I-Myringotomy Surgery for Ear Tubes

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I-Myringotomy Surgery Ichazwe

I-myringotomy, okanye utyando lokwenza umngxuma kwindubhu yeendlebe, utyando oluqhelekileyo. Ngokuqhelekileyo ibhanjiswe ngokufakelwa kwiphubhu ye-typanostomy, ityhubhu elincinci elibekwe kwindawo yokutshalwa kwindlebe, evumela ukuba izinto ezichaphazelekayo zikhuphe kwi-ear ear. Inkqubo eyenziwa ngu- otolaryngologist , eyaziwayo njengendlebe, ugqirha kunye ne-throat.

Ukuhlinzwa kungenziwa kwiindlebe zombini ukuba kuyimfuneko, okanye enye kuphela ukuba ingxaki yendlebe ephakathi ikhona kuphela kwicala elinye. Inkqubo ininzi isenziwa rhoqo kubantwana, ngokuqhelekileyo ngaphantsi kweminyaka emihlanu ubudala, kodwa ingaqhutyelwa nakwabantwana abadala kunye nabantu abadala. Inkqubo yisisombululo sesigxina, njengoko i-tubs indlebe ekugqibeleni iphuma, kodwa inokuphindwa kwakhona xa kuyimfuneko.

Indlela ye-laser ye-myringotomy yokuhlinzwa ingenziwa kwiofisi yegqirha nge indlebe ephazamisayo amayeza, kodwa ininzi yeenkqubo zenziwa esibhedlele nge-anesthesia jikelele. Kungaba nzima ukufumana ugqirha owenza le nkqubo ngaphandle kwesibhedlele njengoko izixhobo zelayisensi zibiza kakhulu.

Kubalulekile ukulungiselela abantwana ngokufanelekileyo ukuhlinzwa ukwenzela ukuba amava ayilangazelisayo. Nangona amaqela athile ahlukeneyo afuna ulwazi oluhlukileyo phambi kokuhlinzwa, kubalulekile ukuba umntwana angayifumani malunga nokuhlinzwa xa efika esibhedlele. Kuyafaneleka ukuba ixesha liqiniseke ukuba ukwesaba komntwana kunye nokuxhalabisa kuthethwa phambi kwenkqubo.

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Ngakanani i-Myringotomy iyimfuneko

Esona sizathu esivakalayo i-myringotomy, okanye ukuhlinzwa ukubeka umgodi kwindubhu yeendlebe, kwenziwa nge-otitis media nge-effusion (OME), okanye ukusuleleka kwindlebe ephakathi. Umkhuhlane osulelekileyo uyakhela emva kwengxubeni yeendlebe, apho kungabunzima kangangokuthi ubizwa ngokuba "intloko yeglue." Oku kunokuphazamisa ukuva, kwaye kwezinye iimeko, ukuphuculwa kwentetho yentetho kubantwana, ingakumbi ukuba ingxaki ikhona zombini iindlebe.

Izizathu Zokwenza Intsholongwane Yokufakelwa KwamaThambo eNtloko:

• Ukusulelwa kwintsholongwane engaphenduliyo kumachiza okulwa namagciwane okanye indlebe.
• Ukusuleleka kwindlebe ephakathi okubangela ukulahlekelwa kwintetho okanye ukulibaziseka kokuthetha.
• Ukuphindaphinda ngokuphindaphindiweyo i-otitis media (i-AOM) (3 iziganeko ezinyangeni eziyi-6 okanye ezine kwiinyanga ezili-12) xa zingaphenduliyo unyango oluqhubekayo lwe-antibiotiki kwaye luphazamise intetho, ukuva okanye zombini.
• I-Barotrauma: Ukulimala kweenguqu kwiingcinezelo, ezifana ne-scuba diving okanye indiza.
• I-malformation ye-Congenital ye-indlebe (i-pallet ye-cleft okanye i-Down's Syndrome, njl).

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Abadala kunye ne-Myringotomy

I-myringotomy ne-tube ear insertion ayifani kakhulu kubantu abadala kunokuba kubantwana. Nangona inqubo ingenziwa ngokusuleleka kwintsholongwane yendlebe, oko akunakwenzeka kubantu abadala ngenxa yeenguqu zengqungquthela kwindalo yomlomo njengoko ikhula.

Kwiimeko ezininzi, i-myringotomy yenziwa kubantu abadala ngenxa ye-barotrauma. I-Barotrauma iphumela kwimpembelelo ebalulekileyo kwingcinezelo ngaphakathi kwendlebe (emva kwe-eardrum) nangaphandle kwendlebe. Uthinteko olukhulu kwingcinezelo luya kwenzeka ngeenguqu zokuphakama, ezifana nokukhwela kwiphakamileyo kwisakhiwo eside okanye esinqabileyo. Ukuthungulwa kweScuba kungabangela i-barotrauma.

I-myringotomy ingenziwa njengemilinganiselo yesikhashana kubantu abadala, kunye nenkqubo eyenziwa ukuba yenze okwesikhashana ingqungquthela kwindubhu yeendlebe eziya kuvalwa xa ikhutshwe. Ityhubhu ingenakho okanye ingafaki isekelwe kwizizathu zokuthi utyando lwenziwa.

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I-Myringotomy: Inkqubo yokuPhepha

I-myringotomy yenziwa nge- anesthesia jikelele xa isenziwa esibhedlele. Emva kokuba i- anesthesia ilawulwa, inkqubo iqala ngokulungiselela indlebe. Indlebe ilungiselelwe isisombululo esinciphisa ukuba kungenzeka ukuba usulele.

Emva kokuba indlebe ilungiselelwe, ugqirha uya kusebenzisa i-laser okanye isixhobo esibukhali ukudala imbobo encinci kwi-eardrum. I-tympanostomy tube yifakwa kwi-hole, eyoyiphilisa iphinde ivalwe ngaphandle kwebheyibhu.

Ukuba i-ear ear fluid yeso sizathu sokuhlinzwa, ukunyameka okunokuthi kunokusetyenziswa kwi-eardrum, ukususa umkhuhlane ngokusebenzisa ityhubhu entsha. Oku kufuthi kususe inani elininzi lomkhuhlane, odala ukuphucula kwintetho edlalwa ngokukhawuleza emva kokuhlinzwa. Indlebe inokuthi iqhutywe ngekotoni okanye i-gauze ukuze ilandele nayiphina imithombo ekhoyo.

Ngeli xesha, utyando lugqityiweyo okanye ulwaphulo oluphambeneyo luphathwa ngeenkqubo ezifanayo. I-anesthesia iyacinywa kwaye unyango lunikezelwa ukuvusa isigulane. Isigulane sithatyathwa kwigumbi lokubuyisela ukuba lijongwe ngokugqithiseleyo ngelixa i-anesthesia igqithise ngokupheleleyo.

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I-Myringotomy: Ingozi Yokuhlinzwa

Ukongeza kwingozi enkulu yokuhlinzwa kunye neengozi ze-anesthesia , inkqubo ye-myringotomy ineengozi zayo. Umngcipheko ophathelene nale nkqubo yinto encinci, njengoko utyando lukhawuleza (ngaphantsi kwemizuzu engama-15 kwiimeko ezininzi) ngoko kukho ukungabikho kancinci kwi-aneshesia kunokuba utyando oluqhelekileyo.

Ingozi ye-Myringotomy:

• Umgoqo ongapheliyo kwi-eardrum engagqibekanga ngexesha elide, kwaye ingadinga i-tympanoplasty ukukhuthaza ukuphulukiswa
• I-sclerosis (ukuqina / ukuqina) kwe-eardrum, engabangela ukulahlekelwa kwindlebe
• Inyango yokupanda kwindlebe yangaphandle okanye indlebe yomlomo
• Imfuno yenkqubo yokuphindaphinda kwixesha elizayo
• Sulelo
• Imithombo engapheliyo
• Amanzi entle
• Ukutshatyalaliswa kwe-eardrum. Oku akunjalo umba wokuphulaphula, yimeko eyaziwayo ngexesha lokuhlolwa kweendlebe kodwa angathinteli umsebenzi wegubhu leendlebe.

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Ukubuyisela kwi-Myringotomy

Xa ukuhlinzwa kuqedile, isigulane siya kuthathwa kwigumbi lokubuyisela ukuze ligcinwe ngelixa i-anesthesia igqithisa. Xa isigulane siphaphile, siqaphile kwaye singabikho nkxalabo yokuhamba, ukubuyisela kungaqhubeka ekhaya.

Akukho mfuneko yokunakekelwa kwesohlwayo njengoko utyando lwenziwa ngokuthe ngqo kwi-eardrum ukuze kungabi nasicatshulwa esikhumbeni. Kwiintsuku zokuqala zokubuyisela , akuqhelekanga ukuba ne- drainage evela kwindlebe kulindeleke. Ingaba yinto efana nebonakalayo, i-blood-tingled or clear. Okuqhelekileyo. Ngeli nqanaba, indlebe kufuneka ikhuselwe emanzini, leyo ingangena ngaphakathi kwindlebe ngaphakathi kwiphubhu, njengokuba umjelo uphuma kwi-tube. Ugqirha wakho unokuncoma ama-earplugs asetyenziswe ngexesha lomvula, ukubhukuda okanye nayiphi na into enomngcipheko wamanzi angena endlebe.

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Ubomi Emva kwe-Myringotomy

Emva kokuba ne-tubes indlebe ifakwe, ukuvela kwe-fluid ekwakheni kwindlebe yangaphakathi kuya kuncitshiswa kakhulu. Oku kuya kubangela ukuhla kweentlungu, ukuphucula ukukwazi ukuva, kunye nabantwana abancinane ukuhlinzwa kuza kunceda ukuphucula intetho.

Kwiimeko ezininzi, iindlebe ziya kufuna ukukhuselwa emanzini de iibhubhu ziphuma ngaphandle ngokwemvelo, eziqhelekileyo zenzeke kwiinyanga ezili-6 ukuya kwezi-18 emva kokuhlinzwa, kwaye umgodi entendeni uvale ngokupheleleyo. Oku kunokwenziwa ngamacwecwe okuvumela ukuqubha kunye nemisebenzi yamanzi. Ugqirha wakho angancomela ukuba iiflegi zisetyenziswe kwisitya.

_Imithombo:

Ukunyangwa kwamathambo: Amaqiniso ngabazali malunga ne-Otitis Media. AmaZiko eZiko lezeMpilo. http://www.nidcd.nih.gov/health/hearing/otitismedia.asp

Iindlebe zeNtloko. Alan Greene, MD http://www.drgreene.com/21_550.html

Iindlebe zeNtloko. UJohn P. Cunha, YENZA http://www.medicinenet.com/ear_tubes/article.htm