I fate chu chaw ei laiin a chok em? Hei hi ‘laryngeal cleft’ vang a ni thei ang em? Hemi chungchang hi han sawi ila!

I naute hian a in emaw, a ei emaw hian a chok fo em? A nih loh leh a thawk lai hian thawm mak tak mai a siam em, a nih loh leh thawk harsa a ti fo em? A châng chuan nu emaw, pa emaw i nih angin heng thilte hi i hmuh hian hlauhna leh lungkhamna nasa tak i neih hi thil pangngai tak a ni. Vawiin hian pianpui natna, a lan chhuah dan inang lo tak tak, mahse mi tam tak zingah chuan a hluar vak lo tih kan sawi dawn a ni. Hetiang dinhmun hi laryngeal cleft an ti a . A hming hi a buaithlak deuhin a lang thei a, mahse awlsam takin i hrethiam ang u.

Laryngeal Cleft tih hi eng nge ni?

A awlsam zawngin, laryngeal cleft chu kan naute rilru inkar, chu chu voice box (larynx) leh food pipe (esophagus) inkara awm tur tissue-a gap te tak te emaw, slit emaw a ni. Ngaihtuah teh, kan aw box hi thlipui (trachea) chung lamah a awm a. Food pipe hi he voice box hnung lamah hian a awm a. Chuvangin, heng pahnih inkarah hian gap pangngai lo a awm chuan naute ei tur, chu chu bawnghnute, tui leh ei tur te hi chu gap kaltlangin thlipui chhungah a lut thei lo va, pum chhungah a lut thei lo. Chutah chuan buaina chu a intan ta a ni. Hei hi pianpui natna hmuh tur awm lo tak a ni . Hetiang dinhmun hi nau piang nung 10,000 atanga 20,000 zinga pakhat vel ah a awm thin. Tlemte chuan mipa naupangah a tam zawk.

Hetiang natna vei naute hi a rang thei ang bera hriatchhuah leh enkawl a pawimawh a , a chhan chu ei leh in emaw hmun dik lovah a kal chuan harsatna chi hrang hrang a thlen thei a ni. Mahse, he laryngeal cleft nasat dan hi a cleft lian leh te leh a awmna hmunah a innghat a ni.

Laryngeal clefts chi hrang hrangte chu engte nge ni?

Doctor-te chuan laryngeal clefts hi chi li-ah an then a, a nasat dan azirin. Eng nge an nih hi han thlir ila:

• Type I: Hei hi type mildest ber a ni. Cleft hi naute vocal cords-ah chauh a awm. Hetiang chi hian symptom lian tham a thlen lo fo. Chuvang chuan hriat nghal a ni lo mai thei.
• Type II: Hetah hian cleft hi naute aw (vocal cords) hnuaiah a inzar pharh a.
• Type III: Cleft hi a lian deuh hlek a. Naute aw box (larynx) kaltlangin trachea (windpipe) chhungah a inzar pharh thei bawk.
• Type IV: Hei hi a na ber chi a ni . Hetah hian cleft chu naute thlipui (windpipe) hnuai lamah a inzar pharh lehzual a ni. A châng chuan, cleft chu thlipui (windpipe) pumpuiah a inzar pharh thei bawk.

Tunah chuan gap hian he classification hi eng chen nge a nghawng tih i hrethiam ta.

Laryngeal cleft natna lan chhuah dan chu engte nge ni?

I naute hian laryngeal cleft a neih chuan ei leh in leh thawk harsa a ti thei a ni. A lan chhuah dan tlangpui chu:

• Nau hnute pek emaw, chaw pek lai emawa khuh leh khuh: Hei hi i hmuh hmasak ber a ni fo. Nausen te tak te chu bawnghnute pek a nih a, a rilru a buai tan a, a gag a, a chang chuan an hnar atanga hnute a chhuak thin ang mai a ni.
• Chaw ei harsatna: Naute chuan ei a duh lo va, a nih loh leh ei harsa tak niin a lang.
• Blue skin (Cyanosis): He blue discoloration (cyanosis) hi awlsam takin hmui, hmui, kut zungtang leh mit vel ah te hmuh tur a awm a, a bik takin naute vun dum nei te tan chuan a langsar hle. Hei hi taksain oxygen a hmuh tlem chuan a thleng thin.
• Thâwk chhuah laiin thawm ri bengchheng tak, hnim hring, khauh tak: Hloh chhunga mucus awm ang maiin a ri thei.
• Riltam vanga tap reng reng, hahdam lohna leh mut that loh: Naute chuan chaw ei tur chu a pum chhungah a lut tha lo a, a riltam reng reng thei.
• Thau chak loh, thang tlai: Nausen chu a thau chhoh loh emaw, kum inang naute dang angin a thang chak lo emaw a nih chuan, eng ang pawhin bawnghnute emaw, ei tur emaw pek ni se, hei hi rinhlelhna anga ngaih tur a ni.
• Thlipuiah ei tur emaw in tur emaw aspiration: Hei hian lung natna a thlen fo thei.
• Pneumonia lo awm fo: Hei hi a chunga kan sawi tak aspiration condition vang a ni.

I naute hian heng symptoms pakhat emaw a aia tam emaw a neih chuan doctor lam pan vat a pawimawh hle.

Eng thilin nge laryngeal cleft a thlen?

He natna hi a chhan dik tak hi zirchiangtute chuan an la hre lo . Amaherawhchu, nausen pum chhunga a lo pian tirh thla engemaw zat chhunga thil thleng nia ngaih a ni. Amah chauhin a lo awm thei a, a nih loh leh genetic syndrome thenkhat nen pawh a inzawm thei bawk. Entir nan:

• Opitz-Frias Syndrome natna a ni
• VACTERL Pawl pawl a ni
• Pallister-Hall natna a ni
• CHARGE Syndrome natna a ni

Naute laryngeal clefts nei zinga a chanve aia tam pawhin piansualna dang an nei thei bawk. Chung zinga ṭhenkhat chu:

• Tracheobronchomalacia - thlipui chak lohna
• Hmai leh/ emaw, hmui a inthen
• Lung leh thisen kalna kawng dik lo (anomalies) a awm
• Pulmonary agenesis - lung pakhat a lo thang chak loh
• Esophageal atresia - chaw kawng siam kim lo
• Tracheoesophageal fistula - thlipui leh chaw kawng inzawmna dik lo

He laryngeal cleft hi hetiang dinhmun dang nen hian hmuh theih a nih avangin doctor te pawhin hei hi an ngaihven hle a ni.

Engtin nge laryngeal cleft hi hriat theih?

Laryngeal clefts chi hrang hrang, type I leh II te hi a chang chuan kum tam tak chhung chu hmuhchhuah lohvin a awm thei a, a chhan chu a natna lan chhuah dan a nasat loh vang a ni. Mahse, type III leh IV symptoms hi a nasat em avangin nau pian hnu ni engemaw zat chhungin hriatchhuah a ni tlangpui.

I naute hian a chunga kan sawi tak symptoms hi a neih chuan otolaryngologist (ENT specialist) chuan endoscopic evaluation neih a rawt fo ang. Hemi ah hian laryngeal cleft a awm leh awm loh hriat theihna tur test ber chu microlaryngoscopy leh bronchoscopy . Lungngai suh, hei hi naute chu anesthesia pek a nih hnua tih a ni a, a muhil vek tawh. Tichuan specialist chuan naute thlipuiah hian camera te tak te hmangin tube a dah a, uluk takin cleft a awm leh awm loh a enfiah thin.

Tin, i fa chu Speech-Language Pathologist (SLP) hnenah hruai theih a ni bawk. He specialist hian he natna hian i fa thusawi leh ei theihna a nghawng dan a en ang.

Engtin nge laryngeal cleft hi enkawl a nih?

A tam zâwk chuan, laryngeal cleft chu operation a ngai ṭhin . Hei hi laryngeal cleft repair an ti a. A bik takin type II, III, leh IV te tan chuan operation hi a ngai hle. Mahse, naute thenkhat, type I cleft te tak te nei te chu an lo puitlin chuan anmahni chauhin an khar thei a ni. Chutiang naute chuan ei leh in tur chu an rilruah a lo chho leh loh nan damdawi (reflux) leh thlipui (aspiration) chhunga ei tur a luh loh nan hmalakna thenkhat chauh an mamawh mai thei.

Surgery hun leh tih dan hi laryngeal cleft chi hrang hrang a zirin a inang lo. Surgeon-te chuan cleft siam that nan hian a hnuaia mi ang hian an hmang thin:

• Minimally invasive injection placement: Hetah hian surgeon chuan a hliam awmna hmunah hian temporary filler a inject a. Hei hian symptoms (a tlangpuiin thla thum vel) a tiziaawm thei a ni. Hei hian naute chu operation atana a inpeih hma loh chuan hahdamna a pe a ni. A châng chuan, hei chauh hi a tawk mai thei.
• Minimally invasive endoscopic surgery: Hetah hian surgeon chuan laser hmangin incision-a tissue pangngai lo chu a paih chhuak tlangpui a, chutah chuan incision chu sutures hmangin a khar leh thin.
• Open surgery: Hetah hian surgeon chuan naute kawngah hian incision te tak te a siam a, a cleft chu a siam tha thin. Hetiang method hi naute type IV laryngeal clefts nei tan hman a ni tlangpui.

A pawimawh ber chu i naute chu operation a neih hmain medical team-in naute chu anesthesia an pe ang. Chuvangin naute chuan natna engmah a hre lovang . Ngaihtuah buai suh.

Laryngeal cleft enkawlna hian harsatna emaw, side effect emaw a nei em?

Surgery dang ang bawkin laryngeal cleft surgery hian hlauhawmna engemaw zat a nei thei. Chung zinga ṭhenkhat chu:

• Naute chaw kawng (esophagus) tihkhauh dan pangngai lo.
• Stitch te chu a chhe emaw, a inhawng emaw.
• Thâwk ri nasa tak emaw laryngomalacia emaw.
• Naute aw box (larynx) nena inzawm nerve tihchhiat.
• Hril chhunga lung inkar hmun a hring (Mediastinitis).
• Operation hnua vun hnuaia boruak awm (Surgical emphysema).
• Thâwk lak laiin thlipui (windpipe) a hrual (Tracheomalacia).

He harsatna lo awm theihna hi thil tam takah a innghat a, chung zingah chuan operation chi hrang hrang, hliam chi hrang hrang, leh naute hriselna zawng zawng te pawh a tel. I naute doctor chuan operation hmain he thu hi chipchiar takin a sawipui ang che.

Ka naute chu a laryngeal cleft enkawl hnuah eng chen nge a dam leh theih ang?

Operation zawhah i naute chu ni khat emaw ni hnih emaw tal damdawi inah a awm a ngai dawn a ni. Incision khar nân stitches hman a nih avângin, naute chu a dam kim theih nân kar engemaw zât emaw, thla engemaw zât emaw a la ngai thei . Hemi hun chhung hian doctor thupek uluk taka zawm a pawimawh hle.

Hetiang dinhmun hi eng nge a thlir ang?

A hmaa hmuhchhuah leh enkawl a nih chuan naute laryngeal clefts nei tan chuan hmalam hun a tha hle . Tun hnaia zirchianna pakhatah chuan naute laryngeal cleft repair surgery nei 10 zinga 9 chuan kar ruk chhungin an symptoms-ah hmasawnna an hmu a ni. Mahse, thil tam tak chu a cleft nasat danah a innghat a ni. Naute type IV cleft nei te hi vawi khat aia tam operation an neih tam zawk a, damdawi inah rei zawk an awm tam zawk bawk.

I naute doctor chuan i naute dinhmun leh hmalam hun enkawl dan tur a sawipui ang che.

Laryngeal cleft hian dam rei zawng a ti tawi em?

Naute tam zawk tan chuan laryngeal cleft neih hian an dam chhung a nghawng lo. Mahse, naute thenkhat , type IV laryngeal cleft na tak tak nei te, piansualna lian tham dangte nen chuan nunna atana hlauhawm tak an ni thei. Mahse, laryngeal cleft avanga thihna – a nasat ber pawhin – a tlem hle .

Uluk taka enkawl a, damdawi lam thurawn zawm a nih chuan laryngeal cleft hian naute dam chhung a ti tawi tur a ni lo va, an nunphung pawh a ti hniam tur a ni lo.

Engtikah nge ka naute doctor ka hmuh ang?

Operation hnuah i naute doctor chuan thla ruk danah, kum khat thleng, follow-up appointment nei turin a rawn lut mai thei. Chumi hun chhunga tlawh zat chu i naute hmasawnna a zirin a innghat ang.

Heng test neih chhung hian doctor chuan imaging test a ti thei a, i naute natna lan chhuah dan a zawt thei bawk. I naute tan thu sawi turin inpeih rawh. I naute natna lan chhuah dan leh hriselna zawng zawnga inthlak danglamna i hmuh apiang chu doctor nen sawiho rawh.

Ka naute doctor hnenah eng zawhna nge ka zawh ang?

Naute doctor hnena zawh tur zawhna pawimawh thenkhat chu hetiang hi a ni:

• Engvangin nge he enkawlna emaw, operation emaw hi i rawt?
• Ka naute chu operation hma leh operation hnua a hlim zawk theih nan eng nge ka tih theih ang?
• Ka naute zai a nih chuan eng hlauhawmna nge awm?
• Ka naute a dam theih nan eng chen nge a la ngai ang?
• Ka naute hun rei tak hriselna chungchangah eng nge ka beisei theih ang?

Hetiang zawhna hi zawt la, i neih zawng zawng sawifiah rawh.

A tawp berah chuan hriat reng tur (Take-Home Message) .

I naute hi laryngeal cleft neia piang a nih chuan specialist hrang hrang i hmuh a ngai dawn a ni. An vai hian i naute enkawlna tha ber pe turin an thawk ho ang. A châng chuan cleft chu a mah chauhin a dam thei tih hre reng ang che. Chutiang a nih chuan, i naute ngun taka en mai mai chu a tawk mai thei. Cleft a nasat chuan i naute chu operation a ngai mai thei. A pawimawh ber chu, tanpui thei tur enkawlna a awm tih hriat reng hi a ni. Chutih lai chuan i naute doctor hnenah he natna hmuhchhuah a nih theihna tura i naute tanpui theih tur thilte zawt rawh. Nangmah chauh i ni lo va, medical team te pawhin nang leh i naute tanpui turin an awm reng a ni.

` Laryngeal cleft, cleft palate, naute chok, thawk harsatna, piansualna, hnar luang, naupang hriselna