Ese ijwi ryawe rimeze nk'iry'amazuru? Reka twige ku bijyanye no kubaga pharyngoplasty!

Ese wigeze wumva ko iyo uvuga, amagambo yawe adasobanutse neza, nk'aho uvugira mu mazuru yawe? Cyangwa kuri bamwe mu bantu bakuru, kwishima byabaye ikibazo gikomeye mu bitotsi byabo. Impamvu y'ibyo bintu ishobora kuba impinduka zimwe na zimwe mu ngingo zo mu muhogo wacu no mu gisenge cy'akanwa kacu. Uyu munsi rero turimo kuvuga ku kubagwa kwihariye gukorwa nk'igisubizo kuri ibi.

Mu magambo make, pharyngoplasty ni iki?

Pharyngoplasty ni uburyo bwo kubaga buhindura imiterere n'imikorere y'ingingo zoroshye ziri inyuma y'urusenge rw'akanwa kawe (akanwa koroshye) n'ingingo iri inyuma y'umuhogo wawe (agahu). Tekereza, iyo tuvuga umwuka ukava mu mazuru yacu bitari ngombwa, ijwi ryacu rigasa n'aho tuvuga mu mazuru yacu. Mu buvuzi, ibi byitwa hypernasality . Bityo ubu buryo bwo kubaga bukorwa kugira ngo tugabanye uwo mwuka uva mu mazuru yacu.

Iyi ndwara yitwa velophyleneal insufficiency (VPI) . Abana n'abantu bakuru bafite iyi ndwara bungukira cyane muri ubu buvuzi. Byongeye kandi, ubundi bwoko bwa pharyngoplasty nabwo bukoreshwa mu kuvura indwara yo guhumeka mu gihe cyo gusinzira ku bantu bakuru.

Ni nde ukeneye ubu bubagwa cyane kurusha abandi?

Ubu burwayi bukunze gukorwa ku bana bavukanye ikibazo cy'akanwa gafite imitsi . Iki ni ikibazo gikunze kugaragara mu gihe umuntu avukanye. Nubwo ikibazo cy'akanwa gafite imitsi gikosorwa no kubagwa, bamwe mu bana (hafi umwe muri batatu) bashobora kurwara VPI, cyangwa ijwi ry'amazuru. Icyo gihe ni bwo bubagwa bwa pharyngoplasty buba bukenewe.

Hari izindi mpamvu zishobora gutuma VPI iba. Ubu buryo bwo kubaga bushobora no kuba ngombwa muri ibi bihe:

• Indwara nk'indwara yo mu bwonko itera ubumuga .
• Indwara z'uturemangingo nka Down syndrome na DiGeorge syndrome .
• Guhabwa ubuvuzi bushingiye ku maraso ku ndwara nka kanseri yo mu muhogo.
• Nyuma yo kubagwa kugira ngo bakureho adenoids (adenoidectomy) cyangwa tonsils (tonsillectomy) .
• Indwara yo mu bwonko (stroke) .
• Ibibyimba mu bwonko cyangwa mu gahanga.

Ubwoko bw'ingenzi bwo kubaga pharyngoplasty

Hari ubwoko bwinshi bw'ingenzi bw'ubu buvuzi, buri bwoko bitewe n'uburwayi bwakoreshejwe.

Ni iki kibaho mu gihe cyo kubagwa na nyuma yaho?

Mbere yo kubagwa

Ni ingenzi cyane gukurikiza amabwiriza ya muganga wawe neza. Wowe cyangwa umwana wawe mushobora gusabwa guhagarika gufata imiti imwe n'imwe, vitamine, cyangwa imiti ya Ayurvedic iminsi mike mbere yo kubagwa.

Mu gihe cyo kubaga

Ubu buryo bwose bwo kubaga bukorwa hifashishijwe ikinya rusange . Ibi bivuze ko wowe cyangwa umwana wawe ntacyo muzumva mu gihe cyo kubagwa, kandi muzaba musinziriye burundu. Bitewe n'ubwoko bwo kubagwa, bishobora gufata amasaha abiri. Abaganga bazashyira ingingo mu muhogo hanyuma bakoreshe imishumi ishobora gushonga.Kubagwa birangizwa no kubireka.

Nyuma yo kubagwa

Ubusanzwe ugomba kumara mu bitaro umunsi umwe cyangwa itatu. Ushobora kwitega ibi bikurikira nyuma yo kubagwa:

• Uduce duto tw'amaraso tumeze nk'amaraso tuva mu kanwa cyangwa mu mazuru.
• Kuziba izuru .
• Kubabara mu muhogo no mu ijosi. Ibi bishobora gutuma bigorana kumira mu minsi ya mbere.

Ibi bimenyetso akenshi bishira ubwabyo mu minsi mike. Ni gake cyane (hafi umuntu 1 kuri 20), hashobora gukenerwa uburyo bwo guhumeka mu mazuru kugira ngo bugufashe guhumeka kugeza igihe kubyimba bigabanutse.

Ibyiza, ingaruka, n'igihe cyo gukira nyuma yo kubagwa

Ibyiza by'ingenzi ni ibi bikurikira:

• Guhumeka byoroshye.
• Ijwi risobanutse neza.
• Kugabanuka kw'ibimenyetso byo kunyerera.

Tuvuze ku ngaruka, rimwe na rimwe VPI ishobora kugumaho igihe runaka nyuma yo kubagwa. Nanone, bamwe mu bantu babazwe VPI bashobora kugira ikibazo cyo kugona cyane (sleep apnea) nyuma. Ariko, uku kugona kuzagabanuka uko igihe kigenda gihita. Muganga wawe ashobora kukugira inama yo kwiga ibitotsi (polysomnography) amezi 6 nyuma yo kubagwa.

Bifata igihe kingana iki kugira ngo umuntu akire?

Igihe bifata kugira ngo umuntu akire neza kiratandukanye bitewe n'umuntu, ariko akenshi bifata icyumweru kimwe kugira ngo umuntu aruhuke kandi afate ikiruhuko ku ishuri cyangwa ku kazi.

Wite ku bintu nk'ibi mu rugo:

• Koresha umusego umwe cyangwa ibiri kugira ngo uzamure umutwe wawe gato igihe uryamye cyangwa uryamye.
• Kurya ibinyobwa gusa n'ibiryo byoroshye byatogoshejwe neza (urugero: yawurute, isupu, igikoma, umuceri watogoshejwe) mu gihe cy'icyumweru kimwe kugeza kuri bitatu.
• Hagarika guterura ibyuma no gukora siporo igoye kugeza igihe muganga wawe azakubwiriye.
• Fata imiti igabanya ubukana bwa antibiyotike ku gihe kugira ngo wirinde kwandura.
• Fata imiti igabanya ububabare yandikiwe cyangwa uyiguze ku muganga.
• Jya mu buvuzi bw'imivugire kugira ngo wongere ijwi ryawe.
• Ushobora kunyunyuza uduce tw'urubura kugira ngo urware mu muhogo.

Igihe cyo kubonana na muganga ako kanya

Niba wowe cyangwa umwana wawe mufite kimwe muri ibi bikurikira, hamagara muganga wawe ako kanya.

• Ibimenyetso by'umwuma mu kanwa (urugero: kuma, kugabanuka k'inkari) cyangwa kubura ubushake bwo kurya.
• Ibimenyetso by'ubwandu, urugero nk'umuriro, amatembabuzi anuka mu kanwa cyangwa mu mazuru.
• Kugorwa no guhumeka cyangwa kugorwa no gusinzira kurusha uko bisanzwe.