Kuwonongeka kwamitsempha yama laryngeal

Kuwonongeka kwa mitsempha ya laryngeal kumavulaza imodzi kapena misempha yonse yomwe imalumikizidwa ku bokosilo.

Kuvulala kwamitsempha yam'mimba sikachilendo.

Zikachitika, zitha kuchokera ku:

• Kusokonezeka kwa khosi kapena chifuwa (makamaka chithokomiro, mapapo, opaleshoni ya mtima, kapena opaleshoni ya msana)
• Chitubu chopumira pamphepo (endotracheal chubu)
• Matenda a tizilombo omwe amakhudza mitsempha
• Zotupa m'khosi kapena pachifuwa chapamwamba, monga khansa ya chithokomiro kapena yamapapo
• Chimodzi mwazovuta zamitsempha

Zizindikiro zake ndi izi:

• Kulankhula kovuta
• Zovuta kumeza
• Kuopsa

Kuvulala kwamitsempha yamanzere yakumanzere ndi kumanja nthawi yomweyo kumatha kubweretsa vuto lakupuma. Izi zitha kukhala vuto lachipatala mwachangu.

Wothandizira zaumoyo adzawunika kuti awone momwe zingwe zanu zamawu zimayendera. Kusuntha kosazolowereka kungatanthauze kuti mitsempha ya laryngeal yavulala.

Mayeso atha kuphatikiza:

• Bronchoscopy
• Kujambula kwa CT pachifuwa
• Laryngoscopy
• MRI yaubongo, khosi, ndi chifuwa
• X-ray

Chithandizo chimadalira chifukwa chovulalayo. Nthawi zina, sipangakhale chithandizo chamankhwala ndipo minyewa imatha kudzichira yokha. Thandizo la mawu limathandiza nthawi zina.

Ngati akufunika opaleshoni, cholinga chake ndikusintha malo amawu opuwala kuti mawu amveke. Izi zitha kuchitika ndi:

• Kutulutsa kwa Arytenoid (kumamangiriza kusuntha chingwe cha mawu pakati pa msewu)
• Majekeseni a collagen, Gelfoam, kapena chinthu china
• Kuthira

Ngati minyewa yonse yakumanzere ndi yakumanja yawonongeka, dzenje lingafunikire kudulidwa pamphepo (tracheotomy) nthawi yomweyo kuti munthu azipuma. Izi zimatsatiridwa ndi opaleshoni ina mtsogolo.

Maganizo ake amadalira chifukwa chovulalayo. Nthawi zina, mitsempha imabwerera mwachizolowezi. Komabe, nthawi zina kuwonongeka kumakhala kwamuyaya.

Itanani omwe akukuthandizani ngati muli ndi:

• Kuvuta kupuma (itanani nthawi yomweyo)
• Kulira kosadziwika komwe kumatenga milungu yopitilira 3

Kulumikizana ndi chingwe

• Minyewa ya kholingo
• Kuwonongeka kwamitsempha yama laryngeal

Dexter EU. Kusamalira mosalekeza kwa wodwalayo. Mu: Sellke FW, del Nido PJ, Swanson SJ, olemba. Opaleshoni ya Sabiston ndi Spencer pachifuwa. 9th ed. Philadelphia, PA: Elsevier; 2016: chap 4.

Sandhu GS, Nouraei SAR. Zovuta za Laryngeal ndi esophageal. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 67.