Inaliti yetyhefu ye-Botulinum-larynx

Ityhefu yeBotulimum (BTX) luhlobo lwe-block blocker. Xa itofwe, i-BTX ibhloka imiqondiso ye-luvo kwiimisipha ukuze ziphumle.

I-BTX yityhefu ebangela i-botulism, isifo esinqabileyo kodwa esibi. Kukhuselekile xa kusetyenziswa iidosi ezincinci kakhulu.

I-BTX itofelwe kwiimisipha ezijikeleze iintambo zamagama. Oku kunciphisa izihlunu kunye nokuphucula umgangatho welizwi. Ayilulo unyango lwe-laryngeal dystonia, kodwa inokunceda ukunciphisa iimpawu.

Kwiimeko ezininzi, uya kuba neenaliti ze-BTX kwiofisi yomboneleli wakho wezempilo. Zimbini iindlela eziqhelekileyo zokufaka i-BTX kwilarynx:

Ngentamo:

• Unokuba ne-anesthesia yendawo ukuyibamba indawo.
• Unokulala ngomqolo okanye uhlale uhleli. Oku kuya kuxhomekeka kwintuthuzelo yakho kunye nokukhethwa ngumboneleli wakho.
• Umboneleli wakho unokusebenzisa umatshini we-EMG (electromyography). Umatshini we-EMG urekhoda ukuhamba kwemisipha yakho yezwi ngokusebenzisa ii-electrode ezincinci ezibekwe kulusu lwakho. Oku kunceda umboneleli wakho akhokele inaliti kwindawo efanelekileyo.
• Enye indlela ibandakanya ukusebenzisa i-laryngoscope eguqukayo efakwe ngempumlo ukunceda ukukhokela inaliti.

Ngomlomo:

• Unokuba ne-anesthesia ngokubanzi ukuze ulale ngexesha lale nkqubo.
• Unokuba neyeza lokuphalaza elitshiziweyo empumlweni, emqaleni, nakwingqolowa.
• Umboneleli wakho uya kusebenzisa inaliti ende egobileyo ukujova ngokuthe ngqo kwimisipha yentambo yezwi.
• Umboneleli wakho unokubeka ikhamera encinci (i-endoscope) emlonyeni wakho ukukhokela inaliti.

Uya kuba nale nkqubo ukuba uye wafumanisa ukuba une-laryngeal dystonia. Inaliti ye-BTX lolona nyango luqhelekileyo kule meko.

Inaliti ye-BTX isetyenziselwa ukunyanga ezinye iingxaki kwibhokisi yelizwi (kwingqula). Zikwasetyenziselwa ukunyanga ezinye iimeko ezininzi kwiindawo ezahlukeneyo zomzimba.

Awungekhe ukwazi ukuthetha malunga neyure emva kwenaliti.

I-BTX inokubangela ezinye iziphumo ebezingalindelekanga. Kwiimeko ezininzi, ezi ziphumo zecala zihlala kuphela kwiintsuku ezimbalwa. Ezinye zeziphumo ebezingalindelekanga zibandakanya:

• Isandi esiphefumlayo kwilizwi lakho
• Ukurhabaxa
• Ukukhwehlela okubuthathaka
• Ingxaki yokuginya
• Intlungu apho kwafakwa khona i-BTX
• Iimpawu ezinjengomkhuhlane

Kwiimeko ezininzi, iinaliti ze-BTX kufuneka ziphucule umgangatho welizwi lakho malunga neenyanga ezi-3 ukuya kwezi-4. Ukugcina ilizwi lakho, unokufuna inaliti rhoqo kwiinyanga ezimbalwa.

Umboneleli wakho unokukucela ukuba ugcine idayari yeempawu zakho ukuze ubone ukuba isebenza kakuhle kangakanani kwaye isebenza ixesha elingakanani inaliti. Oku kuya kukunceda wena nomboneleli wakho ukuba ufumane idosi elungileyo kwaye uthathe isigqibo sokuba ufuna unyango kangaphi.

Laryngoplasty yenaliti; I-Botox-larynx: i-spasmodic dysphonia-BTX; Ukungcangcazela kwelizwi (EVT) -btx; Ukungabikho kweGlottic; Unyango lwe-botulinum ye-electromyography eyenziwa ngamalungu ombane Unyango lwe-laryngoscopy engangqalanga-ngqo ekhokelwa ngonyango; Idysphonia yedysphonia-BTX; I-OnabotulinumtoxinA-larynx; UAbobotulinumtoxin A.

U-Akst L. Ukudakumba kunye ne-laryngitis. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 30-35.

IBlitzer A, uSadoughi B, uGaldiani E.Ukuphazamiseka kwengqondo kwi-larynx. 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 58.

Iqhwitha PW. Ukuphazamiseka emqaleni. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 429.