Jekiseni reBotulinum toxin - larynx

Botulimum toxin (BTX) mhando yeropa blocker. Kana jekiseni, BTX inovharira tsinga masaini kumhasuru kuti vazorodze.

BTX ndiyo muchetura unokonzera botulism, chirwere chisingawanzoitika asi chakakomba. Iyo yakachengeteka kana ichishandiswa mune dosi diki.

BTX inorowa mumhasuru dzakakomberedza tambo dzenzwi. Izvi zvinoderedza mhasuru uye kunatsiridza mhando yezwi. Haisi mushonga we laryngeal dystonia, asi inogona kubatsira kudzikamisa zviratidzo.

Muzviitiko zvakawanda, unenge uine majekiseni eBTX muhofisi yemupi wezvehutano. Pane nzira mbiri dzakajairika dzekubaya BTX mumarara.

Kuburikidza nemutsipa:

• Iwe unogona kunge uine anesthesia yemuno kuti uvhare nzvimbo yacho.
• Unogona kurara nemusana kana kuramba wakagara. Izvi zvinoenderana nekunyaradzwa kwako uye zvaunofarira zvemupi wako.
• Wako mupi anogona kushandisa EMG (electromyography) muchina. Muchina weEMG unorekodha kufamba kwetsandanyama dzako dzenzwi kuburikidza nema electrode madiki akaiswa paganda rako. Izvi zvinobatsira mupi wako kutungamira iyo tsono kunzvimbo chaiyo.
• Imwe nzira inosanganisira kushandisa laryngoscope inochinjika yakaiswa kuburikidza nemhuno kubatsira kutungamira tsono.

Kuburikidza nemuromo:

• Iwe unogona kunge uine general anesthesia saka iwe wakarara panguva iyi maitiro.
• Iwe unogona zvakare kuve nemushonga unofefetwa mumhuno dzako, huro, uye larynx.
• Wako mupi achashandisa tsono refu, yakakombamirwa kupinza zvakananga mumhasuru yetambo yemazwi.
• Iwe mupi anogona kuisa kadiki kamera (endoscope) mumuromo mako kutungamira tsono.

Iwe unenge uine maitiro aya kana iwe ukaonekwa uine laryngeal dystonia. Majekiseni eBTX ndiwo marapirwo akajairika eichi chiitiko.

Majekiseni eBTX anoshandiswa kurapa mamwe matambudziko muizwi bhokisi (larynx). Izvo zvinoshandiswa zvakare kurapa mamwe akawanda mamiriro munzvimbo dzakasiyana dzemuviri.

Iwe unogona kusakwanisa kutaura kweinenge awa mushure mejekiseni.

BTX inogona kukonzera mamwe mhedzisiro. Muzviitiko zvakawanda, izvi zvinokanganisa zvinongopedza mazuva mashoma. Mimwe yemhedzisiro yacho inosanganisira:

• Inzwi rinofema kuzwi rako
• Kuchema
• Kukosora kusina kusimba
• Dambudziko kumedza
• Marwadzo apo iyo BTX yakajowa
• Zviratidzo zvakaita sefuru

Muzviitiko zvakawanda, majekiseni eBTX anofanirwa kunatsiridza rako izwi rekunze kwemwedzi mitatu kana mina. Kuchengetedza izwi rako, ungangoda majekiseni mwedzi mishoma.

Mubatsiri wako anogona kukukumbira kuti uchengete diary yezviratidzo zvako kuti uone kuti jekiseni iri kushanda zvakadii uye kuti rinoshanda kwenguva yakareba sei. Izvi zvinokubatsira iwe nemupi wako kuwana dhifaiti chaiyo kwauri uye kuona kuti kangani kanoda kurapwa.

Jekiseni laryngoplasty; Botox - larynx: spasmodic dysphonia-BTX; Inokosha izwi kudedera (EVT) -btx; Kusakwana kweGlottic; Percutaneous electromyography - inotungamirwa botulinum toxin kurapwa; Percutaneous isina kunangana laryngoscopy - inotungamirwa botulinum toxin kurapwa; Adductor dysphonia-BTX; OnabotulinumtoxinA-ganda; Abobotulinumtoxin A.

Akst L. Kuchema uye laryngitis. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2019. Philadelphia, PA: Elsevier; 2019: 30-35.

Blitzer A, Sadoughi B, Guardiani E. Neurologic kusagadzikana kweiyo larynx. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 58.

Flint PW. Matambudziko ehuro. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsuwa 429.