Ngwunye ọgwụ botulinum na-egbu egbu - larynx

Botulimum toxin (BTX) bụ ụdị ihe mgbochi akwara. Mgbe a gbanye ya, BTX na-egbochi mgbaàmà akwara na akwara ka ha wee nwee ahụ iru ala.

BTX bụ nsí na-akpata botulism, ọrịa na-adịghị ahụkebe ma dị njọ. Ọ dị mma mgbe ejiri ya na obere ogwu.

A na-agbanye BTX n'ime akwara ndị dị gburugburu ụda olu. Nke a na-ebelata akwara ma melite ogo olu. Ọ bụghị ọgwụgwọ maka laryngeal dystonia, mana ọ nwere ike inye aka belata mgbaàmà ahụ.

N'ọtụtụ oge, ị ga-enweta inje ogwu BTX na ụlọ ọrụ na-eweta nlekọta ahụike gị. E nwere ụzọ abụọ dị mkpa iji gbanye BTX n'ime nkọlọ:

Site n'olu:

• Nwere ike ịnwe ọgwụ mgbochi ọrịa iji belata mpaghara ahụ.
• Nwere ike dinara n’azụ gị ma ọ bụ nọrọ ọdụ. Nke a ga-adabere na nkasi obi gị na mmasị onye na-eweta gị.
• Onye na-enye gị nwere ike iji igwe EMG (electromyography). Igwe EMG na-edekọ mmegharị nke akwara ụda olu gị site na obere electrodes etinye na akpụkpọ gị. Nke a na - enyere onye na - eweta gị aka ị duzi agịga ahụ gaa ebe ziri ezi.
• Usoro ọzọ gụnyere iji laryngoscope na-agbanwe agbanwe etinyere site na imi iji nyere aka duzie agịga ahụ.

Site n'ọnụ:

• Nwere ike ịnwe ọgwụ mgbochi izugbe n'ihi ya ị na-ehi ụra n'oge usoro a.
• Nwekwara ike ị medicineụ ọgwụ na-akụnwụ ahụ nke na-efesa n’imi, akpịrị, na nkọlọ gị.
• Onye na-enye gị ọrụ ga-eji agịga ogologo ogologo –gịgọọdụ wee gbanye ya n’ime akwara ụda olu.
• Provider na-eweta ihe nwere ike itinye obere igwefoto (endoscope) n'ime ọnụ gị iji dọọ agịga ahụ.

Ga - enwe usoro a ma ọ bụrụ na a chọpụta na ị nwere laryngeal dystonia. Injections BTX bụ ọgwụgwọ kachasị maka ọnọdụ a.

A na-eji ọgwụ BTX agwọ ọrịa ndị ọzọ na igbe olu (larynx). A na-ejikwa ha agwọ ọtụtụ ọnọdụ ndị ọzọ n'akụkụ dị iche iche nke ahụ.

May nwere ike ịgaghị enwe ike ikwu okwu ihe dị ka otu elekere mgbe ọgbụgba ahụ gachara.

BTX nwere ike ibute ụfọdụ nsonaazụ. N'ọtụtụ ọnọdụ, mmetụta ndị a na-adịgide ụbọchị ole na ole. Fọdụ n'ime mmetụta ndị metụtara gụnyere:

• A iku ume ụda olu gị
• Arsda ụda
• Adịghị ike ụkwara
• Nsogbu ilo
• Mgbu ebe BTX gbara
• Symptomsjọ-dị ka mgbaàmà

N'ọtụtụ ọnọdụ, injections BTX kwesịrị ịkwalite ogo olu gị maka ihe dịka ọnwa 3 ruo 4. Iji nọgide na-enwe olu gị, ị pụrụ ịdị na-agba gị ọgwụ kwa ọnwa ole na ole.

Onye na-eweta gị nwere ike ịrịọ gị ka ịdebe ihe edeturu nke ihe mgbaàmà gị iji hụ ka ọ dị mma yana ogologo oge ọgwụ ahụ na-arụ ọrụ. Nke a ga - enyere gị na onye na - eweta gị aka ịchọta ọgwụ kwesịrị ekwesị maka gị ma kpebie oge ole ị chọrọ ọgwụgwọ.

Ọgwụ laryngoplasty; Botox - nkọlọ: spasmodic dysphonia-BTX; Oké olu tremor (EVT) -btx; Enweghị afọ ojuju nke Glottic; Percutaneous electromyography - ọgwụgwọ botulinum toxin na-eduzi; Percutaneous indirect laryngoscopy - ọgwụgwọ botulinum toxin ọgwụgwọ; Adductor dysphonia-BTX; OnabotulinumtoxinA-larynx; AbobotulinumtoxinA

Akst L. Hoarseness na laryngitis. Na: Kellerman RD, Rakel DP, eds. Usoro ọgwụgwọ Conn nke 2019. Philadelphia, PA: Elsevier; 2019: 30-35.

Blitzer A, Sadoughi B, Guardiani E. Ọrịa Neurology nke nkọlọ. Na: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Headwa Ahụ na olu. Nke isii. Philadelphia, PA: Elsevier Saunders; 2015: isi 58.

Nkume PW. Akpịrị aghara. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke iri abụọ na ise. Philadelphia, PA: Elsevier Saunders; 2016: isi 429.