I-adenoidectomy yindlela yokukhutshwa kwe-adenoids. Isihloko sokuba ingaba i-adenoids ingasuswa kufuneka ibe yinto ephikisanayo kuluntu lwezonyango. Ukuphikisana kubangelwa ukuqhutyelwa kwee-adenoidectomy ezingadingekile , kunye nokusetyenziswa kwemisebenzi , edlalwa ngamanye amaxesha ukuba kube ngunyango olulodwa. Nangona kukho ukuphikisana, uluntu lwengonyango luyakusixhasa ukususwa kwe-adenoids phantsi kweemeko ezithile.
Nangona abanye oogqirha banqwenela ukususa zombini iisoni kunye ne- adenoids ngexesha elifanayo, bobabini bafanele bajongwe ngasecaleni ngaphambi kokugqiba ukuba kufuneka basuswe. Ngenxa yokuba i-adenoids iyancipha, i-adenoidectomi eninzi iyenziwa kubantwana abancinci.
Iimeko ezifuna ukususwa ngokukhawuleza kwe-adenoids ziquka:
- Ukuthintela ngokubanzi kwendlela yokuhamba
- Umhlaza we-tonsil
- Ukuhlamba i-adenoids engenakuvalwa
Ugqirha unokuphinda akhuthaze i-adenoidectomy yezizathu ezikhethiweyo, ezingenasiphumo. Kule meko, ugqirha uya kuqhathanisa ingozi kunye neenzuzo zonyango.
Izizathu ze-adenoidectomy ekhethiweyo ziquka:
- I-adenoids ephakamileyo (i-adenoid hypertrophy) eyenza i- apnea yokulala
- I-adenoids ephakamileyo ibangela ukuphazamiseka kwebhubhu eustachian ; Iiphubhu zendlebe nazo zingadinga ukufakwa
- Sinusitis engapheliyo engaphenduliyo kulawulo lwangaphambili lwonyango
- Izifo zendlebe eziphindaphindiweyo (i- otitis media )
Ngaphambi kwe-Adenoidectomy
Ngaphambi kokuhlinzwa, ugqirha uya kukuxelela ukuba ugweme ukunika imithi yakho imithi efana ne-ibuprofen okanye i-aspirin iveki enye ngaphambi kokuhlinzwa okucwangcisiweyo. La mayeza anyusela umngcipheko wegazi ogqithiseleyo ngexesha lotyando kunye nokuqhwaba emva kokuhlinzwa. Ukuba umntwana wakho unemishanguzo yansuku zonke, uya kufuna ukubuza ugqirha wakho ukuba kukho naziphi na iziyeza ongafanele umnike ngosuku lotyando .
Isibhedlele esiya kuqhagamshelana siza kukwazisa ukuba yintoni ixesha lokuhlinzwa oluza kwenzeka. Ngenxa yokuba ukuhlanza nokuxhamla kungumngcipheko kumntu owela i-anesthesia, uya kufumana nemiyalelo malunga nokutya komntwana nokusela. Ukudla nokusela ngokuqhelekileyo kufuneka kugwenywe emva kobusuku bobusuku ngaphambi kokuhlinzwa.
Esibhedlele
Xa usifika esibhedlele okanye kwindawo yokupasa, kuya kufuneka ufune ukungena. Uya kufuna ukuzisa ezinye zeemathoyizi okanye izinto ukuba umntwana akwenze xa ulinda utyando. Ukuba umntwana wakho useyingane, faka ibhotile okanye inkomishi ye-sippy kunye ne-diapers eyongezelelweyo kunye nawe. Nangona unikezwe ixesha lokuba utyando lwenzeke, ukuqeshwa kwakho kusekelwe kwixesha eliqikelelweyo lwenkqubo yakho kunye nokuhlinzwa okwenzeka ngaphambili kwimini. Yilungele ukulinda.
Ngexesha elithile, uya kucelwa ukuba uzalise ifomu lembali lempilo ukuze uncede iqela lakho lezonyango ukuba linike umntwana wakho uncedo olungcono. Qinisekisa ukwazisa ugqirha wakho ukuba isiguli okanye isihlobo esake sabhekana ne-anesthesia. Bika nayiphi na i-allergies kuquka ukunyuka kwelanga ukuya kwi-latex, esetyenziswa kwezinye izixhobo zonyango.
Ngaphambi kwenkqubo, umongikazi uya kuthatha iimpawu ezibalulekileyo, ( uxinzelelo lwegazi , izinga lentliziyo, izinga lokushisa, izinga lokuphefumula kunye ne- oxygen saturation ), ukwenzela ukuba ube nento yokuthelekisa iziphumo zokuhlinzwa.
Ngamanye amaxesha isigulane sinokunikezelwa ngamachiza okudambisa ukunciphisa uxhalabe phambi kokuhlinzwa. Amachiza asetyenziswa ngokuqhelekileyo abizwa ngokuthi Versed (midazolam). Oku akusoloko kuvunywe ngamagqirha athile, kodwa kunokukunceda ukuphumla umntwana wakho kwaye kumncede angakhumbuli amava angamnandi.
Ugqirha uya kuba nako ukususa i-adenoids ngomlomo ngokwenza izinto ezincinane ezinokuthi zibonwe. Ugqirha uya kukhangela indawo emva kokuba i-adenoids isuswe; Oku kuquka ukutshabalalisa izicubu kule ndawo ukuyeka ukuphuma kwegazi. I-adenoidectomy ngokubanzi iya kuthatha kuphela imizuzu engama-20.
Emva kokuhlinzwa, umntwana wakho uya kuthathwa kwi-PACU (i-unit-anesthesia care unit) ukuba ibonwe ngumongikazi obhalisiwe de ukulungele ukuya ekhaya.
Umongikazi uya kujonga indlela umntwana wakho elele ngayo, ukuba impawu zakhe eziphambili ziza kubani na ezithathiweyo phambi kokuhlinzwa, ukuba uyabuhlungu, kwaye ukuba unako ukutya nokusela ngaphandle kokuhlanza.
Ukunyamekela Umntwana Wakho Emva kwe-Adenoidectomy
Emva kokubuyela ekhaya, umntwana wakho unokukwazi ukuphinda atye ukutya ngokuqhelekileyo ngaphandle kokuba wayenayo i-tonsillectomy okanye uhlaselwa yincwadana kunye nokuhlanza. Ukuba i-nasusea kunye nokuhlanza kuyinkinga, kukulungele ukunyusa ukucoca i-liquids ezifana nomhluzi wesobho, amanzi kunye ne-apple juice. Ukuba intlungu ingumngcipheko, ukutya okuncinci kufuneka kusetyenziswe. Ekuqaleni, thintela i-juices e-citrus, njengoko ezi zinto zingabangela ukucaphukisa, nobisi, obunokubangela ukuvelisa i-mucus. Ukuba ama-clots okanye igazi elitsha libonwa kwimpumlo okanye emqaleni (ngaphandle kwe-sputum enegazi) kufuneka uye esibhedlele ngokukhawuleza.
Ugqirha okanye umongikazi uya kukunika imiyalelo ecacileyo malunga nokunyamekela umntwana wakho ekhaya. Le miyalelo kufuneka ilandelwe ngqo. Ngokuqhelekileyo, kufuneka ulonge isimo somntwana wakho ngokujonga ukuhlanza okuqhubekayo okanye ukwenqaba ukusela amanzi. Imilenze ephahliweyo yomile, akukho iinyembezi, kunye nomchamo omncinci yonke impawu zokungcoliswa kwamanzi kwaye kufuneka zixelelwe ngogqirha wengane yakho. Ezinye izinto ugqirha kufuneka zaziswe ngokubandakanya ukuphuma kwegazi, umkhuhlane kunye nentlungu edlulileyo.
Ukukhupha kwiziko kungenza ukuba ilizwi litshintshe. Okuqhelekileyo. Nangona kunjalo, ukuba utshintsho luqhubeka emva kweeveki ezimbalwa, zifuna uncedo lugqirha ukuze umntwana wakho ahlolwe ukungafihleki kwe-velopharyngeal (ukuvalwa okungafanelekanga kwemisipha emva emlonyeni).
Abantwana kufuneka babalekele kwimidlalo kunye nomsebenzi ogqithiseleyo ngexesha lokuphucula. Kwakhona, kwiiveki ezimbini, yenza okusemandleni akho ukukhusela umntwana wakho ukuba angadibana nabantu abaneentsholongwane zokuphefumula. Umele ugcine umntwana wakho ekhaya esikolweni ubuncinane ngeveki enye okanye njengoko ugqirha ugqirha wakho.
Imithombo:
Medline Plus. Adenoid Ukususwa. http://www.nlm.nih.gov/medlineplus/ency/article/003011.htm
Nemours Foundation. I-Adenoids ephakamileyo http://kidshealth.org/parent/medical/ears/adenoids.html#
IParadesi, i-JL, iTonsillectomy kunye ne-adenoidectomy kubantwana. http://www.uptodate.com/home/index.html (ubhaliso olufunekayo)