Iinkqubo ezininzi ezibandakanya eziNcedo
Ukuba uye wafumanisa ukuba unesifo sokukhubazeka sokulala (OSA) , unokuba nomdla ekufundeni malunga nokukhethwa kwendlela yokunyanga . Kukho uninzi lwezonyango ezinokutshintsha i-anatomi yesalathisi esithambileyo kunye nokuphucula i-apnea yokulala kunye ne- snoring , eyona nto ixhaphakileyo yi-uvulopalatopharyngoplasty (UPPP). Kodwa ziziphi ezinye iindlela zokwelapha ezikhoyo?
Funda malunga neenkqubo ezahlukahlukeneyo ezibizwa ngokuba yi-pharyngoplasty, kunye neengozi ezinxulumene nale nkqubo.
Ziziphi iiNkqubo zePalate zePalate?
Utyando lwe-Palate luquka iqela leenkqubo eziqhutyelwa phantsi kwe-anesthesia jikelele kwindawo yokusebenza. Iinkqubo ezahlukeneyo zentlungu edibeneyo zibandakanya ukuhlinzwa okulandelayo:
- Uvulopalatopharyngoplasty (UPPP) okanye i-palatopharyngoplasty
- Ukwandisa i-sphincter pharyngoplasty
- I-lateral pharyngoplasty
- Uvulopatalatal flap
- Ukuqhubela phambili kwePalatal pharyngoplasty
- Z-palatoplasty
- Ukufuduswa kwephayngoplasty
Utyando lwe-palate ludibaniswe kunye ne- tonesillectomy kwizigulane ezininzi ezineetoni ezingazange zisuswe ngaphambili. Utyando lwe-palate (ngaphandle okanye ngaphandle kwe-tonesillectomy) lusetyenziswe ngokukodwa ekuphatheni i-apnea yokulala, kwaye iinkqubo zinokwenziwa zodwa okanye zidibanise neenkqubo ze-hypopharyngeal. Ezi nkqubo zibandakanya ukudibanisa iifunu kunye nokuhlengahlengisa izicubu ezijolise ukwandisa ubungakanani bendlela yokuhamba ngaphandle kokuchaphazela imisebenzi eqhelekileyo njengokuphefumla, ukuthetha nokugwinya.
Iinkalo ezithile zemigaqo nganye ziquka ezi zilandelayo:
I-UPPP yachazwa okokuqala kunyango lwe-apnea yokulalisa ubuthongo ngo-1982, kwaye iminyaka emininzi yinkqubo yodwa yodwa. Inkqubo ibandakanya ukususwa kwe- uvula kunye nenxalenye yesalathisi esithambileyo, ngokuphindaphinda inxalenye eseleyo yesalathisi esithambileyo kunye namacala omqala emqaleni eqhutywe ngokususa izakhiwo ngokuthe ngqo. Xa kuthelekiswa nezinye iinkqubo, i-UPPP ibandakanya ukukhutshwa kwamathambo amaninzi kwi-palate. Ukuba u-unvula awususwanga, le nqubo ibizwa ngokuthi i-palatopharyngoplasty.
- Ukwandisa i-sphincter pharyngoplasty ibandakanya phantse ukukhutshwa kwezicubu, kodwa ukuphindaphinda kwamathambo. Kule nkqubo, i-muscle ehambelana ngqo ne-tonsil (palatopharyngeus muscle) ikhululiwe ukusuka kwinqanaba lomqala kwaye lixhaswe phambili. Le nto idonsa i-palate esithambileyo phambili, ngenjongo yokuvula indawo emva kwesantya esincinci sokuphefumula. Kwiqela elikhethiweyo lezigulane, le nkqubo yabonisa iziphumo ezingcono kune-UPPP kwisilingo esingahleliyo ngokuthelekisa ezimbini.
- I-lateral pharyngoplasty ingenziwa kuphela xa izigulane zinetoni. Iquka ukukhishwa kwamathambo, kodwa kwakhona ukuphindaphinda ngokubanzi kweethambo ezinomsoco (uphahla lomlomo) kwakunye nezicubu zesikhokelo esilandelayo (ecaleni lomqala). Le nkqubo ibandakanyeke kakhulu kunokuba i-UPPP, kodwa iboniswe iziphumo ezingcono phakathi kweqela elikhethiweyo lezigulane kwisilingo esilinganiselweyo.
- I-Uvulopalatal flap isetyenziswe kwizigulane ezinamaqatha amancinci. Inkqubo ibandakanya phantse ukususwa kwesisipha somlenze otyumkileyo; Kunoko, umgca womlomo (mucosa) ngaphezu kwengxenye yesalathisi esithambileyo isuswe ukuvumela ukulandelwa kwe-muscle softly. Ngokuchanekileyo, yenza i-palate epholileyo ibe yincinci ngaphandle kokususa i-muscle, kuba ukukhutshwa kwesisu kuya kulindela ukuchaphazela ukugwinya okuqhelekileyo.
- Ukuqhubela phambili kwePalatalngoplasty kuthatha ihlunu ngokususa elinye ithambo phezu kophahla lomlomo (i-palate elukhuni) kwindawo ebuyela ngasemva, apho idibana khona nenqatha. Emva kokususwa kwethambo, isalathisi esithambileyo siyakuthathela phambili kwaye sihlanjululwe endaweni.
- I-Z-palatoplasty idinga ukuba ihlule i-palate i-soft palate phakathi kwaye idonsa isiqingatha ngasinye ukuya phambili. Oku kunokuba luncedo kakhulu kwizigulane ezinobunzima emacaleni emqaleni, ezinokuthi zenzeke emva kweetonesilomyomy okanye ezinye zangaphambili iinkqubo ezithambileyo. I-Z-palatoplasty inxulumene nobunzima obuninzi ngokugwinya ukulandelwa kokulandela kunezinye iinkqubo zentlungu.
- Ukufuduswa kwe-pharyngoplasty kufaka inkunkuma encinane kakhulu yokususwa kunye nokuthunga kunye nezihlunu ngasecaleni lomqala ngendlela ethile.
Inkqubo yokupasa eyona nto ifanelekileyo kuwe iya kufuna ukuhlola okusemgangathweni, kwaye uxoxe naye, ugqirha wakho.
Izingozi zeNkqubo zePalate
Njengoko nayiphi na inkqubo yokucubungula, kukho iingozi ekufuneka ziqwalaselwe. Ubuhlungu buqhelekileyo buyenzeka njengenxalenye yokuhlinzwa otyumkileyo. Ezinye zezinye iingxaki eziqhelekileyo ziquka ezi zilandelayo:
- Ukuhlamba
Yonke into yokuhlinzwa ibeka umngcipheko wegazi, kodwa ininzi yengozi ihambelana ne-tonesillectomy. Uqikelelo oluqhelekileyo lokukhupha umngcipheko emva kokuba i-tonsillectomy i-2 ukuya kwi-4 ekhulwini.
- Sulelo
Usulelo lunokwenzeka kodwa alukwazi.
- Unzima ukugwinya
I-palate ibalulekile ekugwineni ngenxa yokuba igqobisa uxhulumaniso phakathi komlomo nasemva kwempumlo. Emva kokuhlinzwa kwentlungu, kunokwenzeka ukuba ube nokutya, ngakumbi uketshezi, kuza emva kwempumlo okanye ngezinye iinkcazo ngeempumlo. Oku kufuthi kubakho kwiiveki zokuqala ezimbini emva kwenkqubo, kodwa le nkcenkcesha ayisoloko isigxina okanye ibalulekileyo.
- Utshintsho kwi ntetho
Iphulo kubalulekile kwimveliso yentetho. Nangona utshintsho oluthile kwiintetho (oluchongiweyo ngokuhlalutya ngokucacileyo kweengxolo) lunokwenzeka, utshintsho olude lwexesha elide kwiintetho aluqhelekanga.
- Ukuphosa phezulu kwentamo
Kungenzeka ukuba ukuphulukiswa okungalunganga kunokudala ukonakala okunciphisa isikhala emva kwesantya esithambileyo.
Ukuba unomdla ekuxubusheni ukhetho lokunyanga lokulala, kufuneka uqale ngokuthetha ne- sleeping specialist . Ukuba utyando olusisithakathayo lukhetho olusekelwe kwimeko yakho, ukuthunyelwa kwintlanzi yokulala ingaba isinyathelo sokuqala ukuhlola unyango olulungele wena.
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