Ukubukezwa Kwemiphumela Yomphumela We-Tonsillectomy Ebonakalayo
Imikhuba yezintandokazi iphakathi kwezinqubo zokuhlinzwa ezivame kakhulu e-United States. Ngenkathi ngokuvamile iphephile futhi isebenza kahle, kufanele uqonde izingozi nezinzuzo ngaphambi kokuthi ususwe amathoni akho.
Izizathu zeTonsillectomy
Kunezizathu ezimbili ezivamile ukuthi udokotela ohlinzayo angase asikisele ukususa ama-tonsils akho. I-strep throat ephindaphindiwe yisona sizathu esiyinhloko sokwenza i-tonsillectomy, noma ngabe i-tonsillectomy ingabuyekezwa ukuthi iphathe ukuphefumula kwe-apnea okuhlobene ne-tonsils ekhulisiwe .
Ngokuyinhloko i-tonsillectomy izocelwa ingane yakho uma i- apnea yokulala ibangela izinga lezinto zokuphila njengokuvimbela ukusebenza esikoleni noma ukulala ngokweqile kwansuku zonke.
I-apnea yokulala yisimo lapho umuntu eyeka ukuphefumula isikhathi esincane ngesikhathi sokulala. Ucwaningo lwamuva luye lwabonisa ukuthi ngokuhamba kwesikhathi, ukungabi khona kwe-oksijini ebuchosheni nasenhliziyweni kungabangela izifo ezinzima, kuhlanganise nesifo senhliziyo, ukucindezeleka, ukuguquka kwemizwelo, ukuhlukumezeka, ubuthongo bemini kanye nezinkinga eziningi zempilo. Ukuvuvukala amathoni kungabangela i-apnea ngokuvimbela ngokuqondile umoya omoya ngenkathi umuntu elele phansi.
Isikhathi Sokuthola Ukuhlinzwa
Iningi lemikhombandlela yezobuchwepheshe ayincomo i-tonsillectomy yezifo ngaphandle kokuthi uneminyaka emihlanu kuya kweziyisikhombisa kubo ngonyaka owodwa. Kodwa-ke udokotela wakho ohlinzayo uzocabangela ubuhlungu balabo abathintekayo nokuthi uziphendulela kanjani ekwelapheni.
Ngenkathi ususa ama-tonsils ngokuvamile okuwusizo ekuphatheni izifo ezingapheliyo akuzona njalo amaphesenti angu-100 asebenzayo.
Kusengakhona ukuthola umsizi we-strep noma ukutheleleka okufanayo ngemuva kokukhishwa kwamathoni akho. Noma kunjalo, iningi labantu liyeka ukutheleleka noma lingenalo iningi. Uma uthola ukutheleleka ngemuva kwe-tonsillectomy, ukutheleleka ngokuvamile akuyona into enzima njengoba bekungeke ibe ngaphambi kokuhlinzwa.
Ukunciphisa imvamisa yokutheleleka kunganciphisa ingozi yakho ezinkingeni ze-strep throat .
Ukuphindaphindiwe kwemikhuba yamandla e-United States kuye kwanda njengoba odokotela beqonda izingozi zokuphefumula ukuphefumula kuqondwa kangcono. Eqinisweni, odokotela abahlinzayo bangase batusa ukunciphisa ama-tonsils uma une-apnea yokulala kunokuthi une- tonsillitis engavamile yedwa. Ukususa amathoni okuvuvukala kutholakale ukuthi kuyasebenza kakhulu ekunakekeleni nasekuphulukeleni leli fomu lokuphefumula ukulala. Kodwa-ke, ukuhlinzekwa kufanele kucatshangelwe kuphela uma ezinye izinhlobo ezincane ezingenasidingo zokwelashwa zingavunyelwe noma zingasebenzi.
Nakuba kungavamile kakhulu, kunezinye izizathu udokotela wakho angase atusa ukususa amathoni akho, kufaka phakathi: ama-abscesses we-peritonsilar, umdlavuza we-tonsil kanye ne- tonsil ekhulisiwe ebangela izinkinga zamazinyo. Amathoni awandisiwe abangela ubunzima ngokugwinya noma ukuphefumula futhi angazange aphendule kwezinye izidakamizwa kufanele asuswe ngokushesha ngangokunokwenzeka.
Izingozi
Ngaphandle kwezinkinga ezithile ezisongela ukuphila, kukhona nemiphumela emibi ye-tonsillectomy. Abantu abaningi babhekana nesicathulo kanye nokuhlanza, ubuhlungu bomphimbo , ubunzima bokugwinya, ukushisa komgogodla ophansi , ukuphefumula okubi , izindlebe nokukhathala.
Amathuba okuba nemiphumela emibi ihluka kakhulu, njengoba kwenza ubukhulu bezimpawu uma kufanele ube nazo. Kukholelwa kakhulu ukuthi izingane zivame ukutholakala okulula futhi "lula".
I-General Anesthesia
Izinyathelo zomzimba zenziwa ngaphansi kwe-anesthesia jikelele . Ukuhlinzwa okudinga i-anesthesia jikelele iza nezingozi okufanele uziqaphele. Lezi zingozi zivela ekungcwatsheni okuncane-nokuhlanza-ekuphileni kokusongela-njengokuhluleka kokuphefumula, i-hyperthermia embi, ngisho nokufa.
Ngeke ube nengozi yokubhekana nanoma yiziphi izinkinga ezinkulu uma usuvele uthola i-anesthesia jikelele esikhathini esidlule.
Uma unomlando womndeni we-hyperthermia engathandeki, i-pseudocholineterase ukuntuleka, i-muscular dystrophy, noma ukufa okungazelelwe ku-anesthesia jikelele, uzoba engozini ephakeme yokubhekana nokuhlinzwa okunzima. Kumele utshele i-anesthesiologist yakho uma ngabe omunye wamalungu omndeni wakho ahlangabezane nalezi zinkinga. Lokhu akusho ukuthi akufanele ube nokuhlinzwa, kodwa kuyoba usizo ku-anesthesiologist futhi bangashintsha imithi esetshenziselwa ukugwema izinkinga ezingenzeka.
Futhi kungenzeka ukuthi unenkinga yokuphefumula ngemuva kwe-anesthesia uma unesimo esingapheli sokuphefumula njengesi-asthma noma i-apnea yokulala. Kodwa-ke, izinkulungwane zabantu ababhekene ne-apnea yokulala ngempumelelo bahlaselwa i-anesthesia ejwayelekile nsuku zonke.
I-anesthesia ibhekwa njengokuphepha ngokuphepha, njengoba isilinganiso sokufa (ukufa) kulinganiselwa ukuthi singaphansi kwesiguli esisodwa ku-100,000. Unganciphisa ingozi ngokulandela imiyalelo eyinikezwe ngaphambi kokuhlinzwa kwakho, (ikakhulukazi ngokudla nokuphuza), futhi ukudalula ngokugcwele imininingwane yakho yezempilo kudokotela wakho.
Ukweqa emva kokuhlinzwa
Kukhona njalo ingozi yokuzibulala (ukuphuma) ngesikhathi nangemva kokuhlinzwa, kepha ngenxa yokuthi amathoni aseduze nemithambo yegazi enkulu, ukuphuma kwegazi kuthathwa njengokuphuthumayo . Ukweqa emva kwe-tonsillectomy akuvamile. Nokho, mhlawumbe ingozi enkulu kakhulu yokusebenza.
Izinkinga ezinkulu ezivela ekuphumeni kwegazi , kufaka phakathi ukuvuselelwa esibhedlela, ukuhlinzekwa okungeziwe, nokufa, akuvamile kakhulu . Kunezikhathi ezimbili lapho ukuphuma kwe-post-operative kungase kwenzeke kakhulu: kungakapheli amahora angu-24 okuqala ngemuva kokuhlinzwa kanye nezinsuku eziyisithupha kuya kweyishumi emva kokuhlinzwa uma isikhumba sivela. Kulinganiselwa ukuthi abantu abaphakathi kuka-2 kuya ku-22 abaphuma kubantu abayi-1 000 bayodonsa umzimba ngaphakathi kwamahora angu-24 emva kokuhlinzwa. Ukuphuma kwe-post-operative ezinsukwini eziyisithupha kuya kweyishumi emva kokuhlinzwa kuncatshangwa ukuthi sekuphakathi kuka-1 kuya ku-37 kumathuba angama-1 000.
Izifo ezinjenge- hemophilia noma i-anemia zandisa ingozi yokuphuma kwegazi emva kwe-tonsillectomy. Ukusetshenziswa kwemithi ethile efana ne-aspirin, ibuprofen, naproxen noma i-prescription blood thinners efana neCoumadin (warfarin) ingakwandisa ingozi. Udokotela wakho uzokutusa ukuba uyeke ukuthatha le mithi ngaphambi kokuhlinzwa futhi kufanele ikunike imiyalelo ethile mayelana nokusetshenziswa kwale mithi ngemuva kokukhishwa kwamathoni akho.
Kukhona nobufakazi bokuthi i-steroid dexamethasone, evame ukusetshenziswa ngesikhathi sokuhlinzwa ukuvimbela isicanucanu, ingase yande kancane ingozi yokuphuma kwegazi. Ukwehla kwamanzi emzimbeni kungabuye kwandise ingozi yokuthi izikhwama zakho zizovela ekuseni kakhulu futhi zibangele ukuphuma kwegazi.
Kufanele uqaphele ukuthi phakathi nokuhlinzwa kwangempela ungagwinya igazi. Legazi lingaphuma ngamathe noma lihlanza kamuva. Kule ndaba igazi lizobonakala libomvu (livame ukuchazwa njengokubukeka njengezizathu zekhofi). Lokhu akukona ukukhathazeka.
Kodwa-ke, igazi elibomvu elikhanyayo elivela emibhedeni ye-tonsil nganoma isiphi isikhathi ayamukeleki futhi kufanele uthole ukunakekelwa ngokushesha kwezempilo. Ungabheka imibhede yakho ye- tonsil yokuphuma ngegazi ngokusebenzisa inkinga yokucindezela ulimi noma intambo ye-popsicle ne-flashlight. Uma ngabe i- adenoids yakho isusiwe , ungase ube nesikhumba esincane segazi esiphundukile ephuma ekhaleni lakho.
Ukutheleleka
Enye ingozi yanoma iyiphi inqubo yokuhlinzeka isifo. Lokhu kungavamile ngezimiso zokuziphatha; uma kwenzeka, ngokuvamile kungelashwa ngama-antibiotic. Izimpawu zokutheleleka kufanele zibikwe kudokotela wakho ngokushesha. Shayela udokotela wakho uma uhlangabezana nalokhu:
- umkhuhlane ukwedlula ama-degrees Fahrenheit angu-101
- ubuhlungu obukhulu noma obuphikisayo endlebeni (ukuhlinzeka kungabangela izifo zendlebe , kodwa ubuhlungu bezindlebe nakho kuyinkinga evamile emva kwe-tonsillectomy, ngakho-ke kufanele uqaphele ezinye izimpawu nezimpawu ezikhombisa ukutheleleka kwezindlebe )
- izimpawu zokutheleleka okuphezulu okuphefumula , njengokukhwehlela, ukukhwehlela okungumbala ongajwayelekile (okwesibhakabhaka, isibonelo), noma ukuphefumula ubunzima (isibonakaliso esingasiphuthumayo).
Ezinye izinkinga ezinzima
Kukhona ingozi encane yezinye izinkinga ezingavamile, kubandakanya ukushisa ngesikhathi sokuhlinzwa kwe-cautery, ukuvinjelwa okuphezulu kwe-airway okuvela emashubeni amaningi, ukulimala amazinyo ngesikhathi sokungena (ukufaka ithubhu lokuphefumulela i-anesthesia jikelele), ukuphulukiswa kwesisu ngokusesikhathini ngenkathi ngaphansi kwe-anesthesia ( aspiration pneumonia ), kanye nokuphendula okwenziwe izifo emithonjeni ehlinzekwa ngesikhathi nangemva kokuhlinzwa. Futhi, lezi zinkinga azivamile. Uma ukhathazekile ngabo, xoxani nodokotela wakho futhi ufunde ngezinyathelo abazozithatha ukuvimbela lezi zinkinga ukuthi zingenzeki.
Izwi elivela
Kucatshangwa ukuthi cishe ama-tileillectomie angu-380,000 awenziwa minyaka yonke e-United States. Nginingi kakhulu yalezi zenzo zibhekwa njengempumelelo.
Ngenkathi izingozi zokukhishwa kwamathoni akho akufanele zithathwe, uma amathoni akho ekhulisiwe ehlisa ikhwalithi yakho yokuphila , unempilo futhi ungenalo umlando womndeni okwandisa ingozi yezinkinga zokuhlinzwa, cishe kufanelekile bawasuse. Kodwa-ke, lokhu kuyisinqumo ukuthi wena kuphela, ngokusizwa nodokotela wakho ohlinzayo, ongenza.
> Imithombo:
> Cindezela, CD. (2015). I-General Anesthesia. http://emedicine.medscape.com/article/1271543- ukubukwa kokubukwa
> Ipharadesi, JL & Wald, ER. (2017). I-tonsillectomy ne-adenoidectomy ezinganeni. http://www.uptodate.com (ukubhalisa okudingekayo).