Perforation of nasal septum: zvinokonzera, zviratidzo, kurapa uye migumisiro

The perforation of nasal septum chinhu kuburikidza buri nasal septum (pfupa kana shwashwa chikamu) kuitika panguva kumashure kwayo zvokuimba kukuvara kana chirwere pezvakaitwa kuitika. A yakareba zvokurwara kwakadaro unooneka, asi nguva ino kunowedzera mukana wokuti zvokufema kana chirwere.

symptomatology chirwere

A duku perforation pamusoro nasal septum kunoitika kazhinji imperceptible. Kazhinji zviratidzo hosha iri sezvinotevera:

• nasal kuzara;
• arikutadza kufema;
• nokuumbwa crusts vari perforation nzvimbo;
• purulent discharges izvo pamwe risingafadzi kwakanaka (kubuda pamwe kuwedzera kanganisa perforations);
• kuoma, soreness, kusagadzikana;
• munhu muridzo ruzha apo exhaling uye Kufema yepamhino;
• nosebleeds ;
• rokunze mhino deformation (somuenzaniso, kana hombe saizi buri mhino bhiriji nezviso akakundikana).

Kana pamusoro zviratidzo murwere achaudzwa kuti pakarepo kutaura zvokurapa nzvimbo Kuti unzwe zvakawanda Diagnostics uye pakarepo chaikwo mubatanidzwa mishonga.

Diagnostics

The perforation of nasal septum, iyo kurapwa kuri kuitwa kuvhiya kupindira, iri akaonekwa nokuongorora nasal mhango (rinoskopii) otolaryngologist. Pfava aizogadza nzwisisika kuongororwa kuti kuziva hunhu aivapo STRUCTURAL chirwere kuti kazhinji pamusana purulent muitiro kwakakonzerwa mumwe chirwere. Kupfuura zvimwe bvunzo uye miedzo (pamusoro ropa, njovhera, etc.) unogona kupiwa.

Perforation yacho nasal septum, raiva pedyo wemhino, kazhinji hanya murwere nokuda nzvimbo mhino kuoma.

The kudzika localization anogona chete totsunga nokuda kuongorora zvokurapa. Tariro kuti perforation yacho nasal septum, wongororo zvacho kutyisa hunhu zvichabviswa kunonoka uye zvichapfuura zvachose roga, hazvina maturo. Kutambura kubva nyonganyonga iyi vanhu vanoti buri chete zvinowedzera, achiumba kuti nasal mhango kuwedzera maturo. Saka regai kutambisa nguva inokosha, uye vanofanira kukurumidza bvunza anokwanisa chiremba.

Zvinokonzera kuti perforation iri nasal mhango

Zvinokonzera nasal septum perforation:

• Zvirwere kuparira pokuparadzwa shwashwa (zvakadai njovhera, anonzi Staphylococcus aureus, tiibhii);
• purulent maronda;
• chirwere cheshuga;
• vaikuvadza mhuno, kugara zvokuimba kukuvadzwa akasiya untreated hematoma;
• pakuonekwa malignancies vari septum;
• vasoconstrictor mishonga kazhinji chikumbiro (mwaya kana mumate);
• systemic zvirwere, kwakakanganisa kukanganisa connective zvinyama (renal kukundikana, lupus, sarcoidosis, polychondritis, dzinonzi rheumatoid arthritis, Ascula);
• kugamuchira zvinodhaka marwadzo raitongwa kuburikidza nasal ndima (chirwere kushandiswa kokeini kugara kuchiita kuti vanhu vasafara uye anoita kupinda nezvirwere vamiririri, anokwanisa kuparadza zvachose dzomunyika nemamiriro mhino) ;
• rakaoma atrophic rhinitis;
• yematambudziko pashure pokuvhiyiwa ari nasal nzvimbo kana nokushanda zivo nyanzvi;
• zvachose zvainoita nasal mhango pakati zvine chepfu nokuda kutadza kutevedza yakachengeteka munguva mukugadzira rikurumidze.

Perforation of nasal septum: matanho

Kudzivirira nasal septum perforation ndiko:

• bata pagore chokudzivirira zvokurapa kunoonekwa nachiremba;
• mangwanani kuongorora chirwere;
• nenguva Mabatirwo zvirwere zvokufema zvinotapukira uye chisingaperi;
• kushandisa Pharmaceuticals zvizere maererano nemirayiridzo;
• munhu anonzwisisa nzira pakusarudza anokwanisa chiremba panguva rhinoplasty.

Nasal septum perforation: Treatment

Kumba, unogona hadzizobati perforation yacho nasal septum. Nzira yakarurama chete ndichiva kubvisa zvaizova kuvhiyiwa. To musi, kuvhiya iri netsika mitoo akawanda kubvisa perforation ari nasal mhango, anoshandiswa zvichienderana kuburikidza-buri saizi. Yokunonoka nzira inoshandiswa kana buri dhayamita 5 masendimita uye dzaidzidziswa nokuvhara kurova-rova pamusoro mucous membrane. perforations Small vari kucheneswa kuburikidza crosslinking dzavo kumicheto. Kururamiswa kurei urema achishandisa chakagadzirwa anodyara kana kwako.

Nokushanda nasal septum perforation rinoitwa zvose pasi rwevanhu uye nemakanzuru yokutindivadza, zvichienderana utano ezvinhu omurwere uye zvaanoda nezvekushandiswa kurwadziwa nzira. Izvi pachahwo njodzi Kuvhiya haagoni kuitwa; kana zvose chiremba kurumbidza kuti nasal utsanana mukana yematambudziko ipfupi kushoma. Avhareji mutengo wokuvhiya, zvichienderana kunzwisisa nyaya uye chiremba wacho unyanzvi pamwero anoda kubva 150 kusvika 500 zviuru rubles.

nasal septum perforation kurapwa hakusi bedzi kudzorerwa kuvimbika kwayo, asi kubviswa zvinokonzera dambudziko iri, uyewo zvaidiwa kunenge iri kupinda chiremba kuti kudzivirira zvichibvira yematambudziko kana apiwa panowanikwa septal kuremara.

The postoperative kumwedzi

The kuvhiya nokubviswa perforation murwere achagara kuchipatara (zvichienderana mamiriro ake utano) 3-5 mazuva. Pazuva rokutanga pashure pokuvhiyiwa iri kuchengetwa kusarudzwa reropa madzihwa. Swabs kubva mhino vanobviswa rimwe zuva pashure; zvokutsigira bulkhead uye lining Kamudzira vachiri kwenguva yakati.

Kuti tirambe Mapedhi nyoro uye kufambisa kubvisa secretions anobudiswa pamusoro akatevera 10 mazuva, murwere ari nasal mhango kunodiwa kupinda isotonic sesaline mhinduro. Kuti tidzivise paumbwe crusts kushandisa donje swabs anofanira lubricated mucous antibacterial nezvizoro. Wokutanga pashure pokuvhiyiwa haagoni kuridza mhino yake.

anobatsira zvahungava hwakaita zvakavimbika

The vapore nguva ndiko kuzadzisa mitemo zvinotevera:

• zvaidiwa chiremba kurumbidza rokuchengeta dzine wakashanda chiso;
• zvinyoronyoro kurapwa nokuti 1 mwedzi pashure pokuvhiyiwa, kubvisa muviri, zvokuimba kukuvara uye zvinokuvadza kuti mhuno, uyewo zvikuru tembiricha akasiyana;
• kudzivisa kushandiswa vasoconstrictors;
• kudhayeta, asiri doro, nokungwarira kubvuma chando uye inopisa zvokudya 2 weeks pashure kuvhiyiwa.

Migumisiro untreated perforation

Kana akasiya untreated perforation pamusoro nasal septum zvingaitika vachivavhiringidza kunhuwidza kusingarapiki uye dzepanguva zvirwere: laryngeal kurwadza kwacho, atadze kushanda zvakanaka pakati kumwoyo, vangakosora uye sneezing, musoro, ziso chirwere, netsviyo.

Perforation of nasal septum, zvakaipira izvo kunongokonzera kurwara kana untreated, kubatwa chete surgically. Self Yokurapa (bhurandi, mafuta okuzora, moisturizing vamiririri) anokwanisa chete kwenguva kuderedza mamiriro ezvinhu.