Kodi nthawi zina mumamva kuti mawu anu ndi ofooka, osasunthika, kapena ngati mukusanza mukalankhula? Kodi mumavutika kumeza chakudya? Kodi nthawi zambiri mumakhala ndi pakhosi lopweteka? Izi zitha kukhala zizindikiro za chimfine, koma ngati zipitirira, zingakhale vuto ndi mawu anu. Lero, tiyeni tikambirane za opaleshoni yotchedwa 'thyroplasty' yomwe ingathandize pa vutoli ndikubwezeretsa mawu anu.
Choyamba, tiyeni tiwone, kodi vuto la vocal cord paralysis ndi chiyani?
Mwachidule, pali gawo la pakhosi pathu lotchedwa kholingo. Timalitchanso kuti "bokosi lathu la mawu." Mkati mwake muli ziwalo ziwiri zoonda, za minofu zotchedwa zingwe zoimbira mawu. Tikamalankhula kapena kutsokomola, mpweya wochokera m'mapapu athu umadutsa m'zingwe ziwirizi zoimbira mawu. Zingwe ziwirizi zimagwedezeka, zomwe zimapangitsa mawu athu.
Tangoganizirani, chimachitika ndi chiyani ngati chimodzi mwa zingwe ziwirizi za mawu sichikugwira ntchito bwino kapena ngati chayamba kugwira ntchito? Apa ndiye timatcha izi kuti kufooka kwa zingwe za mawu . Panthawiyi, pali kusiyana pakati pa zingwe za mawu zosagwira ntchito ndi zingwe za mawu zomwe zikugwira ntchito. Izi zimapangitsa kuti mawu akhale ofooka komanso osamveka bwino. Nthawi zambiri, zingwe za mawu chimodzi zokha ndi zomwe sizikugwira ntchito. Kulephera kwa zingwe zonse ziwiri za mawu ndi vuto losowa kwambiri koma loopsa lomwe limafuna chithandizo chamankhwala mwachangu.
Kodi zizindikiro zofala za vutoli ndi ziti?
Ngati muli ndi vuto la kutopa kwa mawu, mutha kukhala ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi.
| Chizindikiro | Kufotokozera |
|---|---|
| Kusamveka bwino | Mawuwo samveka bwino, samveka bwino, komanso amakhala ndi mphepo. |
| Kuvuta kumeza (Dysphagia) | Kutsokomola ndi kumeza chakudya kapena chakumwa. |
| Kutsuka pakhosi pafupipafupi | Kuyesa kuchotsa pakhosi panu chifukwa nthawi zonse mukumva ngati chinachake chatsekeredwa pakhosi panu. |
| Kuvuta kupuma | Kupuma movutikira polankhula kapena pochita zinthu zazing'ono. |
| Chifuwa chosatha | Chifuwa chomwe chimakhala kwa nthawi yayitali popanda chifukwa chenicheni. |
Ndani ayenera opaleshoni ya Thyroplasty?
Si aliyense amene ali ndi zizindikiro zimenezi amene angafunike opaleshoni. Zizindikiro za anthu ena ndi zochepa ndipo akhoza kukhala moyo wabwinobwino popanda mavuto. Komabe, ngati vuto lanu la mawu likupangitsa kuti zikhale zovuta kugwira ntchito, kukhala ndi vuto lokhala ndi maubwenzi ndi anthu ena, kapena ngati muli ndi matenda oopsa monga kusowa tulo , dokotala wanu angakulangizeni opaleshoniyi.
Mwachidule, thyroplasty ndi opaleshoni yomwe imagwiritsa ntchito choyikapo chaching'ono kuti isunthire chingwe cha mawu chomwe sichikugwira ntchito bwino kupita ku chingwe cha mawu chathanzi, kuchepetsa kusiyana pakati pa ziwirizi.
Zinthu zomwe zingayambitse kufooka kwa mawu
Pali zifukwa zambiri za vutoli, ndipo nthawi zina palibe chifukwa chomveka chomwe chingapezeke.
| Chifukwa chomwe chingakhalepo | Zitsanzo |
|---|---|
| Matenda a autoimmune | Matenda monga Myasthenia Gravis. |
| Khansa | Khansa ya m'mapapo, khansa ya chithokomiro. |
| Chithandizo cha khansa | Chithandizo cha radiation ku mutu, khosi, kapena pachifuwa. |
| Matenda a mitsempha | Matenda a Parkinson, sitiroko. |
| Opaleshoni ya khosi kapena pachifuwa | Opaleshoni ya mtima, kuchotsedwa kwa chithokomiro. |
| Kugwiritsa ntchito chubu chopumira panthawi ya opaleshoni | Kulowetsa mpweya m'chubu kapena makina. |
| Matenda | Matenda opatsirana m'thupi monga chimfine ndi chimfine. |
Kodi opaleshoniyi imachitidwa bwanji?
Opaleshoni iyi imachitika ndi katswiri wa khutu, mphuno, ndi pakhosi (ENT surgeon), dokotala yemwe ali ndi luso lapadera pa kholingo ndi mawu.
Musanachite opaleshoni
Muyenera kutsatira malangizo a dokotala wanu molondola. Mwachitsanzo:
- Pewani kudya ndi kumwa kwa maola angapo musanachite opaleshoni.
- Ngati mukusuta, siyani.
- Mungafunike kusiya kumwa mankhwala ndi mavitamini ena. Dokotala wanu adzakufotokozerani zonsezi.
Pa nthawi ya opaleshoni
Kukonza khosi (thyroplasty) kumachitika m'chipinda chochitira opaleshoni. Nthawi zambiri, simupatsidwa mankhwala oletsa ululu mokwanira. Malo okhawo a khosi ndi omwe amachititsa dzanzi ndipo opaleshoniyo imachitika mukakhala maso. Izi zili choncho chifukwa mawu anu amafunika kuyang'aniridwa panthawi ya opaleshoni ndipo choyikamo chiyenera kuyikidwa bwino.
1. Choyamba, dokotala adzakudulani pang'ono pakhosi panu.
2. Kenako, zenera laling'ono limapangidwa kudzera mu kholingo (bokosi la mawu) komwe kuli chingwe cha mawu chofooka.
3. Kenako, akakupemphani kuti mulankhule, amamvetsera mawu anu ndikuyika choyikamo chopangidwa mwapadera chomwe chimakwanira. Izi zimakankhira chingwe cha mawu chosagwira ntchito pakati, zomwe zimapangitsa kuti chikhale chosavuta kuti chigundane ndi chingwe china cha mawu.
4. Mawu akafika bwino kwambiri, choduliracho chimatsekedwa ndi masitichi osungunuka.
Kodi chimachitika ndi chiyani nditachita opaleshoni? Kodi ndiyenera kuchita chiyani kuti ndichire msanga?
Mungathe kupita kunyumba tsiku lomwelo mutachita opaleshoni, kapena mungafunike kugona m'chipatala usiku wonse. Opaleshoniyi yayenda bwino kwambiri, ndipo anthu ambiri amaona kuti mawu awo akusintha.
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali chiopsezo chochepa cha matenda ndi kutuluka magazi. Chilonda chaching'ono chidzatsala pakhosi. Pakhoza kukhala kupweteka kwakanthawi kwa khosi, kusintha kwa mawu, komanso kuvutika kumeza kwa masiku angapo pambuyo pa opaleshoni.
Koma kumbukirani, zotsatirapo zoyipazi nthawi zambiri sizimakhala zokhalitsa. Nthawi zambiri zimatha pakatha masiku angapo.
Tsatirani njira izi kuti muchiritse msanga:
- Pumulani mawu anu: Pumulani mawu anu kwa masiku angapo mutachita opaleshoni. Izi zikutanthauza kupewa kufuula, kulankhula mokweza, kapena kulankhula kwa nthawi yayitali. Simuyenera kukhala chete. Muyenera kulankhula bwino pakatha pafupifupi sabata imodzi.
- Zakudya zamadzimadzi ndi zofewa: Ngati muli ndi pakhosi lopweteka, imwani madzi ambiri. Idyani zakudya zofewa monga phala ndi yogati masiku oyambirira.
- Musalole kuti chodulidwacho chinyowe: Pewani kusamba kwa masiku atatu mutachita opaleshoni. Sungani chodulidwacho ndi bandeji zili zouma.
- Imwani mankhwala anu monga mwalembedwera: Imwani mankhwala opha tizilombo toyambitsa matenda, ma steroid, ndi mankhwala ochepetsa ululu monga mwalembedwera ndi dokotala wanu.
- Pewani kunyamula zolemera: Musanyamule chilichonse cholemera kuposa 7 kg (15 lbs) kwa milungu iwiri. Pewani kuchita masewera olimbitsa thupi monga kuthamanga. Kuyenda kuli bwino.
- Chithandizo cha Mawu: Ngati dokotala wanu akulangizani, pitani kwa katswiri wa mawu kuti akupatseni upangiri.
Kodi muyenera kuyimbira dokotala nthawi yomweyo liti?
Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni, imbani dokotala nthawi yomweyo kapena pitani kuchipatala.
| Mbali yofunika kuiganizira | Kufotokozera |
|---|---|
| Kuvuta kupuma | Izi ndi zadzidzidzi. Pitani ku Dipatimenti Yoona za Zadzidzidzi ya Chipatala chapafupi (ETU) nthawi yomweyo. |
| Ululu waukulu | Ululu waukulu womwe sungathetsedwe ngakhale ndi mankhwala. |
| Zizindikiro za matenda | Malungo, madzi achikasu ngati mafinya akutuluka m'chidutswacho. |
| Kutupa kapena kutuluka magazi | Kutupa kwambiri (edema) kapena kutuluka magazi pamalo obayidwa. |
Uthenga Wopita Nawo Kunyumba
- Thyroplasty ndi opaleshoni yopambana yobwezeretsa ntchito ya chingwe cha mawu chomwe sichikugwira ntchito bwino kapena chofooka.
- Izi zidzakuthandizani kusintha mawu anu komanso kuthetsa mavuto monga kumeza movutikira.
- Opaleshoni iyi imachitika ndi katswiri wa khutu, mphuno, ndi pakhosi (ENT surgeon).
- Ngati muli ndi vuto la mawu kwa nthawi yayitali, musachite manyazi kapena kuopa, koma pitani kwa dokotala ndikupempha upangiri.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala molondola kuti muchiritse msanga mutachita opaleshoni.

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