Kodi mwana wanu amadwala matenda a khutu pafupipafupi? Kapena mwina mphuno yanu ya khutu inawonongeka pamene ankatsuka khutu kapena mwangozi, ndipo tsopano mukumva ngati simukumva bwino? Ngati panthawi imeneyi dokotala akukuuzani kuti, "Pali dzenje m'mphuno, ndipo mukufunika opaleshoni," musachite mantha konse. Lero tikambirana za chithandizo cha opaleshoniyi, chomwe ndi opaleshoni yotchedwa Tympanoplasty.
Mwachidule, kodi Tympanoplasty ndi chiyani?
Tympanoplasty ndi opaleshoni yokonza dzenje m'makutu anu. Taganizirani izi motere: khwangwala lanu lili ngati khungu la ng'oma. Mafunde a phokoso akagunda, limagwedezeka, zomwe zimatilola kumva phokoso. Ndiye, chimachitika ndi chiyani ngati pali dzenje m'makutu awa? Silikugwedezeka bwino. Zotsatira zake ndi kutaya kumva .
Pali zifukwa zambiri zomwe dzenje ngati ili lingapangire. Likhoza kukhala chifukwa cha matenda a khutu omwe akhalapo kwa nthawi yayitali, kapena likhoza kukhala chifukwa cha kuvulala kapena ngozi.
Koma kumbukirani, si mabowo onse a m'khutu omwe amafunika opaleshoni. Mabowo ena ang'onoang'ono kwambiri amatha kudzichiritsa okha pakapita nthawi ndi mankhwala (madontho a m'khutu, maantibayotiki) omwe dokotala wanu wakupatsani.
Komabe, ngati dzenjelo silinachiritsidwe patatha miyezi iwiri kapena itatu, dokotala angakulangizeni opaleshoni kuti apewe mavuto amtsogolo. Kodi mavuto amenewo ndi ati? Zinthu monga kutayika kwa kumva kosalekeza, kutuluka kwa madzi m'makutu pafupipafupi, komanso matenda obwerezabwereza m'makutu.
Opaleshoni iyi imachitika ndi katswiri wa makutu, mphuno, ndi pakhosi, wotchedwa ENT (Otolaryngologist) . Iye adzaika chigamba pa dzenje la khutu ndikutseka. Ngakhale kuti iyi ndi opaleshoni yaikulu, nthawi zambiri mutha kupita kunyumba tsiku lomwelo.
Kodi mumakonzekera bwanji musanachite opaleshoni?
Pambuyo pokonza nthawi yoti muchitidwe opaleshoni, dokotala wanu adzakuyang'anirani mosamala. Tiyeni tiwone zina mwa zinthu zomwe zidzachitike panthawi yokonzekera.
| Kuyang'anira/Kulangiza | Kufotokoza mwachidule |
|---|---|
| Kufufuza mbiri ya zamankhwala | Dokotala adzakufunsani za matenda ena aliwonse omwe muli nawo, mankhwala omwe mumamwa, ziwengo, ndi zina zotero. Ndikofunikira kwambiri kunena zoona popanda kubisa chilichonse. |
| Kufufuza khutu (Otoscope) | Dokotala adzagwiritsa ntchito chida chapadera (otoscope) kuti ayang'ane mkati mwa khutu lanu. Izi zidzamuthandiza kuona bwino momwe dzenje la m'khutu la khutu lilili, komwe lili, komanso ngati pali matenda. |
| Mayeso apadera | Mukhoza kuyesedwa kumva ndi kuyesa kuyeza ntchito ya ntchafu yanu ya khutu kuti mudziwe kuchuluka kwa kumva kwanu. |
| Kufotokozera za opaleshoni | Dokotala adzakufotokozerani momveka bwino momwe opaleshoniyi idzachitikire, nthawi yomwe idzatenge, komanso mavuto omwe angabwere pambuyo pake. Funsani mafunso aliwonse omwe mungakhale nawo panthawiyi. |
| Malangizo ofunikira | Adzakuuzani maola angati musanachite opaleshoni kuti musiye kudya ndi kumwa (kusala kudya), mankhwala omwe mukumwa panopa omwe muyenera kusiya kumwa, ndi omwe muyenera kupitiriza kumwa. Adzakukumbutsaninso kuti mukhale ndi munthu woti akutengereni kunyumba mukatha opaleshoni. |
Kodi opaleshoniyi imachitidwa bwanji?
Ndi zachilendo kuopa opaleshoni, koma mantha anu adzachepa mukangodziwa momwe opaleshoni imagwirira ntchito.
Choyamba, mudzagonekedwa kuti musamve kupweteka kulikonse. Izi zimatchedwa mankhwala oletsa ululu . Choncho simudzamva chilichonse panthawi ya opaleshoni. Mungapatsidwenso mankhwala opha tizilombo toyambitsa matenda kuti mupewe matenda.
Mukagona, dokotala adzagwira ntchafu yanu ya khutu. Pali njira zingapo zomwe zimagwiritsidwa ntchito pa izi.
- Njira yodutsa m'makutu: Iyi ndi njira yomwe imagwiritsidwa ntchito kwambiri. Opaleshoniyi imachitika poika zida zofewa kudzera mu ngalande ya khutu, popanda kuduladula.
- Kumbuyo kwa khutu (Postauricular): Kudula pang'ono kumachitika mozungulira khungu kumbuyo kwa khutu, mpaka kufika pa khutu.
- Pamwamba pa khutu (Endaural): Kucheka pang'ono pamwamba pa khutu kumapangidwa. Izi sizigwiritsidwa ntchito kawirikawiri.
Gawo lotsatira ndikutseka dzenjelo. Pachifukwa ichi, dokotala amagwiritsa ntchito chogwirira , chomwe ndi chidutswa chaching'ono cha minofu.
1. Kupeza chogwirira: Chidutswa ichi cha minofu nthawi zambiri chimatengedwa kuchokera m'thupi lanu. Nthawi zambiri chimatengedwa kuchokera ku chidutswa cha minofu yolumikizirana pafupi ndi khutu, mozungulira minofu kumbali ya mutu, kapena kuchokera ku chidutswa cha cartilage kutsogolo kwa khutu. Nthawi zina minofu yopangidwa imagwiritsidwanso ntchito.
2. Kuyika chogwirira: Chidutswa ichi cha minofu chimayikidwa pamwamba kapena pansi pa dzenje la ntchafu ya khutu ndipo chimamatidwa.
3. Kukhazikika: Kuti chogwirira chikhalebe pamalo pake, chimathandizidwa ndi chinthu chonga thovu mbali zonse ziwiri. Thovu ili limateteza chogwirira mpaka minofu yatsopano ipangike ndipo khutu la khutu lichira. Pakapita nthawi, thovu ili lidzasungunuka lokha.
4. Kusoka chocheka: Ngati chochekacho chapangidwa kunja, chimasokedwa mmwamba ndikuphimbidwa ndi bandeji yoyera.
Kodi opaleshoniyi imatenga nthawi yayitali bwanji?
Nthawi yomwe opaleshoniyi imatenga imasiyana. Ingatenge mphindi 30 zokha kapena maola angapo . Zimatengera kukula kwa kuboola khutu, komwe kuli, komanso ngati pali kuwonongeka kwina kulikonse mkati mwa khutu. Mwachitsanzo, ngati mafupa ang'onoang'ono omwe ali kumbuyo kwa dama la khutu awonongeka, angafunikenso kukonzedwa. Nthawi zina, kuboola dama la khutu kungayambitse kukula kosazolowereka (cholesteatomas) mkati mwa khutu. Izi zingatengenso nthawi yowonjezera kuti zichotsedwe.
Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?
Opaleshoni iliyonse ili ndi ubwino wake komanso zoopsa zina, ndipo ndikofunikira kuzidziwa.
Ubwino waukulu:
- Kumva kumabwerera mwakale: Pamene dzenje likutseka, khutu la khutu limayamba kugwedezeka bwino, kotero kumva kumakhala koyera.
- Kuteteza matenda: Kutseka dzenje kumateteza majeremusi kuti asalowe m'khutu lapakati kuchokera kunja. Izi zimateteza matenda a khutu pafupipafupi komanso madzimadzi kutuluka m'khutu.
Zoopsa zomwe zingachitike (zosowa kwambiri):
Mavuto ochokera ku opaleshoniyi ndi osowa kwambiri . Vuto lofala kwambiri ndi kulephera kwa graft. Izi zikutanthauza kuti graft sitseka dzenje lonse. Ngati izi zitachitika, dzenjelo likhoza kupangidwanso. Nthawi zambiri, kumva kumatha kuipiraipira pang'ono.
Koma musadandaule! Kafukufuku wasonyeza kuti tympanoplasty ndi yopambana ndi 90% . Kuchuluka kwa kupambana kumeneku kumatha kusiyana pang'ono kutengera kukula ndi malo a dzenjelo.
Pambuyo pa opaleshoni ndi nthawi yochira
Anthu ambiri amatha kupita kunyumba tsiku lomwelo pamene opaleshoni yawo ikuchitika. Dokotala angasankhe kukusungani m'chipatala usiku wonse.
Zotsatirazi ndi zachilendo masiku oyamba pambuyo pa opaleshoni:
- Kutuluka magazi pang'ono m'khutu.
- Kumva kupweteka pang'ono kapena kupanikizika m'khutu.
- Kumva mawu ang'onoang'ono ngati "chit chit" mkati mwa khutu.
- Kumva kungakhale kosamveka bwino (izi zitha kukhala kwa milungu isanu ndi umodzi, musadandaule).
Mankhwala ochepetsa ululu omwe amaperekedwa kwa dokotala angagwiritsidwe ntchito masiku oyamba a ululu. Komabe, ngati ululuwo ndi wosapiririka, dziwitsani dokotala wanu .
Zimatenga masiku 10 mpaka 14 kuti munthu achire bwino. Izi zikutanthauza kuti ululu wonse ndi kusapeza bwino ziyenera kutha. Komabe, zingatenge miyezi itatu kuti kumva kubwerere mwakale .
Ngati mwana wanu wachitidwa opaleshoni, yang'anirani bwino momwe alili. Nthawi zambiri, mwana wanu amatha kubwerera kusukulu patatha masiku atatu kapena asanu. Funsani dokotala wanu kuti akupatseni upangiri.
Kodi mungakhale bwanji otetezeka kunyumba? Zoyenera kuchita ndi zosayenera kuchita
Momwe mumasamalirira nokha kunyumba ndikofunikira kwambiri kuti opaleshoniyi ipambane. Tsatirani malangizo omwe dokotala wanu wakupatsani molondola. Nazi zinthu zina zofunika kutsatira.
| Zinthu Zoyenera Kuchita (Zochita) 👍 | Zinthu zosayenera kuchita (zosayenera kuchita) 👎 |
|---|---|
| Imwani mankhwala anu monga momwe mwalangizidwira: Gwiritsani ntchito mapiritsi opha tizilombo toyambitsa matenda kapena madontho a m'khutu omwe mwalangizidwa ndi dokotala wanu mpaka nthawi yomwe mwalangizidwa itatha. | Pewani kutsokomola mphuno: Pewani kutsokomola mphuno yanu kwa milungu itatu mutachita opaleshoni. Ngati muyenera kuyetsemula, tsegulani pakamwa panu. |
| Sungani khutu louma: Dokotala adzakuuzani kuti musatsuke tsitsi lanu kapena kusamba kwa masiku oyamba. Mukaloledwa kusamba, pakani Vaseline® pa thonje ndikuyiyika m'khutu lanu mukamasamba. Izi zithandiza kuti madzi asalowe m'khutu lanu. | Pewani kunyamula zinthu zolemera:Musanyamule makilogalamu opitirira 5-10 mpaka dokotala wanu atakuuzani kuti muchite zimenezo. Ana ayenera kuletsedwa kupita kusukulu kwa milungu iwiri. |
| Pumulani mokwanira: Pumulani mokwanira momwe mungathere. Pewani kuchita zinthu zambirimbiri. | Pewani zinthu zomwe zimawonjezera kuthamanga kwa khutu: Pewani zinthu monga kuuluka kapena kusambira m'madziwe osambira kwa mwezi umodzi mutachita opaleshoni. |
| Ikani mipira ya thonje kuti muchepetse kutuluka kwa magazi: Ngati pali kutuluka kwa magazi kuchokera m'khutu, ikani mpira woyera wa thonje kunja kwa khutu kuti muyamwe. Ngati kutuluka kwa magazi kuli kochuluka kuposa momwe mukuganizira, imbani dokotala wanu. | Musalowetse chilichonse m'khutu: Musalowetse thonje kapena china chilichonse m'khutu kuti mulikanda kapena kulitsuka. |
Ndiyenera kukaonananso ndi dokotala liti?
Mudzapemphedwa kuti mubwerere ku ofesi ya dokotala patatha milungu iwiri kapena itatu mutachita opaleshoni. Adzafufuza momwe ntchafu yanu ya khutu ikuchira. Mungapatsidwe tsiku lina kuti mufufuze momwe mukumvera pakatha miyezi iwiri kapena itatu.
Pakadali pano, ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo.
| Zizindikiro zochenjeza zoyenera kuziganizira | |
|---|---|
| Imbani dokotala wanu ngati muli ndi zizindikiro izi: | |
| - Mafinya kapena kutuluka magazi atsopano (ofiira kwambiri) kuchokera m'khutu kapena m'mabala | - Ngati kupweteka kwa khutu lanu kapena kutayika kwa kumva kukukulirakulira |
| - Zizindikiro za matenda (malungo, kufiira kapena kutentha mozungulira chotupacho) | - Kulira m'makutu |
| - Kusintha kwa kukoma kapena dzanzi pankhope | |
| Pankhaniyi, pitani ku Chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo: | |
| - Kuvuta kupuma | - Chizungulire kwambiri kapena kulephera kulamulira bwino thupi |
| - Kugunda kwa mtima mofulumira kwambiri | |
Aliyense akhoza kukhala ndi mphuno ya khutu yokhala ndi mabowo. Izi zitha kuchitika chifukwa cha kudula kwambiri panthawi yotsuka khutu kapena matenda a khutu lapakati. Nthawi zambiri, mabowo amenewa amachira okha. Koma ngati satero, tympanoplasty ingakuthandizeni kumva bwino komanso kukhala ogwirizana ndi dziko lapansi. Dokotala wanu adzasankha ngati opaleshoni iyi ndi njira yabwino kwambiri kwa inu.
Uthenga Wopita Nawo Kunyumba
- Tympanoplasty ndi opaleshoni yopambana kwambiri yokonza dzenje la khutu. Musachite mantha ndi izi mopanda chifukwa.
- Tsatirani malangizo a dokotala wanu mosamala mukatha opaleshoni, makamaka kusunga makutu anu ouma komanso kupewa kukanda mphuno yanu.
- Zingatenge miyezi ingapo kuti kumva kwanu kubwerere bwino mutachita opaleshoni. Khalani oleza mtima.
- Ngati mukukumana ndi zizindikiro zachilendo monga kutuluka magazi ambiri kapena mafinya m'khutu, malungo, kapena ululu wosapiririka, dziwitsani dokotala wanu nthawi yomweyo.
- Ngati muli ndi nkhawa kapena mantha okhudza opaleshoniyi, kambiranani momasuka ndi dokotala wanu.
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