Uke wezwa le nkulumo, "uphefumule ngaphakathi ngekhala lakho futhi uphume emlonyeni wakho?" Le nkulumo empeleni isekelwe kwisayensi. Uma uphefumulela ngaphakathi ngekhala lakho, izinto eziningi zenzeka kubandakanya ukuhlunga umoya. Ukuhlambalaza kwenzeka njengoba umoya uhamba nge-conu 3 kuya kwe-4. I-conchae ngaphambili yayibizwa ngokuthi ama-turbinates.
I-conchae yizakhiwo ze-bony ezinama-shells ohlangothini oluphambene ne-septum yangasese, ehlukanisa izinhlangothi zangakwesokunxele nezingakwesokudla zempuphu yakho.
Izitsha ezincane zegazi ngaphakathi kwendwangu yamasukisi zimboza umcibisholo. I-concha ephansi kunazo zonke, noma i-concha engaphansi, iyisakhiwo se-bony esizimele, kuyilapho i-concha ephakathi naphezulu (engaphezulu) impela ingxenye yethambo elikhulu lama-ethmoid. Lezi zimboni zakha izingxenye ezintathu zomlomo ukuze umoya ugeleza.
Ngayinye yalezi zindlela, ezihlukaniswa yi-conchae, zinezivulela ezigumbini zakho ze-sinus. Phakathi kwe-concha engezansi nephansi kwesigxobo semisipha yi-duct nasolamalmal, noma i-tear tract. Emgwaqweni ophakathi kukhona ukuvulwa kokubili kwezono ezinama-maxillary nezingaphambili. Ngenkathi isendlalelo esenhla inevulela kwisono se-sphenoidal.
Sibutsetelo
I-Concha bullosa nayo ibizwa nangokuthi i-pneumatization ye-turbinate ephakathi. Lokhu kusho ukuthi kukhona iphakethe lomoya emoyeni ophakathi. I-Concha bullosa iyindlela ejwayelekile kakhulu yokuphambuka kwe-anatomical engenzi ngaso sonke isikhathi ukuthi ube nezinkinga zesinasi . Noma kunjalo, i-turbinates ekhulisiwe ne-concha bullosa ingabangela ukuvinjelwa okungavimbela izoni zakho ukuba zingasondeli kahle.
Izono ezingekho emanzini anganele zingabangela ukutheleleka kwesono njalo. I-Concha bullosa ingase ikubeke phambili ukuba ube ne- septum ephukile .
Izimpawu
Izimpawu ze-concha bullosa zihlobene nenani lomoya elikhona phakathi kwe-turbinate ephakathi. Uma ikhudlwana ivolumu, cishe uzoba nezibonakaliso futhi izimpawu zizoba nzima kakhulu.
Izimpawu zingafaka:
- Ubuhlungu obuseduze kwamehlo angase ahlale emahoreni amaningana kuya ezinsukwini ezimbalwa
- Isivimbelo sokusakaza
Ukuxilongwa
I-Concha bullosa iyatholakala kakhulu nge-CT scan kanti kulinganiselwa ukuthi itholakele ku-16 kuya ku-53 kwamacala angu-100. I-turbinates izovame ukukhombisa njengombala ompunga obala, nokho uma kwenzeka ku-concha bullosa, kuyoba khona isikhwama esimnyama somoya phakathi kwe-gray turbinates. Ukubukwa kweskena kuzokuvumela nodokotela wakho ukuba anqume ukuthi i-concha bullosa ivele kuphela eceleni kompheme noma izinhlangothi zombili. Udokotela wakho uzokwazi futhi ukucacisa kusukela ku-CT scan noma ngabe unayo i-septum engaphambukile noma awunayo.
Ukwelapha
Esikhathini esiningi, izimpawu ze-concha bullosa azilutho ngokwanele ukuze zidinga ukwelashwa. Kodwa-ke, uma ukwelashwa kuyadingeka, ukwelashwa kuyindlela kuphela yokuqeda iphaketheni lomoya. Izindlela ezintathu zokuhlinza zihlanganisa: ukuchoboza, ukuhlukanisa kabusha kanye ne-turbinoplasty.
Ukuqoqa isindlela esetshenziswa kakhulu ukuphatha i-concha bullosa. Lokhu kwenziwa ngaphansi kwe-anesthesia jikelele ene-endoscope. Udokotela wakho uzofaka i-concha yakho nge-epinephrine ukuze i-vasoconstrict, noma wenze imithwalo yegazi encane. Lokhu kuzosiza ukukhawulela noma yisiphi ukuvuvukala nokunciphisa ukuphuma kwegazi. Uma ukuhlinzwa kwesono kuyadingeka, izoni zizoqhutshwa kuqala.
Uma ukuhlinzeka kwesono kuqediwe, i-forceps izosetshenziselwa ukucindezela i-concha bullosa kusuka phezulu kuya phansi bese ucindezela emuva ukuze unciphise umonakalo ku-turbinate. Indlela echotshozayo inezinga eliphumelelayo kakhulu elinenkinga encane, nakuba iphuma ngemuva kokusebenza. Ukuchoboza futhi kuthwala ingozi encane yokuthinta umuzwa wakho wokuhogela.
Ukuguqula ukuvuselela ukukhipha ukukhishwa kwengxenye ye-concha noma ukususwa okuphelele kwe-concha. Lokhu kuvumela ukuthuthwa komoya okuthuthukisiwe futhi kususa i-concha bullosa. Izishubhu ezisele ziyi-cauterized and pumps packing efakwe ukuze kunciphise ukuphuma kwegazi.
I-Turbinoplasty ihilela ukusika i-turbinate nokukhipha izicubu kanye nesibalo esincane samathambo. Uma nje izicubu zisuswe ngokwanele ukuchotshozwa kuvaliwe.
> Imithombo:
> I-American Journal ye-Neuroradiology. Ingozi kaConcha Bullosa futhi kubudlelwane noNasal Septal Ukuphambuka kanye neParanasal Sinus Disease. http://www.ajnr.org/content/25/9/1613
> Hatipoğlu, HG, Çetin, MA & Yüksel E. (2005). I-Concha bullosa izinhlobo: ubuhlobo babo nesifo se-sinusitis, i-ostiomeatal nesifo sokuqeda kwangaphambili. I-Diagn Intervent Radiol. 11: 145-149
> O'Rahilly, uMüller, uCpenter & Swenson. (2008). I-Basic Human Anatomy - Isahluko 52: Izindebe nezine-paranasal. https://www.dartmouth.edu/~humananatomy/part_8/chapter_52.html
> Tanyeri, H., Aksoy, EA, Serin, GM, Polat, S., Türk, A. & Ünal, KA (2012). Ingabe i-concha bullosa echotshoziwe iyophinde ifake? I-Laryngoscope. 122 (5). 956-960. I-DOI: 10.1002 / lary.23234
> Zapanta, PE, Khoury, T., DeVries, GM & Meyers, AD (2014). I-Turbinectomy. http://emedicine.medscape.com/article/2051775-overview#showall