Ngezinye izikhathi sinomuzwa wokuthi izwi lethu alifani nobuntu bethu bangempela. Akudingeki ukusho, ukungakhululeki nokukhathazeka okufika engqondweni lapho sizwa ukuthi izwi lethu linomsindo noma linzima. Ngakho-ke, namuhla sikhuluma ngendlela engashintsha izwi lethu libe ngesimo sowesifazane ngokwezifiso zethu nangokwezifiso zethu. Lokho ukuhlinzwa okubizwa ngokuthi 'Ukuhlinzwa Kwezwi Lobufemini'.
Iyini le ndlela yokuhlinzwa yokuthuthukisa ubulili ngezwi?
Kalula nje, lokhu kuyindlela yokuhlinzwa eyandisa iphimbo lezwi lakho. Lokhu kuhlinzwa kwenza ushintsho oluhlala njalo ezinhlotsheni zakho zezwi, ukuze izwi lakho libe phezulu futhi libe ngowesifazane.
Lezi zintambo zezwi zitholakala engxenyeni yomphimbo wethu ebizwa ngokuthi i-larynx. Ubude nobukhulu bazo kunquma ukuphakama kwezwi lethu. Zicabange njengezintambo ezikugitari. Njengoba nje intambo yegitare ikhiqiza ukuphakama okuphezulu uma ikhululiwe noma iqinisiwe, lokhu kuhlinzwa kuphakamisa unomphela ukuphakama kwezwi lakho ngokufinyeza, ukuqinisa, noma ukukhulula izintambo zakho zezwi. Lokhu kuhlinzwa kwenziwa udokotela ochwepheshe, uchwepheshe wezindlebe, impumulo, nomphimbo (i-laryngologist).
Kungani umuntu angasebenzisa ukuhlinzwa okunjalo?
Lokhu kuvame ukuba yisinqumo somuntu siqu . Isizathu esiyinhloko ukunciphisa ukucindezeleka kanye nokungakhululeki okubangelwa umuzwa wokuthi izwi lakho alihambisani nobuntu bakho besifazane. Ukuba nezwi elihambisana nobuntu bakho bangaphakathi kunikeza induduzo enkulu yengqondo.
Ngaphezu kwalokho, ezinye izizathu zezokwelapha zingase ziholele kulokhu kuhlinzwa.
- Kubantu abanezinkinga ezithile zokwahlukaniswa kobulili.
- Kulabo abanezimo zezokwelapha ezidinga ukudla ama-hormone wesilisa (ama-androgens).
- Labo abanezimila ezikhiqiza ama-hormone abesilisa, njengomdlavuza wesibeletho.
Kungenzeka yini ukushintsha izwi lakho ngaphandle kokuhlinzwa?
Yebo, ungakwazi. Kukhona indlela enobungozi obuphansi, eguquguqukayo enconywa odokotela abaningi ngaphambi kokuhlinzwa. Leyo yindlela yokuqeqesha ngezwi, eyaziwa nangokuthi 'i-Voice Feminization Therapy'.
Udokotela wezifo zolimi lokukhuluma (SLP) uzokusiza ngalokhu. Uzokufundisa izivivinyo namasu ahlukahlukene okuphakamisa iphimbo lakho lezwi, ukushintsha indlela okhuluma ngayo, kanye nethoni. Abantu abaningi bayazama lokhu kwelashwa ngaphambi kokuhlinzwa. Ngezinye izikhathi, ngisho nangemva kokuhlinzwa, lokhu kwelashwa kungaba usizo kakhulu ekujwayeleni izwi lakho elisha.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Uma usunqumile ngokuhlinzwa, udokotela wakho kanye nochwepheshe wezokukhuluma bazokulungiselela lokho.
- Ukuzivocavoca kokusebenza kwezwi:Uzofundiswa izivivinyo ezilula ongazenza nsuku zonke ukuze uqinise izintambo zakho zezwi futhi zenze kube lula ukuzinyakazisa. Lokhu kuzokusiza futhi ukuthi ululame ngokushesha ngemva kokuhlinzwa.
- Ukuhlanzeka kwezwi: Lokhu kubaluleke kakhulu. Kalula nje, kumayelana nokugcina izwi lakho liphilile ngangokunokwenzeka.
- Udinga ukuphuza amanzi amaningi . Lokhu kuzonikeza umswakama odingekayo ezintanjeni zezwi.
- Uma ubhema, kufanele nakanjani uyeke .
- Utshwala neziphuzo ezine-caffeine (njengekhofi netiye) kungonakalisa imisipha yezwi, ngakho-ke kungcono ukuzigwema ngaphambi kokuhlinzwa.
Ukuhlinzwa kwenziwa kanjani? Yiziphi izindlela?
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ulele ngokuphelele. Ngakho-ke ngeke uzwe ubuhlungu. Kunezindlela ezahlukene zokwenza lokhu kuhlinzwa. Ezinye izindlela zihilela ukufaka ikhamera encane (i-laryngoscope) ngomlomo, kanti ezinye zihilela ukwenza ukusika okuncane ngaphandle kwentamo. Ithebula elingezansi libala ezinye zezindlela ezisetshenziswa kakhulu.
| Igama Lokuhlinzwa | Incazelo Elula |
|---|---|
| I-Anterior Glottal Web Formation (Wendler Glottoplasty) | Izendlalelo eziningana zezicubu ziyasuswa ngaphambili kwezintambo zezwi bese zithungwa ndawonye. Lokhu kunciphisa ubude bezintambo zezwi futhi kuphakamise izwi. Lena yindlela esetshenziswa kakhulu namuhla. |
| I-Laser Reduction Glottoplasty (LRG) | Imisebe ye-laser isetshenziselwa ukubhubhisa izicubu zangaphandle zezintambo zezwi. Lokhu kwandisa ukucindezeleka kwezintambo zezwi futhi kwenza izwi libe phezulu. |
| Ukusondela kwe-Cricothyroid (i-CTA) | Izingcezu ezimbili ze-cartilage phezulu nangaphansi kwe-larynx zithungwa ndawonye. Lokhu kuqinisa izintambo zezwi futhi kwenze izwi libe phezulu. Kodwa-ke, le ndlela ayisasetshenziswa kakhulu ngoba imiphumela ayihlali isikhathi eside. |
| I-Laryngoplasty yokwenziwa kwabesifazane | Ingxenye ye-cartilage kanye nezingxenye ze-vocal cords ziyasuswa e-thyroid gland entanyeni. Lokhu kuphakamisa i-larynx futhi kufushanise i-vocal cords. |
Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Ngemva kokuhlinzwa, udokotela wakho kanye nochwepheshe wezokukhuluma bazokuqapha ngokucophelela.
Into ebaluleke kakhulu ukuyeka ngokuphelele ukukhuluma izinsuku ezi-5 kuya kweziyi-14 ngemva kokuhlinzwa. Lokhu sikubiza ngokuthi 'ukuphumula ngezwi'. Kubalulekile hhayi nje ukuhleba, ukuhleka, nokucula, kodwa futhi nokulawula ukukhwehlela ngangokunokwenzeka. Phakathi nalesi sikhathi, kuzodingeka uxhumane ngemiyalezo noma ngokubhala.
Kungathatha izinyanga eziyi-6 kuya kweziyi-12 ukuthi imisipha yakho yezwi iphole ngokuphelele kanye nezwi lakho lizinze. Ngakho-ke ungakhathazeki uma ungatholi imiphumela obuyilindele ngokushesha. Udinga ukuzinika isikhathi.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Inzuzo enkulu ukuthi ungagcina izwi eliphakeme njalo ngaphandle kokukhathala. Hhayi nje kuphela lapho ukhuluma, kodwa nalapho ukhwehlela noma usula umphimbo wakho. Izwi lakho alibi nzima ngokuzumayo.
Futhi, njengazo zonke izinhlobo zokuhlinzwa, kunezingozi ezithile.
- Izwi elibuthakathaka, ikakhulukazi uma ukhuluma kakhulu.
- Ukuhosha kwezwi, umsindo wokukhala komoya (i-Dysphonia).
- Izwi liphezulu kakhulu (linomumo ongavamile).
- Izwi alishintshanga kangako njengoba bekulindelekile.
- Ukuthuthumela kwezwi.
- Izwi liyaphinda lihoshozele ngokuhamba kwesikhathi.
- Isidingo sokuhlinzwa kabusha.
Indlela engcono kakhulu yokunciphisa lezi zingozi ukuthi ukuhlinzwa kwenziwe uchwepheshe onolwazi ovame ukwenza ukuhlinzwa okunjalo.
Kufanele ubonane nodokotela ngokushesha nini?
Ngaphambi kokuphuma esibhedlela, cacisa ukuthi yimiphi imiphumela emibi evamile nokuthi yiziphi izimpawu zesimo esiphuthumayo. Uma unezinye zezimpawu ezilandelayo, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Izimpawu zokutheleleka: umkhuhlane, ukubanda, kanye nokuphuma kobomvu endaweni yokuhlinzwa.
- Ubunzima bokuphefumula: Lesi yisimo esiphuthumayo esibucayi kakhulu.
- Ubunzima bokugwinya amanzi noma ukudla okuwuketshezi: Ukudla kungangena emgudwini womoya , okungaholela esimweni esibucayi njenge-aspiration pneumonia.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa Kwe-Voice Feminization kuyindlela yokuhlinzwa ephakamisa iphimbo lezwi unomphela futhi ikwenze libukeke njengowesifazane.
- Lesi yisinqumo somuntu siqu kakhulu. Kubalulekile ukuxoxa ngokukhululekile nodokotela wakho ngalokho okulindelwe ngaphambi kokuhlinzwa.
- Imiphumela emihle kakhulu ingatholakala ngokufuna usizo lochwepheshe wezokukhuluma (SLP) ngaphambi nangemva kokuhlinzwa.
- Kungathatha izinyanga eziphakathi kweziyi-6 neziyi-12 ukululama okuphelele kanye nokuzinza kwezwi ngemva kokuhlinzwa, ngakho-ke kubalulekile ukuba nesineke.
- Uma uba nezimpawu ezifana nobunzima bokuphefumula, umkhuhlane ophakeme, noma ubunzima bokugwinya, hamba uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
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