Tonsillectomy: Kukhala ndi Zipangizo Zanu Zachotsedwa

Zimene Tingayembekezere Kuchokera ku Opaleshoni

Kuchotsa matayala anu ndi njira yopaleshoni yotchedwa tonsillectomy. Zifukwa zomwe mungathenso kuchotsa matayala anu ndizochitika nthawi zambiri (matenda a matronillitis , kawirikawiri asanu ndi awiri kapena kuposera chaka chimodzi), kuvutika kupuma kapena kumeza, kugona tulo , kapena kukula kulikonse.

Asanakhale ndi Zipangizo Zanu Zachotsedwa

Zizindikiro zamakono zimagwiridwa pansi pa anesthesia .

Mudzagona kwambiri ndipo simungathe kumva ululu panthawiyi. Pofuna kuchepetsa chiopsezo cha kusanza ndi anesthesia, simungathe kudya opaleshoni musanayambe. Dokotala wanu kapena namwino adzakupatsani malangizo enieni onena za nthawi yoti musiye kudya ndi kumwa. Kuwonjezera pa kusadya kapena kumwa, simuyenera kusuta, kutafuna chingamu, kapena kuyamwa pa mints kapena maswiti.

Zizindikiro zamakono zimagwiritsidwa ntchito m'masewero a tsiku lomwelo opaleshoni. Izi zikutanthauza kuti mupita kunyumba tsiku lomwelo lomwe mwatulutsa toni yanu. Muyenera kuvala zovala zosavuta kumalo opaleshoni. Bwerani pa nthawi. Nthawi zina, mankhwala otchedwa Versed angaperekedwe asanayambe kuchepetsa nkhawa, makamaka kwa ana ang'onoang'ono. Ngati muli ndi matenda ena, dokotala wanu akhoza kulamula ntchito za magazi kapena mayeso ena asanachitike opaleshoniyo. Ngati ndinu mkazi wobereka (makamaka zaka 12 mpaka 55 pokhapokha mutakhala ndi hysterectomy), ndizofunikira kuti muyesedwe mimba musanachite opaleshoniyo.

Izi zimafuna mkodzo pang'ono.

Ngati wodwalayo ali mwana ndipo ali ndi chinthu chotonthoza, monga bulangeti kapena chidole chomwe mumaikonda, bweretsani nanu. Ndiponso, ngati mwana wanu amamwa botolo kapena chikho chapadera, mubweretseni kuti mwana wanu amwe pambuyo pa opaleshoniyo. Onetsetsani kuti mumabweretsa zovala zabwino komanso zowonjezera kapena zovala zamkati.

Musanachotse matani anu, muyenera kuchotsa zitsulo zonse m'thupi lanu, kuphatikizapo zodzikongoletsera , zosungira, kapena kupyoza thupi. Muyeneranso kuchotsa makalenseni, mazinyo, ndi zothandizira kumva.

Muyeneranso kupeŵa kumwa mankhwala omwe angathe kuchepa magazi anu kwa masabata awiri mpaka opaleshoni. Mankhwalawa ndi aspirin, ibuprofen, Coumadin, Plavix, ndi mavitamini ambiri a Mlingo. Tsatirani malangizo a dokotala wanu kuti mutenge mankhwala aliwonse omwe mukukonzekera tsiku la opaleshoni, makamaka ngati muli ndi mankhwala a insulini kapena mankhwala a magazi.

Njira Zokhala ndi Zingwe Zanu Zachotsedwa

Pali mitundu yambiri ya njira zothetsera toni. Mavuto ndi mapindu amasiyana mwa njira iliyonse. Muyenera kukambirana njira yomwe mukuyenera kutero ndi dokotala wanu opaleshoni.

• Kusokoneza kwa mpeni : Iyi ndi njira yachikhalidwe yochotsera toni yanu pogwiritsa ntchito scalpel. Ma toni achotsedwa kwathunthu, ndipo pali magazi ochepa.

• Electrocauterization : Njira imeneyi imayambitsa matayiloni ndi minofu yowonongeka m'njira yomwe imaletsa kutuluka magazi ambiri. Mwamwayi, njira iyi ikhoza kupweteka kwambiri panthawi yopuma.

• Harmonic scalpel (ultrasonography) : Njira iyi imagwiritsa ntchito mphamvu kuchokera ku ultrasound kuti igwedeze tsambalo. Izi zimabweretsa kudulidwa koyera komwe kumapangitsanso minofu. Njirayi imanena kuti imayambitsa zovuta kwambiri kuposa minofu kusiyana ndi electrocauterization.

• Kuperewera kwafupipafupi : Njirayi ikhoza kuchitidwa ku ofesi ya dokotala pansi pa sedation. Sizomwe zimakhalapo nthawi imodzi, koma pang'onopang'ono zimachepetsa matayiloni pogwiritsa ntchito ma radiation pambuyo pa kusankhidwa kambiri. Njirayi ikulimbikitsidwa ndi matani owonjezera.

• Mpweya wa carbon dioxide laser : Njirayi ikhonza kuchitidwa ku ofesi ya dokotala pansi pa anesthesia kumaloko ndipo imatenga pafupifupi mphindi 15. Kutuluka kwa magetsi kumatha kuyamba tsiku loyamba kapena lachiwiri lokhazikika. Ubwino wa njirayi ndi kuchepetsa kupweteka ndi kukhumudwa. Komabe, izi sizikulimbikitsidwa kwa odwala onse, makamaka ana.

• Kupuma kwa bipolar radiofrequency ablation : Njira iyi iyenera kuchitidwa m'chipinda chogwiritsira ntchito pansi pa anesthesia. Amagwiritsa ntchito njira yovuta kwambiri yomwe imasokoneza maselo a maselo a minofu. Angagwiritsidwe ntchito kuchotsa zina kapena toni zonse. Njira imeneyi imakhudzidwa ndi ululu wochepa komanso kusamalidwa.

• Microdebrider : Njirayi imagwiritsidwa ntchito pazinthu zamakono zokha. Chigawo chokulitsa kapena cholepheretsa cha tanilecho chimachotsedwa. Njirayi imakhala ndi chiopsezo chochepa cha ululu pambuyo pa opaleshoni.

Pambuyo pokhala ndi matani anu achotsedwa

Mudzayang'aniridwa ndi namwino kwa maola angapo mutachotsa toni yanu. Musanachoke kuchipatala kapena kuchipatala, mudzapatsidwa malangizo enieni a momwe mungasamalire nokha panyumba. Nthawi zonse muzitsatira malangizo a dokotala wanu, koma mutha kulandira malangizo awa:

• Khalanibe akusamalidwa ndi munthu wamkulu yemwe ali ndi udindo kwa maola oposa 24 pambuyo pa opaleshoni.
• Osayendetsa galimoto, kulemba mapepala ovomerezeka, kapena kuchita nawo ntchito zomwe zimafuna kuti mukhale maso komanso osamala kwa maola 24 ochita opaleshoni.
• Idyani ndikumwa bwino zakumwa ngati mukukumana ndi nseru ndi kusanza ( zakumwa zakumwa monga apulo, soda, msuzi, jello, ndi khofi lakuda).
• Idyani zakudya zomwe zimakhala zosavuta kuti zicheze ndikumeza.
• Kwezani thupi lapamwamba.

Muyenera kutchula dokotala wanu kapena kupita kuchipinda chodzidzimutsa mukakhala ndi zotsatirazi:

• Fever kapena chills
• Kuwopsya kwambiri ndi kusanza
• Kupweteka kwambiri
• Simungathe kukopa maola opitirira 8 mpaka 12 opaleshoni
• Onani mtundu uliwonse wofiira wofiira
• Kuvuta kupuma kapena kumeza

Mudzapatsidwa mankhwala opweteka a m'kamwa kuti mutenge opaleshoni yotsatira. Mankhwala omwe amagwiritsidwa ntchito monga oxycodone ndi hydrocodone. Mankhwala ambiri monga Percocet (oxycodone ndi acetaminophen pamodzi) ndi Lortab (hydrocodone ndi acetaminophen) amalembedwa. Muyenera kupewa kumwa acetaminophen pamene mukumwa mankhwala opweteka kuti musamapitirire kumwa mankhwala a acetaminophen.

Musayendetse galimoto mukamamwa mankhwalawa. Onetsetsani kuti mukutsatira malangizo ndikuyankhula kwa mzimayi wanu musanamwe mankhwala. Kupweteka kwanu kuyenera kuchepa pang'onopang'ono ndipo anthu ambiri amayamba kumva bwino m'masiku angapo pambuyo pa opaleshoni. Onetsetsani kuti mukukonzekera kuyanjanitsa ndi dokotala wanu.

> Zotsatira:

> Tonsillectomy. MedlinePlus. https://medlineplus.gov/ency/article/003013.htm.

> Tonsillectomy ndi Adenoids Post-op. American Academy of Otolaryngology - Mutu ndi Opaleshoni Yamakhwa. http://www.entnet.org/content/tonsillectomy-and-adenoids-postop.

> Amoni ndi Adenoids. American Academy of Otolaryngology - Mutu ndi Opaleshoni Yamakhwa. http://www.entnet.org/content/tonsils-and-adenoids.