Tus Sau: Randy Alexander
Hnub Kev Tsim: 3 Lub Plaub Hlis Ntuj 2021
Hloov Hnub: 15 Lub Kaum Ib Hli Ntuj 2024
Anonim
Microtia Surgery For Ear Reconstruction
Daim Duab: Microtia Surgery For Ear Reconstruction

Zoo Siab

Microtia yog dab tsi?

Microtia yog qhov txawv txav uas ua rau sab nrauv ntawm tus menyuam lub pob ntseg tab tom tsim thiab feem ntau tsis ua haujlwm. Qhov ntxeev yuav cuam tshuam rau ib qho (tsis muaj ob tog) lossis ob lub (ob tog) lub pob ntseg. Hauv kwv yees li 90 feem pua ​​ntawm cov teeb meem, nws tshwm sim unilaterally.

Hauv Tebchaws Meskas, microtia yog kwv yees li 1 txog 5 nyob rau hauv 10,000 nyob hauv kev yug menyuam ib xyoo. Ob leeg microtia kwv yees tias tsuas tshwm sim hauv tsuas yog 1 ntawm 25,000 tus neeg yug hauv ib xyoos.

Qib plaub ntawm microtia

Microtia tshwm sim hauv plaub qib sib txawv, lossis qib, ntawm qhov mob hnyav:

  • Qeb I. Koj tus me nyuam yuav muaj lub pob ntseg sab nraud uas zoo li me me tab sis feem ntau zoo li qub, tab sis lub pob ntseg pob ntseg nqaim los sis ploj.
  • Qeb II. Feem peb hauv qab ntawm koj tus menyuam lub pob ntseg, suav nrog lub hauv ntej, tej zaum yuav tshwm sim zoo li qub, tab sis ob feem peb saum hauv qab yog me me thiab tsis zoo. Lub pob ntseg pob ntseg yuav yog qhov nqaim lossis ploj.
  • Qeb III. Nov yog hom microtia uas nquag pom muaj rau cov menyuam yaus thiab menyuam yaus. Koj tus me nyuam yuav tsis raug txhim kho, ib feem me me ntawm pob ntseg sab nraud, suav nrog qhov pib ntawm lub ntseg thiab ib qho me me ntawm pob txha mos nyob rau sab saum toj. Nrog qib III microtia, feem ntau tsis muaj pob ntseg pob ntseg.
  • Qeb IV. Cov mob me me tshaj plaws ntawm microtia tseem paub zoo li anotia. Koj tus menyuam muaj mob yog tsis muaj pob ntseg lossis pob ntseg pob ntseg, ob tog los sis ob tog.

Cov duab ntawm microtia

Dab tsi ua rau microtia?

Microtia feem ntau muaj kev loj hlob hauv thawj peb lub hlis thaum cev xeeb tub, hauv thawj lub lis piam pib ntawm txoj kev loj hlob. Nws cov laj thawj feem ntau tsis paub tab sis qee zaus kuj cuam tshuam nrog kev siv yeeb tshuaj lossis dej cawv thaum cev xeeb tub, kev mob caj ces lossis kev hloov pauv, tej teeb meem ib puag ncig, thiab kev noj zaub mov kom tsawg hauv carbohydrates thiab folic acid.


Ib qho kev pheej hmoo txaus ntshai rau microtia yog kev siv tshuaj kho pob txuv Accutane (isotretinoin) thaum cev xeeb tub. Cov tshuaj no tau cuam tshuam nrog ntau yam kev mob plab hauv plab, suav nrog microtia.

Lwm qhov tau los uas yuav ua rau tus menyuam muaj kev pheej hmoo rau microtia yog mob ntshav qab zib, yog tias tus niam yog tus mob ntshav qab zib ua ntej muaj menyuam. Cov niam uas mob ntshav qab zib yog cov muaj feem ntau dua rau qhov yug menyuam nrog microtia dua li lwm tus poj niam cev xeeb tub.

Microtia tsis pom kev mob caj ces rau feem ntau. Feem ntau, cov menyuam yaus microtia tsis muaj lwm tus hauv tsev neeg nrog tus mob. Nws zoo li tshwm sim ntawm random thiab twb tau pom hauv cov menyuam ntxaib uas ib tus menyuam muaj nws tab sis lwm tus tsis pom.

Txawm hais tias feem ntau tshwm sim ntawm microtia tsis caj ces, ntawm feem pua ​​me me ntawm kev muaj mob microtia, qhov xwm txheej tuaj yeem hla ntau tiam neeg. Tsis tas li ntawd, cov niam uas muaj ib tug menyuam yug los nrog microtia muaj kev pheej hmoo me ntsis (5 feem pua) ntawm kev muaj lwm tus menyuam nrog qhov mob ib yam nkaus.


Yuav kuaj li cas microtia?

Koj tus menyuam tus kws kho menyuam yaus yuav tsum muaj peev xwm ntsuas microtia los ntawm kev tshuaj xyuas. Txhawm rau txiav txim siab qhov mob hnyav, koj tus menyuam tus kws kho mob yuav xaj kuaj pob ntseg, qhov ntswg, thiab caj pas (ENT) tus kws kho mob tshwj xeeb thiab kuaj pob ntseg nrog tus kws ntsuam xyuas menyuam yaus.

Nws tseem tuaj yeem txheeb xyuas qhov tseeb ntawm koj tus menyuam lub microtia los ntawm CAT scan, txawm hais tias qhov no feem ntau ua rau tsuas yog thaum tus menyuam loj dua.

Tus kws ntsuas mob yuav ntsuas koj tus menyuam qhov tsis hnov ​​lus zoo, thiab ENT yuav lees tias pob ntseg pob ntseg puas tuaj lossis qhaj ntawv. Koj tus menyuam ENT kuj tseem tuaj yeem qhia koj txog cov kev xaiv rau pob ntseg pab lossis kev phais kho dua tshiab.

Vim tias microtia tuaj yeem tshwm sim ua ke nrog rau lwm cov kev mob caj ces lossis mob tsis txaus ntseeg thaum yug los, koj tus menyuam tus kws kho mob menyuam yuav xav txiav txim tawm lwm yam kev kuaj mob. Tus kws kho mob yuav pom zoo ua ib qho ultrasound ntawm koj tus menyuam lub raum kom kuaj xyuas lawv kev loj hlob.

Koj tseem yuav raug xa mus rau tus kws paub txog caj ces yog tias koj tus menyuam tus kws kho mob xav tias lwm yam kev txawv txav ntawm caj ces yog thaum ua si.


Qee lub sij hawm microtia tshwm ua ke nrog lwm cov craniofacial syndromes, lossis ua ib feem ntawm lawv. Yog tias tus kws kho mob xav tias qhov no, koj tus menyuam yuav raug xa mus rau tus kws kho mob tshwj xeeb lossis tus kws kho mob txhawm rau tshuaj xyuas ntxiv, kho, thiab kho mob.

Cov kev kho mob xaiv

Qee tsev neeg tsis xaiv los cuam tshuam kev phais mob. Yog tias koj tus menyuam yog menyuam mos, yuav ua tsis tau dabtsi phais lub pob ntseg pob ntseg tsis tau. Yog tias koj tsis xis nyob nrog kev xaiv phais, koj tuaj yeem tos kom txog thaum koj tus menyuam loj dua. Cov kev phais rau microtia zoo li yuav yooj yim dua rau cov menyuam yaus laus dua, vim tias nws muaj pob txha mos ntau dua txhaws.

Nws yog ib qho ua tau rau qee tus menyuam yaus yug los nrog microtia siv cov khoom tsis hnov ​​lus. Ua raws li koj tus menyuam lub microtia, lawv yuav yog tus xaiv tsa rau hom khoom no, tshwj xeeb yog tias lawv tseem hluas heev rau kev phais lossis yog tias koj tau ncua nws. Kuj tseem siv tau pob ntseg yog tias muaj pob ntseg pob ntseg.

Rib pob txha mos pob txha phais

Yog tias koj xaiv ua pob coj los txuas rau koj tus menyuam, lawv yuav tau ua raws li ob rau plaub txheej txheem ua ntev ib hlis mus txog ib xyoos. Rib pob txha mos raug tshem tawm ntawm koj tus menyuam lub hauv siab thiab siv los tsim cov pob ntseg zoo li pob ntseg. Nws mam li cog rau hauv qab daim tawv nqaij ntawm qhov chaw uas lub pob ntseg yuav tau nyob.

Tom qab cov pob txha mos tshiab tau ua tiav ntawm qhov chaw, kev phais mob ntxiv thiab pob txha rau cov tawv nqaij yuav raug ua kom tau zoo dua los ua lub pob ntseg. Kev phais pob txha rau menyuam mos yog pom zoo rau cov menyuam muaj hnub nyoog 8 txog 10 xyoo.

Tav pob txha mos yog lub zog thiab ruaj khov. Cov ntaub so ntswg los ntawm koj tus menyuam lub cev kuj tsis tshua pom zoo ua pob khoom siv.

Downsides rau qhov phais mob nrog qhov mob thiab ua kom pom pob ntawm lub pob zeb txuas. Lub pob txha mos pob txha siv rau qhov cog hniav tseem yuav hnov ​​lub cev txhaws thiab txhav dua li pob ntseg pob ntseg.

Medpor graft phais

Txoj kev rov ua dua tshiab no cuam tshuam nrog cov khoom siv hluavtaws es tsis yog pob txha mos. Feem ntau nws tuaj yeem ua tiav hauv ib txoj kev ua thiab siv cov npluag qhwv me me los npog cov khoom cog.

Cov menyuam hnub nyoog 3 xyoos tuaj yeem ua txoj haujlwm no tau nyab xeeb. Cov txiaj ntsig tau sib xws ntau dua li cov pob txha phais. Txawm li cas los xij, muaj kev pheej hmoo siab dua rau kev kis tus kab mob thiab kev cog hniav vim qhov mob los yog raug mob vim tias nws tsis txuam nrog cov nqaij mos uas nyob ib puag ncig.

Nws tseem tsis tau paub tias Medpor kev cog hniav ntev li cas, yog li qee cov kws phais neeg kho mob tsis tuaj yeem lossis ua qhov txheej txheem no.

Prosthetic sab nraud pob ntseg

Kev kho lub ntsej muag yuav saib tau tiag tiag thiab hnav nrog ib daim nplaum lossis los ntawm kev phais mob uas muaj kev phais qhov muag. Cov txheej txheem tso cov noob pleev cov thauv tawm yog me, thiab lub sijhawm rov qab yog qhov tsawg heev.

Kev kho hniav yog qhov kev xaiv zoo rau cov menyuam yaus uas tsis tau ua dua lossis rov txhim kho dua rau leej twg. Txawm li cas los xij, qee tus tib neeg muaj teeb meem nrog lub tswv yim ntawm kev ua ntsej muag cuav.

Lwm tus yuav muaj cov tawv nqaij tawv rau cov qib mob kho kom zoo. Kev kho lub thauj tog rau nkoj uas kho tau tshwj xeeb tuaj yeem ua rau koj tus menyuam muaj feem yuav kis mob tawv nqaij. Tsis tas li ntawd, prosthetics tsis tas yuav hloov los ntawm lub sijhawm.

Kev phais ntawm lub rooj sib hais ob tog

Koj tus menyuam yuav tau txais txiaj ntsig los ntawm cochlear implant yog tias lawv lub rooj sib hais cuam tshuam los ntawm microtia. Cuag kis yog cog rau hauv cov pob txha qab thiab sab pob ntseg.

Tom qab kho kom zoo, koj tus menyuam yuav tau txais ib qho txheej txheem tuaj yeem tuaj yeem ua ke ntawm qhov chaw. Tus txheej txheem no pab koj tus menyuam hnov ​​cov suab nrov los ntawm kev ua kom cov leeg hauv pob ntseg sab hauv.

Kev co-kev siv lub tshuab hluav taws xob kuj tseem yuav pab tau koj tus menyuam lub rooj sib hais. Cov no tau hnav rau saum tawv taub hau thiab sib txuas sib txuas nrog phais kev phais. Qhov kev cog hniav txuas mus rau nruab nrab pob ntseg thiab xa deeg ncaj qha mus rau sab hauv pob ntseg.

Kev phais lub ntsej muag khoom siv feem ntau yuav tsum kho kom zoo me ntsis ntawm qhov chaw cog khoom. Txawm li cas los xij, muaj qee qhov kev mob tshwm sim. Cov no suav nrog:

  • tinnitus (co pob ntseg hauv pob ntseg)
  • hlab ua kom puas lossis raug mob
  • hnov lus
  • ntsug
  • kev nqus dej ntawm cov kua uas nyob ib puag ncig lub hlwb

Koj tus menyuam tuaj yeem yog qhov pheej hmoo me me ntawm kev txhim kho cov tawv nqaij ncig thaj chaw cog hniav.

Kev cuam tshuam rau lub neej txhua hnub

Qee tus menyuam yaus yug los ntawm microtia tuaj yeem hnov ​​qee qhov lossis tag nrho pob ntseg hnov ​​hauv pob ntseg uas cuam tshuam, uas tuaj yeem cuam tshuam lub neej zoo. Cov menyuam uas tsis hnov ​​lus ib nrab kuj tseem tuaj yeem hais lub suab uas tsis haum thaum lawv kawm los tham.

Kev sib txuam cuam tshuam tej zaum yuav nyuaj vim hais tias hnov ​​lus tsis zoo, tab sis muaj cov kev kho uas tuaj yeem pab tau. Cov lag ntseg yuav tsum muaj kev ua raws kev ua neej thiab kev hloov kho kom haum, tab sis cov no yog qhov ua tau thiab cov menyuam yaus feem ntau yoog zoo.

Qhov tshwm sim yog dab tsi?

Cov menyuam yaus uas yug los ntawm microtia tuaj yeem ua rau tag nrho lub neej, tshwj xeeb nrog kev kho mob uas tsim nyog thiab txhua yam yuav tsum tau hloov kho nyob hauv lub neej.

Tham nrog pab kws saib xyuas mob txog cov haujlwm zoo tshaj rau koj lossis koj tus menyuam.

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