Mini Incision Parotidectomy

Chiwalo cha parotid ndi chiwalo chachikulu kwambiri cha malovu m'thupi la munthu, chomwe chili kumbuyo kwa nsagwada kutsogolo ndi pansi pa makutu. Chiwalo cha parotid chimatha kukhala ndi zotupa. Parotidectomy ndi opaleshoni yomwe imachotsa gawo lonse kapena gawo la gawo la malovu lomwe lakhudzidwa. Mitsempha yotchedwa nerve ya nkhope imadutsa mu chiwalo cha parotid, ndikugawa chiwalocho m'magawo awiri: pamwamba ndi pansi, ndikupereka minofu ya nkhope.

Kuchiza parotidectomy ndi mawu azachipatala opangira opaleshoni kuchotsa chotupa kuchokera kumtunda wapamwamba. Total parotidectomy imatanthawuza opaleshoni yochotsa chotupa kuchokera ku lobe yakuya kapena kuchokera kumbali zonse zakuya ndi zakumtunda. Parotidectomy ikhoza kuchitidwa pochiza khansa ya m'malovu ingapo komanso mikhalidwe yosakhala yowopsa, kuphatikiza matenda osatha kapena kutsekeka kwa gland ya salivary.

Kodi Mini Incision Parotid Surgery ndi chiyani ndipo imasiyana bwanji ndi opaleshoni yachikhalidwe?

Kuchotsa Parotidectomy ndi njira imodzi yodziwika bwino yochotsera mutu ndi khosi. Madokotala a opaleshoni ku Apollo Hospitals Karnataka amatha kuchita opaleshoni ya Mini Incision Parotidectomy ku Bangalore mwa kudula 2.5–3 cm kumbuyo kwa khutu, kubisa chilondacho.

Kuduladula kwachizolowezi kwa opaleshoni ya parotidectomy kumayambira patsogolo pa diso la khutu, kumapitirira pansi pa diso la khutu, kenako kumatsika mpaka pakhosi kwa mtunda wa masentimita 8 mpaka 10. Pambuyo pa opaleshoni, kudulaku kumasiya chilonda chosawoneka bwino pankhope ndi pakhosi. Mosiyana ndi kuduladula kwachizolowezi, Mini Incision Parotid Surgery ku Bangalore imapangitsa kuduladula kochepa kwambiri komanso kobisika komwe kuli kutalika kwa masentimita 2.5–3 kumbuyo kwa diso la khutu m'malo ozungulira diso. Kuchuluka kwa kuduladula kwa zilonda ndi kofanana, koma kumachitika kudzera mu dzenje la keybo, mofanana ndi opaleshoni ya laparoscopic poyerekeza ndi opaleshoni yachikhalidwe. Opaleshoni yamtunduwu imapangitsa kuti chilonda chobisika chikhale chochepa, kutaya magazi pang'ono, kuchira mwachangu, komanso kubwerera msanga ku ntchito zachizolowezi.

Kodi ndondomekoyi ikuchitika bwanji?

Asanayambe opaleshoni

Asanayambe ndondomekoyi, dokotala adzayesa kuyesa asanachite opaleshoni yomwe adzayang'anenso zolemba zachipatala za wodwalayo ndikufotokozera ndondomeko yake. Mayeso angapo asanachitike opaleshoni amatha kuchitidwa parotidectomy isanachitike. Mayesowa akuphatikizapo:

1. Kuyesa kwazithunzi za diagnostic - Kugwiritsira ntchito njira zoyezera matenda monga computed tomography (CT) scans ndi magnetic resonance imaging (MRI) kumathandiza madokotala ochita opaleshoni kuti apeze chotupacho ndi kuthetsa vuto lililonse. Kujambula kumapindulitsa makamaka pamene chotupacho chili pafupi ndi mitsempha ya nkhope.
2. Biopsy - Fine-needle aspiration biopsy (FNA) ndi njira yomwe imachitika kwambiri biopsy isanakwane parotidectomy. Dokotala akhoza kupanga FNA pa chotupacho kuti azindikire kukhalapo kwa maselo a khansa.

Wodwala adzalandira malangizo kuchokera kwa dokotala momwe angakonzekerere parotidectomy, kuphatikizapo mankhwala oti amwe kapena kusiya, pamene asiya kudya ndi kumwa asanachite opaleshoni, ndi zina zofunika.

Panthawi ya Opaleshoni

Pa opaleshoniyi, wodwalayo amapatsidwa mankhwala oletsa ululu, omwe amachititsa kugona nthawi yonseyi. Chigobacho chikachotsedwa, chodulidwacho chimasokedwa pamodzi. Pafupifupi 2 masabata pambuyo ndondomeko, sutures ayenera kuchotsedwa. Pamapeto pa opaleshoniyo, kachubu kakang'ono amalowetsa pakhungu m'kati mwa khungu kuti achotse magazi omwe achulukana. Kawirikawiri, chubuchi chimachotsedwa m'mawa pambuyo pa opaleshoni.

Pambuyo pa ndondomekoyi

Odwala amafunika kukhala tsiku limodzi kuchipatala chifukwa cha Mini Incision Parotidectomy ku Bangalore potsatira opaleshoni yawo kuti atsimikizire kuti alandira chithandizo chotetezeka komanso chogwira mtima kwambiri pambuyo pa opaleshoni. Panthawiyi, odwala amapatsidwa maantibayotiki kuti achepetse chiopsezo chawo chotenga matenda, ndipo kuchepetsa ululu wawo kumayang'aniridwa mosamala akamagonekedwa m'chipatala.

Kodi zovuta za Mini Incision Parotidectomy ndi ziti?

Zowopsa zomwe zimachitika ndi parotidectomy nthawi zambiri zimakhala zosowa kwambiri. Komabe, ngati pali zovuta, zitha kukhala:

1. dzanzi m'khutu - Zanzi la khutu la lobule ndilofala pambuyo pa opaleshoni ya Parotid ya khutu ndi yosowa kwambiri.
2. Kufooka Kwankhope- Mwayi wa kufooka kwakanthawi kumaso ndi 5-10% ndipo kufa ziwalo kosatha ndi ochepera 2% ndi mini-incision parotidectomy Permanent Palsy imatha kuchitika pokhapokha ngati pali khansa yaparotid yomwe imafalikira kudzera mumisempha ya kumaso.
3. Seroma- Kusonkhanitsa kwa Serous fluid kumachitika mu 5-10% Milandu pafupi ndi malo opangira sutures pambuyo pa masiku 3-5 a opaleshoni. Imaphimba yokha mu 1-2weeks ndipo safuna chithandizo chapadera.

Zimatenga nthawi yayitali bwanji kuti ndichire pambuyo pa Opaleshoni?

Kuchira pambuyo pa njira ya Mini-incision ndi yayifupi kwambiri. Wodwala akhoza kuyambiranso kuyambitsa pambuyo pa 2-3days .Ngati kufooka kulikonse kumakhala bwino mu masabata a 4-6. Kupweteka kwapambuyo pa opaleshoni kumakhala kochepa kwambiri pambuyo pa njirayi.

Moyo umasintha pambuyo pa Opaleshoni ya Parotid Gland

Kusintha kwa moyo kungakhale kofunikira kuti mubwezeretsedwe pambuyo pochotsa parotid gland. Kuti muchepetse kupsinjika pamatenda ochiritsa, tikulimbikitsidwa kuti tiyambe kupeŵa ntchito zolemetsa komanso kutsatira zakudya zofewa. Thandizo lolimbitsa thupi ndi zochitika za nkhope zitha kuperekedwa pakapita nthawi kuti akhazikitsenso magwiridwe antchito a minofu pankhope. Kuti muchire mwachangu, ndikofunikira kuti mukhale tcheru ngati muli ndi zizindikiro zilizonse za matenda, kutupa kwambiri, kapena zizindikiro zachilendo ndikuwuza dokotala wanu mwachangu.

Ubwino wa Mini Incision Parotidectomy

• Kudulidwa kwakung'ono komanso kocheperako - Kudulirako pang'ono komanso kung'onoting'ono kumabweretsa kuchepa kwa zipsera, kupweteka pang'ono, kuvulala kwa minofu, kuchepa kwa magazi, komanso nthawi yochira mwachangu.
• Kukongola kwa nkhope - Izi zimathandiza kuti mukhale ndi mawonekedwe oyenera komanso osangalatsa.
• Kuchepetsa mwayi wa Frey's syndrome - Opaleshoni yachikale ya parotid nthawi zambiri imabweretsa zotsatira zosasangalatsa komanso zodziwika bwino zomwe zimatchedwa Frey's syndrome(Kutuluka thukuta mukudya Mini-incision parotidectomy sikumabweretsa matenda a Frey.
• Mavuto: Mwayi Wovuta ndi wochepa kwambiri ndi opaleshoni yaing'ono yaparotid.

Mini Incision Parotidectomy ku Apollo Hospitals Karnataka

Chipatala cha Apollo, Karnataka, ndi chipatala chachikulu komanso chodalirika kwambiri pankhani ya Mini Incision Parotidectomy ku Bangalore . Tadzipereka kupereka chisamaliro chapadera komanso chithandizo kwa makasitomala. Dokotala wathu wabwino kwambiri wa ENT & Head Neck Oncosurgeon ku Bangalore , wodzipereka kupereka zotsatira zabwino kwambiri ndipo waphunzitsidwa bwino. Chipatala chathu chili ndi ukadaulo waposachedwa ndipo ndi chipatala chokhacho chapamwamba padziko lonse chomwe chimapereka Mini Incision Parotidectomy padziko lonse lapansi . Chisamaliro chadzidzidzi ndi upangiri zimapezeka kuchipatala ndipo zitha kukonzedwa ndi foni yosavuta.

– Dr. P Subramanya Rao