Ingabe unezinkinga ngezwi lakho? Ake sibheke i-Microlaryngoscopy!

Kungenzeka ukuthi uke waphawula ushintsho ezwini lakho, ukushoshozela, noma ubunzima bokukhuluma ngezinye izikhathi, akunjalo? Mhlawumbe uzizwa sengathi kukhona okubambeke emphinjeni wakho, noma izwi lakho alicacile ngokwanele. Yilapho odokotela bethu kudingeka babheke khona izintambo zakho zezwi, ukuthi izwi lakho livelaphi. Ngakho-ke inqubo yezokwelapha ebaluleke kakhulu esetshenziswa kulokhu ibizwa ngokuthi i-microlaryngoscopy. Ungakhathazeki, ake sixoxe ngalokhu kalula.

Kuyini i-Microlaryngoscopy?

Kalula nje, i-microlaryngoscopy inqubo ekhethekile ekuvumela ukuthi ubone izintambo zakho zezwi ngokucacile futhi zikhuliswe. Kule nqubo, udokotela usebenzisa i-microscope ukubheka izintambo zakho zezwi. Cabanga ngakho njengokubuka ngisho nezinto ezincane kakhulu ngendlela enkulu.

Le nqubo ingasetshenziswa futhi ukususa izilonda ezincane noma ezinye izimila ezintanjeni zakho zezwi. Ingasiza futhi ekulungiseni noma yiziphi izinkinga zokunyakaza ku-larynx yakho, noma ebhokisini lezwi. Ingasetshenziswa futhi ekwelapheni izimo lapho i-larynx noma i-trachea imincane kakhulu.

Kungani sidinga le microlaryngoscopy?

Lokhu kuhlolwa kuvame ukucelwa uma udokotela wakho esola ukuthi kunenkinga nge-larynx yakho, ikakhulukazi iqhubu noma isilonda. Lokhu kuvumela udokotela wakho ukuthi:

• Izilonda ezigoqekayo zezwi ezingezona umdlavuza kufanele zihlolwe ngokucophelela futhi zisuswe uma kudingeka. Lokhu kungaba ukukhula okuncane okufana namaqhubu, ama-polyp, noma amaqhubu. Kufana namaqhubu amancane noma amaqhubu esikhumbeni sethu.
• Hlola futhi mhlawumbe welaphe izinkinga zokunyakaza kokugoqa kwezwi , njengokukhubazeka kokugoqa kwezwi.
• Bheka izimpawu zomdlavuza we-laryngeal. Lokhu kubaluleke kakhulu, ngoba uma into isheshe itholakale, kulula kakhulu ukuyilapha.
• Yelapha izimo ezifana ne-subglottic stenosis, okuwukuncishiswa kwengxenye engenhla yomphimbo . Lokhu kungabangela ubunzima bokuphefumula.

Cabanga ngakho, izwi lakho liyindlela eyinhloko yokuziveza. Ngakho-ke uma kunenkinga ngalo, lingathinta impilo yakho yonke, akunjalo? Yingakho kubalulekile ukwenza isivivinyo esinjengalesi.

Le microlaryngoscopy yenziwa kanjani?

Uma lokhu sekwenziwe, kufakwa izinsimbi ezincane ngomlomo wakho ukuze kuhlolwe izintambo zakho zezwi. Ngakho-ke asikho isidingo sokusika noma kuphi emzimbeni wakho . Lokhu kungenye yezinzuzo ezinkulu zalokhu.

Udokotela uvame ukusebenzisa ipayipi eliqinile ukuze abheke ngqo elakeni lakho. Leli payipi linesikhala esanele sokufaka ithuluzi elilodwa noma amabili amancane, futhi alivimbeli lokho udokotela akubukayo.

Esebenzisa isibani kanye ne-microscope enamathiselwe kule tube, udokotela uzohlola ngokucophelela izintambo zakho zezwi ukuze ahlole noma yiziphi izinguquko noma ukukhula. Uma kukhona okutholakalayo, kungasetshenziswa amathuluzi okuhlinza njenge-scalpel noma isikele ukuze kususwe. Ngezinye izikhathi, umsebe we-laser usetshenziswa ngisho nokususa lokhu kukhula. Lokhu kubizwa ngokuthi i-laser microlaryngoscopy.

Kufanele silungiselele kanjani ngaphambi kwalokhu?

I-Microlaryngoscopy yenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ulele ngokuphelele phakathi nayo yonke inqubo futhi ngeke uzwe lutho. Nazi ezinye izinto okudingeka uzenze ukuze ulungiselele i-anesthesia kanye nenqubo:

• Uma ubhema, kufanele uyeke ukubhema okungenani usuku olulodwa ngaphambi kokuhlolwa. Kodwa-ke, ukuze uthole imiphumela emihle kakhulu, kufanele uyeke ngokuphelele ukubhema okungenani amasonto amabili ngaphambi kanye namasonto amabili ngemva kokuhlolwa.
• Kungcono ukungadli noma ukuphuza lutho okungenani amahora ayisishiyagalombili ngaphambi kokuhlolwa. Kodwa-ke, uma udokotela wakho ekweluleka ngenye indlela, yenza kanjalo.
• Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nezithasiselo. Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile ezinsukwini ezimbalwa ngaphambi kokuhlolwa.

Kubaluleke kakhulu ukulandela le miyalelo ngqo, ngoba yilapho kuphela lapho ukuhlolwa kungenziwa khona ngokuphephile.

Kwenzekani ngosuku lwe-microlaryngoscopy?

Lokhu kuhlolwa kuvame ukwenziwa esikhungweni sokuhlinzwa sangaphandle, okusho ukuthi ungaya ekhaya ngosuku olufanayo.

Uzolala ngesikhathi sokuhlolwa, ngakho ngeke uzwe lutho. Uzovuka ngemva kokuhlolwa, endaweni yokululama. Uma usuphapheme ngokuphelele, ngokuvamile uzovunyelwa ukuya ekhaya. Kodwa-ke, kufanele ube nomuntu ozokuthatha akuyise ekhaya. Ngenxa yokuthi uzobe ungaphansi kwe-anesthesia, ngeke ukwazi ukushayela ngalolo suku.

Kuthatha isikhathi esingakanani lokhu kuhlolwa?

Ubude benqubo buxhomeke ekutheni udokotela uyasusa noma yiziphi izigaxa. Ngokuvamile, i-microlaryngoscopy ithatha ihora noma ngaphansi .

Yini ongayilindela ngemva kokuhlolwa?

Ungase ube nomphimbo obuhlungu izinsuku ezimbalwa ngemva kokuhlolwa. Lokhu kuyinto evamile, ngakho ungakhathazeki. Ngokuvamile ungaqala ukudla ngendlela evamile ngosuku olufanayo noma ngosuku olulandelayo. Ungaphindela emisebenzini yakho evamile zingakapheli izinsuku ezimbalwa.

Kodwa kukhona into ebaluleke kakhulu lapha. Lokho ukunikeza izwi lakho ukuphumula (ukuphumula ngezwi). Udokotela wakho uzokutshela ukuthi akufanele ulisebenzise isikhathi esingakanani izwi lakho. Ungase utshelwe ukuthi ungakhulumi nhlobo izinsuku ezimbalwa. Ngemva kwalokho, ungase utshelwe ukuthi usebenzise izwi lakho kancane cishe amasonto amabili kuya kwayisithupha. Kuya ngohlobo lokuhlinzwa.

Ukuphumula okuphelele kwezwi kusho ukuthi awukhiphi umsindo ngezwi lakho. Lokho kusho ukuthi:

• Lowo omboza umphimbo.
• Ukukhwehlela (zama ukulawula ngangokunokwenzeka).
• Ukucula.
• Ukukhuluma.
• Ngisho nokuhleba kancane akukuhle.

Ngokulandela le miyalelo kahle, izintambo zakho zezwi zizophola ngokushesha futhi izwi lakho lizobuyela esimweni esihle.

Hlobo luni lwemiphumela esiyitholayo?

I-Microlaryngoscopy ivumela udokotela wakho ukuthi abone ukuthi kukhona yini ukukhula okungenawo umdlavuza noma okunomdlavuza ezintanjeni zakho zezwi. Ingaphinde inqume ukuthi kukhona yini izinkinga endleleni izintambo zakho zezwi ezihamba ngayo. Ezimweni eziningi, umgomo oyinhloko walokhu kuhlinzwa ukuthuthukisa ikhwalithi yezwi lakho .

Kuthatha isikhathi esingakanani ukuthola imiphumela?

Ngemva kokuvuka ekuhlinzweni, udokotela cishe uzokutshela lokho akubonile. Uma udokotela ebona noma yini engavamile ngesikhathi sokuhlolwa, udokotela angase athathe isampula encane yezicubu (i-biopsy). Lesi sampula sithunyelwa elabhorethri ukuze sihlaziywe. Ngokuvamile kuthatha izinsuku ezimbalwa ukuthola umbiko welabhorethri.

I-Microlaryngoscopy iyindlela ephumelela kakhulu yokuthi udokotela abheke izintambo zakho zezwi. Futhi, ngoba kwenziwa ngomlomo, akuhlaseli kakhulu. Le nqubo ingasiza ekuboneni izinkinga ngezintambo zezwi, isuse amaqhubu, futhi ithuthukise izwi lakho.

Uma kwenziwa udokotela onolwazi noqeqeshiwe, i-microlaryngoscopy inqubo ephephile kakhulu. Ungabuyela emisebenzini evamile zingakapheli izinsuku ezimbalwa. Kodwa-ke, kubalulekile ukulandela imiyalelo kadokotela wakho ngokucophelela, ikakhulukazi mayelana nokuphumula kwezwi nokunakekelwa kokulandelela.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kulokhu?

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto ezibaluleke kakhulu okufanele uzikhumbule:

• I-Microlaryngoscopy inqubo esebenzisa i-microscope ukubheka izintambo zakho zezwi, lapho izwi lakho livela khona, ukuthola izinkinga (ezifana nezimila noma ukuphazamiseka kokunyakaza) futhi ngezinye izikhathi zelashwe khona lapho.
• Lokhu kwenziwa ngaphansi kwe-anesthesia ejwayelekile, ngakho ngeke uzwe ubuhlungu.
• Lokhu kwenziwa ngomlomo, ngaphandle kokusikeka noma kuphi emzimbeni.
• Landela imiyalelo yezokwelapha ngokucophelela ngaphambi kokuhlolwa (akukho ukuzila ukudla, akukho ukubhema, akukho imithi).
• Kubaluleke kakhulu ukuphumula izwi lakho ngemva kokuhlolwa. Ungakhulumi noma usule umphimbo wakho njengoba udokotela ekutshela.
• Lokhu kuphephile kakhulu uma kwenziwa udokotela onolwazi.
• Uma unezinguquko eziqhubekayo ezwini lakho, ukushoshozela, noma ubunzima bokukhuluma, kungcono ukufuna iseluleko sezokwelapha.

Khumbula, ungesabi ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho ngempilo yakho. Bakhona ukukusiza.

I- Microlaryngoscopy, izintambo zezwi, izwi, umphimbo obuhlungu, i-larynx, umdlavuza, ukuhlinzwa