Perforation ye ekudibaneni ngeempumlo: oonobangela, iimpawu, unyango kunye neziphumo

Le perforation ye ekudibaneni ngeempumlo imbobo ngale ekudibaneni ngeempumlo (yethambo okanye intlala inxalenye) ezenzeka kwi ngasemva ngayo umonakalo okanye iinkqubo isifo okwenzekayo. Ixesha elide leengxaki ayide ikwazi ukuzibonakalisa, kodwa eli xesha kwandisa amathuba uphefumla iingxaki okanye usulelo.

symptomatology kwesifo

A perforation encinane ekudibaneni ngeempumlo lwenzeka ngokuqhelekileyo imperceptible. Kwiimeko ezininzi iimpawu esi sifo ngolu hlobo lulandelayo:

• ukuxinana ngeempumlo;
• kunzima nokuphefumla;
• ukubunjwa soma kwindawo perforation;
• khupha ubovu leyo zihamba ivumba elibi (kuvela ne ukwandisa perforations xaka);
• womile, bomzimba, ubuhlungu;
• isandi amakhwelo xa ukukhupha nokungenisa impumlo;
• nokopha ;
• engaphandle impumlo deformation (umzekelo, xa ubukhulu umngxuma impumlo ibhulorho ubuhle ezinkulu akuphumelelanga).

Xa mpawu zingasentla isigulane kucetyiswa ukuba uqhagamshelane ngokukhawuleza kwiziko lonyango ngenxa uxilongo ezineenkcukacha kwaye isicelo ngoko nangoko unyango udibaniso.

ekuxilongweni

Le perforation ye ekudibaneni ngeempumlo, apho unyango ikhutshwa phandle ungenelelo ngotyando, banesifo ngokuhlola lweHo- ngeempumlo (rinoskopii) otolaryngologist. ENT awamisela ngayo uviwo esibanzi ukwenzela ukuchonga uhlobo lwe sigulo ekhoyo kwesakhiwo ukuba uninzi kaninzi ngenxa yenkqubo ubovu kudalwe esinye isifo. Liyadlula iimviwo ezongezelelweyo kunye neemvavanyo (phezu kwegazi, negcushuwa, njl) linokukwenziwa.

Perforation ye ekudibaneni ngeempumlo, zibekwe kufutshane yempumlo, yayisoloko ixhalatyelwe malunga isigulana ngenxa yendawo ukoma impumlo.

Ubunzulu of eyendawo na kumiselwa kuphela axilongwe. Ithemba ukuba perforation ye ekudibaneni ngeempumlo, izimvo zazo ubhalo eyoyikisayo siya kulibaziseka kwaye uya kutshitsha ngokupheleleyo ngokwawo, ingamampunge. Ukubandezeleka kule disorder bantu bathi umngxuma kwandisa kuphela, oyinxalenye kwisisu ngeempumlo ngokwandisa ungalanjathiswa. Ngoko musa ukuchitha ixesha lethu, yaye ngoko nangoko kufuneka ukuba bajonge yingcibi abaqeqeshiweyo.

Izinto ezibangela le perforation em- ngeempumlo

Ubangelwa ngeempumlo zekhala perforation:

• izifo ezibangela ukutshatyalaliswa intlala (ezinje ngegcushuwa, Staphylococcus aureus, isifo sephepha);
• izilonda ubovu;
• diabetes;
• umonzakalo impumlo, umonakalo rhoqo ngasekhohlo hematoma alunyangwanga;
• imbonakalo ezinezigulo kwi zekhala;
• iziyobisi vasoconstrictor isicelo rhoqo (ukutshiza okanye amathontsi);
• izifo systemic, echaphazela kakubi kwizicwili (ukusilela kwezintso, lupus, sarcoidosis, polychondritis, isifo samathambo, Ascula);
• abafumana iziyobisi ezidakumbisayo elawulwa ngayo izicatshulwa ngeempumlo (chronic ukusetyenziswa cocaine rhoqo ibangela ukungavisisani kunye eyenza ukulalana izinto ezosulelayo, unako abatshabalalise ngokupheleleyo zangaphakathi isakhiwo empumlweni) ;
• nokuthimliswa atrophic owomileyo;
• iingxaki emva kotyando kwindawo ngeempumlo okanye umsebenzi lweengcali ongenamava;
• ukusebenza isigxina phezu kwam ngeempumlo em- izinto eziyityhefu ngenxa ukungaphumeleli ukuthobela ukhuseleko ngexesha inkqubo yokuvelisa.

Perforation ye ekudibaneni ngeempumlo: amanyathelo othintelo

Uthintelo ngeempumlo ekudibaneni perforation ngu:

• ubambe yonyaka lokunqanda zonyango kuhlolwa-ups;
• isigulo kwangethuba;
• unyango kwangethuba izifo zemiphunga ezosulelayo kunye ezingapheliyo;
• nokusebenzisa imithi ngokungqinelana ngokupheleleyo lo myalelo;
• indlela elaneleyo ukhetha ugqirha qualified ngexesha rhinoplasty.

Ngeempumlo zekhala perforation: Treatment

Xa ekhaya, ungenza kuwuphatha perforation le zekhala ngeempumlo. Indlela kuphela echanekileyo ndahlukane oko bekuya kuba lutyando. Ukuza kuthi ga ngoku, utyando kwenziwa iindlela ezininzi ukuphelisa le perforation ye lweHo- ngeempumlo, ezisetyenziswa kuxhomekeke kubungakanani nge-umngxuma. indlela olucothayo kusetyenziswa xa sangqa umngxuma-5 cm kwaye ezigcinwe ngokuvala caba of inwebu yangaphakathi. perforations Small zicocwa yi crosslinking imiphetho zabo. Ukulungiswa iziphene ezinkulu ngokusebenzisa ukuxilongwa ngumntu okanye eyakho.

Nokusebenza ngeempumlo ekudibaneni perforation ikhutshwa phandle bobabini phantsi zomzimba jikelele basekuhlaleni, ngokuxhomekeke imeko yempilo yomguli kunye neminqweno yakhe malunga nokusetyenziswa indlela ntlungu. Oku ngokwako yingozi utyando ayikwazi kuqhutywa; ukuba zonke iingcebiso ugqirha ukuze ngeempumlo lococeko umngcipheko iingxaki kuyehla kube ubuncinane. Iindleko avareji zotyando, kuxhomekeke kubunzima yetyala kunye nomgangatho izakhono ngoogqirha isusela ukusuka engange-150 ukuya 500 lamawaka.

unyango zekhala perforation ngeempumlo ayikho kuphela ekubuyiselweni ngengqibelelo yalo, kodwa nokuphelisa oonobangela le ngxaki, kwakunye nokuthobela iingcebiso gqirha ababezile ekuthinteleni ingxaki enokwenzeka okanye kwakhona isenzeko iziphene septal.

Ithuba postoperative

Ukususwa zoqhaqho le perforation isigulane uhlala esibhedlele (kuxhomekeke nemeko yakhe yempilo) iintsuku 3-5. Ngosuku lokuqala emva kotyando wabona ukhetho yencindi wamagazi. Namalaphu okusula evela impumlo asuswe emva kosuku; ekuxhaseni bulkhead kunye akhande inwebu zisekho kangangexesha elithile.

Ukugcina kwamagqabi ezimanzi kunye nokuququzelela netuwa sokufunxa kuveliswa kwithuba leentsuku ezili-10 ezayo, isigulana em- ngeempumlo kufuneka ukuba ufake izisombululo saline isotonic. Ukunqanda ukuyilwa soma usebenzisa ilaphu zomqhaphu kufuneka lubricated nezithambiso yangaphakathi antibacterial. Inyanga yokuqala emva kotyando akakwazi bavuthele impumlo yakhe.

amacebo aluncedo

Ithuba isimilo ukuzalisekisa le migaqo ilandelayo:

• ngokuthotyelwa kwezo ngcebiso kagqirha ukuze banyamekele iindawo ezisetyenziswa kobuso;
• unyango gentle inyanga 1 emva kotyando, ukuphelisa umthambo, umonakalo kunye umonzakalo impumlo, kwakunye umahluko ubushushu kakhulu;
• nokuthintela ukusetyenziswa vasoconstrictors;
• itye, non utywala, ukwamkelwa ngenyameko ukutya ukubanda nobushushu iiveki ezi-2 emva kotyando.

Imiphumela perforation alunyangwanga

Ukuba washiya perforation alunyangwanga ye ekudibaneni ngeempumlo zingenzeka ukuphazamiseka ivumba vuhlayiseki kunye reflex ukuphazamiseka: inkantsi laryngeal, ukungasebenzi kakuhle kwenkqubo sentliziyo, ukukhohlela nokuthimla, intloko ebuhlungu, isifo iliso, ukuxhuzula.

Perforation ye ekudibaneni ngeempumlo, imiphumo akhokelela kuphela yempilo enkenenkene xa lunganyangwa, aphathwe intsumpa kuphela. Self Therapy (isipreyi, namafutha aqholiweyo, iiarhente amafutha) uyakwazi kuphela okwethutyana lula le meko.