Ingabe izwi lakho lizwakala njengelamakhala? Ake sixoxe nge-pharyngoplasty!

Ingabe ngezinye izikhathi uzizwa sengathi abanye bakuthola kunzima ukukuqonda uma ukhuluma? Ingabe izwi lakho lizwakala sengathi liyikhala futhi alicacile? Noma ingabe wena noma othile emndenini wakho unenkinga yokuhogela noma yokuminyana ngesikhathi sokulala (sleep apnea)? Namuhla sizokhuluma ngokuhlinzwa okukhethekile okungaba yisisombululo sezimo ezinjalo.

Kalula nje, iyini i-Pharyngoplasty?

I-Pharyngoplasty inqubo yokuhlinzwa eshintsha isimo kanye nomsebenzi womlomo othambile kanye ne-pharynx. Cabanga ngakho, lokhu kuhlinzwa kwenziwa kakhulu ukuvimba umoya ukuthi ungaphumi ekhaleni lakho uma ukhuluma. Odokotela babiza lesi simo ngokuthi i-velipharyngeal insufficiency (VPI) . Uma i-VPI yakho yenza izwi lakho lizwakale lizwakala njengekhala (hypernasality) futhi kwenza kube nzima ngabanye ukuqonda lokho okushoyo, udokotela wakho angase akuncome lokhu kuhlinzwa. Ngaphezu kwalokho, uhlobo oluhlukile lokuhlinzwa lusetshenziswa futhi ukwelapha i-sleep apnea , isimo esibangela abantu abadala ukuthi bayeke ukuphefumula ngesikhathi sokulala.

Ubani odinga ukuhlinzwa kwe-pharyngoplasty?

Lokhu kuhlinzwa kuvame ukudingeka ezinganeni ezizalwa zine-cleft palate. Lokhu sikubiza ngokuthi i -Cleft Palate . Lesi yisimo esibonakala nasezweni lethu. Ngisho nangemva kokuhlinzwa ukuze kulungiswe i-cleft palate, cishe ingxenye eyodwa kwezintathu (1/3) yezingane ezithile zingase zibe ne-VPI, okusho ukuthi izwi lazo liphuma ekhaleni lazo. Yilapho-ke kudingeka khona ukuhlinzwa kwe-Pharyngoplasty. Ngaphandle kwalokho, izingane kanye nabantu abadala bangase badinge lokhu kuhlinzwa ngenxa yezizathu eziningana.

• Izimo ezifana ne- cerebral palsy .
• Izimo zofuzo ezifana ne -Down syndrome kanye ne-DiGeorge syndrome .
• Ukuthola ukwelashwa ngemisebe yomdlavuza womphimbo nekhala.
• Ngemva kokuhlinzwa kwe-adenoid noma i-tonsillectomy .
• Isifo sohlangothi .
• Izimila ebuchosheni noma ekhanda.

Yiziphi izinhlobo eziyinhloko zokuhlinzwa kwe-pharyngoplasty?

Kunezinhlobo eziningana eziyinhloko zalolu hlinzwa. Kuya ngenkinga onayo. Ake sibone ukuthi ziyini.

Kwenzekani ngesikhathi sokuhlinzwa?

Zonke izihlinzeko ze-pharyngoplasty zenziwa ngaphansi kwe-anesthesia ejwayelekile . Lokhu kusho ukuthi wena noma ingane yakho ngeke nizizwe lutho ngesikhathi sokuhlinzwa futhi nizobe nilele ngokuphelele. Ukuhlinzwa kuvame ukuthatha cishe amahora amabili. Inqubo iyahlukahluka kancane kuye ngohlobo lokuhlinzwa.

I-Lateral Pharyngoplasty

Lokhu kwenzelwa i-sleep apnea. Lapha, izicubu ezisophahleni lomlomo nakuzo zombili izinhlangothi zomphimbo ziyasuswa bese zibekwa kabusha ukuze kwandiswe indlela yokuphefumula. Uma ama-tonsils akho engakasuswa kakade, angasuswa ngesikhathi esifanayo nalokhu kuhlinzwa.

I-Pharyngeal flap

Lokhu kwenziwa nge-VPI. Lapha, kuthathwa i-flap yezicubu ngemuva komphimbo bese ithungelwa ophahleni lomlomo. Lezi zithungo zizoncibilika ngokuhamba kwesikhathi. Le flap yezicubu ivala igebe phakathi kophahla lomlomo nomphimbo. Kodwa-ke, kushiywa izimbobo ezimbili ezincane (ama-lateral ports) kuzo zombili izinhlangothi ze-flap ukuze kuvunyelwe ukuphefumula ngekhala.

I-Sphincter Pharyngoplasty

Lolu olunye uhlobo lokuhlinzwa kwe-VPI. Kulokhu, kuthathwa izingcezu ezimbili zezicubu ngemuva kwamathonsi bese zithungwa ndawonye ngemuva komphimbo. Lokhu futhi kunciphisa isikhala ngemuva kolwanga olungaphezulu, kuvimbele umoya ukuthi ungagelezi ngekhala lapho ukhuluma. Lokhu kushiya isikhala sokuphefumula ngekhala.

Yini ongayilindela ngemva kokuhlinzwa?

Ngokuvamile uzohlala esibhedlela usuku olulodwa kuya kwezintathu ngemva kokuhlinzwa. Wena noma ingane yakho ningase nibhekane nalokhu okulandelayo:

• Ukuphuma kwegazi okuncane emlonyeni noma ekhaleni.
• Ukuminyana kwamakhala.
• Umphimbo nentamo ebuhlungu. Lokhu kungenza kube nzima ukugwinya.

Kodwa-ke, akuvamile kakhulu (cishe umuntu oyedwa kwabangu-20), kungadingeka ukuthi kubekwe indlela yokuphefumula yangaphakathi ukuze ikusize uphefumule kuze kube yilapho ukuvuvukala kwehle.

Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?

Izinzuzo eziyinhloko yilezi:

• Ukuphefumula kangcono.
• Ukucaca kwezwi.
• Ukunciphisa izimpawu ze-apnea yokulala.

Izingozi nezinkinga: Ngezinye izikhathi i-VPI (ibhokisi lezwi) ingaqhubeka ngemva kokuhlinzwa. Futhi, abanye abantu abahlinzwa i-VPI bangase babe nokuhona okusha kanye ne-sleep apnea. Kodwa-ke, isikhathi esiningi, lokhu kuhona kuzophela ngokuhamba kwesikhathi. Udokotela wakho angayala ucwaningo lokulala (i-polysomnography) ezinyangeni eziyisithupha ngemva kokuhlinzwa ukuze ahlole i-sleep apnea. Uma i-VPI iqhubeka noma i-sleep apnea ikhula, udokotela wakho angase enze olunye ukuhlinzwa okuncane. Lokhu kuhilela ukwenza ama-ports emphinjeni wakho abe makhudlwana noma amancane.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Isikhathi sokululama siyahlukahluka kuye ngomuntu nomuntu. Kodwa-ke, wena noma ingane yakho cishe kuzodingeka nithathe ikhefu cishe isonto elilodwa esikoleni noma emsebenzini ukuze niphumule. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela ngesikhathi sokululama kwakho. Le miyalelo ingafaka:

• Gcina ikhanda lakho liphakeme uma ulele noma ulele phansi.
• Yidla ukudla okumanzi kuphela noma ukudla okuthambile isonto elilodwa kuya kwamathathu.
• Gwema ukuphakamisa izinto ezisindayo kanye nemisebenzi enzima okwesikhashana.
• Thatha ama-antibiotic njengoba nje uyalelwe ukuze uvimbele ukutheleleka.
• Sebenzisa imithi yokubulala izinhlungu ngendlela efanele.
• Bamba iqhaza ekwelashweni kwenkulumo.
• Ncela ama-ice cubes ukuze uthole umphimbo obuhlungu.

Uzobona nini udokotela

Uma wena noma ingane yakho nizwa esinye noma ngaphezulu salezi zimpawu ezilandelayo , bona udokotela wakho ngokushesha.

• Ukuphelelwa amanzi emzimbeni noma ukulahlekelwa yisifiso sokudla.
• Izimpawu zokutheleleka, njengomkhuhlane, noma ukuphuma kwegazi okunuka kabi ekhaleni/emlonyeni.
• Izinkinga zokulala, ikakhulukazi izimo ezifana ne-sleep apnea.

I-Pharyngoplasty IsiSinhala, izwi lempumulo, i-VPI, i-sleep apnea, i-cleft palate, i-cleft palate, ukuhlinzwa komphimbo