Unewo hutachiona hwenzeve hunogara huchiitika here? Une matambudziko akadai semapundu anobuda munzeve, kurwadziwa kwenzeve, uye kurasikirwa nekunzwa zvishoma nezvishoma here? Dzimwe nguva chikonzero chezvinetso zvakadaro zvenzeve chinoramba chiripo chingave hutachiona huri mupfupa riri shure kwenzeve. Muzviitiko zvakadaro, kuvhiyiwa kwakakosha kunokurudzirwa navanachiremba kunonzi Mastoidectomy. Kunyangwe zita racho risinganzwisisike, uku kuvhiyiwa kwakaunza zororo kuhupenyu hwevanhu vazhinji. Nhasi, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Chii chinonzi Mastoidectomy?
Zvichitaurwa zviri nyore, mastoidectomy kubvisa mapfupa ane utachiona ari kumashure kwenzeve yako.
Fungidzira, seri kwenzeve dzedu, sechikamu chedehenya, kune pfupa rinonzi 'Mastoid'. Iri harisi pfupa rakasimba. Rakafanana nehuchi, kana chipanji, chakazara nemasero madiki emhepo mukati. Kazhinji, aya anofanira kunge ane hutano. Asi dzimwe nguva, kana hutachiona hwenzeve, kunyanya hutachiona hwepakati perevedzero ('otitis media'), hukasadzorwa, hutachiona uhwu hunogona kupararira huchienda kumasero emhepo ari mukati mepfupa remastoid. Ndipo panotanga dambudziko. Mastoidectomy kuvhiyiwa kubvisa masero aya emhepo ane hutachiona, ane chirwere.
Sei uchifanira kuvhiyiwa mastoidectomy?
Panogona kunge paine zvikonzero zvikuru zvakawanda zvinoita kuti munhu avhiyiwe.
- Kutapukirwa nehutachiona munzeve nguva dzose: Vamwe vanhu vane hutachiona munzeve nguva dzose. Kuvhiyiwa uku kunogona kudiwa kana hutachiona hwacho hwanyanya kuoma zvekuti hahukwanise kudzorwa nemishonga inorwisa mabhakitiriya uye hukapararira kumapfupa emudumbu.
- Cholesteatoma: Iyi inyaya yakasiyana. Cholesteatoma kukura kwemasero eganda kusina kenza, kusingawanzoitiki. Inowanzo buda munzeve yepakati, kuseri kwenzeve. Inogonawo kuitika sedambudziko rezvirwere zvenzeve zvinodzokororwa. Sezvo kukura uku kuchikura, kunogona kukuvadza mapfupa akapfava (mapfupa madiki munzeve anobatsira kunzwa) uye tsinga dzakaipoteredza. Saka, mastoidectomy inodiwa kuti ibviswe zvachose.
- Kuvhiyiwa kweCochlear Implant: Mune zvimwe zviitiko, kuvhiyiwa uku kunoitwawo sechikamu chekuvhiyiwa kwecochlear implant kuti udzorere kunzwa munzeve.
- Kuputika kwerumu rwenzeve: Munhu ane rumu rwenzeve rwakatsemuka anogona kuvhiyiwa mastoidectomy pamwe nekuvhiyiwa kuti rugadziriswe (tympanoplasty).
Pane mhando dzemavhiyirwo aya here?
Ehe, zvichienderana nerudzi uye kuoma kwechirwere chako, chiremba wako ndiye achasarudza kuti ndeipi mhando yekuvhiyiwa yakakunakira. Kune mhando nhatu huru.
| Rudzi rwekuvhiyiwa | Chii chiri kuitwa | Pfungwa dzakakosha |
|---|---|---|
| Kuvhiyiwa kweMastoidectomy kuri nyore (Kuvhiyiwa kweMastoidectomy kuri Nyore) | Makamuri emhepo ane hutachiona ari mubhonzo remastoid chete ndiwo anobviswa. | Hazvikuvadzi nzeve kana zvikamu zvenzeve yepakati. |
| Kuvhiyiwa kweMastoid-up-up-wall-up-canal (Kuvhiyiwa kweTympanomastoid) | Mapfupa akawanda anobviswa pane kuvhiyiwa kuri nyore, kuti asvike muzvikamu zvenzeve yepakati, zvakaita semapfupa madiki (ossicles) anobatsira kunzwa. | Muchiitiko ichi, nzira yekunze nzeve inodzivirirwa zvizere. |
| Kuvhiyiwa kweMastoid-down-down-canal-down (Kuvhiyiwa kweMastoidectomy Yakagadziriswa kana Yakagadziriswa) | Izvi zvinoitwa kana nzira yenzeve yakakuvadzwa nechirwere kana kuti nzira yacho ichifanira kubviswa kuti chirwere chibviswe zvachose. Mukuita uku, nzira yenzeve nemapfupa e mastoid zvinobatanidzwa pamwe chete kuti pave negomba guru (nzvimbo ye mastoid). | Izvi zvinoitwa kana chirwere chacho chakura zvakanyanya kana kuti mamwe maoparesheni akundikana. Kuvhura nzeve kunowedzerwawo kuti zvive nyore kuchenesa gomba iri mune ramangwana. |
Chii chinoitika usati wavhiyiwa uye panguva yekuvhiyiwa?
Pamberi pekuvhiyiwa...
Chiremba wako achakupa runyorwa rwemirairo yekutevera usati wavhiyiwa. Zvakakosha kuitevedzera nemazvo. Ungangokumbirwa kuti urege kutora mimwe mishonga kwenguva pfupi (yakadai semishonga inobvisa ropa). Sezvo kuvhiyiwa uku kuchiitwa pasi peanesthesia, zvichireva kuti wakarara zvachose, uchafanira kuronga kuti mumwe munhu waunovimba naye akuendese kuchipatara uye kumba mushure mekuvhiyiwa.
Munguva yekuvhiyiwa...
Hauzonzwi chero chinhu panguva yekuvhiyiwa. Chiremba wechiremba achatevera matanho aya:
1. Kuchekwa kweganda: Kuchekwa kweganda kunoitwa seri kwenzeve, kusvika pabhonzo remastoid. Chiremba anongwarira kuti achekwe nenzira inoita kuti vanga risanyanya kuoneka gare gare.
2. Kuvhura pfupa: Pfupa remastoid rinovhurwa uchishandisa zvishandiso zvakakosha.
3. Kubviswa kwezvikamu zvine hutachiona: Makamuri emhepo ane hutachiona nedzimwe nyama dzine chirwere zvinobviswa nokungwarira.
4. Kusunga: Kucheka kwacho kunovharwa zvakare uye kunosungwa.
5. Kuvhara ronda: Ronda rakafukidzwa nejira rakachena.
Kuvhiyiwa uku kunowanzotora maawa maviri kana matatu kuti kupedzwe.
Yeuka, hauzonzwi kurwadziwa panguva yekuvhiyiwa, asi zvakajairika kunzwa kusagadzikana mushure mekuvhiyiwa.
Pane kurwadziwa here mushure mekuvhiyiwa?
Kuchekwa kuri kuseri kwenzeve kunogona kukonzera kurwadziwa, kunzwa kurema munzeve, kana kunzwa kuvharika. Aya ndiwo mamiriro ezvinhu akajairika. Kuti udzore marwadzo aya, unogona kushandisa mishonga inoderedza marwadzo yakaita separacetamol (`acetaminophen`) kana ibuprofen, sezvakarairwa nachiremba wako. Chiremba wako achakupa mirairo yekukubatsira kuti ugare wakasununguka panguva yekupora. Itevedzere nokungwarira.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Kufanana nekuvhiyiwa kupi zvako, Mastoidectomy ine zvakanakira uye njodzi.
| Zvakanakira | Njodzi |
|---|---|
|
|
Zvinotora nguva yakareba sei kuti murwere apore uye mhedzisiro yacho ndeipi?
Zvinogona kutora mavhiki matanhatu kusvika gumi nemaviri kuti munhu apore zvizere. Zvisinei, vanhu vazhinji vanogona kudzokera kumabasa avo enguva dzose (kubasa, kuchikoro) muvhiki imwe chete kana maviri.
Kuvhiyiwa kweMastoidectomy kunowanzo budirira. Zvisinei, mhedzisiro yacho inoenderana nechikonzero chekuvhiyiwa uye rudzi rwekuvhiyiwa kwakaitwa. Chinhu chakakosha kunzwisisa pano ndechekuti chinangwa chikuru chekuvhiyiwa uku hachisi chekudzoreredza kunzwa, asi kuchengetedza hupenyu hwako nekubvisa hutachiona hunogona kukonzera matambudziko akakomba. Zvakajairika kusangana nekurasikirwa nekunzwa, kunyanya mushure mekuvhiyiwa kukuru senge Radical Mastoidectomy. Chiremba wako achakutsanangurira izvi pachine nguva.
Ndinofanira kuona chiremba zvakare rini?
Kana wadzokera kumba mushure mekuvhiyiwa, kana ukaona chimwe chezviratidzo zvinotevera , unofanira kufonera chiremba wako nekukasika.
- Fivha ye100.5 Fahrenheit (38 Celsius) kana kupfuura.
- Kubuda ropa rakawanda kana mvura yakaita sematumbu kubva munzeve.
- Kuonekwa kusina simba kana kusina hupenyu kune rumwe rutivi rwechiso.
- Dzungu (vertigo) kana musoro wakakomba.
- Kurasikirwa nekunzwa kamwe kamwe.
Kana uine hutachiona hwenzeve hunoramba huripo, usazviregeredza uye enda kuna chiremba kuti akupe mazano. Kuvhiyiwa kwemastoidectomy kungave ndiyo mhinduro yakanakisisa yedambudziko rako. Kuvhiyiwa uku kunogona kubvisa hutachiona uye kuvandudza hutano hwako hwese uye hupenyu hwako.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweMastoidectomy kuvhiyiwa kwekubvisa hutachiona kubva mubhonzo remastoid riri kuseri kwenzeve.
- Izvi zvinonyanya kuitwa kubvisa hutachiona hwenzeve hunoramba huripo uye mhando yebundu rinonzi cholesteatoma.
- Chinangwa chikuru chekuvhiyiwa uku ndechekubvisa hutachiona, hunogona kukonzera matambudziko akakomba, pane kuvandudza kunzwa.
- Kutevedzera mirairo yachiremba mushure mekuvhiyiwa kwakakosha kuti munhu akwanise kupora nekukurumidza.
- Kana ukaona zviratidzo zvekunyevera mushure mekuvhiyiwa, zvakaita sefivha, kubuda ropa rakawanda, kana kushaya simba kwechiso, zivisa chiremba wako nekukasika.
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