Kubviswa kweTonsill muCoblation: Kurapa, Mabhenefiti, uye Kupora

Matambudziko epahuro anowanzoitika, kunyanya kuvana, asi anogonawo kukanganisa vanhu vakuru. Kurwara kwepahuro kunowanzoitika, kukura kwematako nguva dzose, uye kuoma kufema panguva yekurara ndezvimwe zvezvikonzero zvinoita kuti nyanzvi yezvenzeve, mhino nepahuro (ENT) iongorore kukosha kwekuvhiyiwa.

Kuvhiyiwa kweCoblation tonsillectomy ndeimwe yenzira dzakawanda dzekuvhiya dzinoshandiswa kubvisa matonsi. Izvi zvinogona kufungwa nezvazvo kana nyanzvi yeENT ikasimbisa zviratidzo zvakajeka, zvakaita se recurrent tonsillitis, obstructive sleep-disordered blass, recurrent peritonsillar abscess, kana kuti fungidziro yekuti matonsi anowedzera kukura. Coblation tonsillectomy inoshandisa radiofrequency energy uye yakagadzirirwa kuderedza kukuvara kunokonzerwa nekupisa kune zvivako zvakakomberedza zvichienzaniswa nedzimwe nzira dzechinyakare.

Haasi maronda ese ari pahuro kana kuti matonsil akakura anoda kuvhiyiwa. Sarudzo yacho inoenderana nekuoma kwezviratidzo, kuwanda kwazvo, magwaro akanyorwa, kukanganisa hupenyu hwezuva nezuva, zviratidzo zvemhepo inoyerera, zvakawanikwa pakuongorora, uye zera remurwere uye mamiriro ehutano hwake. Chinyorwa chino chinotsanangura kuti tonsillectomy inorayirwa riini, kuti coblation inoshanda sei, zvekutarisira kubva mukuvhiyiwa, uye kuti kupora kunowanzo enderera sei.
 

Chii chinonzi Tonsils uye Nei Zvichikonzera Matambudziko?

Matoni imatishu maviri madiki elymphoid ari kumashure kwehuro. Iwo chikamu chesystem yekudzivirira muviri uye anobatsira kuona utachiona hunopinda nemuromo nemhino, kunyanya pahudiki. Muvanhu vazhinji vane hutano hwakanaka, kubvisa matoni hakuwanzo kukonzera kushaya simba kwekudzivirira muviri kwenguva refu nekuti mamwe matishu mazhinji ekudzivirira muviri anoramba achishanda.

Zvisinei, matonsi anogona kuva chikonzero chezvinetso zvinoramba zvichiitika kana:

• Utachiona hunowanzo wanikwa (recurrent tonsillitis)
• Yakakura nguva dzose zvekuti inogona kudzivirira kufema kana kumedza
• Yakakura zvakakwana kuti ivhare nzira yekufema
• Yakabatana ne recurrent peritonsillar abscess
• Zvinoenderana nekuunganidzwa kwemarara zvichikonzera kufema kunonhuwa
• Chitarisiko chisina kuenzana kana kuti chinofungirwa (kunyanya kuvanhu vakuru)

Matombo epaton nemuromo unonhuwa zvinogona kurapwa pasina kuvhiyiwa muvarwere vazhinji; kuvhiyiwa kwetonsi kunongoonekwa chete kana zviratidzo zvichiripo, zvichinetsa, uye zvichiongororwa nachiremba.

Hazvisi zvese zvinorwadza pahuro zvinoreva kuti matonsi anofanira kubuda. Kutaura zvazviri, nhungamiro dzinosimbisa kuti vana vazhinji vane zviratidzo zvehuro zvinowanzoonekwa vanofanira kutanga vaonekwa, kunyanya kana huwandu uye kuoma kwezviitiko zvisingasvike padanho rinogamuchirwa rekuvhiyiwa.
 

Kuvhiyiwa kweTonsillectomy Kunokurudzirwa Rini?

Kuvhiyiwa kweTonsillectomy kunowanzo tariswa nekuda kwezvikonzero zviviri zvikuru:

1. Kurwara kunowanzoitika

Kuvhiyiwa kunogona kukurudzirwa kana hutachiona hwepahuro hwawanda, hwakakosha pakurapa, hwakanyorwa, hwakarapwa zvakakwana, uye huchikanganisa chikoro, basa, kurara, kudya, kana hupenyu hwezuva nezuva. Zviyero zvinowanzo shandiswa pakurapa zvinosanganisira:

• Zvikamu zvinomwe kana kupfuura mugore rimwe chete
• Zvikamu zvitatu kana kupfuura pagore kwemakore matatu akatevedzana
• Zvikamu zvitatu kana kupfuura pagore kwemakore matatu akatevedzana

Muvana, magwaro anogona kusanganisira zvinhu zvakaita sefivha, kukura kwemutsipa, pus/exudate, kana bvunzo ye group A streptococcal kana zvichidikanwa.

Kana hutachiona husingawanzoitiki, kungwarira (kumirira wakangwarira) kunowanzo shandiswa.
 

2. Kuvharika kwenzira yekufema

Matoni akakura anogona kutetepa nzira yekufema uye kutungamira ku:

• ngonono
• Muromo kufema
• Kurara kusina kugadzikana kana kuti kusina kunaka
• Kudzivisa kubatwa nehope
• Akaona kufema kwakamira
• Kurara masikati, kunetseka nezvemaitiro, kusanyatsoisa pfungwa zvakanaka, kana matambudziko ekukura

Muvana, izvi zvinogona kukanganisa maitiro, kuisa pfungwa, uye kukura. Muzviitiko zvakadaro, kuvhiyiwa kunogona kuvandudza zviratidzo uye hupenyu hwemunhu zvakanyanya. Zvisinei, zviratidzo zvekufema zvisina kunaka panguva yekurara zvinogona kuramba zvichiitika kana kudzoka mune vamwe varwere uye zvinogona kuda kuongororwazve.

Zvimwe zviratidzo zvinosanganisira:

• Pumbu rinogara richidzoka re peritonsillar
• Kuoma kukuru kwekumedza nekuda kwekukura kwematoni
• Kuwedzera kwetoni kunofungidzirwa kune divi rimwe chete, kunyanya kuvanhu vakuru, izvo zvinoda kuongororwa nekukurumidza kwe ENT
   

Chii chinonzi Coblation Tonsil Surgery?

Coblation zvinoreva "controlled ablation". Munzira iyi, simba reradiofrequency rinopfuura nemu saline (mushonga wemunyu mumvura) kugadzira munda weplasma unobvisa matonsil tissue patembiricha yakaderera pane yakajairwa electrocautery.

Izvi zvinobvumira chiremba wechiremba kuti:

• Bvisa toni
• Dzora kubuda ropa panguva yekuvhiyiwa
• Shanda patembiricha yakaderera pane yemagetsi echinyakare

Chinangwa ndechekuderedza kukuvara kwenyama dzakapoteredza kunokonzerwa nekupisa. Zvisinei, izvi hazvibvisi marwadzo mushure mekuvhiyiwa kana dzimwe njodzi dzinosanganisirwa nekuvhiyiwa.

Kubatana kunogona kushandiswa nenzira mbiri huru:

• Kuvhiyiwa kwekubvisa toni kunze kwekapisi: kubviswa kwakakwana kwetoni nekapisiyumu
• Kuvhiyiwa kwe tonsillectomy/tonsillotomy mukati memusana: kubviswa kwenyama zhinji dzematonsi uku uchisiya jira rakatetepa pamusoro petsandanyama yehuro. Izvi zvinogona kuderedza marwadzo nekubuda ropa muvarwere vakasarudzwa asi zvine njodzi diki yekudzokera shure kana zviratidzo zvinodzokororwa.
• Maitiro ekupinda muropa (Intracapsular approaches) anonyanya kutariswa pakurapa zviratidzo zvinodzivirira kupfuura hutachiona hunodzokororwa muvarwere vakasarudzwa.

Maitiro chaiwo anoenderana nezera remurwere, chiratidzo chekuvhiyiwa, saizi yematonsi, zvinodiwa nachiremba, uye kana kubviswa zvachose kana chikamu chedumbu kwakakodzera.
 

Kuvhiyiwa kweCoblation kwakasiyana sei neTraditional Tonsillectomy?

Kuvhiyiwa kwematonsi echinyakare kunogona kuitwa uchishandisa cold steel dissection, electrocautery, bipolar diathermy, microdebrider methods, kana mamwe matekinoroji. Coblation imwe yesarudzo pakati pedzimwe dzakawanda.

Chikonzero chikuru chinoita kuti ifarirwe ndechekuti inogona kupa:

• Kupisa kushoma kunopararira kumatishu akapoteredza zvichienzaniswa nedzimwe nzira dzinoshandiswa pakupisa
• Kuderedza marwadzo ekutanga mushure mekuvhiyiwa mune zvimwe zvidzidzo
• Kurasikirwa kweropa shoma panguva yekuvhiyiwa mune zvimwe zvichienzaniswa
• Kudzokera nekukurumidza kune vamwe varwere kukudya kwakajairika kana kuita mabasa avo

Zvisinei, mhedzisiro yacho inosiyana. Dzimwe ongororo dzinoratidza kuti kurwadziwa kushoma pakutanga kana kuti kukurumidza kudzokera kumuromo kune varwere vakasarudzwa, kunyanya nekushandisa nzira dzemukati mekapusular, asi hapana nzira iri nani kune murwere wese. Kubuda ropa kunoramba kuri dambudziko guru mushure mekuvhiyiwa kwetonsil. Mhedzisiro yekuvhiyiwa inoenderana nezvinhu zvakawanda, kusanganisira mamiriro emurwere, zera, uye ruzivo rwachiremba.
 

Mabhenefiti eCoblation Tonsillectomy

Kune murwere akakodzera, coblation inopa mabhenefiti akawanda anoshanda.

1. Kubviswa kwenyama kwakadzorwa pasina kupararira kwekupisa kwakanyanya

Nekuti nzira iyi inoshanda nenzira yakarongeka, vanachiremba vanogona kubvisa nyama uku vachidzivirira kukuvara kusingakoshi kune zvivako zviri pedyo.
 

2. Marwadzo mashoma mushure mekuvhiyiwa

Zvimwe zvidzidzo zvekuenzanisa neongororo zvinoratidza marwadzo mashoma, kunyanya munguva yekutanga yekupora, zvichienzaniswa nemagetsi kana mamwe maitiro echinyakare.
 

3. Kukuvara kushoma kwekupisa

Kubatanidza kunoshanda pakupisa kwakaderera pane nzira dzakajairwa dzinoshandiswa pakurapa nekupisa. Zvisinei, izvi hazvirevi kuti nzira iyi hairwadzi.
 

4. Kupora kwemuviri nekukurumidza mune vamwe varwere

Dzimwe ongororo dzinoratidza kuti munhu anofanira kudzokera kumishonga yemuromo, kuchikoro, kana kuita zvinhu zvemazuva ese nekukurumidza, kunyanya nekushandisa nzira dzekubatanidza mishonga mukati memushonga.
 

5. Inobatsira mukurapa vana vane ENT

Kuvhiyiwa kwetonsil kunowanzobatanidzwa nevana, asi vakuru vanogonawo kubatsirwa kana chiratidzo chacho chakasimba. Vakuru vanowanzo nzwa kurwadziwa kwakanyanya mushure mekuvhiyiwa uye kupora kwenguva refu kupfuura vana, zvisinei nehunyanzvi, saka kurairwa kunofanira kuva kwechokwadi.
 

Zvipingamupinyi zveCoblation Tonsillectomy

Kuvhiyiwa kweCoblation kuchiri kuvhiyiwa. Kunoda anesthesia yakajairika, kushandiswa kwakadzidziswa kwekuvhiyiwa, uye kuongororwa kwakakodzera mushure mekuvhiyiwa.

• Zvinogona kukonzera marwadzo mushure mekuvhiyiwa
• Kubuda ropa kunoramba kuri dambudziko guru
• Kubuda ropa kunogona kuitika pakarepo mushure mekuvhiyiwa kana mazuva akati wandei gare gare
• Kupora kunogona kutora kusvika mavhiki maviri
• Kupora kunogona kutora nguva yakareba muvanhu vakuru

Mukurapa mukati meganda, toni shoma inosara, saka panogona kuva nekumerazve kushoma kana zviratidzo zvinodzokororwa mune dzimwe nguva.

Kuvhiyiwa mukati memusana hakukodzeri kana paine fungidziro yekuti kenza kana kuti kana paine chikonzero chekubviswa kwenyama yese. Varwere havafanirwe kufunga kuti tekinoroji itsva inobvisa njodzi zvachose. Kuvhiyiwa kwe tonsillectomy kwerudzi rwupi zvarwo kune matambudziko anozivikanwa anosanganisira kubuda ropa, kupera mvura mumuviri, njodzi dzekurwadziwa, kunetseka nehutachiona, uye matambudziko ane chekuita nemhepo mushure mekuvhiyiwa.
 

Chii Chinoitika Pamberi peCoblation Tonsillectomy?

Vasati vavhiyiwa, nyanzvi yeENT inotora nhoroondo yakadzama uye inoongorora pahuro, mhino, nzeve, uye zviratidzo zvinowanzoenderana nekurara. Nyanzvi yeENT inosimbisawo kana chiratidzo chekuvhiyiwa chiri hutachiona hunodzokororwa, zviratidzo zvekuvharika, kunetseka kwemhepo, kana kufungidzira kuti une gomarara.

Kugadzirira usati wavhiyiwa kunowanzo sanganisira:

• Ongororo yehuwandu uye kuoma kwehutachiona hwematonsi
• Zvinyorwa zvinoratidza kuti zviratidzo zvinokanganisa sei chikoro, basa, kurara, kudya, kana hupenyu hwezuva nezuva
• Nhoroondo yemishonga, kunyanya mishonga inoderedza ropa
• Ongororo yeaspirin, NSAIDs, mishonga yekuwedzera, uye nhoroondo yekubuda ropa
• Nhoroondo yeAllergy uye anesthesia
• Kuongororwa kwekurara muvana vakasarudzwa, kunyanya vana vadiki kwazvo, kufuta, matambudziko emusoro kana tsandanyama, Down syndrome, zviratidzo zvakakomba, kana kusava nechokwadi nezvekuongororwa kwechirwere.
• Mirayiridzo yekutsanya usati wavhiyiwa
• Kukurukurirana nezvezvimwe zvingasarudzwa, mabhenefiti, njodzi, hurongwa hwekugadzirisa marwadzo, matanho ekudzivirira kubuda ropa, zvinotarisirwa kuti zviitike, uye nguva yekutsvaga rubatsiro rwekurapa nekukurumidza

Varwere vanowanzo kurudzirwa kuti vasashandise mimwe mishonga vasati vavhiyiwa kana ichiwedzera njodzi yekubuda ropa, kunyange zvazvo izvi zvichifanira kugara zvichitungamirirwa nachiremba ari kurapa.
 

Chii Chinoitika Panguva yeCoblation Tonsillectomy?

Kuvhiyiwa kwe "coblation tonsillectomy" kunoitwa mu "operation theater" pasi pe "general anesthesia", saka murwere anenge akarara uye haanzwi kurwadziwa panguva yekuvhiyiwa.

Chiremba anovhiya anopinda mumatoni nemuromo, saka hapana mavanga ekunze paganda.

Achishandisa tsvimbo yekubatanidza, chiremba anobvisa matonsi nekubvisa nyama yedumbu uku achidzora kubuda ropa.

Nguva yekuvhiyiwa inogona kusiyana zvichienderana nemuviri, nzira yekuvhiya, kubuda ropa, uye kana adenoidectomy kana imwe nzira yekuvhiya ichiitwawo.

Kazhinji kacho inzira yekuchengeta vana masikati, zvichireva kuti murwere anoenda kumba zuva rimwe chete. Zvisinei, vana vadiki vanogona kutarisirwa husiku, kufema zvisina kunaka, kufuta, kurwara panguva imwe chete, kunetseka nezvekushaya marwadzo, kusanwa zvakanaka kwemuromo, kana kubuda ropa.

Kana tonsil ichiita seyakavanzika kana isina kuenzana, tishu dzinogona kutumirwa kunoongororwa histopathology.
 

Kupora Mushure meKuvhiyiwa kweTonsillectomy

Kupora ndechimwe chezvinhu zvinonyanya kukosha parwendo rwemurwere.

Matambudziko anowanzo itika mushure mekuvhiyiwa anosanganisira:

• Kurwadziwa pahuro (kazhinji kwakakosha)
• Marwadzo anopenya munzeve
• Dambudziko kukumedza
• Kuderedzwa kwechido
• Kufema kwakaipa
• Mavara machena kana eyero ekuporesa pahuro

Marwadzo anogona kuwedzera mushure memazuva mana kusvika manomwe asati avandudzika zvishoma nezvishoma.
 

Nguva yakajairika yekupora:

• Maawa 24-48 ekutanga: hope, kurwadziwa pahuro, kuoma kumedza
• Mazuva 3–7: kurwadziwa kunogona kuwedzera, kudya kungave kuchiri kuoma
• Mazuva 5-10: njodzi yekubuda ropa inoramba ichikosha zvikuru sezvo nyama inopora ichisununguka
• Mazuva 7–14: kupora kunoenderera mberi; mapundu anosunungurwa; njodzi yekubuda ropa ichiri kukosha
• Pakupera kwemavhiki maviri: varwere vazhinji vanenge vava nani, kunyange zvazvo kunyaradzwa kwakazara kunogona kutora nguva yakareba kune vamwe vakuru
   

Matanho anobatsira ekupora

• Tora mishonga yekurwadziwa yakanyorwa nachiremba nguva dzose
• Shandisa paracetamol/acetaminophen uye ibuprofen kana chiremba akakuyambira
• Musape vana vadiki mishonga ine codeine mushure mekuvhiyiwa kwe tonsill.
• Dzivisa aspirin kunze kwekunge wanyorerwa zvakananga.
• Inwa zvinwiwa zvakawanda
• Kurudzira kunwa mvura nguva nenguva nekuti kupera mvura mumuviri kunogona kuwedzera marwadzo uye njodzi yekubuda ropa
• Idya chikafu chakapfava kana chemazuva ese sezvachinobvumirwa pane kudya huro nenzara
• Dzivisa chikafu chakaoma, chakakasharara, chine zvinonhuwira, kana chinotsamwisa kana chinorwadza
• Zorora, asi zvishoma nezvishoma tangazve kuita basa rako
• Dzivisa kusangana nekusvuta
• Dzivisa kuita zvinhu zvinorema, kutamba zvisina kunaka, kana kubva kure nekurapwa panguva yekubuda ropa kwakanyanya
• Tevedzera zano rachiremba wekuvhiya maererano nekudzoka kuchikoro kana kubasa, izvo zvinowanzotora mazuva angangoita gumi kusvika gumi nemana.
   

Ndezvipi Zviratidzo Zvinonyevera Mushure mekuvhiyiwa kweTonsil?

Chiratidzo chikuru chekunyevera kubuda ropa mumuromo kana pahuro. Kunyangwe kubuda ropa kutsvuku kushoma mushure mekuvhiyiwa kwe tonsill kunoda kurapwa nekukurumidza nekuti kubuda ropa kunogona kukura nekukurumidza. Iri ndiro rimwe rematambudziko makuru anokurukurwa navanachiremba vasati vavhiyiwa.

Tsvaga rubatsiro rwekukurumidzira kana paine:

• Kubuda ropa kutsva kubva mumuromo kana pahuro
• Kusvipa ropa kakawanda
• Kurutsa ropa uye madota matema
• Kuoma kufema kufema
• Kufema zvine ruzha kana kuwedzera kuzvimba pahuro
• Kushaya mvura yakakwana mumuviri kana kutadza kunwa
• Zviratidzo zvekupererwa nemvura zvakaita sekushaya weti, muromo wakaoma, kuneta, kana kusava nemisodzi muvana vadiki
• Fivha inoramba iripo, kunyanya kana ichiperekedzwa nekurwadziwa kuri kuramba kuchiwedzera, kusanwa zvakanaka kwemuromo, kana kubuda ropa
• Hope dzakanyanya kana kurwadziwa kusingadzorwi nemishonga yakanyorwa

Kubuda ropa mushure mekuvhiyiwa kwe tonsill kunofanira kugara kuchionekwa sekunge kuri kwekukurumidzira.
 

Njodzi uye Matambudziko eCoblation Tonsillectomy

Hapana chinyorwa chekuvhiya chakakwana pasina tsananguro yakaringana yenjodzi. Njodzi huru dzekubvisa tonsillectomy dzinosanganisira:

• Kuita kune anesthesia
• Kubuda ropa panguva kana mushure mekuvhiyiwa
• Kubuda ropa mukati memaawa makumi maviri nemana ekutanga kana mazuva akati wandei gare gare
• Marwadzo uye kusanwa zvakanaka kwemuromo
• nemvura
• Kuzvimba kunokanganisa kufema panguva yapashure pekuvhiyiwa
• Nausea uye kurutsa
• Kuchinja kwezwi kwenguva pfupi kana kusagadzikana kwekumedza
• Kurwadziwa/kukuvara kwemazino, miromo, rurimi, kana shaya kunokonzerwa nemidziyo yemuromo
• Utachiona hunogona kuitika, asi mishonga inorwisa mabhakitiriya inongoitika mushure mekuvhiyiwa haikurudzirwi kuvarwere vese
• Kashoma kuda kudzokera ku theatre kuti udzore ropa
• Kashoma kudiwa kwekudzorerwa kuchipatara

Mashoko akanaka ndeekuti kuvhiyiwa kwe tonsillectomy kunoitwa ne ENT uye kunowanzo chengetedzwa mumaoko akakodzera. Asi kunofanira kubatwa neruremekedzo, kunyanya kuvanhu vakuru, avo vanowanzo taura kuti vanopora zvakanyanya kupfuura vana.
 

Ndiani Angave Asingazove Mumiriri weKuvhiyiwa Pakarepo?

Kuvhiyiwa kwetonsil yeCoblation kunogona kunonoka kana kudzokororwazve muvanhu vane:

• Hapana chiratidzo chakajeka chekiriniki chekuvhiyiwa
• Utachiona hwakanyanya panguva yakarongwa yekuvhiyiwa
• Matambudziko ekubuda ropa asina kudzorwa zvakanaka
• Kushandiswa kwemishonga inoderedza ropa munguva pfupi yapfuura iyo isingagone kurapwa zvakachengeteka
• Dzimwe njodzi dzekurwadziwa kwepfungwa
• Kurwara kusingadzoreki kana kupera mvura mumuviri zvakanyanya
• Chiratidzo chisina kukwana chekuvhiyiwa
• Utachiona hushoma pane hwaro hunogamuchirwa pasina matambudziko makuru
• Kudiwa kwekuenderera mberi nekurara, kufema, kana kuongororwa kwekenza usati waronga kuvhiyiwa

Kukura kwetoni kunofungidzirwa kuti kwakabatana nerutivi rumwe chete hakusi chikonzero chekunonotsa kuongororwa uye kunoda kuongororwa kweENT nekukurumidza. Ndosaka kuongororwa kweENT kuchikosha. Haasi matoni ese akakura kana anowanzo shatirwa anoda kuvhiyiwa.
 

Kubvisa Tonsils Kunoderedza Simba reMuviri Here?

Izvi zvinonetsa vanhu vakawanda. Matoni chikamu chemuviri wekudzivirira muviri, kunyanya muhudiki, asi inongova chikamu chimwe chete che network yakakura yekudzivirira muviri. Muvanhu vane hutano hwakanaka, kubviswa kwetoni hakuwanzo kukonzera kushaya simba kwemuviri kwenguva refu.

Kuvhiyiwa kunorayirwa chete kana mabhenefiti anotarisirwa, akadai sekushaya hutachiona hwakasimba kana kufema kwakanaka panguva yekurara, zvichipfuura njodzi. Vana kana vakuru vane zvirwere zvekudzivirira muviri vanoda kuongororwa nachiremba.
 

Zvitsva Zvitsva

• Kuvhiyiwa kweTonsillectomy kunokurudzirwa mune dzimwe nyaya, kazhinji kune zvakanyorwa zvichidzokorora, tonsillitis inodzima, zviratidzo zvekuvharika zvakaita sekushaya hope nekufema zvisina kunaka, peritonsillar abscess inodzokorora, kana kukura kwetonsil kunofungidzirwa.
• Haasi maronda ese ehuro anoda kuvhiyiwa. Varwere vazhinji vanogona kurapwa nekuongororwa uye kurapwa, uye zvisarudzo zvinoenderana nehuwandu, kuoma, uye magwaro ezviitiko.
• Kubviswa kwetonji yeCoblation imwe yenzira dzakasiyana siyana dzinoshandiswa kubvisa tonsils uye inoshandisa simba reradiofrequency patembiricha yakaderera zvichienzaniswa nekushandiswa kwemagetsi echinyakare.
• Dzimwe ongororo dzinoratidza kuti kubatanidzwa kwekubatana kwemasero emudumbu kunogona kukonzera marwadzo mashoma mushure mekuvhiyiwa uye kukurumidza kudzokera kumabasa enguva dzose kune varwere vakasarudzwa, kunyange hazvo mhedzisiro yacho ichigona kusiyana.
• Kubatanidza mishonga hakusi kwakakosha muzviitiko zvese, uye sarudzo yenzira yekurapa inoenderana nemurwere, zviratidzo, uye ruzivo rwachiremba wekuvhiya.
• Kuvhiyiwa kwemazino mukati meganda kunogona kuderedza marwadzo nekubuda ropa mune vamwe varwere asi kunosiya huwandu hushoma hwematishu ematoni, izvo zvine njodzi diki yekumerazve kana zviratidzo zvinodzoka.
• Kuvhiyiwa kweTonsillectomy kunowanzoitwa pasi peanesthesia uye kazhinji inzira yekugara kwenguva pfupi kana yekuchengeta varwere masikati. Kupora kunowanzotora mazuva manomwe kusvika gumi nemana, uye marwadzo anogona kuwedzera asati ava nani.
• Kubuda ropa ndicho chinhu chinonyanya kukosha uye chinogona kuitika kunyangwe mazuva akati wandei mushure mekuvhiyiwa. Kubuda ropa kutsva kubva mumuromo kana pahuro kunoda kurapwa nekukurumidza.
• Mishonga inorwisa mabhakitiriya inotorwa nguva dzose mushure mekuvhiyiwa haikurudzirwi kuvana vese mushure mekuvhiyiwa kwetoni.
• Mishonga ine codeine haifanirwe kushandiswa kuvana vadiki mushure mekuvhiyiwa kwe tonsillectomy.
• Zviratidzo zvekufema zvisina kugadzikana muhope zvinogona kuramba zvichiitika kana kudzoka mune vamwe varwere uye zvinogona kuda kutariswazve.
• Kubvisa matonsi hakunyanyi kuderedza simba remuviri rekudzivirira zvirwere kune vanhu vane hutano hwakanaka, uye sarudzo dzekurapa dzinofanira kugara dzichiitwa dzega dzega.