Yini i-Septoplasty? Inhloso, Inqubo & Ukululama

I-Septoplasty iyinqubo yokuhlinzwa eqondisa i-septum yakho yamakhala - udonga oluncane lwe-cartilage nethambo elihlukanisa izimbobo zakho zamakhala ezimbili. Lapho leli donga ligwegwile noma lihlanekezelwe, lingavimba ukugeleza komoya futhi lenze ukuphefumula ngamakhala akho kube nzima noma kungakhululeki.

Cabanga nge-septum yakho yamakhala njengesihlukanisi ekamelweni. Uma iqonde futhi imaphakathi, umoya ugeleza kalula kuzo zombili izinhlangothi. Kodwa uma igobile noma ishintshele kolunye uhlangothi, idala indlela emxinwa evimbela ukugeleza komoya futhi ingabangela izinkinga ezihlukahlukene zokuphefumula.

Kungani kwenziwa i-septoplasty?

I-Septoplasty isiza ukubuyisela ukuphefumula okuvamile lapho i-septum ehlukanisiwe ivimba izindima zakho zamakhala. Abantu abaningi baphila nge-septum egwegwile kancane ngaphandle kwezinkinga, kodwa ukuhlinzwa kuba usizo lapho ukuhlanekezela kuthinta kakhulu impilo yakho yansuku zonke.

Udokotela wakho angase akuncomele i-septoplasty uma uhlangabezana nokuminyana kwamakhala okuqhubekayo okungathuthuki ngemithi. Lokhu kuminyana kuvame ukuzizwa kubi kakhulu ngakolunye uhlangothi lwekhala lakho, okwenza kube nzima ukuphefumula ngokukhululeka ngesikhathi semisebenzi yansuku zonke noma ukulala.

Ukuhlinzwa kungasiza futhi uma unezifo zamathambo ezingapheli ezibangelwa ukungahambi kahle kwamanzi. Lapho i-septum yakho ivimba izindlela zemvelo zokukhipha amanzi, amafinyila angakha futhi adale indawo lapho amagciwane achuma khona.

Ezinye izizathu ze-septoplasty zihlanganisa ikhanda elingapheli elihlobene nokucindezela kwamathambo, ukukhwehlela okukhulu okuthinta izinga lokulala, nokopha kwamakhala okwenzeka njalo ngenxa yokugeleza komoya okungazinzile endaweni ehlukanisiwe.

Yini inqubo ye-septoplasty?

I-Septoplasty ngokuvamile yenziwa njengenqubo yeziguli eziphuthumayo ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi uzobe ulele ngesikhathi sokuhlinzwa futhi ungahamba ekhaya ngosuku olufanayo. Yonke inqubo ngokuvamile ithatha phakathi kwemizuzu engama-30 kuya kwengama-90, kuye ngobunzima bokuhlanekezela kwakho.

Udkt wenu ohlinzayo uzokwenza ukusikeka okuncane ngaphakathi emgodini wakho wamakhala ukuze afinyelele ku-septum. Le ndlela isho ukuthi akukho izibazi ezibonakalayo ebusweni bakho ngoba wonke umsebenzi wenziwa ngaphakathi ngemigodi yakho yemvelo yamakhala.

Ngesikhathi sokuhlinzwa, udkt wakho ohlinzayo ususa noma alungise ngokucophelela izingxenye ezihlanekezelwe ze-cartilage kanye nethambo. Bangase basuse izingcezu ezincane ze-septum ezigobile kakhulu noma babeke kabusha i-cartilage ukuze bakhe ukwahlukanisa okuqondile phakathi kwamakhala akho.

Ngemuva kokulungisa i-septum, udkt wakho ohlinzayo angase abeke ama-splints amancane noma ukupakisha ngaphakathi emakhaleni akho ukuze kusekele i-septum esanda kubekwa ngenkathi ilulama. Lezi zivame ukususwa phakathi nezinsuku ezimbalwa kuya evikini elilodwa ngemuva kokuhlinzwa.

Ungalungela kanjani i-septoplasty yakho?

Ukulungiselela kwakho kuqala ngokubonisana okujulile lapho udkt wakho ohlinzayo ezohlola izindima zakho zamakhala futhi axoxe ngezimpawu zakho. Cishe uzoba ne-CT scan noma i-nasal endoscopy ukuze uthole izithombe ezinemininingwane ye-septum yakho nezakhiwo ezizungezile.

Cishe amasonto amabili ngaphambi kokuhlinzwa, uzodinga ukuyeka ukuthatha imithi ethile engandisa ingozi yokopha. Lokhu kufaka phakathi i-aspirin, i-ibuprofen, kanye nezinye izithasiselo zemithi enjenge-ginkgo biloba noma izithasiselo zikagalikhi.

Ithimba lakho lokuhlinzwa lizohlinzeka ngemiyalelo ethile mayelana nokudla nokuphuza ngaphambi kwenqubo. Ngokuvamile, uzodinga ukugwema ukudla neziphuzo okungenani amahora angu-8 ngaphambi kokuhlinzwa ukuze uqinisekise ukuthi isisu sakho singenalutho lokuthola i-anesthesia.

Lungiselela othile ukuthi akuqhubekisele ekhaya ngemuva kwenqubo futhi ahlale nawe amahora okuqala angu-24. Uzozizwa ubuthuntu yi-anesthesia futhi ungase ube nokungakhululeki okuthile, ngakho-ke ukuba nosizo oluseduze kubalulekile ekuphepheni kwakho nasekukhululekeni kwakho.

Ungawafunda kanjani imiphumela yakho ye-septoplasty?

Impumelelo ku-septoplasty ayilinganiswa ngezinombolo noma amanani elabhorethri njengeminye imivivinyo yezokwelapha. Esikhundleni salokho, uzohlola imiphumela yakho ngokusekelwe ekutheni ukuphefumula kwakho kanye nekhwalithi yempilo yakho kuthuthuka kangakanani ngemuva kokululama.

Abantu abaningi baqaphela ukuthuthuka okukhulu ekuphefumuleni ngamakhala emasontweni ambalwa ngemva kokuhlinzwa. Kufanele ukuthole kulula ukuphefumula ngamakhala akho ngesikhathi semisebenzi yansuku zonke, ukuzivocavoca, nokulala.

Udokotela ohlinzayo uzohlela ama-aphoyintimenti okulandelayo ukuqapha ukuphola kwakho. Ngesikhathi salezi zivakashi, bazohlola izindima zakho zamakhala ukuqinisekisa ukuthi i-septum iyaphola endaweni efanele nokuthi azikho izinkinga.

Ukuphola okuphelele nemiphumela yokugcina kuvame ukuthatha izinyanga ezi-3 kuya kwezi-6. Ngesikhathi lesi, ukuvuvukala kuyancipha kancane kancane, futhi uzothola umqondo weqiniso wokuthi ukuhlinzwa kuthuthukise kangakanani ukuphefumula kwakho.

Ungayithuthukisa kanjani ukululama kwakho kwe-septoplasty?

Ukwelulama kwakho kuqala ngokushesha ngemva kokuhlinzwa ngokunakekela okufanele nokubekezela. Ukulandela imiyalelo kadokotela ohlinzayo ngokucophelela kuzosiza ekuqinisekiseni umphumela ongcono kakhulu nokunciphisa izinkinga.

Gcina ikhanda lakho liphakeme ngenkathi ulele emasontweni ambalwa okuqala ukunciphisa ukuvuvukala nokukhuthaza ukukhipha amanzi. Sebenzisa imicamelo eyengeziwe noma ulale esihlalweni esithambile uma lokho kukulungele kakhulu.

Ukunisela ngamakhala ngobumnene ngesisombululo se-saline kungasiza ukugcina izindima zakho zamakhala zihlanzekile futhi zimanzi ngesikhathi sokuphola. Udokotela wakho ohlinzayo uzokukhombisa inqubo efanele futhi ancome ukuthi uqale nini le nqubo.

Gwema imisebenzi eqinile, ukuphakamisa okunzima, nokugoba okungenani isonto elilodwa ngemva kokuhlinzwa. Le misebenzi ingakhuphula umfutho wegazi ekhanda lakho futhi ingase ibangele ukopha noma iphazamise ukuphola.

Ziyini izici eziyingozi zokudinga i-septoplasty?

Izici eziningana zingakhuphula amathuba akho okuthuthukisa i-septum ekhubazekile engase idinge ukulungiswa ngokuhlinzwa. Ukuqonda lezi zici eziyingozi kukusiza ukuthi uqaphele lapho izinkinga zokuphefumula zingase zihlobane nezinkinga zesakhiwo.

Ukwenzakala emakhaleni okuvela emidlalweni, ezingozini, noma ekuweni kuyizimbangela ezivamile zokuhlehla kwe-septum. Ngisho nokulimala okuncane okungabonakalanga kubalulekile ngaleso sikhathi kungahle kuguqule i-septum yakho ingahambisani.

Abanye abantu bazalwa bene-septum ehlehlayo, kanti abanye bayayithuthukisa njengoba amakhala abo ekhula ngesikhathi sobuntwana nentsha. Izici zofuzo zingathonya ukuma kanye namaphethini okukhula kwezakhiwo zakho zamakhala.

Ukuvaleka kwamakhala okungapheli okuvela ekugulisweni noma izifo zamasinus ezivamile ngezinye izikhathi kungase kubhebhethekise ukuhlehla okukhona. Ukuvuvukala nokuvuvukala okuqhubekayo kungase kubeke ingcindezi ku-septum futhi kuguqule kancane indawo yayo.

Ushintsho oluhlobene nobudala e-cartilage yamakhala lungase futhi libe negalelo ekuhlehleni kwe-septum. Njengoba i-cartilage ilahlekelwa okunye ukuguquguquka kwayo ngokuhamba kwesikhathi, ukuhlehla okuncane obekungahluphi ebusheni kungase kuqashelwe kakhulu.

Yiziphi izinkinga ezingaba khona ze-septoplasty?

Ngenkathi i-septoplasty ivikelekile futhi isebenza kahle, njenganoma yikuphi ukuhlinzwa, ithwala ezinye izingozi. Iningi lezinkinga alivamile futhi lingalawulwa ngempumelelo uma zenzeka.

Izinkinga ezivamile, ezincane zihlanganisa ukuvaleka kwamakhala okwesikhashana, ukopha okuncane, kanye nezinguquko emuzweni wakho wokuhogela. Lezi zinkinga ngokuvamile zixazululwa emasontweni ambalwa njengoba izicubu zakho zamakhala ziphola futhi ukuvuvukala kwehla.

Nawa amanye ama-complications angathi sína kodwa angavamile okufanele uwaqaphele:

• Ukuphuma igazi okuqhubekayo okudinga ukunakekelwa kwezokwelapha
• Ukutheleleka endaweni yokuhlinzwa
• Ukulimala okungathinta ukuphefumula
• Ukuqina emazinyweni akho aphezulu noma izinsini
• Ukugqobhoza kwe-Septal (umgodi omncane ku-septum)
• Ushintsho ekumeni kwamakhala akho
• Ukuthuthuka okungaphelele ekuphefumuleni

Lezi zinkinga zenzeka ngaphansi kuka-5% wezinqubo ze-septoplasty. Udokotela ohlinzayo uzoxoxa ngalezi zingozi nawe ngokuningiliziwe futhi achaze ukuthi basebenza kanjani ukuzinciphisa ngesikhathi senqubo yakho.

Kufanele ngibone nini udokotela ukuze ngithole ukubonisana nge-septoplasty?

Cabanga ngokubonisana nochwepheshe we-ENT (indlebe, ikhala, nomphimbo) uma unezinkinga zokuphefumula ngekhala eziqhubekayo eziphazamisa impilo yakho yansuku zonke. Akuzona zonke izinkinga zokuphefumula ezidinga ukuhlinzwa, kodwa uchwepheshe angasiza ekutholeni ukuthi i-septoplasty ingakuzuza yini.

Hlela ukubonisana uma uhlangabezana nokuminyana kwekhala okungapheli okungathuthuki ngemithi, izifo zamathambo ezingapheli, noma ukukhwehlela okukhulu okuthinta ikhwalithi yakho yokulala. Lezi zimpawu zingase zibonise inkinga yesakhiwo okungahlinzwa okungayixazulula.

Kufanele futhi ubone udokotela uma unezinkinga zokuphuma igazi ekhaleni eziphindaphindayo, ubuhlungu ebusweni noma ukucindezela eduze kwamathambo akho, noma uma ukwazi ukuphefumula kahle ngomgodi owodwa wekhala kuphela. Lezi zimpawu zivame ukukhombisa ukuhlanekezela kwe-septum noma ezinye izinkinga zesakhiwo sekhala.

Ungalindi uma izinkinga zakho zokuphefumula ziba zimbi ngokuhamba kwesikhathi noma uma zithinta ikhono lakho lokuzivocavoca, ukulala kahle, noma ukugxila ngesikhathi semisebenzi yansuku zonke. Ukuhlolwa nokuphathwa kwasekuqaleni kungavimbela izinkinga futhi kuthuthukise ikhwalithi yakho yempilo.

Imibuzo evame ukubuzwa mayelana ne-septoplasty

Q.1 Ingabe i-septoplasty iyasebenza ku-sleep apnea?

I-Septoplasty ingasiza ekuthuthukiseni ukuphefumula nokunciphisa ukukhwehlela, kodwa ngokuvamile akuyona indlela yokwelapha eyinhloko ye-sleep apnea. Uma i-sleep apnea yakho ibangelwa ingxenye yokuvinjwa kwekhala, i-septoplasty ingahlinzeka ngomunye umvuzo uma ihlanganiswe nezinye izindlela zokwelapha.

Nokho, ezimweni eziningi ze-sleep apnea zihilela ukuvinjelwa endaweni yomphimbo kunasekhala. Uchwepheshe wakho wokulala nodokotela we-ENT bangasebenzisana ukuze bathole ukuthi i-septoplasty ingaba usizo yini njengengxenye yohlelo lwakho lokwelapha i-sleep apnea.

Q.2 Ingabe i-septoplasty iyawushintsha ukubukeka kwekhala lami?

I-Septoplasty igxila esakhiweni sangaphakathi sekhala lakho futhi ngokuvamile ayishintshi ukubukeka kwalo kwangaphandle. Ukuhlinzwa kwenziwa ngokuphelele ngamakhala akho, ngakho-ke akukho ukusikeka kwangaphandle noma izinguquko ekumweni kwekhala lakho.

Ezimweni ezingavamile, uma unezinkinga zokuphefumula kanye nezinkinga zokuhlobisa, udokotela wakho ohlinzayo angase ancome ukuhlanganisa i-septoplasty ne-rhinoplasty (ukuhlinzwa kwekhala lokuhlobisa). Le nqubo yokuhlanganisa ingabhekana nezinkinga zokusebenza nezobuhle ngasikhathi sinye.

Q.3 Kuthatha isikhathi esingakanani ukululama kwe-septoplasty?

Abantu abaningi bangakwazi ukubuyela emsebenzini nasemisebenzini elula phakathi nesonto elilodwa ngemva kwe-septoplasty. Nokho, ukuphola okuphelele kuthatha izinyanga ezi-3 kuya kwezi-6, ngesikhathi lapho uzoqaphela kancane kancane ukuqhubeka kokuthuthuka ekuphefumuleni kwakho.

Izinsuku ezimbalwa zokuqala zihilela ukungakhululeki okukhulu, ngokuvaleka kwamakhala nobuhlungu obuncane obuvamile. Ngasekupheleni kwesonto lesibili, abantu abaningi bazizwa ngcono kakhulu futhi bangakwazi ukuqhubeka nemisebenzi yansuku zonke ejwayelekile ngenkathi begwema ukuzivocavoca okukhulu.

Q.4 Ingabe i-septum echezukile ingabuyela emva kokuhlinzwa?

Imiphumela ye-Septoplasty ngokuvamile ihlala unomphela, futhi i-septum ayivamile ukubuyela endaweni yayo yokuqala echezukile. Nokho, ukulimala okusha ekhala lakho noma izinguquko eziqhubekayo zokukhula (ezigulini ezincane) kungenzeka kubangele ukuhlanekezela okusha.

Uma uqhubeka nezinkinga zokuphefumula ngemva kokululama ngokugcwele, kungenzeka ukuthi kungenxa yezinye izinto ezifana nokungezwani komzimba, i-sinusitis engapheli, noma ama-polyp amakhala kunokuba i-septum ishintshele emuva endaweni yayo yokuqala.

Q.5 Ingabe i-septoplasty ihlanganiswa ngumshuwalense?

Izinhlelo eziningi zomshuwalense zihlanganisa i-septoplasty uma kudingekile ngokwezokwelapha ukuthuthukisa umsebenzi wokuphefumula. Udokotela wakho uzodinga ukubhala ukuthi ukwelashwa okuqondayo akusebenzi nokuthi izimpawu zakho zithinta kakhulu izinga lempilo yakho.

Ngaphambi kokuhlela ukuhlinzwa, hlola nomhlinzeki wakho womshuwalense mayelana nezidingo zokukhava nokuthi ngabe udinga imvume ngaphambi kwesikhathi. Ihhovisi likahlinzayo wakho lingakusiza ukuthi uhambe ngenqubo yokugunyazwa komshuwalense futhi uqonde izindleko zakho okulindeleke ukuthi uzikhokhele.