ear, Nose and Throat Hospital
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This article comes from [Shenzhen Health Commission] and only represents the author's views. The national party media information public platform provides information release and dissemination services.
ID: jrtt
