Kev txhuam hniav thiab daim di ncauj kho

Kev kho lub ntsej muag thiab daim di ncauj tawg yog kev phais los kho qhov teeb meem thaum yug ntawm lub siab thiab daim di ncauj (lub ru tsev ntawm lub qhov ncauj).

Lub ntsej muag ntshiab yog kev yug menyuam:

• Lub ntsej muag me me tej zaum tsuas yog ib qho nqis me me hauv di ncauj. Nws tseem yuav muaj kev sib cais tiav hauv daim di ncauj uas mus rau txhua txoj hauv kev mus rau lub hauv paus ntawm lub qhov ntswg.
• Cov xim thaiv lub ntsej muag tuaj yeem yog rau ntawm ib lossis ob sab ntawm lub ru tsev ntawm lub qhov ncauj. Tej zaum nws yuav mus rau qhov ntev ntawm lub palate.
• Koj tus menyuam yuav muaj li ib lossis ob yam ntawm cov xwm txheej no thaum yug los.

Feem ntau, ntxuav qhov ncauj kho kom tiav thaum tus menyuam muaj 3 txog 6 hlis.

Txog kev phais qhov ncauj meej, koj tus menyuam yuav muaj tshuaj loog (tsaug zog thiab tsis hnov ​​mob). Tus kws phais yuav txiav cov ntaub so ntswg thiab xaws daim di ncauj ua ke. Lub stitches yuav tsawg heev thiaj li ua qhov caws pliav yog me me li sai tau. Feem ntau ntawm txoj hlua khi yuav nqus rau hauv cov ntaub so ntswg raws li caws pliav heals, yog li lawv yuav tsis tas yuav tsum tau muab tshem tawm tom qab.

Feem ntau lub sijhawm, kev kho cov pob txha hniav tawg yog ua tiav thaum tus menyuam loj dua, thaum muaj 9 hlis mus rau 1 xyoos. Qhov no tso cai rau lub palate hloov raws li tus menyuam hlob. Ua kev kho kom zoo thaum tus menyuam yaus hnub nyoog no yuav pab tiv thaiv teeb meem kev hais lus ntxiv thaum tus menyuam loj hlob.

Hauv kev kho cov xim txha hniav laus, koj tus menyuam yuav muaj tshuaj loog (tsaug zog thiab tsis hnov ​​mob). Cov ntaub so ntswg los ntawm lub ru tsev ntawm lub qhov ncauj yuav txav mus dhau los npog lub ntsej muag muag muag. Qee lub sij hawm tus menyuam yaus yuav xav tau ntau dua ib qho kev phais kom kaw lub ntsej muag.

Thaum cov txheej txheem no, tus kws phais yuav xav tau kho qhov ntswg ntawm koj tus menyuam qhov ntswg. Qhov kev phais no hu ua rhinoplasty.

Qhov kev phais mob no tau ua rau kho lub cev lub cev uas ua los ntawm lub qhov ncauj ntawm cov hniav lossis daim di ncauj. Nws yog ib qho tseem ceeb kom kho cov xwm txheej no vim lawv tuaj yeem tsim teeb meem nrog kev pub mis, pub mis, lossis hais lus.

Kev phom sij los ntawm kev phais muaj xws li:

• Cov teeb meem ua pa
• Kev tshuaj tiv thaiv
• Ntshav
• Kab mob
• Xav tau kev phais mob txuas ntxiv

Teeb meem cov kev phais no yuav ua rau yog:

• Cov pob txha nyob hauv nruab nrab ntawm lub ntsej muag yuav tsis tuaj yeem loj hlob tuaj.
• Kev sib txuas ntawm qhov ncauj thiab qhov ntswg tej zaum yuav tsis zoo li qub.

Koj yuav ntsib nrog kws kho mob kev hais lus lossis kev qhia noj tom qab koj tus me nyuam yug. Tus kws kho mob yuav pab koj nrhiav txoj hauv kev zoo pub rau koj tus menyuam ua ntej kev phais mob. Koj tus menyuam yuav tsum nce phaus thiab noj qab nyob zoo ua ntej kev phais mob.

Koj tus menyuam tus kws kho mob yuav:

• Ntsuam xyuas koj tus menyuam cov ntshav (ua cov suav cov ntshav thiab "ntaus thiab hla" txhawm rau kuaj koj tus menyuam cov ntshav hom)
• Nqa ib qho keeb kwm kev kho mob tiav ntawm koj tus menyuam
• Mus kuaj koj tus menyuam lub cev txhua tus

Nco ntsoov qhia koj tus menyuam qhov chaw zov menyuam:

• Yam tshuaj uas koj muab rau koj tus menyuam. Nqa yeeb tshuaj, tshuaj ntsuab, thiab vitamins koj yuav yam tsis muaj daim ntawv yuav tshuaj.

Thaum lub hnub ua ntej kev phais mob:

• Kwv yees li 10 hnub ua ntej kev phais mob, yuav kom koj tsum tsis txhob muab koj tus menyuam cov tshuaj aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), thiab lwm yam tshuaj uas ua rau koj tus menyuam cov ntshav txhaus.
• Nug saib cov tshuaj twg tus menyuam yaus yuav tsum tau noj thaum hnub phais.

Hnub ntawm kev phais:

Feem ntau, koj tus menyuam yuav tsis tuaj yeem haus dej haus lossis noj ib qho dab tsi rau ntau xuaj moos ua ntej kev phais mob.

• Muab ib pas dej me me nrog ib cov tshuaj uas koj tus kws kho mob hais kom koj muab rau koj tus menyuam.
• Lawv yuav qhia koj thaum yuav tuaj kho mob.
• Tus kws zov me nyuam yuav xyuas kom koj cov me nyuam noj qab nyob zoo ua ntej kev phais mob. Yog tias koj tus menyuam mob, yuav raug ncua sijhawm.

Koj tus menyuam tej zaum yuav nyob hauv tsev kho mob li 5 rau 7 hnub tom qab phais mob. Kev ua tiav tag nrho tuaj yeem siv sijhawm ntev txog 4 lub lim tiam.

Qhov txhab phais yuav tsum tau ua kom huv si thaum nws kho. Nws yuav tsum tsis txhob ncab lossis muaj ib qho kev sib zog muab tso rau nws li 3 txog 4 asthiv. Koj tus menyuam tus kws tu neeg mob yuav tsum qhia koj seb yuav tu lub qhov txhab li cas. Koj yuav tsum tau ntxuav nws nrog xab npum thiab dej lossis ib qho kua tshwj xeeb ntxuav, thiab ua kom nws noo nrog tshuaj pleev.

Kom txog rau thaum lub qhov txhab kho kom zoo, koj tus menyuam yuav noj cov zaub mov zoo. Koj tus menyuam yuav tsum hnav ris tsho caj npab lossis txha caj qaum txhawm rau txhawm rau tiv thaiv qhov tuaj tos ntawm qhov txhab. Nws yog ib qho tseem ceeb rau koj tus menyuam kom tsis txhob tso tes lossis khoom ua si rau hauv lawv lub qhov ncauj.

Feem ntau cov menyuam yaus kho tsis muaj teeb meem. Yuav ua li cas koj tus menyuam yuav saib xyuas tom qab zoo feem ntau nyob ntawm qhov tsis xws loj heev. Koj tus menyuam yuav xav tau lwm yam kev phais los kho qhov caws pliav ntawm lub qhov txhab phais.

Ib tug menyuam yaus uas muaj kev txhim kho lub ntsej muag tawv yuav tau mus ntsib kws kho hniav lossis kws kho hniav. Cov hniav yuav xav tau kho thaum lawv nkag los.

Cov teeb meem tsis hnov ​​lus yog tshwm sim feem ntau hauv cov menyuam yaus uas muaj daim di ncauj zom zaws. Koj tus menyuam yuav tsum muaj lub rooj sib hais ua ntej, thiab nws yuav tsum tau kuaj dua ib zaug.

Koj tus menyuam tseem yuav muaj teeb meem nrog hais lus tom qab phais tas. Qhov no tshwm sim los ntawm cov teeb meem nqaij hauv lub palate. Kev kho hais lus yuav pab koj tus menyuam.

Orofacial cleft; Kev kho tus me nyuam craniofacial thaum yug; Cheiloplasty; Cleft rhinoplasty; Palatoplasty; Ntsis rhinoplasty

• Kev txhuam ntawm lub di ncauj thiab lub qab xib taws kho - tso tawm

• Kev txhuam hniav tsim kho - ua koob

Allen GC. Ciav ntawm daim di ncauj thiab sab hauv qab. Hauv: Scholes MA, Ramakrishnan VR, eds. ENT SecretsCov. 4 tug ed. Philadelphia, PA: Elsevier; 2016: chap 51.

Costello BJ, Ruiz RL. Kev tswj hwm ntawm lub ntsej muag kom huv. Hauv: Fonseca RJ, ed. Kev phais mob ntawm lub qhov ncauj thiab MaxillofacialCov. 3lawm ed. Philadelphia, PA: Elsevier; 2018: chap 28.

Wang TD, Milczuk HA. Ciav ntawm daim di ncauj thiab sab hauv qab. Hauv: Flint PW, Haughey BH, Lund V, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 187.