Ngaba ngamanye amaxesha uziva ngathi ilizwi lakho lirhabaxa, libuthathaka, okanye ngathi uyaminxeka xa uthetha? Ngaba ufumana ubunzima bokuginya ukutya? Ngaba uhlala unesihlungu somqala? Ezi zinokuba ziimpawu zomkhuhlane oqhelekileyo, kodwa ukuba ziyaqhubeka, zinokuba yingxaki kwiintambo zakho zelizwi. Ngoko ke namhlanje, masithethe ngotyando olubizwa ngokuba yi-'thyroplasty' olunokunceda kule meko kwaye lubuyisele ilizwi lakho.
Okokuqala, masibone, yintoni i-vocal cord paralysis?
Ngamafutshane, kukho inxalenye yomqala wethu ebizwa ngokuba yi-larynx. Sikwayibiza ngokuba "yibhokisi yelizwi." Ngaphakathi kule kukho izakhiwo ezimbini ezibhityileyo nezinenyama ezibizwa ngokuba zii-vocal cords. Xa sithetha okanye sikhwehlela, umoya ovela emiphungeni yethu udlula kwezi ntambo zimbini zelizwi. Ezi ntambo zimbini emva koko ziyangcangcazela, zidale ilizwi lethu.
Khawucinge nje, kuya kwenzeka ntoni ukuba enye yezi ntambo zimbini zelizwi ayisebenzi kakuhle okanye ukuba ayisebenzi? Kulapho ke sibiza oku ngokuba yi -vocal cord paralysis . Ngeli xesha, kwakheka umsantsa phakathi kwentambo yelizwi engasebenziyo kunye nentambo yelizwi esebenzayo. Oku kubangela ukuba ilizwi libe buthathaka kwaye litsho ngelizwi. Uninzi lwexesha, yintambo yelizwi enye kuphela engasebenziyo. Ukungakwazi kwentambo zombini zelizwi yimeko engaqhelekanga kodwa imbi kakhulu efuna unyango olukhawulezileyo.
Ziziphi iimpawu eziqhelekileyo zale meko?
Ukuba unesifo sokuqaqamba kwemithambo yelizwi, unokufumana enye okanye ngaphezulu kwezi mpawu zilandelayo.
| Uphawu | Inkcazo |
|---|---|
| Ukurhawuzela | Ilizwi liya liba buthathaka, lingabi nangqondo, kwaye livuthuza umoya. |
| Ubunzima bokuginya (i-Dysphagia) | Ukuminxeka nokukhohlela xa uginya ukutya okanye isiselo. |
| Ukucoca umphimbo rhoqo | Uzama ukuhlambulula umqala wakho kuba uhlala uziva ngathi kukho into ebambeke emqaleni wakho. |
| Ubunzima bokuphefumla | Ukuphefumla kancinci xa uthetha okanye usenza imisebenzi emincinci. |
| Ukukhwehlela okungapheliyo | Ukukhohlela okuhlala ixesha elide ngaphandle kwesizathu esithile. |
Ngubani ofuna utyando lweThyroplasty?
Ayingabo bonke abantu abanezi mpawu abaya kufuna utyando. Iimpawu zabanye abantu zincinci kwaye banokuphila ubomi obuqhelekileyo ngaphandle kweengxaki. Nangona kunjalo, ukuba ingxaki yelizwi lakho ikwenza kube nzima ukusebenza emsebenzini, unengxaki yokugcina ubudlelwane nabantu, okanye ukuba uneemeko ezisongela ubomi ezifana nokukrwitshwa , ugqirha wakho unokucebisa olu tyando.
Ngamafutshane, i-thyroplasty yinkqubo yotyando esebenzisa i-implant encinci ukuhambisa i-vocal cord engasebenzi kakuhle iye kwi-vocal cord ephilileyo, nto leyo enciphisa umsantsa phakathi kwezi zimbini.
Izinto ezinokubangela ukukhubazeka kwe-vocal cord
Zininzi izizathu zale meko, kwaye ngamanye amaxesha akukho sizathu sicacileyo sinokufunyanwa.
| Unobangela onokwenzeka | Imizekelo |
|---|---|
| Izifo ezizikhusela ngokwazo emzimbeni | Izifo ezifana neMyasthenia Gravis. |
| Umhlaza | Umhlaza wemiphunga, umhlaza we-thyroid. |
| Unyango lomhlaza | Unyango lwemitha entloko, entanyeni, okanye esifubeni. |
| Izifo zenkqubo ye-nervous | Isifo sikaParkinson, isifo sohlangothi. |
| Utyando lwentamo okanye isifuba | Utyando lwentliziyo, utyando lwe-thyroid. |
| Ukusebenzisa ityhubhu yokuphefumla ngexesha lotyando | Ukufakwa kwentubhu okanye ukuphefumla ngoomatshini. |
| Iintsholongwane | Izifo ezibangelwa kukusebenza kwemithambo yokuphefumla ezifana nomkhuhlane kunye nomkhuhlane. |
Lwenziwa njani utyando?
Olu tyando lwenziwa yingcali yendlebe, impumlo, nomqala (ENT surgeon), ugqirha onolwazi olukhethekileyo kwi-larynx kunye ne-vocal cords.
Ngaphambi kotyando
Ufanele ulandele imiyalelo kagqirha wakho ngokuchanekileyo. Umzekelo:
- Kuphephe ukutya nokusela iiyure ezimbalwa ngaphambi kotyando.
- Ukuba uyatshaya, yeka.
- Kusenokufuneka uyeke ukusebenzisa amayeza athile kunye neevithamini. Ugqirha wakho uza kukuchazela konke oku.
Ngexesha lotyando
I-Thyroplasty yenziwa kwigumbi lotyando. Kwiimeko ezininzi, awufakwanga i-anesthesia ngokupheleleyo. Yindawo yentamo kuphela evalekileyo kwaye utyando lwenziwa ngelixa uvukile. Oku kungenxa yokuba ilizwi lakho kufuneka lihlolwe ngexesha lotyando kwaye i-implant kufuneka ibekwe ngokuchanekileyo.
1. Okokuqala, ugqirha uza kwenza umngxuma omncinci entanyeni yakho.
2. Okulandelayo, kwenziwa ifestile encinci nge-larynx (ibhokisi yelizwi) apho kukho khona intambo yelizwi ekhubazekileyo.
3. Emva koko, emva kokukucela ukuba uthethe, bayaliphulaphula ilizwi lakho baze bafake i-implant eyenzelwe yona ngokukodwa. Oku kutyhala i-vocal cord engasebenziyo phakathi, okwenza kube lula ukuba ingqubane nezinye ii-vocal cords.
4. Xa ilizwi lilungile, isilonda siyavalwa ngezititshi ezinyibilikayo.
Kwenzeka ntoni emva kotyando? Ndingenza ntoni ukuze ndiphile ngokukhawuleza?
Usenokukwazi ukuya ekhaya ngaloo mini inye emva kotyando, okanye kusenokufuneka uhlale esibhedlele ubusuku bonke. Olu tyando luphumelele kakhulu, kwaye abantu abaninzi babona ukuphucuka okucacileyo kwilizwi labo.
Njengakwezinye iintlobo zotyando, kukho umngcipheko omncinci wokosuleleka nokopha. Kuza kusala isilonda esincinci entanyeni. Kusenokubakho intlungu yentamo okwethutyana, utshintsho kwilizwi, kunye nobunzima bokuginya iintsuku ezimbalwa emva kotyando.
Kodwa khumbula, ezi ziphumo bezingalindelekanga azihlali zihleli. Zihlala ziphela emva kweentsuku ezimbalwa.
Landela la manyathelo ukuze ubuyele esiqhelweni ngokukhawuleza:
- Phumza ilizwi lakho: Phumza ilizwi lakho iintsuku ezimbalwa emva kotyando. Oku kuthetha ukuphepha ukukhwaza, ukuthetha ngokuvakalayo, okanye ukuthetha ixesha elide. Akufuneki uthule ngokupheleleyo. Ufanele ukwazi ukuthetha ngokuqhelekileyo malunga neveki.
- Ulwelo nokutya okuthambileyo: Ukuba unesifo somqala, sela amanzi amaninzi. Yitya ukutya okuthambileyo okufana ne-porridge kunye ne-yogurt kwiintsuku zokuqala.
- Musa ukuvumela inxeba limanzi: Musa ukuhlamba iintsuku ezintathu emva kotyando. Gcina inxeba limanzi kunye nebhandishi.
- Sela amayeza akho kanye njengoko kuyalelwe: Sela amayeza okubulala iintsholongwane, ii-steroids, kunye neentlungu njengoko kuyalelwe ngugqirha wakho.
- Kuphephe ukuphakamisa iintsimbi: Musa ukuphakamisa nantoni na enzima ngaphezu kwe-7 kg (15 lbs) kangangeeveki ezimbini. Kuphephe ukuzilolonga okunzima njengokubaleka. Ukuhamba kakuhle.
- Unyango lwelizwi: Ukuba ugqirha wakho uyayicebisa, bonana nogqirha welizwi ukuze akunike ingcebiso.
Ufanele ufowunele ugqirha nini ngoko nangoko?
Ukuba ufumana naziphi na ezi mpawu zilandelayo emva kotyando, fowunela ugqirha wakho ngoko nangoko okanye uye esibhedlele.
| Uphawu ekufuneka luqwalaselwe | Inkcazo |
|---|---|
| Ubunzima bokuphefumla | Le yimeko engxamisekileyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. |
| Intlungu ebuhlungu | Intlungu ebuhlungu engenakulawuleka nokuba ngamayeza. |
| Iimpawu zosulelo | Umkhuhlane, ulwelo olutyheli olufana nobovu oluphuma kwindawo etyumkileyo. |
| Ukudumba okanye ukopha | Ukudumba okugqithisileyo (i-edema) okanye ukopha kwindawo yokusikwa. |
Umyalezo Wokuya Ekhaya
- I-Thyroplasty yindlela yotyando ephumelelayo yokubuyisela umsebenzi kwi-vocal cord engasebenzi kakuhle okanye ebuthathaka.
- Oku kuya kwenza uphuculo olucacileyo kwilizwi lakho kwaye kusombulule iingxaki ezifana nobunzima bokuginya.
- Olu tyando lwenziwa yingcali yendlebe, impumlo, nomqala (ugqirha we-ENT).
- Ukuba unengxaki yelizwi ehlala ixesha elide, musa ukuba neentloni okanye uyoyike, kodwa bonana nogqirha kwaye ucele ingcebiso.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngqo ukuze uphile ngokukhawuleza emva kotyando.
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