Ente ea chefo ea Botulinum - larynx

Chefo ea Botulimum (BTX) ke mofuta oa methapo e thibelang methapo. Ha e entsoe, BTX e thibela matšoao a methapo ho mesifa hore e phutholohe.

BTX ke chefo e bakang botulism, boloetse bo sa tloaelehang empa bo le bobe. E bolokehile ha e sebelisoa ka tekanyetso e nyane haholo.

BTX e entoa ka har'a mesifa e potileng lithapo tsa lentsoe. Sena se fokolisa mesifa mme se ntlafatsa boleng ba lentsoe. Ha se pheko ea laryngeal dystonia, empa e ka thusa ho kokobetsa matšoao.

Maemong a mangata, o tla ba le liente tsa BTX ofising ea mofani oa tlhokomelo ea bophelo. Ho na le mekhoa e 'meli e tloaelehileng ea ho kenya BTX ka molaleng:

Ka molala:

• U kanna oa ba le anesthesia ea lehae ho felisa sebaka seo.
• U ka robala ka mokokotlo kapa ua lula u lutse. Sena se tla itšetleha ka boiketlo ba hau le khetho ea mofani oa hau.
• Mofani oa hau a ka sebelisa mochini oa EMG (electromyography). Mochini oa EMG o tlaleha motsamao oa mesifa ea hau ea lentsoe ka li-electrode tse nyane tse behiloeng letlalong la hau. Sena se thusa mofani oa hau ho tataisa nale sebakeng se nepahetseng.
• Mokhoa o mong o kenyelletsa ho sebelisa laryngoscope e tenyetsehang e kentsoeng ka nko ho thusa ho tataisa nale.

Ka molomo:

• U kanna oa ba le anesthesia e akaretsang ka hona u robetse nakong ea ts'ebetso ena.
• E kanna eaba u fafalitsoe ka moriana oa nko, 'metso le larynx.
• Mofani oa hau o tla sebelisa nale e telele e kobehileng ho kenya ka kotloloho mesifa ea mohala oa lentsoe.
• Mofani oa hau a ka beha kh'amera e nyane (endoscope) ka hanong la hau ho tataisa nale.

U tla ba le ts'ebetso ena haeba u ka fumanoa u na le laryngeal dystonia. Liente tsa BTX ke kalafo e atileng haholo bakeng sa boemo bona.

Liente tsa BTX li sebelisetsoa ho sebetsana le mathata a mang ka lebokoseng la lentsoe (larynx). Li sebelisoa ho phekola maemo a mang a mangata likarolong tse fapaneng tsa 'mele.

U kanna oa sitoa ho bua nako e ka etsang hora kamora liente.

BTX e ka baka litla-morao tse ling. Maemong a mangata, litla-morao tsena li nka matsatsi a 'maloa feela. Tse ling tsa litla-morao li kenyelletsa:

• Molumo o phefumolohang lentsoeng la hau
• Ho thothofala
• Sefuba se fokola
• Bothata ba ho kwenya
• Bohloko moo BTX e keneng teng
• Matšoao a kang a feberu

Maemong a mangata, liente tsa BTX li lokela ho ntlafatsa boleng ba lentsoe la hau ka likhoeli tse 3 ho isa ho tse 4. Ho boloka lentsoe la hau, u ka hloka liente ka mor'a likhoeli tse 'maloa.

Mofani oa hau a ka u botsa hore u boloke tlaleho ea matšoao a hau ho bona hore na ente e sebetsa hantle hakae le nako e kae. Sena se tla thusa uena le mofani oa hau ho fumana lethal dose le nepahetseng bakeng sa hau le ho nka qeto ea hore na o hloka kalafo ha kae.

Ente laryngoplasty; Botox - larynx: spasmodic dysphonia-BTX; Thothomelo ea lentsoe ea bohlokoa (EVT) -btx; Ho se lekane ha Glottic; Percutaneous electromyography - tataisoa kalafo ea chefo ea botulinum; Phekolo e sa tobang ea laryngoscopy - kalafo ea chefo ea botulinum; Adductor dysphonia-BTX; Onabotulinumtoxin A-larynx; Abobotulinumtoxin A

Akst L. Hoarseness le laryngitis. Ka: Kellerman RD, Rakel DP, eds. Phekolo ea Hajoale ea Conn ea 2019. Philadelphia, PA: Elsevier; 2019: 30-35.

Blitzer A, Sadoughi B, Guardiani E. Mathata a Neurology a larynx. Ka: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 6th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 58.

Lejoe PW. Mathata a 'metso. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 429.