Utyando lwe-Turbinate

Iindonga zangaphakathi zempumlo zinezibini ezi-3 zamathambo amade amade agqunywe ngumaleko wethishu onokwanda. La mathambo abizwa ngokuba ziimpumlo ngeempumlo.

Iziphazamisi okanye ezinye iingxaki zempumlo zinokubangela ukuba iiturbinates zidumbe kwaye zivimbe ukuhamba komoya. Utyando lunokwenziwa ukulungisa iindlela ezivalekileyo zomoya kunye nokuphucula indlela ophefumla ngayo.

Kukho iintlobo ezininzi zotyando lweturbine:

I-Turbinectomy:

• Zonke okanye inxenye yeli turbine esezantsi ithathwa. Oku kunokwenziwa ngeendlela ezahlukeneyo, kodwa ngamanye amaxesha isixhobo esincinci, esinejubane eliphezulu (i-microdebrider) sisetyenziselwa ukucheba izicwili ezongezelelweyo.
• Olu tyando lunokwenziwa ngekhamera ekhanyisiweyo (endoscope) ebekwe empumlweni.
• Unokuba ne-anesthesia ngokubanzi okanye i-anesthesia yendawo kunye ne-sedation, ngoko ulele kwaye ungenabuhlungu ngexesha lotyando.

Turbinoplasty:

• Isixhobo sibekwe empumlweni ukutshintsha indawo ye-turbinate. Oku kubizwa ngokuba sisixhobo sokuthenga.
• Olunye ulusu lunokuchetywa.
• Unokuba ne-anesthesia ngokubanzi okanye i-anesthesia yendawo kunye ne-sedation, ngoko ulele kwaye ungenabuhlungu ngexesha lotyando.

Radiofrequency okanye laser ablation:

• Impumlo ebhityileyo ibekwe empumlweni. Ukukhanya kwe-Laser okanye amandla e-radiofrequency ahamba ngale ityhubhu kwaye anciphise izicwili zomoya.
• Inkqubo inokwenziwa kwiofisi yomboneleli wezempilo usebenzisa i-anesthesia yendawo.

Umboneleli wakho unokucebisa ngale nkqubo ukuba:

• Unengxaki yokuphefumla nangona impumlo yakho ngenxa yokuba iindlela zomoya zidumbile okanye zivaliwe.
• Olunye unyango, njengamayeza e-allergies, i-allergies shots, kunye neempumlo zeempumlo azikuncedisi ukuphefumla kwakho.

Iingozi zalo naluphi na utyando zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Iingxaki zentliziyo
• Ukopha
• Usulelo

Iingozi zolu tyando zezi:

• Izicubu ezinqabileyo okanye ukukrala kwempumlo
• Umngxunya kwinyama eyahlula amacala empumlo (septum)
• Ukuphulukana nemvakalelo kulusu lwempumlo
• Guqula ngengqondo yevumba
• Ulwakhiwo lwamanzi empumlweni
• Ukubuya kokuvaleka kwempumlo emva kotyando

Soloko uxelela umboneleli wakho:

• Ukuba ukhulelwe okanye unokukhulelwa
• Zeziphi iziyobisi ozithathayo, kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo
• Ukuba uneziyobisi ezingaphezulu kwe-1 okanye ezi-2 ngosuku

Ngexesha leentsuku ngaphambi kokuhlinzwa kwakho:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin), kunye nawaphi na amanye amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.

Ngomhla wotyando lwakho:

• Uya kucelwa ukuba ungaseli okanye utye nantoni na emva kobusuku ezinzulwini zobusuku ngaphambi kotyando lwakho.
• Thatha amayeza oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Umboneleli wakho uya kukuxelela ukuba ufike nini esibhedlele.

Abantu abaninzi banoncedo olufutshane lwexesha elifutshane kwi-radioablation. Iimpawu zokuvaleka ngeempumlo zinokubuya, kodwa abantu abaninzi basaphefumla bhetele kwiminyaka emi-2 emva kwenkqubo.

Phantse bonke abantu abane-turbinoplasty nge-microdebrider basaya kuphucula ukuphefumla kwiminyaka emi-3 emva kotyando. Abanye akusafuneki ukuba basebenzise amayeza empumlo kwakhona.

Uya kugoduka kwangolo suku lunye lotyando.

Uya kuba nokungonwabi kunye nentlungu ebusweni bakho kangangeentsuku ezi-2 okanye ezi-3. Impumlo yakho iya kuziva ivaliwe de ukudumba kwehle.

Umongikazi uya kukubonisa ukuba uyikhathalela njani impumlo yakho ngexesha lokuchacha kwakho.

Uyakwazi ukubuyela emsebenzini okanye esikolweni kwiveki e-1. Unokubuyela kwimisebenzi yakho yesiqhelo emva kweveki e-1.

Kungathatha iinyanga ezi-2 ukuphilisa ngokupheleleyo.

Turbinectomy; Turbinoplasty; Ukunciphisa i-Turbinate; Utyando lwempumlo yempumlo; Ukuthintelwa kwempumlo-utyando lwe-turbinate

ICorren J, i-Baroody FM, iPawankar R. Allergic kunye ne-nonallergic rhinitis. Ku: Adkinson NF, Bochner BS, Burks AW, et al, ii-eds. I-Middleton's Allergy: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 42.

UJoe SA, uLiu JZ. Ukuthimliswa yi-nononallergic. 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: isahl 43.

U-Otto BA, uBarnes C.Utyando lweturbine. Ku: Myers EN, Snyderman CH, ii-eds. Umsebenzi weNtloko yeOtolaryngology kunye nokuhlinzwa kotyando. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; Ngo-2018: isahluko 97.

URamakrishnan JB. I-Septoplasty kunye nokuhlinzwa. Ku: Scholes MA, Ramakrishnan VR, ii-eds. Iimfihlo ze-ENT. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 27.