Ngaba wakha weva isandi esingaqhelekanga, njengokurhona, xa umntwana wakho ephefumla, ingakumbi xa ephefumla? Abanye abazali bakhathazekile kancinci ngale nto. Esinye sezizathu zoku sinokuba yimeko ebizwa ngokuba yi-'Laryngomalacia'. Ngoko ke namhlanje sithetha ngotyando olubizwa ngokuba yi-'Supraglottoplasty' olwenziwa njengesisombululo sale nto. Musa ukoyika xa usiva oku, masichaze yonke into ngayo ngokulula.
Ngamafutshane, yintoni iSupraglottoplasty?
Ngamafutshane, i-'Supraglottoplasty' yinkqubo yotyando. Ukuba kukho izicubu ezigqithisileyo kwi-larynx yethu, okanye 'ibhokisi yelizwi' esiyisebenzisayo xa sithetha, olu tyando lwenziwa ukuze kube lula ukuphefumla. Khawuthelekelele, xa uphefumla, ezi zicubu ezigqithisileyo zitsalwa ngaphakathi kwaye zivale indlela yomoya. Emva koko kuba nzima kumntwana ukuphefumla. Ngoko ke olu tyando lususa loo ngxaki kwaye lwenze ukuphefumla kube lula.
Nangona olu tyando ludla ngokwenziwa kubantwana abancinci, ngamanye amaxesha lunokuba yimfuneko kubantwana abadala nakubantu abadala. Oogqirha bacebisa olu tyando kuphela ukuba ezinye iindlela zonyango, ezifana namayeza, aziphumelelanga. Ngokubanzi, lutyando olukhuselekileyo, olukhawulezayo noluphumeleleyo. Wena (okanye umntwana wakho) ningabuyela kubomi obuqhelekileyo kwiiveki nje ezimbini.
Ziziphi iimeko ezifuna olu tyando?
Olu tyando ludla ngokwenziwa kubantwana abancinci abanemeko ebizwa ngokuba yi -'Laryngomalacia.' Makhe sijonge ukuba yintoni na.
- I-Laryngomalacia: Kulapho izicubu ezijikeleze i-larynx ziba 'zikhululekile' kakhulu. Emva koko, ngalo lonke ixesha umntwana ephefumla, ezi zicubu zikhululekileyo ziyatsala zingene ngaphakathi zivale indlela yomoya. Le yimbangela yeso sandi sokurhona esisikhankanyileyo ngaphambili. Ayizizo zonke iintsana ezifuna utyando, kwaye uninzi lwazo luya kuphila ngokwalo ngokuhamba kwexesha. Nangona kunjalo, malunga nama-20% abantwana, okanye malunga nomnye kwabahlanu, banokulufuna olu tyando.
- I-Obstructive Sleep Apnea (OSA): Ukongeza, olu tyando ngamanye amaxesha lwenziwa njengonyango lwe-Obstructive Sleep Apnea (OSA) ebantwaneni kwanakubantu abadala.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ukulungiselela ngaphambi kotyando
Akukho mfuneko yokulungiselela okuninzi ngaphambi kotyando, kodwa ugqirha wakho uza kukucebisa ngezinto ezithile.
- Ulawulo lwe-asidi yesisu: Ukuba umntwana wakho unengxaki efana ne-gastritis, oko kuthetha ukuba i-asidi yesisu inyuka iye emqaleni (i-acid reflux), unganikwa amayeza okuqala kwiintsuku ezimbalwa ngaphambi kotyando. Oku kunokunceda ukuthintela iingxaki ezinokwenzeka emva kotyando.
- Uvavanyo lokuginya:Uvavanyo olukhethekileyo (`uphando lokuginya`) lunokwenziwa ukuze kubonwe ukuba umntwana uginya ngendlela eqhelekileyo na.
- Ukuzila Ukutya: Kuya kufuneka uyeke ukutya nokusela kangangeeyure ezimbalwa ngaphambi kotyando. Ugqirha wakho uza kukunika imiyalelo ethile ngale nto.
Ngexesha lotyando
Olu lutyando olwenziwa esibhedlele, phantsi kweliso lengcali yokubulala iintlungu, phantsi kwe-anesthesia jikelele. Ngoko ke, umntwana akaziva ntlungu.
Ngamazwi alula, okwenzekayo ngexesha lotyando ngolu hlobo lulandelayo:
1. Okokuqala, ingcali yokubulala iintlungu inika umntwana i-anesthesia.
2. Emva koko, ugqirha otyandayo usebenzisa isixhobo esikhethekileyo esifakwe ikhamera (`laryngoscope`) ukuze ahlole ingxolo yomntwana (`ibhokisi yelizwi`).
3. Izicubu ezigqithisileyo apho, oko kukuthi, imiqukumbelo ye-aryepiglottic kumacala omabini e-larynx, isuswa kusetyenziswa izixhobo ezincinci kakhulu ngomsikelo omncinci kakhulu.
4. I-Gauze isetyenziselwa ukulawula ukopha.
Lonke utyando luthatha ngaphantsi kweyure, kodwa umntwana uza kugcinwa esibhedlele ubusuku bonke ukuze ajongwe emva kotyando.
Zithini iingenelo, amazinga empumelelo, kunye neengozi zolu tyando?
Eyona nzuzo inkulu yoku kukuba ukuphefumla kuba lula kakhulu. Iintsana ezine-`Laryngomalacia` zinokutya kakuhle kwaye zilale kakuhle emva kolu tyando. Ezi zinto zibaluleke kakhulu kuphuhliso lomntwana ngokwasemzimbeni, ngokwengqondo nangokwentlalo. Ezinye iintsana zitshisa iikhalori ezingaphezulu kunesiqhelo ngenxa yobunzima bokuphefumla kwaye zinciphise umzimba. Olu tyando lusombulula naloo ngxaki.
Uphando lubonisa ukuba izinga lempumelelo yolu tyando liphezulu ukuya kuthi ga kwi-70% ukuya kwi-100% . Oko kuthetha ukuba luphumelela uninzi lwexesha.
Njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekileyo, kodwa akukho nto inokubangela ixhala, kuba oogqirha balumkele kakhulu olo tyando.
| Iingxaki ezinokwenzeka emva kotyando (ezinqabileyo kakhulu) | |
|---|---|
| Ukutya okanye ulwelo olungena kwi-trachea | Umnqweno |
| Ukugabha kwegazi | Amahlwili egazi |
| Ubunzima bokuphefumla obuqhubekayo | Iingxaki zokuphefumla eziqhubekayo |
| Ukonakala kwezicubu ezingqongileyo | Umonakalo kwizakhiwo ezingqongileyo |
| Ubunzima bokuginya | Ubunzima bokuginya |
| Ukopha kakhulu | Ukopha kakhulu |
| Iimeko ezichaphazelayo | Usulelo |
Indlela yokunyamekela umntwana emva kotyando?
Ukuchacha
Ukuchacha ngokupheleleyo kudla ngokuvela kwiveki enye ukuya kwezimbini . Kwiintsuku ezimbalwa zokuqala emva kotyando, kunokubakho ukudumba kunye nentlungu emqaleni. Isandi osenzayo xa uphefumla sinokuba sikhulu kancinci kunangaphambi kotyando. Usenokuziva ungathandi ukutya. Ezi ziqhelekile kwaye ziya kuphela kwiintsuku ezimbalwa. Ngoko ke ungakhathazeki. Nangona kunjalo, ukuba ezi mpawu azipheli emva kweeveki ezimbini, okanye ukuba ziya ziba mandundu, qiniseka ukuba wazise ugqirha wakho.
Ukhathalelo ekhaya
Ugqirha uza kukunika imiyalelo yendlela yokunyamekela umntwana wakho emva kotyando. Kubaluleke kakhulu ukuyilandela ngokuchanekileyo.
- Amayeza: Amayeza okulwa ne-reflux, anjenge-H2 blockers okanye i-proton pump inhibitors, anokumiselwa ukuthintela usulelo emqaleni nakwimiphunga yomntwana. Amayeza anokumiselwa ukunciphisa iintlungu.
- Uthando nokuphumla: Eyona nto ingcono onokuyenza kukuphatha umntwana wakho ngothando olukhulu. Mvumele aphumle kakuhle kwaye umnike amayeza akhe ngexesha. Khumbula, ugqirha wakho ukhona ukukunceda ukuba uneengxaki okanye uloyiko.
| Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza. |
|---|
| Ukuba ingxolo yokuphefumla iyaqhubeka nokwanda emva kweeveki ezimbini. |
| Ukuba uyakhohlela xa usela ulwelo. |
| Ukuba unomkhuhlane. |
| Ukuba intlungu ayipheli nasemva kokusela amayeza okudambisa iintlungu. |
| Ukuba uphelelwa ngumphefumlo kakhulu. |
Utyando, ingakumbi kumntwana wakho omncinci, lunokuba loyikisa kuye nawuphi na umzali. Kodwa i-'Supraglottoplasty' yinkqubo ephumelelayo evula umbhobho womoya womntwana wakho kwaye incede aphefumle ngokukhululekileyo. Oku kuvula indlela yokuba umntwana wakho alale kakuhle kwaye afumane isondlo esifunekayo ekukhuleni kwakhe. Buza ugqirha wakho nayiphi na imibuzo onokuba nayo.
Umyalezo Wokuya Ekhaya
- I-Supraglottoplasty lutyando olukhuselekileyo noluphumelelayo kwiingxaki zokuphefumla ezifana neLaryngomalacia.
- Olu tyando lunceda umntwana ukuba aphefumle, atye, aze alale ngcono.
- Ukuchacha kuthatha iveki enye ukuya kwezimbini, kwaye kuqhelekile ukuba iimpawu zikhule kancinci okwethutyana kwiintsuku ezimbalwa zokuqala emva kotyando.
- Landela imiyalelo kagqirha wakho kunye namayeza njengoko eyalelwe emva kotyando.
- Ukuba kukho naziphi na izinto ezikuxhalabisayo okanye oloyiko, ungaze ungathandabuzi ukubuza ugqirha wakho.
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