I-valve yamanzi iyona nxalenye encinci ye-airway. Kunzima ukuchazela, ngokusesikweni, kuba kungenalo isakhiwo esisodwa kodwa izakhiwo ezininzi kuquka udonga olusenyakatho lwangasese, i-septum yangaphakathi, intloko ye- turbinate engaphantsi kunye ne-piriform osseous. Le nkcazo eyinkimbinkimbi ibhekiselela encinci kuninzi lwethu kwaye nangaphantsi xa uqaphela ukuba i-anatomy yomntu ngamnye iyahluka kakhulu.
Ukuba ucinga ngesakhiwo sangasemva sangasese sinokuba luncedo ukwazi ukuba i-valve yangasese iphakathi kwinqanaba elingaphantsi lempumlo. Ngenxa yokuba le nxalenye emncinci yendlela yokuhamba ngomoya, kukho ukuxhatshaza okukhulu komoya okuqhubekayo kule ndawo kwaye i-valve yangasese isebenza ngokukhawuleza ukunciphisa ukuhamba komoya.
Sibanzi
Ukuwa kwe-valve ye-Nasal ibinzana elibhekiselele kunoma yiphina ubuthakathaka okanye okanye ukunyanzeliswa kwe-valve yangasese. Ekubeni i-valve yomnxuwa yindawo encinci, naluphi na utshintsho kwisakhiwo sempumlo echaphazela le ndawo kungabangela ukunganyaniseki okwandisiweyo okanye ukukhusela ukukhupha umoya.
Izizathu
- I-Rhinoplasty (utyando lweplastiki kwimpumlo), kuquka "ukukhutshwa kwe-hump", yenye yezona zizathu eziqhelekileyo.
- I-septum ehlukileyo yimbangela eqhelekileyo yokuwa kwe-valve. I-septum engaphambukiyo ivela rhoqo ngenxa yexinzelelo (ukulimala) kwimpumlo.
- I-trauma okanye ukuhlinzwa kwempumlo kungabangela ukuba i-valve yamanzi iwele phantsi ngenxa yokuvuvukala, izicubu ezandisiweyo, okanye mhlawumbi ukubunjwa kweethambo ezibomvu.
Ingxaki okanye ukuhlinzwa kwiipumlo kubangelwa izizathu eziqhelekileyo zokuwa kwe-valve. Nangona kunjalo, i-valve ye-nasal iyakwazi ukuvela ngaphandle kweyantlungu okanye imbali yokuhlinzwa kwimpumlo kwaye ingaba yimiphumo yempawu ezithile ze-anatomical. Ngokomzekelo, impumlo ephangele phambili kunye namaqabunga amancinci okanye i-columella ebanzi (inxalenye yangaphandle yempumlo eyahlula amacwecwe amabini).
Ezinye izimo zokuzalwa zingaphinda zenze i-valve ye-nasal iyawa.
Unokuba lunokwenzeka ukuba uvelise i-valve yangasese xa ukhula kuba inkqubo yokuguga ingokwemvelo ingazincipha izakhiwo ezenza i-valve yangasese.
Iimpawu
- umqobo
- ukudibanisa nobunzima bokuphefumula ukusuka ekhaleni
- impumlo egazini
- ziqhawula ngeenxa zonke
Ukuxilongwa
Ugqirha we- otolaryngologist (ENT) mhlawumbi ufanelekile ukufumanisa ukuwa kwe-valve. Kuyinto enzima ukuxilongwa ukuba yenziwe, ingakumbi kuba i-turbinates ekhutshiwe kunye nee-septums eziphambukileyo zenza iimpawu ezifanayo kwaye zinokuba ziimeko ezigqithisileyo. Imbali yakho yonyango ingaba ibalulekileyo ekufumaneni ukuxilongwa, ingakumbi ukuba uye waba nembali yokugonywa kwamanzi. Uvavanyo lwempumlo kunye naluphi na olu lulandelayo lunokunceda ekufumaneni ngokufanelekileyo ukuhlahlela i-valve nasal:
- endoscopy
- I-Cottle's maneuver - indawo yesiphakamiso se-nasal iyanwetshwa ngokuyikhupha kwisikhokelo esilandelayo, inokwenziwa. Ukuba ukuphefumula kuphucula xa indawo yecavus yoluntu ikhuliswa ngokubanzi, kubonisa ukuba i-valve yangasese iyawa.
- Uhambo lukaBachman. Ngethuba lo kuqhuba i-valve yamanzi ivuliwe ngokusebenzisa izixhobo kwaye ukuphuculwa kokuphefumula kuhlolwa.
- amaconsi ahlambulukileyo
- i-rhinomanometry yangaphakathi - amanyathelo okuphuma kwomoya
- i-rhinometry ye-acoustic - isebenzisa amagagasi omsindo ukuvavanya utshintsho kwisigxina somsi.
Unyango
Unyango oluqhelekileyo unyango lwe-valve ephahlayo luyi-operesheni. Nangona kunjalo, abo abanqweneli ukuhlinzwa okanye abanqwenela ukulibazisa ukuhlinzwa, banokufumana ukukhululeka kweempawu ngokusebenzisa i-valve ye-valve dilator. I-dilator ye-valve ye-nasal iyisistim esenza ngokucacileyo i-valve yangasese. Idla ngokulala ebusuku. Omnye umzekelo we-dilal valve dilator Uphefumla amaqhosha angama-adhesive ahlanganiswe ngaphandle kwempumlo kwaye akhonze ukwandisa impumlo kwindawo ye-valve yangasese.
Olu hlobo lwe-valve ye-valve dilator lufumaneka kwi-counter-counter. Ezinye i-dilator zenziwe nge-silicone kwaye zigqutywe ngaphakathi. Kufuneka kuphawulwe ke, ukuba ukusetyenziswa kwezigulane ze-valve njengamachiza okanye unyango lwe-valve ukuwa kwe-valve akuzange kufundwe ngokwaneleyo ngeli xesha.
I-Rhinoplasty kunye okanye ngaphandle kokusetyenziswa kwamashishini eqhelekileyo isetyenziselwa ukulungisa ukubola kwe-valve. Ngamanye amaxesha kusetshenziswe iziplantshi ezibamba ukuvula kwesikhumba evulekile "yimpumelelo yasentwasahlobo". Ezi zifakela zidlalwa ngeetanium. Kukho ubuchule obuninzi bokuhlinzwa kunye nobuchule obusetyenziswayo buhluka ngokuxhomekeke kwingqapheli yakho kunye nesimo esithile.
Imithombo:
Medscape. I-Valve Stenosis Rhinoplasty. Kufumaneka: Disemba 30, 2013 ukusuka kwi-http://emedicine.medscape.com/article/877468- ukubukela kwakhona
Medscape. Aerodynamics. Kufumaneka: Disemba 30, 2013 ukusuka kwi-http://emedicine.medscape.com/article/874822-overview#a1
NCBI (Pubmed). Ukuphazamiseka kwendawo ye-Nasal Valve. Kufumaneka: Disemba 30, 2013 kwi-http: //www.ncbi.nlm.nih.gov/pmc/articles/PMC3199841/