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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.| Uhlobo Lokuhlinzwa | Inhloso Eyinhloko |
|---|---|
| I-lateral pharyngoplasty | Isetshenziswa njengokwelapha abantu abane-sleep apnea. Isebenza ngokwandisa indlela yokuphefumula. |
| I-pharyngoplasty ye-pharyngeal flap kanye ne-sphincter | Isetshenziswa njengokwelapha abantu abane-nasal phonation (VPI). Isebenza ngokunciphisa imbobo emphinjeni, inciphise inani lomoya odlula ekhaleni lapho kukhulunywa. |
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.
Lezi zimpawu zivame ukuphela zodwa zingakapheli izinsuku ezimbalwa. Akunasidingo sokukhathazeka ngakho.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.
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.
Umlayezo Wokuya Nawe Ekhaya
- I-Pharyngoplasty inqubo yokuhlinzwa elapha izimo ezifana nokuvinjwa kwezwi (VPI) kanye ne-sleep apnea.
- Nakuba lokhu kuvame ukudingeka ezinganeni ezine-cleft palate, lokhu kuhlinzwa kungadingeka ngenxa yezizathu eziningana.
- Ngesikhathi sokululama ngemva kokuhlinzwa, kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo, ikakhulukazi maqondana nokudla okuthambile nokuphumula.
- Izinga lempumelelo yalokhu kuhlinzwa liphezulu. Kodwa-ke, njengazo zonke izinhlobo zokuhlinzwa, kunezingozi ezithile.
- Khuluma nodokotela wakho ngokukhululekile ngaphambi nangemva kokuhlinzwa nganoma yimiphi imibuzo noma ukwesaba onakho.
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