I-valve yomzimba yincenye encane kunazo zonke zomgwaqo ongenamanzi. Kunzima ukuchaza, ngendlela ejwayelekile, ngoba ayakhiwa isakhiwo esisodwa kuphela kodwa izakhiwo eziningana ezihlanganisa udonga olusenyakatho lwangasese, i-septum yangaphakathi, inhloko ye- turbinate engaphansi kanye nokuvuleka kwe-piriform. Le ncazelo eqondile isho kancane kuningi lethu futhi ngisho nangaphansi uma uqaphela ukuthi i-anatomy yomuntu ngamunye ishintsha kakhulu.
Uma ucabanga ngesakhiwo sangasese sangaphandle kungase kusize ukwazi ukuthi i-valve yangasese iphakathi nendawo kuya endaweni engezansi yekhala. Ngenxa yokuthi lena yingxenye encane kakhulu yendlela yokuhamba emoyeni, kunomoya omkhulu wokumelana okwenzekayo kule ndawo futhi i-valve yomzimba empeleni isebenza ukukhawulela ukuhamba kwe-air.
Sibutsetelo
Ukuwa kwe-valve ye-nasal kuyigama elibhekisela kunoma yikuphi ubuthakathaka noma ukuqhubekela phambili kwe-valve yangasese. Njengoba i-valve yangasese yindawo encane kangaka, noma yikuphi ukuguqulwa kwesakhiwo sempumu okuthinta le ndawo kungabangela ukumelana okwandisiwe noma ngisho nokuvimbela ukugeleza komoya.
Izimbangela
- I-Rhinoplasty (ukuhlinzekwa kwepulasitiki ekhaleni), kuhlanganise "ukususwa kwe-hump", kungenye yezimbangela ezivame kakhulu.
- I-septum eguqukile yimbangela evamile kakhulu yokuwa kwe-valve yangasese. I-septum ephundukile ivela njalo ngenxa yengozi (ukulimala) ekhaleni.
- I-trauma noma ukuhlinzwa kwempumu kungabangela i-valve yasendlini yehle ngenxa yokuvuvukala, izicubu ezikhulisiwe, noma mhlawumbe ukwakheka kwezicubu ezibomvu.
Ukuhlukunyezwa noma ukuhlinzeka emakhaleni yizimbangela ezivamile zokuwa kwe-valve ukuwa. Kodwa-ke, i-valve yomzimba iyawa ngaphandle kwengozi noma umlando wokuhlinzekwa ekhaleni futhi empeleni ingaba umphumela wezimpawu ezithile ezithathwa njengefa. Isibonelo, impumu engaphezu kokuphangayo kanye namacici amancane noma i-columella ebanzi (ingxenye engaphandle yempumu ehlukanisa amaconsi amabili).
Ezinye izimo zokubeletha zingabangela nokuwa kwe-valve yangasese.
Kungase kube lula ukuthuthukisa ukujula kwe-valve uma ukhula kusukela inqubo yokuguga ngokwemvelo ingase ifinyelele ngokwemvelo izakhiwo ezakha i-valve yangasese.
Izimpawu
- ukuvinjelwa kwamanzi
- ukuncintisana kanye nobunzima bokuphefumula kusuka ekhaleni
- ekhaleni legazi
- ukugoqa emakhaleni
Ukuxilongwa
Udokotela we- otolaryngologist (ENT) kungenzeka ukuthi ufanelekile kakhulu ukuhlola ukuwa kwe-nasal valve. Kuyinkimbinkimbi yokuxilongwa, ikakhulukazi njengoba i-turbinates ekhulisiwe ne-septum eziphambukile zenza izimpawu ezifanayo futhi zingase zibe izimo ezixubile. Umlando wakho wezokwelapha ungabalulekile ekutholeni ukuxilongwa, ikakhulukazi uma uye waba nomlando wokuhlinza ngezandla. Ukuhlolwa kwempumu kanye nanoma yikuphi kwalokhu okulandelayo kungasiza ekuhloleni ngokufanele ukuwa kwe-valve ukuwa:
- endoscopy
- Ukuhamba kwe-Cottle - indawo yesiphakamiso semisipha ikhuliswa ngokuyidonsela esiqondisweni se-lateral, ingenziwa. Uma ukuphefumula kuthuthuka lapho indawo yesikhumba semisipha ikhuliswa ngesandla, kuyisibonakaliso sokuwa kwe-valve emanzini.
- Ukusebenza kukaBachman. Phakathi nalokhu kuqhutshwa i-valve yangasese ikhuliswa ngokusebenzisa izinsimbi bese kuthuthukiswa ukuphefumula.
- amaconsi ahlambalaza emanzini
- i-rhinomanometry yangaphakathi - izinyathelo zokugeleza kwe-nasal airflow
- i-rhinometry ye-acoustic - isebenzisa amagagasi omsindo ukuhlola izinguquko emgodini wezintambo.
Ukwelapha
Ukwelashwa okuvame kakhulu ukuwa kwe-nasal valve kungukuhlinzwa. Kodwa-ke, labo abangafisi ukuhlinzwa noma abafisa ukulibala ukuhlinzwa, bangathola ukukhululeka kwezimpawu ngokusebenzisa i-valve nasalator dilator. I-vanal nasal dilator iyisidingo esandisa ngesandla i-valve yangasese. Kuvame ukugqoka ebusuku. Isibonelo esisodwa se-vanal valve dilator siphefumula Amapheshana angakwesokudla okuyinto emithini yokunamathisela enamathele ngaphandle kwekhaleni futhi akhonze ukwandisa ikhala endaweni yevaliva yangasese.
Lolu hlobo lwe-valve nasal dilator luyatholakala ngaphezulu kwe-counter. Amanye ama-dilator ayenziwe nge-silicone futhi agqoke ngaphakathi. Kumele kuqashelwe ukuthi ukusetshenziswa kwe-nasal valve dilator njengendlela yokwelashwa noma ukwelashwa kwe-valve ukuwa kwe-nasal akuzange kufundwe ngokwanele ngalesi sikhathi.
I-rhinoplasty noma ngaphandle kokusetshenziswa kwama-graft ngokuvamile isetshenziselwa ukulungisa ukuwa kwe-valve yangasese. Ngezinye izikhathi izimpande zisetshenziselwa ukuthi zibambe ukuvuleka kwesikhumba evulekile "umphumela wasentwasahlobo". Lezi zimila zivame ukwenziwa nge-titanium. Kukhona amasu amaningi okuhlinzeka futhi inqubo isetshenziselwa kuyehluka kuye ngokuthi udokotela wakho ohlinzayo nesimo sakho.
Imithombo:
I-Medscape. I-Internal Valve Stenosis Rhinoplasty. Kufinyelelwe: ku-Disemba 30, 2013 kusuka ku-http://emedicine.medscape.com/article/877468- ukubukwa kokubukwa
I-Medscape. I-Nasal Aerodynamics. Kufinyelelwe: Disemba 30, 2013 kusuka ku-http://emedicine.medscape.com/article/874822-overview#a1
I-NCBI (i-Pubmed). Ukuphazamiseka kwendawo ye-Nasal Valve. Kufinyelelwe: ku-Disemba 30, 2013 kusuka ku-http: //www.ncbi.nlm.nih.gov/pmc/articles/PMC3199841/