Utyando lweCoblation Tonsillectomy: Unyango, Iingenelo, kunye nokuBuyisa

Iingxaki zeetoni zixhaphakile, ingakumbi ebantwaneni, kodwa zinokuchaphazela nabantu abadala. Usulelo oluphindaphindayo lomphimbo, ukukhula kweetoni okungapheliyo, kunye nobunzima bokuphefumla ngexesha lokulala zezinye zezizathu zokuba ingcali yendlebe, impumlo kunye nomqala (ENT) ihlole imfuneko yotyando.

I-Coblation tonsillectomy yenye yeendlela ezininzi zotyando ezisetyenziselwa ukususa iitoni. Ingaqwalaselwa xa ingcali ye-ENT iqinisekisa uphawu olucacileyo, olufana ne-recurrent recorded tonsillitis, obstructive sleep-disordered breath, recurrent peritonsillar abscess, okanye i-skeptical tonsil expansion. I-Coblation tonsillectomy isebenzisa amandla e-radiofrequency kwaye yenzelwe ukunciphisa ukwenzakala okunxulumene nobushushu kwizakhiwo ezingqongileyo xa kuthelekiswa nezinye iindlela zemveli.

Ayizizo zonke iintlungu zomqala okanye i-tonsil enkulu ezifuna utyando. Isigqibo sixhomekeke kubukhali beempawu, amaxesha amaninzi, amaxwebhu, impembelelo kubomi bemihla ngemihla, iimpawu zomoya, iziphumo zovavanyo, kunye nobudala besigulana kunye nesimo sempilo. Eli nqaku lichaza ukuba i-tonsillectomy icetyiswa nini, indlela esebenza ngayo i-coblation, into omawuyilindele kwinkqubo, kunye nendlela ukubuyela kwimeko yesiqhelo.
 

Zithini iiTonsils kwaye Kutheni Zibangela Ingxaki?

Iitonili ziithishu ezimbini ezincinci ze-lymphoid ezingasemva komqala. Ziyinxalenye yenkqubo yokuzikhusela komzimba kwaye zinceda ekufumaneni iintsholongwane ezingena ngomlomo nangempumlo, ingakumbi ebuntwaneni. Kubantu abaninzi abasempilweni, ukususa iitonili akusoloko kubangela ubuthathaka bokuzikhusela komzimba obubalulekileyo ixesha elide kuba ezinye izithishu ezininzi zokuzikhusela komzimba ziyaqhubeka nokusebenza.

Nangona kunjalo, iitoni zinokuba ngumthombo weengxaki eziqhubekayo xa:

• Usulelo oluhlala lukhona (i-recurrent tonsillitis)
• Ikhuliswe ngokwaneleyo ukuba ingavumeli ukuphefumla okanye ukuginya
• Ikhuliswe ngokwaneleyo ukuvala indlela yokungena komoya
• Inxulunyaniswa ne-peritonsillar abscess ephindaphindayo
• Okunxulumene nokuqokelelwa kwenkunkuma okukhokelela ekuphefumlweni okubi
• Imbonakalo engafaniyo okanye erhanelekayo (ingakumbi kubantu abadala)

Amatye eetoni kunye nomoya ombi kunokulawulwa ngaphandle kotyando kwizigulana ezininzi; utyando lwe-tonsillectomy luqwalaselwa kuphela xa iimpawu ziqhubeka, zinzima, kwaye zivavanywa ziingcali.

Ayizizo zonke izihlunu zomqala ezithetha ukuba kufuneka kuphume iitoni. Enyanisweni, izikhokelo zigxininisa ukuba abantwana abaninzi abaneempawu zomqala rhoqo kufuneka baqale babonwe, ingakumbi xa inani kunye nobunzima beziqendu zingahlangabezani nemilinganiselo eyamkelekileyo yotyando.
 

Kucetyiswa nini ukuba kwenziwe i-tonsillectomy?

Utyando lwe-tonsillectomy ludla ngokuqwalaselwa ngezizathu ezibini ezibanzi:

1. Ukosuleleka rhoqo

Utyando lunokucetyiswa xa usulelo lomphimbo luxhaphakile, lubalulekile ngokwezonyango, lubhalwe phantsi, lunyangwa ngokufanelekileyo, kwaye luphazamisana nesikolo, umsebenzi, ukulala, ukutya, okanye ubomi bemihla ngemihla. Imilinganiselo yeklinikhi esetyenziswa rhoqo ibandakanya:

• Iziqendu ezi-7 okanye ngaphezulu kunyaka omnye
• Iziqendu ezi-5 nangaphezulu ngonyaka kangangeminyaka emi-2 ilandelelana
• Iziqendu ezi-3 nangaphezulu ngonyaka kangangeminyaka emi-3 ilandelelana

Kubantwana, amaxwebhu anokubandakanya iimpawu ezinje ngomkhuhlane, ukwanda kwentamo, i-tonsillar pus/exudate, okanye uvavanyo lwe-positive group A streptococcal xa kufanelekile.

Ukuba usulelo aluxhaphakanga rhoqo, ukuqwalasela ngononophelo (ukulinda ngononophelo) kudla ngokukhethwa.
 

2. Ukuvalwa kwendlela yomoya

Iitoni ezinkulu zingenza indlela yomoya ibe mxinwa kwaye zikhokelele koku:

• yayirhona
• Ukuphefumla ngomlomo
• Ukungaphumli okanye ukulala kakubi
• Ukukhubazeka kokulala kokugula
• Ubone ukunqumama kokuphefumla
• Ukulala emini, iingxaki zokuziphatha, ukungagxili kakuhle engqondweni, okanye imiba yokukhula

Kubantwana, oku kunokuchaphazela indlela yokuziphatha, ukugxila, kunye nokukhula. Kwiimeko ezinjalo, utyando lunokuphucula kakhulu iimpawu kunye nomgangatho wobomi. Nangona kunjalo, iimpawu zokuphefumla eziphazamisa ukulala zisenokuqhubeka okanye ziphinde zibuye kwabanye abaguli kwaye zinokufuna ukulandelwa ngakumbi.

Eminye imiqondiso ibandakanya:

• Ithumba eliphindaphindayo le-peritonsillar
• Ubunzima obukhulu bokuginya ngenxa yokwanda kweetoni
• Ukwandiswa kwetoni okurhanelekayo, ingakumbi kubantu abadala, okufuna uvavanyo lwe-ENT ngokukhawuleza
   

Yintoni utyando lweCoblation Tonsil?

I-Coblation imele "i-ablation elawulwayo". Kule ndlela, amandla e-radiofrequency adlula kwi-saline (isisombululo setyuwa emanzini) ukuze enze intsimi ye-plasma esusa izicubu zeetoni kubushushu obuphantsi kune-electrocautery eqhelekileyo.

Oku kuvumela ugqirha ukuba:

• Susa izicubu zeetoni
• Lawula ukopha ngexesha lenkqubo
• Sebenza kumaqondo obushushu aphantsi kakhulu kune-electrocautery yesiqhelo

Injongo kukunciphisa ukwenzakala okubangelwa bubushushu kwizicwili ezingqongileyo. Nangona kunjalo, oku akuzisusi iintlungu emva kotyando okanye ezinye iingozi ezinxulumene notyando.

Ukuhlanganiswa kungasetyenziswa ngeendlela ezimbini ngokubanzi:

• Utyando lwe-tonsillectomy oluvela ngaphandle kwekhaphu: ukususwa ngokupheleleyo kwe-tonsil kunye ne-capsule
• Utyando lwe-tonsillectomy/i-tonsillotomy yangaphakathi kwekhaphu: ukususwa kwezicubu ezininzi zeetoni ngelixa kushiyeka umaleko omncinci phezu kwemisipha yomphimbo. Oku kunokunciphisa iintlungu kunye nokopha kwegazi kwizigulana ezikhethiweyo kodwa kunomngcipheko omncinci wokuphinda kukhule okanye iimpawu eziphindaphindiweyo.
• Iindlela zokuhlinzwa ngaphakathi kwekhapsular zijongwa kakhulu kwiimpawu zokuthintela kunosulelo oluqhubekayo kwizigulana ezikhethiweyo

Indlela echanekileyo yokusebenza ixhomekeke kubudala besigulana, uphawu lotyando, ubungakanani beetoni, ukhetho logqirha, kunye nokuba ukususwa ngokupheleleyo okanye inxalenye yesikhumba kufanelekile na.
 

I-Coblation yahluke njani kwi-Tonsillectomy yendabuko?

Utyando lwendabuko lweetonsil lunokwenziwa kusetyenziswa i-cold steel dissection, i-electrocautery, i-bipolar diathermy, iindlela ze-microdebrider, okanye ezinye iindlela zobuchwepheshe. I-Coblation yenye yeendlela ezininzi.

Eyona nto ibangela ukuba itsale umdla kukuba inokubonelela:

• Ukunciphisa ukusasazeka kobushushu kwiithishu ezingqongileyo xa kuthelekiswa nezinye iindlela ezisekelwe kubushushu
• Ukunciphisa iintlungu zasemva kotyando kwezinye izifundo
• Ukulahleka kwegazi okuncinci ngexesha lotyando kwezinye izinto xa kuthelekiswa
• Ukubuyela ngokukhawuleza kwindlela eqhelekileyo yokutya okanye kwimisebenzi kwabanye abaguli

Nangona kunjalo, iziphumo ziyahluka. Ezinye izifundo zibonisa ukuba iintlungu ezincinci kwangethuba okanye ukubuyela ngokukhawuleza ekutyeni ngomlomo kwizigulana ezikhethiweyo, ingakumbi ngeendlela zokusebenzisa i-intracapsular, kodwa akukho ndlela ifanelekileyo kuye wonke umguli. Ukopha kuseyeyona ngxaki ibalulekileyo emva kotyando lweetoni. Iziphumo zotyando zixhomekeke kwizinto ezininzi, kubandakanya imeko yesigulana, ubudala, kunye namava kagqirha wotyando.
 

Iingenelo zeCoblation Tonsillectomy

Kwisigulane esifanelekileyo, i-coblation inika iingenelo ezininzi ezisebenzayo.

1. Ukususwa kwezicubu okulawulwayo ngokusasazwa okuncinci kobushushu

Ngenxa yokuba le ndlela isebenza ngendlela elawulwayo, oogqirha banokususa izicwili ngelixa bethintela umonakalo ongeyomfuneko kwizakhiwo ezikufutshane.
 

2. Iintlungu ezinokwenzeka emva kotyando azinakuncipha

Ezinye izifundo zokuthelekisa kunye nophononongo zibonisa amanqaku aphantsi eentlungu, ingakumbi kwixesha lokuqala lokuchacha, xa kuthelekiswa ne-electrocautery okanye iindlela ezithile zesiqhelo.
 

3. Ukulimala okuncinci kobushushu

I-Coblation isebenza kumaqondo obushushu aphantsi kuneendlela eziqhelekileyo ezisekelwe kwi-cautery. Nangona kunjalo, oku akuthethi ukuba le nkqubo ayinabuhlungu.
 

4. Ukuchacha ngokukhawuleza ekusebenzeni kwabanye abaguli

Ezinye izifundo zibonisa ukuba kufuneka ubuyele ngokukhawuleza ekutyeni ngomlomo, esikolweni, okanye kwimisebenzi yesiqhelo, ingakumbi ngeendlela zokudibanisa ii-capsular coblation.
 

5. Iluncedo kunyango lwe-ENT lwabantwana

Utyando lweetoni ludla ngokunxulunyaniswa nabantwana, nangona kunjalo abantu abadala banokuzuza xa uphawu lunamandla. Abantu abadala ngokubanzi bafumana iintlungu ezininzi emva kotyando kunye nokuchacha ixesha elide kunabantwana, nokuba basebenza phi, ngoko ke iingcebiso kufuneka zibe yinyani.
 

Imida yeCoblation Tonsillectomy

I-Coblation iselutyando. Ifuna i-anesthesia ngokubanzi, ukusetyenziswa ngotyando okuqeqeshwe kakuhle, kunye nokubekwa esweni okufanelekileyo emva kotyando.

• Isenokubangela iintlungu emva kotyando
• Ukopha igazi kuseyeyona ngxaki ibalulekileyo
• Ukopha kungenzeka kwangoko emva kotyando okanye kwiintsuku ezimbalwa kamva
• Ukuchacha kusenokuthatha ukuya kwiiveki ezimbini
• Ukubuyiselwa kwimeko yesiqhelo kunokuba ixesha elide kubantu abadala

Kwiinkqubo zangaphakathi kwekhapsular, inani elincinci lezicubu zeetoni lihlala likhona, ngoko ke kunokubakho ukuphinda kukhule okanye iimpawu eziphindaphindiweyo kwiimeko ezithile.

Utyando lwe-intracapsular alufanelekanga ukuba kukho umhlaza okrokrelwayo okanye ukuba kufuneka kususwe izicubu ngokupheleleyo. Izigulana akufuneki zicinge ukuba iteknoloji entsha iyayisusa ngokupheleleyo ingozi. Utyando lwe-tonsillectomy lwalo naluphi na uhlobo luneengxaki ezibonwayo eziquka ukopha, ukuphelelwa ngamanzi emzimbeni, iingozi ze-anesthetic, iingxaki zosulelo, kunye nemiba enxulumene nomoya emva kotyando.
 

Kwenzeka ntoni ngaphambi kokuba i-Coblation Tonsillectomy isuswe?

Ngaphambi kotyando, ingcali ye-ENT ithatha imbali eneenkcukacha ize ihlole umphimbo, impumlo, iindlebe, kunye neempawu ezinxulumene nokulala. Ingcali ye-ENT ikwaqinisekisa ukuba isibonakaliso sotyando sisifo esiphindaphindayo, iimpawu zokuvaleka, iingxaki zomoya, okanye ukurhanelwa ukuba kukho isifo esibangela umhlaza.

Ukulungiselela ngaphambi kotyando kudla ngokuquka:

• Uphononongo lokuphindaphindeka kunye nobukhali bosulelo lweetoni
• Amaxwebhu endlela iimpawu ezichaphazela ngayo isikolo, umsebenzi, ukulala, ukutya, okanye ubomi bemihla ngemihla
• Imbali yamayeza, ingakumbi amayeza okunciphisa igazi
• Uphononongo lwe-aspirin, ii-NSAID, izongezo, kunye nembali yokopha
• Imbali ye-allergy kunye ne-anesthesia
• Uphononongo lokulala kubantwana abakhethiweyo, ingakumbi abantwana abancinci kakhulu, ukutyeba kakhulu, iimeko zentloko okanye zemithambo-luvo, i-Down syndrome, iimpawu eziqatha, okanye ukungaqiniseki malunga nokuxilongwa
• Imiyalelo yokuzila ukutya ngaphambi kotyando
• Ingxoxo ngezinye iindlela, iingenelo, iingozi, isicwangciso sokulawula iintlungu, amanyathelo okuthintela ukopha, ulindelo lokuchacha, kunye nexesha lokufuna unyango olukhawulezileyo

Izigulana zihlala zicetyiswa ukuba ziphephe amayeza athile ngaphambi kotyando ukuba andisa umngcipheko wokopha, nangona oku kufanele kuhlale kukhokelwe ngugqirha onyangayo.
 

Kwenzeka ntoni ngexesha lotyando lwe-tonsillectomy?

Utyando lwe-tonsillectomy lwenziwa kwindawo yotyando phantsi kwe-anesthesia jikelele, ngoko ke isigulana silele kwaye asiziva iintlungu ngexesha lenkqubo.

Ugqirha ufikelela kwiitoni ngomlomo, ukuze kungabikho mikrwelo yangaphandle eluswini.

Esebenzisa intonga yokuxovula, ugqirha wotyando uyahlula aze asuse izicubu zeetoni ngelixa elawula ukopha.

Ubude botyando bungahluka ngokuxhomekeke kukwakheka komzimba, indlela yotyando, ukopha, kunye nokuba i-adenoidectomy okanye enye inkqubo nayo iyenziwa.

Kwiimeko ezininzi yinkqubo yokhathalelo lwasemini, oko kuthetha ukuba isigulana siya ekhaya ngaloo mini inye. Nangona kunjalo, ukubekwa esweni ebusuku kunokufuneka kubantwana abancinci kakhulu, i-apnea yokulala ethintelayo, ukutyeba kakhulu, isifo esihlala kunye nabo, iingxaki zokungasebenzi kakuhle kwe-anesthetic, ukungatyi kakuhle ngomlomo, okanye umngcipheko wokopha.

Ukuba ithoni ibonakala irhaneleka okanye ingalingani, izicubu zingathunyelwa ukuze kuhlolwe i-histopathology.
 

Ukubuyiselwa Emva kotyando lwe-Coblation Tonsillectomy

Ukuchacha yenye yezona zinto zibalulekileyo kuhambo lwesigulana.

Iingxaki eziqhelekileyo zokubuyisela emva kotyando ziquka:

• Intlungu yomphimbo (edla ngokuba yinto ebalulekileyo)
• Intlungu ephuma ezindlebeni
• Unzima ukugwinya
• Ukunciphisa ukutya
• Ukuphefumula
• Amabala amhlophe okanye amthubi okuphilisa emqaleni

Intlungu inokuba mandundu malunga neentsuku ezi-4-7 ngaphambi kokuba iphucuke kancinci kancinci.
 

Ixesha eliqhelekileyo lokubuyisela kwimeko yesiqhelo:

• Iiyure zokuqala ezingama-24 ukuya kuma-48: ukozela, iintlungu zomqala, ubunzima bokuginya
• Iintsuku 3–7: intlungu isenokuba mandundu, ukutya kusenokuba nzima
• Iintsuku 5-10: umngcipheko wokopha uhlala ubaluleke kakhulu njengoko izicubu eziphilisayo zikhululeka
• Iintsuku 7–14: ukuphiliswa kuyaqhubeka; ukhwekhwe luyakhululeka; umngcipheko wokopha uhlala ubalulekile
• Kwiiveki ezi-2: izigulane ezininzi zingcono kakhulu, nangona intuthuzelo epheleleyo ingathatha ixesha elide kwabanye abantu abadala
   

Amanyathelo aluncedo okubuyisela kwimeko yesiqhelo

• Thatha amayeza eentlungu abhalwe ngugqirha rhoqo
• Sebenzisa i-paracetamol/acetaminophen kunye ne-ibuprofen ukuba ugqirha ukucebisile
• Musa ukunika abantwana abancinci amayeza ane-codeine emva kotyando lweetoni
• Kuphephe i-aspirin ngaphandle kokuba uyalelwe ngokuthe ngqo
• Sela amanzi amaninzi
• Khuthaza ulwelo rhoqo kuba ukuphelelwa ngamanzi emzimbeni kunokwenza intlungu ibe mandundu kunye nomngcipheko wokopha
• Yitya ukutya okuthambileyo okanye okuqhelekileyo njengoko kuvunyelwe endaweni yokutya umphimbo
• Kuphephe ukutya okuqinileyo, okurhabaxa, okuneziqholo, okanye okucaphukisayo ukuba kubuhlungu
• Phumla, kodwa kancinci kancinci uqalise umsebenzi wakho
• Kuphephe ukuvezwa kukutshaya
• Kuphephe ukwenza umsebenzi onzima, ukudlala gwenxa, okanye ukuhamba kude nonyango ngexesha lokopha okunobungozi obukhulu
• Landela icebiso likagqirha malunga nokubuyela esikolweni okanye emsebenzini, elihlala limalunga neentsuku ezili-10-14
   

Ziziphi Iimpawu Zesilumkiso Emva Kotyando Lwe-Tonsil?

Uphawu olubalulekileyo lwesilumkiso kukuphuma kwegazi emlonyeni okanye emqaleni. Nokuba ukopha okuncinci okubomvu emva kokususwa kwethonsili kufuna unyango olukhawulezileyo kuba ukopha kunokuba nzima ngokukhawuleza. Le yenye yeengxaki eziphambili oogqirha abazixoxayo ngaphambi kotyando.

Funa unyango olukhawulezileyo ukuba kukho:

• Ukopha okutsha emlonyeni okanye emqaleni
• Ukutshica igazi ngokuphindaphindiweyo
• Ukuhlanza igazi kunye namahlwili amnyama
• Ukuphefumula okunzima
• Ukuphefumla okunomsindo okanye ukwanda kokudumba komphimbo
• Ukuphelelwa ngamanzi emzimbeni kakhulu okanye ukungakwazi ukusela
• Iimpawu zokuphelelwa ngamanzi emzimbeni ezifana nomchamo omncinci kakhulu, umlomo owomileyo, ukudinwa, okanye ukungabikho kweinyembezi kubantwana abancinci
• Umkhuhlane ongapheliyo, ingakumbi ukuba uhamba nentlungu eyongezelelekileyo, ukungatyi kakuhle ngomlomo, okanye ukopha
• Ukozela kakhulu okanye malunga neentlungu ezingalawulwa ngamayeza amiselweyo

Ukopha okutsha emva kotyando lwe-tonsill kufuneka kuthathwe njengento engxamisekileyo.
 

Iingozi kunye neengxaki zeCoblation Tonsillectomy

Akukho candelo lotyando lipheleleyo ngaphandle kwengcaciso elungeleleneyo yomngcipheko. Iingozi ezinkulu zokususwa kweetoni ziquka:

• Ukusabela kwi-anesthesia
• Ukopha ngexesha okanye emva kotyando
• Ukopha ngaphakathi kweeyure ezingama-24 zokuqala okanye kwiintsuku ezimbalwa emva koko
• Intlungu kunye nokungabi namdla wokutya ngomlomo
• emzimbeni
• Ukudumba okuchaphazela ukuphefumla ngexesha elisemva kotyando
• Isihlunu kunye nokuhlanza
• Ukutshintsha kwelizwi okwethutyana okanye ukungakhululeki kokuginya
• Ukungonwabi/ukwenzakala kwamazinyo, komlomo, kolwimi, okanye komhlathi ngenxa yezixhobo zomlomo
• Usulelo lunokwenzeka, kodwa amayeza okubulala iintsholongwane aqhelekileyo emva kotyando akakhuthazwa kubo bonke abaguli
• Akufuneki ukuba ndibuyele kwithiyetha ukuze ndilawule ukopha
• Imfuneko engaqhelekanga yokubuyiselwa esibhedlele

Iindaba ezimnandi zezokuba i-tonsillectomy lutyando oluqhelekileyo lwe-ENT kwaye luhlala lukhuselekile ezandleni ezifanelekileyo. Kodwa kufuneka luphathwe ngentlonelo, ingakumbi kubantu abadala, abadla ngokuxela ukuba baphila nzima kunabantwana.
 

Ngubani Ongenakuba Ngumviwa Okhawulezileyo Wotyando?

Utyando lwe-coblation tonsil lunokulibaziseka okanye luqwalaselwe ngokutsha kubantu abane:

• Akukho bungqina bucacileyo bezonyango malunga notyando
• Usulelo olukhawulezileyo ngexesha elicwangcisiweyo lotyando
• Izifo zokopha ezingalawulwa kakuhle
• Ukusetyenziswa kwakutshanje kwamayeza okunciphisa igazi angenakulawulwa ngokukhuselekileyo
• Iingozi ezithile zokubulala iintlungu
• Isifo esingalawulekiyo okanye ukuphelelwa ngamanzi emzimbeni kakhulu
• Isalathisi esinganelanga sotyando
• Usulelo oluncinci kunemida yesikhokelo esamkelekileyo ngaphandle kweengxaki ezinkulu
• Imfuneko yokuqhubeka novavanyo lokulala, umoya, okanye umhlaza ngaphambi kocwangciso lotyando

Ukwanda kwetoni okurhanelekayo akusosizathu sokulibazisa ukuvavanywa kwaye kufuna uvavanyo lwe-ENT olukhawulezileyo. Yiyo loo nto uvavanyo lwe-ENT lubalulekile. Ayizizo zonke iitoni ezandisiweyo okanye ezihlala zicaphuka ezifuna utyando.
 

Ngaba Ukususa Iitoni Kuyawenza Buthaka Umzimba?

Oku kuxhalabisa kakhulu. Iitoni ziyinxalenye yenkqubo yokuzikhusela komzimba, ingakumbi ebuntwaneni, kodwa ziyinxalenye enye nje yenethiwekhi enkulu yokuzikhusela komzimba. Kubantu abasempilweni, i-tonsillectomy ayisoloko ibangela ubuthathaka bokuzikhusela komzimba obuhlala ixesha elide.

Utyando lucetyiswa kuphela xa iingenelo ezilindelekileyo, ezinje ngokuncipha kwezifo ezinzima okanye ukuphucula ukuphefumla ngexesha lokulala, zingaphezulu kweengozi. Abantwana okanye abantu abadala abaneengxaki zomzimba bafuna uvavanyo olukhethekileyo.
 

IItrakthi ezibalulekileyo

• Utyando lwe-tonsillectomy luyacetyiswa kwiimeko ezithile, ikakhulu kwi-recorded recording record, i-tonsillitis engasebenziyo, iimpawu zokuvaleka ezifana nokurhona kunye nokuphefumla okungahambi kakuhle ebuthongweni, i-peritonsillar abscess ephindaphindayo, okanye i-tonsil expansion ekrokrisayo.
• Ayizizo zonke izihlunu zomqala ezifuna utyando. Izigulana ezininzi zinokunyangwa ngokujongwa nonyango, kwaye izigqibo zisekelwe kubuninzi, ubukhali, kunye noxwebhu lweziqendu.
• I-Coblation tonsillectomy yenye yeendlela ezininzi ezisetyenziswayo ekususweni kweetonsil kwaye isebenzisa amandla e-radiofrequency kumaqondo obushushu aphantsi xa kuthelekiswa ne-electrocautery yendabuko.
• Ezinye izifundo zibonisa ukuba i-coblation inokunxulunyaniswa neentlungu ezimbalwa emva kotyando kunye nokubuyela ngokukhawuleza kwimisebenzi eqhelekileyo kwizigulana ezikhethiweyo, nangona iziphumo zinokuhluka.
• Ukudibanisa akubalulekanga kuzo zonke iimeko, kwaye ukhetho lobuchwephesha luxhomekeke kwisigulana, uphawu, kunye namava kagqirha otyando.
• Utyando lwe-intracapsular tonsillectomy lunokunciphisa iintlungu kunye nokopha kwabanye abaguli kodwa lushiya inani elincinci lezicubu ze-tonsil ngasemva, nto leyo ethwala umngcipheko omncinci wokuphinda kukhule okanye iimpawu eziphindaphindiweyo.
• Utyando lwe-tonsillectomy ludla ngokwenziwa phantsi kwe-anesthesia eqhelekileyo kwaye ludla ngokuba yinkqubo yokuhlala ixesha elifutshane okanye yokunyamekela abantu emini. Ukuchacha kudla ngokuthatha iintsuku ezisi-7 ukuya kwezili-14, kwaye iintlungu zingaba mandundu ngaphambi kokuba ziphucuke.
• Ukopha igazi yeyona ngxaki ibalulekileyo kwaye inokwenzeka nokuba ziintsuku ezimbalwa emva kotyando. Ukopha okutsha emlonyeni okanye emqaleni kufuna unyango olukhawulezileyo.
• Akukhuthazwa ukuba bonke abantwana emva kotyando basebenzise amayeza okubulala iintsholongwane rhoqo emva kotyando.
• Amayeza aqulethe i-codeine akufanele asetyenziswe kubantwana abancinci emva kokuhlinzwa kwe-tonsill.
• Iimpawu zokuphefumla ezibangelwa kukungalali kakuhle zisenokuqhubeka okanye ziphinde zivele kwabanye abaguli kwaye zisenokufuna ukulandelwa ngakumbi.
• Ukususa iitoni akuwenzi buthathaka kakhulu amajoni omzimba kubantu abasempilweni, kwaye izigqibo zonyango kufuneka zihlale zithathwa ngabanye.