SEPTOPLASTIKA OPERATSIYASIDAN KEYING ERTA DAVR TEKSHIRUVI
Keywords:
Septoplastika, rinoskopiya, septal gematoma, burun tamponi, splint, qon ketish, infeksiya, shish, nafas funksiyasi.Abstract
Septoplastikadan keyingi erta davr tekshiruvi bemorning umumiy va mahalliy holatini organishga qaratilgan. Qon ketish, septal gematoma, infeksiya va shish aniqlanadi. Oldingi rinoskopiya o’tkazilib, tampon yoki splint nazorat qilinadi. Nafas funksiyasi tekshiriladi hamda asoratlarning oldi olinadi. Burun septumi operatsiyasi (septoplastika) otorinolaringologiyada eng ko‘p bajariladigan jarrohlik amaliyotlaridan biri bo‘lib, operatsiyadan keyingi jiddiy asoratlar kam uchraydi. Oronazal fistula septum operatsiyasining kam uchraydigan asorati hisoblanadi va adabiyotlarda juda kam holatlar qayd etilgan. U odatda tug‘ma tanglay yorig‘i, tanglay operatsiyasi, travmalar, infeksiyalar yoki o‘smalar natijasida yuzaga keladi, biroq odatda septoplastikadan keyin kuzatilmaydi. Ushbu maqolada biz 55 yoshli erkak bemorda septoplastikadan keyin paydo bo‘lgan simptomatik oronazal fistula holatini taqdim etamiz. Boshqa holatlardan farqli ravishda, bemorda tanglay patologiyalari belgilari yo‘q edi va oldin burun yoki og‘iz sohasida operatsiyalar o‘tkazilmagan. Biz ushbu holatda qo‘llanilgan ko‘p qatlamli jarrohlik yopish (multilayer closure) usulini tasvirladik va 6 oylik kuzatuv davomida qaytalanish kuzatilmadi. Shuningdek, biz ushbu asorat bo‘yicha ilgari qayd etilgan yana 3 ta holatni ko‘rib chiqdik va bu holatning ehtimoliy etiologiyasini muhokama qildik.
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