Ukusebenza kwindlebe: izibonakaliso, iintlobo

Nayiphi na imisebenzi eyenziwa kwindlebe kumayeza iye yahlulwa ibe yicetywayo kwaye iphuthumayo. Ukwenyulwa kwamanyathelo okugonywa kohlobo lokuqala isigulane sinokulungiswa kwangaphambili. Ukongeza, yena ngokwakhe unokuqalisa - umzekelo, ukuba umntu ufuna i-plastic operation ezindlebeni zakhe. Ixabiso kulo mzekelo liya kuxhomekeka kwizinto eziliqela - kwinkimbinkimbi yecala, ixabiso leklinikhi ethile, inkqubo yokubuyisela. Kwiinkcazo eziyinkimbinkimbi zoogqirha ziquka izifo ezinzulu ezinjengeenkqubo eziyinkimbinkimbi zendlebe kunye neendlebe zangaphakathi-zingakhuphaza ukuphuhliswa kweemeko ze-septic, zonke iintlobo zeengxaki ezivela kwingqondo kunye ne-thrombosis.

Ukulungiselela isigulane

Ngokuqinisekileyo, ukuhlinzwa kwendlebe akukwenziwa ngokukhawuleza emva kokundwendwela kwesigulane kwizodwa. Emva kokuba i-otolaryngologist ibonisa ukuhanjiswa kwe-hospitali, isigulane sibheke iimviwo ezininzi: ukuhlolwa kwegazi jikelele , i-biochemistry, ukuzimisela kwe-Rh factor, i-ECG, i-MRI, i-radiography yeenkqubo ze- mastoid, ukuhlolwa ngokubanzi kwimeko yokuphulaphula kwaye, ekugqibeleni, ukuhlolwa kweengcali kunye neurologist. Ngokuphathelele izibonakaliso ezicwangcisiweyo, kulo mzekelo umntu uhlolwe ngesiphene okanye izilwanyana zesifo; Kuphela emva koko ungathetha ngokuhlinzwa ngendlebe.

Inyango yokuphanda

Phantse zonke iindlela zokungenelela ngaphakathi kunye neendlebe zangaphakathi zenziwa phantsi kwe-anesthesia yokuphela kokuphela. Ngomhla wokuhlinzwa, isigulane sibheke phambili, emva koko sithunyelwa kwigumbi lokusebenza kwi-gurney. Kufuneka kuqatshelwe ukuba kusasa, ukuba kunyanzelekile, uyabeka kwaye aphule iinwele zakhe kwindawo ye-folderolateral fold. Ekubeni enye yeempawu ze-labyrinthitis yisoloko ifuna ukuhlanza, ngoko igule ngokuhlwa kwaye kusasa ngaphambi kokungenelela kufuneka kunike ukudla (ukuba ngexesha lokusebenza kwindlebe bekungekho iingxaki). Ukuba ugqirha kuphela ojongene nendlebe yangaphandle, kunokwenzeka ukwenza ukhetho phantsi kwe-anesthesia yendawo.

Ulawulo lwesigulane emva kokuhlinzwa

Utyando olusemva kokuxhomekeka luxhomekeka ngokukodwa ngohlobo lwongenelelo: yonke imisebenzi ephakathi kwendlebe (i-anthotomy, i-anthromastoidotomy) ibonakaliswe ngxeba elivulekile eligqityiweyo kwaye livalelwe ngebhanki elingenabumba. Njengomthetho, ngokuhlwa, isigulane siqala ukuziva singcono kakhulu: ukushisa kwehla, intlungu iyadlula. Ngomso olandelayo, ukugqoka kokuqala kwenziwa; Ukucinywa kweetamponi kuthathelwa indawo entsha, i-postoperative ihlambulukileyo ihlanjululwe kwaye ikhutshelwe i-disinfected with preparations. Ezi zibophelelo ezilandelayo zenziwa nganye iintsuku ezimbalwa kwaye ziyeke emva kokuba isigxina sigcwaliswe ngokupheleleyo kunye nezicubu ezinobumba. Ukuba i-suppuration iyayeka kwaye i-perforation ivaliwe, akukho zixhobo zesekondari ezisetyenzisiweyo. Kwiimeko ezininzi, i- membrane ye-tympanic ibuyiselwa, ukubuyiswa kweendlebe kuya kuqhelekileyo. I-veritent otitis media kunye nenxeba evaliweyo idinga ukuba umgangatho oqhelekileyo usebenze ngokucoca, ngelixa kuphela i-bandage yangaphandle kufuneka ishintshwe, kwaye i-seams kufuneka iphathwe nge-iodine. Ukugqoka ngokugqibayo kwenziwa kuphela emva kweveki. Kulo lonke ixesha isigulane sinolawulo lwe-analgesic kunye ne-antipyretic agents.