Na u kile ua utloa poleloana, "phefumoloha ka nko ea hao le ka ntle ho molomong oa hao?" Mantsoe ana a hlile a thehiloe ho saense. Ha u phefumoloha ka nko ea hao, lintho tse ngata li etsahala ho kenyeletsa humidification ea moea. Ho khotsofatsa ho etsahala ha moea o tsamaea ka conue ea 3 ho ea ho e 4. Libuka tsa khale li ne li bitsoa li-turbinate.
Li-conche ke mehaho e nang le khetla e entsoeng ka sekhetla ka lehlakoreng le fapaneng le septum ea hao ea nasal, e arohanang lehlakoreng le letšehali le le letona la nko ea hao.
Lijana tse ngata tse nyenyane tsa mali ka har'a lehare la mucus li koahela conuki. Sehlopha se tlaase ka ho fetisisa, kapa concha e tlaase, ke sebopeho se ikemetseng, ha concha e bohareng le e ka holimo (karolo e phahameng) e le karolo ea bone e kholo ea masimo. Litšoantšo tsena li na le litemana tse tharo tsa maqhubu bakeng sa moea o phallelang.
E 'ngoe le e' ngoe ea litsela tsena, tse arohanngoa ke conchae, li na le menyetla ea ho etsa litšiea tsa hau. Pakeng tsa li-concha tse tlaase le tlase ea lehare la mongobo ke mochine o se nang matsoho, kapa moriana o tabohang. Bohareng ba litsela ke boikutlo ba mahlaseli a maholo a maholo le a maholo. Le ha tsela e ka holimo e na le monyetla oa ho ba le sinus ea sphenoidal.
Kakaretso
Concha bullosa e boetse e tsejoa e le pneumatization ea turbinate e bohareng. Sena se bolela feela hore ho na le mokotla oa moea ka har'a molekane oa bohareng. Concha bullosa ke mokhoa o tloaelehileng oa ho fetoha ha mokhoa oa ho iphelisa o sa etsang hore u be le mathata a sinus kamehla. Leha ho le joalo, li-turbinate tse atolositsoeng le concha bullosa li ka baka ho thibela ho thibela libe tsa hau hore li se ke tsa senya hantle.
Li-sinuses tse se nang metsi a lekaneng li ka baka mafu a mangata a sinus . Concha bullosa e ka 'na ea boela ea etsa hore u be le septum e khelohileng .
Matšoao
Matšoao a concha bullosa a amana le boholo ba moea bo teng bohareng ba turbinate. Ha e kholoanyane molumo, mohlomong o tla ba le mats'oao 'me matšoao a tla ba matla haholo.
Matšoao a ka kenyelletsa:
- Bothata bo pota-potileng mahlo a ka 'nang a qeta lihora tse ngata ho ea ho matsatsi a' maloa
- Tšitiso ea metsi
Tsejoa
Concha bullosa e ka fumanoa e e-na le lisebelisoa tsa CT 'me ho hakanngoa hore e fumanoe ka linyeoe tse 16 ho isa ho tse 53 ho tse 100. Hangata li-turbine li tla bonahala e le 'mala o mosoeu, leha ho le joalo ka concha bullosa, ho tla ba le pocket e khubelu e bohareng ba li-turbinate tse bohlooho. Maikutlo a ho hlahlojoa a tla lumella ngaka ea hau hore e fumane hore na concha bullosa e hlaha ka lehlakoreng le leng la nko kapa mahlakore ka bobeli. Ngaka ea hau e tla boela e tsebe ho tloha ho CT scan hore na u na le septum e khelohileng kapa che.
Litlhare
Boholo ba nako, concha bullosa matšoao ha a na matla a lekaneng ho hloka phekolo. Leha ho le joalo, haeba phekolo e hlokahala, opereishene ke eona feela kgetho ea ho felisa mokotla oa moea. Mekhoa e meraro ea ho buoa e kenyelletsa: ho senya, resection, le turbinoplasty.
Ho senya ke mokhoa o atisang ho sebelisoa ho tšoara concha bullosa. Sena se etsoa tlas'a anesthesia e tloaelehileng e nang le endoscope. Ngaka ea hau e tla kenya kokoana-hloko ea hau le epinephrine ho e-na le li-vasoconstrict, kapa e etse hore methapo ea mali e be nyane. Sena se tla thusa ho fokotsa ho ruruha leha e le hofe le ho fokotsa mali. Haeba ho etsoa opereishene ea sinus e boetse e hlokahala, li-sinus li tla sebelisoa pele.
Hang ha opereishene ea sinus e phethiloe, matlapsi a tla sebelisoa ho penya concha bullosa ho tloha holimo ho ea tlaase ebe o kenngoa ka morao ho fokotsa tšenyo ea turbinate. Mokhoa o senyang o na le tekanyo e atlehileng haholo e nang le mathata a fokolang, le hoja ho tsoa mali ka mor'a hore ho sebetse. Ho senya ho boetse ho na le kotsing e fokolang ea ho ama maikutlo a hau a monko.
Turbinate resection ke ho tlosoa ho buuoa ha karolo ea concha kapa ho tlosoa ho feletseng ha concha. Sena se nolofalletsa moea o ntlafetseng mme o tlosa concha bullosa. Lihlahisoa tse setseng li kenngoa kahare le ho kenngoa ka masapo hore li fokotse mali.
Turbinoplasty e akarelletsa ho khaola ho bula li-turbinate le ho tlosa lisele le karoloana ea lesapo. Hang ha lisele tsena li tlosoa ka mokhoa o lekaneng, ts'ebetso e koetsoe.
> Mehloli:
> Journal of American Neuroradiology. Ho ba teng ha Concha Bullosa 'me ho na le Kamano ea Ntle le Nasal Septal Deviation le Paranasal Sinus Mafu. http://www.ajnr.org/content/25/9/1613
> Hatipoğlu, HG, Çetin, MA & Yüksel E. (2005). Concha bullosa mefuta: kamano ea bona le sinusitis, ostiomeatal le mafu a ho qetela a ho qetela. Diagn Intervent Radiol. 11: 145-149
> O'Rahilly, Müller, Carpenter & Swenson. (2008). Tlhaho ea Basotho ea Botho - Khaolo ea 52: Likhomo le libe tsa paranasal. https://www.dartmouth.edu/~humananatomy/part_8/chapter_52.html
> Tanyeri, H., Aksoy, EA, Serin, GM, Polat, S., Türk, A. & Ünal, OF (2012). Na mochine o otlolohileng concha bullosa o tla theha hape? Laryngoscope. 122 (5). 956-960. NA: 10.1002 / lary.23234
> Zapanta, PE, Khoury, T., DeVries, GM & Meyers, AD (2014). Turbinectomy. http://emedicine.medscape.com/article/2051775-overview#showall