ʻoki kino: tympanoplasty. Reviews ma hope oʻoki kino

Lohe pilikia ke'ākoʻakoʻa no kela kumu, a ma kekahi hihia o ka maʻi e hoemi i ka mea hōʻemi o ka pepeiao kuleana pili i waena. E hoihoi ia, hoʻohana tympanoplasty - hana, oiai i? Aeiino? Ia ia iho 'ana eardrum. Keia ano o ka lapaʻau ua hooiaio ae na mea he nui na manawa e e ka hoʻokō.

Ke ae pā o ka pilikia

I ka wa e hiki mai a hiki i keia ano o kaʻoki kino, tympanoplasty e like (ana i loko o ka waena pepeiao) mea i manaoia he mau 'ano o ka hana maikaʻiʻole o ka maʻi suppurative otitis Media ma ka eardrum. It E e kaulana i keia hopena mea eiiieaena, a mai ka nui regenerative hookoia, hiki i ka? Aeiino? Oeoey o ka waena pepeiao.

Ka mea, i hoohalike, e hoʻolohe i ka mea e e diagnosed loa pinepine maʻi otitis. Ua hiki aku i ke kahua o ka puka i loko o ka eardrum, i ua kapaia perforation. No ia kumu, e lilo ia i hiki anal o pathogenic koʻohune i loko o ka tympanic lua, i ka huli hele aku ai a hiki i ke kala o ka pus i hiki mai hoʻopilikia hou ma mua o hoʻokahi makahiki.

Tympanoplasty - ana, me ka i ia mea e lanakila suppurative otitis me Media e e paʻakikī loa. Eia hoʻi, i kēia 'ano o ka holomua maʻi hiki ka hopena i loko o ka hanana o abscess a me cerebral thrombosis, a ma kekahi mau hihia - a me ka meningitis.

Nāʻikepili e Kai

Aia nō i ka nui o lalo iʻoki lāʻau lapaʻau 'uao ua pono kau aʻela ma luna ana. ʻO lalo laina o ke ola pilikia kēia:

- ho okumu kaʻe a kikowaena perforation o ka tympanicʻili lahilahi, i kumu no ka pohupani hale o ka ossicular;

- polyps i hoʻomōhala i loko o ka waena pepeiao;

- timpanoskleroz;

- perforation o ka eardrum, ua i pu ma ka li nui;

- fibrosis o ka waena pepeiao.

Ka mea, ua maopopo ia, ua nui nā kumu no ke aha laʻoki kino i e pili.

Contraindications

He nui no ka maopopo i ka loaʻa nā hihia maʻoki kino i loko o ka pepeiao (tympanoplasty) hiki ole i ka mea i makemake keiki. Eia diagnoses no ka i hoʻohana i ka like 'ana i kūpono' aʻole pono:

- exacerbation o ka maʻi maʻi;

- lina otitis Media;

- piha pepeiao kuli;

- loa nui ana o ke ahonui;

- sepsis a septic complications.

Dehumidifying ana i loko o ka waena pepeiao me ka tympanoplasty contraindicated i loko o ka hihia ma ka haka paakikiʻaihue o patency o ka auditory Tube. Kēia waeʻano i nā congenital malformations, like hoʻi me scars a me adhesions, mai li nui.

Contra, me he pili ano

Ma keia hihia mākou e kamaʻilio e pili ana i ka poe maʻi e ku e ia i ka hana mea undesirable, akā, hiki. Ma keia hihia, no ka hoʻoholo loa mai, e lawe i ke kauka, ma muli o kona hoao ana a me ka moku'āina o ka hoʻomanawanui. No laila, hana contraindications:

- huʻi li nui i loko o ka waena pepeiao;

- allergic-type maʻi i loko o ka huʻi ke kahua;

- pilikia a me ka luna naehana'āpana;

- epidermizatsii kaʻina.

Wale lawe i ka mooolelo a pau contraindications i ho'ākāka 'ia ma luna hiki e haawiia mai keia ano o ka lapaʻau like tympanoplasty. Reviews ma hope oʻoki kino mea nui i hoailona no ka pono o ka lapaʻau, nolaila, ke i mau hoihoi i loko o ka manao o nā mea maʻi e pili ana i ka ua? Aaieou. Kēia hiki kōkua Usenet.

He waiwai e hoomanao i ke kauka ua koiia e hoʻomaka i ka ana o ka mea 'ē aʻe pepeiao, a e wānana e pili ana i ka pilikia o kona luku. A ma hope iho ua hoʻoholo e e i e pili ana i ka hana i loko o ka lua o ka eardrum.

It E e lawe pū mai i ka piha ka ninaninau ana i kekahi mau 'ano: koaguloramma, biochemical a me ka nui Ka Ikepili o ke koko a me ka mimi, e like me ke koko hoao no syphilis, HIV, hepatitis B a me C. ka polokalamu anamanaʻo ka loaʻa o ka electrocardiogram.

Ke kaʻina hana o ka la hoomalolo no kaʻoki kino

Ma mua o ka 'uao ke ake, paka makeʻe kulana lapaʻau, a ua manaoia e hoomakaukau pepeiao tympanoplasty. Ma ka waena hapa o ka lua, kahi o ka eardrum ua inputted likeʻole mea ke hoʻololi i pili i Anati-hoʻoʻino, vasoconstrictor a me Anati-mea koʻohune hopena. I mai la lakou a pau i ka laulā huahelu o ka hana.

Oia kaʻina hana i mea nui, no ka mea, e ka mea e hiki ai, e hoʻomaʻemaʻe i ka hoʻohana wahi mai ka maʻiʻaʻai. He mahalo i keia ina hana, e lilo ia i hiki e ai tympanoplasty. Reviews ma hope ana, niioaaonoaaiii, e kekahi e kaʻoi loa 'oluʻolu, e like me ka readjustment (, i ka hoʻomaʻemaʻe) initially ka paleʻana kanawai ma ka waena pepeiao maʻiʻaʻai, a me ka paipai' ia ka a laila kokololio hoola ana o keʻoki lāʻau lapaʻau eha.

Eia hoʻi, i kēia ana hele aku ai i hou patency o ka auditory Tube, i ka mea i pololei hopena ma luna o ka mea e like ai o kaʻoki lāʻau lapaʻau hoʻokūkū.

Inā ka hoʻomanawanui haawi maʻi maʻi, oe e nīnau aku i ke kahuna lapaau e pono pili. 7 lā ma mua o ka hana, e lawe wahi, ua pono hoole eʻae i ke dala i hoʻohana no ka thinning i ke koko. He He ninau o pili-steroidal Anati-hoʻoʻino ai '( "Paracetamol", "Aspirin") a me "Warfarin".

ka hopena

He mea likeʻole i kūpono e ae e loaa i ka nui hana i loko o ke ano o ka wati waena pepeiao ma hopeʻoki kino. Tympanoplasty no keia mea, hiki no hoi e lawe mai i loko o kekahi aoao. Ka mea, i hoohalike e hoomaopopo ekolu kī mau mea:

- ke ola hoʻohana 'ossikuloplastiki. Oiaio no ka poe e hoomanawanui i ka poe ma muli o ka loa hoʻoʻino kaʻina auditory ossicles i poino, a me kā lākou hoʻopulapula mea hiki i ke kōkua o prosthetics wale. Ma keia hihia, ka hoʻohana 'ana i nā mea e like me titanium, lepo pipili no a me ka ea.

- ka o Mānoa, o ka lua o ka 'ano o ka panina ua hoemi ia ma ka eardrum ka nā'aʻaʻa iho o ka waena pepeiao. Ka loa, he pono ole, a ka liʻiliʻi loa huikau mea pono e like me ka tympanoplasty. Reviews hopeʻoki kino o kēia 'ano i loko o ka hapanui hihia maikaʻi.

- myringoplasty ole prosthetics. Hoʻohana 'ia e pono nā mea maʻi me ka pōʻino, ua make auditory ossicles, akā,' aʻole i hoʻohana dentures. E hoihoi lawa maoli iwi.

I kekahi manawa kaukaʻalo me ka pilikia kekahi, e like me ke kuʻi nukeliu o na surfaces elua o ka waena pepeiao, i mea no ka complication o otitis Media. Ma keia hihia, e hoihoi i ka tympanum hoʻohana like pakui a eardrum iho, nui kaʻoi loa, kona residues.

hoʻopulapula au

I ke ano o ka hana o ka lapaʻau like tympanoplasty, pane he 'oluʻolu ma hope oʻoki kino, ia mea e pono e hooponopono e like ai ahonui ke ola.

Mua o nā mea a pau, e noho no 1-3 lā i loko o ka haukapila. Hoʻopulapula komo ai i ka hoʻohana 'ana o antibiotics i ka postoperative hebedoma mua. A me kēia mau ana, hoʻopulapula, kaʻenaʻena o ka kela la i keia hana o ka anemia. Kēia 'o ia hoʻi ka pōkole i loko o ka auditory şarkı pharyngeal waha vasoconstrictors.

Mai ke kala ana o ka auditory Canal o tampons mea gradual, ma mua, i ke ahonui e ia ma luna o ka paʻa 'aelike i loko o ka hiki mai examinations.

A ia ma hope o ka Lele aku kėlä hana hoʻi e like me ka 'āwīwī i hiki, e pono emi kiheʻana, puhi i kou ihu, a hoomalu nae lakou i ka pepeiao mai ka wai anal. About ka hoʻokō ano o ka palekana i ka ona mau ana e lawe i ua mea pono, e kukakuka pu me kou kauka. Mai hookiekie ana mea kaumaha i hoi i ia e haalele. I ka mea, e pono e hoʻopau i kekahi haawe e hiki i nui hoʻopilikia i loko o ka wahi o ka waena pepeiao.

hiki complications

Inā mākou e noonoo i na facets o keʻoki kino, ka mea pono ke kūʻai 'ana i kumumanaʻo ua loaʻa nō kekahi mau ka pilikia iloko o ke kaʻina hana e like me tympanoplasty. Complications maiʻoki kino hiki e loa okoa: poino i ka Kimi, ka tympanic lua, ka lehalehu t nā aʻalolo a hiki paakiki meninges. Hope, ma ke alanui, i kekahi manawa e lilo i ke kumu o ke kahe ana ke koko mai ka jugular aa koko a otolikvorei.

No hoi e lohe ai i ka pilikia o ka aseptic li nui o ka pepeiao i loko o ka postoperative wā. Keia ano Ua ana pu ma ka hookuuia, nani a me kaʻeha.

I kekahi manawa ka mea, eʻikea ia ma ke ma hope o ka hana tympanoplasty gnoetichenie pepeiao. Reviews kākoʻo i ka mea i keia pilikia ua lalau wahi. No keia kumu, a me ka nui wahi pololei i ke ola, e like me kauka e e hiki ia i akamai a me ka 'eleu kōkua ma ka hihia o ka hiki complications.

Complications o kekahi mau ano e no hoi nā hooloihi ae i headache (hopena o fistula o ka Kimi), hoʻopōʻino kaulike a me ka pōniuniu.

Pehea o ka transplant hihia

A o ka poe i hala i ka hana a me ka hoʻohana 'ana o ka prosthesis, ia mea pono, e pono e hahai i nā koi o ka poe kumu, e like me ia ma ka hihia o ka li nui o ka wati waena pepeiao, ke hoʻomaka i ke kaʻina hana o ka rejection.

aat i mea e kekahi pili i ka mämä holo o ke ola. Ma hope o ka hoʻohana 'ana tympanoplasty me prosthesis aia no he pilikia o ka pohupani hale o ka mea hope, e like me ka pono me necrosis paha atrophy. No laila, ina oe i kekahi prosthetic wahi iho e e hoomaluia loa.

lohe lilo

Ua pili ia i ka hui hoike ana o complications ma ka hoʻohana pepeiao lohe poho, a hiki hiki i ka nui o ka piha pepeiao kuli. Kēia pilikia i iho manaʻo ma hope o ka huikau a me ka pili-'ano'ē tympanoplasty. 'Aʻe' ana i ka pokole o ke kani o kekahi manawa o ka hopena o ke kū'ē labyrinthitis, i hiki ke hele me ka ohe.. Inā keia 'ole e hana, alaila, na kupono Inc ma lalo o' inikua hooponopono, e kōkua i ka neutralize i ka pilikia.

Pela, ua pono ike i ka lohe ana hoʻopilikia, i ke kumu o ka a i ka Kimi, i ke ano o ka pokole a me ka treatable.

Akā, i ka euanelio maikai, ka mea i malama mau complications wale nō i loko o 3% o nā mea maʻi i loko o ka meaʻoki kino i hanaia. tympanoplasty hōʻike manaʻo i ka puleʻAmelika, 'oluʻolu, no laila,ʻaʻole e makau i kēiaʻano hana e.

Pōkole-ʻia lōlō

'O kēia kekahi complication i e hana ma hope oʻoki kino ma ka waena pepeiao. Ke kūkala nūhou maikaʻi mea i ke ano o keia pilikia mea? Aiaiiuie. I pōkole-makahiki lōlō mea postoperative nani o ka lehalehu t nā aʻalolo.

Ma kekahi mau hihia, ke aʻalolo hiki ke poino ma muli o ke intraoperative i kela kapa. Like remedial ana hoʻohana ea. Mākou e kamaʻilio e pili ana i Nails saphenous nā aʻalolo o ka'ā'ī. Ma kekahi kohoʻano, ka lehalehu t nā aʻalolo ligated me ka sublingual. Me ia he kuʻina iʻoki kino, a hiki ma hope o ka ea o ka pilikia o ke ola o ke koena nawaliwali o ka lehalehu t nāʻiʻo.

Reviews

Inā e nānā i nā manaʻo o ka poʻe i hoʻoholo ihola ma luna o ka? Aeiino? Oeoey o ka wati waena pepeiao, ka mea hiki ke manao ia keia hana o ka lapaʻau ka loa ka hoʻokō.

Ka hapa nui o ka 'Aha, e hooholo i na ana i ka maʻi otitis Media, no ka mea, i loko o kā lākou mau hihia i ke hoʻoponopono i ka pilikia ma hope o ka hana "tympanoplasty" wale. I ka ia ka piha hou ana, ua hiki ole ke olelo no kaʻoiaʻiʻo, no ka hiki complications a me nā 'ano o ka meaola o kēlā me kēia kanaka' Isaaka.

Akā, inā ua kamailio e pili ana i averages, laila, i ka pepeiao, ke hele mai hoʻi i ka maʻamau ma hope o kekahi mahina mai ka la aku o ka hana.

hualoaʻa

Maʻi otitis Media - ia mea he maʻi nui, a ina e holo ia, i ka poino i ka waena pepeiao hiki e nui. Tympanoplasty, ma ka huli, e leie aku oe i ka loa neutralize i ka pilikia a me ka hoihoi i ka eardrum. A, o ka hana iho ai e pili ana i ka hora. Pela, aole hoi he kumu e kāpae'ōlelo i ka lapaau.