Kodi nthawi zambiri mumamva ngati mphuno yanu yatsekedwa? Simungathe kupuma bwino, ndipo simugona bwino chifukwa mumakodola usiku? Nthawi zina chifukwa cha izi chingakhale chinthu chomwe sitingaganizire nkomwe. Izi zikutanthauza kuti, ziwalo zazing'ono zomwe zili mkati mwa mphuno yanu zakula pang'ono, zomwe zatseka njira yopumira. Lero tikulankhula za opaleshoni yotchedwa 'Turbinectomy' yomwe ingakhale yankho labwino pa izi. Musachite mantha mukamva dzinali, silili lalikulu kapena lovuta monga momwe mukuganizira.
Kodi ma turbinates awa ndi chiyani?
Mwachidule, ma turbinates ndi mafupa atatu omwe ali mbali zonse ziwiri za mphuno, ngati mashelufu. Amakutidwa ndi minofu ya glandular. Minofu iyi ili ndi mitsempha yambiri ndi mitsempha yamagazi.
Tangoganizani kuti mphuno yathu ili ngati choziziritsira mpweya. Ndiye kuti ma turbinates awa ndi omwe ali mbali yofunika kwambiri. Ndipo ntchito zawo zazikulu ndi izi:
- Kulamulira kuyenda kwa mpweya kudzera m'mphuno: Ziwalo zimenezi zimalamulira mpweya umene umalowa tikamapuma.
- Kutenthetsa ndi kunyowetsa mpweya: Ma turbinates amenewa amapereka kutentha ndi chinyezi chofunikira ku mpweya wouma, wozizira wochokera kunja usanalowe m'mapapo mwathu.
- Kunyamula mafinya: Izi zimathandiza kupanga ndi kusuntha mafinya, zomwe zimathandiza kuti mkati mwa mphuno mukhale wonyowa komanso woyera.
Komabe, nthawi zina chifukwa cha ziwengo, matenda monga chimfine chobwerezabwereza, kapena kuvulala kwa mphuno, ziwalo izi zotchedwa turbinates zimatupa ndikukula. Ndiye chimachitika ndi chiyani? Mpweya wolowera umatsekedwa. Pamenepo ndi pamene timakumana ndi mavuto monga kutsekeka kwa mphuno ndi kukodola.
Ndiye, opaleshoni ya Turbinectomy iyi ndi chiyani?
Turbinectomy ndi opaleshoni yochotsa mbali yonse kapena yotupa ya turbinates yomwe yakula ndikutseka mphuno. Izi zingathandize kuchiza kutsekeka kwa mphuno kosatha, kukodola, ndi zina mwa zotsatirapo za sleep apnea.
Izi nthawi zambiri zimachitika ndi katswiri wa khutu, mphuno, ndi pakhosi (ENT Surgeon).
Kodi izi ndi zofanana ndi Turbinoplasty?
Ayi, zimenezo n’zosiyana pang’ono.
- Kuchotsa turbinectomy: Izi zimaphatikizapo kuchotsa gawo la minofu yotupa.
- Turbinoplasty: M'malo mochotsa minofu, izi zimaphatikizapo kugwiritsa ntchito chida chapadera kuti chiyikenso kapena kusintha mawonekedwe a turbinate. Nthawi zina, minofu yochepa ingachotsedwenso.
Dokotala wanu adzasankha njira yoyenera kwa inu.
Kodi opaleshoni iyi imapweteka? Kodi imachitika bwanji?
Anthu ambiri amaopa opaleshoni. Koma palibe choopa pankhaniyi. Opaleshoni iyi imachitika kudzera m'mphuno mwanu. Chifukwa chake, palibe mabala, mabala, mabala, kapena mabala pankhope panu.
Opaleshoni isanachitike, dokotalayo adzakupatsani mankhwala oletsa ululu kapena kuyika dzanzi pamalo ozungulira mphuno yanu (local anesthesia). Kuti musamve ululu uliwonse panthawi ya opaleshoni. Opaleshoni yonse imatenga nthawi yochepa kwambiri, pafupifupi mphindi 15 mpaka 30. Pambuyo pa opaleshoni, phukusi lapadera lidzayikidwa m'mphuno mwanu kuti magazi asiye kutuluka.
Madokotala amagwiritsa ntchito njira ziwiri zazikulu pochita opaleshoni iyi:
1. Kudula: Izi zimaphatikizapo kudula gawo la pansi lotupa la turbinate. Nthawi zina, ngati kutupa kuli kwakukulu, gawo lina la fupa limachotsedwa pamodzi nalo, ndipo minofu yotsalayo imagwiritsidwa ntchito kuphimba bala.
2. Kuchotsa mano m'thupi: Iyi ndi njira yosangalatsa kwambiri. Imafuna kulowetsa kachipangizo kakang'ono kofanana ndi singano mu minofu ya turbinate ndikutumiza magetsi olamulidwa kudzera mmenemo. Izi zimapangitsa kuti minofuyo ichepetseke ndikuchepetsa kutupa.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire komanso mavuto omwe angakhalepo?
Ponena za nthawi yochira, nthawi zambiri mumatha kupita kunyumba tsiku lomwelo la opaleshoni. Komabe, ngati chikwama chosasungunuka chinayikidwa m'mphuno mwanu, muyenera kukhala m'chipatala usiku wonse chifukwa dokotala adzafunika kuchichotsa tsiku lotsatira.
Monga momwe zimakhalira ndi opaleshoni yaying'ono iliyonse, pali mavuto ena osowa kwambiri omwe angachitike. Ndikofunikira kudziwa izi.
| Mavuto Otheka | Kufotokozera kosavuta |
|---|---|
| Kusasangalala ndi ululu | Itha kukhala kwa masiku angapo pambuyo pa opaleshoni ndipo imatha kuthetsedwa ndi mankhwala ochepetsa ululu omwe dokotala wakupatsani. |
| Kutuluka magazi (kutuluka magazi) | Ndizachilendo kuti magazi pang'ono kapena magazi asakanizidwe ndi kutuluka kwa magazi mkati mwa maola 24 oyambirira. |
| Matenda a bala | Chiwopsezo chimakhala chachikulu ngati mutayamba kudwala chimfine panthawi yomwe mukuchira. |
| Kutuluka m'mphuno | Pakhoza kukhala mphuno yotuluka madzi mkati mwa sabata yoyamba. |
| Mphumu ya atrophic | (Kawirikawiri) Matenda omwe mphuno imakhala youma kwambiri ndipo matuza opweteka amapangika. |
| Kuwonongeka kwa njira yong'ambika | (Kawirikawiri kwambiri) Pali chiopsezo cha kuwonongeka kwa njira yodulira misozi panthawi ya opaleshoni. |
Kodi muyenera kudziwa chiyani mukachira kunyumba?
- Kusunga pedi: Mukachita opaleshoni, mutha kusunga pedi yothira (drip pad) pansi pa mphuno yanu kuti itenge magazi ndi ntchofu iliyonse yomwe imatuluka m'mphuno mwanu. Sinthani ikayamba kunyowa kapena kamodzi pa ola limodzi.
- Kutupa: Ndizachilendo kwambiri kumva kutupa kuzungulira mphuno, mlomo wapamwamba, masaya, kapena maso. Kutupa kumeneku kudzachepa pakatha masiku angapo.
- Kusanza: Mungakhale ndi kumva kuyabwa m'mphuno mwanu, pakamwa panu, kapena m'kamwa. Izi zidzatha kwathunthu pakatha milungu kapena miyezi ingapo. Palibe chodetsa nkhawa nacho.
- Kutaya fungo: Kumva fungo lanu kungachepe pang'ono mwezi woyamba, koma pang'onopang'ono izi zidzabwerera mwakale.
- Samalani: Samalani kuti musagwidwe ndi chimfine pamene mukuchira. Chifukwa chake, ndi bwino kupewa kupita kuntchito ndi kukwera mabasi ndi sitima zodzaza anthu kwa milungu iwiri kapena kuposerapo.
- Kuchita Masewera Olimbitsa Thupi: Onetsetsani kuti mwafunsa dokotala wanu malangizo okhudza kuchita masewera olimbitsa thupi.
- Kuchira kwathunthu: Poganizira zonsezi, zimatenga pafupifupi mwezi umodzi kapena iwiri kuti mumve bwino . Pambuyo pake, mutha kupuma momasuka komanso mozama.
Chofunika kwambiri ndikupita kukaonana ndi dokotala nthawi yokumana naye. Kenako amatha kuona ngati mabala akuchira bwino komanso ngati pali mavuto ena.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa mphuno ndi opaleshoni yosavuta komanso yofala yomwe imachitidwa ngati chithandizo cha kutsekeka kwa mphuno ndi kukokoloka pafupipafupi.
- Popeza izi zimachitika kudzera m'mphuno, palibe zipsera pankhope. Nthawi yochira ndi yachangu.
- Tsatirani malangizo a dokotala wanu mosamala mukatha opaleshoni, makamaka kupewa malo odzaza anthu ndi kubwerera kukaonana ndi dokotala wanu pa masiku omwe akonzedwa.
- Ngati mukumva kutuluka magazi kwambiri, kutentha thupi kwambiri, kapena kupweteka kosatha mutabwerera kunyumba, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi.
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