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Vẹo vách ngăn: Khi nào cần phẫu thuật?  

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08:10 02/10/2013

Bình thường lúc mới sinh ra đây là một vách thẳng, nhưng dần theo sự phát triển, vách ngăn có thể trở nên cong vẹo hoặc tạo thành lệch, vẹo vách ngăn, mào vách ngăn, gai .. [..]

Bình thường lúc mới sinh ra đây là một vách thẳng, nhưng dần theo sự phát triển, vách ngăn có thể trở nên cong vẹo hoặc tạo thành lệch, vẹo vách ngăn, mào vách ngăn, gai vách ngăn,….


Vẹo vách ngăn có thể do sang chấn do ngoại lực tác động như ngã, đấm vào mũi,… một số ít trường hợp do bẩm sinh.

Vách ngăn mũi là một vách ở giữa mũi gồm ba lớp: ở giữa gồm sụn phía trước và xương phía sau, hai bên là hai lớp niêm mạc mũi. 

Vách ngăn chia mũi thành hai hốc mũi, đi từ tiền đình mũi tới cửa mũi sau. Các hình thái dị hình vách ngăn gồm: lệch vách ngăn, vẹo vách ngăn, dày vách ngăn, mào và gai vách ngăn. 

Vẹo vách ngăn mũi là một trong những nguyên nhân của ngạt mũi, viêm xoang, có khi đau nửa đầu. Nó cũng là một trong những nguyên nhân xuất tiết ở mũi sau làm bệnh nhân phải khạc nhổ.

Người bệnh thấy ngạt một bên, tuy nhiên ngạt có thể từng lúc và đau thường gặp sau cảm cúm kéo dài. Ngày nay phần lớn bệnh nhân khi đi kiểm tra sức khỏe tổng quát (có nội soi kiểm tra mũi), thường rơi vào trường hợp được bác sĩ chẩn đoán “vẹo vách ngăn”. 

Có nơi thì bác sĩ bảo “cần phải mổ”, bác sĩ khác lại cho rằng “không mổ cũng được, không sao”, khiến người bệnh rất bối rối. 

Trong phần lớn trường hợp, vách ngăn bị vẹo “sống chung hòa bình” trong cơ thể chúng ta mà chẳng hề có vấn đề phiền toái nào mà không cần phẫu thuật.

Khi nào cần mổ chỉnh hình vách ngăn?

Vẹo vách ngăn có chỉ định phẫu thuật khi: thứ nhất, vẹo vách ngăn mũi gây nghẹt mũi cùng bên; thứ hai, vẹo vách ngăn mũi gây chèn ép các cuốn mũi gây viêm mũi xoang cùng bên; thứ ba, vẹo vách ngăn mũi dạng gai, mào chèn ép các cuốn mũi (điểm tiếp xúc) gây nhức đầu mà đã khám bác sĩ chuyên khoa thần kinh không có nguyên nhân khác gây nhức đầu.
Cuối cùng là vẹo vách ngăn được lấy đi trong một số phẫu thuật nội soi mũi xoang nhằm tạo điều kiện cho phẫu thuật viên có thể dễ dàng quan sát và tiếp cận những bệnh tích. 

Khi chỉnh hình vách ngăn, có thể bác sĩ sẽ cắt, gọt một phần, nhưng cũng có thể cắt toàn bộ vách ngăn, tùy trường hợp.

Vì vậy khi bệnh nhân bị vẹo vách ngăn cần đến bác sỹ tai mũi họng để được khám và tư vấn điều trị  theo đúng chuyên khoa.

TH

Chú ý: Trên đây la một số thông tin tham khảo về vẹo vách ngăn mũi. Nếu có những thắc mắc chung về sức khỏe, tâm lý hãy gọi điện cho tổng đài 1900.6180 hoặc 19008908 để nhận được sự tư vấn từ các bác sĩ.


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