Vasotomy wa conchae wamphongo - ndi chiyani? Vasotomy ya nasal concha: zisonyezo za opaleshoni, kufotokozera njira ndi mphamvu

Rhinitis ndi chizindikiro chodetsa nkhaŵa munthu aliyense pafupifupi 1-2 pa chaka. Ngakhale kuti kutuluka kwa m'magazi sikuwoneka ngati vuto lalikulu poyang'ana, anthu ambiri sagwirizana nazo. Ndipotu nthawi zina rhinitis ikhoza kusokoneza munthuyo nthawi zonse. Sikuti zimangowonongetsa zokhazokha, komanso zimalepheretsa kuti moyo ukhale wabwino (zimapuma kupuma, kugona). Pachifukwa ichi, mankhwala ochiritsira (vasoconstrictors) samabweretsa zofuna kapena kuthandizira kanthawi kochepa. Ndiye madokotala amapereka mankhwala opaleshoni. Izi zikutanthauzidwa kuti vasotomy ya conal yamphongo. Ndi chiyani? Iyi ndi njira yomwe imathandizira kuchotsa matenda oopsa a matendawa ndi matenda ena.

Vasotomy wa conchae wamphongo - ndi chiyani?

Kulimbana ndi chimfine kumakhala kwa zaka zambiri. Monga mukudziwa, mankhwala ena osokoneza bongo amasiyana chifukwa amamwa mankhwala osokoneza bongo. Choncho, akachotsedwa, kuzizira kumayambiranso. Matenda a rhinitis ndi vuto lalikulu, chifukwa matendawa ndi ovuta kuchiza ndi mankhwala. Makamaka pamene zimayambitsa kusungunuka kwa ntchentche ndi chifukwa cha zomwe zimachitika kapena zochita za moyo (ntchito ndi fumbi, zizindikiro zamagetsi). Muzochitika zotere, njira yabwino kwambiri yotulukira kunja ndiyo vasotomy ya conal nasal. Kodi ichi ndi njira yothandiza bwanji? Mafunso ofanana ndi ofunika pafupifupi pafupifupi wodwala aliyense amene akulimbikitsidwa njira imeneyi. Kuti mumvetse zomwe zimachitika pakupaleshoni, munthu ayenera kuphunzira za kusintha komwe kumachitika mu mphuno mu matenda aakulu.

Mofanana ndi njira iliyonse yotupa, ululu wa mucous umakhala wambiri chifukwa cha edema. Zimenezi zimabweretsa kuchulukitsidwa kwa kupanga mankhwala. Pazifukwa izi, mpweya sungakhoze kudutsa ndime zamkati. Chifukwa cha mphuno yautali yaitali, hypoxia ya ubongo imapezeka. Pofuna kupeŵa mavuto oopsa, vasotomy ya conal yamphongo ikulimbikitsidwa. Ndi chiyani? Mwa vasotomy amatanthawuza kusakanikirana kwa matenda omwe akhala akudwala kutupa kwanthawi yaitali. Chifukwa cha ndondomekoyi, magazi operewera mu nthano ndi ofooka, makulidwe ake akucheperachepera ndipo kulowera kwa mpweya kumawoneka bwino.

Zizindikiro za opaleshoni ya nasal concha

Kugwiritsira ntchito (vasotomy ya inferior nasal concha) kumangosonyezedwa ngati mankhwalawa sagwira ntchito. Kuwonjezera pa matenda a rhinitis, opaleshoni yothandizira amachitidwa mthupi lina. Zotsatira zotsatirazi za ntchitoyi ndizosiyana:

1. Kusokoneza bongo kwa mchere wamphongo. Matendawa angakhale chifukwa cha chimfine chokha, komanso kuti azidziimira okhaokha. Kawirikawiri, matenda opatsirana amayamba pakapita msinkhu.
2. Vasomotor rhinitis. Matendawa amayamba chifukwa cha magazi ochulukirapo m'mimba mwachitsulo komanso chifukwa cha zomwe zimayambitsa matenda.
3. Kuledzera kwa vasoconstrictor. Kugwiritsidwa ntchito kwa nthawi yaitali kwa madontho kuchokera ku chimfine kumapangitsa kuti munthu asakane. Kuletsedwa kwa mankhwala kumangowonjezera kuwonjezereka kwa mtundu wa edema ndi mavu.
4. Zomwe zimagwira ntchito pamphuno.
5. Hyperplasia ya epithelium.
6. Kuwombera kwa nsumphu yamphongo, yomwe imatsogolera ku kuphwanya kufanana kwa ndimeyi.

Pazochitikazi, mankhwala sangabweretse zotsatira. The submucosal vasotomy ya inferior nasal concha ndiyo njira yokha yochotsera chimfine. Kusakanikirana kwa makoswe kungatheke kumbali imodzi ndi zonse.

Zotsutsana ndi vasotomy ya nasal concha

Ngakhale kuti opaleshoni sichikuwoneka ngati yovuta ndipo ingathe kuchitidwa mwamsanga, palibe odwala onse. Pali milandu pamene submucosal vasotomy ya nasal concha imaletsedwa. Choncho musanasankhe njira yofanana, muyenera kufunsa otolaryngologist. Pali zotsutsana zambiri zomwe zimayambitsa vasotomi. Zina mwa izo:

1. Mimba ndi nthawi yoyamwitsa. Popeza kuti opaleshoniyo sagwiritsidwe ntchito pangozi opaleshoni, ndibwino kuti ichedwetsedwe mpaka nthawi yobereka kapena kuchotsedwa kwa lactation.
2. Matenda opatsirana kwambiri.
3. Kukula kwa matenda opatsirana kumtunda. Pamaso pa kutukumula (sinusitis, laryngitis), mimba yamkati imatha kutenga kachilomboka panthawi ya opaleshoniyo komanso pambuyo pake.
4. Matenda a magazi, kuphatikizapo kusowa kwa mapuloleteni kapena zinthu zowonjezera. Pazochitikazi, vasotomy imatsutsana potsata chiopsezo choopsa.
5. Matenda a m'maganizo.

Kukonzekera kuchitidwa opaleshoni

The submucosal vasotomy ya inferior nasal concha imachitidwa pokhapokha ngati adokotala amatha kutsutsa zotsutsana zonse. Pachifukwa ichi nkofunika kuti ayambe kufufuza. Katswiri wa otolaryngologist amadziwika ngati OAK, coagulogram. Ndikofunika kumvetsera mlingo wa mapaleletti komanso nthawi ya magazi. Komanso nkofunika kuchotsa matenda opatsirana. Kwa ichi, mbiri yakale imapangidwa. Dokotala amadziwa ngati wodwalayo wapezeka ndi anthu omwe ali ndi matenda opatsirana. Pofuna kutaya kutupa kwa tsamba la kupuma, chidwi chimatengera mlingo wa leukocyte m'magazi, kuyang'ana kumbuyo kwa khoma la nasopharynx, maselo am'mimba. Njira yeniyeni yofufuzira ndi rhinoscopy. Ndikofunikira kuti muyese kufufuza minofu yamphongo, chikhalidwe chawo. Ndondomekoyi imachitidwa mofulumira panthawi yopuma.

Chinthu cha vasotomy cha nasal concha

Kawirikawiri, opaleshoniyi imagwiritsidwa ntchito m'magulu awiri a m'munsi. Panthawiyi, wodwalayo akukhala pa mpando. Kutalika kwa ntchitoyi ndi pafupi mphindi 15-30. Asanapitirize kupita ku vasotomy, ndime zamphongo zimatsutsana. Pali mitundu yambiri ya opaleshoni imeneyi. Zina mwa izo:

1. Njira yamagetsi. Zimapangidwa ndi scalpel. Mphunguyi imakhala yosakanikirana, ndipo ziwiya zimagwedeza ("kusindikizidwa").
2. Laser vasotomy ya conal nasal ndi njira yopanda magazi komanso yopweteka yopaleshoni. Pakali pano ndi njira yofala kwambiri.
3. Kuwombera - cauterization wa mucous nembanemba ndi madzi nayitrogeni.
4. Chotsani resection. Zimaphatikizidwa mwa kuika chubu yapadera mu submucosal wosanjikizana ndikupanga kupanikizika koipa. Minofu yambiri imakhudza, zomwe zimachititsa kuti epithelium ikhale yophweka.

Nthawi zina vasotomy imaphatikizidwa ndi opaleshoni ya pulasitiki yopanga mpweya. Nthaŵi zina, concotomy imasonyezedwa - kuchotsedwa kwa minofu yokhayokha, komanso mapuloteni.

Kodi nthawi yopitiliza ntchito yatha bwanji?

Pambuyo pa vasotomy, sikofunikira kupanga phokoso la nsana, popeza ziwiyazi zimagwira ntchito panthawiyi. Choncho, chiopsezo chokhala ndi magazi ndi chochepa. Komabe, mphindi zingapo pambuyo pa opaleshoni, rhinoscopy imachitidwa. Machiritso amatha pafupifupi sabata imodzi. Kuti tifulumizitse kusinthika, tikulimbikitsanso kugwiritsa ntchito inhalation m'masalimo. Nthawi yoyamba simungathe kusamba ndi kusambira, chifukwa izi zingathandize kuti magazi azikula.

Zingakhale zovuta

Nthaŵi zambiri, opaleshoniyo si yoopsa. Komabe, kukula kwa mavuto monga mucosal matenda kapena kutuluka kwa magazi n'kotheka. Ngati mitsuko yambiri imachotsedwa, magazi amatha kuwonongeka. Izi ndizoopsa ndi chitukuko cha atrophy ndi necrosis.

Vasotomy ya conal nasal: ndemanga za odwala ndi madokotala

Ndi ntchito yoyenerera bwino, chiopsezo cha mavuto ndi chochepa. Choncho, ndi matenda oopsa a hythetitis ndi epistlium, vasotomy a otsika m'mimba amathandizidwa. Malingaliro ochokera kwa odwala amene anachitidwa opaleshoni ali abwino. Amawona kusintha kwa mkhalidwe komanso kusowa kwa chimfine chomwe chimapangitsa kupuma. Otolaryngologists nthawi zambiri amalangiza njira iyi ngati njira yothandizira matenda oopsa.