Endoscopic maxillary sinusotomy - He aha ka mea? Papa o ka hana, a me ka waiwai o

Ma nā kahua o ka hoʻonaʻauao kakahiaka nui o ka sinusitis ka hoʻokō lāʻau Inc. Inā i holo, i ka wa a ka hookuuia mai ka nasal lua i ole slimy a me ka purulent hiki pakele sinus puncture. Mahope, ka mea, e holoi mai i ka maʻiʻo. Ua ponoʻoki kino hooloihi ae i li nui o na sinuses. Symptoms, lapaʻau i ua hana no ka lōʻihi manawa a me ka mea inefficient, e noi mai ana pāʻoihana oi nui i ka pilikia. Hereʻoki kino ua pono, a me ke ano o kaʻoki lāʻau lapaʻau hoʻokokoke mea endoscopic maxillary sinusotomy.

Maxillary sinusotomy - He aha ka mea?

Kapaia ka maxillary sinus lua apana o ke a luna ma nāʻaoʻaoʻelua o ka mea. No ka mea, o ka mea kekahi kaʻao ka wahi, ka mea, ua pinepine pili i ka li nui, a pinepine pau me ka maʻi papa, a koiʻoki kino. I ke kakahiaka nui kahua o ka hoʻonaʻauao he mea no kekahi manawa kūpono e hana i ka pathology o sinus ka lapaʻauʻia aoao. I ka wa e kaawale aku o ka hopenaʻoi loa a pinepine relapses e e noʻonoʻo i ka manawa kūpono o ka hana i ho'ākāka 'hoomanawanui ka maxillary sinusotomy. He aho e hoʻohuli i nā mea maʻi no endoscopic hana o ka 'uao i makemake e emi invasive loa pono a me ka. Purulent sinusitis - he pololei PAaIEN no ka iapaau ana, no ka mea, o kela mea keia manawa mea fraught me ke kahua o ka complications.

Ka ninaninau 'ana e pili ana i ka mea maxillary sinusotomy mea ia mea, he nui loa nā mea maʻi i haawi mai ai. I loko o ka puka hana ua hana maxillary sinuses, a lawe aku i ke kinowai Contents. I ka hoʻoponopono pilikiaʻoki lāʻau lapaʻau lapaau - ka wale ala mai. Ua pili ka hoomanawanui, hoʻoʻino foci ma a he mea hiki ole ae hoomaemae loa oia i ka ka lapaʻauʻia. No ia mea, e pono ka hookipaia ma ka incision paha puncture. I ka ike i ka wā i maxillary sinusotomy mea ia mea, i ka hoʻomanawanui mea ole pela mea.

Nāʻikepili e Kai

Autopsy sinus pono ole na hoomanawanui me ka li nui. Ua ua ia:

1) i ka wa a ka cyst i loko o ke a luna;

2) maʻi papa polypoid sinusitis;

3) odontogenic maxillary sinusitis;

4) ka mea, aohe pane ma hope o ka lōʻihi-makahiki ka lapaʻauʻia, a me ka puncture;

5) pinepine recurrences sinusitis;

6) ma ka hui 'ana me na kino sinus;

7) pinepine ole recurrent eha ka waiʻona ma ma luna o ka maka, infraorbital māhele'āina;

8) Ka papa'āweʻaweʻa kemika hanana o congestion i loko o ka ihu, me ka nohoaliʻi kumu (allergic naoh, i anu,);

9) ala mai ka ihu, a ua manao ia e ka hoomanawanui a me ka puni kanaka ua kaulana;

10) kekahi manawa paha noke loli iki ana ka nui ka waiʻona ma o kaʻeha i loko o ka luna niho;

11) naʻauao lākou i ka hooholo ia o ka lewa a me ke kinowai ai i pele ma ka makahiki ma ka niho i holoiʻia;

12) ka helehelena o ka hoailona iho la i mea ma o aku o na palena o ka niho, e e hana, a e e ike i ke kiʻi i ka radiograph;

13) ikeia ma ke kamepiula tomogram polyps a me na kino;

14) e paʻa ana sinuslifting ka nele;

15) ole i loko o ka lawelaweʻana i ka sinus ke eaʻe ma muli o huai ae pathology i loko o ka maxillary sinus.

16) i kaʻike, "purulent sinusitis".

Eia kekahi endoscopic uao iaoiaeii kūpono a me ka maxillary sinusotomy Classic hana. Ka loa he makemake ko - ka mua. He emi traumatic, a ua hoemiia a me ke ola paha, ma ke kaʻina.

Contraindications

Ma ke alo o nāʻikepili a hoʻokau i lawe i loko o no keʻoki kino. Hana Endoscopic maxillary sinusotomy i lawe mai i loko o ka kēia mau wahi, i hiki:

1) Ka exacerbation o ka maʻi pathology o ka na nā loko.

2) hōʻike o ke kīnā o ke sinusitis symptoms, akā, ma na hihiaʻoki kino no keia mea hiki ole keʻula a.

3) Nā Maʻi i loa ka oolea kino e hiki aggravate ma luna o ka moku'āina.

4) 'aʻe' ana i ke koko coagulation nenoaiu.

He nui o ka moku'āina o ke kino i like ai i ka hoahanau. No kekahi mau kumu, ma hope o ke kūkā pū me ka surgeon ka hana ua i lawe ma i kekahi manawa. A hiki ia manawa, lāʻau Inc hana, e wehe i ka wela ai sinuses. Symptoms, hana maikaʻiʻole o ka i mea oi paʻakikī i ka 'inikua Inc me ku una ha lapaʻauʻia, paʻapū ai' lawelawe intramuscularly mua o ka lā o ka manaoia hana.

Ka ninaninau mua maxillary sinusotomy

Ma hope o kaʻike, a me ka hooholo i ka pono no kaʻoki kino, i lawelawe i ka hoʻomanawanuiʻana i nā pono noiʻi. No keia mea, keʻena hoʻokolohua a me vocal ki ina hana like. Ke hoomanawanui ua hoouna mai ai i ka mea mau koko e ho'āʻo ai, mimi ho'āʻo ma, biochemical study, ka loiloi 'ana o ke koko clotting. O ka mea paahana koi 'ia no ka hana kiʻi me ke HI radiography a me ka paranasal sinuses e Loiloi i ko lakou kulana.

Endoscopic hana o maxillary sinusotomy

Ke hoʻohālikelike me ka panina 'enehana o endoscopicʻoki kino maxillary sinusotomy loaʻa paha kekahi mau pono.

• iʻoki ma ka wahi o ke kaʻina hana, i ua ole pu ma ke ano o ka me ka makaʻu no'aʻaʻa;
• koe nae mea hoʻonani kina;
• ka ho'ēmiʻana i ka wā o ka hana a me ke ola au;
• pono-tolerated hana i hana ma lalo o kūloko anesthesia;
• pōkole kau noho (3-4 lā);
• kokoke imperceptible haanou ana ma ka ka pahu kui na mea paahana, a me kona kokololio nalowale;
• ka aneane piha kaawale o complications ma hope oʻoki kino.

Mau pono e ka mea e hiki ai ke hoʻohana laekahi aoao e hana sinus mai koke, a painlessly.

Makaukau no kaʻoki kino

Ma ka lā o ke kaʻina hana, mai ai no 6-7 hola ma mua. Na koi e e ukali i ka makaukau no ka kūloko anesthesia. Inā 'oe manao e hoolako i mau anesthesia, kekahi mea'ē aʻe i hou i ka luna o ka mea, ua hiki ole i ka inu i kekahi inu no 2 hola muaʻoki kino.

Accesses ma maxillary sinusotomy endoscopically

I ka sinus me odontogenic ka molekumu o, ua hoʻohana 'ia ka mea wale nō e hiki ala ma ka Akä naÿe i nā Hawaii. Endoscopic maxillary sinusotomy lawe mai i loko o nā mea a pau na wahi, i hiki, he okoa ke kōkua o ke kaumaha ma muli o nā nāʻikepili no kaʻoki kino. Mau nā:

• e paʻa ana i nā mea hana ma ka meakino a me ka haahaa o ka nasal āhua;
• hoike o ka endoscope i loko o ka anterior paia o ka maxillary sinus;
• ma ka alveolus ma hope o ka pōʻalo (me odontogenic maxillary sinusitis);
• ma ka protuberance i loko o ke a luna.

I ka hoʻohana endoscopicʻoki kino 'ana i kūpono ke loaʻa complications, a koho ana i kekahi mau paena i ka nānā' ana i ka mea e leie aku e emi ia lakou a hiki i ka palena iki nā loina.

? Ac? O ke kaʻina hana

Ke hana ua hana ma lalo o kūloko anesthesia. No ka mea, koho ua haawiia mai i kekahi pāʻoihana o ke paipu a me ka anawaena o ka ole oi aku 0.2 mm o. I ka wa e pono e hana mau anesthesia. Pāʻoihana a me maxillary sinusotomy i haahaa kaʻawahia a me ka nui eha kokua no ka manawa. Kona lōʻihi like 'ole - i hou aku 30 minuke. Ke anawaena o ka endoscope hoʻolauna ma ka papa - i oi aku mamua o 5 mm o. Nolaila, he puncture ua i loko o ka wahi o ka maxillary sinus mea ka palena haʻahaʻa. Ma hope o ka mea, ua hoʻouka kekahi, a me ka endoscope şarkı wehe 'pathologically hoololi'aʻaʻa a me ka loli. Ka a pau kaʻina hana o ka hana ua hana ma lalo o ka mana o ka wikiō i hoʻopaʻa 'ua hoololiia a hiki i ke kanaka hoʻoponopono. Kēia mea e pono ai no ka pono o ke ku una ha ka hookolokolo a me kona hoʻopulapula. Mahope o koʻu holoi me ka huikala hana sinus antiseptic pāʻoihana ( "Furatsilinom", potasiuma permanganate).

Ke loaa au ma hope oʻoki kino

I ka pomaikai ana o ke kaʻina hana hilinaʻi nui ma luna o ka hoʻomanawanui ka loaa ma hope o ia. Ma hope o hookuuia mai ka haukapila surgeon oia ke ala e hiki aku, e ENT no ke kūlana ka mālamaʻana. E hele i kona mau pono ma ka liʻiliʻi loa i ka mahina, a me ka hiki e hope i ka wā ina kupono. Kauka prescribes i ka papa o antibiotics a me nā pāʻoihana no ka holoi i ka nasal lua. Ka poʻe e pākuʻi i ka huakai kaapuni antihistamine ai ', a me ka ai', e hooikaika i ka vascular pa ka wā i hōʻike.

Ma hope o maxillary sinusotomy i loko o ka pōkole wā ua waiho waho hōʻemi iki nani. A maikaʻi hopena ma keia manao, he "Cinnabsin". Ua maoli he kou mau kino i ka pale aku ia lakou, a emi i ka nani o ka paranasal sinuses. Manawa a hiki i keia accelerating ahonui loaa ma hope o ka hana.

Iloko o ka mahina, e e haalele 'auʻau wai, maiʻai spicy, wela a me ke anu ka ai. Pale hypothermia a hoʻomaka kāohi ana, e pale aku i ka maʻi palū a SARS. Mahope o 1-2 mahina mea kupono, e kipa i ka sanatorium a papa paakai lua no 10 lā. Nana koi 'ia no ka hooponopono ana iʻoki lāʻau lapaʻau lapaʻau ua lawe mai ma hope o 6 mahina a me 1 makahiki maxillary sinusotomy.

Ka hopena o ka endoscopic maxillary sinusotomy

E like me kekahiʻoki kino, endoscopic maxillary sinusotomy hiki e huikau kumu o ka loli iki ana oolea. Like ka panina hana no ka hana maikaʻi e like me ka hana i emi kaʻawaʻawa loa hopena. Ka mea, eʻikeʻia i loko o ke kakahiaka ke ola wā a hope. Kekahi o na complications nā:

1) kahe ana ke koko mai ka paena o ka pahu kui kani a me ka hapa i i paku ole.

2) nausea a me ka luaʻi, a ua pili me ka 'ai, inu o ke koko, a me ke ahonui o kēia pane i ka anesthetic hooponopono.

3) loa eha i loko o ka ihu.

4) Long-makahiki hoola o postoperative eha.

5) nā lālā o ka trigeminal nā aʻalolo pōʻino i nā hualoaʻa ma ka loa ka eha, a me numbness innervated wahi.

6) ho okumu ana o sinus apana ma ke kahua o ka incision a me na mea paahana.

7) neuralgia me ka poino ma ka hana pili i.

8) eha maʻiʻaʻai a me kona festering.

Ka mea hiki wale mai o complications mea nui emi ma mua o ka hopena i kupu mai ma luna o ke kāʻei kua o ka wa e kaawale aku oʻoki lāʻau lapaʻau lapaau. Ma na hoopii,ʻoki lāʻau lapaʻau 'uao - ka wale ala mai. Endoscopic maxillary sinusotomy - he laekahi 'ana i kūpono e leie aku e hoʻopoina e pili ana i ka sinus hookahi, a no nā mea a pau.

Na Ke Kumu no ka makaukau ana o nā mea maʻi no ke kaʻina hana

Ma hope oʻike, a me ka hoʻoholo 'ana ma luna o ka lawe mai o endoscopic maxillary sinusotomy alanui ia mea nui, e hōʻike i kou kauka e pili ana i ka intolerance o ka ai'. He nui ke lawe mooolelo o kanaka reactions i kekahi ai ', a koho i ka mea no ke hoʻomanawanui, e emi i ka pilikia o ka hiki hopena.

nānā 'ka

Endoscopic maxillary sinusotomy manaʻo mea maikaʻi i loko o ka hapanui hihia. E hoomanawanui i hai mai i ka kokololio hana i loko o ka mea e like ai o ke ola, a me ka loa mai,ʻaʻole i complications. Na wale mea - o ke alo aku o ka uuku nani i loko o ka ihu, e ka mea paʻakikī i ka hanu. A symptom o kekahi mau lā aku me ka kumumea.