Ngaba ngequbuliso uziva ngathi uyakrwitshwa xa uthetha? Okanye ilizwi lakho liba rhabaxa kakhulu, libuthathaka, kwaye lingacaci? Ngaba kufuneka uhlale ucoca umqala wakho kwaye ukhohlele? Ukuba ezi zinto ziphazamisana nemisebenzi yakho yemihla ngemihla nomsebenzi, unobangela usenokuba yingxaki kwiintambo zakho zelizwi. Ungakhathazeki, namhlanje sithetha ngotyando olukhethekileyo olunokubonelela ngesisombululo esisebenzayo kakhulu kule meko.
Ngamafutshane, yintoni iThyroplasty?
I-Thyroplasty, ngoku eyaziwa ngokuba yiMedialization Laryngoplasty, lutyando lokubuyisela ilizwi lakho elibuthathaka. Khawucinge ngento enokwenzeka ukuba enye yeentambo ezimbini zelizwi ezinceda ekuveliseni ilizwi lethu ayisebenzi, oko kukuthi, ukuba iyafa. Ilizwi aliyi kuphuma kakuhle, akunjalo?
Olu tyando lubandakanya ukubeka i-implant encinci kufutshane ne-vocal cord engasebenzi kakuhle, ekwelinye icala, kwaye uyityhale ngokuqinileyo ecaleni apho kukho enye i-vocal cord esebenzayo. Emva koko, xa uthetha, zombini i-vocal cords ziqala ukungcangcazela kunye. Isiphumo kukuba ilizwi lakho liphuma licacile kwaye linamandla kwakhona.
Yintoni iVocal Cord Paralysis?
Ukuze siqonde oku, masiqale sijonge indlela omi ngayo umqala wethu. Kukho inxalenye yomqala wethu ebizwa ngokuba yi-larynx. Yile nto isinceda xa sithetha, siphefumla, kwaye siginya ukutya. Ngaphakathi kule larynx kukho iziqwenga ezibini ezithambileyo zezicubu ezibizwa ngokuba zii-vocal cords .
Xa sithetha, umoya ovela emiphungeni yethu uhamba nge-windpipe (trachea) uze udlule kwezi ntambo zelizwi. Ezi emva koko ziyangcangcazela, zivelise oko kubizwa ngokuba 'lilizwi'.
Khawucinge nje, kuthekani ukuba enye okanye zombini ezi ntambo zelizwi ziyeka ukusebenza kakuhle? Yiloo nto siyibiza ngokuba yi -vocal cord paralysis . Ixesha elininzi, oku kwenzeka kwintambo yelizwi enye kuphela (ukukhubazeka kwe-unilateral vocal cord). Kunqabile kakhulu ukuba zombini ezi ntambo zelizwi ziyeke ukusebenza, kwaye kuyinto embi ngakumbi.
Zithini iimpawu zale meko?
Ukuba umntu unengxaki yokungasebenzi kakuhle kwelizwi, usenokuba nenye okanye ngaphezulu kwezi mpawu zilandelayo. Jonga ukuba unayo na enye kwezi.
| Uphawu | Inkcazo |
|---|---|
| Ukurhawuzela | Ilizwi livakala lingacacanga, libuthathaka, lirhabaxa, okanye liqhekekile. |
| Ukuphefumla kancinci ngelixa uthetha | Ukudinwa nokuba uthetha amagama ambalwa, ukungakwazi ukuthetha isivakalisi eside ngokuphefumla kube kanye. |
| Ukucoca umphimbo rhoqo | Ukuziva ngathi kukho into ebambeke emqaleni wakho kwaye kufuneka uhlale uhlamba umqala wakho. |
| Ukukhwehlela okungapheliyo | Ukuba nokukhohlela okomileyo okungapheliyo ngaphandle kwesizathu esithile. |
| Ubunzima bokuginya (i-Dysphagia) | Ukuziva ufuthanisekile okanye ukhohlela nokuba sele usele amanzi okanye utye ukutya. |
Ngubani ngokwenene odinga olu tyando?
Ayinguye wonke umntu odinga olu tyando. Abanye abantu basenokungaludingi utyando ukuba banezi mpawu kwaye oko akuchaphazeli kakhulu ubomi babo bemihla ngemihla.
Nangona kunjalo, ukuba umsebenzi wakho ufuna ukusebenzisa ilizwi lakho (umzekelo, utitshala, umculi, okanye umfundisi), okanye ukuba le meko iphazamisa kakhulu ubomi bakho, ugqirha wakho unokucebisa olu tyando.
Izizathu zokungasebenzi kakuhle kwezwi
Akukho sizathu sinye sale meko, kodwa zininzi izizathu ezinokuyichaphazela.
- Iimeko zomhlaza: Izinto ezifana nomhlaza wemiphunga, umhlaza we-thyroid.
- Unyango lomhlaza: Unyango ngemitha kwiindawo ezifana nentamo nesifuba.
- Izifo zenkqubo yemithambo-luvo: Iimeko ezifana nesifo sikaParkinson okanye isifo sohlangothi.
- Utyando lwentamo okanye lwesifuba: Ezinye iityando zingonakalisa imithambo-luvo ekhokelela kwiintambo zelizwi.
- Ukwenzakala entanyeni okanye esifubeni.
- Izifo ezizikhusela ngokwazo: Umzekelo, i-myasthenia gravis.
- Usulelo lwenkqubo yokuphefumla:Le meko inokwenzeka emva kwezinye izifo ezibangelwa yintsholongwane.
- Ukufakwa kwetyhubhu, ityhubhu efakwa emqaleni ngexesha lonyango lobunzima bokuphefumla, ngamanye amaxesha inokubangela umonakalo.
Ukuba uneempawu ezinje, eyona nto ingcono onokuyenza kukubona ingcali yendlebe, impumlo, nomqala (ENT surgeon) ukuze ihlolwe kakuhle imeko yakho.
Lwenziwa njani utyando?
Olu tyando lwenziwa ngugqirha oqeqeshwe ngokukodwa kwi-larynx (ugqirha we-laryngeal). Ludla ngokwenziwa kwigumbi lotyando esibhedlele.
Ngaphambi kotyando
Ugqirha wakho uza kukunika imiyalelo efunekayo ngaphambi kotyando.
- Ungacelwa ukuba ungatyi okanye ungaseli kangangeeyure ezimbalwa ngaphambi kotyando (ukuzila ukutya).
- Ukuba umntu uyatshaya, uza kumxelela ukuba ayeke.
- Usenokucelwa ukuba uyeke okwethutyana ukuthatha amayeza athile kunye neevithamini.
Ngexesha lotyando
Nazi ezinye izinto ezenzekayo ngexesha lotyando:
1. Okokuqala, kwenziwa umngxuma omncinci entanyeni yakho ukuze kufunyanwe ingxolo.
2. Emva koko, kwenziwa inxalenye encinci kakhulu efana nefestile ecaleni kwengxolo apho kukho khona iintambo zelizwi ezingasebenziyo.
3. Okulandelayo, ngelixa uvavanya ilizwi lakho, kufakwa isixhobo esikhethekileyo, esenzelwe wena, ngaloo festile , silungisa intambo yelizwi engasebenziyo kwicala elifanayo nelo lisebenzayo.
4. Ekugqibeleni, isilonda siyavalwa kusetyenziswa izititshi ezinyibilikayo kwaye kufakwa ibhandishi.
Iziphumo, iingozi, kunye nokuchacha emva kotyando
Luphumelele kangakanani olu tyando?
Abantu abaninzi bafumana uphuculo olukhulu kwilizwi labo kunye nokukwazi kwabo ukuginya emva kolu tyando. Ke ngoko, olu tyando lunokuthathwa njengotyando oluphumelele kakhulu.
Zithini iingozi?
Njengakwezinye iintlobo zotyando, kukho umngcipheko omncinci wokosuleleka nokopha. Ukusikwa entanyeni kunokushiya isilonda esincinci. Usenokuba nomphimbo obuhlungu, utshintsho kwilizwi lakho, kunye nobunzima bexeshana bokuginya okanye ukuphefumla kangangeentsuku ezimbalwa emva kotyando. Nangona kunjalo, ezi azihlali zihleli.
Kuthatha ixesha elingakanani ukuphiliswa?
Ngokwesiqhelo ungaya ekhaya usuka esibhedlele ngaloo mini okanye ngosuku olulandelayo. Kubaluleke kakhulu ukulandela imiyalelo kagqirha emva kokuba ubuyele ekhaya ukuze uphile ngokukhawuleza.
| Izinto onokuzenza (Okufanele uzenze) | Musa ukwenza |
|---|---|
| Liphumze ilizwi lakho kwiintsuku zokuqala ezimbalwa, kodwa akufuneki uthule ngokupheleleyo. | Kuphephe ukuthetha ngokuvakalayo, ukukhwaza, okanye ukuthetha ixesha elide. |
| Sela iziselo ezininzi. Ukuba unesilonda somqala, qala ngokutya okuthambileyo . | Musa ukuhlamba iintsuku ezintathu emva kotyando. Musa ukuvumela inxeba limanzi. |
| Sela amayeza (amayeza okubulala iintsholongwane, iintlungu) achazwe ngugqirha ngexesha elifanelekileyo. | Kuphephe ukwenza umthambo onzima njengokuphakamisa izinto ezinzima (ngaphezulu kweekhilogram ezili-15) nokubaleka iiveki ezimbini. Ukuhamba kakuhle. |
| Ukuba ugqirha wakho uyayicebisa, thatha inxaxheba kunyango lwelizwi . | Kuphephe ukutshaya ngokupheleleyo ngexesha lokuphiliswa. |
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza!
Ukuba ufumana naziphi na kwezi mpawu zilandelayo zinzima xa ubuyela ekhaya emva kotyando, fowunela ugqirha wakho ngaphandle kokulibazisa. Okanye yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukuba unengxaki enkulu yokuphefumla
- Ukuba uva iintlungu ezinganyamezelekiyo
- Ukuba kukho ulwelo olumthubi okanye ubovu obuphuma enxebeni, okanye ukuba unomkhuhlane (ezi ziimpawu zosulelo)
- Ukuba indawo ejikeleze inxeba idumbile kakhulu (i-edema) okanye kukho ukopha
Umyalezo Wokuya Ekhaya
- I-Thyroplasty lutyando oluphumelele kakhulu nolukhuselekileyo lokubuyisela ilizwi eliye labuthathaka ngenxa yokungasebenzi kakuhle kwesandi.
- Ukuba uqhubeka ufumana iimpawu ezifana nokurhawuzelela, ukuphefumla kancinci xa uthetha, kunye nokukhwehlela rhoqo, kubalulekile ukubona ugqirha we-ENT ukuze ufumane unobangela.
- Ukulandela imiyalelo kagqirha kanye emva kotyando kuya kunceda kakhulu ekupholeni ngokukhawuleza.
- Ukuba ubonakalisa iimpawu ezinzulu, ezinje ngobunzima bokuphefumla, ngexesha lokuchacha kwakho, funa ingcebiso kagqirha ngoko nangoko.
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