Surgery: tympanoplasty. Reviews pashure pokuvhiyiwa

Kunzwa matambudziko anogona kuitika nokuda kwezvikonzero zvakasiyana-siyana, uye pane dzimwe nguva zviri chirwere vari wakaderedzwa kusvika Kushatiswa pakati nzeve ishande. Kuti kuidzosera, shandisa tympanoplasty - oparesheni, panguva iyo reconstructed pacharo zvakananga eardrum. chimiro ichi kurapa kwakaratidza kakawanda kuti ubudirire.

Musimboti dambudziko

Kana totaura chimiro ichi Kuvhiya, tympanoplasty akafanana (oparesheni pakati nzeve) chinorehwa chaiyo nzira yokurapa echirwere suppurative otitis vezvenhau vari eardrum. Zvinofanira kucherechedzwa kuti kukanganisa iyi yakaoma uye ine chinokosha rokuzvivandudza rakaita kuti irambe ichishanda, achibvumira vavakezve pakati nzeve.

Zvine musoro kuteerera yokuti chisingaperi otitis vari chirwere kazhinji. Inotungamirira kuti paumbwe mumakomba eardrum, unonzi perforation. Nokuda kwechikonzero ichi, zvinova zvinoita kupinda pakati pathogenic utachiona vari tympanic mhango, izvo zvinozoita inotungamirira nokubudiswa pus anogona kanganisa gore vanopfuura mumwe.

Tympanoplasty - oparesheni, pasina chinova kukunda suppurative otitis vezvenhau achava zvakaoma. Uyezve, uku kwakadai yemhando chirwere kunogona kuguma panowanikwa pute uye chepfungwa thrombosis, uye mune zvimwe zviitiko - uye yomumuzongoza.

Zvairatidza kuti Step

Kune akawanda ezvinhu pasi izvo zvomusejari kupindira zvakakodzera ambotaurwa. Chinonyanya kukosha ndechokuti matambudziko anotevera utano:

- maumbirwo kumucheto kana nechepakati perforation pamusoro tympanic Kamudzira, izvo zvinoita kuti misha yacho ossicular;

- polyps kuti kuva pakati nzeve;

- timpanoskleroz;

- perforation of eardrum, hauna achiperekedzwa kuzvimba;

- fibrosis yapakati nzeve.

Zviri pachena kuti pane zvikonzero zvakawanda nei Kuvhiya angava akakodzera.

Contraindications

Zvakakosha kunzwisisa kuti pane zviitiko apo kuvhiyiwa pahura (tympanoplasty) havagoni kupa achida simba. Pano diagnoses iyo inoshandisa kwenzira yakafanana haina akakurudzira kuti:

- exacerbation echirwere zvirwere;

- namira otitis zvenhau;

- kusanzwa zvakakwana;

- zvakakomba mukuru ezvinhu omurwere;

- sepsis uye septic matambudziko.

Sanitize mashandiro ari pakati nzeve pamwe tympanoplasty iri contraindicated panyaya apo yakatarwa kuramba kutyora patency pamusoro auditory chubhu. chikamu ichi zvingasanganisira vachiberekwa malformations, uyewo mavanga uye adhesions, kunokonzerwa kuzvimba.

Contra, ane hama hunhu

Muchiitiko ichi tiri kutaura nezvevaya zvirwere zvakanyeverwa pokuvhiyiwa yatovapo zvisingadiwi, asi zvinoita. Panyaya iyi, chisarudzo chokupedzisira achatora chiremba, yakavakirwa zvakaitika uye mamiriro murwere. Saka itai contraindications:

- chenjera kuzvimba pakati nzeve;

- sema-mhando nezvirwere rikwanise Danho;

- matambudziko rokumusoro kufema turakiti;

- epidermizatsii rikurumidze.

Chete kufungisisa contraindications zvose zvataurwa pamusoro apa zvinogona kupiwa mhando iyi kurapwa sezvo tympanoplasty. Reviews pashure pokuvhiyiwa kunokosha chiratidzo yepamusoro kurapa, saka, tiri nguva dzose kufarira maonero varwere vanenge imwe kiriniki. Izvi zvinogona kubatsira forum.

Zvinokosha kuyeuka kuti chiremba vanosungirwa kuitisa kuongorora mamwe nzeve uye zvaizoitika pamusoro mukana kuparadzwa kwaro. Pashure paizvozvo Sarudzo vachaitwa maererano nokushanda rechipiri eardrum.

Zvinofanira kuitwa zvizere kuongorora wemauto hunhu: koaguloramma, nemakemikari uye mukuru kuongorora ropa uye weti, uyewo kuva muedzo njovhera ropa, HIV, hepatitis B uye C. Ongororo chirongwa The zvinosanganisira kwemwoyo unonzi, electrocardiograph.

Muitiro mukugadzirira kuvhiyiwa

Pamberi nokukurumidza kupindira, pave kuchinja kurapwa, iro rinotarisirwa kugadzirira nzeve tympanoplasty. Pakati chikamu mhango apo eardrum iri inputted kunoreva siyana akagadzirirwa kushandisa imwe Anti-anogumbura, vasoconstrictor uye Anti-kwemabhakitiriya mugumisiro. Vose vane-siyana nezviito.

Maitiro akadaro anokosha zvikuru nokuti zvinoita kuchenesa vakavhiyiwa nzvimbo kubva chirwere. Zviri ngaavongwe nzira iyi, zvinovawo zvinobvira kundotora tympanoplasty. Reviews pashure pokuvhiyiwa, ukuwo, achava zvikurukuru akanaka, sezvo utsanana (yakachena) pakutanga inoperera zvinokonzerwa noutachiona pamusoro pakati nzeve, uye zvadaro unokurudzira kukurumidza maronda zvomusejari.

Uyezve, ichi chipimo zvinotungamirira akavandudzika patency ari auditory chubhu, iro rine zvakananga kukanganisa nokunaka kuvhiya mugumisiro.

Kana murwere kupa chirwere chisingaperi, unofanira kuona chiremba profile. 7 Mazuva asati oparesheni rinoitwa, zvinokosha kuramba kutambira mari kuti anoshandiswa dzakaonda ropa. Zviri mubvunzo vasiri steroidal Anti-anogumbura zvinodhaka ( "paracetamol", "asipurini") uye "Warfarin".

izvi

Pane nzira dzakasiyana-siyana kuti kubvumira kuti vawane kuchikosha nani ezvinhu pakati nzeve pashure kuvhiyiwa. Tympanoplasty chikonzero ichi zvinogonawo kuitwa nenzira dzakasiyana. Zvine musoro kusiyanisa zvitatu inokosha:

- Recovery kushandisa ossikuloplastiki. Kwechokwadi varwere vaya nokuda kwazvo kushoma auditory ossicles akakuvadzwa, uye vapore wavo zvinogoneka chete nokubatsirwa prosthetics. Muchiitiko chino, kushandisa zvinhu zvakadai titanium, ejecha epurasitiki.

- The musimboti rechipiri mhando mukuvhara ipfupi nomunyori eardrum pachake munyama yapakati nzeve. Rakajairika uye muduku kwakatooma kunongova tympanoplasty yakadaro. Reviews pashure pokuvhiyiwa kwakadai kakawanda akanaka.

- myringoplasty pasina prosthetics. Ichishandiswa kurapa varwere vane tagovera auditory ossicles, asi dentures havana kushandiswa. Kudzorera zvakakwana chizvarwa pfupa.

Dzimwe nguva vanachiremba akatarisana nechinetso chakadaro, sezvo Fusion ari hukawanika maviri pakati nzeve, riri kukonzerwa kuomesa kwakaita otitis vezvenhau. Muchiitiko chino, kuti umutse tympanum kushandiswa sezvo grafts uye eardrum pacharo, zvakawanda chaizvo, residues ayo.

vapore nguva

Pakushandisa nzira kurapwa sezvo tympanoplasty kwakadaro, mhinduro zvakanga zvakanaka pashure pokuvhiyiwa, zvakakodzera kuronga unhu murwere apore.

Chokutanga, inogara kwemazuva 1-3 muchipatara. Rehabilitation kunosanganisira kushandisa mishonga inorwisa mabhakitiriya muvhiki yokutanga postoperative vhiki racho. Pamwe izvi matanho, vapore, zvokukurumidzira ndiye mufambiro zuva nezuva kupererwa neropa. Izvi zvinoreva Musumo kupinda auditory chubhu pharyngeal muromo vasoconstrictors.

Sezvo nokubudiswa auditory Canal pakati tampons zvishoma nezvishoma, pakutanga, murwere inofanira kuva pamusoro zvachose hwaro bvunzo kuuya.

Saka kuti avhiyiwa dauka shure nokukurumidza sezvinobvira, unofanira zvishoma hotsira, ridzai mhino dzako uye kuchengetedza nzeve kubva mvura kupinda. About zvinobudirira nzira kudzivirira mwando vachitsigira yokugezera zvakanakisisa kubvunza chiremba wako. Kubva kusimudza zvinhu vanofanirawo achasiyiwa. Kutaura zvazviri, unofanira kubvisa chero mutoro anogona kukonzera makakatanwa makuru munzvimbo yapakati nzeve.

zvinogoneka yematambudziko

Kana tikafunga zvose inobudisawo kuvhiyiwa, zvinokosha kuziva kuti pane zvimwe ngozi panguva imwe nzira dzakadai tympanoplasty. Matambudziko pashure pokuvhiyiwa inogona chose siyana: kuvadza labyrinth, ari tympanum, asi chiso etsinga, uye kunyange yakasimba meninges. Last, panzira, dzimwe nguva yava mhosva ropa kubva jugular tsinga kana otolikvorei.

Uyewo kuteerera nengozi aseptic kuzvimba nzeve iri pakati postoperative munguva. Ichi chirwere Kazhinji achiperekedzwa zvinoyerera, kuzvimba uye kurwadziwa.

Dzimwe nguva zvingaita sokuti avhiyiwa tympanoplasty gnoetichenie nzeve. Reviews kutsigira chokwadi kuti dambudziko iri riri kuitika. Nokuda kwechikonzero ichi, uye zvinokosha mira muoti panguva kupora, sezvo vanachiremba vachakwanisa kupa nyanzvi uye nenguva rubatsiro kana zvichibvira yematambudziko.

Matambudziko ane vakawanda hunhu Angasanganisira nomusoro refu (nemigumisiro fistula pamusoro labyrinth), havachanyatsogoni ichitoratidza uye dzungu.

Ko nokuisazve nyaya

Avo vakapfuura kushanda nokushandiswa prosthesis, zvakakodzera chaizvo kutevera kunenge vanachiremba, sezvo panyaya kuzvimba pakati nzeve anogona kutanga chirongwa kurambwa.

kuzvimba chokwadi kuchaita kukanganisa kumhanya nokupora. Pashure kushandisa tympanoplasty pamwe prosthesis pane njodzi misha neyokupedzisira, uyewo necrosis kana atrophy. Saka, kana iwe waiva prosthetic nzvimbo pachayo inofanira kuchengetedzwa kwazvo.

kunzwa kurasikirwa

Rinoreva kuti boka kuratidzwa yematambudziko ari vakavhiyiwa nzeve kusanzwa, izvo zvinogona kusvika padanho zvizere kusanzwa. dambudziko iri zvinoita pachayo akanzwa shure yakaoma kana asiri yakakura tympanoplasty. Kutyora omumwe inzwi dzimwe nguva nemhaka reactive labyrinthitis, izvo zvinogona kufamba pasina kurapwa. Kana izvi zvikasaitika, ipapo hwakakwana mishonga pasi kurapwa pokudzora kuda rubatsiro neutralize dambudziko.

Saka, tinofanira kunzwisisa kuti kunzwa vanotaura, mhosva yaiva labyrinth, hunhu kwekanguva uye rinorapika.

Asi mashoko akanaka kuti matambudziko aya vakachengeta chete muna 3% wevarwere uyo Yakavhiyiwa. tympanoplasty Wongororo ane vakawanda akanaka, saka havafaniri kutya unyanzvi ichi.

Kwenguva pfupi kuremara

Ichi chimwe kuomesa kuti kungaitwa pashure pokuvhiyiwa pamusoro pakati nzeve. Chinofadza ndechokuti hunhu dambudziko iri pfupi. Kukonzera pfupi-rokuti rutivi rwomuviri ari postoperative mumatenhere chiso etsinga.

Mune zvimwe zviitiko, etsinga inogona zvakakuvadza nokuda intraoperative kuyambuka. Sezvo remedial matanho vaishandisa epurasitiki. Tiri kutaura nokusonera saphenous tsinga kwemitsipa. In imwe nzira musimboti, kuti chiso etsinga ligated pamwe sublingual. With yakadaro mharadzano pakuvhiya, kunyange pashure mapurasitiki ari pangozi ndichengetedze residual simba pamusoro tsandanyama dzechiso.

Reviews

Kana Paunoongorora zvakataurwa nevanhu akasarudza vavakezve pakati nzeve, zvinganzi vakagumisa kuti ichi nzira yokurapwa kwazvo kunobudirira.

Vakawanda Council anofanira kusarudza matanho akadaro chisingaperi otitis kwezvenhau, nokuti nyaya dzavo dambudziko racho ragadziriswa chete avhiyiwa "tympanoplasty". Kana zviri kunaya zvakakwana, hatigoni kutaura kuti chokwadi nemhaka zvichibvira yematambudziko uye zvechadenga muviri mumwe murwere nomumwe.

Asi kana isu nezvazvo Avharenji, zvino nzeve, ikadzoka zvakajairika pashure mwedzi mumwe kubva musi oparesheni.

zvabuda

Chirwere otitis nhau - ihosha chakakomba, uye kana ukamhanya nayo, kukuvara pakati nzeve kunogona kuva kunokosha. Tympanoplasty, akavapindurawo, kunoita kuti neutralize dambudziko zvachose uye vadzorere eardrum. Uyezve, kushanda pacharo zvinotora inenge awa. Saka, hapana chikonzero kufuratira kurapa kwakadaro.