Endoscopic maxillary sinusotomy - abin da yake da shi? Hakika na aiki da kuma sakamakon

A farkon matakai na sinusitis tasiri magani far. Idan a lokacin guje, a lokacin da fitarwa daga hanci rami ba slimy kuma surkin jini zai iya tserewa sinus huda. Sa'an nan, su an wanke daga ciki. Yana bukatar tiyata shafe tsawon kumburi da sinuses. Alamun, magani wanda aka yi na dogon lokaci da kuma shi ne wanda ya kasa aiki, na bukatar karin tsanani warware matsalar. Ga tiyata ake bukata, da kuma wani nau'i na m m ne endoscopic maxillary sinusotomy.

Maxillary sinusotomy - abin da yake da shi?

Kira da maxillary sinus rami rabo daga cikin manya muƙamuƙi a garesu na shi. Saboda m wuri, su ne sau da yawa batun kumburi, wanda sau da yawa kawo karshen tare da kullum hanya da kuma bukatar tiyata. A farkon matakai, har yanzu akwai yiwuwar za mu bi da Pathology na sinus magani hanyoyi. A rashin inganci, ko kuma m dakwai, komowan cutar kamata a yi la'akari da yiwuwar wani takamaiman haƙuri ta maxillary sinusotomy. Shi ne mafi kyau ga koma marasa lafiya domin endoscopic Hanyar shiga tsakani cewa zai zama kasa cin zali, kuma mafi inganci. Surkin jini sinusitis - a kai tsaye nuni ga jiyya, saboda kowane lokaci ne fraught tare da samuwar rikitarwa.

Tambayoyi game da abin da yake maxillary sinusotomy abin da shi ne, da yawa marasa lafiya da aka bã. A lokacin bude aiki aka yi maxillary sinuses da kuma cire duk ruwa abinda ke ciki. Lokacin da tsanani matsaloli m magani - kadai hanyar fita. Yana nufin da haƙuri, mai kumburi foci a cikin abin da ba shi yiwuwa a share da magani. Saboda haka yana da bukatar samun ta hanyar incision ko huda. Don gane cewa a lokacin da wani maxillary sinusotomy abin da shi ne, da mãsu haƙuri ba haka ba ne mai sauki.

Alamomi zuwa Mataki

Autopsy sinus bu mai kyau ba kowane haƙuri da kumburi. Yana da ake sa:

1) a lokacin da mafitsara a cikin sama muƙamuƙi.

2) na kullum Hakika polypoid sinusitis.

3) odontogenic maxillary sinusitis.

4) babu wani martani bayan wani dogon lokacin da magani da kuma huda.

5) m recurrences sinusitis.

6) a lamba tare da waje jikinsu sinus.

7) m, ko maimaita zafi abin mamaki a kan fuskarsa, infraorbital yankin.

8) A lokaci-lokaci da ya faru na cunkoso a hanci, ba tare da bayyana dalilin (rashin lafiyan dauki, colds).

9) wari daga hanci, wanda aka ji da haƙuri ko da kewaye mutane aka lura;

10) daga lokaci zuwa lokaci ko ci gaba da sãɓãwar launukansa tsanani abin mamaki na zafi a cikin sama da hakora.

11) ji da nassi daga iska ko ruwa gudana ta hanyar da sarari inda hakori da aka a baya share.

12) bayyanar da sealing abu bayan iyakoki na hakori da za a bi, wanda za a gani a cikin hoto a lokacin da radiograph.

13) ya bayyana a kwamfuta tomogram polyps ko waje jikinsu.

14) rike sinuslifting m.

15) gazawar a yin sinus daga saboda gane Pathology a maxillary sinus.

16) da ganewar asali "surkin jini sinusitis".

Bugu da ƙari endoscopic baki Hanyar akwai kuma maxillary sinusotomy classic aiki. A mafi fĩfĩta - na farko. Shi ne kasa traumatic, kuma a ko'ina cikin tsari an rage da kuma dawo da lokaci.

contraindications

A gaban da alamomi da kuma gazawar da ake dauka a cikin asusun don tiyata. Operation Endoscopic maxillary sinusotomy ba da za'ayi a cikin wadannan yanayi:

1) The exacerbation na kullum Pathology na ciki gabobin.

2) bayyana sinusitis bayyanar cututtuka, amma a lokuta da dama tiyata domin wannan dalilin ba za a iya dakatarda.

3) Cututtuka a mai tsanani mai tsanani jikin da zai iya tsananta a kan jihar.

4) take hakkin da jini coagulation tsarin.

Mutane da yawa na jihar na jiki nasa dangi. Ga dalilai da dama, bayan shawara da likita da aiki da aka ba su ɗauke ta zuwa wani lokaci. Har sai wannan lokacin, miyagun ƙwayoyi far yi a cire inflamed sinuses. Alamun, magani na wanda shi ne mafi wuya ga likita far da baka magunguna, cropped kwayoyi gudanar intramuscularly kafin rana na samarwa ma'amala.

Jarrabawa kafin maxillary sinusotomy

Bayan da bincike da kuma sanin ko da bukatar tiyata, da marasa lafiya da aka gudanar da zama dole bincike. A saboda wannan dalili, dakin gwaje-gwaje da kuma instrumental hanyoyin. A haƙuri aka aiko zuwa ga general jini gwaje-gwaje, fitsari gwaje-gwaje, biochemical binciken, an kimantawa na jini clotting. Na kayan aiki da ake bukata domin aiki images tare da CT radiography da paranasal sinuses tantance hãlãyensu.

Endoscopic Hanyar maxillary sinusotomy

Idan aka kwatanta da na gargajiya da fasaha na endoscopic tiyata maxillary sinusotomy yana da abũbuwan amfãni:

• babu cuts a wurin hanya, wadda ba tare da bayyanar tabo nama.
• togiya kwaskwarima lahani.
• rage daga cikin lokaci na aiki da kuma dawo da lokaci.
• da-jure hanya yi a karkashin maganin sa barci.
• gajeren lokaci zaman (3-4 kwana).
• kusan imperceptible busa a cikin allura kayan aikin da m bacewar.
• da kusan cikakkiyar babu rikitarwa bayan tiyata.

Wadannan abũbuwan amfãni sa shi yiwuwa a yi amfani da zamani hanyoyin da za a bi da sinus cutar da sauri da kuma painlessly.

Shiri for tiyata

A ranar da hanya, kada ku ci for 6-7 hours kafin. Irin wannan shawarwari da ya kamata a bi a cikin shiri domin maganin sa barci. Idan ka shirya bayar da janar maganin sa barci, wani abu kuma ban da na sama da shi da aka haramta sha wani drinks domin 2 hours kafin tiyata.

Accesses a maxillary sinusotomy endoscopically

Lokacin da sinus da ciwon odontogenic asalin, kawai zai yiwu hanyar da ake amfani da bambanci zuwa wasu jihohin. Endoscopic maxillary sinusotomy za'ayi a duk sauran yanayi, wani daban-daban damar dangane da alamomi na tiyata. Wadannan sun hada da:

• rike da kayan aiki ta hanyar da matsakaici ko ƙananan hanci sassa.
• gabatarwar da endoscope cikin agara bango na maxillary sinus.
• ta hanyar da alveolus bayan hakar (tare da odontogenic maxillary sinusitis).
• ta hanyar da protuberance a cikin sama muƙamuƙi.

Lokacin amfani endoscopic tiyata dabaru iya kauce wa rikitarwa, kuma zabin da wani site samun damar da shi damar zuwa rage su zuwa ga mafi ƙarancin dabi'u.

Ci gaban da hanya

The aiki aka yi a karkashin maganin sa barci. Domin gwamnati fĩfĩta aka bai wa wani bayani da needles tare da diamita na ba fiye da 0.2 mm. Lokacin da ka bukatar ka yi janar maganin sa barci. Solutions tare da maxillary sinusotomy da low yawan guba da kuma mai zafi da taimako ga wani lokaci. Its duration - ba fiye da minti 30. A diamita na endoscope gabatar ta hanyar da hanya - ba fiye da 5 mm. Saboda haka, huda da aka yi a cikin yankin na maxillary sinus ne kadan. Bayan an shigar da endoscope tube cire pathologically ƙẽƙasasshen nama da kuma ruwa. A dukan tsari na aiki da aka yi karkashin iko da video rikodi da aka canjawa wuri zuwa duba. Wannan shi ne zama dole domin saukaka na baka jarrabawa da ta fi. Bayan wanka da tsarkakewa aiki sinus antiseptic mafita ( "Furatsilinom", potassium permanganate).

A dawo da lokaci bayan tiyata

Nasarar da hanya dogara a kan haƙuri ta dawo bayan shi. Bayan sallame shi daga asibiti likita ya ba shugabanci to ENT ga matsayi na saka idanu. Don halarci bukatun akalla wata daya, da kuma lokacin zai iya zai šauki idan ya cancanta. Doctor umurci wani hanya na maganin rigakafi da kuma mafita ga wanka da hanci kogo. Lokaci guda suna kara da cewa da kewaye antihistamine kwayoyi, da kuma kwayoyi don ƙarfafa jijiyoyin bugun gini bango a lokacin da nuna.

Bayan maxillary sinusotomy cikin wani gajeren lokaci da aka adana kadan kumburi. A tabbatacce sakamako a cikin wannan girmamawa yana da "Cinnabsin". Yana ƙara da nasa jiki ta defenses kuma rage kumburi na paranasal sinuses. Saboda wannan accelerating haƙuri dawo bayan da aiki.

A lokacin watan, ya kamata a yi watsi da waha, kada ku ci yaji, zafi da sanyi abinci. Guji hypothermia da kuma gudanar da m matakan kauce wa mura ko SARS. Bayan 1-2 watanni bu mai kyau zuwa ziyarci wani sanatorium ko shakka gishiri kogwanni for 10 days. Dubawa da ake bukata domin kula da m magani ne da za'ayi bayan watanni 6 da 1 shekara maxillary sinusotomy.

A sakamakon endoscopic maxillary sinusotomy

Kamar yadda da wani tiyata, endoscopic maxillary sinusotomy iya wuya yanayi, yana mai sãɓãnin mai tsanani. Ba kamar da gargajiya Hanyar zalunta irin wannan aiki shi ne kasa m sakamakon. Sun bayyana a cikin farkon dawo da lokaci ko daga baya. Wasu daga cikin matsalolin da sun hada da:

1) Zub da jini daga shafin na allura kida ko rabo cewa an fallasa.

2) tashin zuciya ko amai, wanda ake dangantawa da ingestion na jini, ko haƙuri da mutum mayar da martani ga m gwamnati.

3) Mai tsananin zafi a cikin hanci.

4) Dogon lokacin da waraka daga postoperative raunuka.

5) A reshe na trigeminal jijiya lalacewar cewa results a cikin ciwo mai tsanani ko numbness innervated yankin.

6) Formation na sinus takardunsu a shafin na incision ko kayan aikin.

7) neuralgia dangantawa da rauni a lokacin da aiki.

8) rauni kamuwa da cuta da ta festering.

A abin da ya faru na rikitarwa shi ne da yawa kasa fiye da sakamakon tasowa a kan wani bango na rashi na m magani. A irin haka ne, m baki - kadai hanyar fita. Endoscopic maxillary sinusotomy - wani zamani dabara da damar zuwa manta game da sinus sau daya kuma ga dukan.

Umarnin da shiri na marasa lafiya ga hanya

Bayan bincike da kuma yanke shawara a kan dauke da fitar da endoscopic maxillary sinusotomy hanya, yana da muhimmanci ka gaya wa likita game da rashin ha} uri da kwayoyi. Yana da muhimmanci a yi lissafi na mutum halayen zuwa takamaiman kwayoyi da kuma zabi mafi kyau wajen domin haƙuri ga rage hadarin yiwu sakamakon.

binciki

Endoscopic maxillary sinusotomy feedback ne tabbatacce a mafi yawan lokuta. Marasa lafiya ruwaito wani m kyautata a cikin ingancin rayuwa, da kuma mafi ba da rikitarwa. Abinda - shi ne kasancewar wani kananan kumburi a cikin hanci, sa shi wuya a numfashi. A alama na 'yan kwanaki tafi ba tare da wata alama.