Tonsillectomy - ndi opaleshoni kuti achotse kwathunthu tonsils: zizindikiro, contraindications, zotsatira

Aliyense akudziwa zimene zilonda zapakhosi. Pachimake matenda kupuma ndi zilonda zapakhosi zimachitika pafupifupi aliyense kamodzi pa chaka. Anthu ena amadwala kuvutika kukhosi kawirikawiri. Izi ndi zoona makamaka kwa anthu amene ali ndi kutukusira kwa thirakiti chapamwamba kupuma aakulu. matenda wamba amaona kuti ndi zilonda zapakhosi. Kumachitika pakati pa akulu ndi ana omwe. Zizindikiro za matenda zosasangalatsa ndithu. Mwina aliyense anamva ululu pamene Pomeza chakudya. Kukula kwa angina amatsogolera ndi kuwonjezeka thupi kutentha, kufooka ambiri. kudwala izi chifukwa cha kutupa tonsils lapansi. Ngati matendawa amakhala aakulu, zopangitsa kukhala kalekale zikuluzikulu. Pa kusapeza panthaŵi Pomeza zimachitika kawirikawiri kwambiri (maulendo 10 pa chaka). Zikatero, izo tikulimbikitsidwa opaleshoni - tonsillectomy. Ndi mokakamizidwa ndondomeko imene adasonkhananso kupanda mankhwala ndiwofatsa.

Kodi tonsillectomy?

Tonsillectomy - ichi ndi chimodzi mwa chithandizo kwa aakulu kutupa tonsils. Mwachibadwa, nyumba awa adzagwiritsidwa ntchito kuteteza thupi. tonsils Palatine ndi ziwalo lymphoid. Iwo secrete wapadera m'thupi maselo dongosolo zimene ankatanthauza kuti amenyane wothandizila tating'onoting'ono. Choncho, anakumana ndi mabakiteriya ndi tizilombo tina mu tonsils pakamwa ndi kuchuluka. Iwo ali ngati chotchinga kuti ndimeyi matenda kapepala kakuti kupuma. Kulibe awo, tizilomboto si anapitiriza mu M'mimbamo m'kamwa, ndipo pasanapite nthawi kugwera mu bronchi ndi mapapo.

Choncho, ntchito (tonsillectomy) sali ikuchitika popanda kufunikira kwambiri. Ndi chofunika chokha pa nthawi imene ntchito tonsils ndi opuwala, ndipo iwo kusokoneza ndondomeko ya kupuma. Komanso, opaleshoni tikulimbikitsidwa kuti agwire anthu amene akukumana recurrences kawirikawiri zilonda zapakhosi aakulu (zilonda zapakhosi). Opaleshoni kuchotsa tonsils ndi ntchito kwa zaka masauzande angapo. Opaleshoni si owopsa Koma angakhale ndi zotsatira zosasangalatsa (chitukuko cha chibayo pa maziko a matenda kupuma). Choncho, musanayambe kusankha opaleshoni, m'pofunika kuphunzira za ubwino ndi kuipa kwa tonsillectomy. Nthawi zokayikitsa ayenera kufunsa akatswiri angapo.

zikuonetsa kuti

Tonsillectomy ndi pakati pa phukusi ambiri mphuno thirakiti chapamwamba kupuma. njirayi opaleshoni satenga nthawi zambiri. Chiopsezo cha matenda oyamba postoperative ndi kochepa. Komanso, zipatala unachitikira laser tonsillectomy. Lili ndi ubwino pa ntchito ndandanda. Ngakhale zili chomwechi, kuchotsa tonsils opanda kuwerenga okhwima ali osavomerezeka. Pambuyo mapangidwe deta kulepheretsa chitukuko cha pathologies wa kapepalako m'munsi kupuma. Pali zizindikiro zotsatirazi kwa tonsillectomy:

1. Chosokoneza kupuma ndi kumeza. Kulankhula tonsillar hypertrophy kumabweretsa chakuti mpweya ndi chakudya sangathe kupitirirapo momasuka mu rotors ndi nasopharynx. Pali madigiri atatu a kuchuluka kwa ziwalo zimenezi. Mtheradi umboni kwa tonsillectomy ndi gawo lachitatu la hypertrophy. Pankhaniyi, tonsils zikuluzikulu kwathunthu kuphimba pakhomo kummero. Pa mlingo wachiwiri wa hypertrophy wa tonsillectomy si nthawi zonse.
2. Abscesses otolaryngology akuwuka pa maziko a kutupa tonsils lapansi. Imeneyi, tonsillectomy ndi wofunikira kwambiri. Tonsillectomy kufunika imapatsa kuti abscess ndi kuyeretsa matupi a mafinya.
3. Decompensated aakulu zilonda zapakhosi. Pankhaniyi tonsils kuwola chifukwa kutupa zonse. limba ntchito kwathunthu wosweka.
4. musabise kawirikawiri zilonda zapakhosi aakulu. Zikupezeka exacerbation matenda zikutanthauza maulendo 7 pa chaka. Pankhaniyi zikugwirizanirana ndi zizindikiro wachibale kwa tonsillectomy. Opaleshoni mu nkhani iyi ikuchitika ndi wodwalayo.
5. Kuphatikiza zilonda zapakhosi kobwereza, tonsillar hypertrophy ndi madigiri 2.
6. Kutengera za mavuto aakulu akuwuka mu maziko a zilonda zapakhosi. Zikuphatikizapo matenda monga matenda enaake ophwanya m'thupi, ndi hemorrhagic vasculitis, glomerulonephritis. Nthawi zambiri, matenda awa kukula pamene staph zilonda zapakhosi.

Pankhani ya zizindikiro mtheradi chokana opaleshoni kungayambitse mavuto aakulu. Choncho, musanaganize ngati kapena ayi kuchotsa tonsils, m'pofunika muzipeza mu zimene akuluakulu amatha.

contraindications

Tonsillectomy - opareshoni zomwe zina ali osavomerezeka otolaryngologists. Nthawi zina tonsil kuchotsa sikuti sangapindule, komanso kuvutika alili. Pali 2 magulu a contraindications kwa tonsillectomy: mtheradi ndi osakhalitsa. Mbali yoyamba ntchito ndikoletsedwa, monga ngozi moyo wodwalayo. Pamene contraindications wachibale tonsillectomy akhoza kulephereka kwa kanthawi. Kuchotsa tonsils ndi koletsedwa milandu zotsatirazi:

1. Matenda a ziwalo zofunika kwambiri zomwe zili mu siteji ya decompensation. Zikuphatikizapo mtima, kwa chiwindi ndi kulephera aimpso.
2. Kudwala a dongosolo hematopoietic. Pakati pawo, pachimake ndi aakulu khansa, digiri choopsa cha kuchepa magazi, amapatsira mwana wake.
3. Shuga decompensated.
4. Kuvutika ziwiya akudutsa pafupi tonsils (aneurysm, pathological pulsation ya mitsempha ndi mitsempha ya pharynx ndi).
5. Open mawonekedwe a chibayo tuberculous.
6. ubongo kudwala mu umene munthu sangathe mokwanira kuwunika zinthu.

Pamene wachibale (nthawi) contraindications, wodwala ayenera choyamba kuchiza njira pachimake yotupa, ndipo kenako kukhala tonsillectomy. Izi amaperekedwa milandu zotsatirazi:

1. matenda opatsirana (nthomba, chikuku).
2. Caries kapena mano pulpitis.
3. matenda pachimake kapena aakulu mu gawo pachimake. Zimenezi ndi zoona makamaka njira yotupa pa mundawo chapamwamba kupuma.
4. kusamba.
5. Matenda a khungu.
6. Matupi awo sagwirizana anachita (dermatitis).
7. Kusintha kafukufuku zasayansi: leukocytosis, ketonuria.

Ubwino ndi kuipa kwa tonsillectomy

Ngakhale ubwino wa opaleshoni, M'pofunikanso kukumbukira kuti pambuyo tonsillectomy kumaonjezera ngozi ya matenda ndi chibayo. Komabe, nthawi zina, sitingathe kuchita popanda tonsillectomy. ubwino monga opaleshoni kuti amasule pharyngeal lumen kutsegula, mpumulo zilonda zapakhosi aakulu. The drawback waukulu akuti ndi kukumenya mwamsanga tizilombo ting'onoting'ono Airways m'munsi chimfine wamba. Only dokotala akhoza kusankha kaya muyenera tonsillectomy. Reviews cha odwala amene analolera opareshoni, otsutsana.

Zosiyanasiyana tonsillectomy

Panopa, pali njira kuchotsa tonsils. Komabe, njira opaleshoni ntchito nthawi zambiri. Kupatula izo, njira zimenezi n'kopanda ndi kuchotsa tonsils, monga laser tonsillectomy, excision wa zimakhala electrocoagulator ndi akupanga scalpel, radiofrequency ablation. zikunena mankhwalawa ndi okwera mtengo kwambiri, koma yodziwika ndi imfa kochepa magazi ndi nthawi mofulumira kuchira.

Tonsillectomy ndi laser

Panopa chiwerengero cha wotuluka ikuchitika ntchito laser. Nazonso ndi tonsillectomy. Mankhwala ochititsa dzanzi m'mene - m'deralo, ndi sprayed padziko zimakhala za pharynx lapansi. Tonsils atathana forceps wapadera ndi laser mtengo imatsogoleredwa. Chifukwa ndi stratified minofu chiwonongeko. Njira imeneyi ndi zothandiza makamaka tsankho tonsillectomy. The matupi si kwathunthu kuchotsa, koma zigawo chapamwamba yekha pansi kutupa. Njira imeneyi amakhala ndi imfa otsika magazi ndipo sabweretsa chisoni.

Kukonzekera kuchotsa opaleshoni ya tonsils ndi

opaleshoni Izi zimafuna pafupifupi palibe maphunziro apadera. Wodwala anafufuza pamaso pa njira yotupa, ayesedwa deta zasayansi (general ndi amuzolengedwa magazi, OAM, coagulation). Pamaso ndondomeko, mukhoza kudya.

Kodi tonsillectomy opaleshoni?

Traditional (opaleshoni) tonsillectomy anachita pansi ambiri kapena m'dera ochititsa dzanzi. Nthawi zambiri, tonsils ndi kuchotsedwa limodzi ndi kapisozi a. Izi zachitika mwa waya kuzungulira. Kwathunthu chimakwirira thupi kudzalekanitsa izo kwa minofu ozungulira. Pambuyo chikhalidwe ichi Akuti danga paratonsillar. Ngati ndi kotheka, dokotala amatsegula abscess amasiyiratu kuda chitoliro.

Kodi nthawi pambuyo ntchito?

Pambuyo tonsillectomy kukhala chilonda padziko lapansi tonsils m'munda za ubwenzi. Kupewa matenda, muyenera bwino kugwira chisamaliro m'kamwa. Izi ndi zofunika kwambiri, kaya njira anali anachita tonsillectomy. Nthawi postoperative masabata 2-3. Tsiku loyamba izo tikulimbikitsidwa kuti asadye ndi kumeza malovu. Akagona, wodwala sayenera kugona mbali, kotero kuti magazi sanalandire mu kapepala kupuma. Patapita masiku 2-3 pambuyo ntchito chilonda pamwamba aphimbidwa ndi kum'chitira chikasu, pali otsika kalasi malungo, kupweteka n'lalikulu pamene Pomeza. Izi akuchitanji yachibadwa ya thupi. Kuyeretsedwa ndi pamalo zolengeza zikadzatha pafupifupi 10 masiku. Complete machiritso amapezeka ndi kutha kwa masabata 3 pambuyo opaleshoni. Mpaka nthawi imeneyo, ayenera kupewa zakudya wozizira kapena wotentha, zakumwa.

Tonsillectomy: zotsatira za ntchito ya

Pamene bwino wochitidwa ndi mavuto tonsillectomy n'zochepa. Nthawi zina zotsatira zoipa chichokera sanali kugwilizana ndi malangizo anatumizidwa pambuyo opaleshoni. Kwambiri zoopsa Yodziwika opaleshoni tonsillectomy. Reviews odwala pambuyo opareshoni amakhala zabwino ndi zoipa. Anthu ambiri ali ndi zotsatira za opaleshoni, kusintha aganizira mawu, matenda pafupipafupi tizilombo, matenda, chibayo.

Tonsillectomy: Mtengo wa ndondomeko

Opaleshoni kuchotsa tonsils ikugwilizirana opaleshoni voti. Kodi anasonyeza, ndi kwaulere. zipatala zambiri imachitikira ndi njira zina za ntchito (laser ablation, electrocautery). Posankha njira amenewa analipira tonsillectomy. Mtengo wa laser tonsillectomy ranges ku rubles 10 20 zikwi, malingana chipatala ndi buku la wotuluka.