Imastoidectomy

I-mastoidectomy utyando lokususa iiseli kwindawo ezingenanto, ezizaliswe ngumoya kukhakhayi emva kwendlebe ngaphakathi kwethambo le-mastoid. Ezi seli zibizwa ngokuba ziiseli zomoya zemastoid.

Olu tyando lwaluyindlela eqhelekileyo yokunyanga usulelo kwiiseli zomoya zemastoid. Kwiimeko ezininzi, imeko ibangelwe kukusulelwa yindlebe okusasazeka kwithambo lokakayi.

Uya kufumana i-anesthesia ngokubanzi, ke uya kulala kwaye ungabinazintlungu. Ugqirha uya kusika emva kwendlebe. I-drill yethambo iya kusetyenziselwa ukufikelela kumngxunya wendlebe ophakathi osemva kwethambo le-mastoid kukhakhayi. Iindawo ezinesifo sethambo le-mastoid okanye izicubu zeendlebe ziya kususwa kwaye ukusikwa kuthungwe kwaye kugqunywe ngebhandeji. Ugqirha unokubeka idreyini emva kwendlebe ukuthintela ulwelo ekuqokeleleni macala onke okusikwa. Umsebenzi uza kuthatha iiyure ezi-2 ukuya kwezi-3.

I-Mastoidectomy ingasetyenziselwa ukunyanga:

• Cholesteatoma
• Iingxaki zosulelo lwendlebe (otitis media)
• Usulelo lwethambo le-mastoid elingangabi ngcono ngamayeza okubulala iintsholongwane
• Ukubeka i-cochlear implant

Iingozi zinokubandakanya:

• Utshintsho kwincasa
• Ukuba nesiyezi
• Ukuphulukana nokuva
• Usulelo oluyaqhubeka okanye luhlala lubuya
• Imisindo endlebeni (tinnitus)
• Ubuthathaka bobuso
• Ukuvuza kwamanzi kwiCerebrospinal

Kuya kufuneka uyeke ukuthatha nawaphi na amayeza enza ukuba kube nzima kwigazi lakho ukubambeka kwiiveki ezi-2 ngaphambi kotyando lwakho, kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), kunye nezinye izongezo zemifuno. Umboneleli wakho wezempilo unokukucela ukuba ungatyi okanye usele emva kobusuku ezinzulwini zobusuku ngaphambi kwenkqubo.

Uya kuba nezitishi emva kwendlebe yakho kwaye kunokubakho idreyini encinci yerabha. Unokuba nesinxibo esikhulu ngaphezulu kwendlebe esebenzayo. Ukunxiba kususwa kusuku olulandelayo emva kotyando. Kuya kufuneka uhlale esibhedlele ubusuku bonke. Umboneleli wakho uya kukunika amayeza entlungu kunye namayeza okuthintela usulelo.

IMastoidectomy isusa ngempumelelo usulelo kwithambo le-mastoid kuninzi lwabantu.

Imastoidectomy elula; Cano-udonga-phezulu mastoidectomy; I-canal-wall-down-mastoidectomy; Imastoidectomy egqibeleleyo; Ilungiswe ngokugqibeleleyo imastoidectomy; Ukupheliswa kweMastoid; Phinda wenze i-mastoidectomy; IMastoiditis - imastoidectomy; Icholesteatoma - imastoidectomy; Imithombo yeendaba ze-Otitis-mastoidectomy

• Mastoidectomy - uthotho

IChole RA, uSharon JD. Imithombo yeendaba ye-otitis engapheliyo, imastoiditis, kunye ne-petrositis. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 140.

IMacDonald CB, uWood JW. Utyando lweMastoid. Ku: Myers EN, Snyderman CH, ii-eds. Umsebenzi we-Otolaryngology-iNtloko kunye neNtloko yotyando. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier Saunders; I-2018: isahluko 134.

UStevens SM, uLambert PR. IMastoidectomy: ubuchule botyando. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 143.