Ingabe uzizwa sengathi uyaminza ngokuzumayo uma ukhuluma? Noma ingabe izwi lakho liba yisihosho kakhulu, libuthakathaka, futhi lingacaci? Ingabe kufanele uhlale uhlanza umphimbo wakho futhi ukhwehlele? Uma lezi zinto ziphazamisa imisebenzi yakho yansuku zonke nomsebenzi, imbangela ingaba yinkinga ngezintambo zakho zezwi. Ungakhathazeki, namuhla sikhuluma ngokuhlinzwa okukhethekile okunganikeza ikhambi eliphumelelayo kakhulu kulesi simo.
Kalula nje, iyini i-Thyroplasty?
I-Thyroplasty, manje eyaziwa ngokuthi i-Medialization Laryngoplasty, iyindlela yokuhlinzwa yokubuyisela izwi lakho elibuthakathaka. Cabanga ukuthi bekuzokwenzekani uma enye yezintambo ezimbili zezwi ezisiza ekukhiqizeni izwi lethu ingasasebenzi, okungukuthi, uma ingafa. Izwi belingeke liphume kahle, akunjalo?
Lokhu kuhlinzwa kuhilela ukubeka i-implant encane eduze kwe-vocal cord engasebenzi kahle, ekolunye uhlangothi, bese uyisunduza ngokuqinile ohlangothini lapho kukhona enye i-vocal cord esebenzayo. Ngemuva kwalokho, uma ukhuluma, zombili i-vocal cords ziqala ukudlidliza ndawonye. Umphumela uba ukuthi izwi lakho liphuma licacile futhi linamandla futhi.
Kuyini Ukukhubazeka Kwe-Vocal Cord?
Ukuze siqonde lokhu, ake siqale sibheke isakhiwo somphimbo wethu. Kukhona ingxenye yomphimbo wethu ebizwa ngokuthi i-larynx. Yilokhu okusisiza lapho sikhuluma, siphefumula, futhi sigwinya ukudla. Ngaphakathi kwale ngculazi kunezicucu ezimbili ezithambile zezicubu ezibizwa ngokuthi izintambo zezwi .
Uma sikhuluma, umoya ovela emaphashini ethu uhamba nge-windpipe (trachea) bese udlula kulezi zintambo zezwi. Lezi zibe sezidlidliza, zikhiqize lokho okubizwa ngokuthi 'izwi'.
Manje cabanga, kuthiwani uma eyodwa noma zombili lezi zintambo zezwi ziyeka ukusebenza kahle? Yilokho esikubiza ngokuthi ukukhubazeka kwe-vocal cord . Esikhathini esiningi, lokhu kwenzeka ku-vocal cord eyodwa kuphela (ukukhubazeka kwe-vocal cord unilateral). Akuvamile kakhulu ukuthi zombili izintambo zezwi ziyeke ukusebenza, futhi kubi kakhulu.
Ziyini izimpawu zalesi simo?
Uma umuntu enenkinga yokungasebenzi kahle kwezwi, angase abe nezimpawu ezilandelayo noma ngaphezulu. Bheka ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ukusha kwezwi | Izwi lizwakala lingacacile, libuthakathaka, linomsindo obukhali, noma liqhekekile. |
| Ukuphelelwa umoya ngenkathi ukhuluma | Ukuzizwa ukhathele ngisho nalapho ukhuluma amagama ambalwa, ungakwazi ukusho umusho omude ngokuphefumula okukodwa. |
| Ukuhlanza umphimbo njalo | Ukuzizwa sengathi kukhona okubhajwe emphinjeni wakho futhi kufanele uhlale uhlanza umphimbo wakho. |
| Ukukhwehlela okuqhubekayo | Ukuba nokukhwehlela okomile okuqhubekayo ngaphandle kwesizathu esithile. |
| Ubunzima bokugwinya (i-Dysphagia) | Ukuzizwa ufuthwe noma ukhwehlela ngisho nangemva kokuphuza amanzi noma ukudla ukudla. |
Ubani ngempela odinga lokhu kuhlinzwa?
Akuwona wonke umuntu odinga lokhu kuhlinzwa. Abanye abantu bangase bangadingi ukuhlinzwa uma benalezi zimpawu futhi lokho akuthinti kakhulu impilo yabo yansuku zonke.
Kodwa-ke, uma umsebenzi wakho udinga ukusetshenziswa kwezwi lakho (isibonelo, uthisha, umculi, noma umfundisi), noma uma lesi simo siphazamisa kakhulu impilo yakho, udokotela wakho angase akuncome lokhu kuhlinzwa.
Izimbangela zokungasebenzi kahle kwe-vocal cord
Asikho isizathu esisodwa salesi simo, kodwa izizathu eziningana zingase zisithinte.
- Izimo zomdlavuza: Izinto ezifana nomdlavuza wamaphaphu, umdlavuza we-thyroid.
- Ukwelashwa komdlavuza: Ukwelashwa ngemisebe ezindaweni ezifana nentamo nesifuba.
- Izifo zesimiso sezinzwa: Izimo ezifana nesifo sikaParkinson noma isifo sohlangothi.
- Ukuhlinzwa kwentamo noma kwesifuba: Okunye ukuhlinzwa kungalimaza imizwa eholela ezintanjeni zezwi.
- Ukulimala entanyeni noma esifubeni.
- Izifo ezizenzakalelayo: Isibonelo, i-myasthenia gravis.
- Ukutheleleka kwesistimu yokuphefumula:Lesi simo singavela ngemva kokutheleleka ngegciwane.
- Ukufakwa kwepayipi, ipayipi elifakwa emphinjeni ngesikhathi sokwelashwa kobunzima bokuphefumula, ngezinye izikhathi lingabangela umonakalo.
Uma unezimpawu ezinjengalezi, into engcono kakhulu ongayenza ukubonana nodokotela wezindlebe, impumulo nomphimbo (udokotela ohlinzayo we-ENT) ukuze ahlole isimo sakho kahle.
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuhlinzwa kwenziwa udokotela oqeqeshwe ngokukhethekile ku-larynx (udokotela ohlinzayo we-laryngeal). Ngokuvamile kwenziwa egumbini lokuhlinza esibhedlela.
Ngaphambi kokuhlinzwa
Udokotela wakho uzokunikeza imiyalelo edingekayo ngaphambi kokuhlinzwa.
- Ungase ucelwe ukuthi ungadli noma uphuze amahora ambalwa ngaphambi kokuhlinzwa (ukuzila ukudla).
- Uma umuntu ebhema, uzomtshela ukuthi ayeke.
- Ungase futhi ucelwe ukuthi uyeke okwesikhashana ukuthatha imithi ethile namavithamini.
Ngesikhathi sokuhlinzwa
Nazi ezinye izinto ezenzeka ngesikhathi sokuhlinzwa:
1. Okokuqala, kwenziwa ukusika okuncane entanyeni yakho ukuze kutholakale i-larynx.
2. Ngemuva kwalokho, kwakheka ingxenye encane kakhulu efana nefasitela ohlangothini lwe-larynx lapho kutholakala khona izintambo zezwi ezingasebenzi.
3. Okulandelayo, ngenkathi kuhlolwa izwi lakho, kufakwa i-implant ekhethekile, eyenzelwe wena, ngalelo fasitela , ilungisa intambo yezwi engasebenzi ibe hlangothi elifanayo nelesebenzayo.
4. Ekugcineni, ukusikwa kuyavalwa kusetshenziswa izithungo ezincibilikayo bese kufakwa ibhandishi.
Imiphumela, izingozi, kanye nokululama ngemva kokuhlinzwa
Kuphumelele kangakanani ukuhlinzwa?
Abantu abaningi bathola intuthuko enkulu ezwini labo kanye nekhono labo lokugwinya ngemva kwalokhu kuhlinzwa. Ngakho-ke, lokhu kungabhekwa njengokuhlinzwa okuphumelele kakhulu.
Ziyini izingozi?
Njenganoma yikuphi ukuhlinzwa, kunengozi encane yokutheleleka nokopha. Ukusikwa entanyeni kungashiya isilonda esincane. Ungase uzwe umphimbo obuhlungu, ushintsho ezwini lakho, kanye nobunzima besikhashana bokugwinya noma ukuphefumula izinsuku ezimbalwa ngemva kokuhlinzwa. Kodwa-ke, lokhu akuvamile ukuba phakade.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Ngokuvamile ungaya ekhaya usuka esibhedlela ngalolo suku noma ngakusasa. Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngemva kokuya ekhaya ukuze ululame ngokushesha.
| Izinto okufanele zenziwe (Okufanele Uzenze) | Okungafanele ukwenze |
|---|---|
| Nika izwi lakho ikhefu ezinsukwini ezimbalwa zokuqala, kodwa akudingeki uthule ngokuphelele. | Gwema ukukhuluma kakhulu, ukumemeza, noma ukukhuluma isikhathi eside. |
| Phuza uketshezi oluningi. Uma umphimbo wakho ubuhlungu, qala ngokudla okuthambile . | Ungagezi izinsuku ezintathu ngemva kokuhlinzwa. Ungavumeli inxeba limanzi. |
| Thatha imithi (ama-antibiotic, ama-painkiller) enqunywe udokotela ngesikhathi esifanele. | Gwema ukuvivinya umzimba okunzima njengokuphakamisa izinto ezisindayo (ngaphezu kwamakhilogremu angu-15) nokugijima amasonto amabili. Ukuhamba kahle. |
| Uma udokotela wakho ekuncoma, hlanganyela ekwelashweni ngezwi . | Gwema ukubhema ngokuphelele ngesikhathi sokululama. |
Uma unalezi zimpawu, xhumana nodokotela ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ezimbi kakhulu lapho uya ekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma unenkinga enkulu yokuphefumula
- Uma uzwa ubuhlungu obungabekezeleleki
- Uma kukhona uketshezi oluphuzi noma ubomvu obuphuma esilondeni, noma uma unomkhuhlane (lezi yizimpawu zokutheleleka)
- Uma indawo ezungeze imbobo ivuvukala kakhulu (i-edema) noma kuvela ukopha
Umlayezo Wokuya Nawe Ekhaya
- I-Thyroplasty iyindlela yokuhlinzwa ephumelela kakhulu futhi ephephile yokubuyisela izwi elibuthakathaka ngenxa yokungasebenzi kahle kwe-vocal cord.
- Uma uqhubeka nokuzwa izimpawu ezifana nokuhosha, ukuphelelwa umoya uma ukhuluma, kanye nokukhwehlela njalo, kubalulekile ukubona udokotela we-ENT ukuze athole imbangela.
- Ukulandela imiyalelo kadokotela ngemva kokuhlinzwa kuzosiza kakhulu ekupholeni ngokushesha.
- Uma uba nezimpawu ezinkulu, njengobunzima bokuphefumula, ngesikhathi sokululama kwakho, funa iseluleko sezokwelapha ngokushesha.
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