An adenoidectomy inobviswa pakutsvaga kweadenoids. Nyaya yekuti kana kwete adenoids inofanira kubviswa yakange iri nyaya yekukakavara munharaunda yezvokurapa. Iyo kukakavara kwakaguma kubva pakuita zvisingadikanwi zvinyorwa zvisingabatsiri , pamwe chete nemafungiro evamwe , izvo dzimwe nguva zvakabatanidzwa kuva rimwe chirwere. Pasinei nekukakavara, sangano rezvehutano rinotsigira kubviswa kweadenoids mune zvimwe zviitiko.
Nepo vamwe vanachiremba vachiri kuda kubvisa zvose matononi uye adenoids panguva imwe chete, zvose zvinofanira kutariswa pane zvakatarisana vasati vaona kana vachifanira kubviswa. Nemhaka yekuti adenoids inopera nezera, akawanda adenoidectomies anoitwa kuvana vaduku.
Mamiriro ezvinhu anoda kubviswa pakarepo kweadenoids anosanganisira:
- Kuvharwa kwakanyanya kwenzira
- Cancer yematoni
- Kubvongodza kweAdenoids iyo isingagoni kumira
Chiremba anogonawo kukurudzira adenoidectomy nokuda kwezvikonzero, zvisingaitiki. Mune mamiriro ezvinhu aya, chiremba achafananidza nengozi uye zvibatsiro zvekuvhiyiwa.
Zvikonzero zveAdenoidectomy yakasarudzwa dzinosanganisira:
- Yakakurumbira adenoids (adenoid hypertrophy) inokonzera kurara kwepabonde
- Kuwedzerwa adenoids kunokonzera kushungurudzwa kwebanduro eustachian ; nzeve dzinonzwa dzinogonawo kuiswa
- Chronic sinusitis iyo isingateereri kurapwa kwekare
- Kudzokorora hutachiona hutachiona ( otitis media )
Pamberi peAdenoidectomy
Usati wambovhiyiwa, chiremba achakuudza kuti usarega kupa mwana wako mushonga mishonga se ibuprofen kana aspirin kwevhiki rimwe chete kusati kwaitwa chirongwa. Iyi mishonga inowedzera mukana wekubuda ropa zvakanyanya panguva yekuvhiyiwa uye kuora ropa shure kwekuvhiyiwa. Kana mwana wako ari pamishonga yezuva nezuva, iwewo unoda kubvunza chiremba wako kana pane imwe mishonga yausingafaniri kumupa zuva rekuvhiyiwa .
Nzvimbo yekuvhiya ichadana kuti ikuudzei kuti nguva yekuvhiyiwa ichaitika. Nokuti kushambidza uye chido chiri mungozi kune ani zvake anorwara anesthesia, iwe uchawanawo mirayiridzo pamusoro pekudya nekumwa kwevana vako. Kazhinji kudya uye kunwa kunofanira kudziviswa mushure meusiku husiku usiku huripo kuvhiyiwa.
Pachipatara
Kana ukangosvika kuchipatara kana nzvimbo yekuvhiya, iwe uchada kutarisa. Unoda kuunza pamwe nemamwe maikirwo kana zvinhu zvekuti mwana wako aite apo iwe wakamirira kuvhiyiwa. Kana mwana wako ari mucheche, uya nehombodo kana tipe kapu nemamwe mavara anewe. Nepo iwe uchipiwa nguva yekuvhiyiwa kuti iitwe, kusarudzwa kwako kunobva pane nguva inofungidzirwa yehutano hwako uye kuvhiyiwa kunoitika kare kare. Iva akagadzirira kumirira.
Pane imwe nguva, iwe uchabvunzwa kuti upedze fomu yakazara yehutano hwehutano kubatsira chikwata chako chezvehutano kupa mwana wako zvakanakisisa zvingaita. Iva nechokwadi chekuudza chiremba wako kana murwere kana hama yako yakambosangana neanesthesia. Dzokorora kunetseka chero kupi zvayo kunosanganisira kuora mwoyo kusvika kune latex, iyo inoshandiswa mune mamwe majekesheni emishonga.
Isati yasvika, mukoti achatora zviratidzo zvakakosha, ( kuwedzera kweropa , mwoyo wemazinga, kutonhora, kupemha , uye kuputika kweokisijeni ), kuitira kuti uve nechimwe chinhu chekuenzanisa chiitiko chekuvhiyiwa mushure mekuvhiyiwa.
Dzimwe nguva murwere anokwanisa kupiwa mishonga yokurambidza kuderedza kuzvidya mwoyo asati avhiyiwa. Mishonga inowanzoshandiswa inonzi Versed (midazolam). Izvi hazvibvumirwi nguva dzose nevamwe vanachiremba, asi zvinogona kubatsira kudzikinura mwana wako uye kumubatsira kuti asakanganwa zvakaitika zvisingafadzi.
Chiremba anovhiya achakwanisa kubvisa adenoids kuburikidza nomuromo kuburikidza nekuita zvinyorwa zvishoma zvishoma. Chiremba anovhiya acharwisa nzvimbo iyo adenoids ichibviswa; izvi zvinosanganisira kuparadza mavara mumharaunda kuti amise kubuda ropa. An adenoidectomy kazhinji inongotora maminitsi makumi maviri chete.
Mushure mekuvhiyiwa, mwana wako achaendeswa kuPACU (post-anesthesia care unit) kuti ionekwe nevanamukoti vanyoresa kusvikira agadzirira kuenda kumba.
Mukoti acharamba achitarisa kuti mwana wako akarara sei, kuti pedyo zvikuru zviratidzo zvake zvinokosha sei kune avo vakatorwa vasati vambovhiyiwa, kana ari kurwadziwa, uye kana akakwanisa kudya uye kunwa pasina kurutsa.
Kutarisira Mwana Wako Pashure peAdenoidectomy
Mushure mekudzokera kumusha, mwana wenyu anogona kukwanisa zvakare kudya kwake nguva dzose kunze kwekuti ainewo tonsillectomy kana ari kutambura nekushungurudza uye kurutsira. Kana kushungurudza uye kusuruvara chiri nharo, zvakanakisisa kunamatira kuchenesa zvinodhaka zvakadai soupe muto, mvura, uye jisi reapuro. Kana marwadzo ari dambudziko, zvokudya zvakaderera zvinofanira kushandiswa. Pakutanga, usapedza majero emurairi, sezvo izvi zvinogona kukonzera kutsamwa, uye mukaka, izvo zvinogona kuita kuti michero inogadzirwa. Kana zvipfeko kana ropa idzva richionekwa mumhino kana muhuro (kunze kweropa rakatemwa ropa) unofanira kuenda kuchipatara pakarepo.
Chiremba wako kana mukoti achakupa mirayiridzo yakanyatsonaka yekuchengeta mwana wako kumba. Iyi mirayiridzo inofanira kuteverwa chaizvo. Muzvizhinji, unofanira kutarisa mamiriro ekudzivirira kwemwana wako nekucherechedza kurutsa kusingagumi kana kuramba kunwa mvura. Dry rakapwanyika miromo, hapana misodzi, uye muto muduku haisi zviratidzo zvekushaya mvura uye inofanira kuudzwa kune chiremba wemwana wako. Zvimwe zvinhu izvo chiremba anofanira kuziviswa nezvayo zvinosanganisira kubuda kunorema, fivha, nekurwadziwa kwakanyanya.
Kukurira panzvimbo iyi kunogona kuita kuti inzwi richinje. Izvi zvakajairika. Zvisinei, kana kuchinja kunopfuurira mushure mevhiki dzinoverengeka, tsvaka rubatsiro rwechiremba kuitira kuti mwana wako aonekwe kwevelopharyngeal kusakwanira (kusina kukodzera kwemuviri mushure memuromo).
Vana vanofanira kurega mitambo uye basa rakawandisa munguva yekudzikinura. Uyezve, kwemavhiki maviri, ita zvaunogona kuti utadzire mwana wako kuti asangane nevanhu vane zvirwere zvokupora. Unofanirwa kuchengeta mwana wako kumba kubva kuchikoro kwevhiki imwe chete kana sekurairwa nachiremba wako.
Sources:
Medline Plus. Adenoid Removal. http://www.nlm.nih.gov/medlineplus/article/003011.htm
Nemours Foundation. Yakakura Adenoids http://kidshealth.org/parent/medical/ears/adenoids.html#
Paradhiso, JL, Tonsillectomy uye adenoidectomy muvana. http://www.uptodate.com/home/index.html (kubhadhara kunoda)