Kodi mwadzidzidzi mumamva ngati mukugwira mphuno mukalankhula? Kapena mawu anu amakhala osamveka bwino, ofooka, komanso osamveka bwino? Kodi nthawi zonse mumayenera kutsuka pakhosi panu ndi kutsokomola? Ngati zinthuzi zikusokoneza zochita zanu za tsiku ndi tsiku ndi ntchito yanu, chifukwa chake chingakhale vuto la mawu anu. Musadandaule, lero tikulankhula za opaleshoni yapadera yomwe ingapereke yankho lothandiza kwambiri pa vutoli.
Mwachidule, kodi Thyroplasty ndi chiyani?
Thyroplasty, yomwe tsopano imadziwika kuti Medialization Laryngoplasty, ndi opaleshoni yobwezeretsa mawu anu ofooka. Tangoganizirani zomwe zingachitike ngati chimodzi mwa zingwe ziwiri za mawu zomwe zimathandiza kupanga mawu athu chikasiya kugwira ntchito, kutanthauza kuti, ngati chikafa. Mawuwo sangatuluke bwino, sichoncho?
Opaleshoni iyi imaphatikizapo kuyika kachidutswa kakang'ono pafupi ndi chingwe cholumikizira mawu chomwe sichikugwira ntchito bwino, chomwe chili mbali imodzi, ndikukankhira mwamphamvu kumbali yomwe chingwe china cholumikizira mawu chili. Kenako, mukamalankhula, zingwe zonse ziwiri zolumikizira mawu zimayamba kugwedezeka pamodzi. Zotsatira zake ndi kuti mawu anu amatuluka bwino komanso mwamphamvu kachiwiri.
Kodi Kulephera kwa Vocal Cord ndi Chiyani?
Kuti timvetse izi, choyamba tiyeni tiwone kapangidwe ka pakhosi pathu. Pali gawo la pakhosi pathu lotchedwa kholingo. Ichi ndi chomwe chimatithandiza tikamalankhula, kupuma, komanso kumeza chakudya. Mkati mwa kholingo ili muli tinthu tating'onoting'ono totchedwa mawu .
Tikamalankhula, mpweya wochokera m'mapapu athu umapita ku mphuno (trachea) ndipo umadutsa m'zingwe zoyankhulirana izi. Kenako zimanjenjemera, zomwe zimatchedwa 'mawu'.
Tsopano taganizirani, bwanji ngati chimodzi mwa zingwe zoimbira mawu izi kapena zonse ziwiri zitasiya kugwira ntchito bwino? Ndicho chimene timachitcha kuti kufooka kwa zingwe zoimbira mawu . Nthawi zambiri, izi zimachitika pa zingwe zoimbira mawu chimodzi chokha (unilateral vocal cord paralysis). N'zosowa kwambiri kuti zingwe zonse ziwiri zoimbira mawu zisiye kugwira ntchito, ndipo zimakhala zovuta kwambiri.
Kodi zizindikiro za vutoli ndi ziti?
Ngati wina ali ndi vuto la mawu, akhoza kukumana ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi. Onani ngati muli ndi chimodzi mwa izi.
| Chizindikiro | Kufotokozera |
|---|---|
| Kusamveka bwino | Mawu amamveka osamveka bwino, ofooka, osamveka bwino, kapena osweka. |
| Kupuma movutikira pamene mukulankhula | Kumva kutopa ngakhale polankhula mawu ochepa, kulephera kunena chiganizo chachitali mu mpweya umodzi. |
| Kutsuka pakhosi pafupipafupi | Kumva ngati chinachake chakumangika pakhosi pako ndipo nthawi zonse umafunika kuchotsa pakhosi pako. |
| Chifuwa chosalekeza | Kukhala ndi chifuwa chouma chosatha popanda chifukwa chenicheni. |
| Kuvuta kumeza (Dysphagia) | Kumva kutopa kapena kutsokomola ngakhale mutamwa madzi kapena kudya chakudya. |
Ndani kwenikweni amene akufunikira opaleshoni iyi?
Si aliyense amene amafunika opaleshoni imeneyi. Anthu ena sangafunike opaleshoni ngati ali ndi zizindikiro zimenezi ndipo sizikhudza kwambiri moyo wawo wa tsiku ndi tsiku.
Komabe, ngati ntchito yanu ikufuna kugwiritsa ntchito mawu anu (monga mphunzitsi, woyimba, kapena mphunzitsi), kapena ngati vutoli likusokoneza kwambiri moyo wanu, dokotala wanu angakulangizeni opaleshoni iyi.
Zifukwa za kusagwira bwino ntchito kwa mawu
Palibe chifukwa chimodzi chomwe chimayambitsa vutoli, koma zifukwa zingapo zingakhudze vutoli.
- Matenda a khansa: Zinthu monga khansa ya m'mapapo, khansa ya chithokomiro.
- Mankhwala a khansa: Chithandizo cha radiation m'malo monga khosi ndi pachifuwa.
- Matenda a mitsempha: Matenda monga matenda a Parkinson kapena sitiroko.
- Opaleshoni ya khosi kapena pachifuwa: Maopaleshoni ena amatha kuwononga mitsempha yomwe imatsogolera ku mawu.
- Kuvulala pakhosi kapena pachifuwa.
- Matenda a autoimmune: Mwachitsanzo, myasthenia gravis.
- Matenda a m'mapapo:Vutoli limatha kuchitika pambuyo pa matenda ena a ma virus.
- Kulowetsa mpweya m'thupi, chubu chodutsa pakhosi panthawi yolandira chithandizo cha vuto la kupuma, nthawi zina chingayambitse kuwonongeka.
Ngati muli ndi zizindikiro ngati izi, chinthu chabwino kuchita ndikuwonana ndi katswiri wa khutu, mphuno, ndi pakhosi (ENT surgeon) kuti akafufuze bwino vuto lanu.
Kodi opaleshoniyi imachitidwa bwanji?
Opaleshoni iyi imachitidwa ndi dokotala yemwe ali ndi maphunziro apadera a kholingo (opaleshoni ya kholingo). Nthawi zambiri imachitidwa m'chipinda chochitira opaleshoni kuchipatala.
Musanachite opaleshoni
Dokotala wanu adzakupatsani malangizo ofunikira musanachite opaleshoni.
- Mungapemphedwe kuti musadye kapena kumwa kwa maola angapo opaleshoni isanachitike (kusala kudya).
- Ngati wina asuta fodya, amamuuza kuti asiye.
- Mungapemphedwenso kuti musiye kumwa mankhwala ndi mavitamini ena kwakanthawi.
Pa nthawi ya opaleshoni
Nazi zina zomwe zimachitika panthawi ya opaleshoni:
1. Choyamba, kudula pang'ono pakhosi panu kumapangidwa kuti mupeze kholingo.
2. Kenako, gawo laling'ono kwambiri longa zenera limapangidwa kumbali ya kholingo komwe kuli zingwe za mawu zosagwira ntchito.
3. Kenako, poyesa mawu anu, chojambulira chapadera, chopangidwira inu, chimayikidwa kudzera pawindo limenelo , ndikukonza chingwe cha mawu chosagwira ntchito kuti chikhale mbali yomweyo ndi chomwe chikugwira ntchito.
4. Pomaliza, kudulako kumatsekedwa pogwiritsa ntchito ma stitches osungunuka ndipo bandeji imayikidwa.
Zotsatira, zoopsa, ndi kuchira pambuyo pa opaleshoni
Kodi opaleshoniyi yayenda bwino bwanji?
Anthu ambiri amaona kuti mawu awo ndi luso lawo lomeza bwino akachita opaleshoniyi ndi bwino kwambiri . Chifukwa chake, opaleshoniyi ingaganizidwe kuti ndi yopambana kwambiri.
Kodi zoopsa zake ndi ziti?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali chiopsezo chochepa cha matenda ndi kutuluka magazi. Kuduladula kwa khosi kungasiye chilonda chaching'ono. Mutha kumva kupweteka pakhosi, kusintha kwa mawu anu, komanso kuvutika kwakanthawi kumeza kapena kupuma kwa masiku angapo mutachita opaleshoni. Komabe, izi nthawi zambiri sizimakhala zokhazikika.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Nthawi zambiri mumatha kupita kunyumba kuchokera kuchipatala tsiku lomwelo kapena tsiku lotsatira. Ndikofunikira kwambiri kutsatira malangizo a dokotala mukapita kunyumba kuti muchire mwachangu.
| Zinthu Zoyenera Kuchita (Zochita) | Zosayenera kuchita |
|---|---|
| Pumulani mawu anu kwa masiku oyamba, koma simuyenera kukhala chete kotheratu. | Pewani kulankhula mokweza, kufuula, kapena kulankhula kwa nthawi yayitali. |
| Imwani madzi ambiri. Ngati muli ndi pakhosi lopweteka, yambani ndi zakudya zofewa . | Musasambe kwa masiku atatu mutachita opaleshoni. Musalole kuti bala linyowe. |
| Imwani mankhwala (maantibayotiki, mankhwala ochepetsa ululu) omwe dokotala wakupatsani panthawi yake. | Pewani kuchita masewera olimbitsa thupi otopetsa monga kunyamula zinthu zolemera (zoposa mapaundi 15) komanso kuthamanga kwa milungu iwiri. Kuyenda bwino. |
| Ngati dokotala wanu akulangizani, tengani nawo mbali mu chithandizo cha mawu . | Pewani kusuta fodya kwathunthu panthawi yomwe mukuchira. |
Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo!
Ngati mukukumana ndi zizindikiro zazikulu zotsatirazi mukapita kunyumba mutachita opaleshoni, imbani dokotala wanu nthawi yomweyo. Kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
- Ngati mukuvutika kupuma kwambiri
- Ngati mukumva ululu wosapiririka
- Ngati pali madzi achikasu kapena mafinya omwe akutuluka pabala, kapena ngati muli ndi malungo (izi ndi zizindikiro za matenda)
- Ngati malo ozungulira chotupacho atupa kwambiri (edema) kapena kutuluka magazi
Uthenga Wopita Nawo Kunyumba
- Thyroplasty ndi opaleshoni yopambana kwambiri komanso yotetezeka yobwezeretsa mawu omwe adafooka chifukwa cha kusagwira bwino ntchito kwa mawu.
- Ngati mukupitirizabe kuona zizindikiro monga kutopa, kupuma movutikira mukamalankhula, komanso kukhosomola pafupipafupi, ndikofunikira kuonana ndi dokotala wa ENT kuti mudziwe chomwe chikuyambitsa.
- Kutsatira malangizo a dokotala pambuyo pa opaleshoni kungathandize kwambiri kuti munthu achire msanga.
- Ngati mukumva zizindikiro zazikulu, monga kuvutika kupuma, panthawi yomwe mukuchira, funsani upangiri wa dokotala nthawi yomweyo.
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