Tonsillectomy for tonsils ezigulo ezondeleyo: ncomo. Ngaba kufuneka asuse tonsils kwi tonsils ezondeleyo?

Ubunzulu womqala, phezu imiphezulu yayo osecaleni, amalungiselelo amaziko amabini ezibizwa tonsils (namadlala). Igama baza Bulelani yokufana Anut efanayo. Ezi tonsils ezi amadlala ze amajoni omzimba kwaye ziyinxalenye ring pharyngeal limfoepitelialnogo.

tonsils umsebenzi

Nokuba uphethwe tonsils esinganyangekiyo, phambi kokuba izigqibo tonsillectomy, kufuneka siqonde ukuba kutheni izinto ezifunekayo emzimbeni. Umsebenzi ophambili kukuba ukukhusela amadlala. Ngokuseka bekwi ukusetyenziswa izifo ezosulelayo amagciwane ukuba ufake emzimbeni amachaphaza. Emva ukususwa tonsils, le isithintelo liyalahleka, ngoko ke indlela amagciwane sele yanto. Ngaphezu koko, kule tonsils eziveliswa safeners. Amalaphu kula maqumrhu ukuvelisa interferon, igamma globulin lymphocyte.

Izizathu zokususwa tonsils

Kodwa kwezinye iimeko, le tonsils iPalatine engasekho ukumelana nemisebenzi zabo zokuzikhusela. Ngenxa yoko, ukonakala kweendlela imeko jikelele abe sisifo esingapheliyo omzimba, eyaziwa ngokuba "adenoid". Tonsillectomy kulo mzekelo - asiyiyo yodwa indlela yokusombulula le ngxaki. Nangona abaninzi kubonakala ngathi elula.

Umbuzo sokususwa kuvela kwiimeko apho tonsils iPalatine akakwazi ukumelana iintsholongwane ukuba ukungena amachaphaza emzimbeni. Kulo mzekelo, isigulana unesifo angina nezolo, exacerbations ezingisileyo tonsils ezigulo ezondeleyo. Le tonsils kwezi meko iya inkqubo esosulelayo-arhabaxa. Le lacunae oluhlala kwaye stagnates ubomvu. Ezi quba yezihlunu asha kunye tonsils axakane. Ukuba lunganyangwa, i tonsils abe ngumthombo rhoqo ukungenwa ephilayo, ngokuba ngokuseka buthathaka ziyaqala phinda iintsholongwane izifo. Kwezo meko, xa unyango elondoloza ayiniki iziphumo ezihle, okanye kukho ukunxila elide yonke ephilayo, ugqirha angase akukhuthaze ekubambile tonsillectomy. Baqinisekiswa kaninzi ukuthetha malunga nento yokuba abantu abanqwenela ukuba akhawuleza ukuba uyavumelana uqhaqho. Ngoko ke musa sukela, ukuba asingabo bonke unyango azanywa.

Oonobangela tonsils ezingapheliyo

Ukuba zazise amadlala ukuba engaginyisi mathe, kuyimfuneko ukwazi ukuba yintoni na igalelo kuphuhliso kwezifo ezifana tonsils ezigulo ezondeleyo. Tonsillectomy, izimvo zazo kunqabile eyakhayo iintlobo elichubekileyo sifo kudla ndlela kuphela ngaphandle. Ukuba awufuni ukuba amadlala ukuba ukwimeko enjalo, kubalulekile ukuba wazi ukuba yintoni na tonsils ezingapheliyo kukhokelela ekupheleni angina ngokwaneleyo ngayo. izinto engentle yokusingqongileyo ziquka bume amahlwempu, ungcoliseko lomoya, amanzi kakuhle okusela esemgangathweni. Ukongeza, uphuhliso sifo neengxaki ezinzima jikelele buthathaka zokuzikhusela zomzimba, izifo ezahlukahlukeneyo kwisisu yomlomo okanye impumlo. ukubola kwamazinyo Eqhelekileyo okanye ubovu sinusitis inokuba isizathu ukuba umguli abosulelekileyo tonsils.

Iimpawu tonsils ezingapheliyo

Kakade ke, iintlungu okuncinci nomqala obuhlungu izihlandlo eziliqela ngonyaka - akukho sizathu ukuthetha malunga kwimfuneko yokungenelela ngoncedo yotyando. tonsils Chronic lineqela nezinye iimpawu. Ezi ziquka intlungu ndiyaqaqanjelwa kwamalunga, izihlunu, intliziyo, izintso, esinqeni, imvakalelo umzimba angaphandle emqaleni, buthathaka, ukudinwa, kukho ukuhla kakhulu eyiyo. Kwakhona, iimpawu ziquka kubushushu obuphantsi-grade, kukuvela yabangxamayo ngokuzingisileyo eluswini, nkqu into emkhathazileyo ngelo xesha.

Ugqirha uthi ufuna tonsillectomy ngenxa tonsils esinganyangekiyo, apho sifo esongela iingxaki. Oko kungakhokelela ekubeni isifo sentliziyo - myocarditis, nomonakalo wezintso - glomerunefritu, ukudumba namalungu - rheumatism. Oku kungenxa yokuba ezi ntsholongwane ukuba nande kwizihlunu elibuthathaka ngayo tonsils, abulale. Abanye babo kuwela ukuhamba jikelele lomzimba konakalise intlala kunye lungu kwithishyu. Abanye kungabangela lobushushu kwibakala ephantsi iimvavanyo utshintsho, ityala intloko. Ukuba tonsils ziya iStreptococcus, ngoweqela A, iiseli zokhuselo lomzimba uya kuhlasela ngayo. I protein yale bacterium iyafana naleyo afumaneka kwizicwili kwemisipha kwentliziyo. Ngenxa yoku, amajoni omzimba iqala zafunzela kuye. Oku kukhokelela arrhythmia kwemithambo yenhliziyo prolapse. Ngenxa yoko, elo nxeba endocarditis yebhaktiriya okanye myocarditis. Ukongeza, tonsils ezinganyangekiyo kunokubangela negazi lakho. Kukho ukurhawuzelelwa, irhashalala, kwaye Usenokude ucinge ukuba isifuba.

ukungenelela operative

Ngaphandle kokuba oogqirha abaninzi Siyaleza ukuphumeza ukushenxiswa tonsils e tonsils ezingapheliyo, ukubuyekeza abonisa ukuba le yokuqala kubhetele ukuba uzame zonke iintlobo iindlela angqingqwa zonyango, dibana iikliniki eziliqela kunye amagqirha ENT ezahlukeneyo. Kakade ke, ukuba abathanga ukunceda, ngoko ke kufuneka ukuba baye uqhaqho. Kwiimeko ezininzi, oogqirha yaleza ukwenza tonsillectomy mazwe. Oku lisusa yonke salo izakhiwo zokuzikhusela. Kodwa ngamanye amaxesha kwanele ukwenza ukususwa kwenxenye ye tonsils kunye tonsils esinganyangekiyo. Oku kubizwa ngokuba tonzillotomiey mazwe.

Khetha eyona ifanelekileyo ukhetho kwimeko yakho, utyando kungaba kuphela ingcali ngokusekelwe imbali yezonyango kunye nempilo jikelele. Akukho mfuneko ukuba inyanzelise umsebenzi wabo, ukuba ugqirha ucebisa ukuzama ukunyanga tonsils ezigulo ezondeleyo. Tonsillectomy (reviews phantsi zomzimba jikelele Kucetyiswa ukuba wenze lo msebenzi) lwenziwa kuphela xa kukho izikhokelo ezivela ngokupheleleyo kulo. Ngaphambili, le nkqubo yotyando senziwa phantsi zomzimba zasekuhlaleni kuphela, kodwa ngenxa yokufika kwenkqubo iintlungu mihla ngoku benza kunye Ukubulawa ngokupheleleyo.

Iindlela yokususa tonsils

Indlela engundoqo ukubatshabalalisa izakhiwo palatal emqaleni i utyando oluqhelekileyo. Oku kwenziwa ngokusebenzisa izikere zotyando kunye ucingo loop. Le ndlela wandile kwaye ziphuhliswe kakuhle oogqirha ngalo kakhulu ndandingohlukani tonsillectomy kwi tonsils ezigulo ezondeleyo. Baqinisekiswa zibonisa ukuba unenkxalabo kuphela malunga ukukhathazeka ngexesha lokusebenza.

Ukuba ugqirha lithethelela ukuba Ukusikwa kwenxenye inwebu ilaka, ngoko sebenzisa isixhobo okhethekileyo - mikrodebrider. Nalo excised iindawo zizifo. Tonsillectomy for tonsils ezinganyangekiyo ngale ndlela ivumela isigulane ukululama ngokukhawuleza. Kodwa akwenzi ngqiqo, xa laphu kuphazamisekile kakubi.

Ukongezelela utyando eqhelekileyo, kungoku nje ugqirha ingenza isindululo kuphungula ukusetyenziswa cuke, umsinga wombane, wave kanomathotholo okanye laser. Zonke ezi ndlela uvumele wena ukhethe ngokukhawuleza ukwenza ukushenxiswa tonsils kwi tonsils ezigulo ezondeleyo. Iindlela eziphuhliswe ngamayeza mihla, bakwazi ukunciphisa ngoxa ukusebenza kunye nexesha postoperative.

laser uphazamiseko

Ukuba ufuna phantse ngokukhawuleza ukubuyela ubomi obuqhelekileyo emva kotyando, apho uya kubanjwa tonsillectomy, ncomo nganye kwezi ndlela kuya kukunceda wenze ukhetho olufanelekileyo. Umzekelo, unyango laser ithatha imizuzu engekho ngaphezulu kwe-30, yaye recovery ngokupheleleyo kuthatha iintsuku ezi-4. Enye inzuzo yale ndlela ukubatshabalalisa tonsils kukuba kwegazi ngokupheleleyo. Beam iyajiya zonke iimpahla yegazi yonakele. Ukuba ugqiba ukususa tonsils e ezondeleyo tonsils laser, musa va zonke "ngamakhubalo" kwexesha postoperative. Ngapha koko, iintlungu emva kokuba ungenelelo olo luya kuba ngaphantsi kubi.

Kodwa ke, njengoko le tonsillectomy eqhelekileyo, kufuneka ukulungiselela laser uqhaqho. Ubukhulu becala bayiyeka yonke imithombo ezinokwenzeka zokugula kwisisu ngeempumlo nangomlomo. Kunqweneleka ukuba badlulisele ekuhlalutyeni umchamo negazi, ukuba benze imifanekiso intliziyo kunye nemiphunga. Oku kuya kunceda ukuvavanya imeko ngokubanzi lomzimba baqonde indlela ithe nefuthe tonsils ezigulo ezondeleyo.

Ukususwa laser of tonsils lwenziwa phantsi Ukubulawa yasekuhlaleni. Xa excitability ngokugqithisileyo isigulane unako ukungena ichiza "Atropine" okanye "pantopon" kangangesiqingatha seyure phambi kokuqala kolo ngenelelo. Ngexesha inkqubo, a idlala izihlandlo eziliqela. Ubude sesichengeni nganye akuyi kudlula imizuzwana 15. Eli laphu lokuqala phantsi ukungakhuseleki ekupheleni ngaphambili nangesemva. Kuphela emva koko yingcali uqala ukusebenza ngomhla esikule ezingqongileyo. Isebenzisa zomzimba zasekuhlaleni kuphela, kwaye isigulane kufuneka qwa isikhundla ekuhlaleni.

nezinye iindlela

Ngaphandle laser intshabalalo, tonsillectomy kwi tonsils ezinganyangekiyo ukuze ungenziwa kusetyenziswa umsinga wombane. Ekusebenziseni le ndlela, izigulane abakhuselekanga ijwabu electrocautery. Lo msebenzi akuthethi esingenakubangela naliphi na intlungu, ekubeni akukho ukopha. Kodwa le nkqubo njengeyingozi noko, ngenxa yokuba lo yangoku zingonakalisa ephilile.

Tonsillectomy for tonsils engapheliyo abadala nako kuqhutywa ngokusebenzisa radiofrequency ablation vuvabyi. Nokusebenzisa kwayo unamadlala zeethishu ukuba dissected kwinqanaba eziphilayo. Ngelo xesha linye azisebenzi okanye laser, okanye ngoku okanye ubushushu. Kungenxa yoko le nto ingxaki kungabonwa emva sokungenela.

utyando performing

Nakuba iintlobo ngeentlobo ubuchule mihla, tonsillectomy qho tonsils ezingapheliyo kwenziwa ngendlela eqhelekileyo ngokusebenzisa izibopho kunye isikere. Olu tyando kwenziwa ngomlomo evulekileyo ngaphandle ukusikwa angaphandle. Emva base kokugqitywa cauterize namadlala. Inkqubo yonke sisaqhubeka ukuya kwiiyure 1.5. Kokuba kwenziwe phantsi okanye ngaphantsi Ukubulawa jikelele.

Emva kokuba isigulane tonsillectomy obekwe kwi ngasekunene, yaye bakhe ice entanyeni obkladyvaetsya. Oku kubanga ukwehliswa imithambo yegazi kwaye uthintele ukuyilwa ukopha post-operative. Ukongeza, ikhondo unyango magciwane elimisiweyo.

Ngosuku lo msebenzi isigulane akuvumelekanga ukuba ndandirhabula ezimbalwa amanzi. Ngemihla embalwa ezayo yokudla ubandakanya pureed ukutya ulwelo, nesetyenziswa kuphela kule ngqele. ukutya ikhuthaza zokunyanga amanxeba eziye zavela emva tonsillectomy lwenziwa.

Izimvo izigulane ezininzi bathi sokubuyisa ixesha ekuphulukenwe nalo kunzima kakhulu ukuba Kwathi emva kotyando oluqhelekileyo. Abaninzi ezikhala zokukhula. Ngokukhawuleza emva kotyando, bengengabo iqapheleka kakhulu, kodwa emva kweentsuku ezimbalwa enomfutho. Emva kweveki, loo ntlungu uqale ukunika indlebe. Ingakumbi kuba kuyacaca ngexesha ukuginya. Kodwa abantu abaninzi bacinga ukuba imeko imbi ngemini ukuziphatha tonsillectomy for tonsils ezigulo ezondeleyo. Ngaba ubuhlungu ngexesha lokusebenza ngokwayo, anomdla uninzi lwezigulane. Kodwa bayalibala ukuba utyando lwenziwa phantsi zomzimba jikelele okanye wengingqi. mizwa ekhathazayo kwenzeka xa ifuthe kwiimfanta narcosis.

Imiphumo ndahlukane idlala

De kwiminyaka embalwa eyadlulayo, amadlala zazijongwa yayiliziko usuleleko, ngoko ke asuswe abaninzi. Kodwa ke ngoku uqonde iingcali ukuba oku umqobo kusuleleko, nto leyo akavumeli iintsholongwane ukuba angene nzulu emzimbeni. Wakuba ndayishenxisa tonsils, umzimba uya kuba ukhuseleko oluncinane. 6 tonsils emzimbeni iya kuba 4. kuphela Phakathi kwabo umzimba uphela iphetshana umthwalo iza kusasazwa.

Musa ukulibala ukuba Amygdala - yinto ngumqobo kungekuphela usuleleko, kodwa inxalenye ebalulekileyo yamajoni omzimba. Ukongeza, ukuba bavelise izinto abandakanyeka kwinkqubo hematopoiesis.

Ukuba abantwana bazibandakanya, oogqirha ngokuqhelekileyo zama ukugcina amadlala ubuncinane de kweminyaka esibhozo. Tonsillectomy for tonsils engapheliyo abantwana kucetyiswa kuphela kwimeko xa urhulumente iqala asongele eqhelekileyo yokusebenza namanye amalungu kunye neenkqubo zomzimba.

baqinisekiswa

isigulane ngasinye phambi kokuba livume ukwenza utyando, ufuna ukwazi ukuba ngokoluvo lweZiko kuphela iingcali kodwa abanye abantu abasele waba tonsillectomy. Iimpendulo ayifani, njengokuba umthetho, yintoni kanye le imeko yesigulane phambi uqhaqho. Abo utyiwa ukudumba gqolo ezingapheliyo kwi empumlweni nasemqaleni, kwakunye namanye amalungu, ngokufuthi emva kususwa tonsils gidi. Emva kokuyeka kugxila kwinjongo ephambili yeZiko losuleleko umzimba uqala ukulwa ngokwabo.

Kodwa kubalulekile kwakhona kuqatshelwe ukuba izenzo ezinjalo wabagwebelayo, ukuba babesele bazama zonke iindlela zonyango endala. Ezi ziquka anti-yintsholongwane, anti-ukudumba, kubola, unyango immunostimulant. Xa usebenzisa le unyango onokufikelela uxolelo ubuncinane kangangeenyanga eziliqela, loo nto ithathwa ngempumelelo. Kulo mzekelo, akukho nokuba malunga nokusebenza kusendleleni.

hardware unyango

Xa therapy elondoloza ayiniki iziphumo ezihle, ngaphambi kokuba wenze isigqibo malunga tonsillectomy e tonsils ezingapheliyo, kungakuhle ukuba ukuvavanya hardware unyango. Ekuqaleni, ugqirha ococa lacunae of tonsils. Le nkqubo yenziwe isirinji ezizodwa okanye nge umlomo "Tonzilor". Emva ekucoceni phezu tonsils bachaphazela ephantsi-frequency ultrasound, lo gama lusidla phezu laphu wobudoda isisombululo iziyobisi. Kodwa le unyango ayipheli zekhompyutha. iindawo ingxaki nazo ukuqhubekekiswa spray "Lugol", kwaye kwabanjwa iiseshoni laser therapy ngenxa yoncedo lwe ukudumba kunye nokuncitshiswa izicwili run-off. Kwakhona enye isaqala a kulungiswe microflora ukuba sihlandlo ngoncedo yelanga.

Ukuba yonke amayeza kunye hardware iindlela bazama musa ukunika isiphumo ofunekayo, ngoko akukho nto iseleyo kodwa uyavuma ukuba kususwe tonsils kwi tonsils ezigulo ezondeleyo. Photo of tonsils esempilweni kwaye enesifo inceda abaninzi isigqibo utyando.

Kwakhona kubalulekile ukwazi ukuba uninzi ingxaki icaciswe abajongene nazo abantwana kunye nabantu abatsha. Umbuzo wokuba ingaba ukususwa idlala kuyafuneka tonsils ezingapheliyo, emva kweminyaka engama-50, kukho kunqabile ngokwaneleyo. Kule minyaka kufuneka babe ezibonisa ngokupheleleyo ukuze uqhaqho. Yinto enokwenzeka, ukuba kukho ingozi kubunzima ezinzulu. Kuzo zonke ezinye iimeko, kuphela unyango elondoloza iyaboniswa.