I-Mini Incision Parotidectomy

I-parotid gland yeyona gland inkulu yamathe emzimbeni womntu, efumaneka emva komhlathi ngaphambili nangaphantsi kweendlebe. I-Parotid glands inokubangela iithumba. I-Parotidectomy yinkqubo yotyando esusa yonke okanye inxalenye yenxalenye ye-salivary gland echaphazelekayo. I-nerve eyaziwa ngokuba yi-facial nerve idlula kwi-parotid gland, yahlula i-gland ibe ngamacandelo amabini: i- superficial kunye ne- deep lobes, kwaye inika izihlunu zobuso.

I-parotidectomy engaphezulu ligama lezonyango lotyando lokususa ithumba kwilobe engaphezulu. Iyonke i-parotidectomy ibhekisa kuqhaqho lokususa ithumba kwilobe enzulu okanye kuzo zombini iilobes ezinzulu nezingaphezulu. I-Parotidectomy inokwenziwa kunyango lwee-cancer ezininzi ze-salivary kunye neemeko ezingezizo ezinobungozi, kubandakanywa usulelo olungapheliyo okanye ukuvaleka kwamadlala amathe.

Yintoni iMini Incision Parotid Surgery kwaye yahluke njani kuqhaqho lwesintu?

I-Parotidectomy yenye yeendlela eziqhelekileyo zotyando lweNtloko neNtlambo. Oogqirha botyando kwiZibhedlele zaseApollo eKarnataka banokwenza utyando lwe-Mini Incision Parotidectomy eBangalore ngokwenza utyando oluyi-2.5–3 cm emva kwendlebe, befihla isilonda.

Utyando oluqhelekileyo lotyando lwe-parotidectomy luqala phambi kwendlebe, luqhubeke ngaphantsi kwe-lobule yendlebe, luze luye entanyeni umgama we-8 ukuya kwi-10 cm. Emva kotyando, olu tyando lushiya isilonda esingathandekiyo ebusweni nasentanyeni. Ngokungafaniyo notyando oluqhelekileyo, i- Mini Incision Parotid Surgery eBangalore iphumela kwi-incision encinci kakhulu nefihliweyo enobude obuyi-2.5–3 cm emva kwendlebe kwi-crease yasemva kwe-aural. Ubungakanani bokususwa kwesilonda buyafana, kodwa kwenziwa nge-keyhole, efana notyando lwe-laparoscopic xa kuthelekiswa notyando lwendabuko. Olu hlobo lotyando lubangela i-scar encinci efihliweyo, ukulahleka kwegazi okuncinci, ukuphola ngokukhawuleza, kunye nokubuyela kwangoko kwimisebenzi eqhelekileyo.

Iqhutywa njani inkqubo?

Ngaphambi kotyando

Ngaphambi kwenkqubo, ugqirha uya kuqhuba uvavanyo lwangaphambi kokuhlinzwa ngexesha apho baya kuphonononga iirekhodi zonyango zesigulane kwaye bachaze inkqubo. Iimvavanyo ezininzi zangaphambi kotyando zinokwenziwa phambi kokuba kwenziwe i-parotidectomy. Olu vavanyo lubandakanya:

1. Iimvavanyo zokujonga umfanekiso- Ukusetyenziswa kweendlela zokuxilonga zokuxilonga ezifana ne-computed tomography (CT) scans kunye ne-magnetic resonance imaging (MRI) inceda oogqirha botyando ekufumaneni i-tumor kunye nokujongana nayo nayiphi na imiba. Ukucinga kuba luncedo ngakumbi xa ithumba likufuphi nomthambo wobuso.
2. I-Biopsy - I-fine-needle aspiration biopsy (FNA) yeyona nkqubo iqhele ukwenziwa ye-biopsy phambi kwe-parotidectomy. Ugqirha unokwenza i-FNA kwi-tumor ukubona ubukho beeseli zomhlaza.

Isigulana siya kufumana imiyalelo evela kugqirha malunga nendlela yokulungiselela i-parotidectomy, kubandakanywa namayeza okuthatha okanye ukuyeka, xa ukuyeka ukutya nokusela ngaphambi kokuhlinzwa, kunye nezinye iinkcukacha ezibalulekileyo.

Ngexesha loTyando

Kolu tyando, isigulane siya kunikwa i-anesthesia jikelele, eya kubangela ukulala kuyo yonke inkqubo .Ugqirha ubeka i-incision emva kwe-ear lobule. Emva kokuba idlala lisusiwe, ukusika kuyadityaniswa kwakhona. Phantse kwiiveki ezi-2 emva kwenkqubo, i-sutures kufuneka isuswe. Ekuqukunjelweni kotyando, kufakwa ityhubhu encinane eluswini kwindawo yokusikeka ngaphantsi kwesikhumba ukuze kususwe naliphi na igazi eliqokelelweyo. Ngokuqhelekileyo, le bhubhu isuswe kusasa emva kokuhlinzwa.

Emva kwenkqubo

Izigulane kufuneka zichithe usuku olunye esibhedlele ukuze zihlinzwe iMini Incision Parotidectomy eBangalore emva kotyando lwazo ukuqinisekisa ukuba zifumana unyango olukhuselekileyo nolusebenzayo emva kotyando. Ngeli xesha, izigulane zinikwa amayeza okubulala iintsholongwane ukunciphisa umngcipheko wokosuleleka, kwaye ulawulo lwazo lweentlungu lujongwa ngokusondeleyo ngelixa zilaliswe esibhedlele.

Zeziphi iingxaki ze-Mini Incision Parotidectomy?

Imingcipheko enxulumene ne-parotidectomy inqabile ngokubanzi. Nangona kunjalo, ukuba iingxaki zivela, zinokubandakanya:

1. Ubundisholo endlebeni – Ukuba ndindisholo kwe-lobule yendlebe kuqhelekile emva kotyando lweParotid lwendlebe lunqabile kakhulu.
2. Ubuthathaka bobuso- Ithuba lobuthathaka bexeshana lobuso yi-5-10% kwaye ukukhubazeka okusisigxina kungaphantsi kwe-2% kunye ne-mini-incision parotidectomy Permanent Palsy inokwenzeka kuphela kwiimeko zomhlaza we-parotid osasazeka kwi-nerve yobuso.
3. Seroma- Ukuqokelelwa kolwelo lweSerous kwenzeka kwi-5-10% Iimeko ezikufutshane nesiza sokuthunga emva kweentsuku ezi-3-5 zotyando. Inezigqubuthelo zodwa kwi-1-2weeks kwaye ayifuni naluphi na unyango oluthile.

Kuthatha ixesha elingakanani ukuchacha emva koCando?

Ukufumana kwakhona emva kobuchule bokusika kancinci bufutshane kakhulu. Isigulana sinokuphinda siqalise ukusebenza emva kwe-2-3days .Ukuba kukho ubuthathaka obukhoyo buphucula kwiiveki ze-4-6. Iintlungu zasemva kotyando zincinci kakhulu emva kolu buchule.

Indlela yokuphila iyatshintsha emva kweParotid Gland Surgery

Utshintsho kwindlela yokuphila lunokuba yimfuneko ukuze ululame emva kokususwa kwedlala le-parotid. Ukunciphisa uxinzelelo kwizicubu zokuphilisa, kucetyiswa ukuba uqale ngokugwema imisebenzi enzima kunye nokunamathela kwisondlo esithambileyo. Unyango lomzimba kunye nokuzivocavoca ubuso kunokumiselwa ixesha elide ukubuyisela umsebenzi oqhelekileyo wemisipha ebusweni. Ukuze uchache ngokukhawuleza, kubalulekile ukuba uhlale uphaphile kuzo naziphi na iimpawu zosulelo, ukudumba okugqithisileyo, okanye iimpawu ezingaqhelekanga kwaye uzixele ngokukhawuleza kugqirha wakho.

Izibonelelo ze-Mini Incision Parotidectomy

• Ukusika okuncinci kunye nokuncinci - I-invasive encinci kunye ne-incision encinci iphumela ekunciphiseni ukukrala, intlungu encinci, ukunciphisa ukwenzakala kwezicubu, ukulahleka kwegazi okuphantsi, kunye nexesha lokubuyisela ngokukhawuleza.
• Ubuhle bobuso - Oku kunceda ukufezekisa inkangeleko elungeleleneyo kunye neyobuhle.
• Ukunciphisa amathuba okuba ne-Frey's syndrome - Utyando lweParotid lwesintu lusoloko lukhokelela kwisiphumo esingathandekiyo nesixhaphakileyo esibizwa ngokuba yiFrey's syndrome (Ukubila ngelixa usitya iMini-incision parotidectomy akuphumeleli kwiFrey's syndrome.
• Iingxaki: Amathuba eeNgxaki mancinci kakhulu ngotyando lwe-parotid oluncinci.

I-Mini Incision Parotidectomy kwi-Apollo Hospitals Karnataka

Isibhedlele i-Apollo, eKarnataka, sesona sibhedlele sikhulu nesithembekileyo xa kufikwa kwi -Mini Incision Parotidectomy eBangalore . Sizimisele ukubonelela ngengqwalasela ebalaseleyo eyenzelwe wena kunye nenkonzo yabathengi. Ugqirha wethu we-ENT kunye ne-Head Neck Oncosurgeon obalaseleyo eBangalore , ozinikele ekunikezeni iziphumo ezigqwesileyo kwaye uqeqeshwe kakhulu. Isibhedlele sethu sixhotyiswe ngetekhnoloji yamva nje kwaye sesona sibhedlele siphezulu kwihlabathi liphela esibonelela nge -Mini Incision Parotidectomy kwihlabathi liphela . Unyango olungxamisekileyo kunye neengcebiso ziyafumaneka esibhedlele kwaye zinokucwangciswa ngokufowunela nje.

– Dr. P Subramanya Rao