I-Thyroplasty

I-Thyroplasty (I-Medialization Laryngoplasty)

I-Thyroplasty ukukhubazeka kwentambo yezwi lapho kukhona ukuphazamiseka ku-nerve impulse ebhokisini lezwi. Umuntu one-thyroplasty uzobhekana nezinkinga zokukhuluma kanye nokuphefumula. Ezinye zezimbangela zihlanganisa ukulimala kwezinzwa, izifo ezibangelwa amagciwane, kanye nomdlavuza abambalwa. Ukwelashwa ngokuvamile kuhilela ukuhlinzwa kanye nokwelashwa ngezwi. Kukhona ikakhulukazi izintambo zezwi ezimbili. Ikakhulukazi lapho umuntu ehlushwa i-thyroplasty intambo eyodwa yezwi ikhubazekile okubangela ubunzima bephimbo nokuphefumula. Kungase kube nezinkinga ngenkathi ugwinya futhi. Ezinye zezinye izimpawu ezingaphawulwa yilezi; 

• Umsindo ngenkathi uphefumula.

• Iphimbo liyalahleka.

• Yehlisa ikhono lokukhulumela phezulu.

• Izwa ukuminyanisa noma ukukhwehlela ngenkathi ugwinya ukudla noma amathe.

• Ukukhuluma ngeke kuqhubeke futhi umuntu kufanele aphefumule njalo lapho ekhuluma.

• Ukuthambekela kokususa umphimbo.

Izinkinga ze-Thyroplasty

Ama-Thyroplasts ayenzeka lapho kukhona ukuphazamiseka kwemizwa yenzwa okuholela ekukhubazekeni kwentambo yezwi. Ezinye zezinye izimbangela yilezi ezingezansi;

• Ngenkathi uhlinzwa kungase kube khona ukulimala kwentambo yezwi.

• Ukulimala entanyeni noma esifubeni kungabangela ukulimala kwentambo yezwi.

• Uma umuntu ehlaselwe isifo sohlangothi kungenzeka ukuthi kuphazamiseke intambo yezwi ngoba ukushaywa unhlangothi kungalimaza ingxenye yobuchopho okuyiyona ebhekele ukuthumela umlayezo ebhokisini lezwi.

• Kokubili okunomdlavuza nokungewona umdlavuza kungakhula eduze kwemisipha noma imizwa elawula ibhokisi lezwi. Lokhu kungaba yimbangela yokukhubazeka kwezwi.

• Ezinye izinhlobo zokutheleleka nazo zingabhekwa njengembangela ye-thyroplasty.

• Uma umuntu ehlushwa yinoma yiziphi izimo zemizwa khona-ke kungase kube nethuba lokukhubazeka kwezwi.

Sifo

Odokotela bazoqale bafunde izimpawu futhi balalele izwi kanye nobude benkinga. Khona-ke, kuzokwenziwa izivivinyo ezimbalwa ukuze kuhlaziywe izinkinga eziqondile futhi kuqale imithi ngokufanele. I-Laryngoscopy ukuhlola lapho udokotela ekwazi ukubuka intambo yezwi ngokuqondile futhi abone ukuthi intambo yezwi eyodwa noma yomibili ithintekile yini.

I-Laryngeal electromyography ukuhlolwa okuzosiza ekulinganiseni amandla kagesi ezintambo zezwi. Kuzosiza udokotela ukuhlaziya izinga lokululama. Okunye ukuhlola ukuhlola igazi namaX-ray. I-MRI ne-CT scan.

Ukwelashwa Ezibhedlela ze-CARE

Ukwelashwa kuncike kumbangela yomphumela. Ezinye zezindlela zokwelapha ukwelapha ngezwi, ukuhlinzwa, nemijovo, futhi ngezinye izikhathi odokotela bangahlanganisa izindlela zokwelapha ezihlukahlukene kuye ngesimo. Ukuhlinzwa kungase futhi kunconywe odokotela bethu abangochwepheshe.

• Ukwelashwa ngezwi: Lokhu kwelashwa kumayelana nokuzivocavoca kanye nemisebenzi ikakhulukazi yokuqinisa izintambo zezwi, okusiza ngokwengeziwe ekwenzeni ngcono ukulawula ukuphefumula ikakhulukazi phakathi nokukhuluma, nokuvikela indlela yokuphefumula ngesikhathi sokugwinya. Lokhu kwelashwa kungcono kakhulu uma izintambo zezwi zikhubazekile ezindaweni ezithile ezingadingi noma yiluphi uhlobo lokumiswa kabusha.
• Ukuhlinzwa kwe-Thyroplasty: Uma ingekho inqubekelaphambili ekululameni khona-ke odokotela bazophakamisa izinketho zokuhlinzwa. Ezinye zezindlela yilezi ezingezansi;

  • Izinto ezinjengamafutha omzimba kanye ne-collagen zijovwa entanjeni yezwi.

  • Ukufakelwa kwesakhiwo kusiza ekumiseni kabusha intambo yezwi.

  • Ukumiswa kabusha kwentambo yezwi

  • Ukushintsha inzwa eyonakele

Izinzuzo ze-Thyroplasty

I-Thyroplasty, noma i-medialization laryngoplasty, inqubo engasebenza kahle kakhulu ekubuyiseleni izwi lomuntu kanye nokubhekana nezimpawu ezihambisana nokukhubazeka kwezwi. Abantu abaningi bathola ukuthuthuka okuphawulekayo ekusebenzeni kwabo kwezwi ngenxa yalokhu kungenelela kokuhlinzwa.

Izingozi ezihlobene nale Thyroplasty

Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi zemvelo ezihlobene ne-thyroplasty. Lezi zingozi ezingaba khona zihlanganisa amathuba okutheleleka nokopha, okuyizinkinga ezivamile zokuhlinzwa. Ukwengeza, kufanele ulindele isibazi esincane entanyeni yakho ngenxa yokusikwa kokuhlinzwa.

Esikhathini sangemva kokuhlinzwa, ezinye zezimpawu ezazikhona ngaphambi kokuhlinzwa zingase ziqhubeke isikhashana njengoba ibhokisi lakho lezwi liqhubeka nenqubo yokuphola. Lokhu kungabandakanya izinkinga zesikhashana ezinjengobuhlungu bentamo, ukuhoshozela, ukushintsha kwezwi lakho, kanye nobunzima bokuphefumula nokugwinya. Kubalulekile ukuqaphela ukuthi le miphumela emibi imvamisa iba eyesikhashana, futhi ezimweni ezingavamile kuphela lapho iba unomphela.

Izinyathelo okufanele zilandelwe ngemva kokuhlinzwa

• Uzogadwa ubusuku bonke ukuze ubone ukuthi akukho yini inkinga yokuphefumula ngemva kokuhlinzwa. 

• Entanyeni kuzoba nebhandeshi futhi akufanele likhishwe noma lithintwe.

• Izinsuku ezintathu zokuqala ziwukuphumula ezwini, okusho ukuthi akukho ukukhuluma noma ukuhleba.

• Ukudla kuzoba uketshezi ekuqaleni futhi kancane kancane kulandelwa ukudla okuvamile.

Uma kunohlobo oluthile lokopha noma ubunzima bokuphefumula futhi uma kunomkhuhlane kubalulekile ukubonana nodokotela ngokushesha.