Ukulungisa Imizwa Yobuso

Ukulungisa Imizwa Yobuso e-Hyderabad, India

Inzwa yobuso iyinzwa yesikhombisa ye-cranial elawula izinkulumo eziningi. Inzwa eyodwa ikhona ohlangothini ngalunye lobuso. Ukulungiswa kwenzwa yobuso kuyadingeka kubantu abaye bakhubazeka izinzwa ngenxa yengozi, ukuhlukumezeka, ukuqaqa phakathi nokunye ukuhlinzwa, njll. Uma inzwa yobuso ilimala, izicubu zobuso ezinomthwalo wemfanelo wokukhiqiza isimo sobuso zizofadalala futhi zibe nezibazi ezingenakulungiseka. 

Ukuze uvimbele futhi uhlehlise ukungasebenzi kahle kwemisipha, inzwa yobuso ingalungiswa. Kubalulekile ukulungisa inzwa yobuso ngesikhathi ukuze uvimbele ukulimala unomphela. Izinqubo ezahlukene zisetshenziselwa ukulungisa inzwa yobuso engasiza ukubuyisela ukusebenza kwenzwa yobuso.

Izimpawu zokulimala kwezinzwa zobuso

Abantu abahlushwa ukulimala kwezinzwa zobuso bangase babe nezimpawu ezithile ezinjengobuthakathaka, ukudikiza, nokukhubazeka kwemisipha yobuso. Izimpawu ezibalulekile zokulimala kwezinzwa zobuso zinikezwa ngezansi:

• Ukuchelela kusuka esweni ohlangothini oluthintekile

• Ukungakwazi ukuvala iso ngendlela efanele

• Ukoma komlomo

• Ukuchezuka komlomo ngakolunye uhlangothi

• Ukungabikho kwemigqa yokumamatheka ohlangothini oluthintekile

• Ukuphuma kwamathe emlonyeni

• Ukungabi khona kwemibimbi ohlangothini oluthintekile

Izimbangela zokulimala kwezinzwa zobuso

Izimbangela eziyinhloko zokulimala kwezinzwa zobuso zihlanganisa okulandelayo:

• Noma yiluphi uhlobo lokuhlukumezeka olufana nokuphuka kogebhezi, noma ukulimala endlebeni, noma ubuso phakathi nokunye ukuhlinzwa kungaholela ekulimaleni kwezinzwa. 

• Ukuphazamiseka kwesimiso sezinzwa njengokushaywa unhlangothi

• Izimila ze-nerve noma zobuchopho

• Ukukhubazeka kukaBell noma ukukhubazeka kwemizwa yobuso

• Ukutheleleka kwendlebe noma ubuso ikakhulukazi ngenxa ye-herpes

Izinhlobo zokulungisa izinzwa zobuso

Izinhlobo ezahlukene zokulungisa izinzwa zobuso ezisetshenziselwa izimo ezihlukene zichazwe ngezansi:

• Ukudluliswa kwezinzwa ze-Hypoglossal: I-hypoglossal nerve isiza ekuhambeni kolimi. Kuyinzwa esebenzayo esiza ekubuyiseleni ukulinganisa kobuso uma isetshenziselwa ukulungisa inzwa yobuso. Kule nqubo, udokotela ohlinzayo uzohlonza i-hypoglossal nerve ngaphambi kokuba ingene olimini. Inzwa yobuso elimele ixhunywe ku-hypoglossal nerve. I-hypoglossal nerve ikhula kanye nenzwa yobuso ukuze ibuyisele ukusebenza kwemisipha yobuso. Imiphumela ingase ibonakale ngemva kwezinyanga ezingu-5-6.
• Ukuxhunyelelwa kwezinzwa eziphambanayo: Kule nqubo, udokotela ohlinzayo uzohlehlisa umsebenzi wenzwa yobuso ngokuthatha ama-axon asuka kolunye uhlangothi lobuso akhula ngaphesheya kobuso ohlangothini olulimele ukuze akhuthaze ukunyakaza kobuso. Inzuzo yale nqubo ukuthi iphumela ekubuyiselweni ngokushesha kokunyakaza kobuso. Le nqubo ingenziwa njengenqubo yokulaliswa ngaphandle.
• Ukulungiswa kwenzwa yobuso okuqondile: Kule nqubo, udokotela ohlinzayo ukhomba isiphetho esilimele; uzohlanza isiphetho futhi awafake ngqo ngemuva kokuwaqondanisa kahle. Uma iziphetho zingakwazi ukuxhunywa, uzosebenzisa i-nerve graft ukuze enze uxhumano.
• Ukudluliswa kwe-nerve ye-Masseteric: Le nqubo iyindlela engcono kakhulu yokuvuselela imisipha yobuso lapho inzwa yobuso ingafinyeleleki. Inzwa ye-masseter ilele eduze kwenzwa yobuso ngakho-ke isiza ekululameni okusheshayo kokulimala kwenzwa yobuso. Le nqubo ingabonisa imiphumela ezinyangeni ezingu-3-4.

Izizathu zokulungisa imizwa yobuso

Ukwelashwa Kokulungiswa Kwezinzwa Zobuso e-Hyderabad kusetshenziselwa ukulimala kwenzwa yobuso nezinye izinkinga ezinjengokukhubazeka kobuso.

Injongo eyinhloko yokufuna Ukwelashwa Kokulungiswa Kwezinzwa Zobuso e-Hyderabad ukunciphisa isikhathi phakathi kokulimala kwenzwa nokwakhiwa kabusha kwayo. Ngokushesha ukuhlinzwa kungenziwa, angcono amathuba okululama ngokushesha nangempumelelo kwenzwa yobuso.

Izicubu ze-atrophied muscle zobuso aziphenduli kulokhu kwelashwa ngakho-ke kubaluleka ukuthi imisipha eyinhloko ekhona engxenyeni ekhubazekile yobuso kufanele iqhubeke isebenza. I-nerve ingase ilungiswe ngemva kokudlula isikhathi eside kodwa imiphumela ingase ingabi njengoba kudingeka.

Ngaphambi kokuhlinzwa

Uzohlela isikhathi sokuhlangana nodokotela ezibhedlela ze-CARE. Udokotela uzohlola ubuso bakho ukuze anqume ukusebenza kwemizwa nemisipha futhi azi imiphumela yokuhlinzwa. Udokotela e- CARE Izibhedlela izokuchazela izinqubo ezahlukene zokulungisa inzwa yobuso kanye nokwelashwa kokukhubazeka kobuso e-hyderabad. Ngemva kwengxoxo, wena nodokotela wakho ningakhetha inqubo engcono kakhulu yokuhlinzwa ubuso.

Ngesikhathi sokuhlinzwa

• Ukuhlinzwa kokulungisa izinzwa ebusweni kwenziwa ngaphansi kwe-anesthesia jikelele. Kungase kudingeke ulale esibhedlela ubusuku bonke ukuze ubhekwe futhi ululame.
• Udokotela ohlinzayo uzokwenza inqubo edingekayo ngokwezidingo zomuntu ngamunye. Ngemuva kokuhlinzwa, kufakwa okokugqokisa bese kusetshenziswa umsele ukuze kukhishwe uketshezi oluningi.

Ngemuva kokuhlinzwa

• Kungase kudingeke ulale esibhedlela ubusuku bonke ngemva kokuhlinzwa ukuze ululame. Ngakusasa ungabuyela ekhaya. Ukuvuvukala kungase kwenzeke futhi kungase kuhlale izinsuku ezimbalwa.
• Ukulimala kungase kuthathe izinsuku ezingu-5-10 endaweni yokuhlinzwa.
• Uyacelwa ukuthi uphuze imishanguzo yezinhlungu ngaphandle kwe-counter ukuze unciphise ubuhlungu nokungakhululeki.

Izingozi zokulungisa imizwa yobuso

• Noma yikuphi ukuhlinzwa kuhlotshaniswa nezingozi ezithile ezinjengokopha, ukuvuvukala, ukutheleleka, nokusebenzelana isikhathi eside neminye imithi.

• Ngemva kokuhlinzwa, umuntu angase ahlangabezane nezinguquko zokuzwela endaweni ethintekile. 

• Ukuxhunyelelwa kwemizwa nakho kungaholela ekushintsheni kokuzwela endaweni lapho kuthathwa khona inzwa.

• Ukuvuselelwa kwenzwa kuyinqubo ehamba kancane futhi kungathatha izinyanga ezimbalwa ukuze ululame ngokuphelele kuye ngobunzima bokulimala kanye nohlobo lwenqubo esetshenziselwa ukulungiswa.

• Kwezinye izimo, ukululama okuphelele kungase kuthathe iminyaka.