Uzizwa sengathi unobunzima bokuphefumula noma uphelelwa umoya uma ukhuluma, ugwinya, noma ngisho umane ume? Ngezinye izikhathi lokhu kungabangelwa ukuthi izintambo zombili zezwi emphinjeni wakho azisebenzi kahle. Kulesi sihloko, sizokhuluma ngokwelashwa kwesimanje, okungeyona inkimbinkimbi kangako okungakusiza ukuthi uphefumule kalula ezimweni ezinjalo.
Kalula nje, kuyini i-Laser Cordotomy?
I-Laser Cordotomy inqubo engangenisi kakhulu eyenziwa udokotela ohlinzayo ukuze andise indlela yakho yokuphefumula. Cabanga ngezintambo zakho zezwi njengeminyango emibili. Uma le minyango ivaliwe futhi ivuleka kancane, asikho isikhala esanele somoya ongadlula kuso. Yilokho okwenzekayo.
Phakathi nalokhu kuhlinzwa, udokotela usebenzisa i-laser ukwenza ukusika okuncane kakhulu kwenye (noma zombili) yezintambo zakho zezwi. Lokhu kusika kudala isikhala esengeziwe sokuba umoya udlule ezintanjeni zezwi, okwenza ukuphefumula kube lula kakhulu.
Lolu hlobo lokwelashwa lungolwaluphi uhlobo?
I-Laser Cordotomy isetshenziswa kakhulu ukwelapha isimo lapho izintambo zombili zezwi zikhubazekile . Lokhu sikubiza ngokuthi "Ukukhubazeka Kwentambo Yezwi Ezinhlangothini Zombili". Kulesi simo, zombili izintambo zakho zezwi azivuli futhi azivaleki. Zinamathelana ndawonye, zisesimweni sokuvalwa.
Lokhu kubangela ukuthi indlela yokuphefumula ibe mncane kakhulu, okungabangela izinkinga ezifana nobunzima bokuphefumula, ubunzima bokukhuluma, kanye nobunzima bokugwinya.
Uyini umehluko phakathi kwe-Cordotomy ne-Cordectomy?
Nakuba la magama amabili ezwakala efana, lokho akwenzayo kuhluke ngokuphelele. Kubaluleke kakhulu ukwazi lo mehluko.
| Indlela yokwelapha | Incazelo kanye nesimo sokusetshenziswa |
|---|---|
| I-Cordotomy | Lokhu kuhilela ukwenza ukusikwa okuncane ezintanjeni zezwi ukuze kuvunyelwe ukuphefumula. Izintambo zezwi azisuswa. Lokhu kusetshenziswa njengokwelapha ukukhubazeka kwentambo yezwi. |
| Ukususwa kwe-Cord | Lokhu kuhilela ukususa ingxenye noma yonke imisipha yezwi. Lena inqubo yokuhlinzwa evame ukusetshenziselwa ukwelapha izimo ezifana nomdlavuza we-laryngeal. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ithimba lakho lezokwelapha lizokunikeza imiyalelo ecacile yokuthi ungalungiselela kanjani lokhu kuhlinzwa. Ngaphambi kokwelashwa, bazohlola izinto eziningana ngawe.
- Ukugeleza komoya kanye namandla awo uma ukhuluma.
- Ukuphefumula kalula.
- Umsebenzi wezintambo zezwi.
- Ikhwalithi yezwi.
Ngaphezu kwalokho, isazi sezifo zolimi lokukhuluma (SLP) sizothatha izithombe eziningana zevidiyo zezintambo zakho zezwi ngaphambi kokuhlinzwa ukuze siqophe usayizi womgudu wakho womoya kanye nendawo yezintambo zakho zezwi. Bazophinde bathathe enye ividiyo ngemva kokuhlinzwa ukuze balinganise ukuthi uthuthuke kangakanani.
Ake sibheke nokuthi ukuhlinzwa kwenziwa kanjani.
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, okukwenza ulale ubuthongo obukhulu. Ngakho ngeke uzizwe lutho. Ngesikhathi sokuhlinzwa, udokotela wakho ohlinzayo uzolandela lezi zinyathelo:
1. Ikhamera ekhethekile ebizwa ngokuthi i-laryngoscope ifakwa ngomlomo wakho nasemphinjeni ukuze ibone kahle i-larynx kanye ne-vocal cords.
2. Okulandelayo, kufakwa isiponji esincane esimanzi endaweni ukuze kuvinjelwe umonakalo ezicutshini ezingaphansi kwezintambo zezwi.
3. Okokugcina, kusetshenziswa umsebe we-laser ogxile kahle kakhulu ukwenza ukusikwa okuncane okukhulunywe ngakho ngenhla kwentambo eyodwa noma zombili zezwi.
Le nqubo yonke ivame ukuthatha imizuzu engama-30 kuya kwengama-60 .
Ziyini izinzuzo zalokhu kwelashwa?
Ngaphambi kokufika kwe-Laser Cordotomy, abantu abaningi abakhubazekile nge-vocal cord kwadingeka benze inqubo yokuhlinzwa ebizwa ngokuthi i-tracheostomy . Lokhu kuhilela ukwenza imbobo ngaphandle kwentamo iye epayipini lomoya (i-trachea) bese kufakwa ipayipi kuyo ukuze kuvunyelwe ukuphefumula.
Uma kuqhathaniswa nokuhlinzwa kwe-tracheostomy, i-Laser Cordotomy iyindlela yokwelapha elula kakhulu futhi engesiyona eyokungenela .
Lokhu kungasiza ekuthuthukiseni ukuphefumula kwakho, ukugwinya, kanye nokusebenza kwezwi, kuyilapho futhi kugcina impilo yakho isezingeni eliphezulu. Ngezinye izikhathi, ukuhlinzwa kwe-Laser Cordotomy kungenziwa nakumuntu osevele ene-tracheostomy ukusiza ekususeni leyo tube.
Ingabe ikhona imiphumela emibi noma izingozi?
I-Laser Cordotomy iyindlela yokwelapha odokotela abavame ukuyincoma ngoba ayinangozi kangako kune-tracheostomy. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane. Lezi zifaka:
- Ukopha elakeni.
- Ukulimala okuncane ezindebeni, emazinyweni, noma olwelwesini lapho kufakwa i-laryngoscope.
- Ukwakheka kwezicubu zesilonda ezizungeze izintambo zezwi.
- Ukuvuvukala kwezintambo zezwi.
Iningi lalezi zingokwesikhashana, futhi udokotela wakho uzokwazisa ngalokhu.
Kuzothatha isikhathi esingakanani ukuphulukiswa? Yini okufanele siyenze?
Ngokuvamile kuthatha cishe izinyanga ezintathu ukuphulukiswa ngokuphelele ngemva kokuhlinzwa kwe-laser cordotomy. Ngezinye izikhathi, kungase kudingeke olunye ukuhlinzwa okuncane (i-revision cordotomy) ukuze kutholakale imiphumela emihle kakhulu.
Ngesikhathi sokululama, ukuphefumula ngomusi kuyindlela enhle yokuthoba imisipha yakho yezwi. Futhi, udokotela wakho angancoma ukuphumula kwezwi ukuze akusize ululame ngokushesha. Phakathi nalesi sikhathi, kufanele ugweme:
- Ukukhuluma kakhulu
- Ukumemeza
- Ukulawula ukukhwehlela (ngangokunokwenzeka)
- Ukucula
Uma ungasebenzisi izwi lakho kangako phakathi nalesi sikhathi sokuphumula, inqubo yokuphulukiswa izoba ngokushesha.
Ngemva kokuhlinzwa, uzogcinwa esibhedlela cishe amahora angama-24 ukuze ubhekwe. Phakathi nalesi sikhathi, uzonikezwa ama-steroid afakwa emthanjeni (IV) ukulawula ukuvuvukala kwemisipha yezwi lakho. Ngemva kokuya ekhaya, ungase unikezwe ama-antibiotic, amaphilisi e-steroid, kanye nemithi yokulwa nokuvuvukala ukuze uthathe cishe isonto elilodwa kuya kwamathathu ngenkathi ululama.
Ufuna ukubona udokotela futhi ngasiphi isikhathi?
Uma ubona noma yiziphi izimpawu zezinkinga ngemuva kokuhlinzwa, shayela udokotela wakho ngokushesha. Qaphela kakhulu lezi zimpawu:
- Uma ubhekene nobunzima obukhulu bokuphefumula . (Kulokhu, iya ngqo eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.)
- Uma unenkinga yokugwinya ukudla.
- Uma kukhona izilonda ezizungeze izindebe noma amazinyo.
Umlayezo Wokuya Nawe Ekhaya
- I-Laser Cordotomy iyindlela yokuhlinzwa yesimanje elula neyesimanje eyenziwa ukwelapha ubunzima bokuphefumula obubangelwa ukungasebenzi kahle kwe-vocal cord.
- Lokhu kuyindlela yokwelapha enengozi ephansi kakhulu kanye nezinkinga ezimbalwa kunokuhlinzwa okukhulu njenge-tracheostomy.
- Kubaluleke kakhulu ukuphumula izwi lakho ngesikhathi sokululama ngemva kokuhlinzwa. Landela imiyalelo kadokotela wakho ngqo.
- Kunoma yisiphi isimo esiphuthumayo, njengobunzima obukhulu bokuphefumula, iya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Uma unalezi zimpawu, thintana nodokotela wezindlebe, impumulo, nomphimbo (ENT Surgeon) onolwazi oluhle ngalesi sigaba.
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