Ukuhlinzwa indlebe: izinkomba, zinhlobo

Noma yimuphi ukuhlinzwa phezu indlebe kwezokwelapha zihlukaniswe okuhleliwe neziphuthumayo. Ukuze izinqubo kuhlinzwa yohlobo yokuqala isiguli ukulungiselela kusengaphambili. Ngaphezu kwalokho, ungathatha isinyathelo - isibonelo, uma umuntu udinga ukuhlinzwa kokulungisa ukubukeka kahle emadlebeni. Inani kulokhu kuzoncika ezahlukahlukene - kusukela yinkimbinkimbi kunjalo, uhla lwamanani umtholampilo ethize, isenzo. Ngu inselele ubufakazi odokotela zinezifo ezibucayi ezifana izinqubo nzima indlebe maphakathi kanye kwangaphakathi - bakwazi ukuqala ukuthuthukiswa sepsis, yezinkinga ezihlukahlukene zobuchopho futhi thrombosis.

ukulungiselela isiguli

Yiqiniso, ukuhlinzwa phezu indlebe is hhayi kwenziwe ngokushesha ngemva kokuvakasha isiguli kuchwepheshe. Ngemva Udokotela wezindlebe uyodlulisela esibhedlela, isiguli asitholayo eziningi survey: ukuhlaziya jikelele igazi biochemistry, ekutholweni RH-factor, EKG, i-MRI, ama-X ray of inqubo mastoid, ucwaningo jikelele isimo ukuzwa futhi, ekugcineni, inhlolovo we therapist isazi sezinzwa. Ngokuphathelene izinkomba kuhlelwe ke umuntu uphenywa ku-sinenkonzo yokunakekela iziguli emakhaya noma inpatient kulungiselelwa; Kungaleso sikhathi kuphela lapho esingaxoxa ngazo imisebenzi phezu indlebe.

kokungenela kuhlinzwa

Cishe zonke nokuhlinza phakathi futhi endlebeni abazenzi ngaphansi jikelele endotracheal izinzwa. Ngosuku ukuhlinzwa isiguli asitholayo premedication, okwathi ngemva kwalokho sabakhubazekile ilethwa egumbini lokuhlinza. Kufanele kuqashelwe ukuthi ngaphambi kokuba sheared futhi agunde izinwele emaphaketheni retroauricular, uma kunesidingo. Njengoba omunye izimpawu labyrinthitis kukhona umuzwa onamandla wokuvuma lapho njalo ukuba ahlanze, ngigula kangaka ebusuku futhi ekuseni ngaphambi kokungenela kuyadingeka ukuze senqabele kusuka ukudla (ukuze ngesikhathi imisebenzi phezu indlebe, azange abe yezinkinga). Uma udokotela sizodingida kuphela endlebeni yangaphandle ovunyelwe ukwenza opkratsiyu ngaphansi izinzwa wendawo.

Ukugcina isiguli emva kokuhlinzwa

ukuphathwa postoperative luncike uhlobo ukuphazamiseka: zonke imisebenzi maphakathi nendlebe (antrotomiya, antromastoidotomy) libhekene enenxeba elivulekile, okuyinto wokufaka bese ivaliwe ngebhandeshi oyinyumba. Njengomthetho, by kusihlwa isiguli siqala ukuba uzizwe ungcono: izinga lokushisa lehla, emizweni ubuhlungu ukuphi. Ngakusasa kwaba sigqoka wokuqala; swabs nkinga ke sithathelwe indawo entsha, ingaphakathi post-op ubizwa wageza futhi disinfected nge izidakamizwa isinqandakuvunda. I kusaladi letilandzelako letentiwe njalo ngemva kwezinsuku ezimbalwa futhi wayeka kuphela ngemva ingaphakathi ligcwele ngokuphelele granulation izicubu. Uma suppuration liyaphela, futhi perforation uvala, ezivuzayo yesibili musa abaphila. Ezimweni eziningi, le eardrum kubuyiselwa, kuzwa ubuyela evamile. Ubovu otitis abezindaba nge isilonda avaliwe kudinga obschepolostnoy sanitizing imisebenzi, ngakho-ke kuyadingeka ukuba ashintshe kuphela ibhandishi elingaphandle, ezivuzayo ukusingatha iodine. I Ligation ephelele Kwenziwa kuphela ngemva kwesonto. Sonke lesi sikhathi, isiguli iqondiswa analgesics futhi antipyretics.