Anatomy, Function, le Mathata a Conal Nasal
Haeba u utloile ho buuoa ka "nasal turbinates" tsa hau li hokae? Ke eng eo karolo ena ea nko e leng eona, mosebetsi oa eona ke ofe, hona ke mathata afe a ka hlahang?
Li-Turbinate tsa Nasal: Tlhaloso
Li-turbinate, tse tsejoang hape ka hore ke linal concha kapa conchae (bongata), ke mefuta e metle ea masapo, lijana le lisele tse nang le sebōpeho sa majoe ka har'a litsela.
Mehaho ena e na le boikarabelo ba ho futhumala, ho tlotlolla le ho silafatsa moea oo re o hemang. Ka tloaelo ho na le li-turbine tse tharo tse akarelletsang li-turbinate tse phahameng (tse ka holimo), tse bohareng le tse tlaase. Leha ho le joalo, ka linako tse ling u ka ba le karolo ea bone ea turbinate (e bitsoang e phahameng ka ho fetisisa turbinate) e sebakeng se phahameng ho feta turbinate e phahameng.
Har'a pakeng tsa turbate e 'ngoe ke sebaka se tsejoang e le meati, se seng le se seng se nang le lebitso le lumellanang le lebitso la turbinate e ka holimo ho sebaka. Libaka tsena li theha litsela tsa rona tsa mongobo tse tsamaisang moea ho phalla ka nko.
Tsela (Anatomy) ea Turalates ea Nasal (Conchae)
Joalokaha ho boletsoe, li-turbinate tsa manamane li robehile likarolong tse tharo, tse ling tse holimo, tse bohareng le tse tlaase.
Meatus e Ntle (Conchae e ka tlaase)
Linama tse tlaase ke sebaka pakeng tsa mokatong oa masapo le manyolo a tlaase a turbinate. Ena ke sebaka se seholo ka ho fetisisa sepakapakeng. Tsela ena e sebeletsa merero e mengata:
- Mokhoa oa ho robala o se nang matsoho o thibela metsi leha e le ofe ho tloha mahlong, ho qala ka leihlo le ka ntle le ho kenella ka nama e tlaase.
- Hlooho ea lerako la masapo, nama ea tlaase le palo ea pirform e nyenyane e etsa sethapo sa nasal . Khohlopo ea nasal ke sebaka se senyenyane ka ho fetisisa sepakapakeng 'me hangata ke sebaka sa ho thibela (ho oa) ka lebaka la sekhahla se senyehileng kapa tse ling tse sa tloaelehang.
Meatus e Bohareng
Nete e bohareng ke tsela e nang le lesela e pakeng tsa meatus e tlaase le nama e bohareng. Sebaka sena ke sa bohlokoa bakeng sa:
- Ho tsolloa ha meraro ea libe tsa paranasal; maxillary, frontal, le pele (anterior) li-sinus tsa sinema.
- Phallo ea metsi ka li-sinus tsa paranasal tse hlahisang molumo oa mantsoe a rona.
Meatus e Phahameng (Conchae e ka Holimo)
Sejo se phahameng ka ho fetisisa ke sebaka sa lesela se pakeng tsa nama e bohareng le meatus e phahameng. Ka tloaelo ena ke tsela e ka holimo-limo ea mahlakoreng, leha ho le joalo, ka linako tse ling ho boetse ho na le turbinate e phahameng e ka holim'a turbinate e phahameng. Mesebetsi ea tsela ena e kenyelletsa:
- Ho tšolloa ha libe tse peli tsa paranasal: li-sphenoid le morao (posterior) li-sinus tsa li-ethmoid.
- Joaloka nama e bohareng, moea o phallelang ka tsela ena (e sebetsang le litšiea tsa sinus) o thusa ho fetola likarolo tsa rona tsa mantsoe.
- Litapole tsa motsoako oa turbine e phahameng (hammoho le karolong e ka holimo ea nasal septum, e arohanyang likopi tse letšehali le tse nepahetseng) li na le lipehelo tsa methapo tse sebelisoang ho fetolela monko. Ke ka lebaka leo mathata a turbinate a ka bakang khathatso ka kutloisiso ea monko (olfaction) .
Conchae e ka holimo le e bohareng ke karolo ea lesapo la bathemane, empa conchae e ka tlase ke mohaho o ikemetseng.
Mosebetsi (Physiology) ea Turbinates: Tlhophiso ea Nako ea Nako
E 'ngoe le e' ngoe ho isa lihora tse supileng, litsela tsa hau tsa phallo lia kena-kenana le ho thibela (turbate) e 'ngoe ea turbinate ha e ntse e eketseha. Sena se etsa hore litsela tse ling li be le mekhahlelo e fokolang, e thibelang moea o fokolang, ha o ntse o eketsa tsela e 'ngoe ea sefofane le ho ntlafatsa moea oa moea. Nakong ea phetoho ea mongobo, ha u na ho ikutloa u le mofuthu ho tloha ha kakaretso ea hau e sa fetohe.
Sepheo sa potoloho ea masapo ha se utloisisoe ka botlalo empa likhopolo tse tloaelehileng li kenyeletsa:
- Litsela tse khutsitseng haholo (tse fokolang) li lumella liphatsa tsa lefutso ho "tsosolosa."
- Litsela tse khutsitseng li boetse li nahanoa hore li lumella hore li-mucus li tlosoe.
- Litsela tse fapaneng (tse atolosoa) li lumella ho ntlafatsoa ha metsi le ho nolofala ha moea.
Mathata a Turbinate
Li-nasal turbinate li ka amahanngoa le mathata a 'maloa. Hangata, letšoao le amanang le mathata ana ke ho ferekanya. Mathata a Turbinate a kenyeletsa:
- Sefuba se tloaelehileng: Re na le bothata ba rona le li-nasal turbinates ha re e-na le bothata ba ho ferekanngoa ke serame se tloaelehileng .
- Matšoafo
- Ho phomola ha boroko: Lintho tse sa tloaelehang li-turbinate tsa nasal ke e 'ngoe ea lisosa tsa ho robala mokokotlo oa ho robala .
- Concha Bullosa: Concha bullosa ke boemo bo tloaelehileng ba bongaka moo ho nang le mokotla oa moea (pneumatization) bohareng ba nama. Sebaka sena sa moeeng se ka etsa hore metsi a se nang metsi a lekaneng le a tšoaetsanoang ke sinus.
- Phase ea nasal e oa: Khohlopo ea nasal ke karolo e nyenyane haholo ea tsela ea mongobo e nang le li-conchae tse tlase e le karolo ea mohaho ona. Tsela ena ea sefofaneng e ka 'na ea fokotseha le ho feta ( ho oa ha valve ) ho bakoa ke mahlomola, septum e senyehileng , kapa ka lebaka la rhinoplasty (ho buuoa ka polasetiki ka nko.)
- Ho se sebetse ha li-tube tsa li-auditory: Ho eketsoa kapa litseko tse ling tse nang le li-turbinate ke e 'ngoe ea lisosa tsa ho se sebetse ha tube (e boetse e bitsoa eustachian tube).
- Choanal Atresia: Choanal atresia ke ho thibela likarolo tsa mahlahahlaha ka mahlahahlaha a atisang ho hlaha ho tloha ho tsoaloa, 'me e ka ama tsoelo-pele ea li-turbinate tse ka tlase le tse bohareng.
Ho lokisa Mathata a Turbinate
Mathata a mangata a turbinate a rarolla a le mong, empa ka linako tse ling phekolo e hlokahala ho lokisa bothata. Ha mathata a turbinate a hloka ho lokisoa, ho fokotseha ha turbinate nakong ea opereishene ea sinus e qetellang . Mokhoa ona o hloka anesthesia ka kakaretso 'me hangata o etsoa ka tleliniking ea letsatsi le letsatsi.
Tlhaloso e ka tlaase ho Anatomy le Physiology ea Turinate ea Nasal le Karolo ea Ts'oaetso ea Maloetse
Li-turbine tsa nasal li na le mehaho e meraro kapa e mene e sebetsang mosebetsing oa ho futhumala, ho khotsofatsa le ho silafatsa moea oo re o hemang. Lintho tse sa tloaelehang li-turbinate hangata li fella ka ho ferekana, joalokaha ho etsahala ka serame se tloaelehileng le ho kula. Liphetoho tsa mekhoa ea li-turbinate tse kang concha bullosa le choanal atresia le tsona li ka baka matšoao. Ha ho matla, ho buuoa (ho fokotseha ha li-turbinate) ho ka 'na ha hlokahala ho fokotsa matšoao le ho tsosolosa mosebetsi karolong ena ea sebōpeho sa rona.
> Mehloli:
> Terzi, S., Dursun, E., Celiker, F. et al. Liphello tsa Choanal Atresia ka Ntšetso-pele ea Li-sinanas tsa Paranasal le tsa Turbinate. Ho Buuoa le Radiologic Anatomy . 2017 Mar. 13. (Epub pele ea khatiso).
> Turner, J., Lal, D. le J. Nayak. Mokhatlo oa Rhinologic oa Amerika. Nasal Anatomy. E fetotsoe 01/20/15. http://care.american-rhinologic.org/nasal_anatomy