Ukuhlinzwa nge-Turbinate

Izindonga zangaphakathi zekhala zinamabhangqa amathathu amathambo amade amancanyana ambozwe ungqimba lwezicubu ezingakhula. Lawa mathambo abizwa ngokuthi ama-nasal turbinates.

Ukungezwani komzimba noma ezinye izinkinga zamakhala kungadala ukuthi ama-turbinate avuvuke futhi avimbe ukuhamba komoya. Ungahlinzwa ukuze ulungise imigwaqo yomoya evinjiwe futhi uthuthukise ukuphefumula kwakho.

Kunezinhlobo eziningi zokuhlinzwa nge-turbinate:

I-Turbinectomy:

• Konke noma ingxenye ye-turbinate engezansi iyakhishwa. Lokhu kungenziwa ngezindlela ezahlukahlukene, kepha kwesinye isikhathi insimbi encane, enejubane elikhulu (microdebrider) isetshenziselwa ukushefa izicubu ezingeziwe.
• Ukuhlinzwa kungenziwa ngekhamera ekhanyisiwe (endoscope) efakwa emakhaleni.
• Ungaba ne-anesthesia ejwayelekile noma i-anesthesia yendawo ene-sedation, ngakho-ke ulele futhi awunazinhlungu ngesikhathi sokuhlinzwa.

I-Turbinoplasty:

• Ithuluzi lifakwa emakhaleni ukushintsha indawo ye-turbinate. Lokhu kubizwa ngokuthi inqubo yokugqoka.
• Ezinye izicubu nazo zingaphucwa.
• Ungaba ne-anesthesia ejwayelekile noma i-anesthesia yendawo ene-sedation, ngakho-ke ulele futhi awunazinhlungu ngesikhathi sokuhlinzwa.

Radiofrequency noma laser ablation:

• Kufakwa iphenyo elincanyana emakhaleni. Ukukhanya kwe-Laser noma i-radiofrequency energy kudlula kule tube futhi kunciphisa izicubu eziguquguqukayo.
• Inqubo ingenziwa ehhovisi lomhlinzeki wezokunakekelwa kwezempilo usebenzisa i-anesthesia yendawo.

Umhlinzeki wakho angancoma le nqubo uma:

• Unenkinga yokuphefumula yize ikhala lakho ngoba imigwaqo yomoya ivuvukile noma ivinjiwe.
• Ezinye izindlela zokwelapha, njengemithi yokungezwani nezinto ezithile, ukushayisana nokungezwani komzimba, nezinye izifutho zamakhala akusizanga ukuphefumula kwakho.

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

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

Izingozi zalokhu kuhlinzwa yilezi:

• Izicubu ezibomvu noma uqweqwe emakhaleni
• Imbobo esikhunjeni ehlukanisa izinhlangothi zekhala (septum)
• Ukulahlekelwa umuzwa esikhumbeni emakhaleni
• Shintsha ngomqondo wokuhogela
• Ukwanda ketshezi emakhaleni
• Ukubuyiselwa kokuvaleka kwamakhala ngemuva kokuhlinzwa

Njalo utshele umhlinzeki wakho:

• Uma ukhulelwe noma ungakhulelwa
• Yiziphi izidakamizwa ozisebenzisayo, kufaka phakathi imishanguzo, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela
• Uma uneziphuzo ezidakayo ezingaphezu kwezingu-1 noma ezi-2 ngosuku

Phakathi nezinsuku ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin), kanye neminye imithi eyenza kube nzima ukuthi igazi lakho ligodle.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.

Ngosuku lokuhlinzwa kwakho:

• Uzocelwa ukuthi ungaphuzi noma ungadli lutho ngemuva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Umhlinzeki wakho uzokutshela ukuthi ufika nini esibhedlela.

Abantu abaningi banokukhululeka kwesikhashana okuvela ku-radioablation. Izimpawu zokuvaleka kwamakhala zingabuya, kepha abantu abaningi basaphefumula kangcono eminyakeni emibili ngemuva kwenqubo.

Cishe bonke abantu abane-turbinoplasty ene-microdebrider basazokuthuthuka ukuphefumula eminyakeni emi-3 ngemuva kokuhlinzwa. Abanye abasadingi ukusebenzisa umuthi wamakhala.

Uzobuyela ekhaya ngosuku olufanayo nokuhlinzwa.

Uzoba nokuhlukumezeka okuthile nobuhlungu ebusweni bakho izinsuku ezi-2 noma ezi-3. Ikhala lakho lizozizwa livinjiwe kuze kube ukuvuvukala kwehla.

Umhlengikazi uzokukhombisa ukuthi unakekela kanjani ikhala lakho ngesikhathi usalulama.

Uzokwazi ukubuyela emsebenzini noma esikoleni ngeviki elilodwa. Ungabuyela emisebenzini yakho ejwayelekile ngemuva kweviki elingu-1.

Kungathatha izinyanga ezi-2 ukwelashwa ngokuphelele.

I-Turbinectomy; Turbinoplasty; Ukuncishiswa kwe-Turbinate; Ukuhlinzwa kwe-nasal airway; Ukuvinjelwa kwamakhala - ukuhlinzwa nge-turbinate

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