Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ahodwiriw kɛse nka bere a wo duruyɛfo ka kyerɛ wo sɛ ɛsɛ sɛ wɔyɛ wo oprehyɛn yi wo "nne adaka" anaa wo hwene no. Ebia wowɔ nsɛmmisa pii wɔ w'adwene mu, te sɛ "Dɛn na ɛbɛto me nne?" na "So merentumi nkasa bio da?" Nanso mma ɛnhaw wo. Ɛwom mpo sɛ eyi yɛ oprehyɛn kɛse de, nanso wubetumi akɔ so atra ase yiye na woakasa wɔ akwan foforo so wɔ oprehyɛn no akyi. Momma yɛnka Laryngectomy oprehyɛn yi ho asɛm tiawa na emu nna hɔ.
Sɛ yɛbɛka no tiawa a, dɛn ne Laryngectomy?
Laryngectomy yɛ oprehyɛn a woyi wo larynge no fã bi anaa ne nyinaa. Nnipa binom nso frɛ no wo "nne adaka." Wo hwene no wɔ wo ahurututu no atifi pɛɛ. Ɛhɔ na w’ano, wo hwene, ne w’ahurututu di nkitaho. Ahurututu no ho hia ma ahome, amene, ne kasa.
Afei ebia worebisa wo ho sɛ, "Dɛn nti na yi eyi fi hɔ?" Sɛ wo hwene asɛe kɛse anaasɛ wowɔ ayaresa tebea bi nkutoo a, na wo duruyɛfo bɛkamfo oprehyɛn a ɛte sɛɛ akyerɛ.
Nneɛma atitiriw abien nti:
- Ahurututu mu kokoram: Wɔtaa yɛ oprehyɛn yi wɔ nsɛm a ɛfa ahurututu mu kokoram ho.
- Ɔsɛe a wontumi nsakra: Esiane ɔsɛe a emu yɛ den a wontumi nsakra wɔ ahurututu no mu a akwanhyia a emu yɛ den anaa biribi foforo de aba nti.
Ɛtɔ mmere bi a, woyi anom no fã bi pɛ. Yɛfrɛ saa asɛm no sɛ laryngectomy fã bi. Mmere foforo nso, ɛsɛ sɛ woyi ahurututu no nyinaa fi hɔ. Yɛfrɛ ɛno sɛ laryngectomy koraa.
Nanso asɛmpa bi wɔ hɔ. Saa oprehyɛn ahorow yi ntaa mma mprempren sɛnea na ɛte kan no. Nea enti a ɛte saa ne sɛ nnipa pii agyae sigaretnom na wɔayɛ akwan foforo a wɔfa so sa kokoram a wɔrenyi anom.
Dɛn na ɛsɛ sɛ yɛyɛ ansa na wɔayɛ oprehyɛn no?
Ansa na wɔbɛyɛ wo oprehyɛn no, wo duruyɛfo no bɛhwɛ wo yiye na ebia ɔhyɛ sɛ wɔnyɛ nhwehwɛmu afoforo pii nso.
- Chest X-ray: Hwɛ sɛnea w’ahurututu te.
- ECG nhwehwɛmu: Hwɛ sɛnea koma no bɔ.
- Mogya mu nhwehwɛmu: Hwɛ nipadua no akwahosan nyinaa.
Nea ɛka ho no, ebehia sɛ wokɔ animdefo pii nkyɛn. Sɛ nhwɛso no, ɔkasa ne kasa mu ɔyare ho ɔbenfo (SLP) ne ɔyaresafo a ɔmene ade. Wɔbɛboa wo ma woayɛ nsakrae wɔ asetra mu wɔ oprehyɛn akyi na woasua sɛnea wobɛkasa bio. Ɛho hia yiye sɛ wobɛyɛ saa nhyehyɛe ahorow yi ansa na wɔayɛ wo oprehyɛn no.
Sɛ wonom sigaret a, w’aduruyɛfo kuw no bɛboa wo ma woagyae. Wo nso wubenya hokwan ne aduan ho ɔbenfo bi akasa na waboa wo ma woayɛ w’aduan ho nhyehyɛe bere a wɔayɛ wo oprehyɛn awie no.
Ansa na da a wɔbɛyɛ wo oprehyɛn no adu no, w’aduruyɛfo kuw no bɛma wo akwankyerɛ a emu da hɔ. Wɔbɛtaa aka akyerɛ wo sɛ gyae nnuru a ɛma mogya tu no nom nna kakraa bi ansa na wɔayɛ oprehyɛn no. Wɔbɛka akyerɛ wo nso sɛ gyae adidi ne anonne anadwo a edi kan no.
Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?
Wɔbɛma wo aduru a wɔde kum nipadua no wɔ oprehyɛn no nyinaa mu, a ɛkyerɛ sɛ worente biribiara nka na wobɛda. Oduruyɛfo a ɔyɛ oprehyɛn no bedi anammɔn yi akyi:
1. Ntwitwiridii: Nea edi kan no, wɔtwa wo kɔn no anim ketewaa bi.
2. Larynx a woyi fi hɔ: Afei wobeyi wo larynx (nne adaka) no afi hɔ. Ebia ɛbɛhwehwɛ sɛ woyi ne nyinaa anaa ne fã bi, a ɛnne nhama ka ho. Ebia ɛbɛhwehwɛ nso sɛ wobeyi ntini a ɛbɛn anaa menewa mu ntini no afã horow afi hɔ.
3. Stoma a Wɔbɛbɔ: Eyi ne ɔfã a ɛho hia sen biara. Sɛ woyi wo hwene mu a, wuntumi mfa wo hwene mu home sɛnea na woyɛ kan no. Enti, wɔyɛ ɔkwan ketewaa bi a wɔabue (tokuru) wɔ wo kɔn mu de ayɛ ɔkwan foforo a wobɛfa so ahome . Wɔfrɛ eyi Stoma . Wɔde afiri ketewaa bi hyɛ stoma yi mu.
4. Voice Prosthesis (sɛ ɛho hia nkutoo): Wɔyɛ eyi nso ma nnipa binom. Wɔyɛ tokuru ketewaa bi wɔ mframa afiri ne aduannuru ntam, na wɔde afiri ketewaa bi hyɛ mu de boa ma ɔkasa.
5. Ntwitwiridii no a wɔbɛto mu: Awiei koraa no, wɔde nhama toto nea wɔatwa no kɔn no mu fɛfɛɛfɛ.
Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ oprehyɛn akyi?
Wɔ oprehyɛn no akyi no, ebehia sɛ wotra ayaresabea hɔ bɛyɛ dapɛn biako anaa abien. Nna kakraa a edi kan no, wɔbɛfa afiri a wɔde ma wo aduan mu ama wo . Sɛ nnuruyɛfo kuw no nya awerɛhyem sɛ wubetumi amene dwoodwoo a, wɔbɛboa wo ma woadi w’ano.
Kae sɛ eyi nyinaa yɛ w’akwahosan ne w’ahobammɔ. Aduruyɛ kuw no ne wo bɛtra ase akyerɛkyerɛ biribiara mu.
Asiane ahorow wɔ oprehyɛn biara mu. Nsɛnnennen a ebetumi aba wɔ oprehyɛn yi mu no bi ne:
- Akwaa a atwa ho ahyia te sɛ ahurututu anaa ahurututu a ɛsɛe.
- Fistulas, a ɛyɛ akwan a ɛnyɛ ne kwan so a ɛda menewa ne honam ani.
- Kankyee kakraa bi wɔ kɔn anaa mmati mu.
- Thyroid dwumadi a ɛso tew.
- Ɔhaw ahorow a ɛbata stoma no ho (e.g. ɔyare mmoawa, honam ani yare) ne nsɛnnennen a ɛwɔ ne hwɛ mu.
- Ɛyɛ den sɛ wobɛdidi, wobɛmene, na woakasa wɔ mfiase.
Nnipa dodow no ara gye bɛyɛ adapɛn abien kosi abiɛsa ansa na wɔn ho atɔ wɔn koraa wɔ oprehyɛn yi mu, nanso eyi betumi ayɛ soronko a egyina wo nipadua tebea ne oprehyɛn no su so.
Ɔkwan bɛn so na wosan kasa bio bere a wɔayɛ wo oprehyɛn awie no?
Eyi ne ɔhaw kɛse ma obiara. Sɛ woyi wo hwene ne wo nne nhama a, wo nne so tew. Nanso ɛno nkyerɛ sɛ wuntumi nkasa bio. Akyinnye biara nni ho sɛ wubetumi adi nkitaho bio. Ɛsɛ sɛ wusua akwan foforo a wobɛfa so ayɛ ara kwa. Wo kasa ho ɔyaresafo (SLP) bɛyɛ wo mmoa kɛse wɔ akwantu yi mu.
Akwan ne nnwinnade atitiriw bi a ɛbɛboa wo ma woakasa ni:
| Ɔkwan / Adwinnade | Sɛ yɛbɛka no tiawa a, . |
|---|---|
| Ɛnne a Wɔde Yɛ Adwuma | Eyi yɛ afiri ketewaa bi a ɛhyɛ wo stoma so. Sɛ wode wo nsateaa to stoma no mu a, mframa a efi w’ahurututu mu fa saa afiri yi mu kɔ wo menewam, na ɛma nnyigyei bi te sɛ nne ba. Ɛnne a efi mu ba no te sɛ ɛnne a ɛyɛ daa no ara pɛ. |
| Electricarynx a ɛwɔ nipadua no mu | Eyi yɛ ɛlɛtrɔnik mfiri ketewaa bi a wode hyɛ wo kɔn mu. Ɛde wosow fa wo menewam kɔ w’anom, baabi a ɛdan nsɛmfua. Ɛwom sɛ ebia ɛnne a ɛde ba no bɛyɛ te sɛ robɔt kakra de, nanso ɛnyɛ den koraa sɛ wubesua sɛnea wɔde bedi dwuma. |
| Esophageal Ɔkasa a Wɔka | Eyi yɛ ɔkwan a wɔfa so kasa a wɔmfa nnwinnade biara nni dwuma. Nea woyɛ wɔ ha ne sɛ wode mframa kakra bɛkɔ wo menewam na afei woagyae no nkakrankakra na woahyɛ so ma ayɛ nnyigyei. Eyi gye sɛ wobɛyɛ wo su kakra, nanso sɛ wuhu ɔkwan yi yiye a, worenhia nnwinnade biara. |
| Nkitahodi a nsɛmfua nnim | Bere a woresua sɛnea wɔkasa no, wubetumi de akwan foforo adi dwuma. Sɛ nhwɛso no, wo fon anaa wo tablɛt so a wobɛkyerɛw, nsa ne w’anim a wode bedi dwuma, na woakyerɛw. |
Bere bɛn na ɛsɛ sɛ wo ne oduruyɛfo no kasa?
Sɛ wudu fie bere a wɔayɛ wo oprehyɛn awie a, hwɛ wo tebea no yiye. Sɛ wowɔ saa sɛnkyerɛnne yi bi a , frɛ wo duruyɛfo ntɛm ara :
- Huraeɛ
- Pus a ɛretu fi baabi a wɔpam no
- Nsɛnkyerɛnne afoforo a ɛkyerɛ sɛ obi anya ɔyare mmoawa (ɛyɛ kɔkɔɔ, ɛho ahonhon, ɛyaw a emu yɛ den) .
Nanso, sɛ wo koko yɛ wo yaw anaasɛ ɛyɛ den ma wo kɛse sɛ wobɛhome a , ɛyɛ ntɛmpɛ. Frɛ 1990 (Suvaseriya) Ambulance Service ntɛm ara, anaa kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara sɛnea wubetumi.
Sɛ́ wobɛtwa laryngectomy no nyɛ mmerɛw. Ebia wobɛte ehu nka, wo bo afuw, na woanya anidaso mpo. Mfa saa nkate ahorow yi nkura mu Wo ne wo duruyɛfo ne w’abusua nka ho asɛm. Wobetumi aboa wo. Afei nso, sɛ wohwehwɛ mmoa fi ɔfotufoɔ hɔ na wo ne nnipa a wɔafa adeɛ korɔ no ara mu sɛ wo bɛka mmoa kuw bi ho a, ɛbɛtumi ayɛ mmoa kɛseɛ. Dodow a wusua tebea yi ho ade no, dodow no ara na wubenya ahotoso ne akokoduru de agyina ano.
Nkrasɛm a Wɔde Kɔ Fie
- Laryngectomy yɛ oprehyɛn kɛse a egye nkwa a woyi anom.
- Sɛ woyɛ oprehyɛn wie a, ɛsɛ sɛ woyɛ wo su sɛ wobɛhome wɔ ɔkwan foforo so afa ɔkwan bi a wɔabue a wɔfrɛ no ‘stoma’ a wɔayɛ wɔ wo kɔn mu no so.
- Sɛ wo nne yera mpo a, akyinnye biara nni ho sɛ wubetumi akasa na woasan adi nkitaho denam akwan foforo pii so denam ɔkasa ho ɔyaresafo mmoa so.
- Mma wo nkutoo nkɔ akwantu yi mu. Nya mmoa fi w’aduruyɛ kuw, abusua, ne afotufo hɔ.
- Di wo duruyɛfo akwankyerɛ akyi yiye bere a wo ho retɔ wo na woreyɛ nsakrae wɔ w’asetra foforo no mu no.
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