Ese uhita wumva umeze nk'ufite ikibazo cyo kurambirwa iyo uvuga? Cyangwa ijwi ryawe rihinduka nk'iry'urusaku, rigacika intege, kandi ridasobanutse neza? Ese uhora ugomba koza umuhogo no gukorora? Niba ibi bintu bibangamira imirimo yawe ya buri munsi n'akazi, impamvu ishobora kuba ikibazo cy'imitsi y'ijwi ryawe. Ntugahangayike, uyu munsi turimo kuvuga ku kubagwa kwihariye gushobora gutanga igisubizo cyiza cyane kuri iki kibazo.
Mu magambo make, Thyroplasty ni iki?
Thyroplasty, ubu izwi nka Medialization Laryngoplasty, ni ukubaga kugira ngo ijwi ryawe rigaruke. Tekereza uko byagenda iyo umwe mu migozi ibiri ifasha mu gukora ijwi ryacu upfuye, ni ukuvuga iyo upfuye. Ijwi ntiryasohoka neza, si byo se?
Uku kubagwa bisaba gushyira akantu gato k’ingirabuzimafatizo hafi y’umuyoboro w’ijwi udafite icyo uvuze, uri ku ruhande rumwe, hanyuma ukagasunika cyane ku ruhande rw’aho undi muyoboro w’ijwi ukorera. Hanyuma, iyo uvuga, imiyoboro yombi y’ijwi itangira kunyeganyega hamwe. Ingaruka ni uko ijwi ryawe ryongera gusohoka neza kandi rikomeye.
Kurema kw'imitsi y'ijwi ni iki?
Kugira ngo tubisobanukirwe, reka tubanze turebe imiterere y'umuhogo wacu. Hari igice cy'umuhogo wacu cyitwa larynx. Ibi nibyo bidufasha iyo tuvuga, duhumeka, kandi tumira ibiryo. Muri uyu muhogo harimo ibice bibiri byoroheje by'inyama byitwa imirya y'ijwi .
Iyo tuvuga, umwuka uva mu bihaha byacu uzamuka mu muhogo (trachea) ukanyura muri izi nsinga z'ijwi. Hanyuma izi nsinga zigahinda, zigatanga icyo bita 'ijwi'.
Noneho tekereza, byagenda bite se imwe muri izi mvubura z'ijwi cyangwa zombi zigahagarika gukora neza? Ibyo ni byo twita paralysis y'imivubura y'ijwi . Akenshi, ibi bibaho ku mvubura y'ijwi imwe gusa (paralysis y'imivubura y'ijwi imwe). Ni gake cyane ko mvubura z'ijwi zombi zihagarika gukora, kandi ni ikibazo gikomeye kurushaho.
Ni ibihe bimenyetso by'iyi ndwara?
Niba umuntu afite ikibazo cyo kudakora neza kw'ijwi, ashobora kugira kimwe cyangwa byinshi muri ibi bikurikira. Reba niba nawe ufite kimwe muri ibi.
| Ibimenyetso | Ibisobanuro |
|---|---|
| Gushwanyagurika | Ijwi risa n'iritazwi neza, ridafite imbaraga, rituje cyangwa ricitse. |
| Guhumeka nabi mu gihe uvuga | Kumva unaniwe nubwo waba uvuga amagambo make, ntushobora kuvuga interuro ndende mu guhumeka rimwe. |
| Gusukura umuhogo kenshi | Kumva nk'aho hari ikintu cyagufashe mu muhogo kandi uhora ugomba gukuramo amazi mu muhogo. |
| Inkorora idashira | Kugira inkorora yumye idashira nta mpamvu yihariye. |
| Kugorwa no kumira (Dysphagia) | Kumva uhumeka cyangwa ukorora ndetse no nyuma yo kunywa amazi cyangwa kurya ibiryo. |
Ni nde koko ukeneye ubu bubagwa?
Si buri wese ukeneye ubu bubagwa. Hari abantu bashobora kudakenera kubagwa iyo bafite ibi bimenyetso kandi ntibigire ingaruka zikomeye ku buzima bwabo bwa buri munsi.
Ariko, niba akazi kawe gasaba gukoresha ijwi ryawe (urugero, umwarimu, umuririmbyi, cyangwa umwarimu), cyangwa niba iyi ndwara ibangamira ubuzima bwawe cyane, muganga wawe ashobora kukugira inama yo kubagwa.
Impamvu zitera imikorere mibi y'imitsi y'ijwi
Nta mpamvu imwe ihari itera iki kibazo, ariko hari impamvu nyinshi zishobora kugigiraho ingaruka.
- Indwara za kanseri: Ibintu nka kanseri y'ibihaha, kanseri ya tiroyide.
- Uburyo bwo kuvura kanseri: Uburyo bwo kuvura imirasire mu bice nk'ijosi no mu gituza.
- Indwara z'imitsi: Indwara nka Parkinson's disease cyangwa stroke.
- Kubagwa ijosi cyangwa igituza: Kubagwa kumwe bishobora kwangiza imitsi ijyana ku mitsi y'ijwi.
- Ibikomere ku ijosi cyangwa ku gituza.
- Indwara ziterwa n'ubwirinzi bw'umubiri: Urugero, myasthenia gravis.
- Indwara zo mu myanya y'ubuhumekero:Iyi ndwara ishobora kubaho nyuma y'ubwandu bumwe na bumwe bwa virusi.
- Intubation, umuyoboro ushyirwa mu muhogo mu gihe cyo kuvura ibibazo byo guhumeka, rimwe na rimwe ushobora kwangiza.
Niba ufite ibimenyetso nk'ibi, ikintu cyiza wakora ni ukubonana n'inzobere mu by'amatwi, amazuru n'umuhogo (ENT surgeon) kugira ngo bagusuzume neza.
Kubagwa bikorwa gute?
Ubu buvuzi bukorwa n'umuganga ufite imyitozo yihariye mu kubaga imikaya yo mu nda. Ubusanzwe bukorerwa mu cyumba cyo kubaga mu bitaro.
Mbere yo kubagwa
Muganga wawe azaguha amabwiriza akenewe mbere yo kubagwa.
- Ushobora gusabwa kwirinda kurya cyangwa kunywa amasaha make mbere yo kubagwa (kwiyiriza ubusa).
- Iyo umuntu anywa itabi, azamubwira kubireka.
- Ushobora kandi gusabwa guhagarika by'agateganyo gufata imiti imwe n'imwe na vitamine.
Mu gihe cyo kubaga
Dore bimwe mu bintu bibaho mu gihe cyo kubagwa:
1. Ubwa mbere, hakorwa akantu gato mu ijosi ryawe kugira ngo hamenyekane aho agahu kari.
2. Hanyuma, igice gito cyane gisa n'idirishya gikorwa ku ruhande rw'agace k'imikaya aho imitsi y'ijwi idakora iba iherereye.
3. Hanyuma, mu gihe ugerageza ijwi ryawe, ushyiramo agakoresho kabigenewe, kagukorewe, gashyirwa muri iryo dirishya , gashyiramo umugozi w'ijwi udakora neza ku ruhande rumwe n'uruhande rukora.
4. Amaherezo, aho gukata hafungwa hakoreshejwe imidozi ishongeshwa hanyuma hagashyirwa igitambaro.
Ibisubizo, ingaruka, no gukira nyuma yo kubagwa
Kubagwa byagenze neza gute?
Abantu benshi barushaho kugira ubushobozi bwo kuvuga no kumira nyuma y’uku kubagwa. Kubwibyo, ubu buryo bushobora gufatwa nk’ubukoze neza cyane.
Ni izihe ngaruka zishobora guterwa n'ibyo?
Nkuko bigenda mu kubagwa kose, hari ibyago bike byo kwandura no kuva amaraso. Gucika mu ijosi bishobora gusiga inkovu nto. Ushobora kugira ububabare mu muhogo, guhindura ijwi, no kugorwa n'igihe gito kumira cyangwa guhumeka mu minsi mike nyuma yo kubagwa. Ariko, ibi akenshi ntibihoraho.
Bifata igihe kingana iki kugira ngo umuntu akire?
Ubusanzwe ushobora gutaha uvuye mu bitaro uwo munsi cyangwa umunsi ukurikiyeho. Ni ngombwa cyane gukurikiza amabwiriza ya muganga nyuma yo gutaha kugira ngo ukire vuba.
| Ibintu byo gukora (Ibyo gukora) | Ntugakore ibyo udakwiye gukora |
|---|---|
| Humura ijwi ryawe mu minsi mike ya mbere, ariko ntugomba guceceka burundu. | Irinde kuvuga cyane, gusakuza, cyangwa kuvuga igihe kirekire. |
| Nywa ibinyobwa byinshi. Niba urwaye mu muhogo, tangira urye ibiryo byoroshye . | Ntukajye wiyuhagira mu gihe cy'iminsi itatu nyuma yo kubagwa. Ntukareke igisebe kitose. |
| Fata imiti (imiti igabanya ububabare, imiti igabanya ububabare) yanditswe na muganga ku gihe. | Irinde gukora imyitozo ngororamubiri iremereye nko guterura ibintu biremereye (ibiro birenga 15) no kwiruka mu gihe cy'ibyumweru bibiri. Kugenda n'amaguru ni byiza. |
| Niba muganga wawe abigusabye, gira uruhare mu buvuzi bw'amajwi . | Irinde kunywa itabi burundu mu gihe cyo gukira. |
Niba ufite ibi bimenyetso, hita ubonana na muganga!
Niba ubonye kimwe muri ibi bimenyetso bikomeye bikurikira iyo ugiye mu rugo nyuma yo kubagwa, hamagara muganga wawe vuba. Cyangwa ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro biri hafi yawe.
- Niba ufite ikibazo gikomeye cyo guhumeka
- Niba uhura n'ububabare budashobora kwihanganira
- Niba hari amazi y'umuhondo cyangwa amabyi ava mu gisebe, cyangwa niba ufite umuriro (ibi ni ibimenyetso by'ubwandu)
- Iyo agace gakikije icyiciro kabyimbye cyane (edema) cyangwa hakava amaraso
Ubutumwa bwo kujyana mu rugo
- Thyroplasty ni uburyo bwiza cyane kandi bwizewe bwo kugarura ijwi ryari ryaracitse intege bitewe n’imikorere mibi y’imitsi y’ijwi.
- Niba ukomeje kugira ibimenyetso nko kugira ijwi rituje, guhumeka nabi iyo uvuga, no gukorora kenshi, ni ngombwa kubonana na muganga w’indwara z’uruhu kugira ngo amenye impamvu.
- Gukurikiza amabwiriza ya muganga neza neza nyuma yo kubagwa bizafasha cyane gukira vuba.
- Niba ugaragaje ibimenyetso bikomeye, nko kugorwa no guhumeka, mu gihe cyo gukira, shaka ubufasha kwa muganga byihutirwa.
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