Dzimwe nguva ungangonzwa sekunge nzeve yako yakangoerekana yarohwa, kana kuti ungangove wakanzwa kurwadziwa kwakanyanya munzeve yako uye kurasikirwa nekunzwa. Izvi zvinogona kunge zvichikonzerwa nekukuvara kwedumbu renzeve, izvo zvinogona kunge zvichikonzerwa neburi riri mariri. Kazhinji, zvinhu izvi zvinopora zvega, asi dzimwe nguva zvinoda rubatsiro rwekuvhiyiwa kudiki. Ndizvo zvatichataura nezvazvo nhasi.
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Chii chinonzi Myringoplasty?
Muchidimbu, Myringoplasty inyaya yekuvhiya kugadzirisa dhumhu renzeve rakatsemuka kana rakakuvara. Dhumhu renzeve, kana kuti ratinoti Tympanic Membrane , itembu yakatetepa iri pakati pezeve rekunze nerepakati pezeve. Rakafanana neganda redhiramu. Dhumhu iri rinotibatsira kunzwa nekuti rinodedera richipindura mafungu eruzha.
Funga nezvezvirwere zvemunzeve zvinowanzoitika, kukuvara mumusoro, kuisa zvinhu munzeve dzako, uye ruzha rukuru zvinogona kukonzera kuti dhumhu rako riome, kana kuti riboore. Myringoplasty inzira yekuvhiya inovhara buri uye inodzorera dhumhu remunzeve panzvimbo yaro yakajairika. Izvi zvinogona kuderedza njodzi ye vertigo, mastoiditis, uye, kana zvakanyanya kuipa, kurasikirwa nekunzwa zvachose.
Kuvhiyiwa uku inzira inowanzoitwa nenyanzvi dzenzeve, mhuno, nepahuro (otolaryngologists). Inogona kuitwa pavanhu vakuru pamwe nevana vadiki.
Ndiani anoda kuvhiyiwa uku?
Kazhinji, dhumhu renzeve rakaputika rinopora roga mukati memavhiki mashoma. Zvisinei, chiremba wako anogona kukurudzira kuvhiyiwa uku mune zvinotevera:
- Kana buri riri muruzha rwenzeve risati rapora mushure memwedzi mitatu.
- Kana iwe kana mwana wako muchigara muchirwara nenzeve .
- Kana uine dambudziko rekunzwa nekuda kweburi riri mudumbu regedhi.
- Kana dhumhu renzeve rakakuvara, kureva kuti, rakaboorwa, nekuda kwetsaona.
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Vanachiremba vanoshandisa zvinhu zvakasiyana-siyana kugadzira kana 'kusunga' buri riri panzeve. Zvakafanana nekusunga chipfeko chakabvaruka.
| Zvinhu zvekubatanidza | Tsananguro iri nyore |
|---|---|
| Zvinhu zvekugadzira | Buri racho rinovharwa uchishandisa zvinhu zvakaita sejel furo kana bepa rekuvhiya rakakosha. |
| Fascia yeTemporalis | Iyi itemplate yakasimba inovhara tsandanyama yeshaya, pamusoro pezeve yako. Chidimbu chidiki chinotorwa kubva ipapo choshandiswa. |
| Perichondrium | Kanyama kadiki kakatenderedza shwashwa munzeve yako kanotorwa koshandiswa. |
| Mafuta | Dzimwe nguva chidimbu chidiki chenyama ine mafuta chinotorwa kubva panzeve yako choshandiswa kuvhara buri racho. |
| Kanyama kakawonda | Kuvhiyiwa uku kunogona kuitwawo nekutora kanyama kadiki kekatsi kubva munzeve pachayo. |
Unogadzirira sei usati wavhiyiwa?
Chiremba wako achakutsanangurira zvakajeka zvekuita usati wavhiyiwa. Kazhinji, ziva zvinotevera:
- Iva nechokwadi chekuudza chiremba wako nezvemishonga , mavhitamini, kana zvimwe zvinovaka muviri zvauri kutora parizvino .
- Ronga kuti mumwe wemhuri kana shamwari akuperekedze kuchipatara pazuva rekuvhiyiwa.
- Ronga pachine nguva kuti utore mazuva mashoma ekuzorora kubasa kana kuchikoro kuti upore.
Kuvhiyiwa uku kunoitwa sei?
Kazhinji, kuvhiyiwa uku kunoitwa pasi peanesthesia. Zvisinei, vamwe vanhu vanogona kuvhiyiwa pasi peanesthesia yemunharaunda, zvinoreva kuti nzeve chete ndiyo inenge isina chinhu. Chiremba wako ndiye achasarudza kuti ndeipi nzira yakanakira iwe kana mwana wako.
Panguva yekuvhiyiwa, chiremba achaita zvinotevera:
1. Kuchekwa kudiki kunoitwa kuburikidza nepaburi renzeve yako kana kuseri kwenzeve yako kuti isvike padhumhu renzeve.
2. Nyama yakatenderedza buri rerumu rwenzeve inocheneswa nekukwesha uye kugadzirira 'chigamba' chitsva chekuisirwa.
3. Zvadaro, sezvakambotaurwa, chidimbu chenyama (graft) kana chinhu chekugadzira chakatorwa mumuviri wako chinoshandiswa se'chigamba'.
4. Isa 'chigamba' pamusoro peburi riri mudumbu regedhi wochinamira.
5. Pakupedzisira, mukati mezeve mune chinhu chakaita sedonje uye bhandeji rinoiswa kunze.
Kuvhiyiwa uku kwese kunowanzo tora pakati pemaminitsi makumi matatu kusvika makumi mapfumbamwe .
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa?
Kufanana nechero chinhu chipi zvacho, kuvhiyiwa uku kune zvakunobatsira uye kune njodzi diki.
Zvakanakira
- Kuvhiyiwa uku kwakabudirira zvikuru. Kubudirira kwacho kuri pamusoro pe90%.
- Kunzwa kwevanhu vazhinji kunodzokera pakuva kwakajairika mushure mekuvhiyiwa.
- Kana kuvhiyiwa uku kuchiitwa pavana vadiki, kunonoka kwemutauro kunogona kukonzerwa nekusanzwa zvakanaka kunogona kudzivirirwa.
Njodzi
Matambudziko anokonzerwa nekuvhiyiwa kwemyringoplasty haawanzoitiki, asi zvakakosha kuti uzvizive.
Yeuka kuti izvi hazvisi zvinhu zvinoitika kune wese munhu. Njodzi yacho ishoma kwazvo.
- Kuwanikwa kwechirwere.
- Kunzwa manzwi akasiyana-siyana munzeve (Tinnitus).
- Dzungu.
- Kurasikirwa nekunzwa zvakanyanya (zvishoma kwazvo).
- Kukundikana kwekushandisa grift.
- Kudzoka kweburi riri mudumbu renzeve.
Zvinotora nguva yakareba sei kuti zvipore? Ndingazvichengeta sei kumba?
Kazhinji uchazodzokera pakuva munhu akajairika mukati mevhiki imwe kusvika mbiri. Vakuru vanofanira kutora vhiki imwe chete yekuzorora kubasa. Vana vanofanirawo kusava kuchikoro kweinenge vhiki imwe chete. Chiremba achakukumbira kuti udzoke kuzoonekwazve mushure memavhiki mana kusvika matanhatu mushure mekuvhiyiwa.
Nyatsotarisira zvinhu izvi kumba mushure mekuvhiyiwa:
- Inwa mishonga yese yawakanyorerwa nachiremba nenguva.
- Usabvisa bhandeji riri panzeve yako kusvika chiremba akuudza kuti ubvise. Achakutsanangurira mashandisirwo ekuisa madonhwe ear drops munzeve yako.
- Zorora zvakanyanya sezvinobvira.
- Kana wakakotama , kotama wakashama muromo. Usakotama wakavhara muromo wako. Kuita izvi kunogona kukonzera kumanikidzwa panzeve dzako.
- Usakwenya mhino yako zvinonzwika.
- Usageze musoro wako kusvika chiremba wako akupa mvumo. Hazvina kuipa kugeza muviri wako, asi iva nechokwadi chekuisa chinhu chakaita sedonje munzeve yako kudzivirira mvura kupinda.
- Usaende kunoshambira kwemavhiki mashoma.
Unofanira kuona chiremba nekukasika rini?
Mushure mekuvhiyiwa, kana iwe kana mwana wako mukava nechimwe chezviratidzo zvinotevera, fonerai chiremba wenyu nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
| Chiratidzo Chenyevero |
|---|
| Fivha inodarika 39.4 Celsius (103 Fahrenheit). |
| Kurwadziwa kwakanyanya kwenzeve kusingaderere kunyangwe uchinwa mushonga. |
| Kusvotwa zvakanyanya kana kurutsa. |
| Kushaya simba kwetsandanyama dzechiso (sekufinyamisa chiso). |
| Kutadza kufema zvakanaka. |
| Dzungu rinogara riripo kana kurira munzeve (tinnitus). |
| Kubuda ropa rakawanda kubva munzeve. |
Mharidzo Yekuenda Nayo Kumba
- Myringoplasty inyanzvi yekurapa nzeve yakatsemuka uye inoshanda zvikuru.
- Kunyangwe dhumhu renzeve richiwanzopora roga, kana rikasapora kwemwedzi yakati wandei kana kuti ukabatwa nezvirwere kakawanda, taura nachiremba wako nezvekuvhiyiwa uku.
- Kutevedzera mirairo yachiremba wako mushure mekuvhiyiwa kwakakosha zvikuru kuti munhu apore nekukurumidza.
- Kana paine zviratidzo zvine njodzi, usavhunduka kana kunonoka, asi tsvaga rubatsiro rwechiremba nekukasika.
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