Ukuphononongwa koMbane weTonesillectomy Side Effects
Iintlobo zobugcisa ziphakathi kweenkqubo eziphambili zonyango e-United States. Nangona ngokubanzi ikhuselekile kwaye isebenzayo, kufuneka uqonde ingozi kunye neenzuzo ngaphambi kokuba iitoni zakho zisuswe.
Izizathu zeTonsillectomy
Kukho ezibini izizathu eziqhelekileyo ugqirha onokuthi uphakamise ukususa iifoni zakho. I-strep throp throat iyona sizathu esona sizathu sokuba ne-tonsillectomy, nangona i-tonsillectomy ingaphakanyiswa ukuba ilawule i-apnea yokulala ehambelana neetoni ezikhulisiweyo .
Ingakumbi i-tonsillectomy iya kunconywa kumntwana wakho ukuba i- apnea yokulala ibangela ubunjani bemicimbi yobomi ezifana nokuthintela ukusebenza esikolweni okanye ubuthongo obukhulu kakhulu.
Ukuphulukana ne-apnea yimeko apho umntu eyeka ukuphefumula ixesha elifutshane ngexesha lokulala. Uphando olutsha luye lwabonisa ukuba ngokuhamba kwexesha, ukungabi khona kwe-oksijini kwingqondo kunye nentliziyo kunokubangela izifo ezinzima, kubandakanya izifo zentliziyo, ukuxinezeleka, ukuguquka kwemizwelo, ubundlobongela, ubuthongo bemini kunye nezinye iingxaki zempilo. Iibhokhwe eziguguzayo zingenza ukuba i-apnea ikhusele ngokuthe ngqo ukuhamba ngomoya ngexesha umntu elele.
Nini ukufumana unyango
Uninzi lwezikhokelo zengcali alucebisi ukusetyenziswa kweetonesilomyomy for infections ngaphandle kokuba uneminyaka emihlanu ukuya kwezixhenxe kubo ngonyaka owodwa. Nangona kunjalo ugqirha wakho uya kugxininisa ubunzima bezo zifo kunye nendlela ophendula ngayo kunyango.
Nangona ukukhutshwa kweetoni kudla ngokuba luncedo ekuphatheni izifo ezingapheliyo akusoloko kusebenza i-100 ekhulwini.
Kusenokwenzeka ukuba ufumane umgca we-throp okanye isifo esifanayo emva kokuba iisoni zakho zisuswe. Nangona kunjalo, uninzi lwabantu luyeke ukufumana unyango okanye ungenabo abaninzi. Ukuba usufumana isifo emva kwe-tonesillectomy, ukusuleleka akuqhelekanga njengokuba bekuza kwenzeka ngaphambi kokuhlinzwa.
Ukunciphisa ukusulelwa kwintsholongwane kunokunciphisa umngcipheko wakho kwiingxaki ze-strep throat .
Ubuninzi beentlobo zobuqhetseba e-United States bunyukile njengoko oogqirha baqonda ngokuphathelele ingozi yokuphambuka kwe-apnea kuqondwa kangcono. Enyanisweni, oogqirha banokuthi bancomele ukususa iifoni xa ulala ne-apnea yokulala kunokuba unesifo esingapheliyo. Ukukhutshwa kweetoni ezivuvukileyo kuye kwafunyanwa ukuba kuphumelele ekuphatheni nasekuphiliseni le fomu yokuphulukana ne-apnea yokulala. Nangona kunjalo, utyando kufuneka lucatshangelwe kuphela xa ezinye iifom ezincinci zonyango zingaxhomekekanga okanye zingasebenzi.
Ngexesha eliqhelekileyo, kukho ezinye izizathu ugqirha wakho unokuncoma ukususa iifoni zakho, kubandakanywa: amathumba e-peritonsilar, umhlaza womhlaza kunye neetoni eziwandisiweyo ezibangela iingxaki zamazinyo. Iitoni eziwandisiweyo ezibangela ubunzima ngokugwinya okanye ukuphefumla kwaye aziphendulanga kwezinye iyeza kufuneka zisuswe ngokukhawuleza.
Iingozi
Ngaphandle kweengxaki ezinobungozi bokuphila, kukho ezinye iziphumo zecala elilindelekileyo leetonsillectomy. Abantu abaninzi banamavacuko kunye nokuhlanza, intlungu yomqala , ubunzima bokugwinya, i-fever ephantsi, ukuphefumula okubi , iindlebe kunye nokukhathala.
Ubunzima bokuba nalezi ziphumo zecala ziyahluka kakhulu, njengokuba ubunzima beempawu ukuba kufuneka ubenalo. Kukholelwa ngokubanzi ukuba abantwana bavame ukuba nokuphucula okufutshane nokuba "kulula".
Jikelele weAnesthesia
Iimpawu zentlawulo zenziwa phantsi kwe-anesthesia jikelele . Uphando olufuna ukuba i-anesthesia jikelele ifikelele engozini omele uyiqaphele. Ezi mngcipheko zivela kwiinkcenkcesho ezincinane kunye nokuhlanza-ebusongweni bokuphila-njengokungaphumeleli kokuphefumula, i-hyperthermia embi kunye nokufa.
Ngeke ube nantoni na iimeko ezinzima xa sele usuphumelele ukufumana i-anesthesia jikelele kwixesha elidlulileyo.
Ukuba unembali yentsapho ye-hyperthermia enobungozi, i-pseudocholineterase inability, i-muscular dystrophy, okanye ukufa ngokukhawuleza kwi-anesthesia jikelele, uya kuba sezingeni eliphezulu lokufumana ingxaki yokuhlinzwa. Kufuneka uxelele i-anesthesiologist yakho ukuba nayiphi na ilungu lamalungu entsapho ajongene nalezi ngxaki. Oku akuthethi ukuba akufanele utyunjiswe, kodwa kuya kuba luncedo kumntu onesi-anesthesiologist kwaye bangatshintshela imishanguzo esetyenziselwa ukuphepha iingxaki ezinokuthi zenzeke.
Kananjalo nawe unakho ukufumana iingxaki zokuphefumula emva kwe-anesthesia ukuba unesimo esingapheliyo sokuphefumula njengesifo se-asthma okanye i-apnea yokulala. Nangona kunjalo, amawaka abantu ababhekene ne-apnea yokulala baphumelela ukufumana i-anesthesia ejwayelekile imihla ngemihla.
I-Anesthesia ithathwa njengekhuselekile ngokukhuselekileyo, njengoko izinga lokufa (ukufa) liqikelelwa lingaphantsi kwesinye sezigulane ezingama-100,000. Unokunciphisa umngcipheko wakho ngokulandela imiyalelo enikwe yona phambi kokuhlinzwa, (ngokukodwa ngokutya nokusela), kwaye udibanise ngokupheleleyo ulwazi lwakho lwezempilo ugqirha wakho.
Ukuhlamba emva kokuPiliswa
Kuhlala kukho umngcipheko wokugaya (ukuphuma) ngexesha nangemva kokuhlinzwa, kodwa ngenxa yokuba iisoni zikufutshane nemithambo yegazi, ukuphuma kwamanzi kuthathwa njengongxamiseko . Ukuhlamba emva kwe-tonesillectomy ayiqhelekanga. Nangona kunjalo, mhlawumbi umngcipheko omkhulu wokusebenza.
Ingxaki ezinzulu ukusuka ekuphumeni kwegazi , kubandakanywa ukubuyela esibhedlele, ukuhlinzwa okongeziweyo kunye nokufa, akunqabile. Kukho amaxesha amabini apho kuphuma khona ukuphuma kwamandla okuhamba emva: emva kweeyure ezingama-24 zokuqala emva kokuhlinzwa kwaye iintsuku ezintandathu ukuya kwishumi emva kokuhlinzwa xa i-scab ivela. Kuqikelelwa ukuba phakathi kwabantu ababini ukuya ku-22 abantu abayi-1 000 baya kuphazamisa ngaphakathi kweeyure ezingama-24 emva kokuhlinzwa. Ukuphuma kwegazi emva kweentsuku ezintandathu ukuya kweyishumi emva kokuhlinzwa kuqikelelwa ukuba kube ngu-1 ukuya ku-37 kwithuba eli-1 000.
Izifo ezinjenge- hemophilia okanye i-anemia zandisa umngcipheko wokuphuma kwegazi emva kwe-tonesillectomy. Ukusetyenziswa kwamachiza athile afana ne-aspirin, ibuprofen, naproxen okanye abagcini begazi abasebenza njengeCommmadin (warfarin) banokunyusa ingozi. Ugqirha wakho uya kukuphakamisa ukuba uyeke ukuthabatha la mayeza phambi kokuhlinzwa kwaye kufuneka akunike imiyalelo ethile malunga nokusetyenziswa kwezi nyeza emva kokuba iifoni zakho zisuswe.
Kukho ubungqina bokuthi i-steroid dexamethasone, esetyenziswa rhoqo ngexesha lotyando ukukhusela isicupunu, sinokunyusa ukwanda komngcipheko wokuphuma kwegazi. Ukuxhatshazwa kwamanzi kungakwandisa umngcipheko wokuba i-scabs yakho iza kusasa kakhulu kwaye idala igazi.
Kufuneka uqaphele ukuba ngexesha lokuhlinzwa okwenziweyo ungagwinya igazi. Leli gazi lingaphuma emanzini okanye lihlanjwe kamva. Kule meko igazi liya kubonakala lubomvu (ngokuqhelekileyo lichazwa ngathi likhangeleka njengendawo yekhofi). Oku akukhathazekiyo.
Nangona kunjalo, igazi elibomvu eliqaqambileyo elivela kwiibhethi zontoni naliphi na ixesha alimkelekanga kwaye kufuneka ufumane unyango olusondeleyo. Unokujonga iibhedi zakho zeetonsil zokuphuma ngegazi usebenzisa intlinksi yolwimi okanye intonga ye-popsicle kunye ne-flashlight. Ukuba ngaba u- adenoids yakho isuswe , unokuba nefuthe elincinci legazi eliphuma kwiimpumlo.
Sulelo
Omnye umngcipheko woko naluphina inkqubo yokuphandula isifo Oku kunqabile ngeentlobo zobugcisa; xa kwenzeka, iyakwazi ukuphiliswa ngamayeza. Iimpawu zentsholongwane kufuneka zixelelwe ugqirha wakho ngokukhawuleza. Biza ugqirha wakho xa ufumana:
- umkhuhlane ophezulu ngaphezu kwama-degrees ama-Fahrenheit angama-101
- iintlungu ezinzima okanye eziqhubekayo (ukuhlinzwa kungabangela ukusulelwa kwindlebe , kodwa intlungu yeendlebe isishalazo esiqhelekileyo emva kwe-tonesillectomy, ngoko kufuneka uqaphele ezinye iimpawu kunye neempawu ezibonisa ukusuleleka kwindlebe )
- iimpawu zentsholongwane ephezulu yokuphefumula , njengokukhwehlela, i-muscus engumbala ongaqhelekanga (uhlaza, umzekelo), okanye ukuphefumula ubunzima (uphawu olungabangela uxakeko).
Ezinye iinkathazo ezinzima
Kukho umngcipheko omncinci kwezinye iingxaki ezingaqhelekanga, kubandakanywa ukutshisa ngexesha le-cautery yokugada, ukukhupha okuphezulu kwindlela yokuphuma kwinqwelo yesikhumba, ukulimala kwamazinyo ngexesha lokungena (ukufakelwa kwiphepha lokuphefumula le-anesthhesia jikelele), ukuqubuzwa ngentsingiselo yesisu ngelixa liphantsi kwe-anesthesia (i- aspiration pneumonia ), kunye neempembelelo zonyango kumayeza anikwe ngexesha nangemva kokuhlinzwa. Kwakhona, ezi ngxaki ziyinto engaqhelekanga. Ukuba uxhalabele ngabo, xubusha kunye nodokotela wakho kwaye ufunde ngamanyathelo aya kuthatha ukuthintela ezi nkxwaleko ukuba zenzeke.
ILizwi
Kuqikelelwa ukuba malunga nama-380,000 amathonikhi ayenziwa minyaka yonke e-United States. Uninzi lwale mi sebenzi lubonwa ngempumelelo.
Nangona iingozi zokukhutshwa kweetoni zakho akufanele zithathwe, ukuba iithayoni zakho ezikhulisiweyo ziyanciphisa umgangatho wobomi , unempilweni kwaye unayo intsapho yembali eyandisa ingozi yokuxhatshazwa kweengxaki, kuya kufuneka ukuba ziye zazisusa. Nangona kunjalo, esi sisigqibo sokuba nguwe kuphela, ngoncedo lwenogqirha yakho, onokuyenza.
> Imithombo:
> Cinezela, CD. (2015). Jikelele weAnesthesia. http://emedicine.medscape.com/article/1271543- ukujonga kwakhona
> IParadesi, JL & Wald, ER. (2017). I-tonsillectomy kunye ne-adenoidectomy kubantwana. http://www.uptodate.com (ubhaliso olufunekayo).