Ngaba uziva ngathi unengxaki yokuphefumla okanye uphelelwa ngumoya xa uthetha, uginya, okanye umile nje? Ngamanye amaxesha oku kunokubangelwa kukungasebenzi kakuhle kwee-vocal cords zombini emqaleni wakho. Kweli nqaku, siza kuthetha ngonyango lwanamhlanje, olungelulo olunzima kangako olunokukunceda uphefumle lula kwiimeko ezinjalo.
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Ngamafutshane, yintoni iLaser Cordotomy?
I-Laser Cordotomy yinkqubo engaphantsi kakhulu eyenziwa ngugqirha ukuze kwandiswe indlela yakho yomoya. Cinga ngee-vocal cords zakho njengeengcango ezimbini. Xa ezi ngcango zivaliwe kwaye zivuleka kancinci, akukho ndawo yaneleyo yokuba umoya udlule. Yiloo nto eyenzekayo.
Ngexesha lotyando, ugqirha usebenzisa i-laser ukwenza umngxuma omncinci kakhulu kwenye (okanye zombini) yemicu yakho yelizwi. Olu ngxunya ludala indawo eyongezelelweyo yokuba umoya udlule kwiimicu zelizwi, nto leyo eyenza ukuphefumla kube lula kakhulu.
Lolu hlobo lonyango lulungiselelwe imeko enjani?
I-Laser Cordotomy isetyenziswa kakhulu ukunyanga imeko apho zombini iintambo zelizwi zingasebenzi kakuhle . Siyibiza ngokuba yi-"Bilateral Vocal Cord Paralysis". Kule meko, zombini iintambo zelizwi azivuleki kwaye azivaleki. Zinamathelana, zikwimeko evaliweyo.
Oku kubangela ukuba indlela yomoya ibe mxinwa kakhulu, nto leyo enokubangela iingxaki ezifana nobunzima bokuphefumla, ubunzima bokuthetha, kunye nobunzima bokuginya.
Yintoni umahluko phakathi kweCordotomy kunye neCordectomy?
Nangona la magama mabini evakala efana, into ayenzayo yahlukile ngokupheleleyo. Kubaluleke kakhulu ukwazi lo mahluko.
| Indlela yonyango | Inkcazo kunye nemeko yokusetyenziswa |
|---|---|
| I-Cordotomy | Oku kuquka ukwenza umngxuma omncinci kwiintambo zelizwi ukuze kuvumeleke ukuphefumla. Iintambo zelizwi azisuswa. Oku kusetyenziswa njengonyango lokukhubazeka kwentambo yelizwi. |
| Utyando lweCordectomy | Oku kuquka ukususa inxalenye okanye zonke iintambo zelizwi. Le yindlela yotyando edla ngokusetyenziselwa ukunyanga izifo ezifana nomhlaza wengqula. |
Uzilungiselela njani ngaphambi kotyando?
Iqela lakho lezonyango liza kukunika imiyalelo ecacileyo yendlela yokulungiselela olu tyando. Ngaphambi konyango, baza kujonga izinto ezininzi ngawe.
- Ukuhamba komoya kunye namandla awo xa uthetha.
- Ukuphefumla.
- Umsebenzi weentambo zelizwi.
- Umgangatho welizwi.
Ukongeza, ingcali yezifo zolwimi lokuthetha (SLP) iza kuthatha imifanekiso eliqela yevidiyo yeentambo zakho zelizwi ngaphambi kotyando ukuze irekhode ubungakanani bomoya wakho kunye nendawo yeentambo zakho zelizwi. Baza kuthatha nenye ividiyo emva kotyando ukuze balinganise ukuba uphucuke kangakanani.
Masijonge nendlela olu tyando oluqhutywa ngayo.
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, ekwenza ulale ubuthongo obunzulu. Ngoko ke awuyi kuva nto. Ngexesha lotyando, ugqirha wakho uza kulandela la manyathelo:
1. Ikhamera ekhethekileyo ebizwa ngokuba yi-laryngoscope ifakwa ngomlomo nasemqaleni wakho ukuze ibone kakuhle i-larynx kunye neentambo zelizwi.
2. Okulandelayo, kubekwa isiqwenga esincinci sesiponji esimanzi kuloo ndawo ukuthintela ukonakala kwezicubu ezingaphantsi kweentambo zelizwi.
3. Okokugqibela, umqadi welaser ogxile kakhulu usetyenziswa ukwenza ukusika okuncinci okukhankanyiweyo ngasentla kwintambo enye okanye zombini isandi.
Le nkqubo yonke idla ngokuthatha imizuzu engama-30 ukuya kwengama-60 .
Zithini iingenelo zolu nyango?
Ngaphambi kokuba kuvele i-Laser Cordotomy, abantu abaninzi abane-vocal cord paralysis babefanele benze utyando olubizwa ngokuba yi-tracheostomy . Oku kuquka ukwenza umngxuma ngaphandle kwentamo ungene kwi-windpipe (trachea) kunye nokufaka ityhubhu kuyo ukuze bakwazi ukuphefumla.
Xa kuthelekiswa notyando lwe-tracheostomy, i-Laser Cordotomy lolona nyango lulula kakhulu kwaye alungenisi ntlungu .
Oku kunokukunceda ukuphucula ukuphefumla kwakho, ukuginya, kunye nokusebenza kwelizwi, ngelixa kugcina umgangatho wobomi uphezulu. Ngamanye amaxesha, utyando lweLaser Cordotomy lunokwenziwa nakubantu abasele benayo i-tracheostomy ukunceda ukususa loo mbhobho.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?
I-Laser Cordotomy lunyango olucetyiswa ngoogqirha kuba alunabungozi kangako kune-tracheostomy. Nangona kunjalo, njengalo naluphi na utyando, kukho iingozi ezincinci. Ezi ziquka:
- Ukopha kwi-larynx.
- Ukulimala okuncinci kwimilebe, amazinyo, okanye inkalakahla xa kufakwa i-laryngoscope.
- Ukwakheka kwezicubu zesilonda ezijikeleze imicu yelizwi.
- Ukudumba kwemithambo yelizwi.
Uninzi lwazo zezokwexeshana, kwaye ugqirha wakho uza kukwazisa ngale nto.
Kuza kuthatha ixesha elingakanani ukuphiliswa? Simele senze ntoni?
Kudla ngokuthatha malunga neenyanga ezintathu ukuphiliswa ngokupheleleyo emva kokuhlinzwa nge-laser cordotomy. Ngamanye amaxesha, olunye utyando oluncinci (revision cordotomy) lunokufuneka ukuze kufunyanwe iziphumo ezilungileyo.
Ngexesha lokuchacha, ukuphefumla ngomphunga yindlela elungileyo yokuthomalalisa iintlungu zakho zelizwi. Kwakhona, ugqirha wakho unokucebisa ukuba uphumle ngelizwi ukuze akuncede uphile ngokukhawuleza. Ngeli xesha, kufuneka uziphephe:
- Ukuthetha ngokuvakalayo
- Ukukhwaza
- Ukulawula ukukhwehlela (kangangoko kunokwenzeka)
- Ukucula
Ukuba awusebenzisi kakhulu ilizwi lakho ngeli xesha lokuphumla, kokukhona inkqubo yokuphiliswa iya kukhawuleza.
Emva kotyando, uza kugcinwa esibhedlele kangangeeyure ezingama-24 ukuze ujongwe. Ngeli xesha, uza kunikwa ii-steroids ezifakwa kwimithambo yegazi (IV) ukulawula ukudumba kwimibhobho yakho yelizwi. Emva kokuba ubuyele ekhaya, unganikwa amayeza okubulala iintsholongwane, iipilisi ze-steroid, kunye namayeza okulwa ne-reflux oza kuwathatha malunga neveki enye ukuya kwezintathu ngelixa uphila.
Ufuna ukubona ugqirha kwakhona ngaliphi ixesha?
Ukuba ubona naziphi na iimpawu zeengxaki emva kotyando, fowunela ugqirha wakho ngoko nangoko. Qaphela ezi mpawu:
- Ukuba ufumana ubunzima obukhulu bokuphefumla . (Kule meko, yiya ngqo kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.)
- Ukuba unengxaki yokuginya ukutya.
- Ukuba kukho izilonda ezijikeleze imilebe okanye amazinyo.
Umyalezo Wokuya Ekhaya
- I-Laser Cordotomy lutyando lwanamhlanje nolulula olwenziwayo ukunyanga ubunzima bokuphefumla obubangelwa kukungasebenzi kakuhle kwesandi.
- Olu lunyango olunengozi encinci kakhulu kunye neengxaki ezimbalwa kunotyando olukhulu olufana ne-tracheostomy.
- Kubaluleke kakhulu ukuzola ilizwi lakho ngexesha lokuchacha emva kotyando. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Nakweyiphi na imeko kaxakeka, efana nobunzima obukhulu bokuphefumla, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Ukuba unale mpawu, qhagamshelana nogqirha wendlebe, impumlo, nomqala (ENT Surgeon) onolwazi oluhle ngale ndawo.
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