Ingaba ilizwi lakho livakala ngathi lelempumlo? Masithethe nge-pharyngoplasty!

Ngaba ngamanye amaxesha uziva ngathi abanye abantu bakufumanisa kunzima ukukuqonda xa uthetha? Ngaba ilizwi lakho livakala ngathi liphuma empumlweni kwaye lingacacanga? Okanye ngaba wena okanye umntu osapho lwakho unengxaki yokurhona okanye ukufuthanisela xa ulele (sleep apnea)? Namhlanje siza kuthetha ngotyando olukhethekileyo olunokuba sisisombululo kwezi meko.

Ngamafutshane, yintoni iPharyngoplasty?

I-Pharyngoplasty yinkqubo yotyando etshintsha imo kunye nomsebenzi wempumlo ethambileyo kunye ne-pharynx. Cinga ngayo, olu tyando lwenziwa ikakhulu ukuze kuthintelwe umoya ukuba ungaphumi empumlweni yakho xa uthetha. Oogqirha babiza le meko ngokuthi yi-velipharyngeal insufficiency (VPI) . Ukuba i-VPI yakho yenza ilizwi lakho livakale njengempumlo (hypernasality) kwaye yenza kube nzima kwabanye ukuqonda into oyithethayo, ugqirha wakho unokucebisa olu tyando. Ukongeza, uhlobo olwahlukileyo lotyando lukwasetyenziswa ukunyanga i-sleep apnea , imeko ebangela ukuba abantu abadala bayeke ukuphefumla ngexesha lokulala.

Ngubani ofuna utyando lwe-pharyngoplasty?

Olu tyando ludla ngokufuneka kakhulu kubantwana abazelwe bene-cleft palate. Silubiza ngokuba yi -Cleft Palate . Le yimeko ekwabonakala kwilizwe lethu. Kwanasemva kotyando lokulungisa i-cleft palate, malunga nesithathu (1/3) sabanye abantwana banokuba ne-VPI, nto leyo ethetha ukuba ilizwi labo liphuma empumlweni yabo. Kulapho kufuneka khona utyando lwe-Pharyngoplasty. Ngaphandle koko, abantwana kunye nabantu abadala banokuludinga olu tyando ngenxa yezizathu ezininzi.

• Iimeko ezifana ne -cerebral palsy .
• Iimeko zemfuza ezifana neDown syndrome kunye neDiGeorge syndrome .
• Ukufumana unyango lwemitha yomhlaza womqala nempumlo.
• Emva kokususwa kwe-adenoid okanye i-tonsillectomy .
• Istroke .
• Iithumba ebuchosheni okanye ekhakhayini.

Ziziphi iintlobo eziphambili zotyando lwe-pharyngoplasty?

Kukho iintlobo ezininzi eziphambili zolu tyando. Kuxhomekeke kwingxaki onayo. Masibone ukuba zeziphi.

Kwenzeka ntoni ngexesha lotyando?

Zonke iindlela zotyando lwe-pharyngoplasty zenziwa phantsi kwe -anesthesia jikelele . Oku kuthetha ukuba wena okanye umntwana wakho awuyi kuva nto ngexesha lotyando kwaye uza kube elele ngokupheleleyo. Utyando ludla ngokuthatha malunga neeyure ezimbini. Inkqubo iyahluka kancinci ngokuxhomekeke kuhlobo lotyando.

I-Lateral Pharyngoplasty

Oku kwenzelwa i-sleep apnea. Apha, izicubu eziphezu komlomo nasemacaleni omabini omqala ziyasuswa kwaye zibekwe endaweni yazo ukuze kwandiswe indlela yokungena komoya. Ukuba iitoni zakho azikasuswa, zinokususwa ngaxeshanye nolu tyando.

I-Pharyngeal flap

Oku kwenziwa kwi-VPI. Apha, kuthathwa i-flap yezicubu ngasemva komphimbo zithungelwe eluphahleni lomlomo. Ezi stitches ziya kunyibilika ngokuhamba kwexesha. Le flap yezicubu ivala umsantsa phakathi kophahla lomlomo nomqala. Nangona kunjalo, kushiywa imingxuma emibini emincinci (izibuko ezisecaleni) kumacala omabini e-flap ukuvumela ukuphefumla ngempumlo.

I-Sphincter Pharyngoplasty

Olu lolunye uhlobo lotyando lwe-VPI. Kule meko, kuthathwa iziqwenga ezibini zezicubu emva kweetoni zize zithungwe ndawonye ngasemva komphimbo. Oku kukwanciphisa umsantsa ongasemva kwenkalakahla engentla, kuthintele umoya ukuba ungaphumi ngempumlo xa uthetha. Oku kushiya indawo yokuphefumla ngempumlo.

Yintoni onokuyilindela emva kotyando?

Ngokwesiqhelo uza kuhlala esibhedlele usuku olunye ukuya kwezintathu emva kotyando. Wena okanye umntwana wakho ninokufumana oku kulandelayo:

• Ukuphuma kwegazi kancinci emlonyeni okanye empumlweni.
• Ukuxinana kweempumlo.
• Umphimbo nentamo ebuhlungu. Oku kungenza kube nzima ukuginya.

Nangona kunjalo, kunqabile kakhulu (malunga nomntu omnye kwabangama-20), kunokufuneka kubekwe indlela yomoya ephuma empumlweni ukuze ikuncede uphefumle de ukudumba kunciphe.

Ziziphi iingenelo kunye neengozi zalo tyando?

Iingenelo eziphambili zezi:

• Ukuphefumla ngcono.
• Ukucaca kwelizwi.
• Ukunciphisa iimpawu ze-apnea yokulala.

Iingozi kunye neengxaki: Ngamanye amaxesha i-VPI (ibhokisi yelizwi) inokuhlala ixesha elide emva kotyando. Kwakhona, abanye abantu abenza utyando lwe-VPI banokuba nesifo sokurhona esitsha kunye ne-sleep apnea. Nangona kunjalo, uninzi lwexesha, oku kurhona kuya kuphela ngokuhamba kwexesha. Ugqirha wakho unokuyalela uphando lokulala (i-polysomnography) kwiinyanga ezintandathu emva kotyando ukuze ajonge i-sleep apnea. Ukuba i-VPI iyaqhubeka okanye i-sleep apnea ikhula, ugqirha wakho unokwenza olunye utyando oluncinci. Oku kubandakanya ukwenza ii-ports emqaleni wakho zibe nkulu okanye zibe ncinci.

Kuthatha ixesha elingakanani ukuphiliswa?

Ixesha lokuchacha liyahluka kumntu nomntu. Nangona kunjalo, wena okanye umntwana wakho kuya kufuneka nithathe iveki yonke ningabikho esikolweni okanye emsebenzini ukuze niphumle. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo ngexesha lokuchacha kwakho. Le miyalelo ingabandakanya:

• Gcina intloko yakho iphakanyisiwe xa ulele okanye ulele phantsi.
• Yitya ukutya okumanzi kuphela okanye ukutya okuthambileyo kangangeveki enye ukuya kwezintathu.
• Kuphephe ukuphakamisa izinto ezisindayo nemisebenzi enzima okwethutyana.
• Sela amayeza okubulala iintsholongwane kanye njengoko kuyalelwe ukuze uthintele usulelo.
• Sebenzisa amayeza okudambisa iintlungu ngokuchanekileyo.
• Thatha inxaxheba kunyango lokuthetha.
• Ncinca iityhubhu zomkhenkce ukuze uncede umphimbo obuhlungu.

Ufika nini kugqirha

Ukuba wena okanye umntwana wakho nifumana enye okanye ngaphezulu kwezi mpawu zilandelayo , bonana nogqirha wakho ngoko nangoko.

• Ukuphelelwa ngamanzi emzimbeni okanye ukungabi namdla wokutya.
• Iimpawu zosulelo, ezinje ngomkhuhlane, okanye ukukhupha ulwelo olungcolileyo oluphuma empumlweni/emlonyeni.
• Iingxaki zokulala, ingakumbi iimeko ezifana ne-sleep apnea.

I-Pharyngoplasty IsiSinhala, ilizwi lempumlo, i-VPI, i-sleep apnea, i-cleft palate, i-cleft palate, utyando lomphimbo