I-adenoidectomy ukukhishwa kwe-adenoids. Isihloko sokuthi noma ngabe i-adenoids kufanele isuswe yini isihloko sokuphikisana emphakathini wezokwelapha. Ukuphikisana kwaphumela ekusebenzeni okungajwayelekile okungadingekile , kanye nokusetshenziswa kwamandla , okwakwenziwe ngezinye izikhathi kube yindlela yokuhlinzwa eyodwa. Naphezu kokuphikisana, umphakathi wezokwelapha usayisekela ukususwa kwe-adenoids ngaphansi kwezimo ezithile.
Ngenkathi abanye odokotela basathanda ukususa kokubili amathoni kanye nama- adenoids ngesikhathi esifanayo, bobabili kufanele babhekwe eceleni ngaphambi kokunquma ukuthi kufanele basuswe. Ngenxa yokuthi i-adenoids iyancipha ngokweminyaka, ama-adenoidectomi amaningi ayenziwa ezinganeni ezincane.
Izimo ezidinga ukususwa ngokushesha kwe-adenoids zihlanganisa:
- Ukuvinjelwa okukhulu kwe-airway
- Cancer of the tonsil
- Ukukhipha ama-adenoids okungenakuvalwa
Udokotela angase futhi ancoma i-adenoidectomy ngezizathu zokukhetha, ezingezona eziphuthumayo. Kulezi zimo, udokotela uzoqhathanisa izingozi nezinzuzo zokuhlinzwa.
Izizathu ze-adenoidectomy ekhethiwe zihlanganisa:
- I-adenoids ekhulisiwe (i-adenoid hypertrophy) eyenza i- apnea yokulala
- I-adenoids ekhulisiwe ibangela ukuvinjelwa kwe- tube eustachian ; Izindwangu zendlebe nazo zingadinga ukufakwa
- Sinusitis engapheliyo engaphenduli ekuphathweni kwezokwelapha kwangaphambilini
- Izifo zendlebe eziphindaphindiwe (i- otitis media )
Ngaphambi kwe-Adenoidectomy
Ngaphambi kokuhlinzwa, udokotela uzokutshela ukuthi ugweme ukunikeza imithi yengane yakho njenge-ibuprofen noma i-aspirin ngesonto elilodwa ngaphambi kokuhlinzwa okuhleliwe. Le mithi ikwandisa ingozi yokuphuza ngokweqile ngesikhathi sokuhlinzwa nokugaya ngemuva kokuhlinzwa. Uma ingane yakho imise imithi yansuku zonke, uzophinde ufune ukubuza udokotela wakho uma kuneminye imithi ongayimnikezi ngosuku lokuhlinzwa .
Isikhungo sokuhlinzeka sizobiza ukukwazisa ukuthi isikhathi sokuhlinzwa sizokwenzeka nini. Ngoba ukuhlanza nokufisa kungengozi kunoma ubani othola i-anesthesia, uzothola nemiyalelo mayelana nokudla nokuphuza kwengane yakho. Ukudla nokuphuza ngokuvamile kufanele kugwenywe emva kwamabili ebusuku ngobusuku ngaphambi kokuhlinzwa.
Esibhedlela
Uma usufika esibhedlela noma esikhungweni sokuhlinzeka, uzodinga ukungena. Uzofuna ukuletha namanye amathoyizi noma izinto ezinganeni yakho okufanele zenze ngenkathi ulinda ukuhlinzwa. Uma ingane yakho isana, ulethe ibhodlela noma i-sippy indebe kanye ne-diapers eyengeziwe nawe. Ngenkathi unikezwa isikhathi sokuba ukuhlinzeka kwenzeke, ukuqokwa kwakho kusekelwe esikhathini esilinganiselwe senqubo yakho kanye nokuhlinzwa okwenzeka ekuqaleni kosuku. Yilungele ukulinda.
Ngesinye isikhathi, uzocelwa ukuba ugcwalise ifomu lomlando wezempilo eliphelele ukusiza ithimba lakho lezokwelapha ukunikeza ingane yakho ukunakekelwa okungcono kakhulu. Qinisekisa ukwazisa udokotela wakho uma isiguli noma isihlobo esake sabhekana nesifo sezinzwa. Bika noma yikuphi ukwelashwa okubandakanya ukuhamba kwemithi ukuya ku-latex, okusetshenziselwa amanye amadivayisi wezokwelapha.
Ngaphambi kwenqubo, umhlengikazi uzothatha izimpawu ezibalulekile, ( ukucindezelwa kwegazi , izinga lokushaya kwenhliziyo, izinga lokushisa, izinga lokuphefumula , nokuphefumula kwe-oxygen ), ukuze kube nokuthile okuqhathanisa nemiphumela yokuhlinzwa ngemuva kokuhlinzwa.
Ngezinye izikhathi isiguli singanikezwa imithi yokudambisa ukunciphisa ukukhathazeka ngaphambi kokuhlinzwa. Imithi evame ukusetshenziswa iyabizwa ngokuthi Versed (midazolam). Lokhu akuvunyelwe njalo odokotela abathile, kodwa kungasiza ukuphumula ingane yakho futhi kumsize angakhumbuli isipiliyoni esingathandeki.
Udokotela ohlinzayo uzokwazi ukususa i-adenoids ngomlomo ngokwenza izinto eziningana eziningana. Udokotela ohlinzayo uyokhipha indawo lapho isayithi likhishwa khona i-adenoids; lokhu kuhilela ukubhubhisa izicubu endaweni ukuyeka ukuphuma kwegazi. I-adenoidectomy ngokuvamile izothatha cishe imizuzu engu-20 kuphela.
Ngemuva kokuhlinzwa, ingane yakho izothathwa ku-PACU (i-post-anesthesia care unit) ukuze ibhekwe ngumhlengikazi obhalisiwe kuze kube yilapho ekulungele ukuya ekhaya.
Umhlengikazi uzobheka ukuthi ingane yakho ilele kanjani, ukuthi izibonakaliso zakhe ezibalulekile zizondele kangakanani kulabo abathathwa ngaphambi kokuhlinzwa, uma ebuhlungu, futhi uma ekwazi ukudla nokuphuza ngaphandle kokuhlanza.
Ukunakekela Ingane Yakho Ngemva kwe-Adenoidectomy
Ngemva kokubuyela ekhaya, ingane yakho ingase ikwazi ukuqhubeka nokudla kwayo njalo ngaphandle kokuba nayo ibe ne-tonsillectomy noma ihlushwa isicashu kanye nokuhlanza. Uma ukucabangela isisu nokuhlanza kuyinkinga, kungcono ukunamathela ekucwiliseni uketshezi olunjengomhluzi wesobho, amanzi, nejubane le-apula. Uma ubuhlungu buyinkinga, ukudla okumnandi kufanele kusetshenziswe. Ekuqaleni, ugweme ama-citrus, njengoba lokhu kungabangela ukucasuka, nobisi, okungabangela ukukhiqizwa kwe-mucus. Uma ama-clots noma igazi elisha libonakala emphuneni noma emphinjeni (ngaphandle kwesipulum egazini) kufanele uye esibhedlela ngokushesha.
Udokotela wakho noma umhlengikazi uzokunikeza iziyalezo eziqondile ngokukhathalela ingane yakho ekhaya. Lezi ziqondiso kufanele zilandelwe kahle. Ngokuvamile, kufanele uqaphele isimo somswakama wengane yakho ngokubuka ukuhlanza okuqhubekayo noma ukwenqaba ukuphuza amanzi. Izindebe ezichotshoziwe ezinomile, izinyembezi, kanye nomchamo omncane yizo zonke izibonakaliso zokungcola futhi kufanele zibikwe odokotela wengane yakho. Ezinye izinto udokotela kufanele aziswe ngazo zihlanganisa ukuphuma kwegazi okukhulu, umkhuhlane, nobuhlungu obukhulu.
Ukuvuvukala esakhiweni kungabangela ukuba izwi liguquke. Lokhu kuvamile. Kodwa-ke, uma ushintsho luqhubeka ngemva kwamasonto amaningana, funa usizo lodokotela ukuze ingane yakho ihlolwe ukungasebenzi kahle kwe-velopharyngeal (ukuvala okungalungile komzimba ngemuva komlomo).
Izingane kufanele zigweme umsebenzi wezemidlalo nokweqile ngesikhathi sokutakula. Futhi, amaviki amabili, yenza konke okusemandleni akho ukuvimbela ingane yakho ukuthi ingathintana nabantu abanesifo sokuphefumula. Kufanele ugcine ingane yakho ekhaya esikoleni okungenani ngesonto elilodwa noma njengoba iqondiswa udokotela wakho.
Imithombo:
I-Medline Plus. Ukususwa kwe-Adenoid. http://www.nlm.nih.gov/medlineplus/article/003011.htm
Nemours Foundation. I-Adenoids ekhulisiwe http://kidshealth.org/parent/medical/ears/adenoids.html#
IPharadesi, JL, iTonsillectomy kanye ne-adenoidectomy ezinganeni. http://www.uptodate.com/home/index.html (ukubhalisa okudingekayo)