Ingabe uvame ukuzwa sengathi ikhala lakho livalekile, unenkinga yokuphefumula, futhi ikhanda lakho lisinda? Ingabe ngezinye izikhathi uthola ikhanda elibuhlungu elizwakala sengathi ikhanda lakho liyashaya ngobuhlungu obukhulu obuvela ngaphakathi kobuso bakho, ngaphansi kwamehlo akho, nasebunzini lakho? Lezi yizimpawu ezivamile zezinkinga zama-sinus abantu abaningi ezweni lethu abanazo. Ngisho noma uthatha umuthi noma ufutha ikhala lakho, ngezinye izikhathi le nkinga ayipheli. Esimweni esinjalo, udokotela wakho angakutshela ngokuhlinzwa okukhethekile okubizwa ngokuthi i-FESS. Ngakho-ke, ake sithole okwengeziwe ngalokhu.
Kalula nje, kuyini ukuhlinzwa kwe-FESS?
I-FESS imele i-Functional Endoscopic Sinus Surgery . Nakuba igama lingase lizwakale njengento enkulu, empeleni inqubo elula kakhulu, engangenisi kakhulu. Ihilela ukufaka ikhamera enhle kakhulu namathuluzi okuhlinza ngamakhala akho ukuze kulungiswe izinkinga ezimbotsheni zakho zama-sinus.
Cabanga ngakho njengokuhlanza ipayipi elivalekile. Izimbobo ze-sinus emathanjeni ethu obuso zikhiqiza uketshezi olufana ne-mucus. Lokhu kufanele kuphume ngekhala. Kodwa uma lezi zindlela zivalekile nganoma yisiphi isizathu, i-mucus iyanda ngaphakathi futhi ibangele izifo. Yilapho-ke ubuhlungu nekhanda kuvela khona.
Lokho okwenziwa ukuhlinzwa kwe-FESS ukuvula kabusha lawo macala avaliwe nokusiza imigodi yama-sinus ukuthi isebenze kahle futhi. Yingakho kunezelwa igama elithi 'functional' kuyo. Inzuzo enkulu yalokhu ukuthi akukho ukusikwa okwenziwe ebusweni noma eduze kwekhala, ngakho-ke akukho zibazi ezibonakalayo. Konke kwenziwa ngaphakathi kwamakhala.
Kukuziphi izimo lapho kudingeka khona ukuhlinzwa kwe-FESS?
Ngokuvamile, uma kuvela inkinga ye-sinus, udokotela uqala ngokunikeza ama-antibiotic noma ama-spray ekhala. Isikhathi esiningi, bayayelapha. Kodwa abanye abantu abatholi impumuzo kulezi zindlela zokwelapha. Yilapho-ke lapho kufanele ucabange ngokuhlinzwa.
Ungathola umbono ocacile ngalokhu kusukela kuthebula elingezansi.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| I-Sinusitis Engapheli | Izinkinga zama-sinus eseziqhubeke izinyanga. Isimo esiphindaphindayo esingalulami ngokuphelele ngisho nangemithi. |
| Ukutheleleka kwe-sinus okuphindaphindiwe | Uma uthola izifo ze-sinus izikhathi eziningana ngonyaka futhi kufanele uthathe ama-antibiotic njalo. |
| Ama-Polyps asekhaleni | Izitshalo ezincane ezikhula ngaphakathi kwekhala noma emathunjini e-sinus. Lokhu kungabangela ukuminyana kwamakhala, kwenze kube nzima ukuphefumula futhi kunciphise umuzwa wakho wokuhogela. |
| Izimila ezimpumulweni | Ukususa izimila ezinomdlavuza noma ezingezona umdlavuza ezimbotsheni zama-sinus. |
| Ukuvuza Koketshezi Lomgogodla Wengqondo | Le ndlela isetshenziselwa futhi ukulungisa noma yiziphi iziphambeko esisekelweni sekhanda ezibangela ukuvuza koketshezi lomgogodla ngekhala. |
Kufanele uzilungiselele kanjani ngaphambi kokuhlinzwa?
Ukuze ukuhlinzwa kuphumelele, kudingeka ukuthi ube nokulungiselela okuthile kusengaphambili. Udokotela wakho uzokuchazela lokhu. Kodwa kunezinto ezithile ezijwayelekile okufanele uziqaphele.
| Okufanele ngikwenze | Kungani kunjalo? |
|---|---|
| Ukuyeka ukubhema | Kufanele uyeke ngokuphelele ukubhema okungenani amasonto amathathu ngaphambi kokuhlinzwa. Ukubhema kungenza izinkinga zakho ze-sinus zibe zimbi kakhulu futhi kubambezele inqubo yokuphulukiswa. |
| Ukuyeka imithi efana ne-aspirin | Imithi yokulwa nokujiya kwamangqamuzana, njenge-aspirin, kufanele ithathwe okungenani izinsuku eziyi-7 ngaphambi kokuhlinzwa.Bazokutshela ukuthi uyeke ukukuthatha kusenesikhathi. Ngisho nokuthatha inani elincane kungandisa ukopha ngesikhathi sokuhlinzwa nangemva kokuhlinzwa. Ungakhohlwa ukutshela udokotela wakho ngayo yonke imithi oyithathayo. |
| Ukuzila ukudla | Ungadli noma uphuze lutho ngemva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho. Lokhu kwenzelwa ukuvimbela izinkinga ezingase zenzeke ngesikhathi sokuhlinzwa okuvamile. |
| Ukuthola umuntu ozokuthatha akuyise ekhaya | Ngemva kokuhlinzwa, ngeke ukwazi ukushayela imoto wedwa. Kuyingozi ngenxa yemiphumela yomuthi wokubulala izinzwa. Ngakho letha othile ozokushayela ekhaya. |
Kwenzekani ngempela ngesikhathi sokuhlinzwa?
Ngeke uzwe ubuhlungu phakathi nalokhu kuhlinzwa ngoba uzofakwa ngaphansi kwe-anesthesia ejwayelekile bese ulaliswa. Kulapho-ke udokotela ohlinzayo eyoqala khona umsebenzi.
1. Ukuhlanza ikhala: Okokuqala, kufakwa umuthi owuketshezi ngaphakathi kwekhala ukuze kuncishiswe ukuminyana futhi kuhlanzwe imigodi yama-sinus.
2. Ukuba ndikindiki: Bese kufakwa umjovo obangela ukuba ndikindiki ekhaleni.
3. Ukufaka i-endoscope: Manje kufakwa ithubhu elincane elibizwa ngokuthi i-nasal endoscope . Linekhamera encane kanye nokukhanya kolunye uhlangothi. Izithombe ezivela kulokhu ziboniswa esikrinini esikhulu, ukuze udokotela akwazi ukubona ingaphakathi lekhala kanye nama-sinuses ngokucacile.
4. Ukususa izithiyo: Kusetshenziswa amathuluzi okuhlinza amahle kakhulu ahambisana ne-endoscope, izingcezu zamathambo ezengeziwe, izicubu ezigulayo, noma ama-polyp avimba imigudu yama-sinus ziyasuswa ngokucophelela.
5. Isiphetho: Lapho inqubo isiqediwe, ngezinye izikhathi kufakwa i-nasal packing ngaphakathi kwekhala ukuze kumunce igazi kanye noketshezi. Kodwa-ke, lokhu akudingekile kukho konke ukuhlinzwa.
Ngokuvamile, uma ukuhlinzwa kwenziwa kuzo zombili izinhlangothi zekhala, lokhu kungathatha cishe amahora amabili noma amathathu .
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Inzuzo enkulu: ukukwazi ukuphefumula ngokukhululeka futhi!
Inzuzo eyinhloko yokuhlinzwa kwe-FESS ukuthi kunciphisa ukuminyana emigodini yama-sinus, kubuyisela ukuphuma kwe-mucus kanye nokugeleza komoya, okwenza kube lula kakhulu ngawe ukuphefumula.Ngesikhathi esifanayo, ikhanda elibuhlungu kanye nobuhlungu bobuso obekukhathaza isikhathi eside nakho kuzonyamalala. Lokhu kuzothuthukisa kakhulu izinga lempilo yakho. Nakuba ngezinye izikhathi kusala izimpawu ezincane, abantu abaningi bazizwa bethuthuka kakhulu.
Masiqaphele nezingozi.
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane kakhulu ezihilelekile. Kodwa ungakhathazeki, amathuba okuba lokhu kwenzeke mancane kakhulu. Izinkinga kuphela ezingaba khona uma ukuhlinzwa kulimaza izitho zomzimba eziseduze kakhulu nemigodi yama-sinus, njengamehlo nobuchopho.
- Ukuvuza koketshezi lwe-cerebrospinal
- Ukubona kabili noma ukukhubazeka kokubona
- Ukudabuka okukhulu emehlweni
- Ukopha ngokweqile (kufaka phakathi ukuphuma kwegazi ekhaleni)
- Ukulahlekelwa umuzwa wokuhogela
Kodwa khumbula, i-FESS manje iyindlela ejwayelekile yokuhlinzwa kwezinkinga ze-sinus emhlabeni wonke. Ngakho odokotela banolwazi olukhulu ngayo. Ngokusho kocwaningo lwamuva nje, inani elincane kakhulu lezinkinga, njengokuphuma kwegazi ngokweqile, libikwa ekuhlinzweni okucishe kube ngu-3 kwabayi-100.
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzogcinwa ekamelweni lokululama isikhashana, lapho uzoqashwa khona. Ngaphambi kokuba uye ekhaya, udokotela nabahlengikazi bazokunikeza imiyalelo. Kuvamile ukuba nomopho omncane, ikhala elivalekile, kanye nokungakhululeki ezinsukwini ezimbalwa zokuqala. Ungakhathazeki ngakho.
Nakekela lezi zinto uma ufika ekhaya.
- Gwema ukuklwebha impumulo yakho: Ungaklwebhi impumulo yakho ngamandla okungenani izinsuku eziyi-7 ngemuva kokuhlinzwa.
- Ukuhlanza nge-Saline: Hlanza impumulo yakho kanye nama-sinuses ngesisombululo se-saline njengoba kunconywe udokotela wakho. Lokhu kuzogcina ingaphakathi lihlanzekile futhi kusheshise inqubo yokuphulukiswa.
- Vula umlomo wakho uma uthimula: Uma uzizwa sengathi ufuna ukuthimula, vula umlomo wakho bese uthimula. Lokhu kuzonciphisa ingcindezi ekhaleni lakho. Emasontweni ambalwa okuqala, ungase uzwe amafinyila negazi uma uthimula, okuyinto evamile.
- Gwema ukuzivocavoca: Gwema ukuphakamisa izinto ezisindayo nokuzivocavoca okunzima kuze kube yilapho udokotela wakho ekunike imvume.
- Phuza imithi yakho ngendlela efanele: Phuza imithi oyinikezwe (ikakhulukazi imithi yokulwa nokuvuvukala) ngesikhathi esifanele nangendlela efanele.
Kuzothatha isikhathi esingakanani ukululama ngokuphelele?
Kungathatha izinyanga ezimbalwa ukuthi uzizwe ululame ngokuphelele, kodwa abantu abaningi bangabuyela emsebenzini noma esikoleni cishe ngesonto . Bangaphinde baqale imisebenzi evamile yansuku zonke zingakapheli amasonto amabili .
Ufuna ukuphinde ubonane nodokotela nini?
Uzoba ne-aphoyintimenti yokulandelela ngemva kwamasonto ambalwa ngemva kokuhlinzwa. Ngaleso sikhathi, udokotela uzohlola ingaphakathi lekhala lakho futhi ahlanze noma yiliphi ifinyila noma igazi elomile elingase libe khona.
Uma izimpawu zakho zibonakala ziphela bese zibuya ngemva kwezinsuku ezimbalwa, ungakuzibi. Kungaba uphawu lokuthi i-polyp ikhula futhi. Ngakho-ke qiniseka ukuthi ukhuluma nodokotela wakho.
I-FESS inqubo ephephile kakhulu futhi ephumelelayo yokwelapha izinkinga ze-sinus ezingamahlalakhona. Uma udokotela wakho encoma le nqubo, khuluma nodokotela wakho ngezinzuzo nemiphumela elindelekile. Ngena kule nqubo ngokuqiniseka ukuthi lokhu kuyindlela efanele yokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- I-FESS iyindlela yokuhlinzwa ephephile kakhulu engashiyi zibazi zangaphandle futhi yenzelwe izinkinga ezivamile zama-sinus.
- Lokhu kusiza ukususa ukuminyana emigodini yama-sinus futhi kukusize uphefumule ngokukhululeka futhi.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela (njengokuyeka ukubhema nokuyeka imithi ethile) ngaphambi nje kokuhlinzwa.
- Ukuhlanza ngosawoti nokulandela imiyalelo enikezwe ngemva kokuhlinzwa kubalulekile ukuze ululame ngokushesha.
- Uma izimpawu ziphinde zibuya ngemva kokuba usululame, bona udokotela wakho ngokushesha.
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