Nasal turbinate hypertrophy: zoyambitsa, zizindikiro ndi chithandizo
Zamkati
Hypertrophy of the nasal turbinates ikufanana ndi kuwonjezeka kwa nyumbazi, makamaka chifukwa cha matupi awo sagwirizana, yomwe imalepheretsa kuyenda kwa mpweya ndikupangitsa zizindikiritso zakupuma, monga kupota mkonono, pakamwa pouma komanso kuchulukana kwammphuno.
Mphuno zimatuluka, zomwe zimadziwikanso kuti nasal conchae kapena nyama yokometsera, ndizinthu zomwe zimapezeka m'mphuno zomwe zimagwira ntchito yotenthetsera komanso kusungunula mpweya wouziridwa kuti ufike m'mapapu. Komabe, ma turbinate akakulitsidwa, mpweya sungadutse bwino m'mapapu, zomwe zimapangitsa kupuma movutikira.
Chithandizo chomwe dokotala akuwonetsa chimadalira kuchuluka kwa hypertrophy, chifukwa ndi zizindikilo ndi zizindikilo zomwe zimaperekedwa ndi munthuyo, komanso kugwiritsa ntchito mankhwala kapena njira yochitira opareshoni ndi cholinga chothandizira kupititsa patsogolo kupuma kungalimbikitsidwe.
Zoyambitsa zazikulu
Hypertrophy ya turbinate imachitika makamaka chifukwa cha matupi awo sagwirizana ndi rhinitis, momwe, chifukwa cha kupezeka kwa zinthu zomwe zimayambitsa ziwengo, kutupa kwa nyumba zopumira ndipo, chifukwa chake, kuwonjezeka kwamitsempha yama mphuno.
Komabe, izi zitha kuchitika chifukwa cha matenda a sinusitis kapena kusintha kwa mphuno, makamaka septum yopatuka, momwe pamakhala kusintha kwa khoma lomwe limalekanitsa mphuno chifukwa cha kumenyedwa kapena kusintha kwa kapangidwe kake nthawi moyo wa fetus. Phunzirani momwe mungadziwire septum yomwe yachokera.
Zizindikiro za turbinate hypertrophy
Zizindikiro za turbinate hypertrophy ndizokhudzana ndi kusintha kwa kupuma, chifukwa kuchuluka kwa nyumbazi kumalepheretsa kuyenda kwa mpweya. Chifukwa chake, kuwonjezera pamavuto opumira, ndizotheka kuwona:
- Nthawi zina;
- Kuchulukana kwa mphuno ndikuwoneka kwachinsinsi;
- Pakamwa pouma, popeza munthu amayamba kupuma kudzera mkamwa;
- Kupweteka kumaso ndi kumutu;
- Kusintha kwamphamvu zakukonda.
Zizindikirozi ndizofanana ndi zizindikiro za chimfine ndi chimfine, komabe, mosiyana ndi matendawa, zizindikilo za hypertrophy ya ma turbinates sizidutsa, chifukwa chake, ndikofunikira kupita kwa otorhinolaryngologist kapena dokotala wamba kuti akawunikenso mphuno ndi mayeso ena kuti apange matenda ndikuyamba chithandizo choyenera.
Kodi chithandizo
Chithandizo cha m'mphuno turbinate hypertrophy chimasiyanasiyana malinga ndi chifukwa, kuchuluka kwa hypertrophy ndi zizindikilo zoperekedwa ndi munthuyo. Pazofatsa kwambiri, pomwe hypertrophy siyofunika ndipo siyimasokoneza mpweya, adotolo angavomereze kugwiritsa ntchito mankhwala ochepetsa kutupa, motero, amachepetsa kukula kwa ma turbinates, monga ma decalant nasal ndi corticosteroids.
Ngati chithandizo chamankhwala sichikwanira kapena pakakhala cholepheretsa kupitilira kwa mpweya, njira yothandizira ingalimbikitsidwe, yotchuka kwambiri yotchedwa turbinectomy, yomwe imatha kukhala yokwanira kapena pang'ono. Mu turbinectomy yapaderadera, gawo limodzi lokha la mphuno yamtundu wa hypertrophied limachotsedwa, pomwe mawonekedwe onse amachotsedwa. Njira zina zopangira maopareshoni ndi ma turbinoplasties, omwe amachepetsa kukula kwa ma turbinates am'mphuno ndipo sawachotsa ndipo nthawi zambiri amakhala ndi nthawi yogwirira ntchito yomwe ili ndi zovuta zochepa. Mvetsetsani momwe turbinectomy imagwirira ntchito komanso momwe akuyenera kukhalira.
Nthawi zina, opaleshoni imafunikanso kukonza septum yomwe idasokonekera ndipo, nthawi zambiri, njirayi imatsagana ndi opaleshoni yodzikongoletsa.