Ese wumva ufite ikibazo cyo guhumeka cyangwa ubura umwuka iyo uvuga, umira, cyangwa uhagaze gusa? Hari igihe ibi bishobora guterwa n'uko imitsi yombi y'ijwi mu muhogo idakora neza. Muri iyi nkuru, turavuga ku buryo bugezweho, butari bugoye cyane bushobora kugufasha guhumeka neza muri ibi bihe.
Mu magambo make, Laser Cordotomy ni iki?
Uburyo bwo gupima imitsi y'ijwi hakoreshejwe laser Cordotomy ni uburyo budakoresha imbaraga nyinshi bukorwa n'umuganga ubaga kugira ngo wagure uburyo bwo guhumeka. Tekereza ko imitsi y'ijwi ryawe ari inzugi ebyiri. Iyo izi nzugi zifunze kandi zigafunguka gato gusa, nta mwanya uhagije w'umwuka unyuramo. Ni ko bigenda.
Muri iki gikorwa cyo kubaga, muganga akoresha laser kugira ngo afate agace gato cyane k'umugozi umwe (cyangwa yombi) w'ijwi ryawe. Uku gukata bitanga umwanya wiyongera kugira ngo umwuka unyure mu migozi y'ijwi, bigatuma guhumeka byoroha cyane.
Ubu buvuzi ni ubuhe bwoko bw'indwara?
Laser Cordotomy ikoreshwa cyane cyane mu kuvura indwara aho imitsi yombi y'ijwi ihagaze . Ibi twita "Bilateral Vocal Cord Paralysis". Muri iki kibazo, imitsi yombi y'ijwi ntifungura cyangwa ngo ifunge. Ifatana hamwe, mu gihe ifunze.
Ibi bituma inzira y'ubuhumekero iba nto cyane, ibi bikaba byatera ibibazo nko kugorwa no guhumeka, kugorwa no kuvuga, no kugorwa no kumira.
Ni irihe tandukaniro riri hagati ya Cordotomy na Cordectomy?
Nubwo aya magambo yombi asa, icyo akora kiratandukanye rwose. Ni ingenzi cyane kumenya iri tandukaniro.
| Uburyo bwo kuvura | Ibisobanuro n'uburyo bwo gukoresha |
|---|---|
| Cordomize | Ibi bikubiyemo gukata gato mu mitsi y'ijwi kugira ngo uhumeke. Imitsi y'ijwi ntikurwaho. Ibi bikoreshwa mu kuvura indwara yo gucika intege kw'imitsi y'ijwi. |
| Kubaga Cordectomy | Ibi bikubiyemo gukuraho igice cy'imitsi y'ijwi cyangwa imitsi yose . Ubu ni uburyo bwo kubaga busanzwe bukoreshwa mu kuvura indwara nka kanseri yo mu mara. |
Witegura ute mbere yo kubagwa?
Itsinda ry'abaganga bawe rizaguha amabwiriza asobanutse neza y'uburyo bwo kwitegura ubu buvuzi. Mbere yo kuvurwa, bazasuzuma ibintu byinshi bikwerekeyeho.
- Urugendo rw'umwuka n'imbaraga zawo iyo uvuga.
- Guhumeka neza.
- Imikorere y'imivugire y'ijwi.
- Ireme ry'ijwi.
Byongeye kandi, inzobere mu ndwara z’ururimi rw’imivugire (SLP) izafata amashusho menshi y’imitsi y’ijwi ryawe mbere yo kubagwa kugira ngo yandike ingano y’inzira y’ubuhumekero bwawe n’aho imitsi y’ijwi ryawe iherereye. Bazafata kandi indi videwo nyuma yo kubagwa kugira ngo bapime ingano y’iterambere wagize.
Reka turebe kandi uburyo kubagwa bikorwa.
Uku kubagwa bikorwa hifashishijwe ikinya rusange, bigutera gusinzira cyane. Bityo ntuzumva ikintu icyo ari cyo cyose. Mu gihe cyo kubagwa, umuganga wawe azakurikiza izi ntambwe:
1. Kamera yihariye yitwa laryngoscope ishyirwa mu kanwa no mu muhogo kugira ngo irebe neza imitsi yo mu kanwa n'amajwi.
2. Hanyuma, agace gato k'ikiyiko cy'amazi gashyirwa muri ako gace kugira ngo hirindwe kwangirika kw'ingingo ziri munsi y'imitsi y'ijwi.
3. Hanyuma, umurimbo wa laser ukozwe neza cyane ukoreshwa mu gukora utuntu duto twavuzwe haruguru mu mugozi umwe cyangwa yombi y'ijwi.
Ubusanzwe iyi gahunda yose imara iminota iri hagati ya 30 na 60 .
Ni izihe nyungu z'ubu buvuzi?
Mbere yuko habaho uburyo bwa Laser Cordotomy, abantu benshi bafite ubumuga bw'imitsi yo mu ijwi bagombaga kubagwa byitwa tracheostomy . Ibi bikubiyemo gutobora umwobo inyuma y'ijosi mu muyoboro w'umwuka (trachea) no kuwushyiramo umuyoboro kugira ngo bahumeke.
Ugereranyije no kubaga tracheostomy, Laser Cordotomy ni uburyo bworoshye cyane kandi budatera indwara nyinshi .
Ibi bishobora kugufasha kunoza uburyo bwo guhumeka, kumira, no gukora neza kw'ijwi ryawe, ndetse no kugumana ubuzima bwiza. Hari igihe, kubagwa hakoreshejwe Laser Cordotomy bishobora no gukorwa ku muntu usanzwe afite tracheostomy kugira ngo bifashe gukuramo uwo muyoboro.
Ese hari ingaruka cyangwa ibyago bishobora guterwa n'iyi ndwara?
Uburyo bwo kuvura hakoreshejwe laser Cordotomy ni uburyo abaganga bakunze gutanga inama kuko budatera ibyago byinshi nko gukoresha tracheostomy. Ariko, kimwe no kubagwa ukundi, hari ingaruka ntoya. Muri zo harimo:
- Kuva amaraso mu ruhu.
- Gukomereka gato ku minwa, amenyo, cyangwa akanwa iyo ushyizemo laryngoscope.
- Imiterere y'inkovu zikikije imitsi y'ijwi.
- Kubyimba kw'imitsi y'ijwi.
Ibyinshi muri ibi ni iby'igihe gito, kandi muganga wawe azabikubwira.
Bizatwara igihe kingana iki kugira ngo umuntu akire? Ni iki tugomba gukora?
Ubusanzwe bifata amezi atatu kugira ngo umuntu akire neza nyuma yo kubagwa hakoreshejwe laser cordotomy. Hari igihe ubundi bubagwa buto (revision cordotomy) bushobora kuba ngombwa kugira ngo haboneke umusaruro mwiza.
Mu gihe cyo gukira, guhumeka umwuka ni uburyo bwiza bwo koroshya imitsi y'ijwi ryawe. Nanone, muganga wawe ashobora kukugira inama yo kuruhuka mu ijwi kugira ngo bigufashe gukira vuba. Muri iki gihe, ugomba kwirinda:
- Kuvuga cyane
- Induru
- Kugenzura inkorora (uko bishoboka kose)
- Kuririmba
Uko ukoresha ijwi ryawe gake muri iki gihe cyo kuruhuka, niko gukira birushaho kwihuta.
Nyuma yo kubagwa, uzaguma mu bitaro mu gihe cy'amasaha agera kuri 24 kugira ngo ukurikiranwe. Muri icyo gihe, uzahabwa imiti igabanya ububabare mu mitsi (IV) kugira ngo ugabanye kubyimba kw'imitsi y'ijwi ryawe. Nyuma yo gutaha, ushobora guhabwa imiti igabanya ububabare, ibinini bya steroid, n'imiti igabanya ububabare bw'amaraso kugira ngo ufate mu gihe cy'icyumweru kimwe kugeza kuri bitatu mu gihe ukize.
Urashaka kongera kubonana na muganga saa ngahe?
Niba ubonye ibimenyetso by'ingorane nyuma yo kubagwa, hamagara muganga wawe ako kanya. Menya neza ibi bimenyetso:
- Niba ugize ikibazo gikomeye cyo guhumeka . (Muri iki gihe, jya mu Ishami ryita ku Butabazi bw'Ibanze (ETU) ry'ibitaro biri hafi yawe.)
- Niba ufite ikibazo cyo kumira ibiryo.
- Niba hari ibisebe bikikije iminwa cyangwa amenyo.
Ubutumwa bwo kujyana mu rugo
- Laser Cordotomy ni uburyo bwo kubaga bugezweho kandi bworoshye bukorerwa mu kuvura ibibazo byo guhumeka biterwa n'imikorere mibi y'imitsi y'ijwi.
- Ubu ni uburyo bwo kuvura bufite ibyago bike cyane kandi bufite ingorane nke ugereranije no kubagwa gukomeye nka tracheostomy.
- Ni ingenzi cyane kuruhuka ijwi ryawe mu gihe cyo gukira nyuma yo kubagwa. Kurikiza amabwiriza ya muganga wawe neza.
- Mu gihe cy’impanuka iyo ari yo yose, nko kugorwa cyane no guhumeka, jya mu bitaro by’ibitaro byita ku barwayi ba ETU byihutirwa.
- Niba ufite ibi bimenyetso, gana muganga w’indwara zo mu matwi, izuru n’umuhogo (ENT Surgeon) uzi neza ibyo bibazo.
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