Cov tonsils yog cov khoom ntawm cov qog nqaij hlav uas nyob ib puag ncig lub caj pas. Muaj lingual, tubal, palatine thiab pharyngeal, nyob rau sab nraum qab ntawm lub pharynx. Lawv lub luag haujlwm tseem ceeb yog tsim kom muaj kev noj qab haus huv microflora hauv qhov ncauj kab noj hniav thiab nasopharynx thiab tiv thaiv cov kab mob ua pa sab saud los ntawm cov kab mob thiab microbes nkag mus rau lawv. Qhov no yog lub cev tseem ceeb tshaj plaws, yog li tus menyuam yuav tsum muaj lub laj thawj zoo kom tshem tawm cov tonsils. Otolaryngologists ntseeg hais tias qhov kev ua haujlwm zoo li no tsis tuaj yeem xav tau thiab muaj kev ntxhov siab loj rau tus menyuam lub cev.
tonsils ua haujlwm li cas?
Yog tus me nyuam noj qab nyob zoo, thaum muaj hnub nyoog 5-7 xyoo, cov tonsils maj mam loj hlob, ces lawv yuav txo. Twb yog thaum hluas, lawv zoo ib yam li cov laus. Nws yog ib zaug uas ntseeg tau tias cov tonsils loj tuaj yog kab mob thiab raug tshem tawm. Tam sim no, yog vim li cas rau kev khiav hauj lwm rauKev tshem tawm cov tonsils hauv cov menyuam yaus yog qhov zaus ntawm qhov mob ntawm tonsils thiab lawv txoj haujlwm.
Yog tias cov txheej txheem zoo li no qeeb, nws tuaj yeem ua rau muaj teeb meem loj. Tom qab ntawd qhov kev tshem tawm ntawm cov tonsils hauv tus menyuam yog qhov tsim nyog. Kev ua haujlwm yuav tsum tau ua tsuas yog los ntawm cov kws kho mob uas muaj kev paub dhau los, txij li qhov tshwm sim ntawm kev ua haujlwm thiab qhov tsis muaj qhov tshwm sim tsis zoo yuav yog nyob ntawm kev tshaj lij ntawm cov kws kho mob.
Yog tias cov tonsils mob cuam tshuam nrog cov txheej txheem ntawm kev noj zaub mov zoo, tus menyuam pib mob, poob qab los noj mov, qhov no yog vim li cas rau kev tshem tawm cov tonsils. Qhov laj thawj ntxiv rau kev ua haujlwm yog mob caj pas ntau dua 5 zaug hauv ib xyoos. Cov lus nug ntawm kev kho mob phais kuj raug tsa thaum tus me nyuam feem ntau raug kev txom nyem los ntawm purulent tonsillitis, uas tuaj yeem ua rau muaj teeb meem ntawm cov kab mob raum, osteomyelitis, rheumatism lossis mob caj dab.
Hnub nyoog qis dua tsib xyoos, kev ua haujlwm yog contraindicated rau cov menyuam yaus. Tab sis nyob rau hauv cov xwm txheej ntawm lub cev tsis muaj zog, thaum cov tonsils tsis tuaj yeem ua lawv txoj haujlwm, thiab cov kab mob angina ua ntau zaus, tus kws kho mob yuav sau ntawv phais.
Nyob hauv lub ntiaj teb niaj hnub no, cov hau kev tau siv los ua kom cov ntshav poob tsawg, tsis muaj qhov mob, thiab lub sijhawm rov qab los yog luv. Yog li tsis tas yuav txhawj ntxiv.
Nws puas tuaj yeem ua yam tsis tshem cov tonsils? Puas muaj kev pheej hmoo?
Cov txheej txheem ntawm kev ua haujlwm kom tshem tawm cov tonsils hauv tus menyuam yog ua tiav los ntawm kws kho mob, thiab tsis muaj kev pheej hmoo tshwj xeeb. Ib daim ntaub so ntswg raug tshem tawm, muabteeb meem. Nyob rau lub sijhawm tsis ntev los no, cov haujlwm zoo li no tau tshwm sim, tab sis niaj hnub kev kho mob muab cov txiaj ntsig zoo. Kev soj ntsuam pom tau hais tias qhov zaus ntawm cov kab mob ua pa maj mam txo qis thiab exacerbations nres, thiab bronchitis thiab txhua yam uas yav tas los cuam tshuam nrog tonsillitis ntev tsis ploj tom qab ua haujlwm.
Feem ntau ntawm cov menyuam yaus tom qab tonsillectomy pib zoo dua. Tab sis peb yuav tsum tsis txhob hnov qab tias tonsillectomy tsis yog ib txwm muaj peev xwm daws tau qhov teeb meem xws li mob caj pas, vim tias nws tuaj yeem tshwm sim ntawm pharyngitis, qhov kev hem thawj uas tsis ploj tom qab kev phais, thiab nws zoo li qhov mob yuav tshwm sim tom qab. txias.
Indications rau kev phais
Kev ua haujlwm kom tshem tawm cov tonsils hauv cov menyuam yaus yog qhov tsim nyog thaum:
- cov ntaub ntawv nyuaj ntawm cov mob tonsillitis ntev, yog tias muaj cov tsos mob toxic-allergic;
- loj ntawm palatine tonsils, cuam tshuam cov txheej txheem ntawm nqos;
- nquag peritonsillar abscesses, tonsillogenic phlegmon;
- Pleep apnea syndrome tshwm sim los ntawm cov palatine tonsils loj lossis adenoids;
tsis muaj txiaj ntsig ntawm kev siv tshuaj tiv thaiv kab mob tonsillitis.
Contraindications:
- cuam tshuam hauv endocrine system;
- ntshav txhaws ntshav;
- cuam tshuam kev puas siab puas ntsws, uas lub sijhawm ua haujlwm tsis tuaj yeem ua taunyab xeeb;
- qee yam kab mob ntawm cov kabmob hauv nruab nrog cev thaum lub sijhawm decompensation.
Qhov tshwm sim ntawm tonsillectomy
Yeej, tom qab tshem cov tonsils, tus menyuam tsis muaj teeb meem. Nws ua kom rov zoo tag nrho. Tab sis tsawg zaus, muaj qhov tshwm sim ntawm kev tshem tawm cov tonsils hauv cov menyuam yaus hauv daim ntawv ntawm:
- laryngeal edema nrog kev pheej hmoo ntawm kev ua tsis taus pa;
- muaj peev xwm los ntshav nrog kev tshem tawm ib nrab ntawm cov tonsils;
- vascular thrombosis thiab plawv nres;
- tshwm sim ntawm qhov mob ntev ntawm cov seem ntawm cov ntaub so ntswg lymphoid thiab lawv cov hypertrophy;
- kev txhim kho mob ntsws tom qab kev nqus dej ntawm plab;
- kev puas tsuaj rau cov hniav thiab pob txha ntawm lub puab tsaig;
- kev raug mob ntawm lub larynx, palate, caj pas.
Qhov teeb meem tshwm sim tuaj yeem hem tus menyuam txoj sia. Raws li kev txheeb cais los ntawm UK, 1 ntawm 34,000 yog neeg tuag.
Ib tug menyuam thaum muaj mob hnov qhov ua pa nyuaj, raws li qhov o ntawm nasopharynx tshwm. Cov mob tuaj yeem kho tau nrog kev pab ntawm vasoconstrictor tee.
Tom qab tonsillectomy, qhov txhab tseem nyob, uas yog lub qhov rooj rau kev kis kab mob. Kev tiv thaiv ntawm lub sijhawm no tsis muaj zog thiab cov kabmob ntawm lub nplhaib lymphoid yuav tsum muaj sijhawm los tsim kho thiab ua haujlwm rau nws cov kev kho dua tshiab, uas tuaj yeem kav ntev li ob mus rau peb lub hlis. Thaum lub sijhawm no, tus menyuam yuav tsum tau saib xyuas los ntawm tus kws khomob thiab tus kws kho mob otolaryngologist.
Methods
Hnub ua ntej ntawm kev ua haujlwm kom tshem tawm cov tonsils hauv tus menyuam, tus kws kho mob tau sau ntawv tshuaj xyuas tus neeg mob. Lawv kuaj ntshav rau biochemistry, suav cov ntshav ua kom tiav thiab kuaj ntshav txhawm rau txhaws. Nrog hemophilia lossis qib qis ntawm platelets hauv cov ntshav, kev phais tsis tau ua. Vim tsis muaj ntshav txhaws tuaj yeem ua rau los ntshav.
Tam sim no, muaj cov kev ua haujlwm maj mam, suav nrog kev tshem tawm cov tonsils hauv cov menyuam yaus nrog lub laser, ultrasound, xov tooj cua zaus vibrations. Tonsils raug tshem tawm ib nrab yam tsis ua kom tag nrho lawv cov ntaub so ntswg.
Muaj ntau qhov zoo thaum tshem cov tonsils ntawm tus menyuam nrog lub cob:
- tsis mob;
- txheej txheem tsuas yog 15-20 feeb;
- tus nqi qis qis;
- tsis muaj feem kis kab mob thaum tsis muaj qhov qhib qhov txhab thiab tsis xav tau tshuaj tua kab mob;
- rov qab los ua lub neej zoo.
Txoj kev ua haujlwm tam sim no yog qhov nyab xeeb tshaj plaws thiab ua haujlwm zoo tshaj plaws. Kev ua haujlwm tau ua nyob rau hauv cov chaw kho mob tshwj xeeb uas muaj cov cuab yeej tshwj xeeb.
Lwm txoj kev tshem tawm cov tonsils hauv cov menyuam yaus hauv ob peb kauj ruam ntawm qee lub sijhawm, siv cov kua nitrogen. Lub downside yog qeeb resorption ntawm cov ntaub so ntswg tuag, o ntawm cov qog nqaij hlav thiab cov tsos mob thaum nqos. Tsuas muaj ib qho contraindication - tus kheej intolerance.
Lub sijhawm Postoperative tom qab tshem tawm cov tonsils hauv cov menyuam yaus
Tus menyuam zoo li cas tom qab phais? Thaum thawj teev tus me nyuam yuav tsaug zog thiab qaug zog, ces maj mam pib rov qab mus rau qhov qub. Thaum xub thawj, nws yuav hnov ib lub cev txawv teb chaws nyob rau hauv lub caj pas, vim hais tias cov phab ntsa ntawm lub pharynx thiab lub hauv paus ntawm tus nplaig yuav o. Txog ib hnub tom qab ua haujlwm, qhov o yuav ploj mus.
Thawj teev tom qab ua haujlwm, tus menyuam yuav hnov mob. Yog hais tias xeev siab heev thiab pib ua rau ntuav, ces yuav tsum tau txhaj tshuaj tiv thaiv kab mob.
Tus menyuam yuav coj li cas tom qab tshem cov tonsils? Nws raug nquahu kom pw ntawm koj sab, ntuav cov ntshav mus rau hauv lub pas dej tshwj xeeb. Tom qab ob peb teev, thaum cov ntshav ntws nres, nws yuav raug tso cai tig, ces sawv, thiab tom qab ob peb teev, sawv. Kev noj haus tom qab tshem tawm cov tonsils hauv cov menyuam yaus yuav tsum tau xaiv los ntawm cov kws tshaj lij. Cov kws kho mob feem ntau piav qhia txhua yam.
caj pas zoo li cas tom qab phais?
Nyob rau hauv qhov chaw ntawm cov tonsils raug tshem tawm, cov qhov txhab liab tsaus nti loj yog tsim, uas tuaj yeem ua rau mob sai heev los ntawm ntau yam kab mob. Qhov no zoo. Kev kho mob pib los ntawm cov npoo vim kev loj hlob ntawm thaj chaw noj qab haus huv ntawm lub caj pas mucosa ncig los ntawm qhov txhab. Txoj kev kho mob yuav kav ntev li kaum mus rau kaum plaub hnub. Yog tias lub cev kub nce mus txog 38 degrees, qhov no suav hais tias yog qhov qub thiab tsis tas yuav kho.
Kuv tus menyuam yuav tsum noj tshuaj tua kab mob?
Raws li cov kws tshaj lij, tsis yog ua ntej lossis tom qab ua haujlwm kom tshem tawm cov tonsils los ntawmcov me nyuam tsis xav tau tshuaj tua kab mob. Ntau cov kev tshawb fawb qhia tau hais tias kev teem caij ntawm cov tshuaj no tsis txo qhov kev pheej hmoo ntawm cov teeb meem thiab lawv tsis txo qhov mob caj pas. Tab sis qee zaum kev siv tshuaj tua kab mob yog pom zoo. Tus kws kho mob pom zoo kom siv nyob rau hauv rooj plaub uas muaj kev pheej hmoo ntawm cov kab mob endocarditis, kev loj hlob ntawm peritonsillar abscess thiab muaj lub plawv valve tsis xws luag.
mob qa thiab lub suab hloov
Nyob rau hauv thawj teev tom qab kev ua haujlwm, raws li cov txiaj ntsig ntawm kev siv tshuaj loog tshem tawm, qhov mob hauv caj pas tuaj yeem ua kom hnyav dua thiab nthuav tawm, tshwj xeeb tshaj yog thaum nqos qaub ncaug. Nyob rau hauv cov ntaub ntawv no, tus me nyuam raug muab tshuaj tua kab mob. Koj tsis tas yuav mob siab rau. Nyob rau yav tom ntej, koj tuaj yeem noj cov tshuaj tua kab mob hauv. Hauv kev kho mob, qhov mob yuav ploj mus thiab qhov xav tau ntawm cov tshuaj no yuav ploj mus. Vim yog o ntawm cov mucous daim nyias nyias, qhov kev txiav txim ntawm cov tshuaj thiab qhov mob, nyob rau hauv thawj teev tom qab kev ua hauj lwm, lub suab yuav ua ntxhib thiab ua qhov ntswg. Tsis tas yuav yuam tus menyuam tham, lub caj pas yuav tsum tiv thaiv, thiab koj tuaj yeem sib txuas lus nrog nws los ntawm kev sau ntawv.
Khoom noj khoom haus Postoperative
Thawj teev, tus menyuam yuav tsum tsis txhob noj lossis haus, vim tias qhov nqos nqos tsis tau rov qab los. Nws yuav muaj peev xwm pib noj hauv li plaub teev. Kev noj zaub mov yuav pab txo qhov mob, koj tuaj yeem muab ice cream. Nws muaj kev nyab xeeb, zoo rau mob caj pas, thiab pab koj rov qab los ntawm kev noj calorie.
Feedtus me nyuam xav tau 30 feeb tom qab noj cov tshuaj tua kab mob, thaum qhov mob txo qis thiab ua rau nws nqos tau. Nws yog qhov zoo dua yog tias cov no yog cov tais diav uas nws nyiam, nyiam dua hauv lub xeev ib nrab kua, txias, lossis me ntsis warmed. Cov dej qab zib thiab kua txiv hmab txiv ntoo yog contraindicated.
Thawj hnub hauv tsev kho mob
Nws raug nquahu kom siv sijhawm tsawg kawg peb hnub hauv tsev kho mob, thaum lub sijhawm xeev siab yuav dhau mus thiab lub suab yuav rov zoo dua. Ob peb hnub hauv lub sijhawm tom qab phais mob, mob caj pas yog qhov hnyav heev, yog li kev siv cov tshuaj tua kab mob tsim nyog yuav tsum tau ua ntu zus.
Nws tuaj yeem yog "Paracetamol" lossis "Nurofen", kev npaj muaj codeine yog contraindicated rau menyuam yaus. Codeine, thaum ua tiav hauv lub cev, tuaj yeem ua rau muaj kev phiv loj heev thiab txawm tias tuag sai. Koj tuaj yeem muab rau koj tus menyuam cov tshuaj uas tsis yog tshuaj steroid, txhua yam tshwj tsis yog Ketorol, uas ua rau muaj kev pheej hmoo los ntshav.
Nyob hauv tsev
Kev rov ua tiav tiav tshwm sim hauv 10-14 hnub, tom qab lub qhov txhab zoo tag. Qhov mob ua rau tsis tshua mob siab rau lub sijhawm thiab yuav dhau los ua kev mob siab thaum pib ntawm lub lim tiam thib ob. Lub sijhawm no, koj tuaj yeem tso tseg cov tshuaj tua kab mob. Yog tias muaj teeb meem mus sij hawm ntev, yuav tsum tsis txhob coj tus menyuam mus deb ntawm tsev kho mob.
Yog tus menyuam noj me me rau lub sijhawm no, tsis txaus ntshai. Qhov tseem ceeb tshaj plaws yog tias cov kua dej tau txais yuav tsum yog li ntawm ib thiab ib nrab litres ib hnub, kom tsis txhob muaj lub cev qhuav dej, uas ua rau mob hauv caj pas. Haus nrog me strawssips. Dej yuav tsum txias los yog sov me ntsis. Kev txwv kev ua si ntawm lub cev yog qhov tsim nyog kom tsis txhob ua rau los ntshav, tab sis tso cai taug kev sab nraum zoov.
Kev tshem tawm cov tonsils hauv cov menyuam yaus, tshuaj xyuas cov niam txiv
Raws li ntau tus niam txiv, tsis tas yuav "tau coj" los ntawm kev ua haujlwm yooj yim. Tom qab tag nrho, tshem tawm cov tonsils hauv tus menyuam tsis yog ib txoj haujlwm yooj yim. Qhov no yog qhov qhib qhov txhab, tshuaj loog, lub xeev poob siab ntawm tus txiv neej me me thiab qhov tshwm sim tsis tuaj yeem tshwm sim. Ua ntej yuav txiav txim siab, koj yuav tsum mloog cov kws tshaj lij kev xav.
