Iitoni

Tonsillectomy utyando ukususa tonsils.

Iitoni ziidlala ezisemva komqala wakho. Iitoni zihlala zisuswa kunye namadlala e-adenoid. Olo tyando lubizwa ngokuba yi-adenoidectomy kwaye luhlala lusenziwa ebantwaneni.

Olu tyando lwenziwa ngelixa umntwana ephantsi kweanesthesia ngokubanzi. Umntwana wakho uya kulala kwaye engenazintlungu.

• Ugqirha uya kufaka isixhobo esincinci emlonyeni womntwana wakho ukuze asivule.
• Ugqirha ke usika, atshise, okanye achebe iitoni. Amanxeba ayaphola ngokwendalo ngaphandle kwemithungo.

Emva kotyando, umntwana wakho uya kuhlala kwigumbi lokuchacha ade abe uvukile kwaye angaphefumla ngokulula, akhohlele kwaye aginye. Uninzi lwabantwana luya emakhaya iiyure ezininzi emva kolu tyando.

Iitoni zinceda ukukhusela kwizifo. Kodwa abantwana abaneetoni ezinkulu banokuba neengxaki zokuphefumla ebusuku. Iitoni zinokubambisa neebhaktiriya ezigqithisileyo ezinokubangela umqala obuhlungu okanye obuhlungu kakhulu. Kuzo zombini ezi meko, iitoni zomntwana ziye zaba yingozi ngakumbi kunokhuseleko.

Wena kunye nomboneleli wezempilo womntwana wakho unokuqwalasela i-tonsillectomy ukuba:

• Umntwana wakho usulelekile rhoqo (amaxesha asixhenxe okanye nangaphezulu kunyaka o-1, okanye amaxesha ama-5 okanye nangaphezulu minyaka le kwiminyaka emibini edlulileyo).
• Umntwana wakho uphoswa sisikolo kakhulu.
• Umntwana wakho unengxaki yokuphefumla kwaye akalali kakuhle kuba iitoni zivalile indlela yomoya (ubuthongo bokulala).
• Umntwana wakho unethumba okanye ukukhula kwiitoni.
• Umntwana wakho ufumana amatye eetoni rhoqo kunye nokukhathaza.

Umngcipheko wayo nayiphi na i-anesthesia yile:

• Impendulo kumayeza
• Iingxaki zokuphefumla

Umngcipheko walo naluphi na utyando zezi:

• Ukopha
• Usulelo

Rhoqo, ukopha emva kotyando kunokungaqapheleki kwaye kubangele iingxaki ezimbi kakhulu. Ukuginya okuninzi kunokuba ngumqondiso wokopha kwiitoni.

Omnye umngcipheko ubandakanya ukwenzakala kuvula (inkalakahla ethambileyo).

Umboneleli womntwana wakho unokucela umntwana wakho ukuba:

• Uvavanyo lwegazi (ukubala okupheleleyo kwegazi, ii-electrolyte, kunye nezinto ezijiyileyo)
• Uvavanyo lomzimba kunye nembali yonyango

Soloko uxelela umboneleli womntwana wakho ukuba zeziphi iziyobisi ezithathwa ngumntwana wakho. Faka naziphi na iziyobisi, amayeza, okanye iivithamini ozithengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kotyando:

• Kwiintsuku ezilishumi ngaphambi kotyando, umntwana wakho angacelwa ukuba ayeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), warfarin (Coumadin), kunye nezinye iziyobisi ezinje.
• Buza umboneleli womntwana wakho ukuba zeziphi iziyobisi umntwana wakho anokuzithatha ngosuku lotyando.

Ngomhla wotyando:

• Umntwana wakho uhlala ecelwa ukuba angaseli okanye atye nantoni na iiyure ezininzi ngaphambi kotyando.
• Nika umntwana wakho naziphi na iziyobisi oxelelwe ukuba uzinike kunye nokusela okuncinci kwamanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele.

I-tonsillectomy idla ngokwenziwa esibhedlele okanye kwiziko lotyando. Umntwana wakho uya kugoduka kwangolo suku olunye noluhlinzwa. Abantwana kunqabile ukuba badinga ukulala esibhedlele ukuze baqwalaselwe.

Ukufumana kwakhona ngokupheleleyo kuthatha iiveki ezi-1 ukuya kwezi-2. Ngexesha leveki yokuqala, umntwana wakho kufuneka aphephe abantu abagulayo. Kuya kuba lula ukuba umntwana wakho wosulelwe ngeli xesha.

Emva kotyando, inani losulelo lomqala lihlala lisezantsi, kodwa umntwana wakho usenokufumana okunye.

Ukususwa kweetoni; Tonsils - tonsillectomy; Pharyngitis - tonsillectomy; Umqala obuhlungu - tonsillectomy

• Iitoni kunye nokususwa kwe-adenoid-ukubhobhoza
• Ukususwa kweetoni - ukubuza ugqirha wakho

• Umqala womzimba
• Tonsillectomy - uthotho

IGoldstein NA. Uvavanyo kunye nolawulo lwe-apnea yokulala kwabantwana. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 184.

UMitchell RB, uArcher SM, uIshman SL, et al. Isikhokelo sokuziqhelanisa neKlinikhi: Iitoni zokukhetha abantwana (Uhlaziyo). Intloko ye-Otolaryngol Surg. Ngo-2019; 160 (2): 187-205. www.ncbi.nlm.nih.gov/pubmed/30921525 PMID: 30921525.

Uxelelwe i-TN. Iitonsillectomy kunye neadenoidectomy. Ku: Fowler GC, ii-eds. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 66.

IWetmore RF. Iitoni kunye neeadenoids. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl. 411.