Endoscopic sinusotomy maxillary - kuyini? Inkambo ukusebenza kanye nemiphumela

Okwakuhlalwa kuzo lapho kusaqalwa sinusitis ngempumelelo ukwelashwa. Uma ngesikhathi egijima, lapho osenyameni evela ingaphakathi acinene akuzona okusaluketshezi futhi ubovu sinda itheku wokubhoboza. Ngemva kwalokho, wageza kusukela kokuqukethwe. Kudinga ukuhlinzwa ukuvuvukala isikhathi eside kwe-sinuses. Izimpawu, imithi okuyinto wenziwa isikhathi eside futhi zinokungaqeqesheki, zidinga isisombululo lubucayi kakhudlwana inkinga. Lapha ukuhlinzwa lapho zidingeka, futhi uhlobo indlela kuhlinzwa kuyinto endoscopic sinusotomy maxillary.

sinusotomy maxillary - kuyini?

Ubizwa ngokuthi umsunguli maxillary itheku ingaphakathi izingxenye ongenhla nhlangothi zombili ke. Ngenxa yokuphepha kwendawo esingesihle, ngokuvamile zingaphansi ukuvuvukala, okuyinto ngokuvamile bagcina nge Yiqiniso chronic kudingeka uhlinzwe. Okwakuhlalwa kuzo lapho kusaqalwa sisekhona kungenzeka ukuba baziphathe zokugula izindlela imithi itheku. In the ukungabikho ngempumelelo noma njalo uyahluleka uma elwa nokuphuza kufanele kubhekwe ukuthi kungenzeka sinusotomy ethile lesiguli maxillary. Kungcono ubheke iziguli indlela endoscopic yokungenela ukuthi kungaba ngaphansi koda futhi ephumelela kunazo. Ubovu sinusitis - liyisibonelo ngqo ngoba impatho, ngoba sonke isikhathi igcwele kumiswa ukuxakeka.

Imibuzo mayelana yini sinusotomy maxillary kuyini, iziguli eziningi inikezwe. Phakathi ukusebenza ukuvulwa wenziwa sinuses maxillary futhi ususe konke okuqukethwe ketshezi. Lapho izinkinga ezingathí sina ukuphathwa kuhlinzwa - kuphela indlela yokuphuma. Libhekisela isiguli, foci ukuvuvukala lapho akunakwenzeka ukusula imithi. Ngakho-ke sidinga ukufinyelela ngokusebenzisa imbobo noma umshini wokubhoboza. Ukuze uqonde ukuthi lapho sinusotomy maxillary kuyini, isiguli ngisho simple.

Izinkomba esinyathelweni

itheku Autopsy kuyancomeka hhayi zonke nesineke yisihlungu. It inikezwa:

1) lapho simila ku ongenhla;

2) Yiqiniso ezingamahlalakhona sinusitis polypoid;

3) odontogenic sinusitis maxillary;

4) ayikho impendulo ngemva imithi isikhathi eside kanye wokubhoboza;

5) njalo recurrences sinusitis;

6) nabo imizimba angaphandle itheku;

7) njalo noma yansukuzonke ubuhlungu ukuzwa ebusweni, esifundeni infraorbital;

8) livela zesikhathi ukuminyana kuleli ekhaleni, ngaphandle kwesizathu sobala (ukuphendula nomzimba, imikhuhlane);

9) iphunga kusukela ekhaleni, okuyinto wazizwa yisiguli noma abantu ezungeze Kuyaqapheleka;

10) ngezikhathi ezithile noma ngokuqhubekayo obuhlukahlukene umfutho lokujabulela ubuhlungu emazinyweni engenhla;

11) bayosibona ukudlula emoyeni noma notshwala uketshezi ngokusebenzisa isikhala lapho esikhipha izinyo ngaphambilini isusiwe;

12) ukubukeka material ukubekwa uphawu nangale kwemingcele izinyo ziphathwe, okuyinto izobonwa esithombeni ngesikhathi radiograph;

13) kuvela polyp kukhompyutha tomogram noma imigwamanda angaphandle;

14) ebambe sinuslifting akuphumelelanga;

15) ukwehluleka ukwenza lift itheku ngenxa ukubona zokugula ku itheku maxillary.

16) uphethwe "ubovu sinusitis".

Ngaphezu kwalokho endoscopic kokungenela indlela ikhona futhi sinusotomy maxillary operation zakudala. I kunazo ayethanda - ngowokuqala. Kuyinto kancane kuyashaqisa, futhi kuyo yonke inqubo ziyancipha nezikhathi yokutakula.

Izimo

Ephambi kwezinduna izinkomba kanye nemikhawulo ziyabhekelelwa kokuba uhlinzwe. Ukusebenza endoscopic sinusotomy maxillary hhayi kwenziwe ezimweni ezilandelayo:

1) exacerbation zokugula okungalapheki kwezitho zangaphakathi.

2) Ukubonakaliswa izimpawu sinusitis, kodwa ezimweni eziningi ukuhlinzwa ngenxa yalesi sizathu angeke lihlehlisiwe.

3) Izifo e ezinzima emizimbeni kobukhulu ezingaba babhebhethekise phezu isimo.

4) Ukwephula uhlelo igazi coagulation.

Abaningi isimo umzimba ngowomnikazi isihlobo. Kungenxa yezizathu eziningi, ngemuva kokuxoxisana udokotela ohlinzayo lo msebenzi ezaqhubekela elinye ihlandla. Kuze kube yileso sikhathi, ukwelashwa wenziwa ukususa sinuses avuvukele. Izimpawu, ekwelapheni okuyinto nzima yokwelapha yezokwelapha nemithi kadokotela temlomo, ukunqampunwa izidakamizwa iqondiswa intramuscularly ngaphambi kosuku lomsebenzi ohlongozwayo.

Examination phambi sinusotomy maxillary

Ngemva Ihlahlubo ukunquma isidingo kokuhlinzwa, iziguli iqondiswa ucwaningo oludingekayo. Ngenxa yale njongo, laboratory kanye nezindlela wezinsimbi. Isiguli ithunyelwa ukuhlolwa kwegazi jikelele, umchamo ukuhlolwa, cwaningo kwamakhemikhali, ukulinganiswa igazi ekunqandeni. Of ithuluzi adingekayo izithombe ukusebenza ne CT esimweni futhi sinuses paranasal ukuhlola isimo sabo.

indlela endoscopic of sinusotomy maxillary

Kuqhathaniswa ubuchwepheshe zasendulo endoscopic ukuhlinzwa maxillary sinusotomy kunezinzuzo eziningana:

• kungekho ukusikeka esikhundleni inqubo, okungasekelwe ephelezelwa ukubukeka isibanda izicubu;
• ngaphandle isici yezimonyo;
• ukuncishiswa kwesikhathi wokusebenza nesikhathi ukutakula
• inqubo kahle ibekezelelwe wenziwa ngaphansi izinzwa wendawo;
• ukuhlala esifushane (3-4 izinsuku);
• cishe imperceptible ukuvuvukala ngesikhathi amathuluzi umjovo kanye ukunyamalala yayo okusheshayo;
• ukungabi sekuyaphela yezinkinga ngemva kokuhlinzwa.

Lezi izinzuzo enze kube nokwenzeka ukuba zisebenzisa izindlela zanamuhla ukwelapha isifo itheku ngokushesha futhi ngaphandle kobuhlungu.

Ukulungiselela ukuhlinzwa

Ngosuku inqubo, ungadli amahora 6-7 ngaphambi. izincomo ezinjalo kufanele ilandelwe belungiselela izinzwa wendawo. Uma uhlela ukuba unikeze ukubulawa kwezinzwa okuvamile, kukhona okunye ngaphezu okungenhla ke kungavunyelwe ukuphuza iziphuzo amahora ama-2 ngaphambi kokuba sihlinzwe.

Ukufinyelela ku-sinusotomy maxillary endoscopically

Lapho itheku kokuba imvelaphi odontogenic, kuphela indlela isetshenziswa Ngokungafani nezinye uthi. Endoscopic sinusotomy maxillary kwenziwe zonke ezinye izimo, ukufinyelela ezahlukene kuye izinkomba ukuhlinzwa. Lezi zihlanganisa:

• ubambe ithuluzi kusetshenziswa noma ephansi amavesi acinene;
• ukwethulwa endoscope odongeni anterior we itheku maxillary;
• ngokusebenzisa alveolus emva isizinda (nge odontogenic sinusitis maxillary);
• ngokusebenzisa protuberance ku ongenhla.

Uma usebenzisa amasu ukuhlinzwa endoscopic kungaba ligweme izinkinga ezingase zivele, futhi ukukhethwa isayithi ethile ukufinyelela ivumela ukunciphisa ukuba amagugu ubuncane.

Ukuthuthukisa inqubo

Ukusebenza wenziwa ngaphansi izinzwa wendawo. Ukuze abaphathi kubonelelwa kakhulu ama-isixazululo izinaliti ngenhloso ububanzi ezingekho ngaphezu 0.2 mm. Lapho udinga ukwenza ukubulawa kwezinzwa okuvamile. Solutions nge sinusotomy maxillary ube ubuthi ongaphakeme futhi impumuzo enkulu ubuhlungu isikhathi. ubude bayo - akukho kuka imizuzu engu-30. I ububanzi we endoscope ethulwe ngemithetho course - hhayi ngaphezulu kuka-5 mm. Ngakho-ke, i-wokubhoboza senziwa endaweni itheku maxillary incane. Ngemva kokuthi lifakwe kanye tube endoscope isuswe izicubu pathologically ezishintshwe namanzi. Yonke inqubo yokusebenza wenziwa ngaphansi kokulawula ukurekhoda ividiyo udluliselwa qapha. Lokhu kuyadingeka ukuze kube lula luhlolo ngomlomo kanye nokuvuselelwa yayo. Ngemva ukugeza nge ukuhlanzwa usebenze itheku izixazululo isinqandakuvunda ( "Furatsilinom", i-potassium permanganate).

Isikhathi yokutakula emva kokuhlinzwa

Impumelelo inqubo incike ekululameni kwesiguli ngemva kwalo. Ngemva osenyameni evela udokotela ohlinzayo esibhedlela unikeza isiqondiso Ent lokuqapha isimo. Uma befuna ukuba khona izidingo zakhe okungenani inyanga, futhi inkathi kungaba izothatha uma kunesidingo. Doctor utjho Yiqiniso kwamaphilisi kanye izixazululo ukugeza ingaphakathi acinene. Kanyekanye kunezelwa wesifunda antihistamine izidakamizwa, nezidakamizwa ukuqinisa odongeni semithambo lapho kuboniswe.

Ngemva sinusotomy maxillary kufanele kudliwe lilondolozwe ukuvuvukala kancane. A nomphumela omuhle kuleli maqondana has "Cinnabsin". It kwandisa umzimba wakho siqu ozivikela futhi ukunciphisa ukuvuvukala sinuses paranasal. Ngenxa yalesi kuyashesha yokutakula nesineke ngemuva kokuhlinzwa.

Phakathi nenyanga, okufanele uyoshiywa yokubhukuda, ungadli ukudla okubabayo, ashisayo nabandayo. Gwema hypothermia nokuziphatha izinyathelo ukugwema umkhuhlane noma SARS. Ngemva 1-2 izinyanga kuhle ukuvakashela esibhedlela noma Yiqiniso usawoti emigedeni ukuze izinsuku ezingu-10. Ukuhlolwa adingekayo kokulawulwa ukwelashwa kuhlinzwa Kwenziwa emva kwezinyanga ezingu-6 kanye nonyaka 1 sinusotomy maxillary.

Imiphumela endoscopic sinusotomy maxillary

Njenganoma iyiphi ukuhlinzwa, endoscopic sinusotomy maxillary kungenzeka nzima nemibandela kobukhulu obuhlukahlukene. Ngokungafani indlela classical ekwelapheni eyohlinzwa ezinjalo kuba nemiphumela kancane edabukisayo. Zivela ekuqaleni kwenkathi yokutakula noma kamuva. Abanye ngenxa yezinkinga zihlanganisa:

1) Ukopha kusuka kusayithi Umjovo amathuluzi noma ingxenye esiye edalulwa.

2) ukucanuzela kwenhliziyo noma ukuhlanza, okuyinto lihlotshaniswa ukungenisa igazi, noma lesiguli impendulo eyodwa nokuphathwa imithi ebulala izinzwa.

3) ubuhlungu ezinamandla ekhaleni.

4) ukuphulukiswa eside yamanxeba nasezinkingeni ezilandela ngemva kokuhlinzwa.

5) Igatsha umonakalo trigeminal ezinzwa eholela sebuhlungwini obunzima noma ukuba ndikindiki endaweni innervated.

6) Ukwakhiwa lwamapheshana abizwa itheku endaweni imbobo noma amathuluzi.

7) neuralgia elihlobene ne ukulimala ngesikhathi ukusebenza.

8) isilonda ukutheleleka futhi iqhubeka yayo.

Kuvamisile yezinkinga incane kakhulu ukwedlula imiphumela ezivukayo on isizinda yokuntuleka kobufakazi ukwelashwa kuhlinzwa. Ezimweni ezinjalo, kokungenela kuhlinzwa - kuphela indlela yokuphuma. Endoscopic sinusotomy maxillary - inqubo yesimanje ivumela ukuthi ukukhohlwa mayelana itheku unomphela.

Iziyalezo ukulungiswa iziguli inqubo

Ngemva Ihlahlubo isinqumo nokufezeka kwentando endoscopic maxillary sinusotomy indlela kubalulekile ukuthi utshele udokotela wakho mayelana ukungabekezelelani kwezidakamizwa. Kubalulekile ukuthatha akhawunti ukusabela ngabanye izidakamizwa ethize bese ukhetha ngazozonke izindlela isiguli ukunciphisa ingozi engaba khona.

ngabuka

Endoscopic maxillary sinusotomy impendulo kuyinto omuhle ezimweni eziningi. Iziguli kubika ngcono ngokushesha izinga lempilo, futhi abaningi abanawo ukuxakeka. Into kuphela - kuba phambi bese kuba khona ukuvuvukala elincane ekhaleni, okwenza kube nzima ukuba umoya. A uphawu izinsuku ezimbalwa benganakwa muntu.