I-Myringotomy Surgery ye-Tub Tub

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I-Myringotomy Surgery ichazwe

I-myringotomy, noma ukuhlinzwa okwenza umgodi ngenduku yezindlebe, ukuhlinzwa okuvamile. Ngokujwayelekile kubhanjiswa nokufakwa komshini we-typanostomy, ithubhu elincanyana elifakwa emgodini osanda kudalulwa endlebeni yezindlebe, okuvumela ukuthi izinto ezithathelwanayo ziguqulwe kusukela endlebeni ephakathi. Inqubo yenziwa yi- otolaryngologist , eyaziwa nangokuthi indlebe, udokotela wempumu nomlomo.

Ukuhlinzwa kungenziwa ezindlebeni zombili uma kunesidingo, noma eyodwa kuphela uma inkinga yendlebe ephakathi ikhona kuphela ohlangothini olulodwa. Inqubo ivame ukuqhutshwa njalo ezinganeni, ngokuvamile ngaphansi kweminyaka emihlanu ubudala, kodwa futhi ingenziwa nakwabantwana abadala nakubantu abadala. Inqubo yikhambi lesikhashana, njengoba amashubhu endlebe ekugcineni aphuma, kodwa angaphindwa uma kunesidingo.

Indlela ye-laser yokuhlinzwa kwe-myringotomy ingenziwa ehhovisi likadokotela ngendlebe ephuza imithi, kodwa iningi lezinqubo zenziwa esibhedlela nge-anesthesia jikelele. Kungaba nzima ukuthola udokotela owenza le nqubo ngaphandle kwesibhedlela njengoba imishini yamasensi ibiza kakhulu.

Kubalulekile ukulungiselela izingane ngokufanele ukuhlinzwa ukuze isipiliyoni singesabi. Ngenkathi amaqembu ehlukene ehlukene efuna ulwazi oluhlukile ngaphambi kokuhlinzwa, kubalulekile ukuthi ingane ingayitholi ngokuhlinzwa lapho efika esibhedlela. Kuyafaneleka isikhathi sokuqinisekisa ukuthi ukwesaba kwengane nokukhathazeka kuqondiswa ngaphambi kwenqubo.

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Ngabe i-Myringotomy iyadingeka nini

Isizathu esivame kakhulu ukuthi i-myringotomy, noma ukuhlinzwa ukubeka umgodi endlebeni yendlebe, kwenziwa nge-otitis media nge-effusion (OME), noma ukutheleleka kwezindlebe phakathi. Umswakama osulelekile ukhula ngemuva kwenduku, lapho kungaba khona kakhulu kangangokuthi ubizwa ngokuthi "indlebe yeglue." Lokhu kungaphazamisa ukuzwa, futhi kwezinye izimo, ukuthuthukiswa kwenkulumo encane ezinganeni, ikakhulukazi uma inkinga ikhona kuzo zombili izindlebe.

Izizathu Zokwelapha Ukufakwa KwamaThuli Endlebe:

• Ukutheleleka kwendlebe okungaphenduli kumithi elwa namagciwane noma imithi yezindlebe.
• Ukutheleleka kwezindlebe eziphakathi okubangela ukulahleka kokuzwa noma ukulibaziseka kwenkulumo.
• Ukuphindaphindiwe kwe-otitis media (i-AOM) ephindaphindiwe (iziqephu ezingu-3 ezinyangeni ezingu-6 noma ezinyangeni ezingu-12) uma ingaphenduli ukwelashwa okuqhubekayo kwama-antibiotic futhi ikhubaza inkulumo, ukuzwa noma kokubili.
• I-Barotrauma: Ukulimala kwezinguquko ezingcindezini, njenge-scuba diving noma ezindizayo.
• Ukuhlukunyezwa kwe-earphone (i-cleft pallet noma i-Down's Syndrome, njll).

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Abantu abadala kanye ne-Myringotomy

I-myringotomy ne-tube indlebe yokufakela ingavamile kakhulu kubantu abadala kunabantwana. Ngenkathi inqubo ingase isetshenziselwe ukutheleleka kwezindlebe eziphindaphindiwe, lokhu kungenakwenzeka kubantu abadala ngenxa yezinguquko zesakhiwo emgodini wezindlebe njengoba ikhula.

Ezimweni eziningi, i-myringotomy yenziwa kubantu abadala ngenxa ye-barotrauma. I-Barotrauma ibangelwa umehluko omkhulu ekucindezelweni ngaphakathi kwendlebe (ngemuva kwe-eardrum) nangaphandle kwendlebe. Umehluko omkhulu ekucindezelweni kungenzeka ngezinguquko zokuphakama, njengokugibela e-elevini esakhiweni eside noma esivimbayo. Ukuhamba nge-Scuba nakho kungabangela i-barotrauma.

I-myringotomy ingenziwa njengesilinganiso sesikhashana kubantu abadala, kanti inqubo eyenziwa ukubeka isikhala emgodini wezindlebe okwesikhashana lapho kuvulwe ukucindezelwa. I-tube ingase ibekwe noma ingabe ingabekwa ngokuya ngezizathu zokuthi ukuhlinzwa kwenziwa.

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I-Myringotomy: Inqubo Yokuhlinzeka

I-myringotomy yenziwa ngokusebenzisa i- anesthesia ejwayelekile uma isenziwa esibhedlela. Ngemuva kokuba i- anesthesia isetshenziswa, inqubo iqala ngokulungiselela indlebe. Indlebe ilungiselelwe ngesisombululo esinciphisa amathuba okutheleleka.

Uma indlebe isilungisiwe, udokotela ohlinzayo uzosebenzisa i-laser noma ithuluzi elibukhali ukuze enze umgodi omncane ku-eardrum. I-tympanostomy tube ifakwe emgodini, ozophulukisa futhi uvale ngaphandle kwe-tube.

Uma i-ear ear middle isesizathu sokuhlinzwa, ukuncelisa kahle kungasetshenziswa ku-eardrum, kususwe umthamo ngokusebenzisa ithubhu entsha. Lokhu ngokuvamile kususa inani elibalulekile lomkhuhlane, okwenza ngcono ekuzweni okuvame ukuphawula ngokushesha ngemva kokuhlinzwa. Indlebe ingabe igoqiwe ngekotini noma i-gauze ukuze ithathe noma yikuphi ukugeleza okukhona.

Ngalesi sikhathi, ukuhlinzeka noma ukuhlinzwa kuphelile noma indlebe ehlukile iphathwa ngendlela efanayo. I-anesthesia ivaliwe futhi imithi inikezwa ukuba ivuse isiguli. Isiguli sisuke siswe ekamelweni lokutakula ukuze sihlolwe ngokucophelela ngenkathi i-anesthesia igxuma ngokuphelele.

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I-Myringotomy: Izingozi Zokuhlinzwa

Ngaphezu kwezingozi ezijwayelekile zokuhlinzwa kanye nezingozi ze-anesthesia , inqubo ye-myringotomy inezingozi zayo. Ingozi ehambisana nale nqubo ayifanele, njengoba ukuhlinzeka kuyashesha (imizuzu engaphansi kwemizuzu engu-15 ezimweni eziningi) ngakho-ke kukhona ukutholakala okuncane kwe-anesthesia kunokuhlinzwa okujwayelekile.

Izingozi ze-Myringotomy:

• Umgoqo ongapheli eardrum ongavala isikhathi eside, futhi ungadinga i-tympanoplasty ukukhuthaza ukuphulukiswa
• Ukuchotshozwa (ukuqina / ukuqina) kwe-eardrum, okungabangela ukulahlekelwa kokuzwa
• Ukulimala kokuhlinzwa kwindlebe yangaphandle noma indlebe
• Isidingo senqubo yokuphindaphindiwe esikhathini esizayo
• Ukutheleleka
• Amanzi angapheliyo
• Amanzi endlebeni
• Ukuqothula kwe-eardrum. Lokhu akuyona inkinga yokuzwa, yisimo esibonakalayo ngesikhathi sokuhlolwa kwezindlebe kodwa angathinti umsebenzi wegubhu indlebe.

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Ukubuyisela kusuka ku-Myringotomy

Uma ukuhlinzwa sekuphelile, isiguli siyosuswa ekamelweni lokutakula ukuze ligcinwe ngenkathi i-anesthesia iphela. Lapho isiguli siphapheme, siqaphile futhi singaboni izinkinga zokuthutha, ukutakula kungaqhubeka ekhaya.

Asikho isidingo sokunakekelwa kwe-incision njengoba ukuhlinzwa kwenziwa ngokuqondile kwi-eardrum ngakho-ke akukho ukuchotshozwa esikhumbeni kwenziwa. Ezinsukwini zokuqala zokuvuselela , akuyona into engavamile ukuba ne- drainage kusukela endlebeni kulindeleke. Kungenzeka kube yi- pus-njengokufana nokubukeka, okwegazi noma okucacile. Lokhu kuvamile. Ngalesi sikhathi, indlebe kufanele ivikeleke emanzini, angathola ngaphakathi kwendlebe ngaphakathi kwiphubhu, njengoba nje amanzi ephuma emathinini. Udokotela wakho ohlinzayo angase ancoma ukuthi ama-earplugs asetshenziswe ngesikhathi sokushisa, ukubhukuda noma noma yimuphi umsebenzi onobungozi bamanzi angena endlebeni.

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Ukuphila Ngemva Kwe-Myringotomy

Ngemuva kokuthi u-ear ear, efakwe uketshezi okwakhiwe ngaphakathi endlebeni yangaphakathi kuzodutshulwa ngokuphawulekayo. Lokhu kuzoholela ekunciphiseni ubuhlungu, ukuthuthukiswa ekukwazi ukuzwa, futhi ezinganeni ezincane ukuhlinzeka kuzosiza ukuthuthukisa inkulumo.

Ezimweni eziningi, izindlebe kuzodingeka zivikeleke emanzini kuze kube yilapho amashubhu ephuma ngokwemvelo, okuvame ukwenzeka izinyanga ezingu-6 kuya kwezingu-18 emva kokuhlinzwa, futhi imbobo endlebeni ivaliwe ngokuphelele. Lokhu kungenziwa nge-earplugs ukuvumela ukubhukuda nemisebenzi yamanzi. Udokotela wakho odokotela angase ancoma ukuthi ama-earplugs asetshenziswe eshaweni kanye.

_Imithombo:

Izifo zendlebe: Amaqiniso Abazali Mayelana Ne-Otitis Media. Izikhungo zezempilo zikazwelonke. http://www.nidcd.nih.gov/health/hearing/otitismedia.asp

Izimpande Zendlebe. U-Alan Greene, MD http://www.drgreene.com/21_550.html

Izimpande Zendlebe. UJohn P. Cunha, DO http://www.medicinenet.com/ear_tubes/article.htm