Uvulopalatopharyngoplasty (UPPP)

Uvulopalatopharyngoplasty (UPPP) yog phais yuav qhib cov hlab pa loj los ntawm kev rho tawm cov nqaij ntawm lub caj pas. Nws yuav ua tau los kho qhov ua kom tsaug zog me me ua tsis tsaug zog (OSA) lossis kev ua pa uas tsaug zog.

UPPP tshem tawm cov nqaij mos ntawm qab caj pas. Qhov no suav nrog:

• Tag nrho lossis ib feem ntawm cov uvula (qhov nrov plig plawg lub ntsej muag uas dai ntawm sab nraum qab ntawm lub qhov ncauj).
• Qhov chaw ntawm lub ntsej muag muag thiab cov nqaij mos ntawm lub tog caj pas.
• Tonsils thiab adenoids, yog tias lawv tseem muaj.

Koj tus kws kho mob yuav pom zoo kom qhov kev phais mob no yog tias koj pw tsaug zog me ntsis tsis ua haujlwm (OSA).

• Sim ua lub neej pauv hloov ua ntej, xws li yuag poob lossis hloov chaw pw.
• Feem ntau cov kws tshaj lij pom zoo sim siv CPAP, ntswg ntsaws cov kab tawm, lossis khoom siv hauv qhov ncauj los kho OSA ua ntej.

Koj tus kws kho mob yuav pom zoo rau qhov kev phais mob no los kho kho mob qog hnyav, txawm hais tias koj tsis muaj OSA. Ua ntej koj yuav txiav txim siab txog qhov kev phais mob no:

• Saib xyuas yog tias poob phaus pab koj ua qaj.
• Xav seb nws tseem ceeb npaum li cas rau koj los kho mob snoring. Qhov phais tsis ua haujlwm rau txhua tus.
• Nco ntsoov tias koj qhov kev tuav pov hwm yuav them rau qhov phais mob no. Yog tias koj tsis muaj OSA, koj txoj kev pov hwm yuav tsis them rau qhov kev phais mob.

Qee zaum, UPPP ua tiav nrog rau lwm txoj kev phais mob kom zoo dua los kho OSA hnyav dua.

Kev phom sij rau kev ua kom loog thiab phais feem ntau yog:

• Kev tsis haum tshuaj lossis teeb meem ua pa
• Los ntshav, txhaws ntshav, lossis kis tus kab mob

Kev phom sij rau qhov kev phais mob no yog:

• Kev puas tsuaj rau cov leeg nqaij hauv caj pas thiab lub ntsej muag muag muag. Koj yuav muaj teeb meem ua kom cov dej haus mus txog hauv koj lub qhov ntswg thaum haus dej (hu ua icesharyngeal insufficiency). Feem ntau, qhov no tsuas yog cov kev mob tshwm sim ib ntus.
• Mucus nyob hauv caj pas.
• Kev hais lus hloov.
• Lub cev qhuav dej.

Nco ntsoov qhia koj tus kws kho mob lossis tus nais maum:

• Yog tias koj lossis cev xeeb tub
• Cov tshuaj twg koj noj, nrog rau cov tshuaj, tshuaj ntxiv, lossis tshuaj ntsuab uas koj yuav yam tsis muaj daim ntawv yuav tshuaj
• Yog hais tias koj tau haus cawv ntau, ntau dua 1 lossis 2 khob ib hnub

Thaum lub hnub ua ntej kev phais mob:

• Tej zaum yuav kom koj tsum tsis txhob noj cov ntshav ntshav xws li tshuaj aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin).
• Nug koj tus kws kho mob saib koj yuav siv cov tshuaj twg hnub phais koj tus mob.
• Yog koj haus luam yeeb, sim nres. Kev haus luam yeeb tuaj yeem qeeb kho. Nug koj tus kws kho mob kom pab txiav.
• Qhia rau koj tus kws kho mob paub txog mob khaub thuas, khaub thuas, kub taub hau, mob pob txuv, lossis lwm yam mob uas koj yuav muaj ua ntej koj phais. Yog koj mob, koj yuav tsum raug phais.

Hnub ntawm kev phais:

• Yuav kom koj tsis txhob haus dej los yog noj dab tsi rau ob peb teev ua ntej kev phais mob.
• Siv cov tshuaj uas koj tus kws kho mob hais kom koj nqa nrog lub pas dej me me.
• Ua raws li cov lus qhia txog thaum tuaj txog hauv tsev kho mob. Nco ntsoov tuaj kom ncav sijhawm.

Qhov kev phais no feem ntau xav tau pw hauv tsev kho mob kom paub tseeb tias koj tuaj yeem nqos. Kev phais UPPP tuaj yeem mob thiab ua kom rov zoo tuaj yuav siv 2 lossis 3 lub lis piam.

• Koj lub caj pas yuav mob heev mus ntev li ob peb asthiv. Koj yuav tau txais cov tshuaj loog rau tshuaj kom txo qhov mob.
• Koj yuav muaj quav nyob tom qab koj lub qa. Cov no yuav yaj lossis koj tus kws kho mob yuav tshem tawm thaum thawj zaug rov qab mus ntsib.
• Tsuas yog noj cov zaub mov mos thiab dej rau thawj 2 lub lis piam tom qab kev phais mob. Zam tej zaub mov qhuav lossis zaub mov uas nyuaj zom.
• Koj yuav tsum tau yaug koj lub qhov ncauj tom qab noj mov nrog dej ntsev rau thawj zaug 7 mus rau 10 hnub.
• Zam zam kev nqa khoom hnyav lossis hlab ntshav rau thawj 2 lub lis piam. Koj tuaj yeem taug kev thiab ua si tau tom qab 24 xuab moos.
• Koj yuav muaj kev rov qab ntsib nrog koj tus kws kho mob 2 lossis 3 lub lis piam tom qab qhov phais mob.

Pw tsaug zog apnea txhim kho thaum xub thawj rau kwv yees li ntawm ib nrab ntawm cov neeg uas tau phais mob no. Ua haujlwm dhau sijhawm, qhov txiaj ntsig rub tawm rau ntau tus neeg.

Qee qhov kev tshawb fawb qhia tias kev phais mob zoo tshaj plaws tsuas yog siv rau cov neeg muaj qhov txawv txav hauv lub ntsej muag muag muag.

Palate kev phais mob; Cov txheej txheem Uvulopalatal nrov plig plawg; UPPP; Laser-pab uvulopalaplasty; Cov duab hluav taws xob radiofrequency; Velopharyngeal tsis txaus - UPPP; Obstructive pw apnea - uvulopalaplasty; OSA - uvulopalaplasty

Katsantonis GP. Classic uvulopalatopharyngoplasty. Hauv: Friedman M, Jacobowitz O, eds. Pw tsaug zog apnea thiab SnoringCov. 2nd ed. Philadelphia, PA: Elsevier; 2020: chap 32.

Qaseem A, Holty JE, Owens DK, li al; Cov Lus Qhia Kev Kuaj Mob Hauv Cov Tsev Kawm Qib Siab Tus Kws Kho Mob. Tswj kev pw tsaug zog apnea rau cov neeg laus: cov kev qhia soj ntsuam los ntawm American College ntawm cov kws kho mob. Ann Intern MedCov. 2013; 159 (7): 471-483. PMID: 24061345 www.ncbi.nlm.nih.gov/pubmed/24061345.

Wakefield TL, Lam DJ, Ishman SL. Pw tsaug zog apnea thiab pw tsis tsaug zog. 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 18.