Jekeseni wa poizoni wa botulinum - kholingo

Poizoni wa Botulimum (BTX) ndi mtundu wa mitsempha yotseka. Mukabayidwa, BTX imatchinga mitsempha ku minofu kuti amasuke.

BTX ndi poizoni yemwe amayambitsa botulism, matenda osowa koma owopsa. Ndiotetezeka mukamagwiritsa ntchito mankhwala ochepa kwambiri.

BTX imayikidwa mu minofu kuzungulira zingwe zamawu. Izi zimafooketsa minofu ndikusintha mawu. Sichiza cha laryngeal dystonia, koma chitha kuthandiza kuchepetsa zizindikilo.

Nthawi zambiri, mumakhala ndi jakisoni wa BTX muofesi ya omwe amakuthandizani. Pali njira ziwiri zofalitsira BTX mu kholingo:

Kupyola m'khosi:

• Mutha kukhala ndi mankhwala oletsa ululu am'deralo kuti muchepetse malowo.
• Mutha kugona chafufumimba kapena kukhala tsonga. Izi zitengera kutonthoza kwanu komanso zomwe amakonda omwe amakupatsani.
• Wopereka wanu atha kugwiritsa ntchito makina a EMG (electromyography). Makina a EMG amalemba kusuntha kwa minofu yanu yamawu kudzera pamaelekitirodi ang'onoang'ono oyikidwa pakhungu lanu. Izi zimathandiza wothandizira wanu kutsogolera singano kumalo oyenera.
• Njira inanso imagwiritsa ntchito laryngoscope yosunthika yolowetsa mphuno kuti ithandizire kutsogolera singano.

Kudzera pakamwa:

• Mutha kukhala ndi anesthesia kotero kuti mukugona panthawiyi.
• Mwinanso mungakhale ndi mankhwala otsekemera opopera m'mphuno, mmero, ndi m'mphako.
• Wothandizira anu amagwiritsa ntchito singano yayitali, yokhota kumapeto kuti alowetse m'mitsempha yamawu.
• Woperekayo akhoza kuyika kamera yaying'ono (endoscope) mkamwa mwanu kuti izitsogolera singano.

Mukanakhala ndi njirayi ngati mutapezeka kuti muli ndi laryngeal dystonia. Majakisoni a BTX ndiwo mankhwala ofala kwambiri pamtunduwu.

Majakisoni a BTX amagwiritsidwa ntchito kuthana ndi mavuto ena m'bokosi lamawu (kholingo). Amagwiritsidwanso ntchito pochiza mikhalidwe ina yambiri mbali zosiyanasiyana za thupi.

Simungathe kuyankhula kwa ola limodzi pambuyo pobayidwa.

BTX imatha kuyambitsa zovuta zina. Nthawi zambiri, zotsatirazi zimangokhala masiku ochepa. Zina mwa zotsatirapo zake ndi izi:

• Phokoso lokhala ndi mawu abwino
• Kuopsa
• Chifuwa chofooka
• Vuto kumeza
• Ululu pomwe BTX idalowetsedwa
• Zizindikiro ngati chimfine

Nthawi zambiri, majakisoni a BTX amayenera kukweza mawu anu kwa miyezi itatu kapena inayi. Kuti musunge mawu anu, mungafunike jakisoni miyezi ingapo.

Wothandizira anu akhoza kukupemphani kuti mulembe zolemba zanu kuti muwone momwe jekeseni ikugwirira ntchito komanso kutalika kwake. Izi zikuthandizani inu ndi omwe akukuthandizani kuti mupeze mulingo woyenera kwa inu komanso kuti musankhe kangati.

Jekeseni wa laryngoplasty; Botox - kholingo: spasmodic dysphonia-BTX; Kutetemera kwamawu kofunikira (EVT) -btx; Kulephera kwa glottic; Percutaneous electromyography - motsogozedwa ndi botulinum poizoni mankhwala; Laryngoscopy wosakanikirana - mankhwala othandizira poizoni; Zowonjezera dysphonia-BTX; Onabotulinumtoxin Abobotulinumtoxin A.

Akst L. Hoarseness ndi laryngitis. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 30-35.

Blitzer A, Sadoughi B, Guardiani E. Matenda a Neurologic a kholingo. 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 58.

Mwala PW. Matenda am'mero. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 429.