I-tonsillectomy

I-tonsillectomy ukuhlinzwa ukususa amalaka.

Amathoni yizindlala ezingemuva komphimbo wakho. Amathoni avame ukususwa kanye nezindlala ze-adenoid. Lokho kuhlinzwa kubizwa nge-adenoidectomy futhi kuvame ukwenziwa ezinganeni.

Ukuhlinzwa kwenziwa ngenkathi ingane ingaphansi kwe-anesthesia ejwayelekile. Ingane yakho izobe ilele futhi ingenazinhlungu.

• Udokotela ohlinzayo uzobeka ithuluzi elincane emlonyeni wengane yakho ukuze alivule.
• Udokotela ohlinzayo ube ewasika, awashise, noma awashebe amalaka. Amanxeba ayaphola ngokwemvelo ngaphandle kwemithungo.

Ngemuva kokuhlinzwa, ingane yakho izohlala egumbini lokululama ize ivuke futhi ikwazi ukuphefumula kalula, ukukhwehlela nokugwinya. Iningi lezingane ligoduka amahora ambalwa ngemuva kwalokhu kuhlinzwa.

Amalaka asiza ukuvikela ezifweni. Kepha izingane ezinamatoni amakhulu zingaba nezinkinga zokuphefumula ebusuku. Amathani angaphinde abambe amagciwane amaningi ngokweqile angaholela emiphinjeni ejwayelekile noma ebuhlungu kakhulu. Kunoma iliphi lalezi zimo, amalaka engane abe yingozi kakhulu kunokuvikela.

Wena nomhlinzeki wezokunakekelwa kwempilo yengane yakho ningabheka i-tonsillectomy uma:

• Ingane yakho inezifo kaningi (izikhathi eziyi-7 noma ngaphezulu ngonyaka owodwa, noma izikhathi ezi-5 noma ngaphezulu unyaka ngamunye eminyakeni emi-2 edlule).
• Ingane yakho iphuthelwa yisikole esiningi.
• Ingane yakho inenkinga yokuphefumula futhi ayilali kahle ngoba amalaka avimba umoya (i-apnea yokulala).
• Ingane yakho inethumba noma ukukhula kumathoni.
• Ingane yakho ithola amatshe amaloli kaningi futhi ahluphayo.

Izingozi zanoma iyiphi i-anesthesia yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Ukopha
• Ukutheleleka

Kuyaqabukela ukuphuma kwegazi ngemuva kokuhlinzwa kunganakwa futhi kudale izinkinga ezimbi kakhulu. Ukugwinya okuningi kungaba uphawu lokopha kumatoni.

Enye ingozi ibandakanya ukulimala ku-uvula (ulwanga oluthambile).

Umhlinzeki wengane yakho angacela ingane yakho ukuthi:

• Ukuhlolwa kwegazi (ukubalwa okuphelele kwegazi, ama-electrolyte, nezinto ezijiyisayo)
• Ukuhlolwa ngokomzimba nomlando wezokwelapha

Hlala utshela umhlinzeki wengane yakho ukuthi yimiphi imishanguzo ingane yakho eyiphuzayo. Faka noma iziphi izidakamizwa, amakhambi, noma amavithamini owathengile ngaphandle kwencwadi kadokotela.

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Ezinsukwini eziyishumi ngaphambi kokuhlinzwa, ingane yakho ingacelwa ukuthi iyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), warfarin (Coumadin), nezinye izidakamizwa ezinjengalezi.
• Buza umhlinzeki wengane yakho ukuthi iziphi izidakamizwa ingane yakho okufanele isaziphuza ngosuku lokuhlinzwa.

Ngosuku lokuhlinzwa:

• Ingane yakho izocelwa kakhulu ukuthi ingaphuzi noma ingadli lutho amahora amaningi ngaphambi kokuhlinzwa.
• Nikeza ingane yakho noma yimiphi imithi otshelwe ukuthi uyinikeze kancane.
• Uzotshelwa ukuthi ufika nini esibhedlela.

I-tonsillectomy ivame ukwenziwa esibhedlela noma esikhungweni sokuhlinzwa. Ingane yakho izobuyela ekhaya ngosuku olufanayo nokuhlinzwa. Izingane azidingi ukulala esibhedlela ukuze zihlolwe.

Ukubuyiselwa okuphelele kuthatha cishe amasonto ayi-1 kuya kwayi-2. Phakathi nesonto lokuqala, ingane yakho kufanele igweme abantu abagulayo. Kuzoba lula ukuthi ingane yakho itheleleke ngalesi sikhathi.

Ngemuva kokuhlinzwa, inani lokutheleleka komphimbo livame ukuba phansi, kepha ingane yakho isengathola okunye.

Ukususwa kwamathani; I-tonsillitis - i-tonsillectomy; I-Pharyngitis - i-tonsillectomy; Umphimbo obuhlungu - tonsillectomy

• Ukususwa kwamathoni ne-adenoid - ukukhipha
• Ukususwa kwamathani - yini okufanele ubuze udokotela wakho

• Ukwakheka komphimbo
• I-tonsillectomy - uchungechunge

IGoldstein NA. Ukuhlolwa nokuphathwa kwe-apnea yokulala yokuvimbela izingane. 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 184.

UMitchell RB, u-Archer SM, u-Ishman SL, et al. Umhlahlandlela Wokuzivocavoca Umtholampilo: I-Tonsillectomy ezinganeni (Ukuvuselelwa). I-Otolaryngol Head Neck Surg. 2019; 160 (2): 187-205. www.ncbi.nlm.nih.gov/pubmed/30921525 PMID: 30921525.

Itshelwe i-TN. I-tonsillectomy ne-adenoidectomy. Ku: Fowler GC, ama-eds. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 66.

I-Wetmore RF. Amathani kanye nama-adenoids. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 411.