Tonsillectomy kwa zilonda zapakhosi aakulu: ndemanga. Kodi ndikufunika kuchotsa tonsils mu zilonda zapakhosi aakulu?

Kuya kwa mmero pa pamalo ake lateral, anakonza mabungwe awiri amene ayitanidwa tonsils (zopangitsa). Dzinali iwo ali kuyamika kufanana kwa nati chomwecho. The tonsils ndi zopangitsa kwa chitetezo cha m'thupi ndipo ndife gawo la limfoepitelialnogo pharyngeal mphete.

tonsils ntchito

Ngakhale ngati akuvutika ndi zilonda zapakhosi aakulu, musanaganize pa tonsillectomy, muyenera kumvetsa chifukwa ali ofunikira m'thupi. The Ntchito yaikulu ndi kuteteza zopangitsa lapansi. formations Izi zikugwira magwiritsidwe matenda tizilombo toyambitsa kuti alowe m'thupi kudzera m'malovu. Pambuyo kuchotsa tonsils ndi vuto limeneli Mwamsanga, kotero njira ya tizilomboto kale pake. Komanso, mu tonsils ndi opangidwa safeners. Nsalu za mabungwe awa kubala interferon, Popanga madzi a gamma globulin ndi lymphocytes.

Zifukwa kuchotsa tonsils

Koma nthawi zina, ndi tonsils Palatine ali salinso kupirira ntchito wawo. Chifukwa, kuwonongeka kwa chikhalidwe ambiri akhale aakulu chitetezo matenda linkadziwika kuti "adenoid". Tonsillectomy Pankhaniyi - ndiyo njira yokha yothetsera mavuto ayi. Ngakhale ambiri zikuoneka losavuta.

Funso la kuchotsa ikutuluka milandu kumene Palatine tonsils sakupirira tizilomboto kuti kulowa kudzera m'malovu mu thupi. Pankhaniyi, wodwala akudwala angina kobwereza, kulimbikira exacerbations a zilonda zapakhosi aakulu. The tonsils mu milandu amapita opatsirana-yotupa ndondomeko. The lacunae amasonkhana ndi stagnates mafinya. Izi ambirimbiri chofuna ndi tonsils sakumvetsa minofu. Ngati Popanda kuchitapo kanthu, ndi tonsils kukhala gwero zonse matenda ndi chamoyo, chifukwa formations izi wofooka anayamba kuchulukitsa tizilombo ting'onoting'ono tizilombo. Nthawi imeneyo, pamene mankhwala ndiwofatsa sapereka zotsatira zabwino, kapena pali kuledzera yaitali lake lonse, adokotala akhoza amalangiza tonsillectomy kugwira. Umboni ali makamaka akulankhula za chakuti anthu amafuna iwo sanachedwe kugwirizana opaleshoni. Choncho musawafulumizitse, ngati si mankhwala onse timayesedwa.

Zimayambitsa zilonda zapakhosi aakulu

Osati kubweretsa zopangitsa kuti boma ovuta, m'pofunika kudziwa zimene zimathandiza chitukuko cha matenda monga zilonda zapakhosi aakulu. Tonsillectomy, ndemanga zimene ziri kawirikawiri zabwino m'njira zapamwamba za matenda zambiri njira yokhayo yotulukira. Ngati simukufuna kubweretsa zopangitsa kuti okhumudwa, ndikofunika kudziwa aakulu zilonda zapakhosi patsogolo pa mapeto a insufficiently ankachitira angina. zinthu chokhwima zachilengedwe monga chilengedwe osauka, mpweya, osauka khalidwe madzi akumwa. Komanso chitukuko cha matenda ungabweretse mavuto aakulu ambiri zofooketsa chitetezo cha m'thupi, matenda osiyanasiyana M'mimbamo m'kamwa kapena mphuno. Normal mano kapena purulent sinusitis mwina chifukwa wodwala matenda tonsils.

Zizindikiro za zilonda zapakhosi aakulu

Kumene, kupweteka pang'ono ndi zilonda zapakhosi kangapo pa chaka - sichifukwa kulankhula za kufunika kwa alowererepo pa opaleshoni. Aakulu zilonda zapakhosi angapo zizindikiro zina. Zikuphatikizapo ululu kupweteka mu mafupa, minofu, mtima, impso, m'chiuno kutengeka thupi zakunja pakhosi, kufooka, kutopa, kuchepa kwambiri Mwachangu. Komanso, zizindikiro komanso otsika kalasi kutentha, pakutchulidwa wa totupa kulimbikira pa khungu, ndipo ngakhale maganizo oipa.

adokotala ati inu mukusowa tonsillectomy kwa zilonda zapakhosi aakulu, kumene matendawa likuoneka zosokonezeka. Zimenezi zingachititse kuti matenda a mtima - myocarditis, impso kuwonongeka - glomerunefritu, kutupa m'malo olumikizirana mafupa a - la misempha. Ichi ndi chifukwa chakuti tizilombo ting'onoting'ono kuti kuchulukana mu zimakhala wofooka wa tonsils ndi mubale poizoni. Ena mwa iwo kugwera mu makope ambiri a thupi ndi kuwononga chichereŵechereŵe ndi mitsempha minofu. Ena zingachititse otsika kalasi kutentha kusintha mayesero, chifukwa mutu. Ngati tonsils adzakhala streptococcus, a gulu A, maselo kuteteza thupi adzaukira izo. Mapuloteni wa bakiteriya zimenezi zikufanana ndi zimene zimapezeka minofu connective a minofu mtima. Chifukwa cha ichi, chitetezo cha m'thupi amayamba kuukira ake. Apa tikutengegeredwa ku arrhythmia wa mtima mavavu prolapse. Chifukwa chakuti kukhala endocarditis toyambitsa myocarditis. Komanso aakulu zilonda zapakhosi zikhoza thupi lawo siligwirizana. Pali kuyabwa zidzolo, ndiponso mwina kuyamba kukhala mphumu.

ntchito alowererepo

Ngakhale kuti madokotala ambiri amalangiza kuti agwire kuchotsa tonsils mu zilonda zapakhosi aakulu, ndemanga amasonyeza kuti choyamba ndi bwino kuyesa mitundu yonse ya njira ndiwofatsa mankhwala, funani zipatala zingapo ndi madokotala osiyana ENT. Kumene, akapanda kumuthandiza, kupita kwa opaleshoni. Nthawi zambiri, madokotala amalangiza kuti achite tonsillectomy amgwirizano. Izi deletes nsalu lonse la nyumba atetezeke. Koma nthawi zina zokwanira kuti achite tsankho kuchotsa tonsils ndi zilonda zapakhosi aakulu. Amenewa amatchedwa tonzillotomiey amgwirizano.

Sankhani njira yabwino kwambiri mlandu wanu, opaleshoni zitha kukhala katswiri pa maziko a mbiri chipatala ndi umoyo wonse. Sikuti kunena pa ntchito zawo, ngati dotolo limalangiza kuyesa kuchitira zilonda zapakhosi aakulu. Tonsillectomy (ndemanga pogonekedwa ndi mankhwala ambiri tikulimbikitsidwa kuchita opaleshoni) wochititsidwa kokha pamene pali zizindikiro mtheradi ichi. Poyamba, njirayi opaleshoni chitachitidwa pansi mankhwala oletsa ululu pamalopo yekha, koma chifukwa cha kubwera kwa mankhwala opha ano tsopano umachitikira komanso mankhwala oletsa ululu zonse.

Njira kochotsa tonsils

The njira yaikulu ya ndiyotani pakuchotsa nyumba ya palatal mu mmero ndi opaleshoni ochiritsira. Iwo anachita ntchito lumo opaleshoni ndi waya kuzungulira. Njira imeneyi ndi zachilendo ndi bwino anayamba madokotala mu izo nthawi zambiri kumachitika tonsillectomy mu zilonda zapakhosi aakulu. Umboni zikusonyeza kuti nkhaŵa za kusapeza pa ntchito.

Ngati adotolo atsimikiza ndi tsankho excision wa tonsil minofu, ndiye ntchito yapadera chipangizo - mikrodebrider. Ndi kuti excised malo matenda. Tonsillectomy kwa zilonda zapakhosi aakulu njira imeneyi zimathandiza wodwala kuchira msanga. Koma sizimatanthauza, pamene nsalu ya kwambiri makutu.

Kuwonjezera opaleshoni ochiritsira, panopa dokotala angakulangizeni ntchito akupanga scalpel, ndi magetsi, wailesi yoweyula kapena laser. Zonse mwa njira zimenezi amakulolani msanga agwire kuchotsa tonsils mu zilonda zapakhosi aakulu. The njira mwakuchita mankhwala amakono, akhoza kuchepetsa pamene ntchito ndi nthawi postoperative.

laser kulowelera

Ngati mukufuna pasanapite nthawi kubwerera ku moyo wabwinobwino pambuyo opaleshoni, imene udzachitike tonsillectomy, ndemanga iliyonse mwa njira zimenezi kudzakuthandizani zinthu mwanzeru. Mwachitsanzo, laser mankhwala kumatenga mphindi zosaposa 30, ndi kuchira bwino kukuchitika pa masiku 4. Ubwino wina wa njira ndiyotani pakuchotsa tonsils ndi kuti yopanda magazi mwamtheradi. Mtengo coagulates ziwiya zonse kuonongeka magazi. Ngati mwaganiza kuchotsa tonsils mu aakulu zilonda zapakhosi laser, kodi simukuona kuti "zithumwa" onse nthawi postoperative. Ndipotu, ululu pambuyo aziloŵerera adzakhala zochepa kutchulidwa.

Koma, monga kwa tonsillectomy ochiritsira, muyenera kukonzekera opaleshoni laser. Makamaka inathetsedwa magwero onse angathe matenda m'mphuno ndi m'kamwa zibowo zam'mano. Ndi zofunika pochitika pa kusanthula mkodzo ndi magazi, kuti mafano a mtima ndi mapapo. Izi zidzathandiza kuti aone mkhalidwe wonse wa thupi ndi kumvetsetsa mmene wasinthira zilonda zapakhosi aakulu.

Laser kuchotsa tonsils imagwiridwa pansi mankhwala oletsa ululu pamalopo. Pamene kwambiri excitability wodwalayo sakhoza kulowa mankhwala "atropine" kapena "pantopon" kwa theka la ola isanayambe alowererepo pa. Pa ndondomeko, ndi tonsil kangapo. Kutalika kwa aliyense kukhudzana sadzakhala upambana 15 masekondi. Nsalu woyamba pansi padzuwa la kutsogolo ndi kumbuyo m'mbali. Pokhapokha kuti katswiri akuyamba kugwira ntchito pa minofu ozungulira. Iwo amagwiritsa ntchito wamba mankhwala, ndipo wodwalayo ayenera kukhala maso pa udindo mosapumira.

njira zina

Kuwonjezera chiwonongeko laser, tonsillectomy mu zilonda zapakhosi aakulu mwina kuchitikira ntchito magetsi. Pogwiritsa ntchito njira imeneyi, odwala ongoyendayenda minofu electrocautery. Opaleshoni imeneyi sayambitsa kuwawa kulikonse, chifukwa iye alibe magazi. Koma njirayi imatengedwa ndi oopsa, chifukwa panopa ingawononge minofu wathanzi.

Tonsillectomy kwa zilonda zapakhosi aakulu akuluakulu angathe kuchitikira ntchito ochititsa kuti radiofrequency ablation. Ndi kugwiritsa ntchito zopangitsa minofu ndi kuligaŵa pa mlingo maselo. Pa nthawi yomweyo iwo sizikugwira ntchito kapena laser, kapena panopa kapena kutentha. N'chifukwa chake vuto samaoneka pambuyo alowererepo zimenezi.

opaleshoni

Ngakhale zosiyanasiyana njira zamakono, tonsillectomy kawirikawiri zilonda zapakhosi aakulu ikuchitika mu njira muyezo mwa clamps ndi lumo. opaleshoni zimachitika pakamwa poyera popanda amacheka kwina. Nditamaliza m'munsi cauterize zopangitsa. Ndondomeko lonse amatenga maola 1.5. Izo zikhoza kuchitidwa pansi m'deralo kapena pansi ochititsa dzanzi ambiri.

Pambuyo mtima tonsillectomy aikidwa pa dzanja lamanja, ndi khosi obkladyvaetsya wake ayezi. Izi zimapangitsa kuchepetsa mitsempha ndiponso kupewa mapangidwe magazi pambuyo ntchito. Komanso, yoikidwiratu Inde mankhwala opha tizilombo.

Pa tsiku la opaleshoni wodwalayo ali ololedwa ndi sips ochepa a madzi. Mu masiku angapo a chakudya zikuphatikizapo madzi pureed zakudya, ponena okha kuzizira. chakudya amalimbikitsa machiritso a zilonda amene anayambika pambuyo tonsillectomy kunachitidwa.

Reviews odwala ambiri kuti nthawi pochira kovuta pochitika pambuyo opaleshoni ochiritsira. Ambiri amadandaula mufike. Mwamsanga pambuyo opaleshoni, si kutchulidwa kwambiri, koma patapita masiku ochepa itakula. Patapita mlungu umodzi, ululu amayamba Tcherani khutu. Makamaka izo zimaonekera pa Pomeza. Koma anthu ambiri amaganiza kuti mmene koipa mu tsiku pamene khalidwe tonsillectomy kwa zilonda zapakhosi aakulu. Kodi kuwawa pa ntchito lokha, ndi chidwi ambiri odwala. Koma iwo amayiwala kuti opaleshoni imagwiridwa pansi ambiri kapena m'dera ochititsa dzanzi. zomverera zosasangalatsa zimachitika pamene zotsatira za obisika narcosis.

Zotsatira za ndiyotani pakuchotsa tonsil

Mpaka zaka zingapo zapitazo, zopangitsa ankawaona kukuchitika matenda, kotero iwo anachotsa ambiri. Koma tsopano akatswiri kudziwa kuti pali chitsekerezo kuti matenda amene salola mabakiteriya kudutsa zina mu thupi. Mukadziwa anachotsa tonsils, thupi zochepa otetezeka. 6 wa tonsils mu thupi kukhala 4. yekha pakati pa iwo ndi thupi lonse ndi choikidwa katundu adzakhala kugawa.

Musaiwale kuti amygdala - si chopinga matenda, komanso ndi mbali ya chitetezo cha m'thupi. Komanso, iwo amapanga zinthu zimakhudzidwa ndondomeko hematopoiesis.

Ngati ana zokhudza madokotala zambiri ndiyesera zopangitsa pa mpaka zaka eyiti. Tonsillectomy kwa zilonda zapakhosi aakulu ana tikulimbikitsidwa Koma ngati pamene boma liyamba zingasokoneze uziyenda yachibadwa ziwalo zina ndi machitidwe thupi.

umboni

Wodwala aliyense pamaso povomera opaleshoni, akufuna kudziwa maganizo a akatswiri komanso anthu ena amene kale anali ndi tonsillectomy. Mayankho zosiyanasiyana, monga ulamuliro, zimene zinali ndendende boma la wodwalayo asanachite opareshoni. Anthu amene ankazunza kulimbikira aakulu kutupa mu mphuno komanso pakhosi, komanso ziwalo zina, nthawi zambiri pambuyo kuchotsa tonsils mitima mpumulo. Pambuyo kuchotsa cholinga chachikulu cha matenda thupi limayamba kulimbana paokha.

Koma zoyenera kamodzinso ananena kuti zimenezi tilungamitsidwa, ngati kale anayesera njira zonse za chithandizo ndiwofatsa. Zikuphatikizapo odana ndi bakiteriya, odana ndi yotupa, antiseptic, immunostimulant mankhwala. Pamene ntchito mankhwala akhoza kukwaniritsa chikhululukiro kwa miyezi ingapo, amaona ogwira. Pankhaniyi, si za opaleshoni yofuna.

hardware chithandizo

Pamene mankhwala ndiwofatsa sapereka zotsatira zabwino, musanaganize pa tonsillectomy mu zilonda zapakhosi aakulu, ndi zofunika kuti ayese hardware chithandizo. Poyamba, dokotala kuyeretsa lacunae wa tonsils. Ntchito imeneyi ikuchitika ndi syringe wapadera kapena kudzera nozzle "Tonzilor". Pambuyo kukonza padziko tonsils iwo bwanji otsika-pafupipafupi ultrasound, pamene kudyetsa kumtunda nsalu zopangitsa mankhwala njira. Koma mankhwala sikuthetsa hardware. Vuto malo Komanso kukonzedwa kutsitsi "Lugol", nakhala magawo mankhwala laser kwa thandizo la kutupa ndi kuchepetsa zimakhala kuthamanga kwambiri. Ndi mmodzi wa magawo ndi akonzere microflora kuti nthawi mothandizidwa cheza ultraviolet.

Ngati onse anayesa mankhwala ndi hardware njira musataye Zotsatira akufuna, ndiye pali kanthu katsalira koma kugwirizana ndi kuchotsa kwa tonsils mu zilonda zapakhosi aakulu. Photo wa tonsils wathanzi ndi matenda zimathandiza ambiri kusankha opaleshoni ya.

Ndi kofunika kudziwa kuti ambiri mwa vuto mwachindunji anakumana ndi ana ndi achinyamata. Funso ngati tonsil kuchotsa n'zofunika zilonda zapakhosi aakulu patapita zaka 50, pali mocheperapo zokwanira. Pamsinkhu uwu muyenera kukhala zizindikiro mtheradi kwa opaleshoni. N'zotheka, ngati pali chiopsezo cha mavuto aakulu. Nthawi zina zonse, kokha ndiwofatsa mankhwala kukuonetsedwa.