Ingabe nawe uvame ukuba nobuhlungu bendlebe? Ingabe udokotela ukutshelile ukuthi udinga ukuhlinzwa ethanjeni elingemuva kwendlebe yakho? Uma uzwa igama elithi 'Mastoidectomy', ungase uzizwe wesaba futhi ungabaza. Kujwayelekile kakhulu. Kodwa ungesabi lutho. Namuhla, sizoxoxa ngalokhu kuhlinzwa, ukuthi kwenziwa kanjani, nokuthi kwenzekani ngemva kwakho, ngendlela elula kakhulu ongayiqonda.
Kalula nje, kuyini i-Mastoidectomy?
Kulungile, ake siqale sibheke ukuthi iyini le Mastoid. Kukhona ithambo ngemuva kwendlebe yakho, ohlangothini lwekhanda lakho, lelo yithambo leMastoid . Ligcwele inqwaba yamaseli amancane omoya, njengejusi lezinyosi, noma isiponji.
Ngakho-ke, uma ngesizathu esithile la magumbi omoya etheleleka ngamagciwane, noma uma egula, kufanele asuswe ngokuhlinzwa. Ukuhlinzwa kokususa lawo magumbi omoya e-mastoid agulayo kubizwa ngokuthi i-mastoidectomy .
Kungani sidinga ukwenza i-Mastoidectomy?
Kunezizathu eziningana eziyinhloko zokwenza lokhu kuhlinzwa. Awukwenzi lolu hlobo lokuhlinzwa ngenxa yenkinga encane yendlebe.
- Ukusabalala kwezifo zendlebe (i-Otitis Media): Ngezinye izikhathi, uma izifo zendlebe ephakathi zingelashwa kahle, ukutheleleka kungasakazekela ethanjeni le-mastoid. Lokhu kuhlinzwa kuyadingeka ukuze kususwe izingxenye ezithelelekile.
- I-Cholesteatoma: Lesi yisimo esikhethekile. Kalula nje, ukukhula kwamangqamuzana esikhumba okungenawo umdlavuza okwakheka ngemuva kwe-eardrum. Nakuba kungewona umdlavuza, njengoba ukhula, uqala ukubhubhisa ithambo elithambile elizungezile (ithambo elincane eliqhuba umsindo ngaphakathi kwendlebe) kanye nethambo le-mastoid. Ukuze ulisuse, kuzodingeka nakanjani wenze i-mastoidectomy.
- Ngesikhathi sokuhlinzwa kokufakelwa kwe-cochlear: Abanye abantu kungadingeka bahlinzwe i-mastoidectomy njengengxenye yokuhlinzwa lapho bethola ukufakelwa kwe-cochlear, ithuluzi elifakwa ngaphakathi kwendlebe njengesizo sokuzwa.
- Ukulungiswa Kwe-Eardrum (Tympanoplasty): Uma umuntu ene-eardrum ebhobozekile futhi ehlinzwa ukuze ayilungise (Tympanoplasty), kodwa futhi enenkinga ngethambo le-mastoid, kokubili ukuhlinzwa kungenziwa ndawonye.
Kubaluleke kangakanani lokhu kuhlinzwa? Yiziphi izinhlobo zokuhlinzwa?
Akukhona uhlobo olulodwa lokuhlinzwa kwe-mastoidectomy. Udokotela wakho uzonquma ukuthi hlobo luni lokuhlinzwa oludingayo ngokusekelwe esimweni sesimo sakho nokuthi sesisakazeke kangakanani. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lokuhlinzwa | Kalula nje... |
|---|---|
| Ukuhlinzwa Kwe-Mastoid Okulula | Lolu uhlobo olulula kakhulu. Lususa kuphela amasaka omoya agulayo ethanjeni le-mastoid. Akulimazi umsele wendlebe yakho noma amathambo athambile endlebeni yakho ephakathi (ama-ossicles). |
| Ukuhlinzwa Kwe-Mastoid Okuphezulu Kodonga Lwemijelo | Lokhu kuhilela ukususa ithambo eliningi kancane kunokuhlinzwa okulula. Lokhu kungenxa yokuthi udokotela udinga ukufinyelela endlebeni ephakathi ngemuva kwe-eardrum futhi asuse noma yiziphi izinkinga ezikhona (isb., i-cholesteatoma). Kodwa-ke, le nqubo ayilimazi i-ear canal. |
| Ukuhlinzwa Kwe-Mastoid Okususwa Ngodonga Lwemisele | Lokhu ukuhlinzwa okuyinkimbinkimbi kakhulu. Kwenziwa lapho lesi sifo sesisakazeke kakhulu kangangokuthi umsele wendlebe wonakele futhi awukwazi ukulungiswa. Lapha, umsele wendlebe kanye nethambo le-mastoid kuyahlanganiswa ukuze kwakheke umsele omkhulu (umsele/isitsha se-mastoid). Ukuvulwa kwendlebe kwenziwa kube kukhulu kancane ukuze kube lula ukuhlanza lo msele esikhathini esizayo. Lokhu kubizwa nangokuthi i-Radical Mastoidectomy . |
Udokotela wakho uzochaza kahle ukuthi hlobo luni lokuhlinzwa okudingeka ulwenze, ngakho ungesabi.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ngaphambi kokuhlinzwa
Ngaphambi kokuhlinzwa, udokotela uzokunikeza isethi yemiyalelo. Kubaluleke kakhulu ukuyilandela kahle.
- Ungase ucelwe ukuthi uyeke okwesikhashana ukuthatha imithi ethile (ikakhulukazi leyo enciphisa ukujiya kwegazi).
- Njengoba ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, uzocelwa ukuba uzile ukudla (ungadli noma uphuze noma yini) amahora ambalwa ngaphambi kokuhlinzwa.
- Njengoba ungeke ukwazi ukuzishayela imoto uye ekhaya ngemva kokuhlinzwa, hlela kusengaphambili ukuthi othile omethembayo akushayele imoto uye ekhaya.
Ngesikhathi sokuhlinzwa
Ngeke uzwe lutho ngesikhathi sokuhlinzwa, ngoba uzobe ulele. Ngokuvamile, lezi zinto zenzeka:
1. Okokuqala, uzonikezwa i-anesthesia ephelele.
2. Udokotela ohlinzayo uzobe esesika isikhumba esincane ngemuva kwendlebe yakho ukuze afinyelele ethanjeni le-mastoid. (Ungakhathazeki, udokotela uzokwenza lokhu ukuze isibazi singabi sibonakala kakhulu kamuva.)
3. Ithambo le-mastoid livulwa kusetshenziswa amathuluzi akhethekile.
4. Susa ngokucophelela wonke amakamelo omoya athelelekile nagulayo ngaphakathi.
5. Ekugcineni, i-incision ivalwa ngezithungo bese imbozwa nge-gauze dressing.
Lonke lolu hlinzo luvame ukuthatha cishe amahora amabili noma amathathu .
Ingabe kukhona ubuhlungu ngemva kokuhlinzwa?
Akukho buhlungu ngesikhathi sokuhlinzwa. Kodwa-ke, ngemva kokuhlinzwa, njengoba i-anesthesia iphela futhi uvuka, ungase uzizwe ubuhlungu obuncane endaweni yokusikwa, ukusinda, noma ukugcwala endlebeni yakho. Lokhu kuvamile.
Udokotela wakho uzokunikeza imithi yokunciphisa ubuhlungu ukusiza ukulawula lobu buhlungu. Imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela njengeParacetamol noma i-Ibuprofen nayo ingasiza. Udokotela wakho uzokunikeza izeluleko ezithile ezizokusiza uhlale ukhululekile ngesikhathi sokululama kwakho.
Yiziphi izinzuzo kanye nezingozi ezingaba khona zalokhu kuhlinzwa?
Njenganoma yini, lokhu kuhlinzwa kunezinzuzo kanye nezingozi ezincane kakhulu.
Izinzuzo zokuhlinzwa
Inzuzo enkulu yalokhu ukuthi kungalapha ukutheleleka kwendlebe obekulokhu kukukhathaza isikhathi eside. Kungavimbela nezinkinga ezinkulu ezingabangelwa yizimo ezifana ne-cholesteatoma uma zingelashwa. Izinkinga ezinjalo zifaka:
- Ukulahlekelwa ukuzwa
- I-Vertigo kanye nesiyezi
- Ukulimala kwemizwa yobuso
- Ukutheleleka kwendlebe yangaphakathi (i-Labyrinthitis)
- I-Meningitis
- Ithumba lobuchopho
Izingozi ezingaba khona (Izinkinga)
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezingase zenzeke kaningi.
| Ingozi/Inkinga | Lokho kusho ukuthi... |
|---|---|
| Ukulahlekelwa ukuzwa kwe-sensorineural | Ukulahlekelwa ukuzwa ngenxa yokulimala kwemizwa yokuzwa endlebeni yangaphakathi. |
| Ukulimala kwemizwa yobuso | Ukulimala kwemizwa elawula imisipha yobuso kungabangela ubuthakathaka noma ukukhubazeka kolunye uhlangothi lobuso. Lesi yisimo esingavamile kakhulu. |
| Ushintsho ekunambithekeni (i-Dysgeusia) | Ushintsho endleleni ulimi lwakho oluzizwa ngayo. Esikhathini esiningi, lokhu kungokwesikhashana futhi kuyaphela ezinyangeni ezimbalwa. |
| I-tinnitus | Umsindo ohlala unkeneneza ezindlebeni. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Kungase kukuthathe cishe amasonto ayi-6 kuya kwayi-12 ukuze ululame ngokugcwele. Kodwa ungakhathazeki, uzokwazi ukubuyela emisebenzini yakho evamile (esikoleni, emsebenzini) cishe ngesonto elilodwa noma amabili . Kodwa-ke, phakathi nalesi sikhathi, kufanele ulandele ngokuqinile imiyalelo kadokotela (njengokungawuvivinyi umzimba, ukungaphakamisi izinsimbi, ukungavumeli amanzi angene ezindlebeni zakho).
Yiziphi izikhathi okufanele ukhulume ngazo nodokotela ngemva kokuhlinzwa?
Lokhu kubaluleke kakhulu. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuyela ekhaya uvela ekuhlinzweni, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Uma unomkhuhlane ongu-100.5 Fahrenheit (38.05 Celsius) noma ngaphezulu .
- Uma kukhona ukopha okukhulu noma uketshezi oluphuma endlebeni.
- Uma ubhekene nobuthakathaka bobuso (isib., uhlangothi olulodwa lomlomo wakho luyagoba uma umomotheka).
- Uma uzwa isiyezi noma i-vertigo enzima .
- Uma ukuzwa kwakho kwehla ngokuzumayo .
Uma unezifo zendlebe ezivame ukwenzeka noma ezinye izinkinga, i-mastoidectomy ingaba yindlela engcono kakhulu kuwe. Khuluma nodokotela wakho ngalokhu. Lokhu kuhlinzwa kungaqeda ukutheleleka futhi kuthuthukise impilo yakho iyonke kanye nekhwalithi yokuphila.
Umlayezo Wokuya Nawe Ekhaya
- I-Mastoidectomy iyindlela yokuhlinzwa ephephile ngokuvamile esusa izingxenye ezigulayo zethambo le-mastoid ngemuva kwendlebe.
- Lokhu kwenzelwa ukwelapha izimo ezifana nokutheleleka kwendlebe okuphindaphindiwe kanye ne-cholesteatoma kanye nokuvimbela izinkinga ezinkulu ezingase zenzeke esikhathini esizayo.
- Uhlobo lokuhlinzwa (okulula, oluvela odongeni lomsele, oluvela odongeni lomsele) luzohluka kuye ngesimo sakho sezempilo.
- Ubuhlungu obuvela ngemva kokuhlinzwa bungalawulwa kalula ngamaphilisi obuhlungu avamile.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngesikhathi sokululama kwakho. Uma uba nezimpawu ezifana nomkhuhlane, ukopha ngokweqile, noma ubuthakathaka bobuso, shayela udokotela wakho ngokushesha.
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