Yini i-Tonsillectomy? Inhloso, Inqubo & Ukululama

I-tonsillectomy iyinqubo yokuhlinzwa yokususa ama-tonsils akho, amagland amabili amancane ngemuva komphimbo wakho. Cabanga ngayo njengokususa izicubu ezibangela izinkinga eziningi kunokuzixazulula. Ngenkathi umqondo wokuhlinzwa ungase uzizwe umkhulu, i-tonsillectomy ingenye yezinqubo ezivamile futhi eziqondakala kahle, ikakhulukazi ezinganeni nakubantu abadala abasebancane.

Yini i-tonsillectomy?

I-Tonsillectomy ihlanganisa ukususwa okuphelele kwama-tonsils womabili ngomlomo wakho. Ama-tonsils akho ayingxenye yamasosha akho omzimba futhi asiza ukulwa nezifo, kodwa kwesinye isikhathi aba yinkinga enkulu kunosizo. Ukuhlinzwa kuvame ukuthatha imizuzu engama-30 kuya kwengama-45 futhi kuvame ukwenziwa njengenqubo yeziguli eziphuthumayo, okusho ukuthi ungahamba ekhaya ngosuku olufanayo.

Ngesikhathi senqubo, udokotela ohlinzayo uzosusa ngokucophelela izicubu ze-tonsil ngenkathi ungaphansi kwe-anesthesia ejwayelekile. Uzobe ulele ngokuphelele futhi ngeke uzwe lutho ngesikhathi sokuhlinzwa. Izicubu zisuswa ngomlomo wakho, ngakho-ke akukho ukusikeka kwangaphandle noma izibazi ebusweni bakho noma entanyeni.

Kungani kwenziwa i-tonsillectomy?

Odokotela batusa i-tonsillectomy lapho ama-tonsils akho ebangela umonakalo omkhulu empilweni yakho. Isizathu esivame kakhulu yizifo zomphimbo ezivame ukubuyela emuva naphezu kokwelashwa. Uma uthola umkhuhlane we-strep noma i-tonsillitis izikhathi eziningana ngonyaka, udokotela wakho angase asikisele ukuzisusa ngokuphelele.

Izinkinga zokulala ezinye isizathu esikhulu se-tonsillectomy. Uma ama-tonsils akho emakhulu kakhulu, angavimba umoya wakho ngenkathi ulele, okubangela i-sleep apnea. Lokhu kusho ukuthi uyeka ukuphefumula ngesikhashana ngesikhathi sokulala, okungaba yingozi futhi kuthinte amazinga akho wamandla ansuku zonke.

Nazi izizathu eziyinhloko ezingase zenze odokotela batusa i-tonsillectomy:

• Ukuvuvukala komphimbo okuphindaphindayo (okungama-7 noma ngaphezulu ngonyaka owodwa, noma ama-5 ngonyaka iminyaka emibili)
• I-Sleep apnea noma izinkinga zokuphefumula ngesikhathi sokulala
• Amathoni amakhulu kakhulu enza ukugwinya kube nzima
• Umphefumulo omubi ongapheli ongathuthuki ngokuhlanzeka komlomo okuhle
• Amathuna e-tonsil aqhubeka nokwakheka futhi abangele ukuphatheka kabi
• Ukusolwa ngomdlavuza (nakuba lokhu kungavamile)

Udokotela wakho uzoqaphela ngokucophelela lezi zinto ngokumelene nezinzuzo ezinikezwa amathoni akho. Isinqumo asithathwa kalula, futhi uzoba nesikhathi sokuxoxa ngazo zonke izinketho zakho.

Yini inqubo ye-tonsillectomy?

Inqubo ye-tonsillectomy yenzeka esibhedlela noma esikhungweni sokuhlinzwa ngaphansi kwe-anesthesia ejwayelekile. Uzobe ulele ngokuphelele ngesikhathi sokuhlinzwa, ngakho ngeke uzwe noma yikuphi ukuzwa ubuhlungu noma ukungakhululeki ngesikhathi senqubo uqobo.

Udkt. wakho ohlinzayo uzosebenzisa enye yezindlela eziningana zokususa amathoni akho. Indlela yendabuko ihlanganisa ukusebenzisa i-scalpel kanye namathuluzi akhethekile ukuze unqume ngokucophelela izicubu ze-tonsil. Abanye odkt. abahlinzayo bakhetha ukusebenzisa ugesi (i-electrocautery) noma ubuchwepheshe be-laser kokubili ukusika nokusonga imithambo yegazi ngesikhathi esifanayo.

Nakhu okwenzekayo ngesikhathi senqubo:

1. Uzothola i-anesthesia ejwayelekile ngomugqa we-IV
2. Udkt. wakho ohlinzayo uzobeka idivayisi encane emlonyeni wakho ukuze iwuvule
3. Amathoni ahlukaniswa ngokucophelela ezicutshini eziwazungezile
4. Noma yikuphi ukopha kulawulwa kusetshenziswa izindlela ezihlukahlukene
5. Uzoqashwa ngenkathi uvuka ku-anesthesia

Inqubo yonke ivame ukuthatha imizuzu engama-30 kuya kwengama-45. Abantu abaningi bangahamba ngosuku olufanayo uma sebeke ngokugcwele futhi bakwazi ukuphuza uketshezi ngaphandle kwezinkinga.

Ungalungiselela kanjani i-tonsillectomy yakho?

Ukulungiselela ukuhlinzwa kwamathoni kuhlanganisa izinyathelo zomzimba nezisebenzayo ukuqinisekisa umphumela ongcono kakhulu. Udokotela wakho uzokunikeza imiyalelo ethile, kodwa kukhona amalungiselelo ajwayelekile asiza ukwenza ukuhlinzwa nokululama kube lula.

Kuzodingeka uyeke ukudla nokuphuza isikhathi esithile ngaphambi kokuhlinzwa, ngokuvamile amahora angu-8 kuya kwangu-12 ngaphambi kwesikhathi. Lokhu kuvimbela izinkinga nge-anesthesia futhi kunciphisa ingozi yokuhlanza ngesikhathi noma ngemva kwenqubo.

Nawa amasu okuzilungiselela okudingeka uwalandele:

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• Yeka ukudla nokuphuza ngesikhathi esinqunywe udokotela wakho (ngokuvamile phakathi kwamabili ngaphambi kokuhlinzwa)
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• Lungiselela othile ukuthi akuqhubele ekhaya ngemva kwenqubo
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• Susa i-nail polish, ubucwebe, kanye nama-contact lenses ngaphambi kokuhlinzwa
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• Gqoka izingubo ezikhululekile, ezikhululekile
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• Tshela udokotela wakho ngayo yonke imithi oyithathayo
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• Gcina ukudla okuthambile neziphuzo ezibandayo ukuze ululame
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• Lungiselela indawo yokululama enethezekile ekhaya
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Udokotela wakho angase akucele ukuthi uyeke imithi ethile ngaphambi kokuhlinzwa, ikakhulukazi ama-blood thinners noma imithi elwa nokuvuvukala. Njalo landela imiyalelo ethile kadokotela wakho, njengoba bazi isimo sakho ngcono.

Ungawafunda kanjani imiphumela yakho ye-tonsillectomy?

Ngokungafani nokuhlolwa kwegazi noma izifundo zokucabanga, i-tonsillectomy ayikhiqizi

Isilinganiso sangempela sempumelelo siza ekuthuthukisweni kwezimpawu. Uma uke waba nezifo ezingapheli zomphimbo, kufanele ube nezikhathi ezimbalwa kakhulu. Uma i-sleep apnea yayiyinkinga, ikhwalithi yakho yokulala kufanele ithuthuke kakhulu phakathi namasonto ambalwa kuya ezinyangeni ngemuva kokululama ngokugcwele.

Ungayiphatha kanjani ukululama kwakho kwe-tonsillectomy?

Ukwelashwa kwe-tonsillectomy kuvame ukuthatha amasonto angu-1 kuya kwangu-2, nakuba wonke umuntu ephola ngejubane lakhe. Izinsuku ezimbalwa zokuqala zivame ukungakhululeki kakhulu, ngobuhlungu nobunzima bokugwinya okuyizinkinga ezivamile ozobhekana nazo.

Ukuphathwa kobuhlungu kubalulekile ngesikhathi sokululama. Udokotela wakho uzonikeza imithi yokwelapha ubuhlungu, futhi kubalulekile ukuhlala ngaphambi kobuhlungu ngokuthatha imithi njengoba kuqondiswe. Ungalindi kuze kube yilapho ubuhlungu buqina ngaphambi kokuthatha umthamo wakho olandelayo.

Nakhu ongakulindela ngesikhathi sokululama:

• Ubuhlungu bomphimbo obufinyelela ezingeni eliphezulu cishe ezinsukwini ezi-3-5 futhi buthuthuka kancane kancane
• Ubunzima bokugwinya, ikakhulukazi ngesonto lokuqala
• Izindawo ezimhlophe lapho izinsini zakho zikhona (lokhu kuyizicubu ezijwayelekile zokuphulukisa)
• Umphefumulo omubi ngesikhathi senqubo yokuphulukisa
• Ukukhathala namandla aphansi ngesonto lokuqala
• Ubuhlungu obungenzeka endlebeni ngenxa yezindlela zemizwa ezabiwe

Ukuhlala unamanzi kubalulekile ekuphulukiseni okufanele. Noma ukugwinya kubuhlungu, udinga ukuphuza uketshezi oluningi ukuvimbela ukoma futhi usize umphimbo wakho uphole kahle.

Yini indlela engcono kakhulu yokululama ye-tonsillectomy?

Indlela engcono kakhulu yokululama ihlanganisa ukuphathwa kobuhlungu obufanele, ukuphumula okwanele, nokunaka ngokucophelela izimpawu zomzimba wakho zokuphulukisa. Ukulandela imiyalelo kadokotela wakho ngokusondelene kuzosiza ekuqinisekiseni ukululama okubushelelezi ngangokunokwenzeka.

Ukudla kudlala indima ebalulekile ekululameni. Qala ngamanzi abandayo nokudla okuthambile, wengeze kancane kancane ukudla okuqinile njengoba umphimbo wakho uphola. U-ayisikhilimu, ama-popsicle, neziphuzo ezibandayo kungasiza ukubulala ubuhlungu futhi kunciphise ukuvuvukala.

Ukuphumula kubaluleke ngokulinganayo ngesonto lokuqala. Umzimba wakho udinga amandla okuphola, ngakho gwema imisebenzi eqinile futhi ulale ngokwanele. Abantu abaningi bangakwazi ukubuyela emsebenzini noma esikoleni phakathi kwamasonto angu-1 kuya kwangu-2, kuye ngomsebenzi wabo nokuthi bazizwa kanjani.

Ziyini izici eziyingozi zezinkinga ze-tonsillectomy?

Ngenkathi i-tonsillectomy ivikelekile ngokuvamile, izici ezithile zingakhuphula ingozi yakho yezinkinga. Ubudala buyisici esisodwa esibalulekile - abantu abadala bavame ukuba nobuhlungu obuningi nesikhathi eside sokululama uma kuqhathaniswa nezingane.

Isimo sakho sempilo yonke naso sithinta ingozi yakho. Abantu abanezinkinga zokuphuma igazi, izinkinga zenhliziyo, noma amasistimu omzimba angavikelekile bangase babhekane nezingozi eziphakeme. Udokotela ohlinzayo uzohlola ngokucophelela lezi zici ngaphambi kokuncoma ukuhlinzwa.

Nazi izici eziyingozi eziyinhloko okufanele zicatshangelwe:

• Ubudala (abantu abadala banamazinga aphezulu ezinzima kunezingane)
• Izinkinga zokuphuma igazi noma ukuthatha imithi yokunciphisa igazi
• Izinkinga zenhliziyo noma yamaphaphu
• Ukukhuluphala noma i-sleep apnea
• Umlando wezinkinga nge-anesthesia
• Ukutheleleka komphimbo okusebenzayo ngesikhathi sokuhlinzwa

Ithimba lakho lokuhlinzwa lizoxoxa ngalezi zici nawe futhi lithathe izinyathelo zokunciphisa noma yiziphi izingozi. Abantu abaningi banokuhlinzwa okuphumelelayo ngaphandle kwezinkinga ezinkulu.

Ingabe kungcono ukuba ne-tonsillectomy noma ukuqhubeka nokuzama ezinye izindlela zokwelapha?

Isinqumo phakathi kwe-tonsillectomy nokuqhubeka nokwelashwa kwezokwelapha sincike esimweni sakho esithile nokuthi izinkinga zakho ze-tonsil zithinta kangakanani izinga lempilo yakho. Kwabanye abantu, izinzuzo zokuhlinzwa zidlula ngokusobala izingozi nesikhathi sokululama.

Uma unezifo zomphimbo ezivame ukungenelela emsebenzini, esikoleni, noma emisebenzini yansuku zonke, ukuhlinzwa kuvame ukuhlinzeka ngokuphumula kwesikhathi eside. Ngokufanayo, uma i-sleep apnea ithinta ukuphumula kwakho namazinga amandla, ukususa ama-tonsils amakhulu kungashintsha impilo.

Kodwa-ke, uma izimpawu zakho zithambile noma zingavamile, udokotela wakho angase ancome ukuzama ezinye izindlela zokwelapha kuqala. Lokhu kungabandakanya ama-antibiotics ahlukene, ukugeza umphimbo, noma izinguquko zendlela yokuphila. Okubalulekile ukuthola indlela ekunikeza izinga elingcono kakhulu lempilo.

Yiziphi izinkinga ezingase zibe khona ze-tonsillectomy?

Ama-tonsillectomies amaningi aqedwa ngaphandle kwezinkinga ezingathi sína, kodwa njenganoma yikuphi ukuhlinzwa, kunezingozi ezingase zibe khona okufanele uziqonde. Izinkinga ezivame kakhulu zilawuleka futhi azivamile ukubangela izinkinga zesikhathi eside.

Ukuphuma kwegazi yikho okukhathaza kakhulu, nakuba kusengavamile. Kungenzeka ngesikhathi sokuhlinzwa noma ezinsukwini ezilandelayo inqubo. Ukuphuma kwegazi okuningi kuncane futhi kuyazima ngokwako, kodwa ngezinye izikhathi kudinga ukunakekelwa kwezokwelapha.

Nazi izinkinga ezingase zibe khona, kusukela kokuvame kakhulu kuya kokungavamile:

• Ubuhlungu nobunzima bokugwinya (kulindelekile, akuyona ngempela inkinga)
• Ukuphuma kwegazi (kwenzeka cishe kuma-2-5% wamacala)
• Ukutheleleka endaweni yokuhlinzwa
• Ukuphendula ku-anesthesia
• Ukuphelelwa amanzi emzimbeni ngenxa yokungaphuzi uketshezi olwanele
• Ushintsho oluhlala njalo ezwini (luqabukela)
• Umonakalo emazinyweni noma ezindebeni ngesikhathi sokuhlinzwa (luqabukela)

Izinkinga ezingathi sína azivamile, futhi ithimba lakho lokuhlinzwa liqeqeshwe ukubhekana nanoma yiziphi izinkinga ezingase zivele. Abantu abaningi bayalulama ngokuphelele ngaphandle kwemiphumela ehlala njalo.

Kufanele ngibone nini udokotela ngemva kwe-tonsillectomy?

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu zezinkinga ezingathi sína ngesikhathi sokululama kwakho. Nakuba ukungakhululeki okuthile kuvamile, ezinye izimpawu zidinga ukunakekelwa kwezokwelapha okusheshayo.

Ukuphuma kwegazi yikho okukhathaza kakhulu. Uma ukhafula igazi elibomvu, ugwinya igazi eliningi, noma ukuphuma kwegazi akuyeki ngemva kokulandela imiyalelo kadokotela wakho, udinga ukunakekelwa kwezokwelapha ngokushesha.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana:

• Ukuphuma igazi elibomvu ngomlomo wakho
• Umkhuhlane ongaphezu kuka-101°F (38.3°C)
• Izimpawu zokuphelelwa amanzi emzimbeni (isiyezi, umchamo omnyama, ukoma okukhulu)
• Ubuhlungu obukhulu obungathuthuki ngemithi
• Ukuphefumula noma ukugwinya kanzima
• Ukuphalaza okuqhubekayo okukuvimbela ukuthi ungagcini uketshezi

Ngezinkinga ezingaphuthumi kangako njengemibuzo mayelana nokuphola okuvamile noma ukuthi ubuyela nini emisebenzini, ngokuvamile ungalinda amahora avamile ehhovisi. Ihhovisi likadokotela wakho lizokunikeza imininingwane ethile yokuxhumana ngezimo eziphuthumayo ngemva kwamahora.

Imibuzo evame ukubuzwa mayelana nokususwa kwamathoni

Q.1 Ingabe ukususwa kwamathoni kulungile ngomphimbo obuhlungu obungapheli?

Yebo, ukususwa kwamathoni kungasebenza kahle kakhulu ngomphimbo obuhlungu obungapheli obubangelwa yi-tonsillitis ebuyayo. Uma uthola izifo zomphimbo izikhathi eziyisikhombisa noma ngaphezulu ngonyaka, noma izikhathi eziyisihlanu ngonyaka iminyaka emibili elandelanayo, ukuhlinzwa kuvame ukunikeza ukukhululeka okukhulu kwesikhathi eside. Abantu abaningi bathola izifo zomphimbo ezimbalwa kakhulu ngemva kokususwa kwamathoni abo.

Q.2 Ingabe ukususwa kwamathoni kuyawuthinta umzimba wakho wokuzivikela?

Ukususa amathoni akho kunomthelela omncane wesikhathi eside emzimbeni wakho wokuzivikela. Ngenkathi amathoni edlala indima ekulweni nezifo, umzimba wakho unezinye izinto eziningi zomzimba wokuzivikela ezilokhu zikuvikela. Ucwaningo lubonisa ukuthi abantu abaye bahlinzwa amathoni abanazo izifo eziphezulu noma izinkinga zomzimba wokuzivikela kamuva empilweni.

Q.3 Ubuhlungu bokususwa kwamathoni buhlala isikhathi esingakanani?

Ubuhlungu bokususwa kwamathoni buvame ukufinyelela ezingeni eliphezulu cishe ezinsukwini ezi-3 kuya kwezi-5 ngemva kokuhlinzwa futhi buthuthuka kancane kancane phakathi kwamasonto angu-1 kuya kwangu-2. Abantu abaningi bathola ukuthi ubuhlungu babo bulawuleka ngemithi enqunyiwe futhi buthuthuka kakhulu ngemva kwesonto lokuqala. Abantu abadala bavame ukuzwa ubuhlungu obuningi nezikhathi ezinde zokululama uma kuqhathaniswa nezingane.

Q.4 Ingabe amathoni angakhula emuva ngemva kokususwa kwamathoni?

Ukuphinda kukhule ngokuphelele kwamathoni kungenzeka kakhulu uma wonke amathoni esusiwe ngesikhathi sokuhlinzwa. Ezimweni ezingavamile kakhulu, inani elincane lezicubu zamathoni lingase lihlale futhi lingase likhule, kodwa lokhu ngokuvamile akubangeli izinkinga ezifanayo njengamathoni okuqala. Udokotela ohlinzayo unakekela ukususa zonke izicubu zamathoni ngesikhathi senqubo.

Q.5 Yikuphi ukudla okufanele ngikugweme ngemva kokususwa kwamathoni?

Gwema ukudla okuqinile, okune-crunchy, okunezinongo, noma okune-asidi ngesonto lokuqala elingu-1-2 lokululama. Lokhu kufaka phakathi ama-chips, ama-crackers, izithelo ze-citrus, isoso likatamatisi, nokudla okunezinongo. Lokhu kungacasula umphimbo wakho olulayo futhi kubangele ubuhlungu. Namathela ekudleni okuthambile, okupholile njengama-ayisikhilimu, ama-smoothies, amazambane acubuziwe, nesobho kuze kube yilapho umphimbo wakho uphola.