Ngaphambilini, indlela ejwayelekile kakhulu yokwelapha kwakuhlinzwa ukuze kususwe izigulane - tonsillectomy, okwamanje engavamile ukusebenza.
Izinkomba zokususwa kwezigulane nezizathu zokuqokwa kokuhlinzwa:
- i-tonsillitis engapheli noma isigameko esijwayelekile somphimbo;
- ama-abscesses ama-paratonsillar - ukusatshalaliswa kokuvuvukala nokubunjwa kwamapulangwe ngaphandle kwama-glands;
- ama-lymph nodes ama-submaxillary aqhubeka ekhulisiwe, naphezu kwanoma yiziphi izindlela zokwelapha;
- Ukuzikhukhumeza kwamathoni kwenza ukuphefumula nokugwinya kunzima;
- Izinqubo zokuvuvukala emathonini zikhubaza ukutheleleka kwezindlebe, kufaka phakathi indlebe ephakathi;
- Ukukhukhuma kwamatoni kuholela ekuhluphekeni kwenkulumo.
Izindlela zokususa izigcawu:
1. Ukuzikhethela kokuhlinzeka. Iveza ukufakwa kwezicubu ezithambile phezu kwe-amygdala kanye nokukhipha kwayo okulandelayo. Ngokwemigomo elula, i-gland ikhishwa ngethuluzi elikhethekile. Le ndlela ibuhlungu kakhulu futhi igqugquzela ukuphuma kwegazi okude isikhathi eside. Ukwengeza, kunengozi yokuphulwa kwegazi legazi ngokulahlekelwa igazi okukhulu emva kokuhlinzwa. Isikhathi sokutakula eside kakhulu.
Ukususwa kwe-Laser yezinhlayiya. Kunezinhlobo eziningana zamapayipi omshini wokwenza le nqubo. Naphezu kwezimiso ezahlukene zesenzo, basebenza ngokufanayo. Ngosizo lwesibhamu se-laser, i-amygdala ishiswa ngokuphelele ngokushisa komswakama kumathishu amancane. Ukususwa kwe-Laser yezinhlayiya kuphephile futhi akuholeli ekulahlekelweni kwegazi, nakuba le ndlela ibuhlungu kakhulu.
3. I- Cautery nge-electrocautery. Inqubo yokususa ama-glands kwenzeka ngokushisa izicubu ezinamafutha ngamanje kagesi esebenzisa idivayisi efana nenduku encane yentsimbi. Ukutholakala kwemiphumela yendawo kuphela kumathoni ngaphandle kokuphazamisa izimbungulu ze-mucous eziseduze kuvumela ukuba ungashiyi izindawo ezinkulu zomonakalo. Futhi kunciphisa ubuhlungu ngemva kokuphela kwe-anesthesia.
4. Susa ama-gland nge-nitrogen enamandla. I-Cryosurgery iyindlela ephephile kakhulu, kodwa idinga izinqubo ezingu-3-4 esikhundleni sokusebenza kwesikhathi esisodwa. I-amygdala isilahliwe ne-nitrogen enomsoco ekushiseni kwama-degrees angu -196, okubangela ukushona kwemvelo kwamathambo. Ukuphinda kweqhwa kubhebhethekisa le nqubo futhi ngenxa yalokho umzimba ukhulula ngokuzimela.
5. Ukususwa kwe-ultrasonic nokusakaza umsakazo. Ukuphakama okuphezulu kwe-ultrasound noma ukushisa kwe-radio kuyashukumisa i-amygdala ngaphakathi ngaphakathi kuya emazingeni okushisa kakhulu. Ngenxa yalokho, amangqamuzana amathisto amancane afana nezimbongolo abhujiswa, futhi ayanyamalala. Ngalendlela, ungenza ukususwa okuyingxenye yezinhlayiya, ubhubhise izingxenye zabo ezimele.
Ukubuyiswa ngemuva kokususwa kwezingqimba
Usuku lokuqala emva kokusebenza kudinga ukuphumula nokuphumula. Ukulala ngokuhle kakhulu ohlangothini lokugwema ukuthola igazi endaweni yokuphefumula. Futhi ngalolu suku akuvunyelwe ukukhuluma nokugwinya, udle. Kudingekile ukuba uhlale esibhedlela cishe isonto ukuhlolwa okufika ngesikhathi futhi unciphise ingozi yezinkinga.
Emva kokukhipha, ukuvuselelwa kuthatha amasonto amabili. Lesi sikhathi singase sibe ekhaya, kodwa ukukhawulela umsebenzi womzimba futhi uhambisane nokudla okunconyiwe.
Ukudla emva kokukhipha izigcawu:
- kusukela ngosuku lwesibili kuya kwesithupha ungadla uketshezi oluketshezi, imikhiqizo yobisi, isobho se-souffle. Kuyinto efiselekayo ukugaya konke kumbuso we-puree;
- emva kweviki lokuqala emithineni epholile yemikhiqizo etholakala emanzini aphansi-fat, amazambane nezithelo ezihlanzekile zengeziwe;
- kusukela ngosuku lweshumi ukudla akukwazi ukuhlonishwa. Kunconywa ukuba ungadli ukudla okucasula umphimbo (okusobala, usawoti).
Izinkinga emva kokususwa kwezigulane:
- Ukuphuma kwegazi isikhathi eside.
- I-inhalation (i-aspiration) ye-tampon yokugqoka.
- Ukutheleleka kwezitho zangasese eziwonakele.