I-Septoplasty

I-Septoplasty ukuhlinzwa okwenziwa ukulungisa noma yiziphi izinkinga ku-septum yamakhala, ukwakheka okungaphakathi kwekhala okuhlukanisa ikhala kube ngamakamelo amabili.

Iningi labantu lithola i-anesthesia ejwayelekile ye-septoplasty. Uzobe ulele futhi ungenazinhlungu. Abanye abantu bahlinzwa ngaphansi kwe-anesthesia yendawo, eyenza indawo ibe ndikindiki ukuvimba izinhlungu. Uzohlala uphapheme uma une-anesthesia yendawo. Ukuhlinzwa kuthatha cishe ihora elingu-1 kuya ku-1½. Iningi labantu ligoduka ngosuku olufanayo.

Ukwenza inqubo:

Udokotela ohlinzayo usika ngaphakathi kodonga ohlangothini olulodwa lwekhala lakho.

• Ulwelwesi lwamafinyila olumboza udonga luphakanyisiwe.
• Uqwanga noma ithambo elidala ukuvimba endaweni liyasuswa, libekwe kabusha noma likhishwe.
• Ulwelwesi lwamafinyila lubuyiselwa endaweni yalo. Ulwelwesi luzobanjwa endaweni ngemithungo, iziqobosho noma ngezinto zokupakisha.

Izizathu eziyinhloko zalokhu kuhlinzwa yilezi:

• Ukulungisa i-septum ekhubazekile, egobile, noma ekhubazekile evimba indlela yomoya emakhaleni. Abantu abanalesi simo bavame ukuphefumula ngomlomo wabo futhi bangaba namathuba amaningi okuthola ukutheleleka ngamakhala noma kwesono.
• Ukwelapha ukopha ngamakhala okungalawulwa.

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula
• Izinkinga zenhliziyo
• Ukopha
• Ukutheleleka

Izingozi zalokhu kuhlinzwa yilezi:

• Ukubuya kokuvaleka kwamakhala. Lokhu kungadinga okunye ukuhlinzwa.
• Kubabaza.
• I-perforation, noma imbobo, ku-septum.
• Izinguquko ekuzweleni kwesikhumba.
• Ukungalingani ekubukeni kwekhala.
• Ukuguqulwa kwesikhumba.

Ngaphambi kwenqubo:

• Uzohlangana nodokotela ozokunika i-anesthesia ngesikhathi sokuhlinzwa.
• Udlula umlando wakho wezokwelapha ukusiza udokotela anqume uhlobo oluhle kakhulu lwe-anesthesia.
• Qiniseka ukuthi utshela umhlinzeki wakho wezokunakekelwa kwempilo nganoma imiphi imithi oyiphuzayo, ngisho nezidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela. Phinda utshele udokotela wakho uma unenkinga yokungezwani komzimba noma uma unomlando wezinkinga zokopha.
• Ungadinga ukuyeka ukuthatha noma yimiphi imithi eyenza kube nzima ngegazi lakho ukumboza amasonto ama-2 ngaphambi kokuhlinzwa kwakho, kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), kanye nezinye izithako zemithi.
• Ungacelwa ukuthi uyeke ukudla nokuphuza ngemuva kwamabili phakathi kobusuku ngaphambi kwenqubo.

Ngemuva kwenqubo:

• Cishe uzoya ekhaya ngosuku olufanayo nokuhlinzwa.
• Ngemuva kokuhlinzwa, zombili izinhlangothi zekhala lakho zingapakishwa (zigcwele ukotini noma izinto zesiponji). Lokhu kusiza ukuvimbela ukuphuma kwamakhala.
• Isikhathi esiningi lokhu kupakisha kususwa emahoreni angama-24 kuye kwangama-36 ngemuva kokuhlinzwa.
• Ungaba nokuvuvukala noma ukukhipha amanzi ezinsukwini ezimbalwa ngemuva kokuhlinzwa.
• Kungenzeka ube nokopha okuncane amahora angama-24 kuya kwangu-48 ngemuva kokuhlinzwa.

Izinqubo eziningi ze-septoplasty ziyakwazi ukuqondisa i-septum. Ukuphefumula kuvame ukuthuthuka.

Ukulungiswa kwe-septum ye-Nasal

• I-Septoplasty - ukukhishwa

• Septoplasty - uchungechunge

UGillman GS, uLee SE. I-Septoplasty - i-classic ne-endoscopic. Ku: Meyers EN, Snyderman CH, ama-eds. I-Otolaryngology Esebenzayo: Ukuhlinzwa Kwekhanda Nentamo. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 95.

UKridel R, uStrur-O'Brien A. Isigaxa sangemuva. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 32.

URamakrishnan JB. Ukuhlinzwa kwe-Septoplasty ne-turbinate. Ku: Scholes MA, Ramakrishnan VR, eds. Izimfihlo ze-ENT. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 27.