Surgery: tympanoplasty. Reviews emva kotyando

iingxaki Ukuva lunokwenzeka ngenxa yezizathu ezahlukeneyo, kwaye kwezinye iimeko zesi sifo bancipha a ukuvuthuluka nendlebe eliphakathi. Ukubuyisela, sebenzisa tympanoplasty - msebenzi, apho ngokutsha ngokwalo ngqo indlebe. Olu hlobo lonyango kuye kwaba amaxesha amaninzi ukuba ube nempumelelo.

Umongo ngxaki

Xa kufikwa kule fomu kotyando, tympanoplasty ezifana (ukusebenza nendlebe) ukuthini indlela oluthile unyango bezifo suppurative zosasazo otitis kwi indlebe. Kumele kuqatshelwe ukuba le ifuthe entsonkothileyo kwaye olubonakalayo okungenisa ukusebenza, esivumela kuvuselelwa phakathi indlebe.

Kwenza ingqondo ukuze sinikele ingqalelo into yokuba otitis ezondeleyo ngoxilongo kaninzi. Oku kukhokelela nokusekwa imingxuma indlebe, ebizwa perforation. Ngenxa yesi sizathu, kuba umthondo kunokwenzeka iintsholongwane yayintsholongwane eyosulela em- tympanic, nto leyo yenza ukuba kokukhutshwa ubofu ukuba kumphazamisa ngaphezu konyaka omnye.

Tympanoplasty - msebenzi, ngaphandle apho ukoyisa eendaba suppurative otitis kuya kuba nzima kakhulu. Ngaphezu koko, olu hlobo sifo advanced kungabangela lubandakanywe nezenzo ithumba kunye thrombosis yobuchopho, kwaye kwezinye iimeko - kunye meningitis.

Ubungqina obubonakalayo buxela ukuba Inyathelo

Kukho inani iimeko apho ungenelelo ngotyando kukhankanywa kuyimfuneko ngasentla. Esiphelo sesokuba iingxaki zempilo zilandelayo:

- ukubunjwa emphethweni okanye perforation ngundoqo inwebu tympanic, nto leyo ebangela ukubana le ossicular;

- polyp ephuhlisa maphakathi nendlebe;

- timpanoskleroz;

- perforation le indlebe, lowo ezingahambi ukudumba;

- abanesigulo kwendlebe ephakathi.

Kucacile ukuba kukho izizathu ezininzi zokuba utyando ukuze ezifanelekileyo.

Izimo

Kubalulekile ukuqonda ukuba kukho iimeko apho utyando endlebeni (tympanoplasty) akakwazi ukunika impembelelo oyifunayo. Apha luxilonga apho ukusebenzisa ubuchule efanayo ayikhuthazwa:

- exacerbation kwezifo ezingapheliyo;

- otitis media enamathelayo;

- zizithulu ngokupheleleyo;

- imeko kakhulu jikelele yesigulana;

- nokudumba kunye nezigulo nokulimala.

Dehumidifying ukusebenza endlebeni embindini kunye tympanoplasty contraindicated kwimeko apho ulwaphulo- ezingisileyo patency tube eziviwayo ezisisigxina. Olu didi kungabandakanya malformations iziphene, kwakunye namanxeba azikhuli, evela ukudumba.

Contra, ukuba umlinganiswa othile

Kule meko sithetha ngayo ezo zifo apho umsebenzi akufuneki, kodwa kunokwenzeka. Kulo mzekelo, isigqibo sokugqibela uya kuthabatha ugqirha, esekelwe kumava akhe imeko yomguli. Ngoko yenza Izimo:

- ukudumba etsolo kwi nendlebe;

- izifo komzimba-hlobo kwinqanaba oyingozi;

- iingxaki iphecana eliphezulu wokuphefumla;

- inkqubo epidermizatsii.

kuthathelwa kuphela ingqalelo zonke Izimo ezichazwe ngasentla zinganikwa olu hlobo lonyango njenge tympanoplasty. Reviews emva kotyando umbonakaliso ebalulekileyo umgangatho unyango, ngoko, sisoloko anomdla izimvo izigulane malunga kwikliniki ethile. Oku kunceda amaqonga.

Kuhle ukukhumbula ukuba ugqirha unyanzelekile ukuba aqhube uphando enye indlebe ze benze iingqikelelo malunga nobungozi ngentshabalalo. Emva koko isigqibo siya kwenziwa malunga nokusebenza kwi walimala yesibini.

Kufuneka kwakhona kwenziwe uvavanyo olupheleleyo ngokubanzi: koaguloramma, uhlalutyo kwemichiza kunye jikelele igazi nomchamo, kwakunye uvavanyo igazi ngenxa negcushuwa, HIV, hepatitis B, C Inkqubo phando ibandakanya electrocardiogram.

Inkqubo lokulungiselela kutyando

Phambi kokuba ungenelelo olukhawulezileyo, ukuvelisa unyango elondoloza, ekuthi kujongwe ukuba ukulungiselela indlebe tympanoplasty. Kwinxalenye phakathi lweHo- apho walimala ke inputted iindlela ezahlukeneyo eyenzelwe ukusebenzisa i anti-ukudumba, vasoconstrictor nesiphumo anti-virus. Bonke babe uluhlu olubanzi izenzo.

ibaluleke kakhulu iinkqubo ezinjalo kuba zenza kube lula ukuba ukucoca kwindawo esebenza ukususela ekusulelekeni. Kuyinto ngenxa kule nkqubo, kuba nokwenzeka ukukhusela tympanoplasty. Reviews emva ukusebenza, ngokulandelelanayo, kuya kuba kukhethwa HIV, njengoko kulungiswe (ukucoca) ekuqaleni uvimba ukusebenza usulelo ophakathi indlebe, yaye kamva ikhuthaza impiliso ngokukhawuleza amanxeba yotyando.

Ngaphezu koko, lo mlinganiselo kukhokelela ekuphuculweni patency tube ezikhalayo, nto leyo iba nefuthe ngqo kumgangatho ngesiphumo yotyando.

Ukuba isigulana phambi isifo esinganyangekiyo, kufuneka udibane iprofayili gqirha. iintsuku ezisi-7 phambi kokuba msebenzi uya kuqhubeka, kufuneka angavumi ukuba amkele imali esetyenziselwa olindelwe igazi. It is a umbuzo non-steroidal amachiza-ukudumba ( "paracetamol", "aspirin") kunye "Warfarin".

iimpembelelo

Kukho iindlela ezahlukeneyo ukuvumela ukuba bafumane ukuphucuka okukhulu imeko nendlebe emva kotyando. Tympanoplasty ngenxa yesi sizathu kwakhona kwenziwa ngeendlela ezahlukeneyo. Iyavakala ukwahlula iinkalo ezintathu ezingundoqo:

- Ukufunyanwa usebenzisa ossikuloplastiki. I ntiyiso kwabo izigulane ngenxa yokukrala kakhulu ziye zonakaliswa ossicles ezikhalayo, kunye nokuvuselelwa kwazo kunokwenzeka kuphela ngoncedo busebenzisa. Kulo mzekelo, besebenzisa izixhobo ezifana titanium, isamente kunye zeplastiki.

- Isiseko kuhlobo lwesibini lokuvala kuyehla esivunyiweyo indlebe ukuba izicwili owakho nendlebe. Eyona ziqhelekileyo kwaye ubuncinane nzima nje tympanoplasty enjalo. Izimvo emva kotyando yale hlobo zikwimizekelo ezininzi ezintle.

- myringoplasty ngaphandle busebenzisa. Asetyenziselwa ukunyanga izigulana kunye ossicles ezimashakeleyo ezikhalayo, kodwa amazinyo emboleko azisetyenziswa. Ukuze ukubuyisela ithambo ngokwaneleyo lweenkobe.

Ngamanye amaxesha oogqirha nayo ingxaki enjalo, njengoko ezo imiphezulu amabini zendlebe, apho kungenxa ingxaki kwamajelo otitis. Kulo mzekelo, ukubuyisela tympanum zisetyenziswe grafts kwaye indlebe ngokwayo, ngakumbi ngqo, intsalela yayo.

period kwimo

Ekusebenziseni indlela ezifana ngayo unyango njengoko tympanoplasty, iimpendulo lentsholongwane emva kotyando, kuyimfuneko ukuba amalungiselelo recovery esezingeni.

Okokuqala, ihlala iintsuku 1-3 esibhedlele. Rehabilitation kubandakanya ukusetyenziswa antibiotics kwiveki yokuqala postoperative. Kunye nale miqathango, isimilo, ongxamisekileyo ukuziphatha imihla kwegazi. Oku kuthetha kokukhutshelwa vasoconstrictors emlonyeni ityhubhu pharyngeal eziviwayo.

Ukususela ekukhutshweni lomsele eziviwayo ka-tampons ngokuthe ngcembe, ekuqaleni, isigulane kufuneka ngokusisigxina kwiimviwo ezizayo.

Ngoko ke, emva kokuba umsebenzi okubuyela emva ngokukhawuleza kangangoko kunokwenzeka, kufuneka ngaphantsi uthimla, ixilongo impumlo yakho ukuze ukhuseleke indlebe ukusuka umthondo emanzini. Malunga iindlela ezisebenzayo nokhuseleko ukufuma ngexesha uthatha ishawa kuhle ukuba udibane nogqirha wakho. Ukusuka uphakamisa into enzima kufuneka kwakhona ukuba uyekwe. Enyanisweni, kufuneka ukuphelisa naziphi na umthwalo ezinokubangela ingcinezelo enkulu kummandla nendlebe.

iingxaki kunokwenzeka

Ukuba ingqalelo zonke iinkalo kotyando, kubalulekile ukukhumbula ukuba kukho imingcipheko ethile ngexesha inkqubo ezifana tympanoplasty. Iingxaki ezivela utyando inokuba nomahluko ngokupheleleyo: umonakalo ekulo, kwisisu tympanic, i-luvo yobuso kunye meninges nzima. Okokugqibela, ngasendleleni, ngamanye amaxesha iba unobangela ukopha ukusuka ndlela jugular okanye otolikvorei.

Kwakhona sinikele ingqalelo umngcipheko ukudumba aseptic ye indlebe kwi kwixesha postoperative. Le meko zaziye ekubhobhozeni, ukudumba kunye neentlungu.

Ngamanye amaxesha oko kuvela emva kotyando tympanoplasty gnoetichenie indlebe. Ukuphonononga inkxaso yokuba le ngxaki olwenzekayo. Ngenxa yesi sizathu, kwaye imo ebalulekileyo zokubhala ngexesha zokubuyisa, njengoko oogqirha baya kuba nako ukunika lobungcaphephe kunye uncedo ngexesha elifanelekileyo kwimeko yobunzima kunokwenzeka.

Iingxaki ngokubanzi nazo ziquka intloko elide (imiphumo fistula le mibono), ukulungelelana kakuhle kunye nesiyezi.

Njani kunjalo esinye

Abo uluphumelele ukusebenza kunye nokusetyenziswa afakelweyo, kuyimfuneko ukulandela ngqo izindululo oogqirha, njengoko kwimeko ukudumba zendlebe singaqala inkqubo lusenokungamkelwa.

Kwakhona ukudumba kuya kuchaphazela isantya achache. Emva kokusebenzisa tympanoplasty kunye afakelweyo kukho umngcipheko ukubana ngabaya, kwakunye necrosis okanye yome. Ngoko ke, ukuba uthe waba indawo zokufakelwa ngokwayo kufuneka zikhuselwe kakuhle.

ubuthulu

Ibhekisela ngokubonakala iqela yeengxaki endlebeni ubuthulu esisebenza, nto leyo ukufikelela kwinqanaba yokungeva ngeendlebe ngokupheleleyo. Le ngxaki yenza ngokwayo waziva emva tympanoplasty enzima okanye non-olukhulu. Ukophulwa kwimbono isandi wambi sisiphumo labyrinthitis lovukelo, okunokuba ngaphandle unyango. Ukuba oku akwenzeki, ngoko ke kunyango ofanelekileyo phantsi kweliso elibukhali likagqirha kuya kunceda Nokwethisa le ngxaki.

Ngoko ke, simele siqonde ukuba ukungase-, unobangela apho loo mibono, ubume okwethutyana kunye zifo.

Kodwa ke iindaba ezimnandi zezokuba la iingxaki kuvandlakanywa kuphela ngo-3% ezigulane lowo tyando lwenziwa. ukubuyekeza tympanoplasty has a ubukhulu becala HIV, ngoko kufuneka ukuboyika le ndlela.

ekukhubazekeni zexesha elifutshane

Le yenye ingxaki enokuthi yenzeke emva kotyando kwi nendlebe. Iindaba ezimnandi kukuba uhlobo le ngxaki okwethutyana. Ukukhubazeka elifutshane elide Ukudumba postoperative le-luvo yobuso.

Kwezinye iimeko, i-luvo zingamoshakala ngenxa yokuwela intraoperative. Njengoko amanyathelo okulungisa kusetyenziswa zeplastiki. Sithetha ethunga luvo saphenous entanyeni. Xa okunye ngumfuziselo, yobuso luvo ligated ne sublingual. Ngenxa yendlela engenelayo enjalo ngexesha utyando, nasemva kokuba yeplastiki umngcipheko kulondolozwe buthathaka intsalela ye imisipha yobuso.

reviews

Ukuba uhlola izimvo zabantu kugqitywe phezu ngokutsha kwendlebe ephakathi, oko kunokwenziwa isigqibo sokuba le ndlela unyango lusebenza kakhulu.

Uninzi iBhunga liya kugqiba malunga amanyathelo kumajelo eendaba ezondeleyo otitis, kuba kwimeko yawo ingxaki isonjululwe kuphela emva kotyando "tympanoplasty". Xa recovery ngokupheleleyo, sinako kuthi ngokuqinisekileyo ngenxa yeengxaki kunye neempawu kumzimba isiguli ngasinye kunokwenzeka.

Kodwa ukuba sithethe ngayo avareji, ize ibe sisikhwebu, uza emva yesiqhelo emva kwenyanga enye ukususela kumhla msebenzi.

iziphumo

Chronic media otitis - isisifo esibi, kwaye ukuba isebenze, umonakalo ukuya zendlebe kunokuba ebonakalayo. Tympanoplasty, ke, likuvumela ukuba yokungenelela ngokupheleleyo ingxaki nokubuyisela indlebe. Ngaphezu koko, lo msebenzi kukodwa kuthatha malunga neyure. Ngoko ke, akukho sizathu ngoyaba nyango.