Ukhathele nokuba nekhala elicijile, ubunzima bokuphefumula, kanye nekhanda elinzima? Kungakhathaliseki ukuthi usebenzisa imithi eminingi kangakanani kanye nezifutho zamakhala ezinkingeni zama-sinus, akusebenzi? Ngezinye izikhathi, lapho lezi zinkinga zama-sinus ziqhubeka, odokotela batusa ukususwa kwembangela ngokuhlinzwa. I-FESS iyindlela yokuhlinzwa ephumelela kakhulu futhi ephephile eyenziwa ngezikhathi ezinjalo. Ake sixoxe ngalokhu namuhla.
Kalula nje, kuyini ukuhlinzwa kwe-FESS?
Igama eliphelele le-FESS yi -Functional Endoscopic Sinus Surgery . Lokhu kuyindlela yokuhlinzwa engavamile kakhulu yezimo ezihlobene ne-sinus. "Okungavamile kakhulu" lapha kusho ukuthi lokhu kuhlinzwa kwenziwa ngaphandle kokwenza izimbobo ezinkulu nokusebenzisa amathuluzi amancane kakhulu.
Cabanga nje, udokotela wenza lokhu kuhlinzwa ngaphakathi kwekhala lakho. Lokho kusho ukuthi, akukho ukusikeka okwenziwe ebusweni bakho noma eduze kwekhala lakho. Ngakho-ke akukho zibazi ezibonakalayo . Kulokhu, kufakwa ithubhu elincane kakhulu, elifakwe ikhamera (esilibiza ngokuthi i -Nasal Endoscope ) ekhaleni lakho bese udokotela enza ukuhlinzwa ngenkathi ebuka izithombe kusikrini. Ukuvaleka ngaphakathi kwekhala kususwa kusetshenziswa amathuluzi okuhlinza amancane kakhulu adlula kulelo thubhu.
Ubani odinga ukuhlinzwa kwe-FESS?
Ngokuvamile, uma ama-sinus akho engaphumi kahle, ama-mucus (njengoma-mucus) ayaqoqana futhi avaleke. Lokhu kungabangela ukuminyana kwekhala, ubuhlungu, kanye nobunzima bokuphefumula. Lokhu kuvame ukwelashwa ngama-antibiotic noma ama-spray ekhala. Kodwa-ke, uma lezo zindlela zokwelapha zingasizi, udokotela wakho angase ancome ukuhlinzwa kwe-FESS.
Ungase uthande ukucabangela lokhu kuhlinzwa uma unesinye noma ngaphezulu kwalezi zimo ezilandelayo:
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| I-sinusitis engapheli | Ukutheleleka kwama-sinus okungapheli okuhlala izinyanga futhi okungelapheki ngemithi. |
| Ukutheleleka kwe-sinus okuphindaphindiwe | Uma uzizwa ungcono izinsuku ezimbalwa ngemva kokuthatha umuthi, izinkinga zakho ze-sinus ziphinde zivele njalo. |
| Ama-polyp ekhala | Ukukhula okuthambile, okungenabuhlungu, okunenyama ngaphakathi kwekhala noma emigodini yama-sinus. Lokhu kungabangela ukuminyana kwamakhala. |
| Amathumba noma amaseli angajwayelekile kuma-sinuses | Lokhu kuhlinzwa ngezinye izikhathi kusetshenziselwa ukususa izimila ezingezona umdlavuza noma ezinomdlavuza. |
| Ukuvuza Koketshezi Lomgogodla Wengqondo | Iphinde isetshenziswe ukuvimba ezinye izinkinga noma ukuvuza koketshezi lomgogodla phansi kwekhanda. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho uzochaza ngqo ukuthi yini okudingeka uyenze ngaphambi kokuhlinzwa, kodwa ngokuvamile, kuzodingeka uqaphele ngalezi zinto.
- Ukuyeka ukubhema: Kufanele uyeke ngokuphelele ukubhema okungenani amasonto amathathu ngaphambi kokuhlinzwa. Ukubhema kungenza izimpawu zakho ze-sinus zibe zimbi kakhulu futhi kuphazamise inqubo yokuphulukiswa.
- Yeka ukuthatha imithi efana ne-aspirin: Gwema ukuthatha imithi yokunciphisa igazi njenge-aspirin okungenani izinsuku eziyisikhombisa ngaphambi kokuhlinzwa. Le mithi ingandisa ukopha ngesikhathi sokuhlinzwa nangemva kokuhlinzwa. Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo.
- Ukuzila Ukudla: Ungadli noma uphuze lutho kusukela phakathi kwamabili ngosuku lokuhlinzwa. Lokhu kwenzelwa ukuvimbela izinkinga ezingase zenzeke ngesikhathi sokuhlinzwa okuvamile.
- Umuntu ozokushayela imoto uye ekhaya: Ngeke ukwazi ukushayela imoto yakho ngemva kokuhlinzwa, ngakho-ke kubalulekile ukuhlela kusengaphambili ukuthi othile azokushayela imoto uye ekhaya.
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ulala ubuthongo obukhulu. Ngakho ngeke uzwe ubuhlungu .
1. Okokuqala, udokotela uzokunika i-anesthesia.
2. Okulandelayo, kufakwa umuthi wokukhulula ukuminyana ekhaleni ukuze kususwe ulwelwesi.
3. Kunikezwa umjovo wokwenza indawo ezungeze ikhala ibe buhlungu.
4. Ngemuva kwalokho, ithubhu elincane (i-endoscope) elinekhamera lifakwa ngokucophelela ekhaleni.
5. Kudluliswa izinto ezincane kuyo ukuze kususwe izicubu eziningi, izingcezu zamathambo, noma ama-polyp avimba ama-sinuses.
Ngemva kokuhlinzwa, impumulo ngezinye izikhathi ingagcwaliswa ngezinto ezikhethekile (izinto zokupakisha) ukuze zimunce igazi noma ezinye izinto eziphumayo. Kodwa-ke, lokhu akudingekile kukho konke ukuhlinzwa. Ukuhlinzwa kuvame ukuthatha cishe amahora amabili kuya kwamathathu.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Ukuhlinzwa kwe-FESS kuyindlela ephephile kakhulu futhi ephumelelayo esetshenziswa njengendinganiso emhlabeni wonke yokwelapha izinkinga ze-sinus.
Inzuzo eyinhloko yalokhu kuhlinzwa ukuthi kuvula imigodi yama-sinus futhi kubuyisele ukuhamba komoya kanye nokuphuma kwamanzi. Lokhu kwenza kube lula ngawe ukuphefumula futhi kuthuthukise ikhwalithi yokuphila kwakho. Nakuba ezinye izimpawu zingase zihlale zikhona, iningi labantu lithola impumuzo ebalulekile.
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane kakhulu, kodwa lezi azivamile.
- Ukopha kakhulu ekhaleni.
- Ukubona kabili noma ukulahlekelwa umbono (okungavamile kakhulu).
- Izinyembezi eziningi emehlweni.
- Ukulahlekelwa umuzwa wokuhogela.
- Ukuvuza koketshezi lwe-cerebrospinal.
Ngokusho kocwaningo lwamuva nje, ngisho nenkinga evame ukubikwa, ukopha ngokweqile, kwenzeka kuphela ezimweni ezimbalwa kakhulu, cishe ukuhlinzwa okungu-3 kwabayi-100 . Ngakho ungakhathazeki ngokungadingekile ngalokhu. Ungakhuluma nodokotela wakho ngalokhu bese uthola okwengeziwe.
Wenzani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzogcinwa ekamelweni lokululama isikhashana, lapho uzoqashwa khona ngokucophelela. Ngaphambi kokuba uye ekhaya, udokotela wakho uzochaza ukuthi yini ongayilindela ezinsukwini ezimbalwa ezizayo. Isibonelo, kuvamile ukuba nokopha, ikhala elivalekile, kanye nokungakhululeki izinsuku ezimbalwa.
Nazi izinto okudingeka uzilandele ngesikhathi sokululama kwakho:
- Ungakhethi impumulo yakho okungenani isonto lonke .
- Hlanza impumulo yakho kanye nama-sinuses ngesisombululo se-saline esinconywe udokotela wakho.
- Uma uthimula, vula umlomo wakho bese uhogela . Lokhu kuzonciphisa ukucindezeleka ekhaleni lakho. Uma uthimula, ungase uzwe ukuphuma kwegazi noma ukukhishwa kwamafinyila, okuyinto evamile.
- Gwema ukuzivocavoca noma ukuphakamisa izinsimbi kuze kube yilapho udokotela wakho ekutshela okuphambene nalokho.
- Thatha imithi njengoba uyalelwe (isib., ama-antibiotic).
Kuthatha isikhathi esingakanani ukululama ngokuphelele?
Kungathatha izinyanga eziningana ukuthi uzizwe ululame ngokuphelele, kodwa abantu abaningi bayalulama ngemva kwesonto noma amabili.Bayakwazi ukubuyela emisebenzini yabo evamile (ukuya esikoleni, ukuya emsebenzini).
Umlayezo Wokuya Nawe Ekhaya
- I-FESS iyindlela yokuhlinzwa ephumelela kakhulu, ephephile, futhi yesimanje yezinkinga ezingamahlalakhona ze-sinus.
- Kule nqubo, akukho ukuhlinza okwenziwa ngaphandle kobuso, kodwa kunalokho ukuhlinzwa kwenziwa ngaphakathi ekhaleni, ngakho-ke akukho zibazi ezisele.
- Kubaluleke kakhulu ukuyeka ukubhema nokulandela iseluleko sezokwelapha ngaphambi kokuhlinzwa.
- Landela imiyalelo ngokucophelela, njengokugwema ukuklwebheka impumulo ngesikhathi sokululama ngemva kokuhlinzwa.
- Uma izimpawu zakho zibuya ngemva kokuba sezingcono, noma uma unezinye izinkinga, bona udokotela wakho ngokushesha. Zizwe ukhululekile ukumbuza noma yimiphi imibuzo onayo mayelana nalokhu kuhlinzwa.
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