Isu tinobata nezvirwere zvakajairika munguva yechando.
Mune ano mamiriro epidemiological mamiriro, zvipatara zvakawanda zvinoshandurwa kuita zvipatara zvekurapa varwere vane COVID-19. Masangano ekurapa akagadzirwazve akamisa kushanya kwakarongwa kwevarwere nekuvhiya, nepo huwandu hwezvirwere muvanhu husati hwadzikira. Kusanganisira matambudziko anofanirwa kugadziriswa kune otorhinolaryngologist. Kunyanya kune vaverengi veWday.ru, otorhinolaryngologist, mukuru wekiriniki yeotorhinolaryngology yeEuropean Medical Center, Yulia Selskaya, akataura nezvezvirwere zvakajairika zveIT, zvikonzero zvavo uye nzira dzekurapa.
K. m. N., Otorhinolaryngologist, mukuru wekiriniki ye otorhinolaryngology yeEuropean medical centre
Kuoma kufema kwemhino ndicho chiratidzo chiri pachena kwazvo kuti inguva yekuona otorhinolaryngologist. Zvinokonzera chiratidzo ichi zvinogona kuve dzakasiyana kusagadzikana, pakati padzo kazhinji kutsemuka kwemhino septum, chakanyanya kudzokorodza sinusitis (sinusitis), chisingaperi tonsillitis uye obstructive hope apnea syndrome.
Zvinokonzera ENT pathologies
Kazhinji, izvo zvinokonzera ENT pathologies zvinosiyana zvichienderana nerudzi rwehurema.
Kutsemuka kwemhino septumsemuenzaniso, zvinoitika muvana nevakuru. Zvisinei, sekutonga, vazhinji vacheche vane gorofa remhino septum kubva pakuberekwa. Mukufamba kwekukura uye kuumbwa kwemafupa emeso, hurema hunowanzoitika, kukuvara kunoitika, nekuda kwekuti septum inogona kukotama. Zvakare, matambudziko ekufema anogona kutonyanya panguva kana mushure mekuita basa, kana munhu achida kuzadza masosi eoksijeni, asi haakwanise kuita izvi.
Izvo zvinokonzeresa mhando ine njodzi kwazvo yekukorobha ndeiyi kufemandiko kuti, kudzvinyirira kurara kufema kwemapazi chirwere (OSAS) inogona kuve malocclusion uye mhirizhonga munzvimbo yemhino, nasopharynx, laryngopharynx. Iwe unogona kubatsira kuziva kunobva iko kwako ngonono nzwisisika bvunzo - cardiorespiratory kuongorora uye polysomnography. Izvi zvidzidzo zvinotibvumidza kuona matambudziko anosangana nemunhu panguva yekurara.
Izvo zvinokonzeresa mhando ine njodzi kwazvo yekukorobha ndeiyi kufema, ndiko kuti, kuvhiringidza kurara kufema kwemweya (OSAS), inogona kuve malocclusion uye mhirizhonga munzvimbo yemhino, nasopharynx, laryngopharynx. Iwe unogona kubatsira kuziva kunobva iko kwako ngonono nzwisisika bvunzo - cardiorespiratory kuongorora uye polysomnography. Izvi zvidzidzo zvinotibvumidza kuona matambudziko anosangana nemunhu panguva yekurara.
Kuzvimba kwenguva refu kwematoni (chisingaperi tonsillitis) inobatsira kune zvese hutachiona uye nhaka yekufungidzira. Allergies, kusagadzikana kudzivirirwa uye kunyange caries kunogona zvakare kukonzera chirwere ichi. Kupinda patoni rinorwara, hutachiona hunogara mukati memalacunae, ndiko kuti, mune zvinodzora zvinopinda mukukora kwematoni. Chikafu chemarara uye mabhakitiriya anopinda mune akaremara lacunae.
Imwe yekusingaperi kuzvimba kweiyo mucous membrane yezvipenga zveparanasal iri sinusitis… Zvikonzero zvekuzvimba zvinogona kuva zvese zvakazvarwa uye zvakawanikwa pathologies yemhino mhango. Hutachiona kana hutachiona hutachiona, allergic rhinitis inotsamwisawo kutanga kwe sinusitis. Kana iwe ukaona kurasikirwa kwekunhuhwira uye kuravira, kutemwa nemusoro, kushaya simba, uye zvakanyanya kukosha, kuburitswa kweruvara rweyero kana girini kubva mumhino, ingangove nzira yekuzvimba iripo.
Nzira dzekugadzirisa uye kurapwa kwezvirwere
1. Kugadziriswa kwekutsemuka kwepasal septum zvinogoneka nerubatsiro rwekupindira kwekuvhiya - septoplasty… Kuvhiya uku kunokurudzirwa kuvarwere vanopfuura makore gumi nemasere kusvika makumi masere, nekuti kubva pazera rino marangwanda emeso anoonekwa seakakwana. Nekudaro, vana vanogona zvakare kuita septoplasty kana vane kukomba kwakakomba kweseptum yemhino, izvo zvinokuvadza hutano hwemwana. Panguva yekuvhiya, zvidimbu zvakamonana zve septum yemhino zvinobviswa kana kufambiswa. Zvese zvinoshandiswa zvinoitwa mukati memhino, saka hapana mamaki paganda. Mukuita kwe septoplasty, zvinokwanisika kugadzirisa matambudziko aripo, ndosaka kuongororwa kwekupedzisira kwemhino uye computed tomography yezvivi zveparanasal kuri kudikanwa pamberi pekuvhiya. Iyo yekuongorora dhata inotibvumidza kuti tione matambudziko mukuwedzera kune kupindika kweye nasal septum uye kupa vanachiremba mukana wekuzvigadzirisa panguva ye septoplasty.
2. Kuvhiya kwekumbotadza kufema kunoratidzirwa kuitira ngonono isinganzwisisike uye kufema kwemweya kwekuomarara kwakadzikira. Mafomu akasimba eaya maratidziro ari contraindication kupindira kwekuvhiya. Kune nzvimbo nhatu dzekuvhiya kurapwa kwekufema kurara uye ngonono.
Yekutanga kupfava kwepara.
Yechipiri ndiko kukurumidza kubviswa kwemhino pathologies. Izvi zvinosanganisira kugadziriswa kwemhino septum, turbinates, sinuses.
Chechitatu mubatanidzwa wemaitiro aya.
3. Tonsillitis inoonekwa panguva yekubvunzana uye kuongororwa kunoonekwa (iyo nyanzvi inoona kubatirana kwetoni nematombo), uye zvakare maererano nemhedzisiro yekuongororwa kwerabhoritari (chiremba anotarisa mamaki ehutachiona hwe streptococcal).
Pamusoro pekuonekwa chakasimba tonsillitis akagoverwa mishonga inorwisa mabhakitiriya.
RџS•Rё chisingaperi fomu Zvirwere, zvinokurudzirwa kubvisa izvo zvirimo kubva kune lacunae yematoni achishandisa:
Rinses и nzira yemishonga.
Zvakare kupihwa physiotherapy - ultraviolet irradiation uye ultrasound munzvimbo yepasi pegungwa.
Kana nzira dzakadaro dzisina zvadzinoda, zvinokurudzirwa kuti ushandure kupindira kwekuvhiya - kubviswa kwetoni.
Imwe yedzinogona nzira dzekuvhiya dzekurapa chisingaperi tonsillitis iri redhiyo wave kuzadza kwetoni… Inoenderana nekushandisa magetsi emagetsi epamusoro-soro kuti ubudise matukhu pasina kubatana kwakananga kweiyo electrode nechitunha.
Nzira yemazuva ano yepamusoro-soro inogona kushandiswa - robhoti yakabatsira tonsillectomy… Kubviswa kwematoni nenzira iyi kunoitwa nekunongedza kwakaringana nekutenda kune yazvino robhoti system uye endoscopic vhidhiyo michina.
3. Mushonga wekutanga wesinusitis mushonga.yakatemwa nachiremba. Zvisinei, zvinosuruvarisa kuti nzira iyi inowanzoratidza kusashanda kwayo, sezvo zviratidzo zvichingoenda kwechinguva, uye chirwere ichi chichienda muchikamu chisingaperi.
Maitiro matsva uye anoshanda ekurapa sinusitis parizvino iri inoshanda endoscopic sinus kuvhiya… Iyi nzira yekurapwa inosanganisira balloon sinusoplasty. Maitiro acho anoderedza njodzi dzekurasikirwa neropa, kushungurudzika, kunetseka kwepashure pekuvhiya uye kutyora kweatomu anatomy yezvitadzo. Pakati pebhaluni sinusoplasty, pasina kukuvadza mucous membrane, nyanzvi dzinovhura mativi anopisa, isa kabharoni catheter ipapo, wozoifutisa uye shandisa mhinduro dzakakosha kushambidza matema kubva mupus uye mamasi. Mushure mekuchenesa, chimbo chinobviswa kubva mudumbu.
Nguva yekuvandudza
1. Sezvo mutemo, iyo postoperative nguva inotevera septoplasty muchipatara zvinogara 1-2 mazuva… Murwere anobva aenda kumba. Kazhinji kufema kunodzoserwa mukati memazuva manomwe kusvika gumi. Munguva yekuvandudza, zvinokurudzirwa kurega kuputa, kunwa doro, kushushikana mumuviri uye nekupisa, kwete kuputira mhino dzako zvakanyanya, uyezve kusabvisa matamponi mukati memaawa 7 mushure mekuvhiya. Izvi zvinoderedza njodzi yekubuda ropa.
2. Kuvhiya kwepabhesi zvinoitwa pasi peanesthesia. Iyo nguva yekuvandudza ndeye anenge mavhiki eXnumx… Pamusoro pekuvhiya kwekurapa ngonono, zvinokwanisika kushandisa intraoral splints or CPAP kurapa… Mushonga uyu unosanganisira kugadzira kumanikidza kwakanaka, uko kunobatsira kudzoreredza nzira yendege. Munguva yekurara, murwere anopfeka chifukidzo chakabatana nechinhu chinogadzira kumanikidza kwakanaka.
3. Iwo matoni anobviswa achishandisa yazvino anesthetics. Izvi hazvingobatsire chete mukushanda kwakanaka kune murwere, asi zvakare zvinopa kukurumidza kupora nguva.
4. Iyo yekudzoreredza nguva mushure chibharumu sinusoplasty paavhareji ndeye nerimwe zuvaapo mushure classic kuvhiyiwa murwere anoda kupora kubva pamazuva matatu kusvika mashanu.