Kodi munamvapo mawu akuti, "Kupumira mkati mwa mphuno ndi kunja kwa pakamwa panu?" Mawu awa ali kwenikweni ochokera pa sayansi. Mukamapuma mkati mwa mphuno zanu, zinthu zambiri zimachitika kuphatikizapo kutentha kwa mpweya. Kutsekemera kumachitika ngati mpweya umayenda ulendo wa 3 mpaka 4. Akatswiriwa ankatchedwa kuti turumu.
Mipukutuyi ndi nyumba zooneka ngati ziboliboli kumbali yina ya nsanamira yanu yamphongo, yomwe imasiyanitsa mbali ya kumanzere ndi yolondola ya mphuno yanu.
Mitsempha yambiri yazing'ono m'magazi imaphimba consi. Mchere wotsika kwambiri, kapena wotsika wotchedwa concha, ndiwemadzi wodziimira wokhazikika, pamene concha yapakati ndi yapamwamba (kwenikweni) ndi gawo limodzi la fupa lalikulu la mafupa. Mipukutu imeneyi imakhala ndime zitatu za mpweya kuti mpweya uzidutsa.
Zonse mwa njirazi, zomwe zimasiyanitsidwa ndi kondomu, zikhale ndi zitseko zazing'ono zanu. Pakati pa kondomu yomwe ili pansi ndi pansi pa mphuno yamphongo ndi ndondomeko yotsekemera, kapena mitsempha yotsekemera. Pakatikati mwa njirayi ndikutsegulira ku machimo akuluakulu komanso opambana. Pamene njira yopita kumtunda ili ndi kutsegula kwa sphenoidal sinus.
Mwachidule
Concha bullosa amadziwikanso kuti nyumakazi ya turbinate ya pakati. Izi zikutanthauza kuti pali thumba la mpweya pakati pa concha. Concha bullosa ndi njira yofala kwambiri ya kutembenuka kwapadera zomwe sizimapangitsa kuti mukhale ndi vuto la sinus . Komabe, ma turbinates opangidwa ndi concha bullosa angayambitse kutsekemera komwe kungalepheretse kuchimwa kwanu.
Ziphuphu zopanda madzi okwanira zingayambitse matenda opatsirana kawirikawiri. Concha bullosa angakuchititseni kuti mukhale ndi septum yopotoka .
Zizindikiro
Zizindikiro za concha bullosa zimagwirizana ndi kuchuluka kwa mpweya womwe ukupezeka mkatikati mwa turbinate. Kukula kwa voliyumu, ndizowonjezereka kuti mudzakhala ndi zizindikiro ndipo zizindikirozo zidzakhala zoopsa kwambiri.
Zizindikiro zingakhalepo:
- Ululu wozungulira maso umene ungakhalepo kwa maola ambiri mpaka masiku angapo
- Kulepheretsa kusokoneza
Kudziwa
Concha bullosa amapezeka kuti ali ndi CT scan ndipo akuti amapezeka 16 mpaka 53 pa milandu 100. Mavitaminiwo amaoneka ngati kuwala kofiira, komabe pa concha bullosa, padzakhala mthunzi wakuda pakati pa ma gray turbinates. Malingaliro a sewerolo amathandizanso dokotala wanu kudziwa ngati concha bullosa imangochitika kokha kumbali imodzi ya mphuno kapena mbali zonse ziwiri. Dokotala wanu adzatha kudziwa kuchokera ku CT scan kaya muli ndi septum yopotoka kapena ayi.
Kuchiza
Nthaŵi zambiri, zizindikiro za bulchasa sizokwanira kuti apeze chithandizo. Komabe, ngati chithandizo chili chofunikira, opaleshoni ndiyo njira yokhayo yothetsera mthumba wa mpweya. Njira zitatu zopangira opaleshoni zikuphatikizapo: kuphwanya, resection, ndi turbinoplasty.
Kuphwanya ndi njira yomwe amagwiritsidwa ntchito kawirikawiri kuchiza concha bullosa. Izi zimachitika pansi pa anesthesia wambiri ndi endoscope. Dokotala wanu amamwa jekeseni yanu ndi epinephrine kuti musapititse patsogolo, kapena kuti mitsempha ya magazi ikhale yaying'ono. Izi zidzakuthandizani kuchepetsa kutupa kulikonse ndikuchepetsa magazi. Ngati opaleshoni ya sinus ikufunikanso, zowonongeka zidzagwiritsidwa ntchito poyamba.
Pambuyo pa opaleshoni ya sinus isanafike, mphamvups idzagwiritsidwa ntchito kufinya concha bullosa kuyambira pamwamba mpaka pansi ndipo kenako imapangidwira kumbuyo kuti kuchepetsa kuwonongeka kwa turbinate. Njira yopondereza imakhala ndi mphoto yabwino kwambiri yokhala ndi mavuto ochepa, ngakhale kutuluka magazi atatha kugwira ntchito. Kuphwanya kumapanganso ngozi yochepa yomwe imakhudzidwa ndi kununkhiza kwanu.
Turbinate resection ndi kuchotsedwa kwa mbali ya concha kapena kuchotsa kwathunthu kwa concha. Izi zimathandiza kuti mpweya wabwino ukhale wabwino ndipo amachotsa concha bullosa. Mitundu yotsalayo imatha kuikidwa m'magazi ndi kuika minofu kuti ichepetse magazi.
Turbinoplasty imaphatikizapo kudula kutulutsa ndi kuchotsa minofu ndi fupa. Pamene minofu imachotsedwa mokwanira, incision imatsekedwa.
> Zotsatira:
> American Journal of Neuroradiology. Zochitika za Concha Bullosa ndipo ndi Relationship to Nasal Seal Deviation ndi Paranasal Sinus Matenda. http://www.ajnr.org/content/25/9/1613
> Hatipoğlu, HG, Çetin, MA & Yüksel E. (2005). Mankhwala a Concha bullosa: chiyanjano chawo ndi sinusitis, ostiomeatal ndi matenda oyambanso kutsogolo. Diagn Intervent Radiol. 11: 145-149
> O'Rahilly, Müller, Carpenter & Swenson. (2008). Mankhwala Oyamba a Anthu - Mutu 52: Mphuno ndi machimo a paranasal. https://www.dartmouth.edu/~humananatomy/part_8/chapter_52.html
> Tanyeri, H., Aksoy, EA, Serin, GM, Polat, S., Türk, A. & Ünal, OF (2012). Kodi woponderezedwa concha bullosa apangenso kachiwiri? The Laryngoscope. 122 (5). 956-960. DOI: 10.1002 / lary.23234
> Zapanta, PE, Khoury, T., DeVries, GM & Meyers, AD (2014). Turbinectomy. http://emedicine.medscape.com/article/2051775-overview#showall