Yankho la matenda a kupuma movutikira komanso kukodola: Dziwani zambiri za opaleshoni ya UPPP (Uvulopalatopharyngoplasty)

Kodi mumakodola mokweza usiku mukagona? Kodi nthawi zina mumamva ngati mukuima kwakanthawi kenako mwadzidzidzi n’kupumanso movutikira? Kodi banja lanu nthawi zonse limakuuzani za izi? Matendawa amadziwika kuti Obstructive Sleep Apnea (OSA) . Amasokoneza tulo tanu ndipo angayambitse mavuto azaumoyo kwa nthawi yayitali. Chimodzi mwa mankhwala a izi ndi Uvulopalatopharyngoplasty, kapena UPPP mwachidule. Tiyeni tiwone chomwe chili, ndani amachita, ndi zonse zomwe muyenera kudziwa za izi mwachidule.

Mwachidule, kodi opaleshoni ya UPPP ndi chiyani?

Tangoganizani kuti njira yopitira mpweya pakhosi panu yatsekedwa pang'ono. Usiku, tikagona, minofu ya pakhosi panu imamasuka ndipo izi zimapangitsa kuti njira yopitira mpweya ichepetse kwambiri. Pamenepo ndi pamene mumamva phokoso la kukodola ndipo mumamva kupuma movutikira.

Opaleshoni ya UPPP imaphatikizapo kuchotsa kapena kusintha minofu yowonjezera pakhosi panu yomwe ikutseka njira yanu yolowera mpweya, motero kuikulitsa. Zili ngati kuchotsa zopinga pamsewu wotanganidwa. Pamene njira yanu yolowera mpweya ili bwino, mutha kupuma mosavuta usiku ndikugona bwino.

Pa opaleshoni iyi, dokotala nthawi zambiri amachotsa kapena kusintha ziwalo izi:

• Mkamwa wofewa: Mbali yofewa, ya mnofu kumbuyo kwa mbali yolimba pamwamba pa pakamwa panu.
• Uvula: Kachidutswa kakang'ono ka thupi kooneka ngati madontho a misozi komwe kamapachikidwa kumbuyo kwa pakhosi, pamwamba pa lilime.
• Ma Tonsils: Matumbo awiri a mnofu mbali zonse ziwiri za mmero.

Nthawi zina opaleshoni ya UPPP imachitika yokha. Komabe, kwa anthu ena, ngati akuvutikanso kupuma chifukwa cha mavuto ena m'mphuno kapena pakhosi, opaleshoni ya UPPP ingaphatikizidwe ndi opaleshoni zina kuti athetse mavuto amenewo.

Kodi opaleshoni imeneyi imachitidwa pazochitika ziti? Kodi aliyense angathe kuichita?

Ayi, opaleshoni iyi si ya aliyense. Pochiza matenda a Obstructive Sleep Apnea (OSA), madokotala amayesa kaye chithandizo chopanda opaleshoni.

Mwachitsanzo:

• Makina a CPAP: Ichi ndi chipangizo chomwe mumavala pamphuno mwanu ngati chophimba nkhope mukamagona. Chimathandiza kuti mpweya wanu ukhale wotseguka usiku wonse.
• Kuchepetsa thupi: Kunenepa kwambiri ndi chifukwa chachikulu cha matenda a OSA. Kuchepetsa thupi kungathandize anthu ambiri kuwongolera vutoli.

Ngati njira zimenezi sizikugwira ntchito, dokotala wanu angaganizire za opaleshoni ya UPPP. Palinso njira yapadera yodziwira ngati ndinu woyenera opaleshoniyi. Dokotala wanu adzafufuza kapangidwe ka pakhosi panu, kukula kwa ma tonsils anu, ndi chiwerengero cha body mass index (BMI) yanu.

Dokotala amene adzakuyesani adzapanga chisankho chabwino kwambiri pankhaniyi. Choncho kambiranani naye mosamala za izi.

Kodi ndiyenera kukonzekera bwanji ndisanachite opaleshoni?

Dokotala wanu adzakufotokozerani zonse zomwe muyenera kuchita musanachite opaleshoni, koma nthawi zambiri, muyenera kudziwa zinthu izi.

• Uzani dokotala wanu mbiri yanu yonse ya matenda: matenda ena aliwonse omwe mudadwalapo, opaleshoni yapitayi, ndi ziwengo zilizonse zokhudzana ndi mankhwala oletsa ululu.
• Siyani kusuta fodya ndi kugwiritsa ntchito fodya: Kusuta fodya kungachedwetse kwambiri kuchira kwa bala, choncho ndikofunikira kusiya kusuta konse musanachite opaleshoni.
• Tsatirani malangizo okhudza mankhwala ndi kusala kudya: Dokotala wanu adzakuuzani nthawi yoti musiye kudya ndi kumwa musanachite opaleshoni, mankhwala omwe muyenera kusiya kumwa, ndi zomwe muyenera kumwa. Tsatirani malangizo amenewo molondola.
• Konzani kuti wina akutsogolereni kunyumba: Simungathe kuyendetsa nokha mutachita opaleshoni, choncho konzani kuti wina akutsogolereni kunyumba pasadakhale. Ngati n'kotheka, ndi bwino kukhala ndi munthu woti akusamalireni maola 24 oyambirira mutachita opaleshoni.
• Bweretsani makina a CPAP kuchipatala: Ngati mukugwiritsa ntchito kale makina a CPAP, bweretsani kuchipatala monga momwe dokotala wanu wanenera.
• Uzani dokotala wanu ngati mukudwala: Ngati mwayamba matenda, monga malungo kapena chimfine, masiku angapo opaleshoni yanu isanachitike, dziwitsani dokotala wanu nthawi yomweyo. Opaleshoni yanu ingafunike kuchedwetsedwa.

Kodi chimachitika ndi chiyani pa nthawi ya opaleshoni?

Palibe chifukwa choopera izi. Zonsezi zimachitika popanda inu kudziwa chilichonse.

1. Choyamba, mudzapatsidwa mankhwala ochepetsa ululu kenako mudzapatsidwa mankhwala oletsa ululu. Izi zikutanthauza kuti simudzamva chilichonse, mudzakhala mutulo tofa nato.

2. Dokotala adzatsegula pakamwa panu ndi chida chapadera, adzakoka lilime lanu kumbali imodzi, ndikusintha malo ake kuti mkati mwa pakhosi panu muwone bwino.

3. Kenako, minofu yosafunikira (tonsils, uvula, soft palate) pakhosi imachotsedwa mosamala monga momwe mwakonzera. Izi zitha kuphatikizapo kugwiritsa ntchito zida zakuthwa zochitira opaleshoni kapena electrocautery .

4. Pomaliza, mabala amatsekedwa ndi ma stitches osungunuka.

Opaleshoni yonse nthawi zambiri imatenga pafupifupi maola awiri, kutengera kukula kwa kusintha komwe kukuchitika pakhosi panu.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa opaleshoni?

Zingatenge milungu iwiri kapena inayi kuti achire bwino. Anthu ambiri sangathe kupita kuntchito kapena kusukulu panthawiyi ndipo amafunika kupuma.

Mukachita opaleshoni, mutha kupita kunyumba tsiku lomwelo, kapena mungafunike kugona m'chipatala usiku wonse. Dokotala wanu adzakulolani kupita kunyumba mukapuma bwino ndipo mutha kumeza bwino.

Yembekezerani zinthu izi panthawi yochira

• Kupweteka pakhosi: Mungamve kupweteka pakhosi, ngati kuti mwachitidwa opaleshoni ya tonsillectomy. Kupweteka kumeneku kungakhale koipitsitsa mukamalankhula kapena kumeza chinachake. Musadandaule, dokotala wanu adzakupatsani mankhwala abwino ochepetsa ululu pa izi.
• Chakudya ndi Zakumwa: Poyamba, mumangofunika kumwa zakumwa zokha (madzi, supu, madzi a zipatso). Pamene mukukhala bwino, pang'onopang'ono mutha kusintha zakudya zofewa monga phala, yogati, ndi pudding. Pewani kudya zakudya zokometsera, zowawasa, zolimba, komanso zophwanyika (monga mabisiketi, pickles) kwathunthu, chifukwa zimatha kupangitsa bala kupweteka kwambiri.
• Zochita: Pewani kunyamula zinthu zolemera kapena kuchita masewera olimbitsa thupi kwa milungu iwiri yoyambirira. Komabe, m'malo mongokhala pabedi tsiku lonse, kuyenda m'nyumba kungathandize kupewa magazi kuundana.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Monga chithandizo chilichonse chamankhwala, opaleshoniyi ili ndi ubwino komanso zoopsa zina.

Ubwino

• Ubwino waukulu ndi wakuti zimathandiza kupuma mosavuta.
• Kugona pang'ono kumachepa kwambiri kapena kumasiya kwathunthu.
• Popeza tulo sitimasokonezedwa usiku, kugona masana ndi kutopa zimachepa.
• Kwa anthu ena, izi zimachiritsa kwathunthu Obstructive Sleep Apnea (OSA).
• Ena ali ndi zizindikiro zochepa kwambiri ndipo amatha kusiya kugwiritsa ntchito makina a CPAP.

Zoopsa/Zovuta

Kuwonjezera pa zoopsa zomwe zimachitika chifukwa cha opaleshoni iliyonse, monga matenda opatsirana komanso kutuluka magazi, palinso mavuto ena osowa omwe amakhudza opaleshoniyi.

• Kutupa kwa m'mphuno: Nthawi zambiri, pamene bala likuchira, minofu yambiri ya zipsera ingapangidwe, zomwe zimapangitsa kuti mpweya ukhale wochepa kachiwiri.
• Kulephera kwa Velopharyngeal: Mukamwa zakumwa ngati madzi, mungamve ngati zikutuluka m'mphuno mwanu. Komabe, nthawi zambiri izi zimakhala zakanthawi kochepa ndipo zimatha pakapita masiku ochepa.
• Kusintha kwa mawu: Pakhoza kukhala kusintha pang'ono kwa mawu anu (monga mawu okwera pang'ono) kwa kanthawi kochepa mutachita opaleshoni. Izi nthawi zambiri zimakhala zakanthawi kochepa.

Dokotala wanu adzakambirana nanu za zoopsa izi musanachite opaleshoni. Musadandaule, izi sizichitika kawirikawiri.

Kodi ndiyenera kupita kwa dokotala liti?

Ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo ngati pali vuto lililonse lomwe lingabuke panthawi yochira.