Kukonza makutu

Kukonzekera kwa Eardrum kumatanthauza njira imodzi kapena zingapo zopangira opaleshoni zomwe zimachitika kuti athetse misozi kapena kuwonongeka kwina kwa eardrum (tympanic membrane).

Ossiculoplasty ndikumakonza mafupa ang'onoang'ono mkatikati.

Akuluakulu ambiri (ndi ana onse) amalandila dzanzi. Izi zikutanthauza kuti mudzagona ndipo simungamve kupweteka. Nthawi zina, anesthesia am'deralo amagwiritsidwa ntchito limodzi ndi mankhwala omwe amakupangitsani kugona.

Dokotalayo amadula kumbuyo kwa khutu kapena mkati mwa ngalande ya khutu.

Kutengera ndi vuto, dokotalayo:

• Sambani matenda aliwonse kapena minofu yakufa pakhutu kapena pakatikati.
• Gwira eardrum ndi chidutswa cha minofu ya wodwalayo yomwe yatengedwa mumtsempha kapena mchimake wa minofu (wotchedwa tympanoplasty). Njirayi imatenga maola awiri kapena atatu.
• Chotsani, sinthani, kapena konzani 1 kapena kupitilira apo mwa mafupa atatu ali pakati pakhutu (lotchedwa ossiculoplasty).
• Konzani mabowo ang'onoang'ono m'makutu mwa kuyika gel kapena pepala lapadera pamphuno (yotchedwa myringoplasty). Njirayi imatenga mphindi 10 kapena 30.

Dokotalayo amagwiritsa ntchito maikulosikopu kuti awone ndikukonzanso eardrum kapena mafupa ang'onoang'ono.

Eardrum ili pakati pa khutu lakunja ndi khutu lapakati. Imanjenjemera pakamaomba mafunde. Earsrum ikawonongeka kapena ili ndi bowo, kumva kumatha kuchepetsedwa ndipo matenda am'makutu amatha.

Zomwe zimayambitsa mabowo kapena zotseguka m'makutu zimaphatikizapo:

• Matenda oyipa khutu
• Kulephera kwa chubu cha eustachian
• Kuyika china chake mkati mwa ngalande yamakutu
• Kuchita opaleshoni kuyika machubu amkhutu
• Zowopsa

Ngati khutu la khutu lili ndi kabowo kakang'ono, myringoplasty ikhoza kugwira ntchito kuti lingatseke. Nthaŵi zambiri, dokotala wanu amadikirira osachepera masabata asanu ndi limodzi kuchokera pamene dzenje linapangidwira asanayambe kuchitidwa opaleshoni.

Tympanoplasty itha kuchitika ngati:

• Eardrum ili ndi bowo lokulirapo kapena kutsegula
• Pali matenda opatsirana m'makutu, ndipo maantibayotiki samathandiza
• Pali zowonjezera zowonjezera kuzungulira kapena kumbuyo kwa khutu

Mavuto omwewo amathanso kuvulaza mafupa ang'onoang'ono (ossicles) omwe ali kumbuyo kwa khutu. Izi zikachitika, dotolo wanu akhoza kuchita ossiculoplasty.

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za njirayi ndi monga:

• Kuwonongeka kwa mitsempha ya nkhope kapena mitsempha yolamulira tanthauzo la kukoma
• Kuwonongeka kwa mafupa ang'onoang'ono pakatikati, kumapangitsa kumva kwakumva
• Chizungulire kapena vertigo
• Machiritso osakwanira a dzenje la khutu
• Kukulitsa kumva, kapena, nthawi zina, kutaya kwathunthu kwakumva

Uzani wothandizira zaumoyo kuti:

• Zomwe ziwengo zomwe inu kapena mwana wanu mungakhale nazo pa mankhwala aliwonse, latex, tepi, kapena kuyeretsa khungu
• Ndi mankhwala ati omwe inu kapena mwana wanu mumamwa, kuphatikiza zitsamba ndi mavitamini omwe mudagula popanda mankhwala

Patsiku la opaleshoni ya ana:

• Tsatirani malangizo osadya kapena kumwa. Kwa makanda, izi zimaphatikizapo kuyamwitsa.
• Imwani mankhwala aliwonse ofunikira ndikumwa pang'ono madzi.
• Ngati inu kapena mwana wanu mukudwala m'mawa wa opareshoni, itanani dokotalayo nthawi yomweyo. Njirayi iyenera kukonzedwanso.
• Fikani kuchipatala nthawi yake.

Inu kapena mwana wanu mutha kuchoka kuchipatala tsiku lomwelo ndi opareshoni, koma mungafunike kugona usiku pakagwa zovuta zina.

Kuteteza khutu mutatha opaleshoni:

• Kulongedza kumayikidwa khutu kwa masiku 5 mpaka 7 oyamba.
• Nthawi zina kuvala kumaphimba khutu palokha.

Mpaka pomwe omwe akukupatsani akunena kuti zili bwino:

• Musalole kuti madzi alowe khutu lanu. Mukamatsuka kapena kutsuka tsitsi, ikani thonje khutu lakunja ndikuphimba ndi mafuta odzola. Kapena, mutha kuvala kapu yakusamba.
• Osangolowetsa makutu kapena kuphulitsa mphuno. Ngati mukufuna kuyetsemula, chitani ndi pakamwa panu. Jambulani mamina m'mphuno mwanu kuti abwerere kukhosi kwanu.
• Pewani kuyenda pandege ndikusambira.

Pukutani pang'ono pang'onopang'ono khutu lililonse lakunja. Mutha kupeza makutu sabata yoyamba. Osayika china chilichonse khutu.

Ngati muli ndi ulusi kumbuyo kwa khutu ndipo amanyowa, pukutani malowa. Osapaka.

Inu kapena mwana wanu mumatha kumva kukankha, kapena kumva kumveka, kudina, kapena mawu ena khutu. Khutu lingamve lodzaza kapena ngati ladzazidwa ndi madzi. Pakhoza kukhala zopweteka zakuthwa, zowombera ndipo posachedwa opareshoniyo.

Pofuna kupewa chimfine, khalani kutali ndi malo odzaza ndi anthu omwe ali ndi zizindikiro zozizira.

Nthawi zambiri, ululu ndi zizindikilo zimakhazikika. Kutaya kwakumva ndikochepa.

Chotsatiracho sichingakhale chabwino ngati mafupa omwe ali pakatikati akuyenera kumangidwanso, limodzi ndi eardrum.

Myringoplasty; Zamgululi Kutsegula; Kumangidwanso; Tympanosclerosis - opaleshoni; Ossicular discontinuity - opaleshoni; Ossicular fixation - opaleshoni

• Kukonza Eardrum - mndandanda

Adams INE, El-Kashlan HK. Tympanoplasty ndi ossiculoplasty. Mu: Flint PW, Francis HW, Haughey BH, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 142.

Chiffer R, Chen D. Myringoplasty ndi tympanoplasty. Mu: Eugene M, Snyderman CH, olemba. Opaleshoni ya Otolaryngology Mutu ndi Khosi Opaleshoni. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 131.

Fayad JN, Sheehy JL. Tympanoplasty: njira yakunja yolumikizira kumtunda. Mu: Brackmann DE, Shelton C, Arriaga MA, olemba., Eds. Opaleshoni ya Otologic. Wolemba 4. Philadelphia, PA: Elsevier; 2016: mutu 8.