Ngaba udiniwe kukuba nempumlo exineneyo, ubunzima bokuphefumla, kunye nentloko enzima? Nokuba usebenzisa amayeza amaninzi kunye nezitshizi zeempumlo ezingakanani kwiingxaki ze-sinus, ayisebenzi? Ngamanye amaxesha, xa ezi ngxaki ze-sinus ziqhubeka, oogqirha bacebisa ukuba kususwe unobangela ngotyando. I-FESS lutyando oluphumeleleyo nolukhuselekileyo olwenziwa ngamaxesha anjalo. Makhe sithethe ngale nto namhlanje.
Ngamafutshane, yintoni utyando lwe-FESS?
Igama elipheleleyo le-FESS yi -Functional Endoscopic Sinus Surgery . Olu lutyando olungena kakhulu kwiimeko ezinxulumene ne-sinus. "Ukungena kancinci" apha kuthetha ukuba olu tyando lwenziwa ngaphandle kokwenza imingxunya emikhulu kunye nokusetyenziswa kwezixhobo ezincinci kakhulu.
Khawucinge nje, ugqirha wenza olu tyando ngaphakathi kwempumlo yakho. Oko kuthetha ukuba, akukho manxeba awenziweyo ebusweni bakho okanye kufutshane nempumlo yakho. Ngoko ke akukho manxeba abonakalayo . Kule nto, kufakwa ityhubhu encinci kakhulu, enekhamera (esiyibiza ngokuba yi- Endoscope yempumlo ) empumlweni yakho kwaye ugqirha wenza utyando ngelixa ebukele imifanekiso kwisikrini. Ukuvaleka ngaphakathi kwempumlo kususwa kusetyenziswa izixhobo zotyando ezincinci kakhulu ezidlula kuloo tyhubhu.
Ngubani ofuna utyando lwe-FESS?
Ngokwesiqhelo, xa ii-sinus zakho zingaphumi kakuhle, i-mucus (efana ne-mucus) iyaqokelelana ize ivaleke. Oku kunokubangela ukuxinana kwempumlo, iintlungu, kunye nobunzima bokuphefumla. Oku kudla ngokuphathwa ngee-antibiotics okanye izitshizi zeempumlo. Nangona kunjalo, ukuba ezo ndlela zonyango azincedi, ugqirha wakho unokucebisa utyando lwe-FESS.
Ungathanda ukuqwalasela olu tyando ukuba unenye okanye ngaphezulu kwezi meko zilandelayo:
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| I-sinusitis engapheliyo | Usulelo olungapheliyo lwe-sinus oluhlala iinyanga kwaye alunyangeki ngamayeza. |
| Usulelo oluphindaphindayo lwe-sinus | Ukuba uzive ungcono emva kweentsuku ezimbalwa emva kokusela iyeza, iingxaki zakho ze-sinus ziphinda zibuye rhoqo. |
| Iipolyps zempumlo | Izihluma ezithambileyo nezingenabuhlungu ngaphakathi kwempumlo okanye kwimingxunya ye-sinus. Ezi zinokubangela ukuxinana kwempumlo. |
| Iithumba okanye iiseli ezingaqhelekanga kwi-sinuses | Olu tyando ngamanye amaxesha lusetyenziselwa ukususa izimila ezingezizo umhlaza okanye ezingengomhlaza. |
| Ukuvuza kolwelo lomqolo lweCerebral | Ikwasetyenziselwa ukunqanda ezinye iingxaki okanye ukuvuza kolwelo lwe-cerebrospinal ezantsi kwekhakayi. |
Uzilungiselela njani ngaphambi kotyando?
Ugqirha wakho uza kukuchazela ngqo into ekufuneka uyenze ngaphambi kotyando, kodwa ngokubanzi, kuya kufuneka ulumke ngezi zinto.
- Ukuyeka ukutshaya: Kufuneka uyeke ngokupheleleyo ukutshaya ubuncinane iiveki ezintathu ngaphambi kotyando. Ukutshaya kunokwenza iimpawu zakho ze-sinus zibe mandundu kwaye kuthintele inkqubo yokuphiliswa.
- Yeka ukuthatha amayeza afana ne-aspirin: Kuphephe ukuthatha amayeza okunciphisa igazi afana ne-aspirin ubuncinane iintsuku ezisixhenxe ngaphambi kotyando. La mayeza anokunyusa ukopha kwegazi ngexesha nasemva kotyando. Qiniseka ukuba uxelela ugqirha wakho ngamanye amayeza owasebenzisayo.
- Ukuzila ukutya: Musa ukutya okanye ukusela nantoni na ukususela ezinzulwini zobusuku ngomhla wotyando. Oku kwenzelwa ukuthintela iingxaki ezinokwenzeka ngexesha lotyando oluqhelekileyo.
- Umntu oza kukuqhubela ekhaya: Awuyi kukwazi ukuziqhubela ekhaya emva kotyando, ngoko ke kubalulekile ukulungiselela kwangaphambili ukuba umntu akuqhubele ekhaya.
Kwenzeka ntoni ngexesha lotyando?
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba ulala ubuthongo obunzulu. Ngoko awuyi kuva ntlungu .
1. Okokuqala, ugqirha uza kukunika i-anesthesia.
2. Okulandelayo, kufakwa isicoci sokukhulula ukuxinana empumlweni ukuze kususwe i-mucus.
3. Kufakwa inaliti ukuze kuthintelwe indawo ejikeleze impumlo.
4. Emva koko, ityhubhu encinci (i-endoscope) enekhamera eqhotyoshelweyo ifakwa ngononophelo empumlweni.
5. Izixhobo ezincinci zidluliselwa kuyo ukuze kususwe izicubu ezigqithisileyo, iziqwenga zamathambo, okanye iipolyps ezithintela ii-sinuses.
Emva kotyando, impumlo ngamanye amaxesha ingazaliswa zizinto ezikhethekileyo (izinto zokupakisha) ukuze kufunxwe igazi okanye ezinye izinto eziphumayo. Nangona kunjalo, oku akufuneki kulo lonke utyando. Utyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu.
Ziziphi iingenelo kunye neengozi zalo tyando?
Utyando lwe-FESS yindlela ekhuselekileyo nephumelelayo esetyenziswa njengomgangatho kwihlabathi liphela wokunyanga iingxaki ze-sinus.
Eyona nzuzo iphambili yolu tyando kukuba luvula imingxunya ye-sinus kwaye lubuyisela ukuhamba komoya kunye nokuphuma kwamanzi. Oku kwenza kube lula kuwe ukuphefumla kwaye kuphucula umgangatho wobomi bakho. Nangona ezinye iimpawu zisenokubakho, uninzi lwabantu lufumana isiqabu esibalulekileyo.
Njengakwezinye iintlobo zotyando, kukho iingozi ezincinci kakhulu, kodwa ezi azifane zenzeke.
- Ukopha kakhulu empumlweni.
- Ukubona kabini okanye ukulahleka kombono (kunqabile kakhulu).
- Iinyembezi ezigqithisileyo emehlweni.
- Ukulahlekelwa yimvakalelo yokuvumba.
- Ukuvuza kolwelo lwe-cerebrospinal.
Ngokutsho kophando lwakutshanje, nokuba yingxaki exhaphakileyo, ukopha kakhulu, kwenzeka kuphela kwiimeko ezimbalwa kakhulu, malunga notyando olu-3 kwi-100 . Ngoko ke ungakhathazeki ngokungeyomfuneko ngale nto. Ungathetha nogqirha wakho ngale nto uze ufumane okungakumbi.
Wenza ntoni emva kotyando?
Emva kotyando, uza kugcinwa kwigumbi lokuchacha okwethutyana, apho uza kuhlolwa khona ngokusondeleyo. Ngaphambi kokuba uye ekhaya, ugqirha wakho uza kukuchazela into omawuyilindele kwiintsuku ezimbalwa ezizayo. Umzekelo, kuqhelekile ukuba nokopha, impumlo evalekileyo, kunye nokungakhululeki kangangeentsuku ezimbalwa.
Nazi izinto ekufuneka uzilandele ngexesha lokuchacha kwakho:
- Musa ukukhaba impumlo yakho ubuncinane iveki yonke .
- Hlamba impumlo yakho kunye neempumlo ngeesinuses ngesisombululo se-saline esicetyiswe ngugqirha wakho.
- Xa uthimla, vula umlomo wakho uze unuke . Oku kuya kunciphisa uxinzelelo empumlweni yakho. Xa uthimla, unokufumana ukukhupha igazi okanye incindi, into eqhelekileyo.
- Kuphephe ukuzilolonga okanye ukuphakamisa iintsimbi de ugqirha wakho akuxelele ngenye indlela.
- Sela amayeza njengoko kumiselwe (umz., ii-antibiotics).
Kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?
Kungathatha iinyanga ezininzi ukuba uzive uphilile ngokupheleleyo, kodwa uninzi lwabantu luyaphila emva kweveki okanye ezimbini.Bayakwazi ukubuyela kwimisebenzi yabo yesiqhelo (ukuya esikolweni, ukuya emsebenzini).
Umyalezo Wokuya Ekhaya
- I-FESS lutyando oluphumelele kakhulu, olukhuselekileyo nolwanamhlanje lweengxaki ze-sinus ezingapheliyo.
- Kule nkqubo, akukho zisikelo zenziwayo ngaphandle kobuso, kodwa endaweni yoko utyando lwenziwa ngaphakathi empumlweni, ukuze kungabikho zisikelo ziseleyo.
- Kubaluleke kakhulu ukuyeka ukutshaya nokulandela iingcebiso zonyango ngaphambi kotyando.
- Landela imiyalelo ngononophelo, njengokuphepha ukukrwitshwa impumlo ngexesha lokuphola emva kotyando.
- Ukuba iimpawu zakho ziyabuya emva kokuba ziphucukile, okanye ukuba unezinye iingxaki, bona ugqirha wakho ngoko nangoko. Zive ukhululekile ukumbuza nayiphi na imibuzo onayo malunga nolu tyando.
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