Amalaka Cryodestruction: incazelo inqubo, izinkomba kanye contraindications

Otorhinolaryngologists esimweni izifo sokuvuvukala kwezicubu oropharyngeal lymph zisetshenziselwa ukuxazulula inkinga ngokuphelele, okungukuthi, ukususwa isitho ethintekile. Kungaba kokubili amalaka futhi adenoids. Cryodestruction amalaka - eyodwa yezindlela ukuthi angaletha ukuhlinzwa yesimanje. Ukuze isiguli, kubalulekile ukuqhathanisa ngokucophelela ngobuhle nangobubi bawo, ukuqhathanisa izingozi, ukusebenza kanye nezindleko inqubo, ukuze agweme noma yimaphi lezimanga ezingemnandi esikhathini esizayo.

Kuyini lokhu?

Cryodestruction amalaka - indlela yokwelashwa izindawo elikhanyayo ka kwezicubu lymph we oropharynx ukwenekwa kwamazinga okushisa aphansi kakhulu. liquid nitrogen zilimaze ukuba necrosis of kwezicubu kukhawula isikhungo ngaleyo ndlela sokugembula. Ukuze enze lokhu inqubo kungcono ukushintsha sibe ENT-isikhungo lwanamuhla futhi ezingasekelwe esibhedlela kamasipala. Ngenxa ematfuba kokuba imishini ezifanele futhi ongoti isikhungo sokuqala yezokwelapha iphezulu kakhulu.

Izici Ezihilelekile Kule ndlela:

- ongaphakeme lokushisa inqubo icushiwe ukuphulukiswa izicubu sikhubazekile;

- ekuthuthukiseni umsebenzi amanzi ka amalaka;

- kukhuthaza ukukhula imizwa nemithambo yegazi.

indlela

Cryodestruction amalaka kuyinto kobuhlungu nengenagazi indlela kancane ebuhlungu izicubu ukususwa. It hhayi kuphela aqede ezindaweni ezithintekile, kodwa ibulala namagciwane ayingozi sisihle imvelo. Lokhu ukuzixazulula izinkinga ezimbili ngesikhathi esisodwa: ususa umthombo ukutheleleka futhi kunganciphisa imiphumela ukuvuvukala.

Kuyaziwa ukuthi okushisa aphansi ukubulala iningi izitshalo sokugembula. Lokhu kwenza kube nokwenzeka ukuba sanitize le oropharynx ezingeni lendawo, ngaphandle ngokweqile emzimbeni ukwethulwa kwama-antibiotic. Ngaphezu kwalokho, ukufa ezindaweni eqandisiwe kuvusa ukukhula nokuthuthuka kwezicubu asele. Lokhu kukuvumela ukuba ugcine umsebenzi mzimba isitho.

ubufakazi

Cryodestruction amalaka kuyadingeka uma isiguli uye kwatholakala ukuthi une-"namathansela okungamahlalakhona". Kulokhu, izindlala zomzimba ukuthi isekela amasosha omzimba wendawo, kuba indawo ekuqongeleleni amagciwane ukuthuthukiswa unomphela ngisho nokusha okuncane ukuvuvukala. Lokhu umthombo ukutheleleka kungacupha sifo hhayi kuphela ipheshana zokuphefumula, kodwa nakwezinye izinhlelo umzimba.

amalaka elikhulu, futhi lokho kwenza ngenxa ekwandeni ngokweqile lymphoid futhi aphazamise isiguli siphefumule niginge, futhi, kumelwe ibhekane cryodestruction. Yiqiniso, okokuqala udinga ukuthola imbangela hypertrophy bese elapha inqubo sokugembula, kodwa ukuqeda isici izindlela ezivamile akunakwenzeka. Ngakho-ke, odokotela batusa asesebenzisa izindlela zendawo kuhlinzwa.

Inqubo cryodestruction is kuboniswe endabeni yezinkinga ngemva namathansela kanye umphimbo obuhlungu, ezifana arthropathy, zenhliziyo kanye ukudakwa ezinzima jikelele.

Izimo

Zeqhwa amalaka, kanye nezinye izindlela zokwelapha, it has eziningi Izimo.

Okokuqala, kuba phambi ngesikhathi inqubo sibe sibi nezifo ezingamahlala khona.

Okwesibili, ekhona nesineke iziyaluyalu nohlonze isimiso sezinzwa futhi senhliziyo.

Okwesithathu, izifo endocrine ezinjengesifo sikashukela. Ubunzima liqukethe ayewukela inqubo sokuphulukiswa nezicubu wokulungisa jikelele.

Okwesine, khona umdlavuza emlandweni, kanye ukunciphisa igazi ekunqandeni. Nakuba inqubo igazi, kodwa ukuba bacabangele zonke izinketho lekusasa kusadingeka.

Ngaphezu kwalokho, Izimo for cryoablation kukhona sokukhulelwa, njengemithi yokungezwani komzimba nokuthile okushisa aphansi futhi umonakalo omkhulu izicubu skull ebusweni.

izinzuzo

Uma isiguli sine-umphimbo obuhlungu izikhathi ezingaphezu kwezintathu nyaka, udokotela weluleka ukususa amalaka. Lokhu kungenziwa ngendlela evamile (loop), kodwa ungasebenzisa cryodestruction. Izinzuzo le ndlela phezu sobala classical.

1. nezinqubo zokwelapha ngaphandle kwegazi futhi kancane koda.
2. Ukususa akuyona nje emzimbeni kuphela, kodwa kuphela ezindaweni ezithintekile.
3. Igcina umsebenzi oyisisekelo we lymphoid - mzimba, ngenxa Ukuwavula kancane kancane nenani amalaka sangaphambilini.
4. Ngo ezingamahlalakhona namathansela amalaka ngokuvamile deformity isibanda, kahle amanzi izikhala. Ngemva cryodestruction izibazi ziyasuswa futhi imbobo isandiso ikuvumela ukusula izikhala kobovu zanqwabelana khona.

ukuqeqeshwa

Isiguli lokuqala Kunconywa kusengaphambili ukuya umnyango ENT. Lokhu kuzosiza ukuba Tune kuya ukwelashwa okulungiselela inqubo. Kubalulekile kabusha ngalo ingaphakathi ngomlomo ukuya wamazinyo ukuze abone namazinyo carious, ukuvuvukala gingival noma ukopha. Udinga ukwenza smear ukuthola microflora nokuziphatha yokungezwani komzimba ukuhlolwa.

Ukuze abesifazane, kunesinye isimo kubalulekile. Cryotherapy is hhayi Kunconywa ngokushesha ngaphambi futhi esesikhathini. Le nemikhawuko kungenxa ukwanda blood pressure kanye isamba igazi emzimbeni.

Iziguli belulekwa ukuba angadli futhi bayafundisa okungenani amahora amane ngaphambi inqubo, kanye eziningi hhayi ukucula noma ukukhuluma.

inqubo kanjani?

Qiniseka ukuthi ucele udokotela wakho ukuthi ukuthatha cryodestruction amalaka. Intengo yale nqubo impela high, ngakho kufanele aqiniseke ukuthi obathembayo impilo yakho professional. Njengomthetho, izibhedlela kamasipala ayikwazi ukunikeza izinga okuhle, ngakho-ke kuhle ufune onguchwepheshe ukuze izibhedlela ezizimele. ENT-Centre - yezindawo lapho ungathola usizo uchwepheshe.

Cryodestruction senzeka ngezigaba ezintathu.

1. Isiguli ihlala esihlalweni, ngoba zonke isenzo zizokwenzeka naleso sikhundla.
2. izinzwa wendawo wenziwa eziyishumi isixazululo amaphesenti lidocaine. Kungaba ngesimo isifutho, noma njengoba uketshezi. Ngemva kwemizuzu embalwa isicelo isiguli azizwa amalaka kancane ndikindiki.
3. Ngemva udokotela wabona ukuthi isiguli izinzwa, uthatha kriodestruktory asibeke kuya amygdala ngeminithi. Yilokho ngokwanele ukuba iqhwa izicubu abathintekayo. Uma izindawo enkulu ebusweni zokusebenza zedivayisi, isinyathelo lesithathu liphindwe izikhathi eziningana.

Ngezinye izikhathi, ngesinqumo udokotela, udinga ukuchitha ambalwa amaseshini kriozamorozki. Isikhawu phakathi ukwelashwa kufanele kube phakathi izinsuku eziyisikhombisa kuya kweziyishumi.

nokuvuselelwa

Ungakwazi ukushiya umnyango ENT ngosuku olufanayo lapho ukusebenza lwenziwe. Kodwa umuntu alulame ngokugcwele kuyofika amasonto amabili kuphela. Ngemva umphumela izinzwa wendawo izobanjelwa, ukuqaleka ingathatha izinsuku ezingu-amane kuya ngesonto, kancane kancane inyamalala.

Benziwa umthelela enobudlova kusukela ngaphandle, izicubu oropharyngeal kukhona evuvukele okwesikhashana, kanye amalaka bangase bafinyelele i enamathela ezingemnandi, izobanjelwa izinsuku eziyisikhombisa.

Ngemva kwamasonto amathathu, odokotela batusa ukuza scan okuhleliwe kudokotela ENT ukuhlola manje ukuphulukiswa futhi alulame izinga igunya. Uma inqubo lokuqala kwaba ingaphumeleli, futhi amalaka babe izilonda sokugembula, cryotherapy wenziwa ngokuphindaphindiwe.

Iziguli belulekwa ukulandela ukudla kuze kuphele isikhathi ekululameni. Ungafaki kusukela ekudleni abandayo, ukudla okushisayo, okubabayo, usawoti kanye ukudla zicwiliswe. Ngaphezu kwalokho, isiguli kumele Hlambulula njalo emlonyeni wakho nezixazululo isinqandakuvunda ukunciphisa ingozi kabusha ukutheleleka.

Izinkinga kanye nezindleko

Izinkinga bathambekele kwenzeke ngenxa lochwepheshe bezokwelapha abampofu noma okungezona ukuhambisana nemithetho asepsis-antisepsis. Ngaphezu kwalokho, phakathi naleyo nqubo noma ngemva ukopha singenzeka.

Izindleko isilinganiso ruble ayizigidi 4-7 iyunithi cryotherapy ka amalaka. Intengo kusekelwe nobuchwepheshe udokotela, okukhethekile imitholampilo, okudlekayo namathuluzi asetshenziswa.