Mai makaʻu i ka laryngectomy, e kamaʻilio kākou e pili ana!

He mea maʻamau ka manaʻo nui i ka makaʻu a me ka haʻalulu ke haʻi aku kāu kauka iā ʻoe e pono e wehe ʻia kāu "pahu leo" a i ʻole ka larynx ma ke ʻoki ʻana. Nui paha kāu mau nīnau i loko o kou manaʻo, e like me "He aha ka mea e hiki mai ana i koʻu leo?" a "ʻAʻole anei au e hiki ke ʻōlelo hou?" Akā, mai hopohopo. ʻOiai he hana nui kēia, hiki nō iā ʻoe ke ola maikaʻi a ʻōlelo ma nā ʻano hou ma hope o ke ʻoki ʻana. E kamaʻilio kākou e pili ana i kēia ʻoki Laryngectomy me ka maʻalahi a me ka maopopo.

I ka ʻōlelo maʻalahi, he aha ka Laryngectomy?

He hana ʻoki kino ka laryngectomy e wehe ai i kahi hapa a i ʻole kou larynx āpau. Kapa pū kekahi poʻe iā ia ʻo kou "pahu leo." Aia kou larynx ma luna pono o kou trachea. ʻO ia kahi e pili ai kou waha, ihu, a me nā māmā. He mea nui ka larynx no ka hanu ʻana, ka moni ʻana, a me ka ʻōlelo ʻana.

I kēia manawa ke noʻonoʻo nei paha ʻoe, "No ke aha e wehe ai i kēia?" E ʻōlelo wale aku kāu kauka i kēia ʻano hana inā ua hōʻino nui ʻia kou larynx a i ʻole he maʻi koʻikoʻi.

ʻElua kumu nui:

• ʻO ke kanesa Laryngeal: Hana pinepine ʻia kēia ʻoki ʻana i nā hihia o ke kanesa o ka larynx.
• Ka pōʻino hiki ʻole ke hoʻi hou ʻia: Ma muli o ka pōʻino koʻikoʻi a hiki ʻole ke hoʻi hou ʻia i ka larynx i hoʻokumu ʻia e kahi ulia nui a i ʻole kekahi kumu ʻē aʻe.

I kekahi manawa, wehe wale ʻia kekahi hapa o ka larynx. Kāhea mākou i kēlā he laryngectomy hapa. I kekahi manawa, pono e wehe ʻia ka larynx holoʻokoʻa. Kāhea mākou i kēlā he laryngectomy piha.

Akā, aia ka nūhou maikaʻi. ʻAʻole i maʻamau kēia mau ʻoki kino i kēia manawa ma mua o ka wā ma mua. ʻO kēia no ka mea ua pau ka puhipaka ʻana o ka poʻe he nui a ua hoʻomohala ʻia nā ʻano hana hou e mālama ai i ka maʻi kanesa me ka wehe ʻole ʻana i ka larynx.

He aha kā mākou e hana ai ma mua o ke ʻoki kino?

Ma mua o ke ʻoki ʻana, e nānā pono kāu kauka iā ʻoe a hiki paha ke kauoha i kekahi mau hoʻokolohua ʻē aʻe.

• X-ray o ka umauma: E nānā i ke kūlana o kou mau māmā.
• Hoʻāʻo ECG: E nānā i ke ʻano o ka helu o ka puʻuwai.
• Nā hoʻāʻo koko: E nānā i ke olakino holoʻokoʻa o ke kino.

Eia kekahi, pono ʻoe e ʻike i kekahi mau loea. No ka laʻana, he loea ʻōlelo-ʻōlelo (SLP) a me kahi mea lapaʻau moni. E kōkua lākou iā ʻoe e hoʻomaʻamaʻa i ke ola ma hope o ke ʻoki ʻana a aʻo hou e ʻōlelo. He mea nui loa ka hana ʻana i kēia mau manawa ma mua o kāu ʻoki ʻana.

Inā ʻoe e puhipaka, e kōkua kāu hui lapaʻau iā ʻoe e haʻalele. E loaʻa nō hoʻi iā ʻoe ka manawa kūpono e kamaʻilio me kahi meaʻai meaʻai e kōkua iā ʻoe e hoʻolālā i kāu papaʻai ma hope o ke ʻoki ʻana.

Ma mua o ka lā o kou ʻoki kino, e hāʻawi kāu hui lapaʻau iā ʻoe i kahi hoʻonohonoho maopopo o nā kuhikuhi. E haʻi pinepine lākou iā ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau hoʻokahe koko i kekahi mau lā ma mua o ke ʻoki kino. E haʻi pū lākou iā ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana i ka pō ma mua.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

E noho ana ʻoe ma lalo o ka anesthesia i ka wā o ke ʻoki ʻana, ʻo ia hoʻi, ʻaʻole ʻoe e manaʻo i kekahi mea a e hiamoe ana ʻoe. E hahai ke kauka ʻoki i kēia mau ʻanuʻu:

1. Ke hana ʻana i kahi ʻoki: ʻO ka mea mua, hana ʻia kahi ʻoki liʻiliʻi ma ke alo o kou ʻāʻī.

2. Ka wehe ʻana i ka larynx: A laila e wehe ʻia kou larynx (pahu leo). Hiki ke pili i ka wehe ʻana i nā mea āpau a i ʻole kekahi hapa o ia mea, me nā kaula leo. Hiki nō hoʻi ke pili i ka wehe ʻana i nā lymph node kokoke a i ʻole nā ​​​​ʻāpana o ka ʻiʻo puʻu.

3. Ke hana ʻana i kahi Stoma: ʻO kēia ka ʻāpana koʻikoʻi loa. Ke wehe ʻia kou larynx, ʻaʻole hiki iā ʻoe ke hanu ma kou ihu e like me ka wā ma mua. No laila, ua hana ʻia kahi puka liʻiliʻi (lua) ma kou ʻāʻī e hana i kahi ala hou e hanu ai . Ua kapa ʻia kēia he Stoma . Hoʻokomo ʻia kahi ʻōmole liʻiliʻi i loko o kēia stoma.

4. Prosthesis Leo (inā pono wale nō): Hana ʻia kēia no kekahi poʻe. Hana ʻia kahi lua liʻiliʻi ma waena o ka ʻōpū hanu a me ka esophagus, a hoʻokomo ʻia kahi mea liʻiliʻi i loko e kōkua i ka ʻōlelo ʻana.

5. Ke pani ʻana i ka ʻoki: ʻO ka hope loa, ua pani pono ʻia ka ʻoki i hana ʻia ma ka ʻāʻī me nā humuhumu.

He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?

Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no hoʻokahi a ʻelua paha pule. No nā lā mua, e hānai ʻia ʻoe ma o kahi ʻōmole hānai . Ke maopopo i ka hui lapaʻau hiki iā ʻoe ke ale me ka palekana, e kōkua lākou iā ʻoe e ʻai ma ka waha.

Aia nā pilikia e pili ana i kekahi ʻoki kino. ʻO kekahi o nā pilikia e hiki ke kū mai i ka wā o kēia ʻoki kino:

• Ka hōʻino ʻana i nā ʻōpū a puni e like me ka trachea a i ʻole ka larynx.
• ʻO nā Fistulas, he mau puka kūpono ʻole ia ma waena o ka ʻāʻī a me ka ʻili.
• Ka neʻe ʻana i kaupalena ʻia ma ka ʻāʻī a i ʻole ka poʻohiwi.
• Hoʻemi ʻia ka hana thyroid.
• Nā pilikia e pili ana me ka stoma (e like me nā maʻi, ka huhū o ka ʻili) a me nā pilikia i ka mālama ʻana iā ia.
• Ke paʻakikī i ka ʻai ʻana, ka moni ʻana, a me ka ʻōlelo ʻana i nā wā mua.

ʻO ka hapa nui o nā kānaka e lawe ma kahi o ʻelua a ʻekolu pule e ho'ōla piha ai mai kēia ʻoki kino, akā hiki ke loli kēia ma muli o kou kūlana kino a me ke ʻano o ke ʻoki kino.

Pehea ʻoe e ʻōlelo hou ai ma hope o ke ʻoki kino?

ʻO kēia ka pilikia nui loa no nā kānaka a pau. Ke wehe ʻia kou larynx a me nā kaula leo, nalowale kou leo. Akā, ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke ʻōlelo hou. Hiki iā ʻoe ke kamaʻilio hou. Pono ʻoe e aʻo i nā ala hou e hana ai. ʻO kāu mea hoʻoponopono ʻōlelo (SLP) kou kākoʻo nui loa ma kēia huakaʻi.

Eia kekahi mau ʻano hana a me nā mea hana koʻikoʻi e kōkua iā ʻoe e ʻōlelo:

Āhea ʻoe e pono ai e kamaʻilio me ke kauka?

Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, e makaʻala i kou kūlana. E kāhea koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• kuni
• Ka wai e kahe ana mai ka wahi i hoʻopili ʻia
• Nā hōʻailona ʻē aʻe o ka maʻi (ʻulaʻula, pehu, ʻeha nui)

Eia nō naʻe, inā ʻeha kou umauma a paʻakikī paha ka hanu ʻana , he pilikia ia. E kelepona koke i ka 1990 (Suvaseriya) Ambulance Service, a i ʻole e hele i ka haukapila kokoke loa i ka Emergency Department (ETU) i ka hikiwawe loa.

ʻAʻole maʻalahi ka hana ʻana i kahi laryngectomy. Hiki iā ʻoe ke makaʻu, huhū, a me ka manaʻolana ʻole. Mai hoʻopaʻa i kēia mau manaʻo. E kamaʻilio me kāu kauka a me kou ʻohana e pili ana i ia mea. Hiki iā lākou ke kōkua iā ʻoe. Eia kekahi, ʻo ka ʻimi ʻana i ke kōkua mai kahi kākāʻōlelo a me ka hui pū ʻana me kahi hui kākoʻo me nā poʻe i hele i ka mea like me ʻoe hiki ke lilo i mea kōkua nui. ʻO ka nui o kāu aʻo ʻana e pili ana i kēia kūlana, ʻoi aku ka wiwo ʻole a me ka wiwo ʻole e kū i mua.