Opaleshoni ya Maxillectomy: Tisachite mantha ndipo tidziwe izi

Dokotala akakuuzani kuti muyenera kuchitidwa opaleshoni yaikulu pankhope panu, ndi zachilendo kumva mantha ambiri komanso kudabwa. Panthawi yotereyi, pamakhala mafunso ambiri omwe amabwera m'maganizo mwanu. "Ndi opaleshoni yanji iyi? Nchiyani chidzandichitikire? Kodi mawonekedwe anga adzasintha?" Ndizachibadwa kuganiza zinthu ngati izi. Lero tikulankhula za opaleshoni yomwe ndi yovuta pang'ono, koma nthawi zina yofunika kupulumutsa miyoyo. Imeneyo ndi opaleshoni ya maxillectomy.

Mwachidule, kodi opaleshoni ya maxillectomy ndi chiyani?

Kuchotsa nsagwada yonse kapena gawo la nsagwada yanu yapamwamba (maxilla) ndi opaleshoni yochotsa nsagwada yonse kapena gawo lake. Taganizirani izi motere: nsagwada ya maxilla ndi gawo la nsagwada yanu lomwe lili pamwamba pa mlomo wanu wapamwamba, mbali zonse ziwiri za mphuno yanu, ndi komwe mano anu apamwamba amagona. Pambuyo pa opaleshoni iyi, nthawi zambiri mumayenera kuchitidwa opaleshoni yokonzanso kuti mubwezeretse gawo lomwe lachotsedwa.

N’chifukwa chiyani opaleshoni yamtunduwu ndi yofunika?

Nthawi zambiri, chifukwa chachikulu cha opaleshoniyi ndi khansa. Opaleshoniyi imalimbikitsidwa makamaka ngati khansa yafalikira kapena yafalikira m'thupi lanu.

• Khansa ya m'mimba .
• Khansa ya m'mphuno.
• Khansa yomwe imapezeka pamwamba pa pakamwa panu imatchedwa khansa ya mkamwa.
• Zilonda za Sinonasal .

Kuphatikiza apo, opaleshoniyi nthawi zina ingakhale yofunikira chifukwa cha matenda oopsa a bowa (invasive fungal sinusitis) . Izi zimachitika chifukwa cha matenda oopsa komanso kuwonongeka kwa minofu m'maenje a sinus pamene mitundu ina ya bowa imapumidwa.

Kodi nsagwada yapamwamba yokha ndi imene imachotsedwa nthawi zonse?

Ayi. Ngati khansa yafalikira ku minofu yapafupi, minofu ina ingafunike kuchotsedwa. Pankhaniyi, zonse kapena gawo la zotsatirazi zingachotsedwe:

• Diso
• Mkamwa wolimba
• Mitsempha yomwe imapereka kumva khungu pansi pa diso
• Mafupa ozungulira diso (Orbit/eye socket)
• Pansi pa chozungulira
• Mano otsala m'chibwano chapamwamba omwe akuchotsedwa
• Mtsempha wong'ambika

Kodi ndi mitundu iti ya opaleshoni ya maxillectomy?

Mtundu wa opaleshoni umadalira kukula ndi malo a chotupacho. Kuti mumvetsetse mosavuta, tiyeni tiwone mitundu iyi patebulo.

Ndi zinthu zina ziti zomwe zimafunika pa opaleshoniyi?

Mungafunike kukumana ndi zinthu zina panthawi ya opaleshoniyi kapena pambuyo pake.

• Kuika chubu chodyetsera: Izi ndizofunikira kuti pakhale zakudya chifukwa zimakhala zovuta kudya chakudya pakamwa.
• Dacryocystorhinostomy: Opaleshoni iyi imachitika kuti ichepetse kutuluka kwa misozi m'maso (kutuluka madzi) ngati njira yochotsera misozi yachotsedwa.
• Kudula khosi: Ngati pali kukayikira kuti khansa yafalikira ku ma lymph nodes m'khosi, amachotsedwa.
• Kuchotsa mphuno pakhungu kuti mupume: Ngati kutupa pankhope panu mutachita opaleshoni kukukhudza njira yanu yopumira, dzenje laling'ono lingapangidwe kutsogolo kwa khosi lanu ndipo chubu chingaikidwe kuti chikuthandizeni kupuma kwakanthawi.
• Opaleshoni yokonzanso nkhope: Izi ndizofunikira kwambiri pobwezeretsa ziwalo zomwe zachotsedwa pankhope.

Kodi ubwino ndi zoopsa za opaleshoni ndi ziti?

Ubwino waukulu ndi wakuti umachotsa minofu ya khansa ndipo umawonjezera mwayi wopulumuka .

Komabe, monga opaleshoni iliyonse yaikulu, pali zoopsa ndi zovuta zomwe zingachitike.

• Kutuluka magazi ndi kuvulala (Hematoma).
• Magazi amaundana.
• Chikope cha m'munsi chofooka.
• Mavuto ndi kugwira ntchito kwa chubu cha Eustachian, chomwe chimalumikiza khutu ndi pakhosi.
• Matenda.
• Kusanza pa tsaya chifukwa cha kuwonongeka kwa mitsempha.
• Kuthira madzi m'maso pafupipafupi (Epiphora).

Gulu lanu lachipatala lidzakuphunzitsani za zoopsa izi.

Zinthu zofunika kudziwa zokhudza nthawi yochira

Kuchira kumadalira mtundu wa opaleshoni yomwe mudachita.

Ndili kuchipatala

Pa nthawi yoyamba yochira, mungayembekezere:

• Mungafunike kukhala m'chipatala kwa milungu iwiri , makamaka ngati munachitidwa opaleshoni yayikulu yokonzanso thupi.
• Mudzapatsidwa mankhwala oletsa ululu, kupewa magazi kuundana, komanso kupewa matenda.
• Mpweya wowonjezera udzaperekedwa kudzera mu tracheostomy.
• Zakudya zowonjezera zidzaperekedwa kudzera mu chubu chodyetsera.

Atabwerera kunyumba kuchokera kuchipatala

• Pewani kugwira ntchito yolemetsa mpaka mutachira.
• Idyani zakumwa ndi zakudya zofewa zokha mpaka mabala a opaleshoni atachira.
• Pewani zakudya ndi zakumwa zotentha , chifukwa mbali zina za pakamwa panu zitha kukhala zadzimbiri.

Kuchira kungatenge miyezi ingapo, makamaka kuti munthu ayambirenso kulankhula ndi kumeza. Kuleza mtima n'kofunika kwambiri.

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo.

Ngati mukukumana ndi zizindikiro zotsatirazi panthawi yomwe mukuchira, funsani dokotala nthawi yomweyo.

• Ngati kutupa kukuchulukira mosazolowereka .
• Ngati mukumva kuvutika kupuma .
• Malungo (ichi chingakhale chizindikiro cha matenda).
• Ngati pali ululu womwe sungathetsedwe ngakhale mutamwa mankhwala ochepetsa ululu.

Akatswiri okuthandizani mukachira

Ulendo uwu si woti mupite nokha. Pali gulu la akatswiri oti akuthandizeni.

• Akatswiri a Zakudya: Perekani malangizo a momwe mungapezere zakudya zomwe mukufuna, ngakhale zitakhala zovuta kudya.
• Madokotala a khansa ya m'magazi kapena ya radiation: Amagwirizanitsa njira zina zochizira khansa, monga chemotherapy ndi radiation therapy.
• Madokotala a mano odulira mano: Amakuthandizani kuti muyambenso kudya pogwiritsa ntchito mano ndi zipangizo zapadera zopangira mano.
• Akatswiri olankhula: Amakuthandizani kuphunzira kulankhula, kumeza, ndi kudya kachiwiri.