Ngaba uke wayiva le binzana, "phefumula ngepumlo yakho kwaye uphume emlonyeni wakho?" Eli binzana lisekelwe ngokwenzululwazi. Xa uphefumula ngeempumlo zakho, izinto ezininzi zenzeke ziquka ukuhlaziywa komoya. Ukuhlambalaza kwenzeka njengoko umoya uhamba nge-conu 3 ukuya kwe-4. I-conesi yayibizwa ngokuba yi-turbinates.
I-conchae iimpawu zengqungquthela ezibunjenge-shells kwicala eliphambene ne-septum yakho ye-nasal, eyahlula amacandelo asekhohlo nasekunene kwempumlo yakho.
Imithambo emininzi yegazi ngaphakathi kwimbumba ye-mucus igubungela i-conchae. I-concha ephantsi, okanye i-concha engaphantsi, isakhiwo esizimeleyo se-bony, ngelixa i-concha ephakathi kunye naphezulu (inkulu) iyinxalenye yethambo elikhulu le-ethmoid. Le fomu i-conchae ifanqa emithathu yeengcambu ze-air for flow flow.
Ngayinye yale mihlathi, eyahlukaniswa yi-conchae, inezivulo kwiindawo zakho zesikhumba. Phakathi kwe-concha engezantsi kunye nezantsi lomzi wecala ngumzila ongenawo umbala, okanye ukukhupha ihambo. Kwinqanaba eliphakathi kukuvulela kwiimpazamo ezingaphezu kwama-maxillary nangaphambili. Ngexesha lo mgangatho ophezulu unokuvula kwisono se-sphenoidal.
Sibanzi
I-Concha bullosa yaziwa nangokuthi i-pneumatic of turbinate ephakathi. Oku kuthetha nje ukuba kukho isikhwama somoya ngaphakathi kwe-concha ephakathi. I-Concha bullosa yinto eqhelekileyo yokuphambuka kwe-anatomical engasoloko ibangela ukuba ube neengxaki ze-sinus . Nangona kunjalo, i-turbinates eyandisiweyo kunye ne-concha bullosa inokubangela ukukhusela oku kunokuthintela ukuba izono zakho zingadli kakuhle.
Izitishi ezingenawo umjelo owaneleyo zingakhokelela kwizifo ezithintekayo zesifo . I-Concha bullosa inokuphinda ilandele i- septum .
Iimpawu
Iimpawu ze concha bullosa zihambelana nomlinganiselo womoya okhoyo kwi-turbinate ephakathi. Ikhudlwana umthamo, mhlawumbi uya kuba neempawu kwaye ngakumbi iimpawu ziya kuba nzima.
Iimpawu zingabandakanya:
- Ubuhlungu obujikeleze amehlo onokuhlala kwiiyure eziliqela ukuya kwiintsuku eziliqela
- Isithintelo sokusilela
Ukuxilongwa
I-Concha bullosa iyona nto ifunyenwe ngokuchaneka kwe-CT kwaye iqikelelwa ukuba ifumaneke kwi-16 ukuya kwi-53 kwiimeko ezili-100. Ii-turbinates ziza kubonakala njengombala obomvu, nangona kunjalo kwimeko ye-concha bullosa, kuya kubakho i-pocket yomnyama phakathi kwe-gray turbinates. Iimbono zokuskena ziza kuvumela ugqirha wakho ukuba acinge ukuba i-concha bullosa kuphela ivela kwicala elinye lempumlo okanye macala omabini. Ugqirha wakho uya kuba nako ukukhetha ukusuka kwi-CT scan nokuba unayo i-septum engaphambukiyo.
Unyango
Uninzi lwexesha, iimpawu ze-concha bullosa azikho nzima ngokwaneleyo ukufuna unyango. Nangona kunjalo, ukuba unyango luyimfuneko, utyando luyiyo kuphela yokukhetha ukuphelisa i-pocket emoyeni. Iinkqubo ezintathu zokuhlinzwa ziquka: ukutyumza, ukuchithwa, kunye ne-turbinoplasty.
Ukuchithwa yindlela eqhelekileyo yokusebenzisa i-concha bullosa. Oku kwenziwa phantsi kwe-anesthesia jikelele kunye ne-endoscope. Ugqirha wakho uza kufaka i-concha yakho nge-epinephrin ukuze i-vasoconstrict, okanye wenze imithwalo yegazi encinci. Oku kuya kunceda ukukhawulela nasiphi na ukuvuvukala nokunciphisa igazi. Ukuba utyando lwe-sinus luyafuneka kwakhona, izoni ziya kusebenza kuqala.
Emva kokuba utyando lwe-sinus luphelile, i-forceps izakusetyenziswa ukucoca i-concha bullosa ukusuka phezulu ukuya ngaphantsi uze udibanise ngasemva ukuze unciphise umonakalo kwi-turbinate. Indlela yokuchotshoza inezinga eliphumelelayo kakhulu kunye neengxaki ezincinci, nangona kuphuma igazi emva kokusebenza. Ukuchithwa kwakhona kunomngcipheko omncinci wokuchaphazela ukuziva kwakho.
I-Turbinate resection yindlela yokutshatyalaliswa kwenxalenye ye concha okanye ukususwa ngokupheleleyo kwe-concha. Oku kuvumela ukukhutshwa komoya kwaye kususe i concha bullosa. Ama-tissu asele ke aphethwe nge-cauterized kunye ne-packal yangaphakathi efakwe kwi-bloodline.
I-Turbinoplasty ibandakanya ukusika i-turbinate kunye nokususa izicubu kunye nesincinci sethambo. Emva kokuba izicubu zisuswe ngokukhawulezileyo ukuvalwa kwe-incision kuvaliwe.
> Imithombo:
> I-American Journal ye-Neuroradiology. Isiganeko seConcha Bullosa kwaye ubudlelwane neNalal Distal and Outanasal Sinus Disease. http://www.ajnr.org/content/25/9/1613
> Hatipoğlu, HG, Çetin, MA & Yüksel E. (2005). Iintetho zeConcha bullosa: ubudlelwane babo kunye nesifo sosusitis, ostiomeatal kunye nezifo eziphambili. Diagn Intervent Radiol. 11: 145-149
> O'Rahilly, uMüller, Umbazi kunye noSwitenson. (2008). I-Basic Anatomy yabantu - Isahluko 52: Iimpumlo kunye nezono ze-paranasal. https://www.dartmouth.edu/~humananatomy/part_8/chapter_52.html
> Tanyeri, H., Aksoy, EA, Serin, GM, Polat, S., Türk, A. & Ünal, KA-2012). Ingaba i-concha bullosa iya kuphinda ifake kwakhona? ILaryngoscope. 122 (5). 956-960. INGXELO: 10.1002 / lary.23234
> Zapanta, PE, Khoury, T., DeVries, GM & Meyers, AD (2014). Turbinectomy. http://emedicine.medscape.com/article/2051775-overview#showall