Tonsillectomy - ukuhlinzwa ukususa ngokuphelele amalaka: izimpawu, contraindications, imiphumela

Wonke umuntu uyazi ukuthi umphimbo obuhlungu. Acute izifo zokuphefumula kanye umphimbo obuhlungu zenzeka cishe wonke umuntu okungenani kanye ngonyaka. Abanye abantu baphathwa kahle kwezinso womphimbo ngokuvamile. Lokhu kuyiqiniso ikakhulukazi ngokuphathelene nalabo abe ukuvuvukala njalo elingenhla ipheshana zokuphefumula. isifo Common ubhekwa umphimbo obuhlungu. Kwenzeka phakathi kokubili abadala kanye nezingane. Izimpawu zalesi sifo ngempela edabukisayo. Mhlawumbe wonke umuntu wezwa ubuhlungu lapho uvuleka ukudla. Ukulandelana angina kuholela ekwandeni kwezinga lokushisa komzimba, ubuthakathaka jikelele. Lokhu zokugula kubangelwa ukuvuvukala amalaka. Uma lesi sifo kuba amahlala khona, izindlala babe lakhulisiwe unaphakade. Ngesikhathi ukungakhululeki efanayo ngesikhathi singagwinyi zenzeka kakhulu njalo (tandla emahlandla la -10 ngonyaka). Ezimweni ezinjalo, kunconywa ukuhlinzwa - tonsillectomy. Kuyinto inqubo ayimpoqo lapho iphendukele ukwehluleka ukwelashwa olandelanayo.

Uyini tonsillectomy?

Tonsillectomy - lokhu ingenye imithi ezingalapheki ukuvuvukala amalaka. Ngokuvamile, lezi zakhiwo ukukhonza umsebenzi okuvikela umzimba. amalaka LasePalatine kukhona izitho ze-lymph. Bona secrete ekhethekile omzimba amaseli letentelwe alwe ejenti amagciwane abe nenkani. Ngakho-ke, nabo lamagciwane e amalaka umlomo bayanda. Ziyakwazi uhlobo isithiyo ukudlula zokugula ipheshana zokuphefumula. Ngesikhathi engekho, amagciwane kungukuthi wasigcina ngalo ingaphakathi ngomlomo, futhi cishe ngokushesha ukuwela bronchi kanye namaphaphu.

Ngakho-ke, ukusebenza (tonsillectomy) is hhayi kwenziwe ngaphandle isidingo esiqinile. It okudingekayo kuphela ezimweni lapho amalaka umsebenzi kahle, futhi izinkinga inqubo ukuphefumula. Futhi, ukuhlinzwa Kunconywa ukuba sifeze abantu ababhekene recurrences kaningi namathansela okungamahlalakhona (namathansela). Steel ukususwa amalaka isetshenziselwa ayizinkulungwane eziningana iminyaka. Ukusebenza ingozi Nokho, kungaholela nemiphumela ebuhlungu (ukuthuthukiswa pneumonia ku isizinda izinkinga zokuphefumula). Ngakho-ke, ngaphambi kokuba unqume on ukuhlinzwa, kubalulekile ukuze ufunde mayelana emihle nemibi tonsillectomy. Ezimweni ezingabazekayo kufanele kuboniswane nabo Ochwepheshe eziningana.

izinkomba ngoba

Tonsillectomy liphakathi ezivamile kokungenela kuhlinzwa phezulu ipheshana zokuphefumula. Le nqubo kuhlinzwa akuthathi isikhathi esiningi. Ubungozi yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa incane. Ngaphezu kwalokho, eminye imitholampilo labetibambile laser tonsillectomy. It kunezinzuzo phezu imisebenzi isimiso. Naphezu kwalokhu, ukususwa amalaka ngaphandle Ukufundwa esiqinile is hhayi Kunconywa. Ngemva kumiswa idatha intuthuko yamakhono pathologies we ephansi ipheshana zokuphefumula. Kukhona izimpawu ezilandelayo ukuze tonsillectomy:

1. Ukuphazamiseka ngendlela okumelwe uphefumule futhi ukugwinya. Sikuveze hypertrophy tonsillar kuholela yokuthi emoyeni futhi ukudla ngeke kudlule ngokukhululekile phakathi rotors kanye nasopharynx. Kukhona degrees ezintathu ukwanda kwazo lezi zitho. inkomba Ingabe Ohulumeni Banalo Lonke ngoba tonsillectomy buyisigaba wesithathu hypertrophy. Kulokhu, amalaka lakhulisiwe kutsetselelwe umnyango emphinjeni. Ngesikhathi besigaba sesibili ka hypertrophy ka tonsillectomy akuyona njalo wenza.
2. Abscesses otolaryngology ezivukayo ku isizinda ukuvuvukala amalaka. Kulesi simo, tonsillectomy esidingeka. isidingo Tonsillectomy ukunikeza ukufinyelela ithumba nokuhlanza izidumbu zabantu ubomvu.
3. Decompensated namathansela ezingamahlalakhona. Kulokhu amalaka kwamazinyo ngenxa ukuvuvukala njalo. isitho umsebenzi ngobugebengu ngokuphelele.
4. uyahluleka uma elwa nokuphuza evamile namathansela ezingamahlalakhona. Itholakala isifo exacerbation akusho ngempela ukuthi izikhathi ezingaphezu kuka-7 ngonyaka. Lokhu cala limayelana izinkomba isihlobo ngoba tonsillectomy. Ukusebenza kulokhu Kwenziwa isiguli.
5. Inhlanganisela namathansela yansukuzonke, hypertrophy tonsillar futhi 2 degrees.
6. Nezici ezithile ukuze eziyingozi ezivela isizinda umphimbo obuhlungu. Lezi zihlanganisa izifo ezifana imfiva ye-rheumatism, a vasculitis oluhambisana, glomerulonephritis. Ngokuvamile, lezi zifo ukuthuthukisa lapho staph namathansela.

Endabeni izinkomba ngokuphelele zokuchithwa ukuhlinzwa kungaholela eziyingozi. Ngakho-ke, ngaphambi kokunquma ukuthi noma cha ukususa amalaka, kubalulekile ukuthola kulokho iziphathimandla bayakwazi.

Izimo

Tonsillectomy - eyohlinzwa okuyinto kwezinye izimo is hhayi Kunconywa otolaryngologists. Ngezinye izikhathi idlala ukususwa is hhayi kuphela singazuzi, kodwa futhi sibe sibi isimo lesiguli. Kukhona 2 amaqembu Izimo for tonsillectomy: ngokuphelele futhi yesikhashana. Esimweni sokuqala ukusebenza kungavunyelwe, njengoba ingozi empilweni yesiguli. Lapho Izimo isihlobo tonsillectomy kungenziwa lihlehliselwe isikhashana. Ukususa amalaka akuvunyelwe nakancane kulezi zimo ezilandelayo:

1. Tifo letibangwa izitho ezibalulekile ezisebusweni esiteji decompensation. Lezi zihlanganisa inhliziyo, hepatic futhi ukwehluleka kwezinso.
2. Pathology kohlelo hematopoietic. Phakathi kwabo, oyingozi futhi ezingalapheki wegazi, degree okunzima kwegazi, hemophilia.
3. Isifo sikashukela decompensated.
4. Kwezinso izitsha odlulayo amalaka eduze (useshonile, okusizwa ukushaya sokugembula kwemithambo yegazi kanye emithanjeni we pharynx).
5. Vula ifomu pneumonia tuberculous.
6. ubuchopho zokugula lapho umuntu engakwazi ngokwanele ukuhlaziya isimo ngokubhuduzela.

Lapho isihlobo (isikhathi) Izimo, isiguli kufanele kuqala ukwelapha izinqubo acute ukuvuvukala, futhi kungaba ke tonsillectomy. Lokhu enikeziwe kulezi zimo ezilandelayo:

1. Izifo ezithathelwanayo (inkukhu Pox, rubella).
2. Caries noma pulpitis amazinyo.
3. izifo olunamandla noma okungalapheki esiteji oyingozi. Lokhu kuyiqiniso ikakhulukazi ngokuphathelene izinqubo sokuvuvukala engenhla ipheshana zokuphefumula.
4. osesikhathini.
5. Izifo zesikhumba.
6. ukuphendula nomzimba (dermatitis).
7. Izinguquko Ezenzeka assays laboratory: leukocytosis, ketonuria.

Emihle nemibi tonsillectomy

Naphezu izinzuzo ukuhlinzwa, kuyafaneleka ukukhumbula ukuthi ngemva tonsillectomy kwandisa ingozi ukucinana kwemigudu yokuphefumula kanye nenyumoniya. Noma kunjalo, kwezinye izimo, engenakwenzeka ukwenza ngaphandle tonsillectomy. Izinzuzo zihlanganisa ukusebenza ukukhulula ukuvulwa pharyngeal inesikhala, impumuzo kuleyo namathansela ezingamahlalakhona. I ethile eyinhloko ubhekwa hit okusheshayo eziphilayo yomoya esiphansi kanye imikhuhlane ezivamile. Kuphela udokotela unganquma ukuthi noma kungadingeki tonsillectomy. Izibuyekezo ekubulaleni iziguli ezigulela kwavele ukusebenza, kuphikisana.

Izinhlobonhlobo tonsillectomy

Okwamanje, kunezindlela eziningi ukususa amalaka. Noma kunjalo, indlela yokuhlinzwa elisetshenziswe kaningi. Ngaphandle-ke, lezo zinqubo isehlane ukususwa kwama amalaka, njengoba laser tonsillectomy, excision kwezicubu electrocoagulator kanye nommese ultrasonic, radiofrequency ablation. Le mizamo ezibizayo, kodwa zinezikhathi sakugcina ukopha futhi ngokushesha isikhathi ekululameni.

Tonsillectomy ngemisebe

Okwamanje, eziningi ukuthengiselana eyenziwa usebenzisa laser. Ayikho ngaphandle futhi tonsillectomy. Anesthesia lapho - lendawo, olufuthwe phezu izicubu pharynx. Amalaka fixed esebenzisa akhethekile ugodo laser uqondiswa. Imiphumela iba yinhlanganisela yokukhandleka wakubo izicubu ekubhujisweni. Le ndlela ewusizo ikakhulukazi lapho tonsillectomy esinqunyiwe. Izidumbu kungukuthi ukususa ngokugcwele, kodwa kuphela izingqimba engenhla ngaphansi ukuvuvukala. Le ndlela libhekene ongaphakeme igazi ukulahleka nengebuhlungu.

Ukulungiselela yokususa kuhlinzwa ka amalaka

Lokhu kuhlinza kudinga cishe akukho ukuqeqeshwa okukhethekile. Isiguli wahlola ngokuba khona izinqubo ukuvuvukala, esikalini idatha laboratory (jikelele kanye kwamakhemikhali kwegazi, OAM, coagulation). Ngaphambi inqubo, awukwazi ukudla.

Injani tonsillectomy kuhlinzwa?

Traditional (kuhlinzwa) tonsillectomy wenziwa ngaphansi jikelele noma izinzwa wendawo. Ngokuvamile, amalaka ziyasuswa kanye capsule. Lokhu kwenziwa esebenzisa iluphu wire. Ihlanganisa ngokuphelele emzimbeni futhi ehlukanisa ke kusukela nezicubu eziseduze. Ngemva kulesi simo Kulinganiselwa isikhala paratonsillar. Uma kudingekile, udokotela kuvula ithumba futhi ibeka ipayipi abakhwabanisi.

kuyinto kwaba ngemva kwezikhathi zokulotshwa op kanjani?

Ngemva tonsillectomy ahlale nilimaza phezu amalaka emkhakheni okunamathiselwe. Ukuze kugwenywe, kudingeka kahle ukufeza ukunakekelwa ngomlomo. Lokhu kubaluleke kakhulu, kungakhathaliseki ukuthi indlela okwenziwe tonsillectomy. Isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa singemaviki lange 2-3. Ngosuku lokuqala it is hhayi Kunconywa ukuba adle niginge ngamathe. Uma silele, isiguli aqambe amanga ezinhlangothini zazo, ukuze igazi akazange singene ipheshana zokuphefumula. Ngemuva kwezinsuku 2-3 emva kokuhlinzwa nilimaza Kwamanzi embozwe tinge aphuzi, kukhona imfiva ongaphakeme-ebangeni, ubuhlungu Ubangwa lapho uvuleka. Lona impendulo evamile komzimba. Ukuhlanzwa by-plaque evele kwenzeka ngemva cishe izinsuku ezingu-10. Ukuphiliswa ngokuphelele kwenzeka ekupheleni 3 amaviki ngemva kokuhlinzwa. Kuze kube yileso sikhathi, kufanele ayeke ukuthatha ukudla okubandayo noma okushisayo, uketshezi.

Tonsillectomy: imiphumela yokusebenza

Lapho uphenyo olwenziwe kahle by yezinkinga tonsillectomy awavamile. Ngezinye izikhathi kungavela nemiphumela ebuhlungu ekungalayishweni kuhambisana nezincomo babelwe ngemva kokuhlinzwa. I okubuhlungu kakhulu libhekene tonsillectomy kuhlinzwa. Izibuyekezo iziguli emuva kokuhlinzwa okunjalo okuhle nokubi. Abantu abaningi weneliseka Imiphumela yokuhlinzwa, abanye inothi ushintsho izwi, yizifo njalo viral, ukucinana kwemigudu yokuphefumula, inyumoniya.

Tonsillectomy: Intengo inqubo

ukususwa Steel ka amalaka iphathelene ukuhlinzwa kobuholi. Lapho kuboniswe, kuba mahhala. Iningi lemitholampilo aphethwe nezinye izindlela we operation (laser ablation, electrocautery). Lapho ekhetha kulezi zindlela ekhiqizwa ikhokhwe tonsillectomy. Intengo laser tonsillectomy zokhahlamba kusuka ruble 10 kuya kwezingu-20, kuye ngokuthi emtholampilo ivolumu zokukhokhelwa.