Patients with severe symptoms of COVID-19 requiring intubation during treatment for a long time. Once healed, it may result in laryngeal injury, swelling, inflammation, or wound healing. When abnormalities occur, seek immediate medical attention.
Female Dr. Jirawadee Chatutasaru, MD. Ear, Nose, Throat, Ear, Nose and Throat Center Bangkok Hospital said that in patients infected with COVID-19 with severe lung inflammation resulting in respiratory failure Poor breathing requires a ventilator to assist in intubation. (Endotracheal Intubation) through the mouth through the larynx to the windpipe. This tube carries oxygen from the ventilator to the lungs. Helps lungs work better which takes quite a long time to heal The tubes can cause irritation to the tissues inside the larynx that can cause swelling, bruising, inflammation, scarring, scarring, or tumor formation. Resulting in the condition of the larynx malfunction from the original
Symptoms that can occur from intubation are: 1. laryngeal spasm A laryngospasm occurs when the tracheal tube is removed. It is a response to stimuli in the respiratory tract while the muscles of the larynx are not fully relaxed, thus causing contraction of the larynx and vocal cord muscles, for example, preventing oxygen from entering the lungs. 2. Laryngitis In addition to intubation, it can also be caused by many reasons, such as
– Germs, viruses, bacteria, fungi, tuberculosis
– Excessive use of the larynx, such as talking loudly, talking for a long time, singing the wrong way, strong coughing, chronic coughing, frequent phlegm.
-Irritations of the larynx, such as breathing in air pollution, smoking, choking on food, vomiting, acid reflux.
– A frictional impact from outside the larynx, such as an accidental hard blow to the front of the throat
-A bump from inside the larynx caused by intubation for general anesthesia or to provide oxygen to critically ill patients who are not
able to breathe normally
If the larynx is inflamed Treatment is as follows. (depending on the severity of the disease occurring in the larynx)
– Medication by a doctor will be determined primarily from the cause, such as anti-inflammatory drugs, disinfectants, cough medicines, acid reflux drugs, etc.
-A sound break of at least 2 weeks, must speak little, do not shout, do not shout, do not sing.
– Should refrain from drinking large amounts of caffeine. abstain from alcohol
-And surgery in case of tumors or scars in the larynx The doctor will insert a tube through the mouth. together with surgery with equipment for the larynx specifically Under the view through the lens of a microscope (Microscope) to prevent trauma or damage to nearby tissues. Make the surgical incision as small as possible. The patient will not have a wound on the skin of the neck. But after surgery, voice use should be discontinued for 2 weeks or until the wound heals completely.
For patients infected with COVID-19 treated with ventilator and tracheal tube as recommended by the treating physician. When recovered, various complications may occur. Should strictly follow the advice of the doctor. If you feel that the symptoms are abnormal, you should consult a doctor immediately for prompt treatment. For more information, contact the Bangkok Ear Nose and Throat Center. Call 1719 or add Line @bangkokhospital
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