Ukulimala kwemizwa yeLaryngeal

Ukulimala kwezinzwa ze-Laryngeal ukulimala kowodwa noma kuzo zombili izinzwa ezinamathiselwe ebhokisini lezwi.

Ukulimala kwemizwa yolaka akuvamile.

Uma kwenzeka, kungavela ku:

• Inkinga yokuhlinzwa kwentamo noma kwesifuba (ikakhulukazi i-thyroid, amaphaphu, ukuhlinzwa kwenhliziyo, noma ukuhlinzwa komgogodla womlomo wesibeletho)
• Ishubhu lokuphefumula ku-windpipe (i-endotracheal tube)
• Ukutheleleka ngegciwane okuthinta izinzwa
• Izimila entanyeni noma esifubeni esingenhla, njengomdlavuza wegilo noma wamaphaphu
• Ingxenye yesimo sezinzwa

Izimpawu zifaka:

• Kunzima ukukhuluma
• Kunzima ukugwinya
• Ukungahambi kahle

Ukulimala izinzwa zolusu zangakwesokunxele nangakwesokudla ngasikhathi sinye kungadala inkinga yokuphefumula. Lokhu kungaba inkinga yezokwelapha ephuthumayo.

Umhlinzeki wezokunakekelwa kwempilo uzohlola ukuze abone ukuthi izintambo zakho zezwi zihamba kanjani. Ukunyakaza okungajwayelekile kungasho ukuthi kulimale i-laryngeal nerve.

Ukuhlolwa kungafaka:

• I-Bronchoscopy
• I-CT scan yesifuba
• I-Laryngoscopy
• I-MRI yobuchopho, intamo, nesifuba
• I-X-ray

Ukwelashwa kuya ngesizathu sokulimala. Kwezinye izimo, akukho ukwelashwa okungadingeka futhi inzwa ingalulama yodwa. Ukwelashwa ngezwi kuyasiza kwezinye izimo.

Uma kudingeka ukuhlinzwa, inhloso ukushintsha indawo yentambo yezwi ekhubazekile ukwenza ngcono izwi. Lokhu kungenziwa nge:

• Ukukhishwa kwe-Arytenoid (ukugoqa ukuhambisa intambo yezwi uye maphakathi nendawo yomoya)
• Imijovo ye-collagen, iGelfoam, noma enye into
• I-Thyroplasty

Uma zombili izinzwa zesobunxele nezesokudla zilimele, umgodi ungadinga ukusikwa ku-windpipe (tracheotomy) ngaso leso sikhathi ukuze kuvunyelwe ukuphefumula. Lokhu kulandelwa okunye ukuhlinzwa kamuva.

Umbono uncike embangela yokulimala. Kwezinye izimo, inzwa ibuyela ngokushesha kokujwayelekile. Kodwa-ke, kwesinye isikhathi umonakalo uhlala unomphela.

Shayela umhlinzeki wakho uma une:

• Kunzima ukuphefumula (shayela ngokushesha)
• Ukuhhahasha okungachazeki okuhlala isikhathi esingaphezu kwamasonto ama-3

Ukukhubazeka kwentambo yomlomo

• Imithambo yegilo lomphimbo
• Ukulimala kwemizwa yeLaryngeal

I-Dexter EU. Ukunakekelwa okuqhubekayo kwesiguli sokuhlinzwa se-thoracic. Ku: Sellke FW, del Nido PJ, Swanson SJ, ama-eds. Ukuhlinzwa kweSabiston neSpencer kwesifuba. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2016: isahluko 4.

USandhu GS, uNouraei SAR. Ukuhlukumezeka kwe-Laryngeal ne-esophageal. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 67.