I-Mastoidectomy yinkqubo yotyando equka ukususwa kwethambo le-mastoid, elikwi ngasemva kwendlebe. Eli thambo liyinxalenye yethambo lexesha lekhakayi kwaye linendawo zomoya ezinceda ekusebenzeni kwendlebe ephakathi. Injongo ephambili ye-mastoidectomy kukunyanga izifo zendlebe ezingapheliyo, ezaziwa ngokuba yi-chronic otitis media, kunye nezinye iimeko ezinxulumene noko ezichaphazela indlebe kunye nezakhiwo ezingqongileyo.
Ngexesha lenkqubo, ugqirha angasusa izicwili ezinentsholongwane, ulwelo, okanye ithambo ukuze kuncitshiswe iimpawu kwaye kuthintelwe ezinye iingxaki. Utyando lwe-mastoidectomy lunokunceda ukubuyisela ukuva kwiimeko apho usulelo lubangele umonakalo kwizakhiwo zendlebe. Le nkqubo idla ngokwenziwa phantsi kwe-anesthesia eqhelekileyo kwaye inokwahluka ngobunzima ngokuxhomekeke kubungakanani besifo kunye nemeko ethile enyangwayo.
I-Mastoidectomy ayisiyonkqubo ezenzekelayo nje kuphela; idla ngokwenziwa kunye ne-tympanoplasty, eyindlela yokulungisa i-eardrum. Olu xube lunokuba luncedo kakhulu ekunyangeni iimeko ezibandakanya zombini indlebe ephakathi kunye nethambo le-mastoid.
Kutheni kwenziwa iMastoidectomy?
Ukususwa kwendlebe (mastoidectomy) kuyacetyiswa kwizigulana ezineempawu ezingapheliyo ezinxulumene nosulelo lwendlebe olungapheliyo okanye ezinye iimeko ezinxulumene nendlebe ezingaphenduliyo kunyango oluqhelekileyo. Ezinye zeempawu eziqhelekileyo ezinokubangela ukuba kucetyiswe ukususwa kwendlebe ziquka:
- Intlungu yendlebe engapheliyo okanye ukungakhululeki
- Ukulahlekelwa kukuva okungaphucukiyo ngamayeza
- Ukukhupha amanzi endlebeni enuka kakubi okanye engapheliyo
- Iziqendu eziphindaphindiweyo zosulelo lwendlebe
- Uphuhliso lwe-cholesteatoma, olukhula ulusu olungaqhelekanga kwindlebe ephakathi olunokukrazula amathambo kwaye lukhokelele kwiingxaki ezingaphezulu
Kwimeko apho kukho ezi mpawu, umniki-nkonzo wezempilo unokucebisa i-mastoidectomy ukuthintela iingxaki ezingaphezulu, ezinje ngokusasazeka kosulelo kwiindawo ezikufutshane, kuquka nobuchopho. Le nkqubo idla ngokuqwalaselwa xa ezinye iindlela zonyango, ezinje ngee-antibiotics okanye amathontsi endlebe, zingakwazanga ukunika isiqabu okanye xa imeko inzima ngokwaneleyo ukuba ifune utyando.
Iimpawu zeMastoidectomy
Iimeko ezininzi zonyango kunye neziphumo zokuxilongwa zingabonisa imfuneko yokususwa kwesisu. Ezi ziquka:
- I-Chronic Otitis Media: Izigulana ezinezifo zendlebe ezihlala ixesha elide ezingaphenduliyo kunyango lwezonyango zinokuba ngabaviwa be-mastoidectomy. Le meko inokukhokelela ekwakhekeni kwemingxunya egcwele ulwelo kwithambo le-mastoid, elinokuthi losuleleke.
- ICholesteatoma: Le meko ibandakanya ukukhula kweeseli zesikhumba kwindlebe ephakathi kunye nenkqubo ye-mastoid, nto leyo enokukhokelela ekutshatyalalisweni kwamathambo kunye nezicubu ezijikelezileyo. Ukususwa ngotyando kudla ngokuba yimfuneko ukuthintela iingxaki.
- Mastoiditis: Olu luhlobo losulelo lwethambo le-mastoid ngokwalo, oludla ngokubangelwa yi-otitis media enganyangwanga. Ukuba usulelo lusasazeka okanye aluphucuki ngee-antibiotics, kunokufuneka i-mastoidectomy.
- Ukuphulukana nokuva: Kwimeko apho usulelo lwendlebe olungapheliyo okanye i-cholesteatoma yenze umonakalo omkhulu kwizakhiwo zendlebe, i-mastoidectomy inokwenziwa ukuphucula ukuva.
- Iingxaki Ezibangelwa Zizifo Zendlebe: Ukuba usulelo lwendlebe lusasazeka kwizakhiwo ezikufutshane, ezifana nobuchopho okanye izicubu ezingqongileyo, i-mastoidectomy inokufuneka ukuze kususwe izicubu ezinesifo kwaye kuthintelwe iingxaki ezinkulu.
- UkuThintelwa kokuPhinda: Kwizigulane eziphinda zifumane usulelo lwendlebe nangona zinyangwa, i-mastoidectomy ingacetyiswa njengendlela yokuthintela ukunciphisa umngcipheko wosulelo lwexesha elizayo.
Ngamafutshane, i-mastoidectomy lutyando olubalulekileyo kwizigulana ezineengxaki zendlebe ezingapheliyo ezibeka impilo yazo kunye nomgangatho wobomi bazo emngciphekweni. Ngokujongana neengxaki ezingundoqo, le nkqubo inokunceda ukubuyisela ukusebenza kwendlebe kunye nokuthintela ezinye iingxaki.
Izimo zokungahambelani neMastoidectomy
I-Mastoidectomy yinkqubo yotyando equka ukususwa kweeseli zomoya ze-mastoid ezinesi sifo okanye ezikwithambo le-mastoid, elikwisithuba sendlebe. Nangona le nkqubo inokutshintsha ubomi babantu abaninzi abanesifo seendlebe ezingapheliyo okanye ezinye iimeko ezinxulumene noko, ezinye izinto ezichaseneyo zinokwenza isigulana singafaneleki kwi-mastoidectomy. Ukuqonda ezi zinto kubalulekile kwizigulana nakubaboneleli bezempilo.
- Iimeko zonyango eziMandundu: Izigulane ezineempembelelo ezibalulekileyo, ezifana nesifo seswekile esingalawulekiyo, isifo senhliziyo esinzima, okanye imiba yokuphefumla, ayinakuba ngabaviwa abafanelekileyo bokuhlinzwa. Ezi meko zinokunyusa umngcipheko weengxaki ngexesha nangemva kwenkqubo.
- Usulelo olusebenzayo: Ukuba isigulana sinosulelo lwendlebe olusebenzayo okanye ezinye izifo ezichaphazela umzimba, kunokufuneka ukuba utyando luhlehliswe de usulelo lunyangwe ngokufanelekileyo. Ukwenza i-mastoidectomy ngexesha losulelo olusebenzayo kunokukhokelela kwiingxaki ezingakumbi.
- Iziphazamiso Zokopha: Abantu abaneengxaki zokopha okanye abo basebenzisa amayeza okunciphisa ukopha banokujamelana neengozi eziphezulu ngexesha lotyando. Kubalulekile ukuvavanya imeko yesigulana yokuqhekeka kwegazi kunye nokulawula naziphi na iingozi zokopha ngaphambi kokuba uqhubeke.
- Ukwalana ne-Allergy: Izigulane ezinolwazi lokunganyamezelani neziyobisi zasekuhlaleni okanye ngokubanzi zisenokungafaneleki kwi-mastoidectomy. Kusenokufuneka kuqwalaselwe ezinye iindlela zokubulala iintlungu, okanye inkqubo inokufuneka ithintelwe ngokupheleleyo.
- Abaviwa Abangalungiyo Botyando: Izigulana ezingakwaziyo ukunyamezela i-anesthesia okanye ezinembali yeziphumo ezibi kwiinkqubo zotyando zisenokungafaneleki kwi-mastoidectomy. Uvavanyo olupheleleyo lwengcali ye-anesthesiologist lunokunceda ekufumaneni iingozi ezibandakanyekileyo.
- Ulindelo olungafezekanga: Izigulane ezineembono ezingenakwenzeka malunga neziphumo zotyando zisenokungabi ngabo bafanelekileyo. Kubalulekile ukuba izigulane ziqonde ngokucacileyo oko kunokufezwa kunye noko kungenakufezwa yi-mastoidectomy.
- Iingqwalasela zobudala: Nangona ubudala bodwa bungengomthetho ongqongqo, abantwana abancinci kakhulu okanye izigulane ezindala ezineengxaki ezininzi zempilo zinokufuna ukuqwalaselwa ngononophelo kunye nendlela efanelekileyo yotyando.
- Imiba yezengqondo: Izigulana ezinexhala elikhulu okanye iingxaki zengqondo zinokufuna inkxaso eyongezelelweyo okanye iingcebiso ngaphambi kokuba zityandwe. Ukuqinisekisa ukuba isigulana sikulungele ngokwengqondo ukwenza olu tyando kubalulekile ukuze kubekho iziphumo eziphumelelayo.
Ngokuchonga ezi zinto zingavumelekanga, ababoneleli ngeenkonzo zonyango banokuqinisekisa ukuba izigulana zifumana unyango olufanelekileyo kwaye ziphephe iingozi ezingafunekiyo ezinxulumene ne-mastoidectomy.
Indlela Yokulungiselela I-Mastoidectomy
Ukulungiselela i-mastoidectomy kubandakanya amanyathelo aliqela abalulekileyo ukuqinisekisa ukuba inkqubo ihamba kakuhle nangokukhuselekileyo. Izigulana kufuneka zilandele imiyalelo yomboneleli wezempilo ngokusondeleyo ukuze zinciphise iingozi kwaye ziphucule indlela eziphila ngayo.
- Uthethwano lwaPhambi kweNkqubo: Ngaphambi kotyando, izigulana ziya kuba nodliwanondlebe nogqirha wazo we-ENT. Eli thuba lithuba lokuxoxa ngenkqubo, ukuphonononga imbali yezonyango, kunye nokuphendula nayiphi na imibuzo okanye iinkxalabo.
- Uvavanyo lwezonyango: Kuza kwenziwa uvavanyo olupheleleyo lwezonyango, kuquka uvavanyo lomzimba kunye nezifundo zomfanekiso ezifana ne-CT scan. Ezi mvavanyo zinceda ekuvavanyeni ubungakanani bemeko kunye nokucwangcisa indlela yotyando.
- Uvavanyo lweGazi: Izigulana zisenokufuneka zenze uvavanyo lwegazi ukuze kuhlolwe naziphi na iingxaki zempilo ezisisiseko, ezinje nge-anemia okanye iingxaki zokujiya kwegazi. Ezi mvavanyo zinceda ekuqinisekiseni ukuba isigulana sikulungele utyando.
- Uphononongo lwamayeza: Izigulana kufuneka zinike uluhlu olupheleleyo lwamayeza, kuquka amayeza athengiswa ngaphandle kwemvume kagqirha kunye nezongezo. Amanye amayeza, ingakumbi amayeza okunciphisa igazi, anokufuna ukulungiswa okanye amiswe okwethutyana ngaphambi kotyando.
- Imiyalelo yokuzila ukutya: Izigulana zihlala ziyalelwa ukuba zizile ukutya ixesha elithile ngaphambi kotyando, ngokuqhelekileyo ziqale ngobusuku bangaphambi kotyando. Oku kuthetha ukuba akuvumelekanga ukutya okanye ukusela, kuquka namanzi, ukunciphisa umngcipheko weengxaki ngexesha lotyando.
- Ukulungiselela ezoThutho: Ekubeni i-mastoidectomy idla ngokwenziwa phantsi kwe-anesthesia eqhelekileyo, izigulana ziya kufuna umntu oza kuziqhuba ziye ekhaya emva kwenkqubo. Kubalulekile ukulungiselela umntu omdala onoxanduva ukuba ancede emva kotyando.
- Isicwangciso sokuKhathalela emva kokusebenza: Izigulana kufuneka zixoxe ngesicwangciso sazo sokhathalelo emva kotyando nomboneleli wazo wezempilo. Oku kuquka ulawulo lweentlungu, ukhathalelo lwamanxeba, kunye nokulandela amaxesha okulinda ukuze kujongwe ukuba ziya kuphiliswa na.
- Ukuphepha Izifo: Kwiintsuku ezingaphambi kotyando, izigulana kufuneka zithathe amanyathelo okhuseleko ukuze zingaguli, njengokuhlamba izandla rhoqo nokuphepha ukunxibelelana nabantu abagulayo. Usulelo oluphezulu lokuphefumla lunokubangela ukuba utyando luhlehliswe.
- Ukulungiselela ngokweemvakalelo: Ukulungiselela utyando ngengqondo kubaluleke njengokulungiselela ngokwasemzimbeni. Izigulana kufuneka zicinge ngeendlela zokuphumla okanye zithethe nomcebisi ukuba ziziva zixhalabile ngale nkqubo.
Ngokulandela la manyathelo okulungiselela, izigulana zinokunceda ukuqinisekisa ukuba i-mastoidectomy iphumelele kwaye inkqubo yokuchacha ihambe kakuhle.
Ukususwa kweMastoid: Inkqubo yeNyathelo ngeNyathelo
Ukuqonda inkqubo yenyathelo ngenyathelo yokususwa kwesisu kunokunceda ekunciphiseni naluphi na uxhalaba abaguli abanokuba nalo malunga notyando. Nantsi into onokuyilindela ngaphambi, ngexesha, nasemva kwenkqubo.
Ngaphambi kweNkqubo:
- Ukufika esibhedlele: Izigulana ziza kufika esibhedlele okanye kwiziko lotyando ngomhla wokwenziwa kwenkqubo. Ziza kubhalisa kwaye zinokucelwa ukuba zitshintshe ilokhwe yesibhedlele.
- UVavanyo lwaPhambi kokuSebenza: Umongikazi uza kwenza uvavanyo lokugqibela, kuquka ukujonga iimpawu ezibalulekileyo kunye nokuqinisekisa inkqubo. Izigulana ziza kudibana nogqirha we-anesthesiologist ukuze baxoxe ngeendlela zokubulala iintlungu.
- Ulawulo lokuthomalalisa: Xa sele bekwigumbi lotyando, izigulane ziya kufumana i-anesthesia. Oku kungaba yi-anesthesia eqhelekileyo, oko kuthetha ukuba ziya kube zilele ngexesha lenkqubo, okanye i-anesthesia yendawo ene-sedation.
Ngexesha leNkqubo:
- Ukusika: Ugqirha uza kwenza utyando emva kwendlebe ukuze afikelele kwithambo le-mastoid. Utyando ludla ngokuba luncinci kwaye lubekwe ngendlela enciphisa amanxeba abonakalayo.
- Ukususwa kweTissue ezinesifo: Ugqirha uza kuzisusa ngononophelo iiseli zomoya ze-mastoid ezisulelekileyo okanye ezinesifo. Oku kunokubandakanya ukucoca naziphi na izinto ezisulelekileyo kunye nokuqinisekisa ukuba izakhiwo ezingqongileyo zigciniwe.
- Uvavanyo lwendlebe ephakathi: Ugqirha angajonga nendlebe ephakathi kunye ne-eardrum ngexesha lotyando. Ukuba kuyimfuneko, angalungisa nawuphi na umonakalo okanye abeke iityhubhu ukunceda ekukhupheni amanzi.
- Ukuvalwa: Xa inkqubo igqityiwe, ugqirha uza kuyivala indawo ekrwitshiweyo nge-sutures okanye i-staples. Kuza kufakwa i-dressing engenazintsholongwane ukukhusela indawo leyo.
Emva kweNkqubo:
- Igumbi lokubuyisela: Izigulana ziza kuthathwa zisiwe kwigumbi lokuchacha apho ziza kubekwa esweni xa zivuka emva kokusebenzisa i-anesthesia. Iimpawu ezibalulekileyo ziya kuhlolwa rhoqo.
- Ulawulo lweentlungu: Ukunciphisa iintlungu kuya kubonelelwa xa kufuneka. Izigulana zisenokungakhululeki, kodwa oku kudla ngokulawulwa ngamayeza amiselweyo.
- Imiyalelo Yokunyamekela Ekhaya: Ngaphambi kokuba baphume esibhedlele, abaguli baya kufumana imiyalelo yokuba bangayinyamekela njani indawo yotyando, balawule iintlungu, baze babone iimpawu zeengxaki. Kuza kucwangciswa amaxesha okulandela utyando ukuze kujongwe ukuphiliswa.
Iingozi kunye neengxaki zeMastoidectomy
Njengayo nayiphi na inkqubo yotyando, i-mastoidectomy ineengozi ezithile kunye neengxaki ezinokubakho. Nangona izigulane ezininzi zifumana iziphumo eziphumelelayo, kubalulekile ukuqaphela iingozi eziqhelekileyo nezingaqhelekanga ezinxulumene notyando.
Imingcipheko eqhelekileyo:
- Intlungu Nokungonwabi: Intlungu emva kotyando ixhaphakile kodwa idla ngokulawulwa ngamayeza.
- Ukopha: Ukopha okuthile kunokubakho ngexesha okanye emva kwenkqubo, kodwa ukopha okukhulu akuqhelekanga.
- Usulelo: Kukho umngcipheko wosulelo kwindawo yotyando, nto leyo enokufuna unyango olongezelelweyo.
- Utshintsho lokuva: Ezinye izigulana zinokufumana utshintsho lwexeshana okanye oluhlala luhleli ekuveni, kuquka izandi ezingathi zivaliwe okanye i-tinnitus (ukukhala ezindlebeni).
- Ukudinwa: Izigulana zinokuziva zididekile okanye zingazinzanga emva kotyando, nto leyo edla ngokuphela njengoko zichacha.
Imingcipheko enqabileyo:
- Ukulimala Kwemithambo-luvo Yobuso: Imithambo-luvo yobuso ibaleka kufutshane nendawo ye-mastoid, kwaye nangona ingaqhelekanga, kukho umngcipheko wokwenzakala okunokubangela ubuthathaka bobuso okanye ukukhubazeka.
- Ukuvuza kolwelo lwe-cerebrospinal: Kwiimeko ezingaqhelekanga, ukuvuza kolwelo lwe-cerebrospinal kunokwenzeka, okunokufuna utyando olongezelelweyo.
- I-Meningitis: Nangona ingaqhelekanga kakhulu, kukho umngcipheko wokuba ne-meningitis, usulelo lwee-membranes ezikhuselayo ezigubungela ingqondo kunye nomqolo.
- Intlungu Engapheliyo: Ezinye izigulana zinokuba neentlungu ezingapheliyo endlebeni okanye kwiindawo ezikufutshane emva kotyando.
- Iingxaki ze-Anesthesia: Njengakwezinye iintlobo zotyando ezifuna i-anesthesia, kukho iingozi ezinxulumene nokunikezelwa kwe-anesthesia, kuquka ukusabela kwi-allergy okanye iingxaki zokuphefumla.
Nangona iingozi ezinxulumene ne-mastoidectomy zihlala ziphantsi, kubalulekile ukuba izigulana zixoxe ngezi ngxaki zinokubakho nomboneleli wezempilo wazo. Ukuqonda iingozi kunokunceda izigulana zenze izigqibo ezinolwazi kwaye zilungiselele ukuchacha ngempumelelo.
Ukubuyisela emva kweMastoidectomy
Ukuchacha emva kokususwa kwesisu linqanaba elibalulekileyo elinokuchaphazela kakhulu impilo yakho iyonke kunye nomgangatho wobomi. Ixesha lokuchacha linokwahluka ukusuka kwisigulana ukuya kwisigulana, kodwa ukuqonda into onokuyilindela kunokunceda ukunciphisa ixhala kunye nokukhuthaza inkqubo yokuchacha ethambileyo.
Ixesha elilindelekileyo lokuBuyisa kwakhona
Emva nje kotyando, izigulana zihlala zijongwa kwigumbi lokuchacha iiyure ezimbalwa. Uninzi lwezigulana lunokubuyela ekhaya ngaloo mini inye, kodwa ezinye zisenokufuna ukuhlala ubusuku bonke ukuze zijongwe. Iintsuku ezimbalwa zokuqala emva kotyando zihlala ziphawulwa kukungonwabi, ukudumba, kunye nokuphuma kwamanzi endlebeni. Ulawulo lweentlungu lubalulekile ngeli xesha, kwaye ugqirha wakho uya kunika amayeza okunciphisa iintlungu ukunceda ukulawula nayiphi na ingxaki.
Kwiveki yokuqala, unokuba nesiyezi kunye nokulahlekelwa kancinci kukuva, into eqhelekileyo. Izititshi okanye izitapile ezisetyenziswa ngexesha lenkqubo zihlala zisuswa kwiintsuku ezisi-7 ukuya kwezili-10. Ekupheleni kweveki yesibini, uninzi lwezigulane luqala ukuziva lungcono kakhulu, kunye nentlungu enciphileyo kunye nokudumba.
Ekupheleni kweeveki ezine, uninzi lwezigulane lunokubuyela kwimisebenzi elula, kodwa kubalulekile ukuphepha ukwenza umthambo onzima okanye ukuphakamisa izinto ezinzima ubuncinane iiveki ezintandathu. Ukuchacha ngokupheleleyo kungathatha ukuya kuthi ga kwiinyanga ezintathu, apho ugqirha wakho uya kucwangcisa amaxesha okulandela ukuze ajonge inkqubela yakho yokuphiliswa.
Iingcebiso zasemva kononophelo
- Gcina indawo yotyando icocekile: Landela imiyalelo kagqirha wakho malunga nendlela yokunyamekela indawo etyatyekwe kuyo. Ukuyigcina icocekile kwaye yomile kubalulekile ukuthintela usulelo.
- Kuphephe Ukubonakaliswa Ngamanzi: Musa ukudada okanye ukuntywilisela intloko yakho emanzini ubuncinane iiveki ezimbini. Xa uhlamba, khusela indlebe yakho ngesigqubuthelo esingangeni manzi.
- Ukunciphisa uMsebenzi woMzimba: Kuphephe ukuphakamisa izinto ezinzima, ukugoba, okanye nayiphi na imisebenzi enzima ubuncinane iiveki ezintandathu emva kotyando. Buyisela kancinci kancinci imisebenzi njengoko ucetyisiwe ngumboneleli wakho wezempilo.
- Ukuqeshwa kolandelo: Yiya kuzo zonke iityelelo zokulandelela ezicwangcisiweyo ukuqinisekisa ukuphiliswa okufanelekileyo nokujongana nazo naziphi na iingxaki.
- Jonga iiMpawu zoSulelo: Lumka xa kukho ukubomvu okwandileyo, ukudumba, okanye ukuphuma kwamanzi kwindawo yotyando, kunye nomkhuhlane. Nxibelelana nogqirha wakho ukuba ubona naziphi na kwezi mpawu.
Xa Imisebenzi Yesiqhelo Inokuqalisa kwakhona
Uninzi lwezigulana lunokubuyela emsebenzini okanye esikolweni kwisithuba seveki e-1 ukuya kwezi-2, kuxhomekeke kuhlobo lomsebenzi okanye izifundo zabo. Nangona kunjalo, abo banemisebenzi enzima emzimbeni banokufuna ukulinda ixesha elide. Imisebenzi elula, njengokuhamba, idla ngokuphinda iqalwe kwisithuba seveki, ngelixa imisebenzi enamandla ngakumbi kufuneka iphetshwe ubuncinane iiveki ezintandathu. Soloko unxibelelana nomboneleli wakho wezempilo ukuze ufumane ingcebiso eyenzelwe wena.
Iinzuzo zeMastoidectomy
Ukususwa kwe-Mastoidectomy kunika uphuculo oluphambili lwempilo kunye neziphumo zomgangatho wobomi kwizigulana ezinesifo sendlebe esingapheliyo, i-cholesteatoma, okanye ezinye iingxaki ezinxulumene ne-mastoid.
- Ukupheliswa koSulelo: Enye yezona nzuzo ziphambili ze-mastoidectomy kukususwa kwezicubu ezinesifo, nto leyo enokunciphisa kakhulu ukuphindaphindeka kunye nobunzima bezifo zendlebe. Oku kukhokelela ekuncipheni kokutyelela ugqirha kunye nokuxhomekeka kakhulu kwii-antibiotics.
- Ukuviwa okuPhuculweyo: Kwizigulane ezininzi, i-mastoidectomy inokubuyisela okanye iphucule ukuva, ingakumbi ukuba inkqubo ibandakanya ukulungiswa kwe-eardrum okanye izakhiwo zendlebe ephakathi. Ukuphucula ukuva kunokuphucula unxibelelwano kunye nomgangatho wobomi ngokubanzi.
- Ukuthintelwa kweengxaki: Usulelo lwendlebe olungapheliyo lunokubangela iingxaki ezinkulu, kuquka ukulahlekelwa kukuva, iingxaki zokulinganisela, kwanosulelo lobuchopho. Ukususwa kwe-mastoidectomy kunceda ukuthintela ezi ngxaki ngokujongana noyena nobangela wengxaki.
- Umgangatho woBomi owongeziweyo: Izigulana zihlala zixela ukuphucuka okukhulu kwimpilo yazo yonke emva kwenkqubo. Ngenxa yeengxaki ezimbalwa ezinxulumene neendlebe, zinokuzibandakanya ngokupheleleyo kwimisebenzi yemihla ngemihla, emsebenzini, nakwiindlela zokunxibelelana nabantu.
- Uncedo Lwexesha elide: Izigulane ezininzi zifumana isiqabu sexesha elide kwiimpawu, nto leyo ebavumela ukuba bonwabele ubomi ngaphandle kokukhathazeka rhoqo ngezifo eziphindaphindayo okanye iingxaki.
Ukususwa kweMastoidectomy vs. Tympanoplasty
Nangona i-mastoidectomy idla ngokwenziwa ukujongana neengxaki kwithambo le-mastoid, i-tympanoplasty yinkqubo egxile ekulungiseni i-eardrum. Nantsi uthelekiso lwezi zimbini:
uphawu | IMastoidectomy | KwiiTympanoplasty |
|---|---|---|
Injongo | Susa izicubu ze-mastoid ezisulelekileyo | Lungisa i-eardrum eneembobo |
Iinkcazo | Usulelo lwendlebe olungapheliyo, i-cholesteatoma | Ukugqobhoka kwendlebe ngenxa yosulelo |
Ixesha lokubuyisela | Iiveki ezi-4-6 zokubuyisela ngokupheleleyo | Iiveki ezi-2-4 zokubuyisela ngokupheleleyo |
Ukuphuculwa Kweendlebe | Ihlala iphucula ukuva | Ibuyisela ukuva xa i-eardrum ilungisiwe |
iingozi | Usulelo, ukulahlekelwa kukuva, isiyezi | Usulelo, ukulahlekelwa kukuva, i-tinnitus |
Iindleko zeMastoidectomy eIndiya
Ixabiso eliqhelekileyo le-mastoidectomy eIndiya liqala kwi-₹50,000 ukuya kwi-₹1,50,000. Ukuze ufumane uqikelelo oluchanekileyo, nxibelelana nathi namhlanje.
Imibuzo Ebuzwa Rhoqo Malunga neMastoidectomy
Ndifanele nditye ntoni emva kokususwa kwe-mastoidectomy?
Emva kokususwa kwesisu, kungcono ukunamathela ekutyeni okuthambileyo kwiintsuku ezimbalwa zokuqala. Ukutya okufana neyogathi, iitapile ezicoliweyo, kunye neesuphu kuthambile esiswini. Hlala unamanzi kwaye uphephe ukutya okuneziqholo okanye okuqinileyo okunokukucaphukisa umphimbo okanye kubangele ukungakhululeki.
Ndingawathatha amayeza am rhoqo emva kotyando?
Uninzi lwezigulana lunokuphinda lusebenzise amayeza alo aqhelekileyo emva kotyando, kodwa kubalulekile ukuba udibane nogqirha wakho kuqala. Amanye amayeza, ingakumbi amayeza okunciphisa igazi, anokufuna ukulungiswa okanye amiswe okwethutyana ukuthintela iingxaki.
Ndiza kuva iintlungu ixesha elingakanani emva kotyando?
Amanqanaba entlungu ayahluka ngokwabantu ngabanye, kodwa uninzi lwezigulane luziva lungonwabanga kangangeentsuku ezimbalwa emva kotyando. Ulawulo lweentlungu luya kunikwa, kwaye kuya kufuneka uqaphele ukwehla okukhulu kweentlungu kwiveki.
Ngaba kukhuselekile ukubhabha emva kokususwa kwe-mastoidectomy?
Kucetyiswa ukuba ungabhabhi kangangeeveki ezimbini emva kokususwa kwe-mastoidectomy. Utshintsho kuxinzelelo lomoya lunokuchaphazela indlebe yakho ephilisayo. Soloko uqhagamshelana nogqirha wakho ukuze ufumane icebiso elikhethekileyo.
Yiyiphi imisebenzi endimele ndiyiphephe ngexesha lokubuyisela?
Ngexesha lokuphola, kuphephe ukuphakamisa izinto ezisindayo, ukuzilolonga okunzima, kunye nayo nayiphi na imisebenzi enokubangela uxinzelelo ezindlebeni zakho, njengokuntywila okanye ukudada, ubuncinane iiveki ezintandathu.
Ngaba abantwana banokususwa i-mastoidectomy?
Ewe, abantwana banokwenza i-mastoidectomy ukuba banezifo ezingapheliyo zendlebe okanye ezinye iingxaki ezinxulumene noko. Izigulana zabantwana zinokufuna ingqalelo ekhethekileyo, ngoko ke qhagamshelana nengcali ye-ENT yabantwana.
Ndingayinyamekela njani indlebe yam emva kotyando?
Gcina indawo yotyando icocekile kwaye yomile, kuphephe ukungena emanzini, kwaye ulandele imiyalelo kagqirha wakho emva konyango. Sebenzisa amayeza amiselweyo njengoko eyalelwe ukulawula iintlungu nokuthintela usulelo.
Ndingabuyela nini emsebenzini emva kokususwa kwe-mastoidectomy?
Uninzi lwezigulane lunokubuyela emsebenzini kwisithuba seveki enye ukuya kwezimbini, kuxhomekeke kuhlobo lomsebenzi wazo. Abo banemisebenzi enzima emzimbeni banokufuna ukulinda ixesha elide.
Ngaba kuya kufuneka nditshintshe ukutya kwam emva kotyando?
Akukho miqathango ithile yokutya emva kokususwa kwe-mastoidectomy, kodwa kuyacetyiswa ukuba utye ukutya okuthambileyo ekuqaleni kwaye uhlale unamanzi. Ukuphepha utywala nokutshaya kunokunceda ekuchacheni.
Zeziphi iimpawu ekufuneka ndiziqaphele ezibonisa ingxaki?
Qaphela ukuba kukho ukubomvu okwandileyo, ukudumba, okanye ukuphuma kwamanzi kwindawo yotyando, kunye nomkhuhlane okanye iintlungu eziya zisiba mandundu. Nxibelelana nogqirha wakho ngoko nangoko ukuba ubona naziphi na kwezi mpawu.
Ngaba ndingahlamba emva kotyando?
Ungahlamba, kodwa qiniseka ukuba ukhusela indlebe yakho ekungcolisweni ngamanzi ubuncinane iiveki ezimbini. Sebenzisa isigqubuthelo esingangeni manzi ukugcina indawo yomile.
Kuza kuchaphazeleka ixesha elingakanani ukuva kwam?
Ezinye izigulana zinokuba nokulahlekelwa kukuva okwethutyana emva kotyando, kodwa oku kudla ngokuba ngcono njengoko ukuphiliswa kuqhubeka. Ugqirha wakho uza kujonga ukuva kwakho ngexesha lotyelelo olulandelayo.
Ngaba kuqhelekile ukuba nesiyezi emva kotyando?
Ewe, isiyezi sinokubakho emva kokususwa kwe-mastoidectomy ngenxa yotshintsho kwindlebe yangaphakathi. Oku kudla ngokuphela kwiintsuku ezimbalwa, kodwa ukuba kuyaqhubeka, qhagamshelana nogqirha wakho.
Ndingenza ntoni xa ndinomkhuhlane emva kotyando?
Umkhuhlane omncinci unokuba yinto eqhelekileyo emva kotyando, kodwa ukuba udlula kwi-101°F okanye uhamba nezinye iimpawu, nxibelelana nomboneleli wakho wezempilo ukuze ufumane ingcebiso.
Ndingaqhuba emva kotyando?
Kungcono ukuphepha ukuqhuba ubuncinane iiyure ezingama-24 emva kotyando, ingakumbi ukuba usela amayeza entlungu anokuphazamisa amandla akho okuqhuba ngokukhuselekileyo.
Kuza kufuneka ndithathe amayeza okubulala iintsholongwane ixesha elingakanani?
Ugqirha wakho uza kukunika amayeza okubulala iintsholongwane ukuthintela usulelo, kangangeveki. Landela imiyalelo emiselweyo nokuba uqala ukuziva ungcono.
Ngaba ndiza kuyidinga unyango lomzimba emva kokususwa kwe-mastoidectomy?
Uninzi lwezigulana aludingi unyango lomzimba emva kokususwa kwe-mastoidectomy. Nangona kunjalo, ukuba ufumana iingxaki zokulinganisela, ugqirha wakho unokucebisa ukulungiswa kwe-vestibular.
Ndingaya kwimicimbi yoluntu emva kotyando?
Ungaya kwimicimbi yoluntu emva kweveki okanye ezimbini, kodwa phepha iindawo ezinomsindo ezinokubangela ukuba indlebe yakho iphole. Soloko umamela umzimba wakho kwaye ubuze ugqirha wakho.
Kwenzekani ukuba ndine-aleji?
Ukuba une-allergies, yazisa ugqirha wakho ngaphambi kotyando. Banokucebisa amayeza athile okanye amanyathelo okuthintela i-allergies yakho ngexesha lokuchacha.
Ndingamxhasa njani umntwana wam ngexesha lokuchacha?
Banike intuthuzelo noqinisekiso, bancede ngemisebenzi yemihla ngemihla, kwaye uqinisekise ukuba bayayilandela imiyalelo yokhathalelo emva kotyando. Bagcine bonwabile ngemisebenzi ezolileyo ukuze baphephe uxinzelelo.
isiphelo
I-Mastoidectomy yinkqubo ebalulekileyo kwabo banengxaki yendlebe engapheliyo, enika iingenelo ezibalulekileyo zempilo kunye nomgangatho wobomi ophucukileyo. Ukuba wena okanye umntu omthandayo ucinga ngolu tyando, kubalulekile ukubonisana nengcali yezonyango ukuze nixoxe ngemeko yenu ethile kwaye niqinisekise iziphumo ezilungileyo. Impilo yakho kunye nokuphila kakuhle kubaluleke kakhulu, kwaye ukuqonda inkqubo kunokukunceda wenze izigqibo ezinolwazi.
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