Turbinectomy: ndi chiyani, momwe zimachitikira komanso momwe amapezera
Zamkati
Turbinectomy ndi njira yochitira opaleshoni yothetsera kuvuta kupuma mwa anthu omwe ali ndi mphuno yotupa m'mimba yomwe siyimasintha bwino ndi chithandizo chamankhwala chofotokozedwa ndi otorhinolaryngologist. Mphuno zimatuluka, zomwe zimatchedwanso nasal conchae, ndi nyumba zomwe zimayikidwa m'mphuno zomwe zimapangitsa kuti mpweya uziyenda, motero zimasefa ndi kutentha mpweya wouziridwa.
Komabe, nthawi zina, makamaka chifukwa chakupwetekedwa m'derali, matenda obwereza kapena matenda a rhinitis ndi sinusitis, ndizotheka kuwona kuwonjezeka kwa ma turbinates amphuno, zomwe zimapangitsa kuti mpweya uzilowa ndikudutsa, ndikupangitsa kupuma kukhala kovuta. Chifukwa chake, adokotala amatha kuwonetsa magwiridwe antchito a turbinectomy, omwe amatha kugawidwa m'magulu awiri akulu:
- Chiwerengero cha chopangira mphamvu, momwe dongosolo lonse la mphuno zimachotsedwa, ndiye kuti, mafupa ndi mucosa;
- Turbinectomy yochepa, momwe mawonekedwe amkati amphongo amachotsedwa pang'ono.
Turbinectomy iyenera kuchitidwa kuchipatala, ndi dokotala wa nkhope, ndipo ndichopanga opaleshoni mwachangu, ndipo munthuyo atha kupita kwawo tsiku lomwelo.
Momwe zimachitikira
Turbinectomy ndi njira yosavuta, yocheperako yomwe ingachitike pansi pa anesthesia wamba komanso wamba. Njirayi imatha pafupifupi mphindi 30 ndipo imachitika mothandizidwa ndi mawonekedwe amkati mwa mphuno kudzera mu endoscope.
Atazindikira kuchuluka kwa hypertrophy, adotolo angasankhe kuchotsa zonse kapena gawo limodzi la ma turbinates ammphuno, poganizira pakadali pano chiopsezo cha hypertrophy yatsopano komanso mbiri ya wodwalayo.
Ngakhale turbinectomy imatsimikizira zotsatira zokhalitsa, ndi njira yowopsa yomwe imatenga nthawi yayitali kuti ichiritse, pachiwopsezo cha ziphuphu kupanga, zomwe ziyenera kuchotsedwa ndi adotolo, ndi zotulutsa magazi zochepa za m'mphuno.
Turbinectomy x Turbinoplasty
Monga turbinectomy, turbinoplasty imagwiranso ntchito pochita opaleshoni yama turbinates amphuno. Komabe, pamachitidwe amtunduwu, chotupa cha m'mphuno sichimachotsedwa, chimangoyendetsedwa mozungulira kuti mpweya uzingoyenda ndikudutsa popanda chopinga chilichonse.
Kungoti nthawi zina, pomwe kungosintha momwe ma mphuno amapangira sikungakhale kokwanira kuwongolera kupuma, pangafunike kuchotsa pang'ono minofu yolumikizana.
Kubwezeretsa pambuyo pa Turbinectomy
Popeza ndi njira yosavuta komanso yopanda chiopsezo, turbinectomy ilibe malingaliro ambiri pambuyo pa opaleshoni. Pambuyo pomaliza kupweteka kwa ochititsa dzanzi, wodwalayo amatulutsidwa kunyumba, ndipo amayenera kupumula kwa maola pafupifupi 48 kuti apewe magazi ambiri.
Ndi zachilendo kuti pamakhala magazi pang'ono kuchokera m'mphuno kapena pakhosi panthawiyi, koma nthawi zambiri zimachitika chifukwa cha njirayi. Komabe, ngati kutuluka magazi ndikolemera kapena kumatenga masiku angapo, tikulimbikitsidwa kuti mupite kwa dokotala.
Tikulimbikitsanso kuti njira yopumira iperekedwe yoyera, kutsuka m'mphuno malinga ndi upangiri wa zamankhwala, ndikupanga upangiri kwakanthawi ndi otorhinolaryngologist kuti zotumphukira zomwe zingachitike zichotsedwe. Onani momwe mungasambitsire m'mphuno.