Perforation nke gọzie gị septum: akpata, mgbaàmà, agwọ ọrịa na mmetụta

The perforation nke gọzie gị septum bụ a site onu gọzie gị septum (ọkpụkpụ ma ọ bụ cartilage akụkụ) aa na ndabere ya n'ibu mmebi ma ọ bụ ọrịa Filiks aa. A ogologo oge nke ndị dị otú ahụ daa ọrịa ike na-egosipụta onwe, ma, oge a na-enwekwu ohere na-eku ume nsogbu ma ọ bụ nke ọrịa.

symptomatology nke ọrịa

A obere perforation nke gọzie gị septum emee emekarị imperceptible. Ọtụtụ mgbe na mgbaàmà nke ọrịa dị ka ndị a:

• gọzie gị mkpọchi;
• ike iku ume;
• guzobere nkụ na perforation ebe;
• purulent discharges nke na-ebu onye wetara isi (iputa na-amụba itunanya perforations);
• nkụ, soreness, erughị ala;
• a na-afụrụ mkpọrọhịhị ụda mgbe exhaling na inhaling imi;
• nosebleeds ;
• elu imi deformation (atụ, mgbe a nnukwu size oghere imi akwa anya okpu).

Mgbe n'elu mgbaàmà ọrịa na-dụrụ ozigbo ahụ ike eweta maka akowaputara nchọpụta nsogbu na ozugbo ngwa nke Nchikota ọgwụ.

nchọpụta nsogbu

The perforation nke gọzie gị septum, nke na usoro ọgwụgwọ rụrụ site na ịwa ahụ aka, na-chọpụtara site n'inyocha gọzie gị oghere (rinoskopii) otolaryngologist. ENT ahọpụtakwa ndị mbara ule iji mata ọdịdị nke ẹdude bughi aghara na ọtụtụ mgbe n'ihi nke purulent usoro mere site ọzọ ọrịa. Agafe ọzọ ule na ule (na ọbara, syphilis, wdg) nwere ike na-kenyere.

Perforation nke gọzie gị septum, emi odude nso n'oghere imi, mgbe mgbe, na-eche banyere onye ọrịa n'ihi na ebe nke imi nkụ.

Omimi nke orunótu nwere ike na-ekpebisi ike site ọgwụ nnyocha. Olileanya na perforation nke gọzie gị septum, reviews nke ndị egwu agwa ga-egbu oge na ga-apụ n'anya kpamkpam site n'onwe ya, bụ isi. Ata ahụhụ site na nsogbu a ndị mmadụ na-ekwu na oghere na-amụba, na-akpụ gọzie gị oghere amụba chakoo. Ya mere Ekwela dị oké ọnụ ahịa oge, na kwesịrị n'egbughị oge ịkpọ a ruru eru dọkịta na-awa.

Ndị na-akpata nke perforation na gọzie gị oghere

Na-akpata dịghị òkè septum perforation:

• na-efe efe na-eme ka mbibi nke cartilage (dị ka syphilis, Staphylococcus aureus, ụkwara nta);
• purulent ọnya;
• arịa ọrịa shuga;
• mmerụ ka imi, Ugboro n'ibu mmebi ekpe untreated hematoma;
• ọdịdị malignancies na septum;
• vasoconstrictor ọgwụ ọjọọ ugboro ugboro ngwa (ịgba ma ọ bụ ụmụ irighiri mmiri);
• systemic ọrịa, ike imebi connective anụ (gbasara akụrụ odida, lupus, sarcoidosis, polychondritis, ọrịa ogbu na nkwonkwo, Ascula);
• anata narcotic ọgwụ ọjọọ ndinọ site gọzie gị amaokwu (adịghị ala ala eji cocaine mgbe nile na-eme ka iwe na-akpata penetration nke na-efe efe mmadụ, bụ ike nke na kpamkpam na-ebibi esịtidem Ọdịdị nke imi) ;
• akọrọ atrophic rhinitis;
• nsogbu mgbe ịwa ahụ na gọzie gị ebe ma ọ bụ na-arụ ọrụ na-enweghị uche ọkachamara;
• na-adịgide adịgide n'ahụ gọzie gị oghere of bekee ruru ka ọdịda ime nchekwa n'oge n'ichepụta usoro.

Perforation nke gọzie gị septum: mgbochi

Prevention of dịghị òkè septum perforation bụ:

• jide kwa afọ mgbochi ọgwụ ego-acha ọkụ;
• n'oge nchoputa;
• adọ ọgwụgwọ nke na-efe efe na-adịghị ala ala akụkụ okuku ume na ọrịa;
• itinye pharmaceuticals na zuru dị ntụziaka;
• a ezi uche obibia ị na-ahọrọ a ruru eru dọkịta na-awa n'oge rhinoplasty.

Gọzie gị septum perforation: Ọgwụgwọ

N'ụlọ, ị nwere ike ghara emeso perforation nke gọzie gị septum. The naanị ezi usoro nke ịlụ Bibie ọ ga-n'ịwa ahụ. Ka ụbọchị, ịwa ahụ na-eme ọtụtụ usoro iwepụ perforation nke gọzie gị uji eze, na-eji dabere na site-onu size. Tardy usoro a na-eji mgbe oghere dayameta nke 5 cm na ẹkenịmde site emechi flaapu nke mucous akpụkpọ ahụ. Obere perforations na-kpochara site crosslinking ha n'ọnụ ya. Mgbazi nke ibu ntụpọ site na iji aka wuru implants ma ọ bụ gị onwe gị.

Ọrụ nke gọzie gị septum perforation a rụrụ ma n'okpuru n'ozuzu na obodo ná Nkụnwụ Ahụ, dabere na ike ọnọdụ onye ọrịa na ọchịchọ ya banyere iji ihe mgbu enyemaka usoro. Nke a na ya onwe ya bụ a ịwa ahụ odachi nwere ike ghara ẹkenịmde; ma ọ bụrụ na niile dọkịta nwere ikwu maka dịghị òkè ọcha ize ndụ nke nsogbu na-ebelata ka a kacha nta. The nkezi na-eri nke ịwa ahụ, dabere na mgbagwoju anya nke bụrụ na dọkịta na-awa nkà larịị àmà site 150 500 puku rubles.

gọzie gị septum perforation ọgwụgwọ bụghị naanị na mweghachi nke ya ike n'ezi, ma mkpochapu na-akpata nsogbu a, nakwa dị ka nnabata na-atụ aro nke ịga dibịa maka mgbochi nke na o kwere omume nsogbu ma ọ bụ re-omume nke septal ntụpọ.

The postoperative oge

Nke ogwugwo mwepụ nke perforation ọrịa mụ na ụlọ ọgwụ (dabere na ya steeti ahụ ike) 3-5 ụbọchị. N'ụbọchị mbụ mgbe ịwa ahụ a hụrụ nhọrọ ọbara imi. Swabs si imi na-ewepụ a ụbọchị mgbe e mesịrị; akwado nnukwu isi na lining akpụkpọ ahụ ka na-anọgide na-ruo oge ụfọdụ.

Iji nọgide na-enwe pad mmiri na Ọrụ mmiri secretions emepụta na-esote ụbọchị 10, na-enwe ndidi na gọzie gị oghere a chọrọ ịbanye isotonic saline ngwọta. Iji zere guzobere nkụ iji owu swabs ga-lubricated mucous antibacterial ointments. The mbụ ọnwa mgbe ịwa ahụ ike ịfụ ya imi.

na-enye aka mma

The ghara ịgbanwe oge iji mezuo ụkpụrụ ndị a:

• nnabata ya na dọkịta na-atụ aro maka nlekọta nke ejikwara ebe nke iru;
• nwayọọ ọgwụgwọ maka 1 ọnwa mgbe ịwa, na-ewepụ ihe omumu, n'ibu mebiri na mmerụ ka imi, nakwa dị ka bukwanu okpomọkụ iche;
• na-egbochi na ojiji nke vasoconstrictors;
• ghara ibu ibu, na-abụghị mmanya na onunu, ịkpachara anya mbanye nke oyi na-ekpo ọkụ oriri 2 izu mgbe ịwa ahụ.

Kpatara untreated perforation

Ọ bụrụ na ekpe untreated perforation nke gọzie gị septum nwere ike ime disturbances ísì irreversible na mpiaji ọrịa: laryngeal apịajighị apịaji, malfunction nke obi usoro, ụkwara na Nje, isi ọwụwa, ọrịa anya, Akwụkwụ na-adọ.

Perforation nke gọzie gị septum, ndị na-esi nke na-eduga ọrịa ma ọ bụrụ na untreated, emeso naanị surgically. Self Agwọ (sprays, ointments, moisturizing mmadụ) ike nanị ruo nwa oge mfe ọnọdụ ahụ.