Uvulopalatopharyngoplasty (UPPP)

Uvulopalatopharyngoplasty (UPPP) kuvhiya kuvhura iyo yekumusoro nzira yekufema nekutora mamwe matissue muhuro. Izvo zvinogona kuitwa kurapa zvinyoronyoro zvinokanganisa kurara kufema (OSA) kana kuomesa zvakanyanya.

UPPP inobvisa zvinyoro nyoro kumashure kwehuro. Izvi zvinosanganisira:

• Zvese kana chikamu chekuvhurika (iro rakapfava tambo yemicheka inonamira pasi kumashure kwemuromo).
• Zvikamu zvemukanwa munyoro uye zvinyama mumativi ehuro.
• Tonsils uye adenoids, kana vachiripo.

Chiremba wako anogona kukurudzira kuvhiyiwa uku kana uine hunyoro hwekudzivirira apnea yekurara (OSA).

• Edza mararamiro shanduko kutanga, senge kuonda kana kuchinja nzvimbo yako yekurara.
• Nyanzvi zhinji dzinokurudzira kuyedza kushandisa CPAP, micheka yekuwedzera yemhino, kana chishandiso chemuromo kuti ubate OSA kutanga.

Chiremba wako anogona kukurudzira kuvhiyiwa uku kuti ubate kurira kwakanyanya, kunyangwe kana usina OSA. Usati wafunga nezve kuvhiyiwa uku:

• Tarisa uone kana kurasikirwa kwehuremu kunobatsira kukonona kwako.
• Funga kuti zvakakosha sei kwauri kuti uite kurapwa. Kuvhiya hakushandi kune wese munhu.
• Ita shuwa kuti inishuwarenzi yako ichabhadhara kuvhiya uku. Kana iwe usinawo OSA, yako inishuwarenzi inogona kunge isingavhare kuvhiyiwa.

Dzimwe nguva, UPPP inoitwa pamwe nekumwe kuvhiya kunoparadza kurapa zvakanyanya OSA.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Reaction kumishonga kana matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana hutachiona

Ngozi dzekuvhiya uku ndedzekuti:

• Kukuvadza kune mhasuru muhuro uye munyoro mukanwa. Iwe unogona kunge uine mamwe matambudziko ekuchengetedza zvinwiwa kubva mukuuya kuburikidza nemhino dzako kana uchinwa (inonzi velopharyngeal insufficiency). Kazhinji kazhinji, izvi zvinongova zvenguva pfupi mhedzisiro.
• Muchu pahuro.
• Kutaura kunochinja.
• Kupera mvura mumuviri.

Ive neshuwa yekuudza chiremba wako kana mukoti:

• Kana iwe uri kana uchigona kuve nepamuviri
• Ndeapi madhiragi auri kutora, anosanganisira madhiragi, zvinowedzera, kana mahebhu awakatenga pasina mushonga
• Kana iwe wanga uchinwa doro rakawanda, zvinopfuura 1 kana 2 zvinwiwa pazuva

Munguva yemazuva asati avhiyiwa:

• Iwe unogona kubvunzwa kumira kutora vanotapira ropa senge aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin).
• Kumbira chiremba wako kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kusvuta kunogona kunonoka kupora. Kumbira mupiki wako kuti abatsire kurega.
• Rega mupi wako azive nezve chero kutonhora, dzihwa, fivha, herpes kuputika, kana chimwe chirwere chaungave uinacho usati wavhiyiwa. Kana iwe ukarwara, kuvhiya kwako kungangoda kumbomiswa.

Pazuva rekuvhiyiwa:

• Iwe ungango bvunzwa kuti usamwe kana kudya chero chinhu kwemaawa akati wandei pamberi pekuvhiya.
• Tora chero mishonga yawakaudzwa nachiremba kuti utore nekamwe kadiki kemvura.
• Tevedzera rairo kuti unosvika rinhi kuchipatara. Iva nechokwadi chekusvika nenguva.

Uku kuvhiyiwa kazhinji kunoda kugara husiku muchipatara kuti uve nechokwadi chekuti unogona kumedza. Kuvhiyiwa kwePPPP kunogona kurwadza uye kupora zvizere kunotora mavhiki maviri kana matatu.

• Huro yako inenge ichirwadza kusvika kwemavhiki akati wandei. Iwe unowana mishonga yemvura inorwadza kudzora kushushikana.
• Iwe unogona kunge uine muswe kumashure kwehuro yako. Izvi zvinonyungudika kana chiremba wako anozozvibvisa pakushanya kwekutanga kwekutevera.
• Idya chete zvinyoro nyoro uye zvinwiwa kwemavhiki maviri ekutanga mushure mekuvhiyiwa. Dzivisa chikafu chisina kuomeswa kana chikafu chinonetsa kutsenga.
• Iwe unozofanirwa kusuka muromo wako mushure mekudya nemunyu-yemvura mhinduro kwemazuva ekutanga kusvika gumi.
• Dzivisa kusimudza zvinorema kana kumanikidza kwemavhiki maviri ekutanga. Unogona kufamba uye kuita zvishoma chiitiko mushure maawa makumi maviri nemana.
• Iwe uchave uine yekutevera-kushanya nachiremba wako maviri kana matatu mavhiki mushure mekuvhiyiwa.

Kurara kwepabonde kunovandudza pakutanga kwehafu yehafu yevanhu vanovhiyiwa. Nekufamba kwenguva, iko kubatsirwa kunopera kune vanhu vazhinji.

Dzimwe ongororo dzinoratidza kuti kuvhiya kwakanakira chete kune vanhu vane zvakashata mukanwa munyoro.

Kuvhiyiwa kwepalate; Maitiro evulopalatal flap maitiro; UPPP; Laser-yakabatsira uvulopalaplasty; Radiofrequency palatoplasty; Velopharyngeal kusakwana - UPPP; Kudzivisa kufema kufema - uvulopalaplasty; OSA - uvulopalaplasty

Katsantonis GP. Yakasarudzika uvulopalatopharyngoplasty. Muna: Friedman M, Jacobowitz O, eds. Kurara Kufema uye Kugovera. 2nd ed. Philadelphia, PA: Elsevier; 2020: chits. 32.

Qaseem A, Holty JE, Owens DK, et al; Clinical Guidelines Committee yeAmerican College yeVanachiremba. Manejimendi ekudzivirira kufema kwekurara muvanhu vakuru: kiriniki yekudzidzira nhungamiro kubva kuAmerican College yeVarapi Ann Mukati Med. 2013; 159 (7): 471-483. PMID: 24061345 www.ncbi.nlm.nih.gov/pubmed/24061345.

Wakefield TL, Lam DJ, Ishman SL. Kurara kufema uye kutadza kurara. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits.