ʻOki kino Turbinate

ʻO nā paia o ka ihu he 3 mau hui o nā iwi lahilahi lōʻihi i uhi ʻia me kahi papa o nā kiko i hiki ke hoʻonui. Kapa ʻia kēia mau iwi he turbinates nasal.

Hiki i nā maʻi āpau a i ʻole nā ​​pilikia ihu ke hoʻoulu i nā turbinates a pale i ke kahe ea. Hiki ke hana i kahi hana e hoʻoponopono ai i nā alaloa ākea a hoʻomaikaʻi i kou hanu.

Nui a hewahewa nā ʻano o ke ʻoki turbinate:

ʻO Turbinectomy:

• Lawe ʻia i waho āpau a ʻāpana paha o ka turbinate lalo. Hiki i kēia ke hana i nā ʻano like ʻole, akā i kekahi manawa hoʻohana ʻia kahi mea liʻiliʻi, wikiwiki wikiwiki (microdebrider) e ʻako i ke kino keu.
• Hiki ke hana i ke kaha ma o ke kāmela uila (endoscope) i hoʻokomo ʻia i ka ihu.
• Loaʻa paha iā ʻoe kahi anesthesia ākea a i ʻole anesthesia kūloko me ka sedation, no laila ke hiamoe nei ʻoe a ʻaʻohe ʻeha i ka wā o ke ʻoki.

ʻO Turbinoplasty:

• Hoʻokomo ʻia kahi mea hana i ka ihu e hoʻololi i ke kūlana o ka turbinate. Kapa ʻia kēia ʻo ka ʻenehana outfracture.
• E kahi ʻia nō paha kekahi o nā kiko.
• Loaʻa paha iā ʻoe kahi anesthesia ākea a i ʻole anesthesia kūloko me ka sedation, no laila ke hiamoe nei ʻoe a ʻaʻohe ʻeha i ka wā o ke ʻoki.

Radiofrequency a i ʻole hoʻopau laser:

• Hoʻokomo ʻia kahi kuʻina lahilahi i ka ihu. Hele ka mālamalama laser a i ʻole ka ikehu radiofrequency ma o kēia paipu a hoʻoliʻiliʻi i kaʻiʻo turbinate.
• Hiki ke hana i ke kaʻina hana i ke keʻena ʻoihana olakino e hoʻohana nei i ka anesthesia kūloko.

E ʻōlelo paha kāu mea hāʻawi i kēia kaʻina hana inā:

• Loaʻa iā ʻoe ka pilikia e hanu ʻoiai kou ihu no ka mea pehu a ālai ʻia nā alaloa.
• ʻO nā lapaʻau ʻē aʻe, e like me nā lāʻau hoʻomākeʻā, nā pana allergy, a me nā spray ihu i kōkua ʻole i kou hanu ʻana.

ʻO nā pōʻino no kēlā me kēia ʻoki kino:

• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu
• Nā pilikia puʻuwai
• Kahena
• Maʻi kīnā

ʻO nā pilikia no kēia ʻoki kino penei:

• Pākuʻi scar a i ʻole ka huʻi ʻana i ka ihu
• He puka ma kaʻaʻaʻa e hoʻokaʻawale i nā ʻaoʻao o ka ihu (septum)
• Ka nalowale o ka manaʻo i ka ʻili ma ka ihu
• Hoʻololi i ke ʻano o ka pilau
• Kūkulu ka wai i ka ihu
• Hoʻihoʻi i ka pale o ka ihu ma hope o ke kahakaha ʻana

E haʻi mau i kāu mea hāʻawi:

• Inā ʻoe a hāpai paha
• He aha nā lāʻau āu e lawe nei, e like me nā lāʻau, nā mea hoʻopili, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau
• Inā loaʻa iā ʻoe ma mua o 1 a 2 mau mea inu ʻona i ka lā

I nā lā ma mua o kou ʻoki kino:

• E noi paha iā ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin), a me nā lāʻau ʻē aʻe paʻakikī i kou koko ke ʻū.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.

I ka lā o kou ʻoki kino:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea ma hope o ke aumoe i ka pō ma mua o kou ʻoki kino ʻana.
• E lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hōʻea ai i ka haukapila.

Nui nā poʻe i ka hoʻomaha manawa pōkole maikaʻi mai ka radioablation. Hiki ke hoʻi mai nā ʻōuli o ka ihu, akā he nui ka poʻe i ʻoi aku ka hanu ma mua o 2 mau makahiki ma hope o ke kaʻina hana.

ʻAneʻane ʻo ka poʻe āpau e loaʻa ana ka turbinoplasty me kahi microdebrider e hoʻomaikaʻi mau i ka hanu ʻana 3 mau makahiki ma hope o ke kahakaha ʻana. ʻAʻole pono i kekahi e hoʻohana hou i ka lāʻau nasal.

E hoʻi ʻoe i ka hale i ka lā like me ke ʻoki.

Hiki iā ʻoe ke hōʻoluʻolu a me ka ʻeha i kou alo no 2 a 3 mau lā. Kuhi kou ihu a hiki i ka iho ʻana o ka pehu.

E hōʻike ke kahu iā ʻoe pehea e mālama pono ai i kou ihu i kou wā hou.

Hiki iā ʻoe ke hoʻi i ka hana a kula paha i 1 pule. Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau ma hope o 1 pule.

Lawe ʻia i 2 mau mahina e hōʻola loa.

Turbinectomy; Turbinoplasty; Hoʻoliʻiliʻi Turbinate; ʻOki kino nasal; Pāhaʻi ihu - ʻoki ʻana turbinate

ʻO Corren J, Baroody FM, ʻo Pawankar R. Allergic a me ka nonallergic rhinitis. I: Adkinson NF, Bochner BS, Burks AW, a me al. Middleton's Allergy: Nā Manaʻo a me ka Hoʻomaʻamaʻa. 8th ed. Piladelapia, PA: Elsevier Saunders; 2014: chap 42.

Joe SA, Liu JZ. Rhinitis nonallergic. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 43.

Otto BA, Barnes C. ʻoki o ka turbinate. I: Myers EN, Snyderman CH, eds. ʻO ke keʻoki Otolaryngology Operative a me ka ʻoki ʻāʻī. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 97.

Ramakrishnan JB. Septoplasty a me turbinate ʻoki. I: Scholes MA, Ramakrishnan VR, eds. Nā mea huna a ENT. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 27.