Kodi mumamva kupweteka m'khutu pafupipafupi? Kodi dokotala wakuuzani kuti muyenera kuchitidwa opaleshoni pa fupa lomwe lili kumbuyo kwa khutu lanu? Mukamva dzina lakuti 'Mastoidectomy', mungamvenso mantha pang'ono komanso kukayikira. Ndizachilendo kwambiri. Koma musaope chilichonse. Lero, tikambirana za opaleshoni iyi, chifukwa chake imachitidwa, momwe imachitikira, ndi zomwe zimachitika pambuyo pake, m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi Mastoidectomy ndi chiyani?
Chabwino, choyamba tiyeni tiwone chomwe Mastoid iyi ili. Pali fupa kumbuyo kwa khutu lanu, kumbali ya mutu wanu, limenelo ndi fupa la Mastoid . Lili lodzaza ndi maselo ang'onoang'ono a mpweya, monga uchi, kapena siponji.
Kotero, ngati pazifukwa zina zipinda za mpweya zimenezi zagwidwa ndi majeremusi, kapena ngati zadwala, ziyenera kuchotsedwa opaleshoni. Opaleshoni yochotsera zipinda za mpweya za mastoid zomwe zadwala imatchedwa mastoidectomy .
Nchifukwa chiyani tiyenera kuchita Mastoidectomy?
Pali zifukwa zingapo zazikulu zochitira opaleshoni iyi. Simuchita opaleshoni yamtunduwu chifukwa cha vuto laling'ono la khutu.
- Kufalikira kwa matenda a m'khutu (Otitis Media): Nthawi zina, ngati matenda a m'khutu lapakati sanachiritsidwe bwino, matendawa amatha kufalikira mpaka ku fupa la mastoid. Opaleshoni imeneyi imafunika kuchotsa ziwalo zomwe zili ndi matendawa.
- Cholesteatoma: Ili ndi vuto lapadera. Mwachidule, ndi kukula kwa maselo a khungu omwe si khansa komwe kumapanga kumbuyo kwa ntchafu ya khutu. Ngakhale kuti si khansa, ikakula, imayamba kuwononga fupa lofewa lozungulira (fupa laling'ono lomwe limapangitsa kuti phokoso lizimveka mkati mwa khutu) ndi fupa la mastoid. Kuti muchotse, muyenera kuchitidwa opaleshoni ya mastoidectomy.
- Pa opaleshoni ya cochlear implant: Anthu ena angafunike kuchitidwa mastoidectomy ngati gawo la opaleshoni akalandira cochlear implant, chipangizo chomwe chimayikidwa mkati mwa khutu ngati chothandizira kumva.
- Kukonza Drum ya Makutu (Tympanoplasty): Ngati munthu ali ndi rum ya makutu yobowoka ndipo akuchitidwa opaleshoni yokonza (Tympanoplasty), komanso ali ndi vuto ndi fupa la mastoid, opaleshoni zonse ziwiri zitha kuchitidwa limodzi.
Kodi opaleshoni imeneyi ndi yoopsa bwanji? Kodi mitundu ya opaleshoni ndi iti?
Palibe mtundu umodzi wokha wa opaleshoni ya mastoidectomy. Dokotala wanu ndiye adzasankha mtundu wa opaleshoni yomwe mukufuna kutengera mtundu wa matenda anu komanso momwe yafalikira. Tiyeni tiwone mitundu ikuluikulu.
| Mtundu wa opaleshoni | Mwachidule... |
|---|---|
| Kuchotsa Mastoidectomy Kosavuta | Uwu ndi mtundu wosavuta kwambiri. Umangochotsa matumba a mpweya omwe ali ndi matenda mu fupa la mastoid. Sizimavulaza ngalande ya khutu lanu kapena mafupa ofewa omwe ali pakati pa khutu lanu (ossicles). |
| Kuchotsa Mastoidectomy m'khoma la ngalande | Izi zikutanthauza kuchotsa fupa lochulukirapo kuposa opaleshoni yosavuta. Izi zili choncho chifukwa dokotala amafunika kupeza pakati pa khutu kumbuyo kwa ntchafu ya khutu ndikuchotsa mavuto aliwonse omwe alipo (monga cholesteatoma). Komabe, njirayi siiwononga ngalande ya khutu. |
| Kuchotsa Mastoidectomy kuchokera pakhoma la ngalande | Iyi ndi opaleshoni yovuta kwambiri. Imachitika pamene matendawa afalikira kwambiri moti ngalande ya khutu yawonongeka ndipo singathe kukonzedwa. Apa, ngalande ya khutu ndi fupa la mastoid zimagwirizanitsidwa kuti apange dzenje lalikulu (mastoid cavity/mbale). Kutseguka kwa khutu kumapangidwanso pang'ono kuti zikhale zosavuta kuyeretsa dzenje ili mtsogolo. Izi zimatchedwanso Radical Mastoidectomy . |
Dokotala wanu adzakufotokozerani mtundu wa opaleshoni yomwe muyenera kuchita, choncho musachite mantha.
Kodi chimachitika n’chiyani opaleshoni isanachitike komanso ikachitika?
Musanachite opaleshoni
Dokotala adzakupatsani malangizo angapo musanachite opaleshoni. Ndikofunikira kwambiri kuwatsatira bwino.
- Mungapemphedwe kuti musiye kumwa mankhwala enaake kwakanthawi (makamaka omwe amachepetsa magazi kuundana).
- Popeza opaleshoniyi imachitika pansi pa mankhwala oletsa ululu, mudzapemphedwa kusala kudya (osadya kapena kumwa chilichonse) kwa maola angapo opaleshoni isanachitike.
- Popeza simudzatha kuyendetsa galimoto nokha kupita kunyumba mutachita opaleshoni, konzani pasadakhale kuti munthu amene mumamudalira akuyendetseni kunyumba.
Pa nthawi ya opaleshoni
Simudzamva chilichonse panthawi ya opaleshoni, chifukwa mudzakhala mukugona. Nthawi zambiri, zinthu izi zimachitika:
1. Choyamba, mudzapatsidwa mankhwala oletsa ululu.
2. Dokotala wochita opaleshoni adzadula khungu pang'ono kumbuyo kwa khutu lanu kuti lifike pa fupa la mastoid. (Musadandaule, dokotalayo adzachita izi kuti chilondacho chisawonekere bwino mtsogolo.)
3. Fupa la mastoid limatsegulidwa pogwiritsa ntchito zida zapadera.
4. Chotsani mosamala zipinda zonse zopumira mpweya zomwe zili ndi kachilombo komanso matenda mkati.
5. Pomaliza, chochekacho chimatsekedwa ndi ma stitches ndipo chimaphimbidwa ndi gauze dressing.
Opaleshoni yonseyi nthawi zambiri imatenga maola awiri kapena atatu .
Kodi pali ululu uliwonse pambuyo pa opaleshoni?
Palibe ululu womwe umachitika panthawi ya opaleshoni. Komabe, mukatha opaleshoni, pamene mankhwala oletsa ululu akutha ndipo mukudzuka, mungamve kupweteka pang'ono pamalo odulidwa, kulemera, kapena kudzaza khutu lanu. Izi ndi zachilendo.
Dokotala wanu adzakupatsani mankhwala ochepetsa ululu kuti achepetse ululuwu. Mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala monga Paracetamol kapena Ibuprofen angathandizenso. Dokotala wanu adzakupatsani malangizo kuti akuthandizeni kukhala omasuka pamene mukuchira.
Kodi ubwino ndi zoopsa zomwe zingabwere chifukwa cha opaleshoniyi ndi ziti?
Monga china chilichonse, opaleshoni iyi ili ndi ubwino komanso zoopsa zazing'ono.
Ubwino wa opaleshoni
Phindu lalikulu la izi ndilakuti zimatha kuchiritsa matenda a khutu omwe akhala akukuvutitsani kwa nthawi yayitali. Zingathenso kupewa mavuto akuluakulu omwe angabwere chifukwa cha matenda monga cholesteatoma ngati sanachiritsidwe. Mavuto oterewa ndi awa:
- Kutaya kumva
- Chizungulire ndi Vertigo
- Kuwonongeka kwa mitsempha ya nkhope
- Matenda a m'khutu lamkati (Labyrinthitis)
- Matenda a meninjitisi
- Chifuwa cha ubongo
Zoopsa zomwe zingachitike (Zovuta)
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina zomwe zingachitike kawirikawiri.
| Chiwopsezo/Zovuta | Izi zikutanthauza... |
|---|---|
| Kutaya kumva kwa sensorineural | Kutaya kumva chifukwa cha kuwonongeka kwa mitsempha yamkati mwa khutu. |
| Kuvulala kwa mitsempha ya nkhope | Kuwonongeka kwa mitsempha yomwe imalamulira minofu ya nkhope kungayambitse kufooka kapena kufooka mbali imodzi ya nkhope. Imeneyi ndi vuto losowa kwambiri. |
| Kusintha kwa kukoma (Dysgeusia) | Kusintha kwa momwe lilime lanu limamvera. Nthawi zambiri, izi zimakhala zakanthawi kochepa ndipo zimatha pakatha miyezi ingapo. |
| Kulira kwa tinnitus | Phokoso losalekeza m'makutu. |
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Zingatenge milungu 6 mpaka 12 kuti muchire bwino. Koma musadandaule, mudzatha kubwerera ku zochita zanu zachizolowezi (kusukulu, kuntchito) patatha pafupifupi sabata imodzi kapena ziwiri . Komabe, panthawiyi, muyenera kutsatira malangizo a dokotala mosamalitsa (monga kusachita masewera olimbitsa thupi, kusanyamula zolemera, kusalola madzi kulowa m'makutu mwanu).
Kodi ndi nthawi ziti zomwe muyenera kulankhula ndi dokotala mutatha opaleshoni?
Izi ndizofunikira kwambiri. Ngati mukukumana ndi zizindikiro zotsatirazi mutapita kunyumba kuchokera ku opaleshoni, muyenera kuyimbira dokotala nthawi yomweyo .
- Ngati muli ndi malungo a 100.5 Fahrenheit (38.05 Celsius) kapena kupitirira apo .
- Ngati pali kutuluka magazi ambiri kapena madzi ochokera m'khutu.
- Ngati mukumva kufooka kwa nkhope (monga, mbali imodzi ya pakamwa panu imagwa mukamwetulira).
- Ngati mukumva chizungulire kapena vertigo.
- Ngati kumva kwanu kutsika mwadzidzidzi .
Ngati mumadwala matenda a m'khutu pafupipafupi kapena mavuto ena, opaleshoni ya mastoidectomy ingakhale njira yabwino kwambiri kwa inu. Lankhulani ndi dokotala wanu za izi. Opaleshoni iyi ikhoza kuthetsa matendawa ndikukweza thanzi lanu lonse komanso moyo wanu wabwino.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa mastoidectomy ndi opaleshoni yotetezeka yomwe imachotsa ziwalo zodwala za fupa la mastoid kumbuyo kwa khutu.
- Izi zimachitika pofuna kuchiza matenda monga matenda a khutu omwe amabwereranso ndi cholesteatoma komanso kupewa mavuto akuluakulu omwe angabwere mtsogolo.
- Mtundu wa opaleshoni (Yosavuta, Yokwera mmwamba, Yotsika m'munsi mwa ngalande) idzasiyana malinga ndi matenda anu.
- Ululu wotsatira opaleshoni ukhoza kuthetsedwa mosavuta ndi mankhwala wamba ochepetsa ululu.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu nthawi yomweyo pamene mukuchira. Ngati mukupeza zizindikiro monga kutentha thupi, kutuluka magazi kwambiri, kapena kufooka kwa nkhope, imbani dokotala wanu nthawi yomweyo.

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