Ngaba wakha wavakalelwa kukuba xa uthetha, amazwi akho akacaci, ngokungathi uthetha ngempumlo yakho? Okanye kwabanye abantu abadala, ukurhona kuye kwaba yingxaki enkulu ebuthongweni babo. Isizathu sezinto ezinjalo sinokuba lutshintsho oluthile kwizicubu zomqala wethu naseluphahleni lomlomo wethu. Ngoko ke namhlanje sithetha ngotyando olukhethekileyo olwenziwa njengesisombululo sale nto.
Ngamafutshane, yintoni i-pharyngoplasty?
I-Pharyngoplasty yinkqubo yotyando etshintsha imo kunye nomsebenzi wezicubu ezithambileyo emva kophahla lomlomo wakho (i-soft palate) kunye nezicubu ezingasemva komphimbo wakho (pharynx). Khawucinge nje, ukuba sithetha kwaye umoya uphuma empumlweni yethu ngokungeyomfuneko, ilizwi lethu livakala ngathi sithetha ngeempumlo zethu. Kwizonyango, oku kubizwa ngokuba yi -hypernasality . Ngoko ke olu tyando lwenziwa ukunciphisa loo moya uphuma empumlweni yethu.
Le meko ibizwa ngokuba yi -velipharyngeal insufficiency (VPI) . Abantwana kunye nabantu abadala abanale meko baxhamla kakhulu kolu tyando. Ukongeza, uhlobo olwahlukileyo lwe-pharyngoplasty lukwasetyenziswa ukunyanga i-sleep apnea kubantu abadala.
Ngubani odinga olu tyando kakhulu?
Olu tyando ludla ngokwenziwa kubantwana abazelwe bene- cleft palate . Esi sisiphene esiqhelekileyo sokuzalwa. Nokuba i-cleft palate ilungisiwe ngotyando, abanye abantwana (malunga nomnye kwabathathu) banokufumana i-VPI kamva, okanye i-nasal phonation. Kulapho ke kufuneka khona utyando lwe-pharyngoplasty.
Kukho ezinye izizathu zokuba i-VPI inokwenzeka. Olu tyando lunokufuneka nakwiimeko ezinjalo:
- Iimeko ezifana ne -cerebral palsy .
- Iimeko zemfuza ezifana neDown syndrome kunye neDiGeorge syndrome .
- Ukufumana unyango lwemitha kwiimeko ezinje ngomhlaza womqala.
- Emva kotyando lokususa i-adenoids (i-adenoidectomy) okanye i-tonsils (i-tonsillectomy) .
- Istroke .
- Iithumba ebuchosheni okanye ekhakhayini.
Okubaluleke kakhulu, olu tyando lwenziwa njengonyango lwabantu abadala abane- sleep apnea abangakhange baphendule kwezinye iindlela zonyango.
Iintlobo eziphambili zotyando lwe-pharyngoplasty
Kukho iintlobo ezininzi eziphambili zolu tyando, uhlobo ngalunye luxhomekeke kwimeko olusetyenziselwa yona.
| Uhlobo lotyando | Yenzelwe ntoni ngokuyintloko? | Kwenzeka ntoni nje? |
|---|---|---|
| I-lateral pharyngoplasty | Ukurhona (i-Sleep Apnea) | Indlela yokungena komoya iyanda. Izicubu ziyasuswa emacaleni omphimbo nenkalakahla zize ziphinde zimile. |
| I-Pharyngeal flap | Ukuthetha ngempumlo (VPI) | Kuthathwa ilaphu lethishu ngasemva komqala lize linamathele eluphahleni lomlomo. Oku kunciphisa umngxuma emqaleni kwaye kuthintele umoya ukuba ungaphumi ngempumlo xa uthetha. |
| I-Sphincter pharyngoplasty | Ukuthetha ngempumlo (VPI) | Izicubu ezingasemva kweetoni ezimbini ziyathathwa zize ziqhagamshelwe emqaleni. Oku kukwanciphisa umngxuma emqaleni kwaye kunciphisa ubuninzi bomoya ohamba ngempumlo. |
Kwenzeka ntoni ngexesha nasemva kotyando?
Ngaphambi kotyando
Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Wena okanye umntwana wakho ninokucelwa ukuba niyeke ukusebenzisa amayeza athile, iivithamini, okanye amayeza e-Ayurvedic kwiintsuku ezimbalwa ngaphambi kotyando.
Ngexesha lotyando
Zonke ezi nkqubo zotyando zenziwa phantsi kwe -anesthesia jikelele . Oku kuthetha ukuba wena okanye umntwana wakho awuyi kuva nto ngexesha lotyando, kwaye uya kuba ulele ngokupheleleyo. Ngokuxhomekeke kuhlobo lotyando, kungathatha malunga neeyure ezimbini. Oogqirha baza kutshintsha izicubu ngaphakathi emqaleni baze basebenzise izitishi ezinyibilikayo.Utyando lugqitywa ngokushiya.
Emva kotyando
Ngokwesiqhelo kuya kufuneka uhlale esibhedlele usuku olunye ukuya kwezintathu. Ungalindela oku kulandelayo emva kotyando:
- Umlinganiselo omncinci wokukhupha igazi okufana negazi okuvela emlonyeni okanye empumlweni.
- Ukuxinana kwempumlo .
- Umphimbo nentamo ebuhlungu. Oku kungenza kube nzima ukuginya kwiintsuku zokuqala.
Ezi mpawu zihlala ziphela zodwa kwiintsuku ezimbalwa. Akufane kwenzeke (malunga nomntu omnye kwabangama-20), kunokufuneka indlela yomoya ephuma empumlweni ukuze ikuncede uphefumle de ukudumba kuphele.
Iingenelo, iingozi, kunye nexesha lokuchacha emva kotyando
Iingenelo eziphambili zezi:
- Ukuphefumla lula.
- Ukucaca kwelizwi.
- Ukunciphisa iimpawu zokurhona.
Xa sithetha ngeengozi, ngamanye amaxesha i-VPI inokuhlala okwethutyana emva kotyando. Kwakhona, abanye abantu abenza utyando lwe-VPI banokufumana ukurhona okukhulu (i-sleep apnea) kamva. Nangona kunjalo, oku kurhona kuya kuncipha ngokuhamba kwexesha. Ugqirha wakho unokucebisa ukuba kwenziwe uphando lokulala (i-polysomnography) kwiinyanga ezi-6 emva kotyando.
Kuthatha ixesha elingakanani ukuphiliswa?
Ixesha elithathwayo ukuze umntu aphile ngokupheleleyo liyahluka kumntu nomntu, kodwa kudla ngokuthatha malunga neveki ukuphumla nokuthatha ikhefu esikolweni okanye emsebenzini.
Zikhathalele ezi zinto ekhaya:
- Sebenzisa umqamelo omnye okanye emibini ukuze uphakamise intloko yakho kancinci xa ulele okanye ulele phantsi.
- Yitya kuphela izinto ezimanzi kunye nokutya okuthambileyo okucoliweyo kakuhle (umz. iyogathi, isuphu, ipapa, irayisi ecoliweyo) kangangeveki enye ukuya kwezintathu.
- Yeka ukuphakamisa iintsimbi nokudlala imidlalo enzima de ugqirha wakho akuxelele ukuba wenze njalo.
- Thatha amayeza okubulala iintsholongwane amiselwe ngugqirha ngexesha elifanelekileyo ukuze uthintele usulelo.
- Thatha amayeza okunciphisa iintlungu amiselwe ngugqirha okanye athengiswa ngaphandle kwemvume kagqirha.
- Thatha inxaxheba kunyango lokuthetha ukuze ubuyisele ilizwi lakho.
- Ungayifunxa i-ice cubes xa unesilonda somqala.
Ixesha lokubona ugqirha ngoko nangoko
Ukuba wena okanye umntwana wakho unezinye zezi mpawu zilandelayo, fowunela ugqirha wakho ngokukhawuleza.
- Iimpawu zokuphelelwa ngamanzi emzimbeni (umz. umlomo owomileyo, ukuncipha komchamo) okanye ukungabi namdla wokutya.
- Iimpawu zosulelo, umzekelo, umkhuhlane, ukukhupha ulwelo olubi emlonyeni okanye empumlweni.
- Ubunzima bokuphefumla okanye ukuba nobunzima bokulala ngaphezu kwesiqhelo.
Umyalezo Wokuya Ekhaya
- I-Pharyngoplasty yinkqubo yotyando enyanga izifo ezifana nelizwi lempumlo (VPI) kunye ne-sleep apnea.
- Nangona oku kuqhele ukwenziwa kubantwana abazelwe bene-cleft palate, olu tyando lwenziwa nakubantu abadala kunye nabantwana abaneengxaki ezibangelwa zezinye izizathu.
- Emva kotyando, kuya kufuneka uphumle malunga neveki kunye nokutya okungeyondlwan 'iyanetha ukuze uphile.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo ngaphambi nasemva kotyando.
- Olu tyando lunokulindeleka ukuba lube nempumelelo ephezulu kakhulu ekucaciseni ilizwi nokwenza ukuphefumla kube lula.
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