Kuchotsa Tonsillectomy: Chithandizo, Ubwino, ndi Kuchira

Mavuto a tonsil ndi ofala, makamaka kwa ana, koma amathanso kukhudza akuluakulu. Matenda obwerezabwereza a pakhosi, kukula kwa tonsil kosalekeza, komanso kuvutika kupuma akagona ndi zina mwa zifukwa zomwe katswiri wa khutu, mphuno ndi pakhosi (ENT) angayesere kufunikira kwa opaleshoni.

Kuchotsa ma tonsillectomy pogwiritsa ntchito Coblation ndi njira imodzi mwa njira zingapo zochitira opaleshoni zomwe zimagwiritsidwa ntchito pochotsa ma tonsils. Izi zitha kuganiziridwa pamene katswiri wa ENT atsimikizira chizindikiro chomveka bwino, monga tonsillitis yolembedwa mobwerezabwereza, kupuma movutikira tulo, abscess ya peritonsillar, kapena kukula kwa ma tonsils kokayikitsa. Kuchotsa ma tonsillectomy pogwiritsa ntchito mphamvu ya radiofrequency ndipo cholinga chake ndi kuchepetsa kuvulala kokhudzana ndi kutentha kwa nyumba zozungulira poyerekeza ndi njira zina zachikhalidwe.

Si zilonda zonse za pakhosi kapena tonsil yokulirapo yomwe imafunika opaleshoni. Chisankhocho chimadalira kuopsa kwa zizindikiro, kuchuluka kwa zizindikiro, zolemba, momwe zimakhudzira moyo watsiku ndi tsiku, zizindikiro za mpweya wopuma, zomwe zapezeka mu kafukufuku, komanso zaka za wodwalayo komanso thanzi lake. Nkhaniyi ikufotokoza nthawi yomwe opaleshoni ya tonsillectomy imalangizidwa, momwe coblation imagwirira ntchito, zomwe mungayembekezere kuchokera ku opaleshoniyi, komanso momwe kuchira kumapitira patsogolo.
 

Kodi ma tonsils ndi chiyani ndipo chifukwa chiyani amayambitsa mavuto?

Ma tonsils ndi tinthu tating'onoting'ono ta lymphoid kumbuyo kwa mmero. Ndi gawo la chitetezo chamthupi ndipo zimathandiza kuzindikira majeremusi omwe amalowa mkamwa ndi m'mphuno, makamaka ali ana. Mwa anthu ambiri athanzi, kuchotsa ma tonsils nthawi zambiri sikubweretsa kufooka kwa chitetezo chamthupi kwa nthawi yayitali chifukwa tinthu tina tambiri ta chitetezo chamthupi timapitiriza kugwira ntchito.

Komabe, ma tonsils amatha kukhala gwero la mavuto omwe amapitilira ngati:

• Matenda opatsirana pafupipafupi (matenda obwerezabwereza a tonsillitis)
• Kukulitsa nthawi zonse mokwanira kuti kulepheretse kupuma kapena kumeza
• Yakulitsidwa mokwanira kuti ilepheretse njira yopumira
• Kugwirizana ndi peritonsillar abscess yobwerezabwereza
• Kugwirizana ndi kusonkhanitsa zinyalala zomwe zimapangitsa kuti mpweya ukhale woipa
• Maonekedwe osafanana kapena okayikitsa (makamaka kwa akuluakulu)

Miyala ya tonsil ndi mpweya woipa zimatha kuchiritsidwa popanda opaleshoni mwa odwala ambiri; kuchotsedwa kwa tonsil kumachitika pokhapokha ngati zizindikiro zikupitirira, zovuta, komanso zitayesedwa ndi dokotala.

Sikuti pakhosi lililonse pamakhala zilonda zomwe zikutanthauza kuti matoni ayenera kutuluka. Ndipotu, malangizo akugogomezera kuti ana ambiri omwe ali ndi zizindikiro za pakhosi nthawi zambiri ayenera kuwonedwa kaye, makamaka pamene kuchuluka ndi kuopsa kwa zizindikirozo sikukwaniritsa malire ovomerezeka a opaleshoni.
 

Kodi Kuchotsa Tonsillectomy Kumalimbikitsidwa Liti?

Kuchotsa tonsillectomy nthawi zambiri kumaganiziridwa pazifukwa ziwiri zazikulu:

1. Matenda obwerezabwereza

Opaleshoni ingalimbikitsidwe ngati matenda a pakhosi ali ofala, ofunikira kuchipatala, olembedwa, ochiritsidwa mokwanira, komanso osokoneza sukulu, ntchito, kugona, kudya, kapena moyo watsiku ndi tsiku. Zigawo zomwe zimagwiritsidwa ntchito kwambiri ndi izi:

• Magawo 7 kapena kuposerapo m'chaka chimodzi
• Magawo atatu kapena kuposerapo pachaka kwa zaka zitatu zotsatizana
• Magawo atatu kapena kuposerapo pachaka kwa zaka zitatu zotsatizana

Kwa ana, zolembazo zingaphatikizepo zinthu monga malungo, kukulitsa khosi, mafinya/exudate a tonsillar, kapena mayeso a group A streptococcal ngati pakufunika.

Ngati matenda sachitika kawirikawiri, nthawi zambiri amasankhidwa kuyang'anitsitsa mosamala (kudikira mosamala).
 

2. Kutsekeka kwa njira yopumira mpweya

Ma tonsils okulirapo amatha kuchepetsa njira yopumira ndipo angayambitse:

• Nthaŵi zina mkonono umasonyeza
• Kupuma pakamwa
• Kugona mopanda bata kapena kosakhala bwino
• Kuletsa kugona tulo
• Anaona kupuma pang'ono
• Kugona masana, nkhawa za khalidwe, kusaganizira bwino, kapena mavuto okhudza kukula

Kwa ana, izi zingakhudze khalidwe, kuganizira, ndi kukula. Pazochitika zotere, opaleshoni imatha kusintha kwambiri zizindikiro ndi moyo wabwino. Komabe, zizindikiro za kupuma movutikira chifukwa cha kusowa tulo zingapitirire kapena kubwereranso mwa odwala ena ndipo zingafunike kutsatiridwa kwina.

Zizindikiro zina ndi izi:

• Chiphuphu chobwerezabwereza cha peritonsillar
• Kuvuta kwambiri kumeza chifukwa cha kukula kwa ma tonsils
• Kukula kokayikitsa kwa tonsil kumbali imodzi, makamaka kwa akuluakulu, komwe kumafuna kuyesedwa mwachangu kwa ENT
   

Kodi Opaleshoni ya Coblation Tonsil ndi Chiyani?

Coblation imayimira "controlled ablation". Mu njira iyi, mphamvu ya radiofrequency imadutsa mu saline (njira yamchere m'madzi) kuti ipange gawo la plasma lomwe limachotsa minofu ya tonsil pa kutentha kochepa kuposa electrocautery wamba.

Izi zimathandiza dokotala wa opaleshoni kuti:

• Chotsani minofu ya tonsil
• Lamulirani kutuluka magazi panthawi ya opaleshoniyi
• Gwirani ntchito pa kutentha kotsika poyerekeza ndi electrocautery yachikhalidwe

Cholinga chake ndi kuchepetsa kuvulala komwe kumachitika chifukwa cha kutentha kwa minofu yozungulira. Komabe, izi sizichotsa ululu pambuyo pa opaleshoni kapena zoopsa zina zokhudzana ndi opaleshoni.

Kuphatikizana kungagwiritsidwe ntchito m'njira ziwiri zazikulu:

• Kuchotsa ma tonsill opangidwa ndi extracapsular: kuchotsa kwathunthu tonsil ndi kapisozi
• Kuchotsa ma tonsillectomy/kuchotsa ma tonsillectomy m'kati mwa kapisozi: kuchotsa minofu yambiri ya tonsil ndikusiya gawo lochepa pa minofu ya pakhosi. Izi zitha kuchepetsa ululu ndi kutuluka magazi mwa odwala osankhidwa koma zimakhala ndi chiopsezo chochepa cha kubwereranso kapena zizindikiro zobwerezabwereza.
• Njira zochizira matenda m'kati mwa kapisozi nthawi zambiri zimaganiziridwa kuti ndi zizindikiro zolepheretsa kuposa matenda obwerezabwereza mwa odwala ena.

Njira yeniyeniyo imadalira zaka za wodwalayo, chizindikiro cha opaleshoni, kukula kwa tonsil, zomwe dokotalayo amakonda, komanso ngati kuchotsa kwathunthu kapena pang'ono ndikoyenera.
 

Kodi Coblation ndi yosiyana bwanji ndi Traditional Tonsillectomy?

Opaleshoni yachikhalidwe ya tonsil ingachitike pogwiritsa ntchito kuduladula kwachitsulo chozizira, electrocautery, bipolar diathermy, njira za microdebrider, kapena ukadaulo wina. Kusakaniza ndi njira imodzi mwa zingapo.

Chifukwa chachikulu chomwe chimakopa chidwi ndichakuti chingapereke:

• Kuchepa kwa kutentha kufalikira ku minofu yozungulira poyerekeza ndi njira zina zogwiritsira ntchito kutentha
• Kuchepetsa ululu woyambirira pambuyo pa opaleshoni m'maphunziro ena
• Kuchepetsa kutaya magazi mkati mwa opaleshoni poyerekeza ndi zina
• Kubwerera msanga ku zakudya kapena zochita zachizolowezi mwa odwala ena

Komabe, zotsatira zake zimasiyana. Kafukufuku wina akusonyeza kuti kupweteka kochepa msanga kapena kubwerera msanga ku kumwa kwa odwala osankhidwa, makamaka pogwiritsa ntchito njira zamkati mwa kapisozi, koma palibe njira yomwe ndi yabwino kwambiri kwa wodwala aliyense. Kutuluka magazi kumakhalabe vuto lalikulu pambuyo pa opaleshoni iliyonse ya tonsil. Zotsatira za opaleshoni zimadalira zinthu zingapo, kuphatikizapo mkhalidwe wa wodwalayo, zaka zake, ndi zomwe dokotalayo wachita.
 

Ubwino wa Coblation Tonsillectomy

Kwa wodwala woyenera, coblation imapereka maubwino angapo othandiza.

1. Kuchotsa minofu yolamulidwa ndi kutentha kochepa

Popeza njira imeneyi imagwira ntchito bwino, madokotala opaleshoni amatha kuchotsa minofu koma osawononga zinthu zina zomwe zili pafupi.
 

2. Kupweteka kochepa pambuyo pa opaleshoni

Kafukufuku wina woyerekeza ndi ndemanga zikuwonetsa kuti ululu umakhala wochepa, makamaka nthawi yochira msanga, poyerekeza ndi electrocautery kapena njira zina zachikhalidwe.
 

3. Kuvulala kochepa kwa kutentha

Kusakaniza kumagwira ntchito kutentha kotsika kuposa njira zodziwika bwino zogwiritsira ntchito cautery. Komabe, izi sizikutanthauza kuti njirayi ndi yopanda ululu.
 

4. Kuchira mwachangu kwa odwala ena

Kafukufuku wina akusonyeza kuti munthu ayenera kubwerera msanga ku kumwa, kusukulu, kapena kuchita zinthu zachizolowezi, makamaka pogwiritsa ntchito njira zolumikizirana mkati mwa kapsuli.
 

5. Zothandiza pa ntchito ya ana a ENT

Opaleshoni ya tonsil nthawi zambiri imagwirizanitsidwa ndi ana, komabe akuluakulu nawonso angapindule ngati chizindikirocho chili champhamvu. Akuluakulu nthawi zambiri amamva ululu kwambiri akachita opaleshoni ndipo amachira kwa nthawi yayitali kuposa ana, mosasamala kanthu za njira yochizira, kotero uphungu uyenera kukhala wowona.
 

Zofooka za Coblation Tonsillectomy

Kuphatikizika kwa magazi ndi opaleshoni. Kumafuna mankhwala oletsa ululu, kugwiritsa ntchito opaleshoni yophunzitsidwa bwino, komanso kuyang'aniridwa koyenera pambuyo pa opaleshoni.

• Zingayambitsebe ululu pambuyo pa opaleshoni
• Kutuluka magazi kumakhalabe vuto lalikulu kwambiri
• Kutuluka magazi kungachitike nthawi yomweyo opaleshoni itatha kapena patatha masiku angapo
• Kuchira kungatenge milungu iwiri
• Kuchira kungakhale kwa nthawi yayitali kwa akuluakulu

Mu opaleshoni ya mkati mwa kapisozi, minofu yochepa ya tonsil imatsala, kotero pakhoza kukhala kubwereranso kwachilendo kapena zizindikiro zobwerezabwereza m'zochitika zina.

Opaleshoni ya m'kati mwa kapiso nthawi zambiri si yoyenera ngati mukukayikira khansa kapena ngati pakufunika kuchotsa minofu yonse. Odwala sayenera kuganiza kuti ukadaulo watsopano umathetsa chiopsezo chonse. Kuchotsa tonsillectomy yamtundu uliwonse kumakhala ndi mavuto odziwika bwino kuphatikizapo kutuluka magazi, kutaya madzi m'thupi, zoopsa zoletsa ululu, nkhawa zokhudzana ndi matenda, ndi mavuto okhudzana ndi mpweya wopuma nthawi yomweyo opaleshoni itatha.
 

Kodi N'chiyani Chimachitika Pambuyo pa Kuchotsa Tonsillectomy?

Katswiri wa matenda a ENT asanachite opaleshoni, amatenga mbiri yake ya mwatsatanetsatane ndikuyang'ana pakhosi, mphuno, makutu, komanso zizindikiro zomwe nthawi zambiri zimakhudzana ndi kugona. Katswiri wa matenda a ENT amatsimikizanso ngati chizindikiro cha opaleshoni ndi matenda obwerezabwereza, zizindikiro zotsekeka, nkhawa za mpweya, kapena kukayikira kuti pali khansa.

Kukonzekera opaleshoni nthawi zambiri kumaphatikizapo:

• Kuwunikanso kuchuluka ndi kuopsa kwa matenda opatsirana ndi ma tonsil
• Zolemba za momwe zizindikiro zimakhudzira sukulu, ntchito, kugona, kudya, kapena moyo watsiku ndi tsiku
• Mbiri ya mankhwala, makamaka mankhwala ochepetsa magazi
• Kuwunikanso kwa aspirin, NSAIDs, zowonjezera, ndi mbiri ya kutuluka magazi
• Mbiri ya ziwengo ndi mankhwala oletsa ululu
• Kuphunzira za kugona mwa ana osankhidwa, makamaka ana aang'ono kwambiri, kunenepa kwambiri, matenda a mutu kapena mitsempha ya m'mitsempha, Down syndrome, zizindikiro zoopsa, kapena kusatsimikizika za matenda
• Malangizo osala kudya musanachite opaleshoni
• Kukambirana za njira zina, ubwino, zoopsa, dongosolo lothandizira kupweteka, njira zodzitetezera kutuluka magazi, ziyembekezo zochira, komanso nthawi yoti mupeze chithandizo chamankhwala mwachangu

Odwala nthawi zambiri amalangizidwa kuti apewe mankhwala ena asanachite opaleshoni ngati akuwonjezera chiopsezo cha kutuluka magazi, ngakhale kuti dokotala amene akuwathandiza ayenera kutero nthawi zonse.
 

Kodi chimachitika ndi chiyani panthawi ya opaleshoni ya tonsillitis?

Kuchotsa ma tonsillectomy kumachitika mu chipinda chochitira opaleshoni pansi pa mankhwala oletsa ululu, kotero wodwalayo amakhala akugona ndipo samva kupweteka panthawi ya opaleshoniyo.

Dokotalayo amalowa m'matoni kudzera pakamwa, kotero palibe mabala akunja pakhungu.

Pogwiritsa ntchito ndodo yolumikizira mafupa, dokotalayo amachotsa minofu ya tonsil pamene akuletsa kutuluka magazi.

Kutalika kwa opaleshoni kumatha kusiyana malinga ndi kapangidwe ka thupi, njira yochitira opaleshoni, kutuluka magazi, komanso ngati opaleshoni ya adenoidectomy kapena njira ina imachitikanso.

Nthawi zambiri imakhala njira yosamalira ana masana, zomwe zikutanthauza kuti wodwalayo amapita kunyumba tsiku lomwelo. Komabe, kuyang'aniridwa usiku wonse kungafunike kwa ana aang'ono kwambiri, kupuma movutikira kwambiri chifukwa cha kusowa tulo, kunenepa kwambiri, matenda omwe amakhalapo nthawi imodzi, nkhawa zoletsa kugona, kumwa mowa molakwika, kapena chiopsezo chotuluka magazi.

Ngati tonsil ikuwoneka yokayikitsa kapena yosagwirizana, minofu ikhoza kutumizidwa kuti ikawunikidwe ndi histopathology.
 

Kuchira Pambuyo pa Kuchotsedwa kwa Tonsillectomy

Kuchira ndi chimodzi mwa zinthu zofunika kwambiri paulendo wa wodwalayo.

Mavuto omwe amafala kwambiri pambuyo pa opaleshoni ndi awa:

• Kupweteka pakhosi (nthawi zambiri kumakhala kofunikira)
• Ululu wotuluka m'makutu
• Zovuta kumeza
• Kuchepetsa chilako
• Mpweya woipa
• Mabala oyera kapena achikasu ochiritsa pakhosi

Ululu ukhoza kukulirakulira patatha masiku 4-7 usanayambe kuchira pang'onopang'ono.
 

Nthawi yodziwika bwino yochira:

• Maola 24-48 oyamba: kugona, kupweteka pakhosi, kuvutika kumeza
• Masiku 3-7: ululu ukhoza kukulirakulira, kudya kungakhale kovuta
• Masiku 5-10: chiopsezo chotuluka magazi chimakhala chofunikira kwambiri pamene minofu yochira ikumasuka
• Masiku 7-14: kuchira kumapitirira; nkhanambo zimamasuka; chiopsezo chotuluka magazi chimakhala chofunikira
• Pofika masabata awiri: odwala ambiri amakhala bwino kwambiri, ngakhale kuti chitonthozo chokwanira chingatenge nthawi yayitali kwa akuluakulu ena
   

Njira zothandiza zochiritsira

• Imwani mankhwala ochepetsa ululu nthawi zonse
• Gwiritsani ntchito paracetamol/acetaminophen ndi ibuprofen ngati dokotala wakupatsani malangizo.
• Musapatse ana aang'ono mankhwala okhala ndi codeine mutachotsa tonsillectomy.
• Pewani aspirin pokhapokha ngati mwauzidwa mwachindunji
• Imwani madzi ambiri
• Limbikitsani kumwa madzi pafupipafupi chifukwa kutaya madzi m'thupi kungawonjezere ululu ndi chiopsezo chotuluka magazi
• Idyani chakudya chofewa kapena chachizolowezi monga momwe mukufunira m'malo modya pakhosi ndi njala
• Pewani zakudya zolimba, zokazinga, zokometsera, kapena zokhumudwitsa ngati zikupweteka
• Pumulani, koma pang'onopang'ono pitirizani kuchita zinthu
• Pewani kusuta fodya
• Pewani kuchita zinthu zolimbitsa thupi, kusewera mopanda nzeru, kapena kuchoka kuchipatala panthawi yomwe magazi amatuluka kwambiri
• Tsatirani uphungu wa dokotala wokhudza kubwerera kusukulu kapena kuntchito, komwe nthawi zambiri kumatenga masiku 10-14.
   

Kodi Zizindikiro Zotani Zokhudza Kupweteka kwa Tonsil Pambuyo pa Opaleshoni?

Chizindikiro chofunikira kwambiri ndi kutuluka magazi mkamwa kapena pakhosi. Ngakhale kutuluka magazi pang'ono kofiira pambuyo pochotsa tonsillectomy kumafunika chithandizo chamankhwala mwachangu chifukwa kutuluka magazi kumatha kukhala kwakukulu mwachangu. Ili ndi limodzi mwa mavuto akuluakulu omwe madokotala amakambirana asanachite opaleshoni.

Funani chithandizo chadzidzidzi ngati pali:

• Kutuluka magazi mkamwa kapena pakhosi
• Kulavula magazi mobwerezabwereza
• Kusanza magazi ndi magazi oundana
• Kuvuta kupuma
• Kupuma mokweza kapena kuwonjezeka kwa kutupa pakhosi
• Kusowa madzi m'thupi kwambiri kapena kulephera kumwa
• Zizindikiro za kutaya madzi m'thupi monga mkodzo wochepa, pakamwa pouma, kutopa, kapena kusapeza misozi kwa ana aang'ono
• Malungo osalekeza, makamaka ngati akuyenda ndi ululu wowonjezereka, kumwa molakwika, kapena kutuluka magazi
• Kugona tulo tofa nato kapena kupweteka kosalamuliridwa ndi mankhwala operekedwa

Kutuluka magazi atsopano pambuyo pa opaleshoni ya tonsill kuyenera kuonedwa ngati kofunikira nthawi zonse.
 

Zoopsa ndi Zovuta za Coblation Tonsillectomy

Palibe nkhani yokhudza opaleshoni yomwe ingakwaniritsidwe popanda kufotokoza bwino za chiopsezo. Zoopsa zazikulu za opaleshoni ya tonsillectomy ndi izi:

• Kuchita kwa anesthesia
• Kutuluka magazi panthawi kapena pambuyo pa opaleshoni
• Kutuluka magazi mkati mwa maola 24 oyambirira kapena masiku angapo pambuyo pake
• Ululu ndi kusamwa bwino pakamwa
• madzi m'thupi
• Kutupa komwe kumakhudza kupuma nthawi yomweyo pambuyo pa opaleshoni
• Mseru ndi kusanza
• Kusintha kwa mawu kwakanthawi kapena kusamva bwino pomeza
• Kupweteka/kuvulala kwa mano, milomo, lilime, kapena nsagwada chifukwa cha zida zogwiritsira ntchito pakamwa
• Matendawa amatha kuchitika, koma maantibayotiki okhazikika pambuyo pa opaleshoni sakuvomerezeka kwa odwala onse
• Kawirikawiri amafunika kubwerera ku zisudzo kuti akachepetse magazi
• Kufunika kochepa kwa kubwereranso kuchipatala

Nkhani yabwino ndi yakuti opaleshoni ya tonsillectomy ndi opaleshoni yofala ya ENT ndipo nthawi zambiri imakhala yotetezeka m'manja oyenera. Koma iyenera kuchitidwabe mwaulemu, makamaka kwa akuluakulu, omwe nthawi zambiri amanena kuti akuchira movutikira kuposa ana.
 

Ndani Sangakhale Wosankhidwa Mwamsanga wa Opaleshoni?

Opaleshoni ya ma tonsil ya coblation ingachedwetsedwe kapena kuganiziridwanso mwa anthu omwe ali ndi:

• Palibe chizindikiro chomveka bwino cha opaleshoni
• Matenda oopsa panthawi yomwe opaleshoni ikukonzekera
• Matenda otaya magazi osalamuliridwa bwino
• Kugwiritsa ntchito mankhwala ochepetsa magazi posachedwapa omwe sangathe kuchiritsidwa bwino
• Zoopsa zina zoletsa ululu
• Matenda osalamulirika kapena kutaya madzi m'thupi kwambiri
• Chizindikiro chosakwanira cha opaleshoni
• Matenda ochepa kuposa malangizo ovomerezedwa popanda mavuto akuluakulu
• Kufunika kopitiliza kuwunika kugona, mpweya wopuma, kapena khansa musanakonzekere opaleshoni

Kukula kokayikitsa kwa tonsil ya mbali imodzi si chifukwa chochedwetsa kuwunika ndipo kumafuna kuwunika mwachangu kwa ENT. Ichi ndichifukwa chake kuwunika kwa ENT ndikofunikira. Si tonsil iliyonse yokulirapo kapena yomwe imakwiya nthawi zambiri yomwe imafuna opaleshoni.
 

Kodi Kuchotsa Ma Tonsils Kumafooketsa Chitetezo cha Mthupi?

Izi ndi nkhawa yofala kwambiri. Ma tonsils ndi gawo la chitetezo chamthupi, makamaka ali ana, koma ndi gawo limodzi chabe la netiweki yayikulu ya chitetezo chamthupi. Mwa anthu athanzi, kuchotsedwa kwa ma tonsill nthawi zambiri sikubweretsa kufooka kwa chitetezo chamthupi kwa nthawi yayitali.

Opaleshoni imalangizidwa pokhapokha ngati ubwino womwe ukuyembekezeka, monga kuchepetsa matenda oopsa kapena kupuma bwino munthu akagona, ukuposa zoopsa zake. Ana kapena akuluakulu omwe ali ndi matenda a chitetezo chamthupi amafunika kuunikiridwa ndi katswiri payekha.
 

Zitengera Zapadera

• Kuchotsa tonsillectomy kumalimbikitsidwa m'malo ena, makamaka pa matenda obwerezabwereza, kuletsa tonsillitis, zizindikiro zotsekeka monga kukodola ndi kupuma movutikira, kusowa kwa thumba la m'mimba, kapena kukula kwa tonsil komwe kumakayikitsa.
• Si zilonda zonse za pakhosi zomwe zimafunika opaleshoni. Odwala ambiri amatha kuchiritsidwa ndi kuyang'aniridwa ndi chithandizo chamankhwala, ndipo zisankho zimadalira kuchuluka kwa zochitika, kuopsa, ndi zolemba.
• Kuchotsa ma tonsillectomy ndi njira imodzi mwa njira zingapo zomwe zimagwiritsidwa ntchito pochotsa ma tonsil ndipo imagwiritsa ntchito mphamvu ya radiofrequency kutentha kochepa poyerekeza ndi electrocautery yachikhalidwe.
• Kafukufuku wina akusonyeza kuti coblation ingakhale yogwirizana ndi kupweteka kochepa pambuyo pa opaleshoni komanso kubwerera msanga ku ntchito yachizolowezi mwa odwala osankhidwa, ngakhale kuti zotsatira zake zimatha kusiyana.
• Kugwirizana sikofunikira nthawi zonse, ndipo kusankha njira kumadalira wodwala, zizindikiro, ndi zomwe dokotala wa opaleshoni wakumana nazo.
• Kuchotsa ma tonsillectomy m'kati mwa kapisozi kungachepetse ululu ndi kutuluka magazi mwa odwala ena koma kumasiya minofu yochepa ya ma tonsil, yomwe imakhala ndi chiopsezo chochepa cha kubwereranso kapena zizindikiro zobwerezabwereza.
• Kuchotsa tonsillectomy nthawi zambiri kumachitika pansi pa mankhwala oletsa ululu ndipo nthawi zambiri ndi njira yosamalira odwala kwa nthawi yochepa kapena ya tsiku limodzi. Kuchira nthawi zambiri kumatenga masiku 7 mpaka 14, ndipo ululu ukhoza kukulirakulira usanathe.
• Kutuluka magazi ndiye vuto lalikulu kwambiri ndipo limatha kuchitika ngakhale patatha masiku angapo opaleshoni itachitika. Kutuluka magazi atsopano kuchokera pakamwa kapena pakhosi kumafuna thandizo lachipatala mwachangu.
• Mankhwala opha tizilombo toyambitsa matenda nthawi zonse pambuyo pa opaleshoni sakuvomerezeka kwa ana onse pambuyo pa opaleshoni.
• Mankhwala okhala ndi codeine sayenera kugwiritsidwa ntchito kwa ana aang'ono pambuyo pochotsa tonsillectomy.
• Zizindikiro za kupuma movutikira tulo zingapitirire kapena kubwereranso mwa odwala ena ndipo zingafunike kutsatiridwa kwina.
• Kuchotsa ma tonsils sikufooketsa chitetezo cha mthupi mwa anthu omwe anali athanzi, ndipo zisankho za chithandizo ziyenera kukhala za aliyense payekha.