On Friday afternoon there was a very emotional moment at the Hospital de Clínicas, when Fidelina Ferreira (40) was finally able to meet her baby, eight days after having undergone double surgery for a head tumor and emergency caesarean section.
“The patient will be discharged this Saturday with good evolutiononcologically the benign tumor returned, it could be said that it is cured”, said the neurosurgery resident, Dr. Ítalo Flecha.
Fidelina came out of intensive care on Tuesday, February 7, and began to try pasty foods with good tolerance the next day.
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“Just when we arrived at her hospitalization room, she was sitting in a wheelchair eating the last four spoonfuls of yogurt, already anxious to go to the Neonatology therapy to see her eight-day-old son and who was given the name of Jesus for being a miracle“, commented his sister Ilda Ferreira.
Dr. Flecha reported that the woman, on her eighth postoperative day of exeresis (complete removal) of the right frontal tumor, is doing well and plans to be discharged for this Saturday, for which she must have the approval of the head of the Department of Neurosurgery, Dr. Darío Díaz, responsible for the surgery.
“We already have the pathology diagnosis, Grade I meningiomaIn other words, from an oncological point of view, it could be said that she is cured, but she must have weekly, monthly, and then yearly serial check-ups, because sometimes there are cases in which it grows again over the years”.
He affirmed that the case of the patient is opportune to highlight the need to go to the doctor when you have persistent headache that does not go away with any pain relieveror other symptoms such as seizures, body weakness or tinglingattending for example to the fact that she thought it was only because of her pregnancy.
Rehabilitation
The recovery is on the right track and the weakness that the patient had is almost 100% overcome, said the doctor, trusting that for his control consultation scheduled for next Tuesday the 13th, he will already walk to the Hospital de Clínicas.
He added that for a full recovery, the Hospital de Clínicas has the Department of Kinesiology and Physiotherapy where you must undergo a neurocognitive rehabilitationwhich will help you recover your motor and sensory abilities, as well as swallowing physiotherapy.
The patient will go home with nasogastric tube, and to remove it, swallowing should also be stimulatedn, which is actually in good progress for now with pasty foods.
The antibiotics have already been suspendedbut she continues with corticosteroids due to cerebral edema, but the dose is decreasing, as is the anticonvulsant whose plan is to change her to one that allows her to breastfeed her baby in more days.
Dr. Ítalo Flecha highlighted the coordinated work of various Chairs and Services of the FCM-UNA teaching hospital, which allowed the happy outcome of a woman who arrived at the ER at 28 weeks pregnant, and her baby.
The patient had presented with symptoms of headache and impaired state of consciousness, For this reason, she underwent a CT scan that allowed the doctors to diagnose the tumor in the frontal lobe, on the right side, involving the great task of double surgery, removing the tumor and performing the cesarean section at the same time, something never before. before carried out in the care center.
In addition to surgeons and surgical instrumentation, circulating nursing staff and assistants, therapists, anesthetists, Blood Bank, Imaging, Laboratory, Pharmacy, Social Service and administrative staff.
The caesarean section andIt was in charge of doctors from the Chair and Department of Gynecology and Obstetrics, specifically Dr. Lilio Irala. It also had the valuable participation of the Department of Neonatology.
Newborn stable in its gravity
Dr. Cristina Agüero, head of the ward and doctor on call for neonatology therapy, pointed out that Jesus is in his eighth day of life, he was born at 29 weeks with 1,360 grams.
She is currently on non-invasive ventilation, called CPAP, which stands for continuous positive airway pressure, which helps improve her breathing until her lungs get stronger as the premature baby grows.
commented that Jesús has already completed his antibiotic treatment and is receiving intravenous nutrition What is parenteral nutrition? started yesterday mouth feeding, that is to say enteral microstimulation, consisting of supplying small amounts of breast milk through the mouth with the help of a probe.
The food that is given comes from the milk bank of the San Pablo Hospital, until the mother is able to breastfeed.
If the enteral microstimulation continues with good tolerance, the volume is increased every 24 hours, and at the same time he continues with his parenteral nutrition, that is, by vein until 7 to 10 days have passed since this process, so that he can now feed himself. by the mouth
