ʻO ka septum nasal, a i ʻole septum nasal, ʻo kēia paia kū i hoʻokaʻawale ʻia nā ʻelua ʻelua ihal e wehe ana i nā puka ihu. I haku ʻia o kahi iwi iwi osteocartilaginous, hiki ke lilo i kahua o ka hoʻololi a i ʻole kahi perforation, me ka hopena i ka pono o nā ihu ihu a me ka maikaʻi o ka hanu ʻana.

Hana ʻia ka ihu i nā hanana like ʻole: ka iwi maʻemaʻe o ka ihu, ka mea ʻoi loa ma ka piko o ka ihu, ka cartilage e hana ana i ka ʻaoʻao haʻahaʻa o ka ihu, a me nā mea fibrous i loko o nā puka ihu. Ma loko, ua mahele ʻia ka ihu i ʻelua mau lua ihu i hoʻokaʻawale ʻia e ka septum nasal, i kapa ʻia hoʻi ʻo septum. Hoʻokumu ʻia kēia septum nasal o kahi ʻāpana iwi a me kahi ʻaoʻao mua cartilaginous, a ua uhi ʻia me ka membrane mucous. He wahi vascularized waiwai nui ia.

Hoʻokaʻawale ka nasal septum symmetrically i nā ihu ʻelua, no laila e hōʻoia ana i ka holo maikaʻi o ka ea hanu a me ka ea. He kuleana kākoʻo nō hoʻi ia no ka ihu.

Deviation o ka nasal septum

Aneane 80% o nā mākua i kekahi kekelē o ka nasal septum deviation, ʻo ka pinepine ʻole asymptomatically. I kekahi manawa naʻe, hiki i kēia hoʻololi ke alakaʻi i nā pilikia olakino a me / a ʻoluʻolu paha:

• kaohi o ka ihu i mea e pilikia ai i ka hanu ʻana, ka ʻū ʻana, a me ka maʻi pale o ka hiamoe (OSAS);
• hanu waha e uku. Hiki i kēia hanu waha ke huli i ka hoʻomaloʻo ʻana i nā membrane mucous nasal, e hoʻonui ana i ka makaʻu o nā ENT pathologies;
• sinus a i ʻole nā ​​maʻi pepeiao ma muli o nā huna ihu stagnant;
• nā migraines;
• ʻoluʻolu kūpilikiʻi ke pili ʻia me ka deformation kūwaho o ka ihu.

Hiki ke hoʻololi i ka hoʻololi ʻana o ka septum nasal (hiki i ka hānau ʻana), i ka wā o ka ulu ʻana a i ʻole ma muli o ka trauma i ka ihu (hopena, haʻalulu).

Hiki iā ia ke hoʻopili i ka ʻāpana cartilaginous a i ʻole ka ʻaoʻao iwi o ka septum nasal a me nā iwi o ka ihu. Pili paha ia i ka ʻaoʻao luna o ka paku wale nō, me ka hoʻoliʻiliʻi i ka ʻākau a i ka hema paha, a i ʻole ke ʻano o "s" me ka hoʻololi ma ka luna ma kekahi ʻaoʻao, ma ka ʻaoʻao ma lalo. Hele pū kekahi me nā polyps, nā tumors liʻiliʻi o nā ʻūhā ihu, a me ka hypertrophy o nā turbinates, nā mea i hāʻawi i ka maikaʻi ʻole o ke ea i loko o kahi āpau nasal i hoʻopili ʻia e ka hoʻololi.

Perforation o ka nasal septum

Kapa ʻia ʻo septal perforation, ka perforation o ka nasal septum e noho pinepine ma ka ʻaoʻao cartilaginous mua o ka septum. Liʻiliʻi ka nui, ʻaʻole hiki i kēia perforation ke hana i kekahi ʻōuli, no laila ʻike ʻia i kekahi manawa me ka manaʻo ʻole i ka wā o ka ninaninau. Inā he mea nui ka perforation a i ʻole ke kaukaʻi ʻia i kona wahi, hiki iā ia ke kumu i ke kani ʻana i ka hanu ʻana, kahi loli o ka leo, ka ihu, nā hōʻailona hoʻāhā, nā ʻōpala, nā nosebleeds.

ʻO ke kumu nui o ka perforation o ka nasal septum e noho mau ana i ka ihu, e hoʻomaka ana me ka septoplasty. Hoʻopili ʻia kekahi mau hana olakino ʻē aʻe i kekahi manawa: cauterization, hoʻonohonoho ʻana i kahi Tube nasogastric, a pēlā aku. Kākaʻikahi loa, kēia septal perforation kekahi o nā ʻōuli o ka maʻi maʻamau: tuberculosis, syphilis, leprosy, systemic lupus erythematosus a me granulomatosis me polyangiitis.

Iapaau ana o deviated nasal septum

I ka manaʻo mua, e kau ʻia kahi lāʻau lapaʻau e hōʻoluʻolu i nā ʻōuli. ʻO kēia nā decongestant sprays a i ʻole, i ka hihia o ka mumū o nā ihu ihu, corticosteroids a i ʻole antihistamines.

Inā kū ka hoʻololi o ka nasal septum i ka ʻoluʻolu a i ʻole nā ​​pilikia (ka pilikia o ka hanu ʻana, nā maʻi pinepine, ka maʻi hiamoe), hiki ke hana ʻia kahi septoplasty. Hoʻopili kēia hana ʻoki kino i ka hana hou ʻana a me / a i ʻole ka lawe ʻana i nā ʻāpana deformed o ka nasal septum i mea e "hoʻopololei" ai. ʻO ka intervenion, i hala ma waena o 30 mau minuke a me 1 hola 30 mau minuke, i mālama ʻia ma lalo o ka anesthesia ākea a ma lalo o ka endoscopy a me nā mea kūlohelohe, ʻo ia hoʻi nasal. ʻO ka ʻokiʻoki he endonasal, no laila ʻaʻole e ʻike ʻia kahi kaha ʻino. I kekahi mau hihia akā, ʻo ka nui ke paʻakikī nā deviations, pono pono kahi ʻoki liʻiliʻi o ka ʻili. Minimal, e waiho ia ma ke kumu o ka ihu. ʻO Septoplasty kahi ʻoki hana, no ka mea hiki ke uhi ʻia e ka palekana kaiāulu, ma lalo o kekahi mau ʻano (ʻokoʻa ka rhinoplasty hiki ʻole).

Hoʻohui ʻia ʻo Septoplasty me turbinoplasty i kekahi manawa e hemo i kahi ʻāpana o ka turbinate (ka iwi iwi ihal i uhi ʻia me ka membrane mucous) i hiki ke hoʻonui i ka pale o ka ihu. Inā pili ka hoʻololi ʻana o ka ihu septum me ka deformity kūwaho o ka ihu, hiki ke hoʻohui ʻia ka septoplasty me ka rhinoplasty. Kapa ʻia kēia rhinoseptoplasty.

Ka mālama ʻana i ka perforation septal

Ma hope o ka maikaʻi ʻole o ka mālama kūloko a ma hope wale o ka hōʻailona septal perforation, hiki ke hāʻawi ʻia i kahi ʻoki. Hoʻokumu ʻia ia ma ka hoʻopili ʻana i nā ʻāpana o septal a i ʻole mucosa waha. ʻO ke kau ʻana i kahi obturator, a i ʻole ka pihi septal, hiki pū kekahi.

Hōʻike paha nā ʻōuli ʻokoʻa i ka loli o ka ihu septum: ka ihu paʻa (ihu paʻa, kekahi manawa unilaterally), paʻakikī i ka hanu ʻana, ka hanu ʻana ma o ka waha e uku no ka nele o ke kahe o ka ea i ka ihu, sinusitis, kahe ʻana ke kahe, hoʻokuʻu ʻia mai ka ihu, hiamoe hiamoe ma muli o ka hiamoe a i ʻole ka ʻūlū ʻana, nā maʻi ENT, a pēlā aku.

Kū i mua o kēia mau ʻōuli, e nānā ke kauka ENT i nā paukū ihu o loko e hoʻohana ana i ka endoscope ihu. E hoʻoholo ana kahi kānana maka i ke kēkelē o ka hoʻololi ʻana o ka nasal septum.

Hōʻike ʻia ka perforation septal e ka rhinoscopy mua a i ʻole nasofibroscopy.