Tonsillectomy - a kuvhiyiwa kubvisa zvachose tonsils: zvairatidza, contraindications, migumisiro

Munhu wose anoziva kuti hosha huro. Chenjera noutachiona kufema uye kwazvo huro kuitika anenge munhu wose kanenge kamwe pagore. Vamwe vanhu vanotambura abnormalities yacho huro kakawanda. Izvi ndezvechokwadi kunyanya vaya vane chirwere kuzvimba rokumusoro kufema turakiti. Common chirwere anoonekwa kuva kwazvo huro. It kunoitika pakati vakuru nevana. Zviratidzo chirwere ichi rakanyatsojeka hachifadzi. Zvichida vose vakanzwa marwadzo apo pakuparadza chikafu. Kuchiita angina kunotungamirira kuwedzera muviri tembiricha, mukuru utera. zvokurwara Izvi anokonzerwa kuzvimba tonsils. Kana chirwere inova chisingaperi, omumuviri kuva zvachose awanda. Panguva kusanzwa panguva pakuparadza kuitika kazhinji (kusvika 10 nguva pagore). Muzviitiko zvakadaro, Zvinokurudzirwa kuvhiya - tonsillectomy. Zviri rokumanikidzirwa nzira iyo vanoguma vava kuti ineffectiveness kuti kuchinja kurapwa.

Chii chinonzi tonsillectomy?

Tonsillectomy - ichi mumwe pakurapa chirwere kuzvimba tonsils. Kazhinji, zvivako izvi kushumira rwokudzivirira kushanda muviri. Palatine tonsils vari lymphoid nhengo. Ivo secrete inokosha rokuzvidzivirira masero kuti tisave kurwa microbial nevamiririri. Saka, muna kuonana utachiona uye mavhairasi mumuromo tonsils vowanda. Ivo rudzi chipingamupinyi kwemutemo chirwere ari kufema turakiti. In kwavo asipo, utachiona hadzina arambe ari nemumuromo mhango, uye akapotsa pakarepo kuwira principales uye nemapapu.

Naizvozvo, kuvhiyiwa (tonsillectomy) haina kuitwa pasina zvachose zvakafanira. Zvichidikanwa chete zviitiko apo tonsils basa iri vasingadzoreki, uye ivo kuomesa muitiro kufema. Uyewo, kuvhiya inokurudzirwa aite vanhu vari kusangana kakawanda recurrences echirwere tonsillitis (tonsillitis). Kuvhiya nokubviswa tonsils rinoshandiswa kwemakore zviuru akawanda. Operation haisi ngozi Zvisinei, zvingaita kuti nemigumisiro (kukura nemabayo pamusoro yaitwa kufema chirwere). Saka, usati wafunga pamusoro vavhiyiwa, zvinokosha kudzidza pamusoro zvakanakira nekuipira tonsillectomy. In mubvunzo Muzviitiko anofanira akabvunza unyanzvi akawanda.

zvairatidza kuti

Tonsillectomy pakati rakajairika kuvhiya kupindira mune repamusoro kufema turakiti. Izvi kuvhiya hakuiti kutora nguva yakawanda. Mukana postoperative yematambudziko riri shoma. Uyezve, dzimwe makiriniki akabata Laser tonsillectomy. Rine zvakwakanakira pamusoro tichiita kushandiswa. Pasinei neizvi, kubviswa tonsils pasina yakaoma kuverenga haisi inokurudzirwa. Pashure paumbwe Data kukudziridza pathologies repasi kufema turakiti. Pane zvinotevera zvairatidza kuti tonsillectomy:

1. Kunetswa mune kufema uye kumedza. Ataurwa tonsillar hypertrophy kunotungamirira kuti mhepo uye zvokudya haangaupfuuri takasununguka kupinda rotors uye nasopharynx. Kune madhigirii zvitatu zvibereko nhengo idzi. Mhedziso chiratidzo nokuti tonsillectomy ndiko Danho chetatu hypertrophy. Muchiitiko chino, kuwedzere tonsils zvachose kufukidza nomukova huro. Panguva mwero hypertrophy pamusoro tonsillectomy yechipiri haina nguva dzose akaita.
2. Abscesses otolaryngology yomuka pamusoro yaitwa kuzvimba tonsils. Pakadaro, tonsillectomy ari raidiwa. Tonsillectomy vanofanira kupa yekuwana pute uye kuchenesa mitumbi pus.
3. Decompensated chisingaperi tonsillitis. Panyaya iyi tonsils kuora nokuda dzose chokutsva. Nhengo basa kuputswa chose.
4. Kakawanda zvazvo echirwere tonsillitis. Available mune chirwere exacerbation zvinoreva zvinopfuura 7 pagore. Izvi nyaya inobatana hama zvairatidza kuti tonsillectomy. Operation iyi nyaya iri kuitwa murwere.
5. Tikafunga idzokororo tonsillitis, tonsillar hypertrophy uye 2 madhigirii.
6. Kubatwa zvikuru nemamwe matambudziko anomuka munzvimbo pakanyorwa ihosha huro. Izvi zvinosanganisira zvirwere zvakadai rheumatic fivha, mumwe Hemorrhagic vasculitis, glomerulonephritis. Kakawanda, zvirwere izvi kutanga kana staph tonsillitis.

Kana mhedziso anoratidza kuramba wokuvhiya kungaita kuti dzakakomba matambudziko. Saka, asati asarudza kana kubvisa tonsils, zvinokosha kuti tizive chii zviremera vanokwanisa.

Contraindications kuti

Tonsillectomy - kuvhiyiwa izvo dzimwe nguva havana inokurudzirwa otolaryngologists. Dzimwe nguva ndimbo Kubviswa haisi chete kwete kubatsirwa, asi achiipa murwere ezvinhu. Kune mapoka 2 contraindications kuti tonsillectomy: kwakakwana uye duku. Muchiitiko chokutanga pokuvhiyiwa hakubvumidzwi, sezvo iri njodzi murwere upenyu. Kana hama contraindications tonsillectomy inogona kumbosiyiwa kwekanguva. Kubvisa tonsils iri zvachose wairambidza anotevera nyaya:

1. Hosha dzinokosha nhengo dziri padariro decompensation. Izvi zvinosanganisira cardiac, hepatic uye renal kukundikana.
2. Zvokurwara of hematopoietic hurongwa. Pakati pavo, chenjera uye chisingaperi neleukemia, zvikuru mwero kupererwa, hemophilia.
3. Diabetes decompensated.
4. Abnormalities midziyo vaipfuura pedyo tonsils (aneurysm, pathological pulsation pamusoro arteries uye mutsinga yacho pharynx).
5. Open chimiro tuberculous nemabayo.
6. uropi zvokurwara umo munhu haakwanisi zvakakwana kuongorora mamiriro ezvinhu.

Apo hama (nguva) contraindications, murwere unofanira kutanga kurapa chakasimba anogumbura urongwa, uye anogona zvino kuva tonsillectomy. Izvi inopiwa anotevera nyaya:

1. Zvirwere (huku pox, rubella).
2. Caries kana mazino pulpitis.
3. Chenjera kana chirwere nezvirwere rikwanise danho. Izvi ndezvechokwadi kunyanya anogumbura dzinotsanagura yokumusoro kufema turakiti.
4. kumwedzi.
5. Zvirwere ganda.
6. Sema maitiro (dermatitis).
7. Aichinja murabhoritari assays: leukocytosis, ketonuria.

Zvakanakira nekuipira tonsillectomy

Pasinei kubatsira kuvhiyiwa, zvinokosha kuyeuka kuti pashure tonsillectomy kunowedzera njodzi bronchitis uye nemabayo. Kunyange zvakadaro, mune zvimwe zviitiko, hazviiti kuita pasina tonsillectomy. Zvazvakanakira anosanganisira oparesheni kusunungura pharyngeal lumen richizarurwa zororo nekuora tonsillitis. Huru drawback anoonekwa kuva kukurumidza raparadza noutachiona panzvimbo dzapasi Airways pamwe zvakafanana chikosoro. chiremba chete anogona kusarudza kana vasingadi tonsillectomy. Reviews dzevarwere vakanga ndavhiyiwa pokuvhiyiwa, dzinopesana.

Mhando dzakasiyana-siyana tonsillectomy

Pari zvino pane nzira dzakawanda kubvisa tonsils. Kunyange zvakadaro, mashoko kuvhiya nzira rinowanzoshandiswa. Kunze kwayo, Maitiro kwakadaro oga nokuda nokubviswa tonsils, sezvo Laser tonsillectomy, excision kuti munyama electrocoagulator uye ultrasonic scalpel, radiofrequency ablation. kupindira ava anodhura, asi vanoonekwa ne usingashandi kurasikirwa neropa uye nokukurumidza kupora nguva.

Tonsillectomy ne Laser

Pari, vanoverengeka kwema kunze vachishandisa Laser. No kunze uye tonsillectomy. Yokutindivadza sezvamakaropafadzwa - veko, iri sprayed pamusoro pemvura nyama yacho pharynx. Tonsils wakaiswa inokosha forceps uye Laser bango rinotungamirirwa. Zvinoguma stratified tishu kuparadzwa. Nzira iyi ndiyo chaizvo apo kukwana tonsillectomy. Mitumbi vasiri zvakazara kubvisa, asi chete okumusoro akaturikidzana pasi kuzvimba. Nzira iyi inozivikanwa pasi kurasikirwa neropa uye nyarara.

Wokugadzirira kuvhiya kubviswa tonsils

Kuvhiya uku zvinoda anongoda hapana dzidzo chaiyo. Murwere amutsvaka kuvapo anogumbura urongwa, dzinoongororwa murabhoritari Data (general uye nokukanganisika bvunzo ropa, OAM, coagulation). Pamberi nzira, unogona kudya.

Sei kuvhiya tonsillectomy?

Traditional (zvomusejari) tonsillectomy anoitwa pasi zvavo kana omunharaunda yokutindivadza. Kakawanda, tonsils vanobviswa pamwechete Kamudzira. Izvi zvinoitwa achishandisa waya loop. Zvachose anofukidza muviri uye unoparadzanisa kubva dzakapoteredza tishu. Shure kwaizvozvo ezvinhu vanofungidzirwa paratonsillar nzvimbo. Kana zvakakodzera, chiremba rinovhura pute uye unoisa zvaimutambisira nenyere.

Sei post-kushanda nguva?

Pashure tonsillectomy kuramba muchikuvadza pamusoro pemvura tonsils pasango kuda. Kuti tidzivise chirwere, unofanira zvakanaka dzichiita nomumukanwa hanya. Izvi zvinokosha zvikuru, pasinei nzira Kwaiitirwa tonsillectomy. The postoperative nguva iri mavhiki 2-3. Pazuva rokutanga haisi varumbidzwa kudya uye kumedza mate. Panguva hope, murwere areve nhema kumativi dzavo, saka kuti ropa haana kupinda kufema turakiti. Mushure memazuva 2-3 avhiyiwa muchikuvadza pamusoro akafuka yellowish tinge, pane fivha yakaderera-sosaiti, marwadzo kunowedzera apo pakuparadza. Ndiyo dzose kupindura muviri. Kucheneswa kuburikidza Dombo hukawanika kunoitika pashure anenge 10 mazuva. Complete kuporesa kunoitika pakazopera 3 mavhiki pashure kuvhiyiwa. Kusvikira nguva, haafaniri kutora chando kana kupisa zvokudya, mvura.

Tonsillectomy: Migumisiro oparesheni

Kana zvakanaka achiitiswa tonsillectomy matambudziko hadziwanzowaniki. Dzimwe nguva nemigumisiro muka kubva asiri zvaidiwa kunenge basa pashure kuvhiyiwa. Chinonyanya zvinorwadza zvizere kuvhiya tonsillectomy. Reviews wevarwere pashure akadaro kuvhiyiwa ane zvose zvakanaka nezvakaipa. Vanhu Vazhinji vane kugutsikana nemigumisiro kuvhiyiwa, zvimwe katsamba kuchinja inzwi, kakawanda kutapukirwa noutachiona, bronchitis, mabayo.

Tonsillectomy: The mutengo nzira

Kuvhiya nokubviswa tonsils chokuita zvokuwedzera kuvhiyiwa. Apo akaratidza, zviri pachena. Makiriniki mazhinji inoitirwa uye dzimwe nzira kushanda (Laser ablation, electrocautery). Kana uchisarudza nzira idzi yakabereka akabhadhara tonsillectomy. Mutengo Laser tonsillectomy anoda kubva 10 kusvika 20 zviuru rubles, zvichienderana kiriniki uye bhuku kwema.