Tonsillectomy ngoba namathansela okungamahlalakhona: ukubuyekezwa. Ingabe ngidinga ukususa amalaka e namathansela okungamahlalakhona?

I womphimbo ukujula, ezindaweni zalo ezisemaceleni, wahlela izinhlangano ezimbili ezibizwa ngokuthi amalaka (nezindlala). Igama sebewelele sibonga ukufana kwamazwi nut efanayo. Amalaka kukhona nezindlala wesistimu somzimba sokuzivikela futhi bayingxenye limfoepitelialnogo pharyngeal indandatho.

amalaka umsebenzi

Ngisho noma unenkinga namathansela okungamahlalakhona, ngaphambi kokunquma tonsillectomy, udinga ukuqonda ukuthi kungani kudingeka emzimbeni. Umsebenzi oyinhloko ukuvikela nezindlala. Lezi zokwakheka bekwi ukusetshenziswa izifo ezibangelwa amagciwane kanye ezibangelwa amagciwane angena emzimbeni kukhanyisa amaconsi. Ngemva ukususwa amalaka, lo mgoqo ubalekela, ngakho indlela amagciwane ezingenamsebenzi kakade. Ngaphezu kwalokho, e amalaka ekhiqizwa safeners. Kwangezikhathi lala mafu ukukhiqiza interferon, gamma globulin nama-lymphocyte.

Izizathu ukususwa amalaka

Kodwa kwezinye izimo, amalaka LasePalatine behlala ndawonye bengashadile akusashiwo sibhekane ngokuphumelelayo imisebenzi wabo obavikelayo. Ngenxa yalokho, Ukuwohloka isimo jikelele kungenzeka isifo somzimba sokuzivikela ezifweni, eyaziwa ngokuthi i- "adenoid". Tonsillectomy kuleli cala - akuyona indlela kuphela yokuxazulula le nkinga. Nakuba abaningi kubonakala elula.

Umbuzo ka-ukususwa ezimweni lapho amalaka LasePalatine ayikwazi ukumelana amagciwane ukuthi ufake kukhanyisa amaconsi emzimbeni. Kulokhu, isiguli ophethwe i-angina yansukuzonke, exacerbations ephikelelayo namathansela ezingamahlalakhona. Amalaka kulezi zimo uya inqubo ezithathelwanayo ukuvuvukala. I lacunae aqoqana futhi stagnates ubomvu. Lezi uquqaba izicubu elikhanyayo futhi amalaka ucasukile. Uma ungatholi ukwelashwa, amalaka yimbangela njalo ukutheleleka nge umzimba, ngoba lezi zokwakheka buthaka aqale ukuphindaphindeka amagciwane abangela izifo. Kulezo zimo, lapho ukwelashwa ngoludala akukuniki imiphumela emihle, noma kukhona ukudakwa eside wonke umzimba, udokotela angase ukuncoma ukubambisisa tonsillectomy. Nobufakazi anesizotha ukhuluma ngani iqiniso lokuthi abantu ufisa sengathi ngabe esheshayo ukuze uvumelane ukuhlinzwa. Ngakho ungajahi, uma kungewona wonke ukwelashwa balingwa.

Izimbangela namathansela okungamahlalakhona

Hhayi ukuletha nezindlala esimweni esibucayi, kubalulekile ukwazi ukuthi yini iqhaza entuthukweni izifo ezifana namathansela ezingamahlalakhona. ngokuvamile Tonsillectomy, ukubuyekezwa zazo awavamile omuhle amafomu eziseqophelweni lesi sifo kuphela indlela yokuphuma. Uma ungafuni ukuletha nezindlala esimweni esinjalo, kubalulekile ukwazi ukuthi nesifo namathansela ziholela ekupheleni angina insufficiently ngayo. izici ezingathandeki kwemvelo zihlanganisa imvelo abampofu, komoya, amanzi okuphuza eliphansi. Ngaphezu kwalokho, ukuthuthukisa lesi sifo kungaholela ekucindezelekeni okukhulu jikelele buthaka izivikelo umzimba, izifo ezihlukahlukene ngalo ingaphakathi ngomlomo noma ikhala. Jwayelekile kwamazinyo noma ubovu sinusitis kungenzeka yokuthi isiguli itheleleke amalaka.

Izimpawu namathansela okungamahlalakhona

Yiqiniso, ubuhlungu kancane kanye umphimbo obuhlungu izikhathi eziningana ngonyaka - akusona isizathu ukukhuluma ngesidingo kokungenela kuhlinzwa. namathansela Okungalapheki enezinto eziningi nezinye izimpawu. Lezi zihlanganisa ubuhlungu ngiyaqaqanjelwa ku amalunga, imisipha, inhliziyo, izinso, okhalweni, angaphandle umzimba ukuzwa emphinjeni, ubuthakathaka, ukukhathala, ukwehla okukhulu kahle. Futhi, izimpawu zihlanganisa ongaphakeme-ebangeni lokushisa, okuvela kuyo ukuqubuka eziphikelelayo esikhumbeni, ngisho ucasukile.

Udokotela uthi udinga tonsillectomy ngoba namathansela okungamahlalakhona, lapho isifo okusongelayo ukuxakeka. Kungaba kangako angabangela isifo senhliziyo - myocarditis, ukulimala kwezinso - glomerunefritu, ukuvuvukala emalungeni - rheumatism. Lokhu kungenxa yokuthi amagciwane ukuthi lande kwezicubu esibuthaka soMbuso amalaka, ukukhiqiza ubuthi. Ezinye zazo ziwele kwegazi jikelele zomzimba futhi kulimaze uqwanga futhi umsipha izicubu. Abanye kungabangela aphansi lokushisa ushintsho ukuhlolwa, imbangela wezakhiwo. Uma amalaka ngeke streptococcus, okuqondene Iqembu, amaseli okuvikela umzimba ziyohlasela ke. I amaprotheni yalesi bacterium afana nalawo atholakala e-ezicutshini of imisipha yenhliziyo. Ngenxa yalokhu, amasosha omzimba iqala ukuhlasela kwakhe. Lokhu kuholela i arrhythmia wenhliziyo valve prolapse. Ngenxa yalokho, kungenzeka ukuthuthukisa endocarditis webhaktheriya noma myocarditis. Ngaphezu kwalokho, namathansela ezingamahlalakhona bangase baxabane nomzimba. Kukhona ukulunywa, ukuqubuka, futhi zingase ziqale ukuthuthukisa somoya.

kokungenela op

Naphezu kweqiniso lokuthi odokotela abaningi batusa ukuba afeze ukususwa amalaka e namathansela okungamahlalakhona, ukubuyekezwa abonisa ukuthi owokuqala kungcono ukuzama zonke izinhlobo izindlela olandelanayo yokwelashwa, uthintane imitholampilo eziningana ezahlukene ENT odokotela. Yiqiniso, uma bengenayo ukusiza, ngakho-ke kufanele uye ukuhlinzwa. Ezimweni eziningi, odokotela batusa afeze tonsillectomy zamazwe amabili. Lokhu kususa yonke indwangu izakhiwo zokuzivikela. Kodwa ngezinye izikhathi eyanele ukuze afeze ukususwa olungaphelele amalaka nge namathansela ezingamahlalakhona. Lokhu kubizwa ngokuthi i tonzillotomiey zamazwe amabili.

Khetha ukhetho ezifanele kakhulu esimweni sakho, ukuhlinzwa kungaba Uchwepheshe ngesisekelo umlando wezokwelapha kanye nempilo jikelele. Akubalulekile ukugcizelela operation yabo, uma udokotela weluleka bazama ukwelapha namathansela ezingamahlalakhona. Tonsillectomy (izibuyekezo ngaphansi izinzwa jikelele Kunconywa ukwenza lo msebenzi) iqhutshwa kuphela uma kunezinkomba zokuthi ngokuphelele salokhu. Ngaphambili, lokhu eyohlinzwa wawenziwa ngaphansi izinzwa wendawo kuphela, kodwa sibonga obhekwe imithi yokubulala izinzwa yesimanje manje wayekwenza futhi izinzwa egcwele.

Izindlela zokususa amalaka

Indlela eyinhloko ukususa izakhiwo palatal emphinjeni kuyinto ukuhlinzwa ezivamile. It is kusetshenziswa sikelo kuhlinzwa, iluphu wire. Le ndlela kuvamile impela futhi ithuthukiswe kahle abahlinzayo ngokusebenzisa ngokuvamile kakhulu eyenziwa tonsillectomy e namathansela ezingamahlalakhona. Nobufakazi ukukhombisa ukuthi ukhathazekile kuphela mayelana ukungakhululeki ngesikhathi ukusebenza.

Uma udokotela itusa excision ngokwengxenye ijwabu idlala, bese usebenzisa idivaysi ekhethekile - mikrodebrider. Ngalo excised izindawo onesifo. Tonsillectomy ngoba namathansela ezingamahlalakhona ngale ndlela ivumela isiguli ukuba alulame ngokushesha. Kodwa-ke akwenzi mqondo, lapho le ndwangu kanzima kahle.

Ngaphezu ukuhlinzwa ezivamile, udokotela okwamanje ingagunyaza ukusetshenziswa nommese ultrasonic, i kagesi, umsakazo wave noma laser. Zonke yalezi zindlela akuvumela ukuba ngokushesha afeze ukususwa amalaka e namathansela ezingamahlalakhona. Izindlela akhiwa kwezokwelapha zanamuhla, kunganciphisa ngenkathi ukusebenza futhi inkathi nasezinkingeni ezilandela ngemva kokuhlinzwa.

laser ukuphazamiseka

Uma ufuna cishe ngokushesha ukubuyela ekuphileni okuvamile emva kokuhlinzwa, phakathi kwesikhathi lapho izobanjelwa tonsillectomy, ukubuyekezwa ngayinye yalezi zindlela kuzokusiza ukuba wenze isinqumo esifanele. Ngokwesibonelo, ukuphathwa laser ihlala imizuzu akukho kuka-30, futhi babuyele ngokugcwele luzothatha izinsuku 4. Enye inzuzo yokuhamba kwesikebhe le ndlela ukususa amalaka wukuthi kuba ngokuphelele ngaphandle kwegazi. Beam coagulates yonke imithambo yegazi lilimele. Uma unquma ukususa amalaka e ezingamahlalakhona namathansela laser, ungazizwa zonke "izintelezi" kwesikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa. Phela, ubuhlungu emva sokungenela buzoba buncane evelele.

Kodwa, njengoba kuya tonsillectomy ezivamile, kudingeka balungiselele ukuhlinzwa laser. Ngokuyinhloko iqedwe yonke imithombo engaba ukuthelelana ingaphakathi acinene futhi ngomlomo. Libuye efiselekayo adlule ukuhlaziywa umchamo futhi igazi, ukuze enze izithombe wenhliziyo namaphaphu. Lokhu kuzosiza ukuhlola isimo jikelele umzimba futhi baqonde indlela uye wathonya namathansela ezingamahlalakhona.

Laser ukususwa amalaka wenziwa ngaphansi izinzwa wendawo. Lapho excitability ngokweqile asibekezelela Ungafaka izidakamizwa "Atropine" noma "pantopon" for isigamu sehora ngaphambi kokuqala ukungenelela. Ngesikhathi inqubo, a idlala izikhathi eziningana. Isikhathi ukuchayeka ngamunye ngeke sidlule amasekhondi angu-15. Indwangu lokuqala is phansi yokuchayeka emaphethelweni front futhi bakhulise. Kuphela ngemva kwalokho onguchwepheshe iqala abasebenza nezicubu eziseduze. Isebenzisa izinzwa wendawo kuphela, kanti isiguli kumele kube uphapheme endaweni awulutho kuNkulunkulu.

ezinye izindlela

Ngaphandle laser ekubhujisweni, tonsillectomy e namathansela okungamahlalakhona kungase kwenziwe usebenzisa i kagesi. Ekusebenziseni le ndlela, iziguli bavezwa izicubu electrocautery. Lo msebenzi akubangi ubuhlungu, njengoba ingenayo ukopha. Kodwa le nqubo kubhekwa kuqhathaniswa kuyingozi, ngoba lamanje kungalimaza inyama ephilile.

Tonsillectomy ngoba namathansela okungalapheki abadala kungabuye kwenziwe usebenzisa okuguquguqukayo radiofrequency ablation. Nge ukusebenzisa kwayo izicubu nezindlala kuthiwa dissected ezingeni yamangqamuzana ezinto eziphilayo. Ngesikhathi esifanayo babe azisebenzi noma laser noma wamanje noma ukushisa. Yingakho inkinga is akubone ngemuva sokungenela kwakhe.

ukuhlinzwa Buciko

Naphezu ezihlukahlukene amasu esimanje, tonsillectomy njalo namathansela ezingamahlalakhona kwenziwe ngendlela esezingeni esebenzisa izibopho futhi sikelo. Ukusebenza kwenziwa ngomlomo ovulekile ngaphandle sebeziqhumbuza zangaphandle. Ngemva base ekupheleni cauterize nezindlala. Inqubo ephelele ihlala kufika 1.5 amahora. Kungaba kwenziwe ngaphansi wendawo noma ngaphansi ukubulawa kwezinzwa okuvamile.

Ngemva nesineke tonsillectomy ibekwe ngakwesokunene, nentamo obkladyvaetsya yakhe ice. Lokhu kubangela nokuncipha imithambo yegazi kanye evimbela kumiswa ukopha post-op. Ngaphezu kwalokho, Yiqiniso yokwelapha ngemithi elwa namagciwane esimisiwe.

Ngosuku ukusebenza isiguli uvunyelwe a sips ambalwa amanzi. Ezinsukwini ezayo ezimbalwa ekudleni kufaka pureed ukudla uketshezi, isetshenziswa kuphela emakhazeni. ukudla esinjalo sikhuthaza ukuphulukiswa yamanxeba ayemlimaze wazithatha ngemva tonsillectomy lwenziwe.

Izibuyekezo iziguli eziningi zithi inkathi yokutakula kunzima ngempela ukuba kudlule emva kokuhlinzwa ezivamile. Abaningi bakhononda zokukhula. Ngokushesha ngemva kokuhlinzwa, zingabantu evelele kakhulu, kodwa ngemva kwezinsuku ezimbalwa kwaqina. Ngemva kwesonto, ubuhlungu ungase uqale nibeke indlebe. Ikakhulukazi kuba sobala ngesikhathi singagwinyi. Kodwa abantu abaningi bacabanga ukuthi isimo okubi kakhulu ngosuku lapho tonsillectomy wokuziphatha namathansela ezingamahlalakhona. Ingabe ubuhlungu ngesikhathi ukusebenza ngokwalo, banesithakazelo iningi iziguli. Kodwa ungakhohlwa ukuthi ukuhlinzwa wenziwa ngaphansi izinzwa jikelele noma wendawo. emizweni ezingemnandi zenzeka lapho umphumela narcosis ezikhoselweni.

Imiphumela ukususa idlala

Kuze emashumini ambalwa eminyaka edlule, izindlala zazibhekwa Kugcwele ukutheleleka, ngakho zisusiwe eziningi. Kodwa manje ochwepheshe bavisise kwekutsi loko kwentiwe isithiyo emagciwaneni, ayivumeli amagciwane angena okwengeziwe emzimbeni. Uma Ususe amalaka, umzimba izovikeleka kancane. 6 amalaka emzimbeni kuyoba 4. kuphela Phakathi kwabo futhi wonke umzimba kubangelwa umthwalo izokwabiwa.

Ungakhohlwa ukuthi amygdala - akuyona kuphela yisithiyo ukutheleleka, kodwa futhi kuyingxenye ebalulekile izivikeli mzimba. Ngaphezu kwalokho, ukukhiqiza izinto abathintekayo inqubo hematopoiesis.

Uma lapho abantwana bazibandakanya, odokotela ngokuvamile azame ukugcina nezindlala okungenani kuze eneminyaka eyisishiyagalombili. Tonsillectomy ngoba namathansela okungalapheki izingane Kunconywa kuphela esimweni lapho isimo siqala ukwesabisa ukusebenza evamile nezinye izitho nezinye izimiso zomzimba.

nobufakazi

Isiguli ngasinye ngaphambi kokuvuma ukuba ukuhlinzwa, ufuna ukwazi umbono ochwepheshe nje kuphela kodwa futhi nabanye abantu abaningi abake wayevele tonsillectomy. Izimpendulo ziyahlukahluka, njengoba umthetho, ngalokho ncamashi kwaba isimo isiguli ngaphambi kokuhlinzwa. Labo ihlushwe eziphikelelayo ukuvuvukala okungalapheki ekhaleni nomphimbo, kanye nezinye izitho, ngokuvamile ngemva ukususwa amalaka gidi. Ngemva ekuqedeni okuzobhekwa zisuka nje ukutheleleka umzimba uqala ukulwa bebodwa.

Kodwa kuwufanele waphinda kuqashelwe ukuthi izenzo ezinjalo kuyafaneleka, uma kakade wazama zonke izindlela zokwelashwa olandelanayo. Lezi zihlanganisa anti-webhaktheriya, eqeda ukuvuvukala, isinqandakuvunda, ukwelashwa immunostimulant. Uma usebenzisa lokhu kwelashwa ingafinyelela ukuthethelelwa izinyanga okungenani eziningana, kubhekwa ngempumelelo. Kulokhu, akusiyo ngisho mayelana nokusebenza kusasebenza.

hardware ukwelashwa

Lapho ukwelashwa ngoludala akukuniki imiphumela emihle, ngaphambi kokunquma tonsillectomy e namathansela ezingamahlalakhona, kuba efiselekayo ukuhlola hardware ukwelashwa. Ekuqaleni, lo dokotela ahlanze lacunae ka amalaka. Le nqubo kungaba kwenziwe nge isipetu ekhethekile noma nge umlomo wombhobho "Tonzilor". Ngemva wokuhlanza ebusweni amalaka ezisithintayo ongaphakeme-imvamisa ultrasound, kuyilapho zidla ungene Indwangu nezindlala isixazululo izidakamizwa. Kodwa le ndlela yokwelapha akugcini hardware. izindawo Inkinga nazo kusetshenzwe spray "Lugol", futhi agcinwe amaseshini yokwelapha laser ngempumuzo ukuvuvukala nokwehlisa kwezicubu ukusebenzisa-off. Libuye omunye izigaba kuyinto yokulungiswa microflora esenzakalweneso ngosizo emisebeni ultraviolet.

Uma yonke imithi hardware izindlela wazama ungayeki elamukelekile ke akukho kwesokunxele kodwa ukuze uvumelane ukususwa amalaka e namathansela ezingamahlalakhona. Photo of amalaka enempilo futhi onesifo kusiza abaningi ukunquma phezu ukuhlinzwa.

Kubalulekile futhi ukwazi ukuthi iningi inkinga ecacisiwe ezibhekene izingane kanye nabantu abasha. Umbuzo noma ngabe idlala ukususwa kuyadingeka e namathansela ezingamahlalakhona ngemva kweminyaka engu-50, kukhona thukela ngokwanele. Ngalesi ubudala kudingeka ukuba izinkomba ngokuphelele ukuhlinzwa. Kungenzeka, uma kukhona ingozi yokuthola izifo. Kuzo zonke ezinye izimo, ukwelashwa ngoludala kuphela kuboniswa.