Yu dɔn ɛva fil se we yu de tɔk, yu wɔd nɔ kin klia, lɛk se yu de tɔk tru yu nos? Ɔ fɔ sɔm big pipul dɛn, fɔ snor dɔn bi big prɔblɛm we dɛn de slip. Di rizin fɔ dɛn kayn tin ya kin bi sɔm chenj dɛn na di tisu dɛn na wi trot ɛn di ruf na wi mɔt. So tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we dɛn kin du as sɔlv fɔ dis.
Fɔ tɔk am simpul wan, wetin na faringoplasti?
Faringoplasti na ɔspitul we de chenj di shep ɛn wok we di sɔft tisu we de biɛn di ruf na yu mɔt (sɔft palata) ɛn di tisu we de biɛn yu trot (farinks) de du. Imajin, if wi de tɔk ɛn briz kɔmɔt na wi nos we wi nɔ nid, wi vɔys go tan lɛk se wi de tɔk tru wi nos. Insay mɛrɛsin, dɛn kin kɔl dis hypernasality . So dɛn kin du dis ɔpreshɔn fɔ ridyus da kayn briz de we de kɔmɔt na wi nos.
dis kכndyushכn dεn kכl am velopharyngeal insufficiency (VPI) . Pikin ɛn big pipul dɛn we gɛt dis sik kin bɛnifit bɔku pan dis ɔpreshɔn. Apat frɔm dat, dɛn kin yuz difrɛn kayn faringoplasti bak fɔ trit big pipul dɛn we nɔ ebul fɔ blo fayn we dɛn de slip .
Udat nid dis ɔpreshɔn pas ɔlman?
Bɔku tɛm dɛn kin du dis ɔpreshɔn pan pikin dɛn we dɛn bɔn wit kleft palata . Dis na tin we kin apin we dɛn bɔn pikin dɛn. Ivin if dεn kכrekt wan cleft palata wit כpεrayshכn, sכm pikin dεm (lεk wan pan tri) kin leta gεt VPI, כ nasal fכnεshכn. Na da tɛm de dɛn nid fɔ du ɔpreshɔn pan faringoplasti.
Ɔda rizin dɛn de we mek VPI kin apin. Dis ɔpreshɔn kin nid bak pan dɛn kayn tin ya:
- Kɔndishɔn dɛn lɛk sɛribra palsi .
- di jεnεtik kכndishכn dεm lεk Down syndrome εn DiGeorge syndrome .
- Fɔ gɛt redyushɔn tɛrapi fɔ kɔndishɔn lɛk kansa na di trot.
- Afta dɛn dɔn ɔpreshɔn fɔ pul di adenoyd dɛn (adenoidectomy) ɔ di tonsils (tonsillectomy) .
- Strok .
- Tumɔs na di bren ɔ di skel.
Di tin we impɔtant pas ɔl na dat, dɛn kin du dis ɔpreshɔn bak as tritmɛnt fɔ big pipul dɛn we gɛt slip apnea we nɔ dɔn ansa ɔda tritmɛnt dɛn.
Men kayn ɔpreshɔn fɔ faringoplasti
Bɔku men kayn ɔpreshɔn dɛn de, ɛn ɛni wan pan dɛn kin dipen pan di kɔndishɔn we dɛn yuz am fɔ.
| Di kayn ɔpreshɔn we dɛn kin du | Wetin na fɔ mɔ? | Wetin jɔs de apin? |
|---|---|---|
| Lateral faringoplasti we dɛn kin du | Snor (Slip Apnea) . | Di say we di briz de blo dɔn big. di tisu dεm de kכmכt na di sayd dεm na di trot εn di palata εn shep am bak. |
| Flap we de na di farin | Fɔ tɔk tru di nos (VPI) . | dεn kin tek wan flap fכ tisu frכm di bak pat na di trot εn tay am na di ruf na di mכt. Dis kin mek di say we opin na di trot smɔl ɛn mek di briz nɔ kɔmɔt na di nos we yu de tɔk. |
| Sphincter faringoplasti we dɛn kin du | Fɔ tɔk tru di nos (VPI) . | di tisu bihayn di tu tכnsil dεm dεn de tek am εn kכnekt am kכros di trot. Dis kin mek bak di say we opin na di trot smɔl ɛn i kin mek di briz we de kɔmɔt na di nos nɔ bɔku. |
Wetin kin apin we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn?
Bifo dɛn du di ɔpreshɔn
I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Dɛn kin aks yu ɔ yu pikin fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn, vaytamɛn dɛn, ɔ Ayurveda mɛrɛsin dɛn sɔm dez bifo dɛn du di ɔpreshɔn.
We dɛn de du di ɔpreshɔn
Dɛn kin du ɔl dɛn ɔpreshɔn ya ɔnda jenɛral anestezi . Dis min se yu ɔ yu pikin nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn, ɛn yu go slip ɔl. Dipen pan di kayn ɔpreshɔn, i kin tek lɛk tu awa so. Dɔktɔ dɛn go ripɔzishɔn di tisu dɛn insay di trot ɛn yuz stich dɛn we dɛn kin sɔlv.Dɛn kin dɔn di ɔpreshɔn bay we dɛn lɛf am.
Afta di ɔpreshɔn
Bɔku tɛm yu go gɛt fɔ de na ɔspitul fɔ wan to tri dez. Yu kin ɛkspɛkt dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn:
- Smɔl wata we tan lɛk blɔd we de kɔmɔt na di mɔt ɔ nos.
- Nasal kɔnjɛshɔn .
- Trot ɛn nɛk de at. Dis kin mek i nɔ izi fɔ swɛla smɔl insay di fɔs tɛm.
Dɛn sik ya kin dɔn fɔ dɛnsɛf insay sɔm dez. Na sכm tεm (lεk 1 pan 20 pipul dεm), yu kin nid fכ εp yu fכ brith te di swel go dכn.
Di bɛnifit, risk, ɛn di tɛm we pɔsin kin wɛl we dɛn du di ɔpreshɔn
Di men bɛnifit dɛn na:
- I izi fɔ blo.
- Voys klia.
- Ridyus pan di simptom dɛm we pɔsin kin gɛt we i de snor.
We wi de tɔk bɔt di prɔblɛm dɛn we kin apin, sɔntɛnde VPI kin de fɔ sɔm tɛm afta dɛn dɔn du di ɔpreshɔn. Dɔn bak, sɔm pipul dɛn we gɛt VPI ɔpreshɔn kin gɛt lawd snor (slip apnea) leta. Bɔt dis snor go stɔp as tɛm de go. Yu dɔktɔ kin tɛl yu fɔ du stɔdi bɔt aw yu de slip (polysomnography) 6 mɔnt afta dɛn du di ɔpreshɔn.
Aw lɔng i kin tek fɔ mek i wɛl?
Di tɛm we pɔsin kin gɛt fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin, bɔt i kin tek lɛk wan wik so fɔ rɛst ɛn tek tɛm fɔ lɛf fɔ wok na skul ɔ wok.
Tek kia ɔf dɛn tin ya na os:
- Yuz wan ɔ tu pilo fɔ prɔp yu ed ɔp smɔl we yu de slip ɔ ledɔm.
- Na likwid ɛn sɔft it dɛn nɔmɔ we dɛn dɔn mash fayn fayn wan (e.g. yogɔt, sup, pɔrit, mash rays) fɔ wan to tri wik.
- Stɔp fɔ es wet ɛn ple spɔt dɛn we de mek yu strɛs te yu dɔktɔ tɛl yu fɔ du dat.
- Tek antibayɔtik we dɛn tɛl yu fɔ tek di tɛm fɔ mek yu nɔ gɛt di sik.
- Tek mɛrɛsin wae dɛn dɔn gi yu ɔr wae yu nɔr de bay na yu kɔt fɔ mek yu fil pen.
- Tek pat pan tɔk tɛrapi fɔ mek yu vɔys kam bak.
- Yu kin sok pan ays kiub fɔ mek yu trot at.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
- Sayn dεm fכ di wata we de kכmכt (e.g. dray mכt, dεn dכn dכn urine autput) כ fכ lכs fכ it.
- Sayn dɛm fɔ se yu gɛt infɛkshɔn, fɔ ɛgzampul, fiva, wata we de kɔmɔt na yu mɔt ɔ yu nos we de smɛl bad bad wan.
- I nɔ kin izi fɔ yu fɔ blo ɔ i nɔ kin izi fɔ yu fɔ slip pas aw i kin bi.
Mɛsej we dɛn kin kɛr go na os
- Faringoplasti na ɔpreshɔn we de trit tin dɛn lɛk nos vɔys (VPI) ɛn slip apnea.
- dis kin bi fכ pikin dεm we dεn bכn wit cleft palata, bכt dεn kin du am bak pan big pipul εn pikin dεm fכ kכndyushכn dεm we כda kכz dεn kכz.
- Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ rɛst fɔ lɛk wan wik so ɛn it tin dɛn we nɔ fayn fɔ mek yu wɛl.
- I rili impɔtant fɔ tek tɛm fala yu dɔktɔ in instrɔkshɔn bifo ɛn afta di ɔpreshɔn.
- Wi kin op se dis ɔpreshɔn go gɛt rili ay sakrifays rɛt fɔ mek di vɔys klia ɛn mek i izi fɔ blo.
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