Turbinectomy: yintoni, kwenziwa njani kwaye ifunyenwe njani

Umxholo

• Kwenziwa njani
• I-Turbinectomy x Turbinoplasty
• Ukufumana kwakhona emva kweTurbinectomy

I-turbinectomy yinkqubo yoqhaqho eyenziwayo ukusombulula ubunzima bokuphefumla kubantu abane-nasal turbinate hypertrophy engaphuculiyo kunyango oluqhelekileyo oluboniswe yi-otorhinolaryngologist. Iimpumlo ezijikelezayo, ezikwabizwa ngokuba yi-nasal conchae, zizakhiwo ezikumngxunya wempumlo ezijolise ekwenzeni indawo yokujikeleza komoya kwaye, ngenxa yoko, zihluza kwaye zifudumeze umoya ophefumlelweyo.

Nangona kunjalo, kwezinye iimeko, ubukhulu becala ngenxa yomothuko kule ngingqi, usulelo oluphindaphindiweyo okanye i-rhinitis engapheliyo kunye ne-sinusitis, kunokwenzeka ukuba uqaphele ukwanda kwe-turbinates zempumlo, okwenza kube nzima ukuba umoya ungene kwaye udlule, oko ke kwenza ukuphefumla kube nzima ngakumbi. Ke ngoko, ugqirha unokubonisa ukusebenza kwe-turbinectomy, enokuhlelwa ngokweendidi ezimbini eziphambili:

• Iyonke iturbinectomy, apho lonke ulusu lwee-turbinates zempumlo lususwe, oko kukuthi, amathambo kunye ne-mucosa;
• Inxalenye yeturbinectomy, apho ulwakhiwo lwempumlo yeempumlo lususwe khona.

I-turbinectomy kufuneka yenziwe esibhedlele, ngugqirha wotyando ebusweni, kwaye kukuhlinzwa ngokukhawuleza, kwaye umntu angaya ekhaya kwangolo suku lunye.

Kwenziwa njani

I-Turbinectomy yinkqubo elula, enobungozi obunokuthi yenziwe phantsi kwe-anesthesia ngokubanzi nakwingingqi. Inkqubo ihlala i-avareji yemizuzu engama-30 kwaye yenziwa ngoncedo lokujonga ubume bangaphakathi bempumlo nge-endoscope.

Emva kokuchonga iqondo lehypertrophy, ugqirha unokukhetha ukususa konke okanye nje inxenye yeeturbinates zempumlo, ethathela ingqalelo okwangoku umngcipheko wehypertrophy entsha kunye nembali yesigulana.

Nangona i-turbinectomy iqinisekisa isiphumo esihlala ixesha elide, yinkqubo ehlaselayo ethatha ixesha elide ukuphilisa, kunye nomngcipheko wokubumba oonobumba, ekufuneka basuswe ngugqirha, kunye neempumlo ezincinane zeempumlo.

I-Turbinectomy x Turbinoplasty

Njenge-turbinectomy, i-turbinoplasty ikwangqinelana nenkqubo yotyando yee-turbinates zempumlo. Nangona kunjalo, kolu hlobo lwenkqubo, ikhonkco lempumlo alisuswanga, zihamba nje ukuze umoya ujikeleze kwaye udlule ngaphandle kwesithintelo.

Kuphela kwezinye iimeko, xa ukutshintsha nje indawo yee-turbinates zempumlo kungonelisi ukulawula ukuphefumla, kunokuba yimfuneko ukususa isixa esincinci sezicubu zomoya.

Ukufumana kwakhona emva kweTurbinectomy

Njengoko yinkqubo elula kunye nomngcipheko ophantsi, i-turbinectomy ayinazo iingcebiso ezininzi zasemva kokusebenza. Emva kokuphela kwempembelelo ye-anesthesia, isiguli sihlala sikhululwa ekhaya, kwaye kufuneka sihlale siphumle malunga neeyure ezingama-48 ukunqanda ukopha okukhulu.

Kuqhelekile ukuba kubekho ukopha kancinane kwimpumlo okanye emqaleni ngeli xesha, kodwa uninzi lwamaxesha kuyenzeka ngenxa yenkqubo. Nangona kunjalo, ukuba ukopha kunzima okanye kuhlala iintsuku ezininzi, kuyacetyiswa ukuba uye kugqirha.

Kukwacetyiswa ukuba kugcinwe umoya wokuphefumla ucocekile, wenze ukuhlamba ngeempumlo ngokweengcebiso zonyango, kwaye wenze uthethathethwano ngamaxesha athile kunye ne-otorhinolaryngologist ukuze izikhubekiso ezinokubakho zisuswe. Jonga ukuba uhlamba njani ngeempumlo.