Opaleshoni: tympanoplasty. Reviews pambuyo opaleshoni

Kumva mavuto angayambe zifukwa zosiyanasiyana, ndi zina za matendawa ndi kuchepetsedwa ndi kuwonongeka kwa ntchito pakati khutu. Kuibwezeretsa, ntchito tympanoplasty - opareshoni, imene ankamangidwanso yokha mwachindunji likalowa m'makutu. mawonekedwe chithandizo wasonyeza kambirimbiri kuti azigwira.

Akamanena za vuto

Pankhani mawonekedwe opaleshoni, tympanoplasty ngati (ntchito khutu pakati) amatanthauza njira yeniyeni ya chithandizo cha matenda suppurative TV otitis mu likalowa m'makutu a. Tikumbukenso kuti amadza izi ndi zovuta ali ndi chidwi regenerative tingati kulola kumanganso khutu pakati.

N'chinthu chanzeru kulabadira chakuti aakulu otitis amapezeka nthawi zambiri. Zimadzetsa mapangidwe mabowo likalowa m'makutu a wotchedwa perforation. Pachifukwa ichi, imatheka malowedwe a tizilombo toyambitsa matenda mu M'mimbamo tympanic, womwe kumabweretsa amasulidwe mafinya kuti akhoza kusokoneza chaka kuposa wina.

Tympanoplasty - opareshoni, popanda imene kugonjetsa suppurative TV otitis kudzakhala kovuta kwambiri. Komanso, mtundu uwu matenda patsogolo kungachititse pakutchulidwa wa abscess ndi thrombosis oziziritsa, ndi zina - ndi meninjaitisi.

Zikuonetsa kuti Khwelero

Pali zingapo mavuto phukusi opaleshoni m'pofunika tatchulazi. Mfundo yofunika ndi zotsatirazi matenda:

- mapangidwe m'mphepete kapena perforation chapakati cha Kakhungu tympanic, amene amachititsa kusamuka kwa ossicular ya;

- tizilombo ting'onoting'ono kuti kukhala khutu pakati;

- timpanoskleroz;

- perforation wa likalowa m'makutu a, si limodzi ndi kutukusira;

- fibrosis wa khutu pakati.

N'zoonekeratu kuti pali zifukwa zambiri opaleshoni akhoza kukhala zogwirizana.

contraindications

Nkofunika kuzindikira kuti pali milandu kumene opaleshoni khutu (tympanoplasty) sangathe kupereka chikoka ankafuna. Apa diagnoses amene ntchito njira zofanana ali osavomerezeka:

- exacerbation la matenda aakulu;

- zomatira otitis TV;

- ugonthi wathunthu

- aakulu ambiri mkhalidwe wa mtima;

- sepsis ndi mavuto septic.

Dehumidifying ntchito khutu pakati ndi tympanoplasty contraindicated mu choncho kumene atathana kulimbikira siudzalandilidwa ngathi lamulo la patency la chubu Makutu. gulu zimenezi ndi monga malformations kobadwa nako, komanso zipsera ndi adhesions, chifukwa kutupa.

Contra, ndi khalidwe wachibale

Pankhaniyi tikulankhula za matenda omwe zomwe opaleshoni ndi osafunika, koma n'zotheka. Pankhaniyi, chosankha chomaliza dokotala, zimene zimachitikadi ndi boma la wodwalayo. Choncho contraindications:

- pachimake kutupa khutu pakati;

- matenda awo sagwirizana-mtundu mu gawo pachimake;

- mavuto ndi kapepala chapamwamba kupuma;

- epidermizatsii ndondomeko.

Only kutenga nkhani contraindications onse tafotokozazi angaperekedwe mtundu uwu wa mankhwala tympanoplasty. Reviews pambuyo opaleshoni ndi chizindikiro chofunika cha khalidwe la mankhwala, chotero ife nthawizonse chidwi maganizo a odwala za chipatala chinachake. Zimenezi zingakuthandizeni maonekedwe.

M'pofunikanso kukumbukira kuti dokotala ayenera kuchita kafukufuku wa khutu ena ndi kupanga zolosera za chiopsezo uwonongedwe. Pambuyo pa chisankho adzakhala okhudza ntchito mu likalowa m'makutu chachiwiri.

Tiyeneranso ikuchitika kufufuza zonse za chikhalidwe ambiri: koaguloramma, amuzolengedwa ndipo ambiri kusanthula magazi ndi mkodzo, komanso magazi kuti chindoko, HIV, matenda a chiwindi B ndi C. The pulogalamu kafukufuku kumaphatikizapo electrocardiogram.

The ndondomeko ya pokonzekera opaleshoni

Pasanadutse alowererepo mwamsanga kubala mankhwala ndiwofatsa, zomwe cholinga kukonzekera khutu tympanoplasty. Mu gawo pakati M'mimbamo kumene likalowa m'makutu ndi inputted njira zosiyanasiyana zimene cholinga chake kutsatira odana ndi yotupa, vasoconstrictor ndi zotsatira odana ndi bakiteriya. Onsewo ali osiyanasiyana zochita.

njira zimenezi ndi zofunika kwambiri chifukwa n'zotheka kuti kuyeretsa malo opareshoni ku matenda. Ndi kuyamika njirayi, izo zimakhala zotheka kuti akalandire tympanoplasty. Reviews pambuyo opareshoni, motero, kudzakhala makamaka zabwino, monga akonzere (kuyeretsa) poyamba kutsekereza zotsatira pa matenda pakati khutu, ndipo kenako olimbitsa mofulumira mabala pa opaleshoni.

Komanso muyeso umenewu umatipatsa bwino patency la chubu Makutu, amene amakhudza mwachindunji pa khalidwe la zotsatira opaleshoni.

Ngati wodwala azipereka matenda aakulu, muyenera kukaonana ndi mbiri dokotala. masiku 7 pamaso opaleshoni kuchitidwe, tiyenera akana kuvomereza ndalama ntchito kupatulira magazi. Ndi funso la sanali steroidal mankhwala odana ndi yotupa ( "Paracetamol", "Aspirin") ndi "Warfarin".

zotsatira

Pali njira zosiyanasiyana zimene zingathe kupeza kusintha kwambiri chikhalidwe cha khutu pakati pambuyo opaleshoni. Tympanoplasty pachifukwa ichi angathe kuchitidwa mu njira zosiyanasiyana. N'chinthu chanzeru kusiyanitsa mbali zitatu izi:

- Kusangalala ntchito ossikuloplastiki. N'zoona kuti odwala amene chifukwa chaukali yotupa ndondomeko ossicles Makutu kuonongeka ndi konzanso awo n'chotheka mothandizidwa yopanga. Pankhaniyi, ntchito zipangizo monga titaniyamu, simenti ndi pulasitiki.

- Mfundo yaikulu ya mtundu wachiwiri kutseka yafupika ndi likalowa m'makutu a zimakhala nokha khutu pakati. Ambiri ndi osachepera zovuta ndi wotero tympanoplasty. Reviews pambuyo opaleshoni ya mtundu umenewu ndi nthawi zambiri zabwino.

- myringoplasty popanda yopanga. Amagwiritsidwa ntchito pofuna kuchiza odwala ossicles zowonongeka Makutu, koma kupeza mano otere si ntchito. Kubwezeretsa zokwanira mbadwa fupa.

Nthawi zina madokotala anakumana ndi vuto, monga maphatikizidwe wa pamalo awiri a makutu pakati, ndilo chifukwa Vuto TV otitis. Pankhaniyi, kubwezeretsa tympanum ntchito ngati grafts ndipo likalowa m'makutu yokha, yeniyeni, zatsalira ake.

nthawi konzanso

Kugwiritsa ntchito njira yotero ya mankhwala tympanoplasty, mayankho zinali zosangalatsa pambuyo opaleshoni, m'pofunika kukonza khalidwe wodwala kuchira.

Choyamba, icho chikukhala kwa masiku 1-3 m'chipatala. Konzanso zimaphatikizapo kugwiritsa ntchito mankhwala pankhondo yoyamba sabata postoperative. Pamodzi ndi zonsezi, konzanso, mwamsanga khalidwe tsiku ndi tsiku magazi m'thupi. Izi zikutanthauza oyamba mu Makutu chubu pharyngeal pakamwa vasoconstrictors.

Popeza kutulutsidwa kwa ngalande Makutu a tampons pang'onopang'ono, poyamba, wodwala ayenera kukhala momaliziratu mayeso kudza.

Kotero kuti pambuyo pa zophukiranso ntchito kumbuyo mwamsanga, muyenera kupatula kuyetsemula, kuwomba mphuno yanu ndi kuteteza khutu malowedwe madzi. Za njira bwino chitetezo chinyezi tikadwala shawa ndi bwino kukaonana ndi dokotala. Kuyambira kunyamula zinthu zolemera naonso adzasiyidwa. Ndipotu, muyenera kuthetsa katundu aliyense zomwe zingachititse mavuto aakulu m'dera la khutu pakati.

zosokonezeka zotheka

Ngati tikambirana mbali zonse za opaleshoni, ndi Dziwani kuti pali ena ngozi pa ndondomeko monga tympanoplasty. Zovuta opaleshoni akhoza kukhala chosiyana: kuwonongeka kwa yokhotakhota, M'mimbamo tympanic, mitsempha nkhope ngakhale meninges zovuta. Last, ndi njira, nthawi zina amakhala chifukwa cha magazi kuchokera mu mtsempha jugular kapena otolikvorei.

Komanso kulabadira chiopsezo aseptic kutupa khutu ku nthawi postoperative. Matenda kawirikawiri limodzi ndi kumaliseche, kutupa ndi ululu.

Nthawi zina zingaoneke pambuyo ntchito tympanoplasty gnoetichenie khutu. Reviews kuthandiza chakuti vutoli chikuchitika. Pachifukwa ichi, ndi zofunika n'kupuma mode pa kuchira, monga madokotala adzatha kupereka akatswiri thandizo yake ngati mavuto zotheka.

Zovuta za chikhalidwe ambiri akhoza mulinso mutu yaitali (zotsatira za fistula wa yokhotakhota), mkhutu bwino ndi chizungulire.

Kodi kumuika nkhani

Amene zapita ntchito ndi ntchito prosthesis, m'pofunika ndendende kutsatira malangizo a madotolo, monga mu nkhani ya kutupa khutu pakati angathe kuyamba kupanga kukana.

kutupa mfundo adzamva bwanji liwiro kuchira. Pambuyo ntchito tympanoplasty ndi prosthesis pali chiopsezo cha kusamuka kwa otsiriza, komanso necrosis kapena manja. Choncho, ngati inu munali malo apulasitiki chiyenera kutetezedwa bwinobwino.

kumva imfa

Zimatanthauza gulu chiwonetsero cha mavuto mu opareshoni khutu lakumva imfa, yomwe imakhala mlingo wa ugonthi zonse. vuto Izi zimapangitsa lokha anamva bwanji pambuyo zovuta kapena osakhala kwakukulu tympanoplasty. Kulakwila amaonera phokoso ndi zina chifukwa cha labyrinthitis zotakasika, amene angathe kupita popanda mankhwala. Ngati izi sizichitika, ndiye mankhwala woyenera moyang'aniridwa ndi achipatala chingatithandize n'chongoletsa vuto.

Choncho tiyenera kumvetsetsa kuti kumva kuwonongeka, chifukwa umene unali kukhotakhota, chikhalidwe cha kanthawi mankhwala.

Koma uthenga wabwino ndi mavuto awa kokha mu 3% odwala amene opaleshoni chitachitidwa. ndemanga tympanoplasty ali ambiri bwino, sayenera kuopa njira imeneyi.

Yochepa ziwalo

Ichi ndi Vuto lina omwe angagwe pambuyo opaleshoni khutu pakati. Uthenga wabwino ndi chikhalidwe cha vutoli lidzatha. Kuyambitsa yochepa ziwalo ndi postoperative kutupa kwa mitsempha nkhope.

Nthawi zina, mitsempha akhoza kuonongeka chifukwa intraoperative kuwoloka. Monga miyeso kukonza ntchito pulasitiki. Tikuyankhula zokhudza posoka saphenous mitsempha ya khosi. Mu chimake zina, mitsempha nkhope ligated ndi sublingual. Ndi mphambano zoterezi pa opaleshoni, ngakhale pambuyo pulasitiki ndi chiopsezo kuteteza yotsalira kufooka kwa minofu nkhope.

Reviews

Ngati inu tione ndemanga ya anthu amene anaganiza kumanganso khutu pakati, Ndizachidziwikire kuti njira ya mankhwala othandiza kwambiri.

Ambiri mwa Council adzakhala kusankha zinthu zoterozo mu TV aakulu otitis, chifukwa pa iwowa akayanjana pokhapokha ntchito "tympanoplasty". Pamene kuchira kwathunthu, sitingathe motsimikiza chifukwa cha mavuto zotheka ndi makhalidwe a chamoyo za wodwala aliyense payekha.

Koma ngati tiyenda pachimene ndi zaka, ndiye khutu, akubwera kubwerera mwakale pambuyo pa mwezi umodzi kuchokera tsiku la ntchito.

zotsatira

Matenda otitis TV - ndi matenda, ndipo ngati inu kuti muthamange, kuwonongeka kwa khutu pakati kungakhale kwambiri. Tympanoplasty Zikatero, limakupatsani kwathunthu n'chongoletsa vuto ndi kubwezeretsa likalowa m'makutu. Komanso, ntchito yokha amatenga pafupi ora. Choncho, palibe chifukwa kunyalanyaza zimenezi.