Wake wezwa umsindo ongajwayelekile, njengokuhona, lapho ingane yakho iphefumula, ikakhulukazi lapho iphefumula? Abanye abazali bakhathazekile kancane ngalokhu. Esinye isizathu salokhu kungaba yisimo esibizwa ngokuthi 'iLaryngomalacia'. Ngakho-ke namuhla sikhuluma ngokuhlinzwa okubizwa ngokuthi 'iSupraglottoplasty' okwenziwa njengesixazululo salokhu. Ungesabi uma uzwa lokhu, ake sichaze konke ngakho kalula.
Kalula nje, iyini i-Supraglottoplasty?
Kalula nje, i-'Supraglottoplasty' inqubo yokuhlinzwa. Uma kunezicubu eziningi kakhulu elakeni lethu, noma 'ibhokisi lezwi' esilisebenzisayo lapho sikhuluma, khona-ke lokhu kuhlinzwa kwenziwa ukuze kube lula ukuphefumula. Cabanga nje, uma uphefumula, lezi zicubu eziningi kakhulu zidonswa ngaphakathi futhi zivale indlela yokuphefumula. Bese kuba nzima ngengane ukuphefumula. Ngakho-ke lokhu kuhlinzwa kususa lokho kuvinjelwa futhi kwenza ukuphefumula kube lula.
Nakuba lokhu kuhlinzwa kuvame ukwenziwa ezinganeni ezincane, ngezinye izikhathi kungadingeka ezinganeni ezindala nakubantu abadala. Odokotela batusa lokhu kuhlinzwa kuphela uma ezinye izindlela zokwelapha, njengemithi, zingaphumelelanga. Sekukonke, kuwukuhlinzwa okuphephile kakhulu, okusheshayo, nokuphumelelayo. Wena (noma ingane yakho) ningabuyela empilweni evamile emavikini amabili nje kuphela.
Yiziphi izimo ezidinga lokhu kuhlinzwa?
Lokhu kuhlinzwa kuvame ukwenziwa ezinganeni ezincane ezinesimo esibizwa ngokuthi i-'Laryngomalacia.' Ake sibheke ukuthi kuyini.
- I-Laryngomalacia: Yilapho izicubu ezizungeze i-larynx ziba 'zikhululekile' kakhulu. Bese kuthi, njalo lapho umntwana ephefumula, le zicubu ezikhululekile zidonseleka ngaphakathi futhi zivale indlela yokuphefumula. Lena yimbangela yalowo msindo wokuhona esikhulume ngawo ekuqaleni. Akuzona zonke izingane ezidinga ukuhlinzwa, futhi iningi lazo lizolulama ngokwalo ngokuhamba kwesikhathi. Kodwa-ke, cishe ama-20% ezingane, noma cishe oyedwa kwabahlanu, angadinga lokhu kuhlinzwa.
- I-Obstructive Sleep Apnea (OSA): Ngaphezu kwalokho, lokhu kuhlinzwa ngezinye izikhathi kwenziwa njengokwelashwa kwe-Obstructive Sleep Apnea (OSA) ezinganeni ngisho nakubantu abadala.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ukulungiselela ngaphambi kokuhlinzwa
Asikho isidingo sokulungiselela okuningi ngaphambi kokuhlinzwa, kodwa udokotela wakho uzokweluleka ngezinto ezithile.
- Ukulawulwa kwe-asidi yesisu: Uma ingane yakho inenkinga efana ne-gastritis, okusho ukuthi i-asidi yesisu ikhuphukela emphinjeni (i-acid reflux), unganikezwa imithi yokuqala ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Lokhu kungasiza ekuvimbeleni izinkinga ezingase zenzeke ngemva kokuhlinzwa.
- Ukuhlolwa kokugwinya:Ukuhlolwa okukhethekile ('ucwaningo lokugwinya') kungenziwa ukuze kubonakale ukuthi ingane igwinya ngendlela evamile.
- Ukuzila Ukudla: Kuzodingeka uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokuhlinzwa. Udokotela wakho uzokunikeza imiyalelo eqondile ngalokhu.
Ngesikhathi sokuhlinzwa
Lokhu ukuhlinzwa okwenziwa esibhedlela, ngaphansi kokuqondisa kukadokotela wezinzwa, ngaphansi kokuhlinzwa okuvamile. Ngakho-ke, umntwana akazizwa ubuhlungu.
Kalula nje, okwenzekayo ngesikhathi sokuhlinzwa kanje:
1. Okokuqala, udokotela wezinzwa ubulala izinzwa ubulala ingane.
2. Ngemuva kwalokho, udokotela ohlinzayo usebenzisa idivayisi ekhethekile efakwe ikhamera (`laryngoscope`) ukuhlola i-larynx yomntwana (`ibhokisi lezwi`).
3. Izicubu ezisele lapho, okungukuthi, ama-aryepiglottic folds kuzo zombili izinhlangothi ze-larynx, zisuswa kusetshenziswa amathuluzi amancane kakhulu ngokusebenzisa i-incision encane kakhulu.
4. I-gauze isetshenziselwa ukulawula ukuphuma kwegazi.
Ukuhlinzwa konke kuthatha isikhathi esingaphansi kwehora, kodwa umntwana uzogcinwa esibhedlela ubusuku bonke ukuze abhekwe ngemva kokuhlinzwa.
Yiziphi izinzuzo, amazinga empumelelo, kanye nezingozi zalokhu kuhlinzwa?
Inzuzo enkulu yalokhu ukuthi ukuphefumula kuba lula kakhulu. Izingane ezine-'Laryngomalacia' zingadla kahle futhi zilale kahle ngemva kwalokhu kuhlinzwa. Lezi zinto zibaluleke kakhulu ekuthuthukisweni ngokomzimba, ngokwengqondo nangokwenhlalo komntwana. Ezinye izingane zishisa amakhalori amaningi kunokuvamile ngenxa yobunzima bokuphefumula futhi zehlise isisindo. Lokhu kuhlinzwa kuxazulula leyo nkinga futhi.
Ucwaningo lubonisa ukuthi izinga lempumelelo yalokhu kuhlinzwa liphezulu lifinyelela ku-70% kuya ku-100% . Lokho kusho ukuthi kuphumelela isikhathi esiningi.
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile, kodwa akukho okufanele ukhathazeke ngakho, ngoba odokotela bayakuqaphela kakhulu lokho.
| Izinkinga ezingaba khona ngemva kokuhlinzwa (ezingavamile kakhulu) | |
|---|---|
| Ukudla noma uketshezi olungena ku-trachea | Ukuphefumula |
| Ukujiya kwegazi | Amahlule egazi |
| Ubunzima obuqhubekayo bokuphefumula | Izinkinga zokuphefumula eziqhubekayo |
| Ukulimala kwezicubu ezizungezile | Umonakalo ezakhiweni ezizungezile |
| Ubunzima bokugwinya | Ubunzima bokugwinya |
| Ukopha ngokweqile | Ukopha ngokweqile |
| Izimo ezithathelwanayo | Ukutheleleka |
Ungamnakekela kanjani umntwana ngemva kokuhlinzwa?
Ukululama
Ukululama okuphelele kuvame ukwenzeka phakathi nesonto elilodwa kuya kwamabili . Ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa, kungase kube nokuvuvukala nobuhlungu emphinjeni. Umsindo owenzayo lapho uphefumula ungase ube mkhulu kancane kunangaphambi kokuhlinzwa. Ungase uzizwe ungathandi ukudla. Lokhu kujwayelekile futhi kuzophela ezinsukwini ezimbalwa. Ngakho ungakhathazeki. Kodwa-ke, uma lezi zimpawu zingapheli ngemva kwamasonto amabili, noma uma ziba zimbi kakhulu, qiniseka ukuthi wazisa udokotela wakho.
Ukunakekelwa ekhaya
Udokotela uzokunikeza imiyalelo yokuthi ungayinakekela kanjani ingane yakho ngemva kokuhlinzwa. Kubaluleke kakhulu ukuyilandela kahle.
- Imithi: Imithi yokulwa ne-reflux, njenge-H2 blockers noma i-proton pump inhibitors, inganikezwa ukuvimbela ukutheleleka emphinjeni wengane kanye nasemigudwini yomoya. Imithi inganikezwa futhi ukunciphisa ubuhlungu.
- Uthando nokuphumula: Into engcono kakhulu ongayenza ukuphatha ingane yakho ngothando olukhulu. Myeke aphumule kahle futhi umnike imithi yakhe ngesikhathi. Khumbula, udokotela wakho ukhona ukukusiza uma unezinkinga noma ukwesaba.
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. |
|---|
| Uma umsindo wokuphefumula uqhubeka nokwanda ngemva kwamasonto amabili. |
| Uma ukhwehlela uma uphuza uketshezi. |
| Uma unomkhuhlane. |
| Uma ubuhlungu bungapheli ngisho nangemva kokuthatha imithi yobuhlungu. |
| Uma ubhekene nokuphelelwa umoya okukhulu. |
Ukuhlinzwa, ikakhulukazi kwengane yakho encane, kungaba okwesabisa kunoma yimuphi umzali. Kodwa i-'Supraglottoplasty' inqubo ephumelelayo evula umphimbo wengane yakho futhi iyisize iphefumule ngokukhululeka. Lokhu kuvula indlela yokuba ingane yakho ilale kahle futhi ithole ukudla okunomsoco ekudingayo ukuze ikhule. Buza udokotela wakho noma yimiphi imibuzo ongase ube nayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Supraglottoplasty iyindlela yokuhlinzwa ephephile nephumelelayo yokwelapha izinkinga zokuphefumula ezifana ne-Laryngomalacia.
- Lokhu kuhlinzwa kusiza ingane ukuba iphefumule, idle, futhi ilale kangcono.
- Ukululama kuthatha isonto elilodwa kuya kwamabili, futhi kuvamile ukuthi izimpawu zikhule kancane okwesikhashana ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa.
- Landela imiyalelo kadokotela wakho kanye nemithi njengoba kuyalelwe ngemva kokuhlinzwa.
- Uma unenkinga noma ukwesaba, ungalokothi unqikaze ukubuza udokotela wakho.
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