Otorhinolaryngologists nyob rau hauv cov ntaub ntawv ntawm inflammatory kab mob ntawm lymphoid cov ntaub so ntswg ntawm oropharynx yog siv los daws qhov teeb meem radically, uas yog, los ntawm kev tshem tawm cov cuam tshuam lub cev. Nws tuaj yeem yog ob qho tib si tonsils thiab adenoids. Cryodestruction ntawm tonsils yog ib txoj hauv kev uas niaj hnub phais tuaj yeem muab tau. Nws yog ib qho tseem ceeb rau tus neeg mob los sib piv txhua qhov zoo thiab qhov tsis zoo, ntsuas qhov kev pheej hmoo, kev ua tau zoo thiab tus nqi ntawm cov txheej txheem kom tsis txhob muaj kev xav tsis thoob yav tom ntej.
Qhov no yog dab tsi?
Cryodestruction ntawm cov tonsils yog ib txoj hauv kev kho cov chaw mob ntawm cov nqaij mos lymphoid ntawm oropharynx los ntawm kev nthuav tawm rau qhov kub thiab txias. Kua nitrogen freezes cov ntaub so ntswg mus txog rau necrosis thiab yog li txwv lub pathological tsom xam. Txhawm rau ua cov txheej txheem no, nws yog qhov zoo dua los hu rau lub chaw ENT niaj hnub, thiab tsis yog tsev kho mob hauv zej zog. Vim tias qhov muaj feem yuav muaj cov cuab yeej zoo thiab cov kws kho mob tshwj xeeb hauv thawj qhov chaw kho mob ntau dua.
Cov yam ntxwv ntawm txoj kev:
- qhov kub thiab txias ua kom cov txheej txheem kho ntawm cov ntaub so ntswg deformed;
- txhim kho cov kua dej ntawm cov tonsils;
- txhawb kev loj hlob ntawm cov hlab ntsha thiab cov hlab ntsha.
Lub ntsiab ntawm txoj kev
Cryodestruction ntawm tonsils yog ib qho mob, tsis muaj ntshav thiab tsis tshua muaj kev puas tsuaj ntawm cov ntaub so ntswg tshem tawm. Nws tsis tsuas yog tshem tawm cov cheeb tsam cuam tshuam, tab sis kuj rhuav tshem ib puag ncig zoo rau cov kab mob pathogenic. Qhov no daws ob qho teeb meem ib zaug: nws tshem tawm qhov chaw ntawm tus kab mob thiab txo qhov tshwm sim ntawm cov txheej txheem inflammatory.
Nws paub tias qhov kub thiab txias ua rau cov neeg sawv cev feem ntau ntawm cov kab mob pathological. Qhov no tso cai rau koj ntxuav lub oropharynx nyob rau hauv lub zos, tsis muaj overloading lub cev nrog cov kev taw qhia ntawm cov tshuaj tua kab mob. Tsis tas li ntawd, kev tuag ntawm cov chaw khov kho txhawb kev loj hlob thiab kev loj hlob ntawm cov ntaub so ntswg ntxiv. Qhov no tso cai rau koj kom txuag lub cev tiv thaiv kab mob.
Kev qhia
Cryodestruction ntawm tonsils yog qhov tsim nyog yog tias tus neeg mob tau kuaj pom tus mob tonsillitis. Nyob rau hauv cov ntaub ntawv no, cov tonsils, los ntawm ib lub cev uas txhawb kev tiv thaiv hauv zos, tig mus rau hauv ib qho chaw ntawm tsub zuj zuj ntawm cov kab mob nrog kev loj hlob ntawm tas li, sluggish o. Lub hom phiaj ntawm kev kis tus kab mob no tuaj yeem ua rau muaj kab mob tsis yog hauv cov pa ua pa xwb, tab sis kuj tseem nyob hauv lwm lub cev.
Cov tonsils loj, uas tau loj hlob vim kev loj hlob ntawm cov ntaub so ntswg lymphoid ntau dhau thiab tiv thaiv tus neeg mob ua pa thiab nqos ib txwm, yuav tsum tau ua kom lub cev qhuav dej. Ntawm chav kawm, ua ntej ntawm tag nrho cov, nws yog ib qho tsim nyog yuav tau tshawb nrhiav qhov ua rau hypertrophy thiab kho cov txheej txheem pathological, tab sis nws tsis zoo li tias nws yuav muaj peev xwm tshem tawm qhov tsis xws luag los ntawm txoj kev dav dav. Yog li ntawd, cov kws kho mob pom zoo kom siv cov txheej txheem phais hauv zos.
txheej txheem Cryodestruction yog qhia nyob rau hauv rooj plaub ntawm kev loj hlobCov teeb meem tom qab tonsillitis thiab tonsillitis, xws li arthropathy, cardiomyopathy thiab mob hnyav heev.
YContraindications
Tonsil khov, zoo li lwm cov txheej txheem kho mob, muaj ntau yam contraindications.
Ua ntej, nws yog qhov muaj cov kab mob hnyav zuj zus thaum lub sijhawm ua haujlwm.
Thib ob, tus neeg mob muaj qhov mob sib sib zog nqus ntawm lub paj hlwb thiab cov hlab plawv.
Thib peb, endocrine pathologies xws li ntshav qab zib. Qhov nyuaj yuav ua rau kom cov txheej txheem kho kom zoo thiab kho cov ntaub so ntswg dav dav.
Plaub, muaj mob qog noj ntshav hauv keeb kwm, nrog rau kev txo qis hauv cov ntshav txhaws. Txawm hais tias tus txheej txheem tsis muaj ntshav, nws tseem yuav tsum tau coj mus rau hauv tus account txhua qhov xwm txheej.
Ntxiv rau, contraindications rau cryodestruction yog cev xeeb tub, ua xua rau qhov kub thiab txias thiab kev puas tsuaj loj rau cov ntaub so ntswg ntawm lub ntsej muag pob txha taub hau.
txiaj ntsig
Yog tus neeg mob mob caj pas ntau tshaj peb zaug hauv ib xyoos, tus kws kho mob qhia kom tshem tawm cov tonsils. Qhov no tuaj yeem ua tau raws li ib txwm muaj (lub voj), lossis nrog kev pab ntawm cryodestruction. Qhov zoo ntawm txoj kev no tshaj qhov classical yog pom tseeb.
- Txoj kev tsis muaj ntshav thiab tsis raug mob.
- Tshem tawm tsis yog tag nrho lub cev, tab sis tsuas yog thaj chaw cuam tshuam xwb.
- Kev khaws cia ntawm lub luag haujlwm tseem ceeb ntawm cov ntaub so ntswg lymphoid - tiv thaiv kab mob, vim tias maj mam rov kho cov tonsils rau lawv qhov loj me dhau los.
- Nyob rau hauv mob tonsillitis, cicatricialdeformation ntawm tonsils, impaired kua ntawm lacunae. Tom qab cryodestruction, cov caws pliav raug tshem tawm, thiab qhov nthuav dav ntawm cov ducts tso cai rau koj kom tshem tawm qhov khoob ntawm cov kua paug.
Kev npaj
Ua ntej tshaj plaws, tus neeg mob tau qhia kom mus rau ENT department ua ntej. Qhov no yuav pab koj kho kom raug thiab npaj kom zoo rau cov txheej txheem. Nws yog ib qho tseem ceeb kom ntxuav lub qhov ncauj kab noj hniav, mus rau tus kws kho hniav kom paub cov hniav carious, o ntawm cov pos hniav los yog los ntshav. Koj kuj yuav tsum tau ua cov smear txhawm rau txheeb xyuas cov microflora thiab kuaj kev tsis haum.
Rau cov poj niam muaj lwm yam tseem ceeb. Cryodestruction tsis pom zoo kom ua tam sim ua ntej thiab thaum cev xeeb tub. Qhov kev txwv no yog vim qhov nce ntshav siab thiab tag nrho cov ntshav hauv lub cev.
Tus neeg mob tau hais kom tsis txhob noj tsawg kawg plaub teev ua ntej txheej txheem, thiab tsis txhob hu nkauj lossis tham ntau.
txheej txheem zoo li cas?
Nco ntsoov nug koj tus kws kho mob seb yuav ua li cas cryodestruction ntawm tonsils yuav tshwm sim. Tus nqi ntawm cov txheej txheem no yog siab heev, yog li koj yuav tsum nco ntsoov tias koj tso siab rau koj txoj kev noj qab haus huv rau tus kws tshaj lij. Raws li txoj cai, cov tsev kho mob hauv nroog tsis tuaj yeem muab qhov zoo txaus, yog li nws raug nquahu kom nrhiav tus kws tshaj lij ntawm cov tsev kho mob ntiag tug. ENT Center yog ib qhov chaw uas koj tuaj yeem tau txais kev pab tsim nyog.
Cryodestruction tshwm sim nyob rau hauv peb theem.
- Tus neeg mob zaum hauv lub rooj zaum, raws li txhua qhov kev txiav txim yuav uahla dhau txoj haujlwm no.
- Cov tshuaj loog hauv zos yog ua tiav nrog kaum feem pua ntawm cov tshuaj lidocaine. Nws tuaj yeem ua rau hauv daim ntawv ntawm cov tshuaj tsuag lossis kua. Ob peb feeb tom qab thov, tus neeg mob hnov mob me ntsis ntawm cov tonsils.
- Tom qab tus kws kho mob ntseeg tias tus neeg mob tau txhaj tshuaj loog, nws siv lub cryodestructor thiab muab tso rau ntawm tonsil rau ib feeb. Qhov no txaus kom khov cov ntaub so ntswg. Yog tias thaj chaw loj dua qhov chaw ua haujlwm ntawm lub cuab yeej, tom qab ntawd theem peb rov ua dua ob peb zaug.
Qee lub sij hawm, raws li kev txiav txim siab ntawm tus kws kho mob, nws yog ib qho tsim nyog yuav tsum tau ua ntau zaus ntawm cryofreezing. Lub sijhawm nruab nrab ntawm kev kho mob yuav tsum yog xya mus rau kaum hnub.
Rehab
Koj tuaj yeem tawm ntawm ENT chav haujlwm rau tib hnub uas tau ua tiav. Tab sis kev rov zoo tag nrho yuav tuaj tom qab ob lub lis piam. Tom qab cov nyhuv ntawm cov tshuaj loog hauv zos hnav tawm, qhov tsis xis nyob tuaj yeem nyob ntawm plaub hnub mus rau ib lub lis piam, maj mam ploj mus.
Reacting to aggressive external influences, cov ntaub so ntswg ntawm oropharynx yuav o nyob rau qee lub sij hawm, thiab cov quav hniav tsis zoo yuav tsim rau ntawm cov tonsils, uas yuav ploj mus nyob rau hauv xya hnub.
Peb lub lis piam tom qab, cov kws kho mob pom zoo kom tuaj rau kev kuaj mob rau tus kws kho mob ENT txhawm rau ntsuas kev kho mob thiab qib kev rov qab los ntawm lub cev. Yog tias thawj cov txheej txheem tsis ua haujlwm, thiab cov kab mob foci tseem nyob hauv cov tonsils, tom qab ntawd rov ua dua cryodestruction.
Tus neeg mob tau qhia kom ua raws li kev noj haus rau tag nrho lub sijhawmrov qab los. Tshem tawm ntawm cov khoom noj txias, khoom noj kub, ntsim, qab ntsev thiab cov zaub mov pickled. Tsis tas li ntawd, tus neeg mob yuav tsum niaj zaus yaug lawv lub qhov ncauj nrog cov tshuaj tua kab mob kom txo tau qhov kev pheej hmoo ntawm kev rov ua dua tshiab.
Kev nyuaj thiab nqi
Cov teeb meem, raws li txoj cai, tshwm sim vim muaj kev tshaj lij ntawm tus kws kho mob lossis tsis ua raws li cov cai ntawm asepsis-antisepsis. Tsis tas li ntawd, los ntshav yuav tshwm sim thaum lub sij hawm los yog tom qab tus txheej txheem.
Ntawm qhov nruab nrab, ib qho cryodestruction ntawm tonsils yuav raug nqi 4-7 txhiab rubles. Tus nqi yog tsim raws li qib kev tshaj lij ntawm tus kws kho mob, cov khoom kim heev ntawm lub tsev kho mob, cov khoom siv thiab cov cuab yeej siv.
