Yala i delila k’a miiri ko i kan faamuyali ka gɛlɛn mɔgɔ wɛrɛw ma wa? Yala a mankan bɛ nugu la walima a ma jɛya wa? Walima laala e walima denbaya kɔnɔmɔgɔ dɔ bɛ gɛlɛya sɔrɔ sɔgɔsɔgɔninjɛ walima ninakili tigɛlen (sunɔgɔbaliya)? Bi, an bɛ kuma opereli kɛrɛnkɛrɛnnen dɔ kan min bɛ se ka dɛmɛ don ka nin haminanko tigitigi ninnu ɲɛnabɔ.
Ni an y’a fɔ cogo nɔgɔman na, Faringoplasti ye mun ye?
Faringoplasti ye opereli ye min dabɔra ka dawolo nɔgɔlen ni galaka kɔfɛla (pharynx) cogoya n’u baara sɛmɛntiya. A jɔyɔrɔba la, nin opereli in kun ye ka fiɲɛ bali ka bɔ i nugu la kun t’a la k’i to kuma na. Dɔgɔtɔrɔw bɛ fiɲɛ bɔli nugu la cogoya wele ko Velopharyngeal Insufficiency (VPI) . Ni kan bɛ i la min bɛ i n’a fɔ nugulama (nugulaba) ka a sababu kɛ VPI ye, o bɛ a to a ka gɛlɛn mɔgɔ wɛrɛw ma ka i faamu, i ka dɔgɔtɔrɔ bɛ se ka nin opereli in fɔ. Ka fara o kan, opereli in suguya kɛrɛnkɛrɛnnenw bɛ kɛ ka sunɔgɔbaliya furakɛ balikuw la.
Jɔn bɛ se ka mago don Faringoplasti la?
nin opereli in ka teli ka kɛ denmisɛn minnu bangera ni dawolo tigɛlen ye . Hali opereli fɔlɔ kɔfɛ walasa ka cɛncɛn dɔ dilan, denmisɛn tila sabanan ɲɔgɔn bɛ se ka VPI sɔrɔ u ka ɲɛnamaya kɔfɛ, o bɛ na ni kan ye min bɛ mankan bɔ nugu la. O waati de la, a bɛ kɛ wajibi ye ka ɲɛgɛnɛsiralabanaw kɛ. Fɛn wɛrɛ minnu bɛ se ka kɛ sababu ye ka nin opereli in kɛ denmisɛnw ni mɔgɔkɔrɔbaw ye, olu ye:
- Cerebral Palsy ani a ni a ɲɔgɔnna banaw.
- jamu banaw i n' a fɔ Down syndrome walima DiGeorge syndrome .
- Kansɛriw furakɛli ni fiɲɛ ye galaka walima nugu yɔrɔw la.
- Gɛlɛya minnu bɛ sɔrɔ adenoidectomy (adenoïde bɔli) walima tonso bɔli kɔfɛ (tonsili bɔli).
- sɔgɔsɔgɔninjɛ nɔ minnu bɛ sɔrɔ .
- Tumu minnu bɛ sɔrɔ kunsɛmɛ walima dawolo yɔrɔ la.
Faringoplasti suguya jɔnjɔnw ye jumɛnw ye?
Nin opereli suguya caman bɛ yen, wa a kɛcogo ɲuman bɛ bɔ aw ka bana kɛrɛnkɛrɛnnen de la pewu:
| Opereli suguya | Kunba min bɛ a la |
|---|---|
| Faringoplastie latérale (faringoplastie latérale). | A bɛ kɛ sunɔgɔbaliya kama walasa ka fiɲɛbɔyɔrɔ bonya ani ka ninakilicogo ɲɛ. |
| Faringe dawolo ni Sphincter pharyngoplasty | A bɛ kɛ VPI kama walasa ka dawolo da dɔgɔya ani ka nugula fiɲɛ bɔli dɔgɔya kuma waati. |
Mun bɛ kɛ opereli kɛtuma na?
Faringoplasti kɛcogo bɛɛ bɛ kɛ anestezi basigilen na, o kɔrɔ ye ko aw walima aw den bɛna sunɔgɔ pewu ani dimi tɛna kɛ a la. A ka c’a la, opereli bɛ kɛ lɛri fila ɲɔgɔn kɔnɔ, fɛɛrɛ kɛrɛnkɛrɛnnenw bɛ danfara ka kɛɲɛ ni suguya ye:
Faringoplastie latérale (faringoplastie latérale).
A bɛ kɛ sunɔgɔbaliya la, o ye ka dawolo ni dawolo kɛrɛw la yɔrɔw bɔ walima k’u bila yɔrɔ wɛrɛ la walasa ka fiɲɛbɔyɔrɔ da. Ni aw ka tonso ma bɔ, u bɛ se ka bɔ nin wale in senfɛ.
Faringe (farinji) sɔgɔsɔgɔninjɛ
A bɛ kɛ VPI la, o ye farikolo yɔrɔ dɔ ye min bɛ bɔ galaka kɔfɛ, o bɛ nɔrɔ dawolo nɔgɔlen na. O bɛ dawolo ni dawolo cɛ danfara datugu ka sɔrɔ ka kɛrɛfɛda misɛnniw to yen (kɛrɛfɛla dawolo) walasa nugu ninakili ka se ka kɛ.
Faringoplastie (faringoplasti) min bɛ kɛ ni sphincter (sfincter) ye
A bɛ kɛ fana VPI la, o ye ka farikolo yɔrɔw ta ka bɔ tonso kɔfɛ ka u siri ka tɛmɛ galaka kɔfɛ. O bɛ da Dɔgɔya walasa fiɲɛ kana Bɔ kuma waati, o bɛ segin ka a Jira ko dakun fitinin dɔ bɛ To nugu ninakili kama.
Mun bɛ se ka kɛ opereli kɔfɛ?
A ka ca a la, aw bɛna to dɔgɔtɔrɔso la tile kelen fo tile saba. Aw bɛ se ka joli misɛnniw sɔrɔ nugu walima da la, nugu bɛ don a la, walima dawolo ni kɔdimi. A ka ca a la, o taamasiɲɛw bɛ ban u yɛrɛ ma tile damadɔ kɔnɔ.
A ka ca a la, o taamasiɲɛw bɛ ban u yɛrɛ ma tile damadɔ kɔnɔ, o la, kun t’a la ka lasɔmini kɛ.
A man teli, fiɲɛbɔlan fitini (nasopharyngeal airway) bɛ se ka bila nugu la waati kunkuruni kɔnɔ walasa ka ninakili dɛmɛ ka sɔrɔ funu bɛ nɔgɔya.
Nafaw ni faratiw
Nafa fɔlɔ minnu bɛ sɔrɔ a la olu ye:
- Ninakilicogo ɲɛnabɔlen don.
- Kuma jɛlen don.
- Sunɔgɔbaliya taamasiɲɛw dɔgɔyali.
Faratiw ni gɛlɛyaw ko la:
Tuma dɔw la, VPI bɛ se ka to sen na, walima banabagatɔw bɛ se ka sɔgɔsɔgɔ walima sunɔgɔbaliya taamasiɲɛ kura sɔrɔ opereli kɔfɛ. Aw ka dɔgɔtɔrɔ bɛ se ka sunɔgɔ sɛgɛsɛgɛli kɛ (polysomnography) kalo wɔɔrɔ opereli kɔfɛ walasa ka ɲɛtaa kɔlɔsi. Ni a mago bɛ a la, tuguni kɛcogo fitinin dɔ bɛ se ka kurunbonkarilaw bonya ladilan.
Kɛnɛyali
A kɛnɛyali waati tɛ kelen ye; labɛn ka dɔgɔkun kelen ɲɔgɔn lafiɲɛbɔ lakɔli walima baara la. Aw ka dɔgɔtɔrɔ ka laadilikanw labato, o nafa ka bon kosɛbɛ :
- Aw bɛ aw kun kɔrɔta ni aw bɛ lafiɲɛ walima aw bɛ sunɔgɔ la.
- Aw bɛ nɔrɔ dumuni jilama walima dumuni nɔgɔlen na fo dɔgɔkun kelen fo dɔgɔkun saba.
- Aw bɛ aw yɛrɛ tanga fɛn girinmanw kɔrɔtali ma walima baara gɛlɛnw kɛli la.
- Aw bɛ banakisɛfagalanw ni dimimadafura minnu sɛbɛnnen don, aw bɛ olu ta i n’a fɔ a fɔra cogo min na tigitigi.
- Aw bɛ taa kuma furakɛli kalanw na.
- Aw bɛ jisumamuguw su walasa ka dawolo magaya.
Waati min na aw ka kan ka taa dɔgɔtɔrɔso la
Aw bɛ taa dɔgɔtɔrɔso la joona ni aw ye a kɔlɔsi: farikolojidɛsɛ taamasiɲɛw, farigan, ji bɔli nugu walima da la, walima ninakilidegun walima sunɔgɔbaliya bɛ ka juguya ka taa a fɛ.
Take-Home cikan
- Faringoplasti ye opereli ɲuman ye VPI ni sunɔgɔbaliya la.
- Hali ni a ka ca mɔgɔ minnu dawolo dilancogo faralen don ɲɔgɔn kan, a bɛ kɛ furakɛli mago suguya caman na.
- Ka tugu opereli kɔfɛ cikanw kɔ kosɛbɛ — kɛrɛnkɛrɛnnenya la dumunikɛcogo ni lafiɲɛbɔ — o nafa ka bon walasa ka kɛnɛya ka ɲɛ.
- Ɲɛtaa hakɛ ka ca, nka i n’a fɔ opereli bɛɛ la, farati minnu bɛ se ka kɛ o la.
- Ɲininkali walima haminanko o haminanko bɛ aw kan, aw ka baro kɛ tuma bɛɛ ni aw ka dɔgɔtɔrɔso jɛkulu ye.
