Ndemanga ya Zomwe Zingatheke Zotsatira Zotsatira za Tonsillectomy
Zizindikiro zamakono ndizo mwa njira zamakono zochitidwa opaleshoni ku United States. Ngakhale kuti nthawi zambiri imakhala yotetezeka, muyenera kumvetsetsa zoopsa ndi mapindu asanachotsere toni yanu.
Zifukwa za Tonsillectomy
Pali zifukwa ziwiri zomwe zimachitika chifukwa dokotala anganene kuti achotsa matani anu. Mitsempha yowonongeka mmunsi ndi chifukwa chachikulu chokhala ndi tonsillectomy, komabe tonsillectomy ingalimbikitsidwenso kuti agwiritse ntchito matenda obisala okhudzana ndi matani okulitsidwa .
Makamaka tonsillectomy idzalimbikitsidwa kwa mwana wanu ngati kugona tulo kumayambitsa mikhalidwe ya moyo monga kuchepetsa kugwira ntchito kusukulu kapena kugona kwambiri kwa usana.
Kugonana ndi mpweya wokhala ndi vuto lomwe munthu amasiya kupuma kwa kanthaŵi kochepa pamene akugona. Kafukufuku waposachedwapa wasonyeza kuti m'kupita kwa nthaŵi, kutaya kwa oxygen kwa ubongo ndi mtima kungabweretse matenda aakulu, kuphatikizapo matenda a mtima, kupsinjika maganizo, kusinthasintha maganizo, kukhumudwa, kugona kwa masana komanso matenda ena ambiri. Kutupa tonsils kungayambitse apnea mwachindunji kutseka mpweya pomwe munthu wagona.
Nthawi Yoyenera Kupita Opaleshoni
Malangizowo ambiri samalangizitsa tonsillectomy kwa matenda kupatula ngati mutakhala nawo asanu mpaka asanu ndi awiri mu chaka chimodzi. Komabe dokotala wanu adzawona kuopsa kwa matendawa ndi momwe mumamvera ndi mankhwala.
Pamene kuchotsa matayiloni kawirikawiri kumathandiza kuchiza matenda opatsirana nthawi zonse sizimagwira ntchito 100 peresenti.
Ndikotheka kupeza mzere wa mphuno kapena matenda omwewo mutatha kuchotsa matayala anu. Komabe, anthu ambiri amasiya kukhala ndi matenda kapena alibe ambiri. Ngati mutenga matenda pambuyo pa tonsillectomy, matendawa sakhala oopsa ngati momwe akanakhalira opaleshoniyo.
Kuchepetsa mafupipafupi a kachilomboko kungachepetsenso chiopsezo chanu ku mavuto a strep throat .
Nthawi zambiri mauthenga amtundu ku United States awonjezeka ngati madokotala amadziwa za kuopsa kwa kugona kwa kugona kumamveka bwino. Ndipotu, madokotala ochita opaleshoni amawalimbikitsa kuchotsa matayoni ngati muli ndi vuto la kugonana kusiyana ndi ngati muli ndi matayillitis okha. Kuchotsa matayala otupa kwapezeka kuti ndiwothandiza kwambiri kuchiza ndi kuchiza mtundu uwu wa kugonana kwa kugona. Komabe, opaleshoni ayenera kuganiziridwa pamene mitundu ina yowonjezereka yopanda chithandizo imalekerera kapena sichigwira ntchito.
Ngakhale kuti simudziwika bwino, palinso zifukwa zina zomwe adokotala angakulimbikitseni kuchotsa matayala anu, kuphatikizapo: ziphuphu zapereitoni, khansa yamatenda ndi matani akulu omwe akubweretsa mavuto a mano. Matani owonjezera omwe akuvutitsa ndi kumeza kapena kupuma ndipo osayankha ku mankhwala ena ayenera kuchotsedwa mwamsanga.
Zoopsa
Kuwonjezera pa zovuta zowonjezera moyo, palinso zotsatira zina zotengera tonsillectomy. Anthu ambiri amamva kupwetekedwa mtima ndi kusanza, kupweteka kwa mmero , kuvutika kukumeza, kutentha thupi kwambiri, mpweya woipa , khutu ndi kutopa.
Mwinamwake mukukhala ndi zotsatira zosiyanazi, mosiyana ndi momwe zizindikiro zimakhalira ngati mukuyenera kukhala nazo. Ambiri amakhulupirira kuti ana amakonda kukhala ndifupikitsa komanso "zosavuta".
General Anesthesia
Zizindikiro zamakono zimagwiridwa pansi pa anesthesia . Kuchita opaleshoni kumafuna kuti aneshesia ambiri abwere ndi zoopsa zomwe muyenera kuzidziwa. Zowopsazi zimachokera kuzing'onoting'ono ndi kusanza-kuopseza moyo-monga kupuma, kupweteka kwambiri, komanso kufa.
Simudzakhala ndi mavuto akuluakulu ngati mwakhala mukugonjetsa anesthesia nthawi zambiri.
Ngati muli ndi mbiri ya banja la matenda oopsa a hyperthermia, pseudocholinesterase kufooka, mitsempha ya mitsempha ya mitsempha, kapena imfa yadzidzidzi kuchokera kwa anesthesia ambiri, mudzakhala pangozi yaikulu yothandizira opaleshoni. Muyenera kumudziwitsa munthu yemwe akudwala matenda am'thupi ngati wina aliyense m'banja lanu adakumana ndi mavutowa. Izi sizikutanthauza kuti simukuyenera kuchitidwa opaleshoni, koma zingakhale zothandiza kwa munthu wodwala matenda am'thupi ndipo angasinthe mankhwala omwe angapewe mavuto.
Mwinanso mumakhala ndi vuto la kupuma pambuyo pa anesthesia ngati muli ndi matenda odwala kupuma monga asthma kapena apnea. Komabe, zikwi zambiri za anthu odwala matenda ogona tulo amatha kukhala ndi anesthesia ambiri tsiku ndi tsiku.
Anesthesia amaonedwa kuti ndi otetezeka bwino, chifukwa chiŵerengero cha imfa (chiwerengero cha imfa) chiyenera kukhala osachepera mmodzi mwa odwala 100,000. Mukhoza kuchepetsa chiopsezo mwa kutsatira malangizo omwe mwawapatsidwa musanachite opaleshoni yanu (makamaka za kudya ndi kumwa), ndikufotokozerani dokotala wanu zaumoyo wanu.
Kudumpha Patatha Opaleshoni
Nthawi zonse zimakhala zoopsa zowononga magazi (magazi) pakapita nthawi komanso pambuyo pochita opaleshoni, koma chifukwa matayoni ali pafupi ndi mitsempha yambiri yamagazi, kutuluka kwa magazi kumaonedwa kuti ndiwowopsa . Kutsekemera pambuyo pa tonsillectomy sizolowereka. Komabe, mwinamwake ndiopseza kwambiri ntchitoyi.
Matenda aakulu ochokera ku magazi , kuphatikizapo kubwezeredwa kuchipatala, opaleshoni yowonjezera, ndi imfa, ndizosowa kwambiri . Pali maulendo awiri pomwe magazi amatha kutuluka mwadzidzidzi: mkati mwa maola 24 oyambirira opaleshoni ndi masiku asanu ndi limodzi kapena khumi mutatha opaleshoni pamene nkhanambo imachoka. Ayerekeza kuti pakati pa anthu awiri ndi 22 kuchokera mwa anthu 1,000 adzataya magazi mkati mwa maola 24 atatha opaleshoni. Kuchokera m'magazi mkati mwa masiku asanu ndi limodzi kapena khumi mutatha opaleshoni kumatanthauzanso kukhala pafupifupi 1 mpaka 37 pa mwayi wokwana 1,000.
Matenda monga hemophilia kapena kuchepa kwa magazi amachulukitsa chiopsezo cha magazi pambuyo pa toniillectomy. Kugwiritsa ntchito mankhwala ena monga aspirin, ibuprofen, naproxen kapena olemba magazi omwe ali ngati Coumadin (warfarin) akhoza kuonjezeranso ngozi. Dokotala wanu angakulimbikitseni kuti musiye kumwa mankhwalawa musanayambe opaleshoni ndipo muyenera kukupatsani malangizo okhudza kugwiritsa ntchito mankhwalawa mutatha kuchotsa matayala anu.
Palinso umboni wina wakuti steroid dexamethasone, yomwe imagwiritsidwa ntchito popaleshoni pofuna kuteteza nthendayi, ingapangitse mowonjezereka mwayi wa magazi. Kusokonezeka kwa madzi m'thupi kungathenso kuonjezera chiopsezo kuti nkhanambo zanu zidzatuluka mofulumira komanso zimayambitsa magazi.
Muyenera kudziwa kuti pamene mukuchitidwa opaleshoni mukhoza kumwa magazi ena. Mwazi uwu ukhoza kutuluka mumatumbo kapena kusanza pambuyo pake. Pachifukwa ichi magazi adzawoneka ofiira (amavomerezedwa kuti amawoneka ngati malo a khofi). Izi siziri zovuta.
Komabe, magazi ofiira omwe amabwera kuchokera ku mabedi a matani nthawi iliyonse sali ovomerezeka ndipo muyenera kuchipatala mwamsanga. Mukhoza kuyang'ana mabedi anu amtundu wa magazi mwa kugwiritsa ntchito lilime lachisokonezo kapena phokoso la popsicle ndi tochi. Ngati mudatulutsa adenoids yanu, mungakhale ndi kachidutswa kakang'ono ka madzi otulutsa mwazi mumatulu anu.
Kutenga
Vuto lina la opaleshoni iliyonse ndi matenda. Izi ndi zosawerengeka ndi ziphunzitso zamakono; zikachitika, zimatha kuchiritsidwa ndi mankhwala opha tizilombo. Zizindikiro za matendawa ziyenera kuuzidwa kwa dokotala mwamsanga. Itanani dokotala wanu mukakumana:
- malungo aakulu kuposa madigiri 101 Fahrenheit
- kupweteka kwakumva kovuta kapena kosalekeza (opaleshoni ikhoza kuyambitsa matenda a khutu , koma kupweteka kwakumva kumakhala kudandaula kofala pambuyo pa tonsillectomy, kotero kuti muzindikire zizindikiro zina zomwe zimasonyeza matenda a khutu )
- Zizindikiro za matenda opuma opuma , monga chifuwa, ntchentche yomwe ndi mtundu wosasangalatsa (wobiriwira, mwachitsanzo), kapena kupuma kovuta (chizindikiro chomwe chingakhale chodzidzimutsa).
Zovuta Zina Zambiri
Pali chiopsezo chochepa pa zovuta zina zosawerengeka, kuphatikizapo kuyaka panthawi yopanga opaleshoni, kupopera kwapakati pamsewu, kupweteka kwa mano panthawi yopuma (kuika mpweya wabwino kwa anesthesia), kupweteka kwa m'mimba mwakachetechete pamene ali ndi anesthesia ( aspiration pneumonia ), komanso kusintha kwa mankhwala omwe amaperekedwa pakapita nthawi ndi opaleshoni. Apanso, mavutowa ndi osowa. Ngati mukuwadera nkhawa, kambiranani ndi dokotala wanu ndipo phunzirani za masitepe omwe angatenge kuti zisachitike.
Mawu Ochokera
Akuti pafupifupi mahekitala 380,000 amachitidwa pachaka ku United States. Ndipotu ambiri mwa ntchitoyi amaonedwa kuti ndi opambana.
Ngakhale kuti zoopsa za kuchotsa matayala anu siziyenera kuchitidwa, ngati matani anu owonjezera akuchepetsa moyo wanu , mulibe thanzi ndipo mulibe mbiri ya banja yomwe imapangitsa kuti mukhale ndi vuto la opaleshoni, awachotseni. Komabe, ichi ndi chisankho chomwe inu nokha, mothandizidwa ndi dokotala wanu opaleshoni, mungapange.
> Zotsatira:
> Zolemba, CD. (2015). General Anesthesia. http://emedicine.medscape.com/article/1271543-buwonetsero
> Paradaiso, JL & Wald, ER. (2017). Tonsillectomy ndi adenoidectomy mwa ana. http://www.uptodate.com (zolembetsa zofunika).