Kuchita Opaleshoni Yogona Tulo

Zamkati

• Kodi njira zosiyanasiyana ndi ziti?
• Radiofrequency volumetric minofu kuchepetsa
• Uvulopalatopharyngoplasty
• Kupita patsogolo kwa Maxillomandibular
• Anterior otsika modzidzimutsa osteotomy
• Kupita patsogolo kwa Genioglossus
• Midline glossectomy ndi m'munsi pakuchepetsa malirime
• Chilankhulo chachilendo
• Kuchepetsa kwa Septoplasty ndi turbinate
• Hypoglossal mitsempha yolimbikitsira
• Kuyimitsidwa kwa Hyoid
• Kodi kuopsa kochitidwa opaleshoni ya matenda obanika kutulo ndi ati?
• Lankhulani ndi dokotala wanu
• Mfundo yofunika

Kodi matenda obanika kutulo ndi chiyani?

Matenda obanika kutulo ndi mtundu wa kusokonezeka kwa tulo komwe kumatha kukhala ndi zovuta m'thupi. Zimapangitsa kuti kupuma kwanu kuyime nthawi ndi nthawi mukamagona. Izi ndizokhudzana ndi kupumula kwa minofu yapakhosi panu. Mukasiya kupuma, thupi lanu nthawi zambiri limadzuka, ndikupangitsani kuti mugone mokwanira.

Popita nthawi, kugona tulo kumawonjezera chiopsezo chanu chokhala ndi kuthamanga kwa magazi, zovuta zamagetsi, komanso mavuto ena azaumoyo, chifukwa chake ndikofunikira kuchiza. Ngati chithandizo chamankhwala sichikuthandizani, mungafunike kuchitidwa opaleshoni.

Kodi njira zosiyanasiyana ndi ziti?

Pali njira zambiri zochizira matenda obanika kutulo, kutengera momwe kugona kwanu kulili kovuta komanso thanzi lanu lonse.

Radiofrequency volumetric minofu kuchepetsa

Ngati simungathe kuvala chida chopumira, monga makina osinthira a airway (CPAP), dokotala wanu akhoza kukulangizani za radiofrequency volumetric tishu (RFVTR). Njirayi imagwiritsa ntchito mafunde am'ma radiofrequency kuti achepetse kapena kuchotsa zotupa kumbuyo kwa mmero wanu, ndikutsegulira njira yanu.

Kumbukirani kuti njirayi imagwiritsidwa ntchito pochiza mkonono, ngakhale itha kuthandizanso kugona tulo.

Uvulopalatopharyngoplasty

Malingana ndi Cleveland Clinic, iyi ndi imodzi mwa ma opaleshoni ambiri omwe amachiza matenda obanika kutulo, koma osati othandiza kwambiri. Zimaphatikizapo kuchotsa minofu yowonjezera pamwamba pa khosi lanu ndi kumbuyo kwa pakamwa panu. Monga njira ya RFVTR, nthawi zambiri imangochitika ngati simungagwiritse ntchito makina a CPAP kapena chida china, ndipo imakonda kugwiritsidwa ntchito ngati chithandizo cha mkonono.

Kupita patsogolo kwa Maxillomandibular

Njirayi imatchedwanso nsagwada. Zimaphatikizapo kusuntha nsagwada patsogolo kuti mupange malo ambiri kuseri kwa lilime. Izi zitha kutsegula njira yanu. Chocheperako chophatikiza omwe adatenga nawo gawo 16 adapeza kuti kupita patsogolo kwa maxillomandibular kumachepetsa kuchepa kwa tulo tofa nato mwa onse omwe akutenga nawo gawo kupitirira 50%.

Anterior otsika modzidzimutsa osteotomy

Njirayi imagawa chibwano chanu m'magawo awiri, kuti lilime lanu lipite patsogolo. Izi zimathandizira kutsegula njira yanu yolowera kwinaku mukukhazikika nsagwada ndi pakamwa. Njirayi imakhala ndi nthawi yocheperako pochira kuposa ena ambiri, koma nthawi zambiri imakhala yosagwira. Dokotala wanu angakulimbikitseni kuchita njirayi mogwirizana ndi mtundu wina wa opaleshoni.

Kupita patsogolo kwa Genioglossus

Kupita patsogolo kwa Genioglossus kumaphatikizapo kumangirira pang'ono tendon patsogolo pa lilime lanu. Izi zitha kuteteza lilime lanu kuti lisabwerere m'mbuyo ndikusokoneza kupuma kwanu. Nthawi zambiri zimachitika limodzi ndi njira imodzi kapena zingapo.

Midline glossectomy ndi m'munsi pakuchepetsa malirime

Opaleshoni yotereyi imaphatikizapo kuchotsa gawo lina lakumbuyo kwa lilime lanu. Izi zimapangitsa kuti njira yanu yopita patsogolo ikule. Malinga ndi American Academy of Otolaryngology, kafukufuku akuwonetsa kuti njirayi ili ndi ziwonetsero zopambana 60% kapena kupitilira apo.

Chilankhulo chachilendo

Njirayi imachotsa matani anu komanso minofu ya matayala pafupi ndi kuseri kwa lilime lanu. Dokotala wanu angakulimbikitseni njirayi kuti mutsegule mmero wanu kuti mupume mosavuta.

Kuchepetsa kwa Septoplasty ndi turbinate

Mphuno yamphongo ndi fupa losakanikirana ndi mafupa omwe amalekanitsa mphuno zanu. Ngati septum yanu yam'mphuno yokhotakhota, imatha kukhudza kupuma kwanu. Septoplasty imaphatikizapo kuwongolera septum yanu yammphuno, yomwe ingakuthandizeni kuwongola mphuno zanu ndikupangitsa kuti mpweya ukhale wosavuta.

Mafupa opindika m'mbali mwa mphuno yanu, otchedwa ma turbinates, nthawi zina amatha kusokoneza kupuma. Kuchepetsa kwamphamvu kumaphatikizapo kuchepetsa kukula kwa mafupawa kuti athandizire kutsegula njira yanu.

Hypoglossal mitsempha yolimbikitsira

Njirayi imaphatikizapo kuyika ma elekitirodi ku mitsempha yayikulu yomwe imayendetsa lilime lanu, yotchedwa hypoglossal nerve. Maelekitirodi amalumikizidwa ndi chida chomwe chimafanana ndi pacemaker. Mukasiya kupuma mu tulo, zimalimbikitsa lilime lanu kuti lizilepheretse kuyenda kwanu.

Imeneyi ndi njira yatsopano yothandizira ndi zotsatira zabwino. Komabe, ndondomekoyi idawonetsa kuti zotsatira zake sizimagwirizana kwenikweni mwa anthu omwe ali ndi index yayikulu yamthupi.

Kuyimitsidwa kwa Hyoid

Ngati kugona kwanu kumayambitsidwa ndi kutsekeka pafupi ndi pansi pa lilime lanu, dokotala wanu akhoza kukupatsani njira yotchedwa kuyimitsidwa kwa hyoid. Izi zimaphatikizapo kusunthira fupa la hyoid ndi minofu yake yapafupi m'khosi mwako pafupi ndi kutsogolo kwa khosi lanu kuti mutsegule njira yanu.

Poyerekeza ndi maopaleshoni ena obwera chifukwa chobanika, njirayi ndi yovuta kwambiri ndipo nthawi zambiri siyothandiza kwenikweni. Mwachitsanzo, kuphatikiza ophunzira 29 apeza kuti ali ndi chiwonetsero chokwanira cha 17 peresenti.

Kodi kuopsa kochitidwa opaleshoni ya matenda obanika kutulo ndi ati?

Ngakhale maopaleshoni onse amakhala ndi zoopsa zina, kukhala ndi vuto la kugona kumatha kukulitsa chiopsezo cha zovuta zina, makamaka zikafika ku anesthesia. Mankhwala ambiri a anesthesia amatsitsimutsa minofu yanu yapakhosi, yomwe imatha kupangitsa kuti munthu azikhala ndi tulo tofa nato panthawiyi.

Zotsatira zake, mudzafunika thandizo lina, monga endotracheal intubation, kukuthandizani kupuma panthawiyi. Dokotala wanu angakuuzeni kuti mukhale mchipatala kwa nthawi yayitali kuti athe kuyang'anira kupuma kwanu mukamachira.

Zowopsa zina za opaleshoni ndi izi:

• kutaya magazi kwambiri
• matenda
• thrombosis yakuya kwambiri
• mavuto ena opuma
• kusunga kwamikodzo
• thupi lawo siligwirizana ndi opaleshoni

Lankhulani ndi dokotala wanu

Ngati mukufuna kuchita opaleshoni ya matenda obanika kutulo, yambani kulankhula ndi dokotala wanu za zizindikilo zanu ndi mankhwala ena omwe mwayesapo. Malinga ndi chipatala cha Mayo, ndibwino kuyesa mankhwala ena kwa miyezi itatu musanachite opareshoni.

Izi ndizo:

• makina a CPAP kapena chida chofananira
• mankhwala a oxygen
• kugwiritsa ntchito mapilo owonjezera kuti mudzilimbikitse mukamagona
• kugona chammbali osati msana
• chipangizo cham'kamwa, monga chotchingira pakamwa, chopangira anthu omwe ali ndi vuto la kugona
• kusintha kwa moyo, monga kuonda kapena kusiya kusuta
• kuchiza vuto lililonse la mtima kapena vuto la neuromuscular lomwe lingayambitse matenda obanika kutulo

Mfundo yofunika

Pali njira zambiri zochizira matenda obanika kutulo, kutengera chomwe chimayambitsa. Gwiritsani ntchito ndi dokotala kuti mudziwe njira zomwe zingakuthandizeni kwambiri.