Tonsillectomy - usebenzela ukususa ngokupheleleyo tonsils: iziboniso, Izimo, imiphumela

Wonke umntu uyazi ukuba umqala obuhlungu. izifo ezihlasela zosulele ngokuphefumla kunye umqala obuhlungu kwenzeka phantse wonke umntu ubuncinane kanye ngonyaka. Abanye abantu bayahlupheka ukusuka ezingaqhelekanga womqala rhoqo. Oku kuyinyaniso ngokukodwa abo umtshiso okondeleyo phecana eliphezulu zemiphunga. isifo Common kuthathwa ukuba umqala obuhlungu. Oku kwenzeka kubantu abadala kunye nabantwana. Iimpawu zesi sifo kakhulu mnandi. Kusenokwenzeka ukuba wonke umntu waziva ubuhlungu xa ukuginya ukutya. Ukuqhubela phambili angina kukhokelela ekwandeni iqondo lobushushu emzimbeni, ubuthathaka jikelele. Le ngezifo ibangelwa ukudumba tonsils. Ukuba isifo uba ezingapheliyo, amadlala baba enkulu ngokusisigxina. Xa kuyaphela efanayo ngexesha yokuginya kwenzeka qho kakhulu (ukuya amaxesha 10 kunyaka ngamnye). Kwiimeko ezinjalo, kucetyiswa uqhaqho - tonsillectomy. Kuyinto inkqubo ezinyanzelekileyo apho kwahlanganisana kwawo lonyango endala.

Yintoni tonsillectomy?

Tonsillectomy - le yenye unyango ngenxa esingapheliyo ukudumba tonsils. Ngokuqhelekileyo, ezi zakhiwo bakhonza zikhusela umzimba. tonsils iPalatine izikhungo lymphoid. Bathi cell a iiseli zamajoni omzimba ezizodwa zenzelwe ukuba balwe arhente abe nenkani. Ngoko ke, xa ukudibana kwiintsholongwane kwi tonsils emlonyeni bandile. Basimisela uhlobo ngumqobo wawo ukuya kuvala ingxingwa zokugula phecana sokuphefumla. Xa engekho zabo, ezi ntsholongwane azikho bazondelele kule kwisisu ngomlomo, kwaye phantse nangoko awele bronchi kunye nemiphunga.

Ngoko ke, lo msebenzi (tonsillectomy) singàphunyezwa ngaphandle yesidingo engqongqo. Le iyafuneka kuphela kwiimeko apho umsebenzi tonsils kuphazamisekile, kwaye nzima inkqubo ukuphefumla. Kwakhona, ahlinzwe kucetyiswa ukuba enze abantu abafumana sisifo rhoqo tonsils ezingapheliyo (tonsils). Zotyando ukususwa tonsils isetyenziswa kangangeminyaka eliwaka eliqela. Tyando yingozi, Noko ke, kungakhokelela ekubeni nesohlwayo (uphuhliso yinyumoniya kwisiqalo usulelo yokuphefumla). Ngoko ke, ngaphambi kokuba isigqibo utyando, kubalulekile ukuba ufunde ephathelele kwindlela eluncedo nengeloncedo tonsillectomy. Kwiimeko imibuzo kufuneka kudityanwe iingcali ezininzi.

Ubungqina obubonakalayo buxela ukuba

Tonsillectomy uphakathi ungenelelo ngotyando ixhaphakileyo iphecana eliphezulu zemiphunga. Le etyandwa Akumthathi xesha kakhulu. Umngcipheko yobunzima postoperative yinto encinci. Ukongeza, ezinye iikliniki kuqhutywa laser tonsillectomy. It zinezibonelelo phezu imisebenzi lwesiqhelo. Ngaphandle koku, ukushenxiswa tonsils ngaphandle ukufunda engqongqo ayikhuthazwa. Emva kokuba lokusekwa data kunokuthintela uphuhliso ezimbi ze iphecana ukungaphefumli. Kukho Yayibubungqina zilandelayo tonsillectomy:

1. Isiphazamiso zokuphefumla ligwinya. Elibonakaliswe hypertrophy tonsillar kukhokelela kukuba emoyeni kunye nokutya ayinako le ndebe ukudlula lula ukuya rotors kunye nasopharynx. Kukho degrees ezintathu ukwanda ezi amalungu. ebonisa Absolute ngokuba tonsillectomy linqanam yesithathu hypertrophy. Kulo mzekelo, tonsils ezandisiweyo ukugubungela ngokupheleleyo isango umqala. Ngelo ngokuzalana hypertrophy of tonsillectomy akusoloko yenziwe.
2. Mathumba Nezomqala ngenxa kwi imvelaphi ukudumba tonsils. Kule meko, tonsillectomy bayifuna kuyimfuneko. imfuneko Tonsillectomy ukubonelela ukufikelela ithumba ze icoce izidumbu ubofu.
3. tonsils Decompensated ezingapheliyo. Kulo mzekelo ukubola tonsils ngenxa komtshiso oko rhoqo. umsebenzi zomzimba eyaphukileyo ngokupheleleyo.
4. likakade rhoqo tonsils ezigulo ezondeleyo. Ifumaneka exacerbation izifo lithethe izihlandlo ezingaphezu kwama-7 ngonyaka. Eli tyala kubhekiselele iziboniso isalamane ukuba tonsillectomy. Umsebenzi kule meko ikhutshwa phandle sisigulane.
5. Iindibaniso tonsils nezolo, hypertrophy tonsillar kunye degrees-2.
6. Ukuthambekela iingxaki ezinkulu evela imvelaphi umqala obuhlungu. Ezi ziquka izifo ezifana samathambo, a vasculitis ukopha, glomerulonephritis. Amaninzi, ezi zifo ukuphuhlisa xa lwesikhumba tonsils.

Kwimeko ebonisa elililo zokwala kotyando kungakhokelela kubunzima ezinzulu. Ngoko ke, ngaphambi kokuba wenze isigqibo okanye ukususa i tonsils, kuyimfuneko ukuba ukufumanisa oko abasemagunyeni bayakwazi.

Izimo ukuba

Tonsillectomy - utyando leyo kwezinye iimeko akukho otolaryngologists kucetyiswa. Maxa wambi ukususwa idlala akukho nje kuba yingenelo, kodwa sibe sibi imeko yesigulane. kuphelele kunye okwethutyana: Kukho amaqela 2 Izimo ukuba tonsillectomy na. Kwimeko yokuqala umsebenzi akuvumelekanga, njengoko ingozi ebomini yesigulane. Xa Izimo isihlobo tonsillectomy singamiswa okwethutyana. Ukususa tonsils akuvumelekanga ngokungqongqo kwezi meko zilandelayo:

1. Izifo zezigqeba kubalulekile ukuba xa ibakala decompensation. Ezi ziquka imithambo, hepatic kunye ukusilela kwezintso.
2. Pathology kwenkqubo hematopoietic. Phakathi kwabo, leukemia etsolo kunye ezingapheliyo, isidanga kakhulu lwe igazi, kubazali bakhe.
3. Diabetes decompensated.
4. Na ukungaqheleki imikhumbi idlula kufutshane tonsils (kwemithambo, pulsation zophendlo lwezifo kwemithambo ngemithambo ze pharynx).
5. uhlobo Vula yinyumoniya tuberculous.
6. leengxaki nobuchopho apho umntu engakwazi ukuhlola ngokwaneleyo le meko.

Xa isihlobo (ixesha) Izimo, isigulane kufuneka kuqala ukunyanga iinkqubo zosulele ukudumba, uze ke ube tonsillectomy. Oku kubonelelwa kwezi meko zilandelayo:

1. Izifo ezosulelayo (chicken pox, rubella).
2. Yidityaniso okanye amazinyo pulpitis.
3. izifo Acute okanye engapheliyo kwinqanaba oyingozi. Oku kuyinyaniso ngokukodwa iinkqubo yokukrala phecana eliphezulu zemiphunga.
4. osexesheni.
5. Usulelo lwesikhumba.
6. uxabane (dermatitis).
7. Utshintsho zePCR elebhu: leukocytosis, ketonuria.

Eziluncedo nezingeloncedo tonsillectomy

Nangona kukho iinzuzo zotyando, kubalulekile ukukhumbula ukuba emva tonsillectomy kwandisa umngcipheko bronchitis kunye nenyumoniya. Noko ke, kwezinye iimeko, kunzima ukwenza ngaphandle tonsillectomy. Le eziluncedo ziquka umsebenzi ukukhulula ukuvulwa pharyngeal sayo, isiqabu tonsils esinganyangekiyo. Le ethile engundoqo kuthathwa ukuba hit ekhawulezayo eziphilayo yomoya elisezantsi kunye njengomkhuhlane oqhelekileyo. ugqirha kuphela unokugqiba enoba okanye awudingi tonsillectomy. Izimvo ezigulane owayefumene lo msebenzi, ziyaphikisana.

Imihlobo tonsillectomy

Okwangoku, zininzi iindlela ukususa tonsils. Noko ke, indlela ngotyando isetyenziswa kakhulu. Ngaphandle kulo, iinkqubo ezinjalo uyazimela ukususwa kwale tonsils, njengoko laser tonsillectomy, Ukusikwa izicwili electrocoagulator kunye kuphungula cuke, radiofrequency ablation. La manyathelo ayabiza, kodwa luphawulwa ukopha oluncinane kunye sokubuyisa ixesha ekuphulukenwe ngokukhawuleza.

Tonsillectomy ngu laser

Okwangoku, kukho inani intengiselwano yenziwe usebenzisa laser. Akukho ngaphandle kunye tonsillectomy. Ukubulawa apho - le ndawo nje, kutshizwa phezu komhlaba nezihlunu pharynx. Tonsils esisigxina forceps ezizodwa kunye umqadi laser sibhekiswe. Ngenxa yoko inyama intshabalalo wakubo. Le ndlela iluncedo ingakumbi xa tonsillectomy buso. Imizimba yazo ukususa ngokupheleleyo, kodwa kuphela umphantsi nomphezulu phantsi komtshiso oko. Le ndlela luphawulwa ukopha ephantsi elula.

Amalungiselelo kokususa le tonsils

Olu tyando kufuna phantse akukho uqeqesho olulodwa. Isigulana kuvavanywa ubukho iinkqubo ukudumba, ezihloliweyo data yelebhu (uvavanyo lwegazi jikelele kunye kwemichiza, OAM, coagulation). Phambi kokuba inkqubo, awukwazi kutya.

Njani na tonsillectomy kuhlinzwa?

Traditional (steel) tonsillectomy eyenziwa phantsi jikelele okanye Ukubulawa zasekuhlaleni. Amaninzi, ezi tonsils zisuswe kunye philisi. Oku kwenziwa ngokusebenzisa ucingo loop. Iquka ngokupheleleyo umzimba kwaye esahlula ukusuka esikule ezingqonge. Emva kwale meko kuqikelelwa indawo paratonsillar. Ukuba kuyimfuneko, ugqirha ivula ithumba kwaye ubeka umbhobho idreyini.

Njani na ixesha post-operative?

Emva tonsillectomy sihlale isilonda kumphezulu tonsils entsimini sothimbo. Ukunqanda ukusuleleka, kufuneka ukwenza kakuhle ukunakekela ngomlomo. Oku kubaluleke kakhulu, akukhathaliseki nokuba yeyiphi indlela lwenziwa tonsillectomy. Ithuba postoperative ziiveki 2-3. Ngosuku lokuqala ayikhuthazwa ukuba adle ndiginye amathe. Ngexesha silele, isigulane kufuneka kulala emacaleni zabo, ukuze igazi abazange bayifumane kwisiqwenga sokuphefumla. Emva kweentsuku 2-3 emva kotyando inxeba umphezulu wambu namona tyheli, kukho ngumkhuhlane esezantsi-grade, iintlungu ziba mandundu xa ukuginya. Nguwo lowo impendulo eqhelekileyo umzimba. Zokuhlanjululwa ngu imiphezulu nebhodi kwenzeka emva nama-10 kweentsuku. Zalisa ukuphiliswa kwenzeka ekupheleni kweeveki ezi-3 emva kotyando. De kube lelo xesha, kufuneka uyeke ukuthatha ukudla okubandayo okanye ashushu, ulwelo.

Tonsillectomy: imiphumela yokusebenza

Xa olwenziwe kakuhle iingxaki tonsillectomy zinqabile. Ngamanye amaxesha ukusuka-ukungathotyelwa kunye nezindululo eyabelwe emva kotyando kuvela imiphumo ebuhlungu. Eyona traumatic tonsillectomy Lubonakala yotyando. Izimvo ezigulane emva utyando enjalo kuzo ebezintle nezo zingentle. Abantu abaninzi kuzihluthisa iziphumo zotyando, ezinye inqaku ukutshintsha ilizwi, usulelo rhoqo wentsholongwane egazini, iphika, inyumoniya.

Tonsillectomy: Ixabiso le nkqubo

kokususa le tonsils unxulumene utyando ekunokukhethwa kulo. Apho kuboniswe, akukho simahla. Uninzi iiklinikhi ziyabanjwa kunye nezinye iindlela lo msebenzi (laser ablation, electrocautery). Xa ukhetha wavelisa le ndlela ezihlawulwa tonsillectomy. Ixabiso laser tonsillectomy isusela ukusuka engange-10 ukuya ku-20 amawaka, ngokuxhomekeke ekliniki kunye umthamo kwiintengiselwano.