Umonakalo we-Laryngeal

Umonakalo we-Laryngeal wenzakele kwenye okanye zombini zemithambo eqhotyoshelwe kwibhokisi yelizwi.

Ukwenzakala kwimithambo-luvo yokuqhekeza akuqhelekanga.

Xa isenzeka, inokuba ivela:

• Ingxaki yentamo okanye isifuba (ikakhulukazi i-thyroid, imiphunga, ukuhlinzwa kwentliziyo, okanye ukuhlinzwa komlomo wesibeleko)
• Umbhobho wokuphefumla kwimibhobho yomoya (endotracheal tube)
• Usulelo lwentsholongwane oluchaphazela imithambo-luvo
• Amathumba entanyeni okanye esifubeni phezulu, njenge-thyroid okanye umhlaza wemiphunga
• Icandelo lesimo se-neurological

Iimpawu zibandakanya:

• Kunzima ukuthetha
• Kunzima ukugwinya
• Ukurhabaxa

Ukwenzakala kwithambo lasekhohlo nasekunene le-laryngeal ngaxeshanye kunokubangela ingxaki yokuphefumla. Oku kunokuba yingxaki yonyango engxamisekileyo.

Umboneleli wezempilo uya kujonga ukuze abone ukuba iintambo zezwi zihamba njani. Ukuhamba okungaqhelekanga kunokuthetha ukuba kwenzakale i-laryngeal nerve.

Uvavanyo lunokubandakanya:

• Bronchoscopy
• Ukuxilongwa kwe-CT kwesifuba
• Iilaryngoscopy
• I-MRI yengqondo, intamo, nesifuba
• X-reyi

Unyango luxhomekeke kwisizathu sokulimala. Ngamanye amaxesha, akukho nyango lunokufuneka kwaye imithambo-luvo inokuzibuyela ngokwayo. Unyango lwelizwi luluncedo kwezinye iimeko.

Ukuba kufuneka utyando, injongo kukutshintsha indawo yelizwi elikhubazekileyo ukuphucula ilizwi. Oku kunokwenziwa nge:

• Ukufakwa kwe-Arytenoid (ukubopha ukuhambisa intambo yezwi ukuya kumbindi wendlela yomoya)
• Inaliti ye-collagen, iGelfoam, okanye enye into
• I-Thyroplasty

Ukuba zombini imithambo ekhohlo nasekunene yonakele, umngxunya unokufuna ukusikwa kumbhobho womoya (i-tracheotomy) ngoko nangoko ukuvumela ukuphefumla. Oku kulandelwa kolunye utyando kamva.

Imbonakalo ixhomekeke kwisizathu sokwenzakala. Ngamanye amaxesha, le luvo lubuyela ngokukhawuleza kwimeko yesiqhelo. Nangona kunjalo, ngamanye amaxesha umonakalo uhlala unomphela.

Fowunela umnikezeli wakho ukuba unayo:

• Ubunzima bokuphefumla (tsalela umnxeba kwangoko)
• Ukudakumba okungachazwanga okuhlala ngaphezulu kweeveki ezi-3

Intambo yeVocal ukukhubazeka

• Imithambo yegazi yengqula
• Umonakalo we-Laryngeal

IDexter EU. Unonophelo olungapheliyo lwesigulane sokuhlinzwa. Ku: Sellke FW, del Nido PJ, Swanson SJ, ii-eds. Ugqirha weSabiston kunye noSpencer wesifuba. Umhla we-9. IPhiladelphia, PA: Elsevier; 2016: isahluko 4.

ISandhu GS, iNouraei SAR. I-Laryngeal kunye ne-esophageal trauma. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 67.