Perforation wa m'mphuno septum: zimayambitsa, zizindikiro, mankhwala ndi zotsatira

The perforation wa septum m'mphuno ndi bowo kudutsa mu m'mphuno septum (fupa kapena chichereŵechereŵe gawo) zikuchitika pa maziko izo kuwononga makina kapena njira matenda zikuchitika. A nthawi yaitali kudwala ngati simungathe kuonekera, koma nthawi imeneyi kumachititsa kwa kupuma mavuto kapena matenda.

symptomatology matendawa

A perforation wamng'ono wa septum m'mphuno kumachitika kawirikawiri imperceptible. Nthawi zambiri zizindikiro za matenda ndi monga izi:

• m'mphuno kuchulukana;
• movutikira;
• mapangidwe crusts m'dera perforation;
• purulent kukha amene anatsagana ndi chinthu chosangalatsa fungo (kutuluka ndi kuwonjezeka kuzunguza mitu perforations);
• dryness, soreness, kusapeza;
• phokoso mluzu pamene exhaling ndi wina akapuma mphuno;
• nosebleeds ;
• akunja mphuno mapindikidwe (mwachitsanzo, pamene lalikulu kukula dzenje mphuno mlatho maonekedwe analephera).

Pamene zizindikiro pamwamba mtima wa akulangizidwa kuti yomweyo kulankhula ndi malo chamankhwala diagnostics zofunikila ndi ntchito mwamsanga mankhwala osakaniza.

diagnostics

The perforation wa m'mphuno septum, amene mankhwala ikuchitika mwa zochita opaleshoni, amawapeza pofufuza m'mphuno (rinoskopii) otolaryngologist. ENT chimaika kuona bwino kuti tidziwe chikhalidwe cha matenda alipo structural kuti nthawi zambiri chifukwa cha purulent ndondomeko chifukwa cha matenda ena. Kudutsa mayeso zina ndi mayesero (pa magazi, chindoko, etc.) awerenge.

Perforation wa m'mphuno septum, kufupi ndi mphuno, kaŵirikaŵiri nkhawa wodwalayo chifukwa cha m'dera wa mphuno dryness.

Kuya kwa kutanthauzira zitha anatsimikiza mtima Kupenda mankhwala. Ndikuyembekeza kuti perforation wa m'mphuno septum, ndemanga zimene ziri khalidwe wowopsa adzakhala anachedwa ndi idzapita kwathunthu palokha, ndi tanthauzo. Chifukwa chakuti matendawa anthu amati dzenje kumawonjezera okha, n'kupanga M'mimbamo m'mphuno kuwonjezeka opanda kanthu. Kotero musati kuwononga nthawi wapatali, ndipo mwamsanga kukaonana ndi dokotala oyenerera.

Zimayambitsa perforation mu M'mimbamo m'mphuno

Zimayambitsa m'mphuno septum perforation:

• matenda kuchititsa chiwonongeko cha chichereŵechereŵe (monga chindoko, Staphylococcus aureus, TB);
• purulent zotupa;
• shuga;
• choipa kwa mphuno, kawirikawiri mawotchi kuwonongeka sanalandire chithandizo hematoma;
• maonekedwe a malignancies mu septum ya;
• vasoconstrictor mankhwala kawirikawiri ntchito (utsi kapena m'malovu);
• matenda zokhudza zonse, chifukwa zikuwononga moyo minofu connective (aimpso kulephera, lupus, sarcoidosis, polychondritis, nyamakazi, Ascula);
• kulandira mankhwala chomwa mankhwalawa kutumikiridwa mwa ndime m'mphuno (ntchito aakulu bongo zonse kuchititsa mkwiyo ndipo amachititsa malowedwe a wothandizila opatsirana, amatha kwathunthu kuwononga mkati kapangidwe ka mphuno) ;
• youma atrophic rhinitis;
• zosokonezeka pambuyo opaleshoni m'dera m'mphuno kapena machitidwe wosadziwa katswiri;
• zotsatira zokhalitsa za m'mphuno a poizoni chifukwa cholephera kutsatira ndi chitetezo pa kupanga ndondomeko.

Perforation wa septum m'mphuno: zodzitetezera

Kupewa m'mphuno septum perforation ndi:

• kugwira pachaka podziteteza cheke akuluakulu;
• oyambirira matenda;
• chithandizo yake matenda opatsirana ndi aakulu kupuma;
• kutsatira asatayike mogwirizana kwambiri ndi malangizo;
• ololera yosankha dokotala oyenerera pa rhinoplasty.

M'mphuno septum perforation: Chithandizo

Kunyumba, simungathe kuchitira perforation wa m'mphuno septum. Yekha zolondola njira ndiyotani pakuchotsa zingakhale opaleshoni. Pakali pano, opaleshoni ndi kuchita njira zingapo kuthetsa perforation za m'mphuno, ntchito malingana kudzera-dzenje kukula. njira Tardy ntchito pamene una awiri a masentimita 5 ndi umachitika mwa kutseka khumudwitsidwa nembanemba mucous. perforations Small amayeretsedwa ndi crosslinking m'mbali awo. Kuwukonza zopindika zazikulu pogwiritsa ntchito amadzala yokumba kapena anu.

Machitidwe a m'mphuno septum perforation ikuchitika onse pansi onse ndi makonsolo mankhwala, malinga chikhalidwe thanzi la wodwala ndi zofuna zake za ntchito njira mpumulo ululu. Ichi ndi ngozi opaleshoni sangathe unachitikira; ngati malangizo adokotala zonse m'mphuno ukhondo chiopsezo mavuto yafupika yochepa. The ndalama pafupifupi opaleshoni, malingana ndi zovuta mlanduwo ndi dotolo luso mlingo ranges ku rubles 150 mpaka 500 zikwi.

m'mphuno septum perforation mankhwala si kubwezeretsedwa kwa okhulupirika ake, komanso kuwonongedwa kwa zimayambitsa vutoli, komanso kutsatira malangizo a dokotala kupezeka kwa kupewa mavuto nkotheka kapena kukonzanso yatsoka ndi vuto septal.

Nthawi postoperative

Kuchotsa opaleshoni ya perforation wodwala amakhala ku chipatala (malingana ndi boma lake la zaumoyo) masiku 3-5. Pa tsiku loyamba pambuyo opaleshoni zimawonedwa kusankha wamagazi ntchofu. Swabs ku mphuno ndi kuchotsedwa Patapita tsiku; kuchirikiza wapogawanikira ndi akalowa Kakhungu alipobe kwa nthawi yaitali.

Kukhala ziyangoyango yonyowa ndi mutsogolo suction secretions opangidwa pa masiku 10, wodwala mu m'mphuno chofunika kulowa isotonic saline njira. Kupewa mapangidwe crusts ntchito swabs thonje ayenera afewetsedwa mucous mafuta antibacterial. M'mwezi woyamba pambuyo opaleshoni sangathe kuwomba mphuno yake.

Malangizo

Nthawi konzanso ndi kukwaniritsa malamulo otsatirawa:

• litsatidwe malangizo adokotala amasamalidwa madera unathandizira pa nkhope;
• wofatsa chithandizo kwa mwezi 1 pambuyo opaleshoni, kuchotsa thupi, mawotchi zowonongeka ndi choipa kwa mphuno, komanso yosiyana kutentha;
• popewa ntchito vasoconstrictors;
• kudya pang'ono, si mowa chakumwa, samalani chikuonetseratu chakudya ozizira ndi kutentha kwa masabata 2 pambuyo opaleshoni.

Zotsatira za perforation Popanda kuchitapo kanthu

Ngati sanalandire chithandizo perforation wa m'mphuno septum kumachitika zipolowe za fungo sizingasinthe ndi reflex matenda: laryngeal spasms, wonongeka a dongosolo mtima, kutsokomola ndi sneezing, mutu, matenda diso, khunyu.

Perforation wa m'mphuno septum zotsatira za zomwe amadzachita matenda ngati sanalandire chithandizo anachitira opaleshoni yekha. Self Therapy (opopera, odzola, moisturizing wothandizila) amatha okha yochepa tisaletse vuto.