Babban hanyar magance kumburin paratonsillar ko retropharyngeal wanda ke faruwa a cikin pharynx shine buɗe ƙwayar purulent ta hanyar tiyata. Ana nuna shi ga marasa lafiya na kowane zamani, la'akari da contraindications. Fasahar aikin tiyata ta ba da shawarar yin aikin kwanaki 4-5 bayan farkon samuwar ƙurji. Rashin bin wannan shawarwarin na iya haifar da gaskiyar cewa an aiwatar da aikin da wuri, lokacin da ƙuruciya bai riga ya samo asali ba. A wannan yanayin, ƙwayoyin cuta na ƙwayoyin cuta sun riga sun mai da hankali a kusa da tonsil, amma matakin narkewar nama na adenoid bai riga ya fara ba. Don bayyana matakin kumburin purulent, ana yin huda mai ganowa.
Hanyar gano shirye-shiryen ƙuruciya don buɗewa ta ƙunshi huda saman wurin kumbura kusa da tonsil ɗin da abin ya shafa. Yana da kyawawa don aiwatar da huda a ƙarƙashin ikon roentgenoscope ko duban dan tayi. Bayan ya huda yankin ƙuruciya, likita ya zana abin da ke cikin sa cikin sirinji mara kyau.
Zaɓuɓɓuka masu yiwuwa:
Kasancewar mugunya a cikin ganga sirinji alama ce ta kurji da ta samo asali, sigina na aiki.
Kasancewar cakuda lymph da jini tare da mugun jini a cikin sirinji alama ce ta ƙuruciya mara kyau, lokacin da isassun magungunan ƙwayoyin cuta na iya hana tiyata.
Alamu don buɗe ƙurji
Alamu don ganewar ƙwayar ƙura ta huda:
Alamar ciwo mai bayyanawa, mai tsanani ta hanyar juya kai, haɗiye, ƙoƙarin yin magana;
Hyperthermia fiye da 39 ° C;
Angina yana ɗaukar fiye da kwanaki 5;
Hypertrophy na tonsil daya (da wuya biyu);
Girman nodes guda ɗaya ko fiye;
Alamun maye - ciwon tsoka, gajiya, rauni, ciwon kai;
Tachycardia, palpitations.
Idan an huda huda a karkashin duban dan tayi ko X-ray jagora, za a iya cire mafi yawan mugunyar a lokacin aikin. Duk da haka, wannan ba zai magance matsalar gaba ɗaya ba, har yanzu dole ne ku cire ƙura.
Dalilan tiyata:
Bayan tsaftace kogin ƙurji, yanayin yaduwar ƙwayar cuta ya ɓace;
A lokacin tiyata, ana bi da rami tare da maganin rigakafi, wanda ba za a iya yi ba yayin huda;
Idan ƙuruciyar ta ƙarami, an cire shi tare da capsule ba tare da buɗe shi ba;
Bayan kawar da mugunya, yanayin gaba ɗaya yana inganta, zafi ya ɓace, alamun maye sun ɓace, yawan zafin jiki yana raguwa;
Tun da ƙananan ƙwayoyin da ke haifar da kumburi na purulent an kusan cire su gaba ɗaya, haɗarin sake dawowa kadan ne;
A wasu lokuta, tare da bude kogin ƙura, an cire tonsils, wanda ke taimakawa wajen kawar da mayar da hankali ga kumburi kuma yana rage haɗarin sake dawowa da cutar.
Tiyata don cire ƙura a makogwaro ana yin ta ne ta hanyar asibiti. Wannan ingantaccen tsari ne wanda baya haifar da rikitarwa. Bayan buɗewar tiyata na ƙuruciya, ana aika mai haƙuri don kulawa da kulawa a gida, ya zo don bin diddigin bayan kwanaki 4-5.
Alamomi don kula da marasa lafiya na paratonsillar abscess:
Shekarun yara (masu zuwa makaranta suna asibiti tare da iyayensu);
Mata masu juna biyu;
Marasa lafiya da cututtukan somatic ko rage rigakafi;
Marasa lafiya tare da babban haɗari na rikice-rikice na postoperative (sepsis, phlegmon);
Marasa lafiya tare da kumburi mara tsari don sarrafa samuwarsa.
Kafin aikin da aka tsara, don raunana ƙwayoyin cuta na ƙwayoyin cuta da hana yaduwar su, an wajabta marasa lafiya maganin rigakafi. Ana yin aikin tiyata a ƙarƙashin maganin sa barci. Idan lamarin ya kasance cikin gaggawa, an ba da izinin buɗe ƙurji ba tare da maganin sa barci ba.
Matakan buɗe ƙurji
Ana yin ɓarna tare da zurfin da bai wuce 1-1,5 cm ba a mafi girman matsayi na samuwar purulent, tun da yake a can ne mafi ƙarancin ƙwayar nama yana samuwa, kuma ƙuruciya yana kusa da saman. An ƙaddara zurfin ƙaddamarwa ta hanyar haɗarin lalacewa ga jijiyoyi da jini na kusa.
Pus yana fitowa daga cikin rami.
Likitan fiɗa, ta yin amfani da kayan aiki mara ƙarfi, yana lalata yuwuwar ɓangarorin da ke cikin kogon don inganta fitowar maƙarƙashiya da kuma hana tsayawarsa.
Jiyya na ƙurji na ƙurji tare da maganin antiseptik don lalata.
Suturing rauni.
Don hana sake dawowa, an tsara tsarin maganin rigakafi. Lokacin buɗe ƙurji, ana iya gano cewa ƙwayar ƙwayar cuta ba ta cikin capsule, ya bazu tsakanin kyallen wuyan wuyansa. Idan wannan rikitarwa ta haifar da ƙananan ƙwayoyin anaerobic waɗanda ke tasowa ba tare da samun isashshen iskar oxygen ba, ana yin magudanar ruwa ta hanyar ƙarin incisions a saman wuyansa don kawo iska da cire mugunya. Idan an kawar da haɗarin sake dawowa, ana suturar magudanar ruwa.
Dokokin hali bayan tiyata don buɗe abscesses:
Don kauce wa kumburi da rage jinkirin farfadowa, an hana shi dumi wuyansa;
Don rage haɗarin vasoconstriction ko dilation, an ba da izinin sha abin sha kawai a cikin zafin jiki;
An ba da shawarar yin amfani da abinci mai ruwa;
Wajibi ne a bi haramcin barasa da shan taba;
Don hana sake dawowa, yana da mahimmanci a sha hanyar magani tare da kwayoyin cutar antibacterial da anti-inflammatory, amfani da hadadden bitamin da ma'adinai;
Kwanaki 4-5 bayan aikin, likita ya bincika mai haƙuri, yana kimanta haɗarin yiwuwar rikitarwa, tsarin farfadowa.
A mafi yawan lokuta, sake dawowa bayan tiyata yana da wuyar gaske. Bayan mako guda da aka ware don lokacin gyarawa, ana iya ba da shawara ga majiyyaci tsarin da aka saba.