Opaleshoni khutu: zizindikiro, mitundu

Aliyense opaleshoni khutu mankhwala anawagawa inakonzedwa ndi wamsanga. Pakuti popanga munthu opaleshoni ya mtundu woyamba wodwala angathe kukonzekera pasadakhale. Komanso akhoza ayambitse - mwachitsanzo, ngati munthu ayenera opaleshoni pulasitiki pa makutu. Price Pankhaniyi kudzadalira zosiyanasiyana zinthu - kuchokera zovuta mlanduwo, mtengo mndandanda chipatala zenizeni, njira kuchira. Ndi otsutsana ndi umboni wa madokotala ndi matenda oopsa monga njira kumva kwa khutu pakati komanso mkati - iwo lingachititse chitukuko cha sepsis, zosokonezeka osiyanasiyana a ubongo ndi thrombosis.

kukonzekera mtima

Kumene, opaleshoni khutu si ikuchitika yomweyo kuchokera pa ulendo wa wodwalayo katswiri. Pambuyo audiologist adzafotokoza inu kuchipatala, wodwalayo amaloŵamo zambiri Kafukufuku: a kusanthula ambiri a sayansi magazi, kutsimikiza za uchembere-chinthu, EKG, Kujambula, X-ray a ndondomeko mastoid, kuphunzira ambiri a boma la kumva ndipo potsiriza, kafukufuku wa madokotala ndi matenda okhudza ubongo. Pankhani ya zizindikiro anakonza, ndiye munthuyo anafufuza pa outpatient kapena inpatient kolowera; Only ndiye tingakambirane ntchito pa khutu.

alowererepo opaleshoni

Pafupifupi onse maopaleshoni pa pakati ndi makutu mkati akutsatiridwa pansi onse endotracheal ochititsa dzanzi. Pa tsiku la opaleshoni ya mtima amaloŵamo premedication, kenako chikuku laperekedwa kwa chipinda cha opareshoni. Tikumbukenso kuti musanagulitse kusengedwa ndi anameta tsitsi m'makwinya retroauricular, ngati n'koyenera. Monga mmodzi mwa zizindikiro za labyrinthitis akupitiriza adzafune kusanza, atadwala usiku ndi m'mawa pamaso alowererepo n'kofunika kukana chakudya (kotero kuti pamene ntchito pa khutu, analibe mavuto). Ngati dokotala akhazikitsa yekha ndi khutu lakunja amaloledwa kuchita opkratsiyu pansi mankhwala oletsa ululu pamalopo.

Kusunga mtima pambuyo opaleshoni

chithandizo Postoperative zimadalira kwenikweni mtundu wa kusokonezedwa: zonse ntchito pa khutu pakati (antrotomiya, antromastoidotomy) yodziwika ndi pachilonda, amene plugging kenako anatseka wosabala bandeji. Monga ulamuliro, ndi madzulo wodwala amayamba kuona bwino: kutentha akutsikira, zomverera opweteka. Tsiku lotsatira anali kuvala koyamba; kukhetsa swabs ndiye m'malo ndi atsopano, pambuyo ntchito M'mimbamo kusamba ndi kupopera mankhwala ndi mankhwala antiseptic. The Mavalidwe zotsatirazi lililonse masiku ochepa ndipo anasiya pokhapokha M'mimbamo kwathunthu wodzazidwa ndi granulation minofu. Ngati suppuration ikutha, ndi perforation atseka, matabwa sekondale musati alipo. Nthawi zambiri, ndi likalowa m'makutu wabwezeretsedwa, kumva akubwerera mwakale. Purulent otitis TV ndi bala chatsekedwa amafuna obschepolostnoy sanitizing ntchito, motero m'pofunika kusintha okha bandeji akunja, ndi matabwa kusamalira ayodini. The ligation wathunthu ikuchitika pambuyo pa sabata. nthawi yonseyi, wodwalayo chikuyendetsedwera analgesics ndi antipyretics.