Ngaba nawe unempumlo evalekileyo ngalo lonke ixesha? Ngaba unentloko enzima nezidlele ezibuhlungu? Ngaba akukho mfumba? Ezi zezona mpawu ziphambili ze-sinusitis. Uninzi lwexesha, le meko inokulawulwa ngamayeza achazwe ngugqirha. Kodwa ngamanye amaxesha, nokuba uthatha amayeza angakanani na, le ngxaki ayipheli. Kulapho ugqirha wakho anokucebisa ukuba wenze utyando lwe-sinus. Kuqhelekile ukuba uzive usoyika kancinci xa usiva igama elithi "utyando". Kodwa ngaba kukho imfuneko yokoyika oku? Masithethe ngayo yonke into ngokulula.
Yintoni kanye kanye utyando lwe-sinus?
Ngamafutshane, utyando lwe-sinus yinkqubo yokuvula kwakhona imingxunya evalekileyo kwi-sinus, eziyimingxuma ekhakhayini lakho ejikeleze impumlo yakho. Khawuthelekelele umsele ovalekileyo ekhayeni lakho. Amanzi awaphumi kakuhle. Yiyo loo ndlela i-mucus eveliswa ngaphakathi kwi-sinus iqokelelana ngayo ize yosuleleke.
Ngoko ke olu tyando lwenziwa ukuze kususwe izinto ezivala imijelo evalekileyo. Ezo zinto zinokuba zizicubu ezinentsholongwane , iziqwenga zamathambo ezongezelelweyo , okanye iipolyps ezikhula ngaphakathi kwempumlo. Injongo ephambili yolu tyando kukwenza indlela yokuba umhluzi uphume lula. Oku kuya kunciphisa amathuba osulelo kunye nokungakhululeki okuzivayo.
Ngobuchwepheshe obuphambili bale mihla, uninzi lolu tyando lwenziwa ngokusikwa okuncinci kakhulu (okungena emzimbeni), oko kuthetha ukuba ungaphila ngokukhawuleza.
Ziziphi iintlobo zotyando lwe-sinus ezikhoyo?
Kukho iintlobo ezininzi eziphambili zotyando lwe-sinus. Ugqirha wakho uya kumisela eyona ndlela ifanelekileyo kuwe ngokusekelwe kwimeko yakho. Makhe sijonge ukuba zeziphi ezi ndlela ziphambili.
| Uhlobo lotyando | Indlela yokwenza ngokulula | Oku kusetyenziswa rhoqo. |
|---|---|---|
| Utyando lweSinus oluSebenzayo lwe-Endoscopic (FESS) | Ityhubhu encinci enekhamera encinci (i-endoscope) ifakwa empumlweni, kwaye izicwili, inyama, okanye amathambo avala imingxunya ye-sinus zisuswa nge-endoscope. Ngamanye amaxesha kusetyenziswa ubuchwepheshe bekhompyutha (inkqubo ekhokelwa yimifanekiso) kunye nee-CT scans. | Le yeyona ndlela isetyenziswa kakhulu ngoku. Isetyenziselwa ukususa iingxaki ze-sinus ezingapheliyo (i-Chronic Sinusitis) kunye nee-polyps. |
| Ibhaluni yeSinuplasty | Oku kusebenzisa ne-endoscope. Kodwa endaweni yokusika nokususa izicubu, kufakwa ibhaluni encinci kwindawo evalekileyo ye-sinus kwaye ivuthelwe. Indawo evalekileyo emva koko iyandiswa ize ivulwe. Emva koko ibhaluni iyasuswa. | Le yinkqubo engeyongozi kangako. Ekubeni kungekho zicubu kufuneka zinqunyulwe, ixesha lokuchacha lifutshane. Asinguye wonke umntu onokukwenza oku. Kuxhomekeke kugqirha ukuba agqibe. |
| Utyando lwaseCaldwell Luc | Le yindlela endala. Kwenziwa umngxuma omncinci ngaphezulu komlebe ongaphezulu, kwintsini, kwaye kungena i-maxillary sinus. Ukusuka apho, kudalwe indlela entsha yokukhupha i-mucus empumlweni. | Le ndlela ingasetyenziswa kwiimeko ezinzima ngakumbi apho ezinye iindlela zingakhange zivelise iziphumo eziphumelelayo. |
Ngaba utyando lwe-sinus kunye nokunciphisa i-turbinate ziyafana?
Ewe. Ezi ziintlobo ezimbini zotyando. Utyando lwe-sinus lwenziwa ukuze kususwe imingxunya kwimingxunya ye-sinus. Ukunciphisa i-turbinate kwenziwa ukuze kuncitshiswe ubukhulu bezakhiwo zamathambo ngaphakathi kwempumlo ezibizwa ngokuba yi-turbinates. Xa ezi zivuvukile, zinokubangela ukuxinana kwempumlo. Ngamanye amaxesha, zombini ezi ntlobo zotyando zinokwenziwa kunye.
Ingaba olu tyando luyingozi? Ngaba luza kuba buhlungu kakhulu?
Le yeyona ngxaki inkulu kubantu abaninzi. Inyaniso kukuba, utyando lwe-sinus aluqhelekanga ukuba luhlobo lotyando oluneengxaki ezinkulu nezinzima. Iinkqubo ezintsha, ngakumbi i-FESS kunye ne-Balloon Sinuplasty, zikhuselekile kakhulu.
Ukuthetha ngentlungu, awuyi kuva ntlungu ngexesha lotyando kuba oogqirha basebenzisa i-anesthesia.
- I-General Anesthesia: Kule nto, uya kuba ulele ngokupheleleyo. Awuyi kuva nto de utyando luphele.
- I-Local Anesthesia: Oku kunciphisa kuphela indawo ejikeleze impumlo. Usenokuziva uxinzelelo oluthile ngexesha lenkqubo, kodwa awuyi kuva ntlungu.
Emva kotyando, kangangeentsuku ezimbalwa, mhlawumbi iveki,Kusenokuba kukho iintlungu ezincinci ukuya kweziphakathi. Ugqirha uza kukunika iintlungu zentlungu ngenxa yoko. Ngoko ke akukho nto ibalulekileyo.
Izinto ekufuneka uzazi ngaphambi kotyando nendlela yokulungiselela
Kukho izinto ezimbalwa ekufuneka uzilungiselele ngaphambi kotyando. Ugqirha wakho uza kukuchazela konke oku. Le miyalelo ilandelayo idla ngokunikwa:
- Ukuba ungumntu otshayayo, zama ukuyeka ubuncinane iiveki ezintathu ngaphambi kotyando. Ukutshaya kungenza iingxaki zakho ze-sinus zibe zimbi kakhulu kwaye kulibazise ukuphola.
- Ukuba uthatha amayeza okunciphisa igazi njenge-aspirin , ugqirha wakho uza kukuxelela ukuba uyeke ukuwathatha ubuncinane kwiintsuku ezisi-7 ngaphambi kotyando, kuba la mayeza anokunyusa ukopha kwegazi ngexesha nasemva kotyando.
- Ukuba unikwa i-anesthesia eqhelekileyo , musa ukutya okanye ukusela nantoni na ukususela ezinzulwini zobusuku ngomhla wotyando.
- Ekubeni ungayi kukwazi ukuqhuba iiyure ezingama-24 emva kotyando, yenza amalungiselelo okuba umntu akuqhubele ekhaya .
Kwenzeka ntoni ngexesha lotyando?
Makhe sijonge ngokweenkcukacha ezithe vetshe indlela ezihlelwa ngayo ezi ntlobo zotyando esixoxe ngazo ngaphambili.
Indlela yokwenza utyando lwe-FESS
Le yeyona ndlela ixhaphakileyo.
1. Okokuqala, ugqirha uza kubeka i-decongestant empumlweni yakho.
2. Emva koko, kufakwa inaliti ngaphakathi empumlweni ukuze ingasebenzi kakuhle.
3. Ngoku, loo endoskopu ndiyikhankanyileyo, oko kukuthi, ityhubhu encinci enekhamera, efakwa empumlweni ize ijongwe kwisikrini.
4. Kusetyenziswa izixhobo zotyando ezincinci eziza nombhobho, naziphi na iziqwenga zamathambo ezongezelelweyo, izicubu ezinesifo, okanye iipolyps ezivala imijelo ye-sinus zisuswa ngononophelo.
5. Okokugqibela, ukuba kukho ukopha, ungapakisha impumlo ngesixhobo esikhethekileyo (izinto zokupakisha) ukuze uyifunxe.
Indlela eyenziwa ngayo i-Balloon Sinuplasty
Le yindlela elula nangakumbi.
1. Ugqirha uza kufaka iyeza elibangela ukuba umntu angakwazi ukuziva egula kwiithishu ezingaphakathi kwempumlo yakho.
2. I-catheter ifakwa empumlweni phantsi kwesikhokelo se-endoscope.
3. Ngaloo catheter, ibhaluni encinci ithunyelwa kwi-sinus passage evaliweyo.
4. Emva koko imonki iphinda igcwalise ibhaluni. Emva koko indlela evaliweyo iyavuleka kwaye ivuleka.
5. Emva koko khupha ibhaluni. Yiyo leyo.
Kwenzeka ntoni emva kotyando? Ndingazinyamekela njani ekhaya?
Ukuba unikwe i-anesthesia eqhelekileyo, uza kugcinwa kwigumbi lokuchacha okwethutyana ude uvuke kwi-anesthesia. Ukuba unikwe i-anesthesia yendawo, uza kukwazi ukuya ekhaya ngoko nangoko. Ngaphambi kokuba ugoduke, ugqirha kunye nabongikazi baza kukunika yonke imiyalelo ekufuneka uyilandele ekhaya.
Qaphela ezi zinto zilandelayo ngexesha lokuchacha kwakho emva kotyando:
- Iqhekeza legauze liza kubekwa phantsi kwempumlo yakho ukuze kufunxwe ulwelo oluphuma empumlweni yakho. Lifanele litshintshwe xa limanzi.
- Xa ulele, phakamisa intloko yakho ngeepillow ezimbini okanye ezintathu. Oku kunokunceda ekunciphiseni ukudumba nokopha.
- Sela iziselo ezininzi ezifana namanzi.
- Kwiintsuku ezimbalwa zokuqala, ungaziva urhabaxa, uxinene ngaphakathi empumlweni yakho. Oku kuqhelekile.
- Ukuba ugqirha wakho ukuxelela ukuba usebenzise i-saline spray/uhlambe, yenza kanye njengoko kuyalelwe.
- Kusenokuba neentlungu kangangeveki. Sela amayeza okuthomalalisa iintlungu amiselwe ngugqirha ngexesha elifanelekileyo.
Nangona iintlungu ezingapheliyo ze-sinus kunye nokuxinana kweempumlo azisongeli ubomi, zinokuba ngumqobo omkhulu ekonwabeleni ubomi kunye nemisebenzi yemihla ngemihla. Ke ngoko, utyando olufana nolu lunokukunceda ukuphelisa ezo ngxaki kwaye ufezekise umgangatho wobomi ongcono.
Ngaba kukho naziphi na iingxaki ezibangelwa lolu tyando?
Kukho iingozi kulo naluphi na utyando. Nangona kunjalo, iingxaki ezivela kutyando lwe-sinus azixhaphakanga . Ugqirha wakho uza kukuchazela ezi ngozi ngaphambi kotyando. Nazi ezinye zeengxaki ezinokwenzeka (kodwa ezingaqhelekanga):
- Ukopha kakhulu kunesiqhelo: Ukopha kancinci kuyinto eqhelekileyo. Kodwa ngamanye amaxesha kunokubakho ukopha kancinci. Ukuba oko kuyenzeka, ugqirha unokupakisha impumlo aze mhlawumbi akugcine esibhedlele ukuze ujongwe.
- Ukukrazuka: Ukukrazuka kunokwanda ngenxa yotyando okanye ukudumba kwe-sinus.
- Ukuvuza kweCerebral Spinal Fluid (CSF): Le yingxaki engaqhelekanga kodwa inzima. Ukuba olu lwelo lujikeleze ingqondo luyavuza, lunokukhokelela kwiintsholongwane ezifana ne-meningitis.
- Iingxaki zokubona: Kunqabile kakhulu ukuba umntu angaboni okanye abone kabini emva kotyando.
- Ukurhawuzelela Kobuso: Ingakumbi emva kotyando lukaCaldwell Luc, ezinye iindawo zobuso zinokuba nokurhawuzelela.
- I-Empty Nose Syndrome: Le yimeko engaqhelekanga kakhulu. Kule meko, nangona impumlo ivulekile, isifuba asiziva sigcwele xa uphefumla, kwaye impumlo iziva ivaliwe.
Ukuba unale mpawu emva kotyando, bonana nogqirha wakho ngoko nangoko.
Emva kokuba ubuyele ekhaya emva kotyando, nikela ingqalelo emzimbeni wakho. Ukuba unezinye zeempawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Ukuba unentlungu ebuhlungu engapheziyo nokuba sele usele amayeza okubulala iintlungu owanikiweyo .
- IfivaUkuba ikhona. Umkhuhlane unokuba luphawu losulelo.
- Ukuba impumlo yakho iyaqhubeka nokopha kakhulu .
- Ukuba kukho utshintsho embonweni (umbono ofipheleyo, umbono ophindwe kabini).
- Ukuba unesihlungu somqala okanye intloko ebuhlungu kakhulu .
Abanye abantu baziva bebhetele emva kotyando. Kwabanye, kungathatha iiveki okanye iinyanga ukuba iimpawu ziphele ngokupheleleyo. Ngoko ke kubalulekile ukuba nomonde.
Umyalezo Wokuya Ekhaya
- Utyando lwe-sinus ludla ngokucetyiswa xa iingxaki ze-sinus ezihlala ixesha elide zingasonjululwanga ngamayeza.
- Ngenxa yeendlela zanamhlanje ezifana ne-FESS kunye ne-Balloon Sinuplasty, olu tyando ngoku lukhuselekile kakhulu, kwaye ixesha lokuchacha lifutshane.
- Akukho ntlungu ngexesha lotyando. Intlungu emva kotyando ingalawulwa ngezithomalalisi zentlungu.
- Kubaluleke kakhulu ukuze uphile ngokukhawuleza ukuba ulandele imiyalelo kagqirha wakho ngononophelo ngaphambi nasemva kotyando.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (intlungu enzima, umkhuhlane) emva kotyando, musa ukoyika kwaye wazise ugqirha wakho ngoko nangoko.
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