ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ka Laryngectomy

Ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e hana i kahi laryngectomy, kahi ʻoki e wehe ai i kou pahu leo, e manaʻo paha ʻoe i ka makaʻu nui a me ka haʻalulu. Nui paha nā nīnau i loko o kou manaʻo, e like me "Pehea lā wau e ʻōlelo hou ai?" a "He aha ka mea e hiki mai ana i koʻu ola i ka wā e hiki mai ana?" He mea maʻamau loa kēia. Akā, mai hopohopo. E kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi a me ka maopopo.

I ka ʻōlelo maʻalahi, he aha ka laryngectomy?

ʻO ka Laryngectomy kahi hana ʻoki e wehe ai i kahi āpau a i ʻole kekahi hapa o kou larynx (pahu leo).

E noʻonoʻo i kou larynx he mea liʻiliʻi e hana ana ma nā hui koʻikoʻi ʻekolu. Aia ia ma luna o kou trachea (windpipe). Hoʻohui ia i nā ala ea e puka mai ana mai kou ihu a me ka waha i kou mau māmā.

ʻEkolu mau hana nui o kēia larynx:

• Kōkua iā ʻoe e ʻōlelo: Aia nā kaula leo e hoʻopuka i kou leo ​​​​maʻaneʻi.
• Kōkua i ka hanu ʻana: Ua wehe ʻia nā ala ea i loko o nā māmā.
• Kōkua i ka moni ʻana: I ka moni ʻana, pale ia i ka meaʻai mai ke komo ʻana i loko o ka trachea.

No ke aha e makemake ai kekahi e hana i kēia ʻoki kino?

Aia kekahi mau kumu e ʻōlelo aku ai ke kauka i kēia ʻoki kino. Ma muli o ke koʻikoʻi o kou kūlana, hiki iā lākou ke hoʻoholo e wehe i kahi hapa wale nō o kou larynx (Partial Laryngectomy) a i ʻole ka larynx holoʻokoʻa (Total Laryngectomy).

E nānā i ka papa ma lalo no nā kumu nui.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

ʻAe, e ʻōlelo kākou ua hoʻoholo ʻoe e hana i ke ʻoki kino. Ma mua o kēlā, e nānā pono kāu kauka iā ʻoe. E hana pū ʻo ia i kekahi mau hoʻokolohua e ʻike ai inā ua mākaukau kou kino no ke ʻoki kino.

• Nā hoʻāʻo koko: ʻO ka maʻamau, hana ʻia nā mea e like me ka helu koko piha.
• X-ray o ka umauma: E nānā i ke kūlana o kou mau māmā.
• Hoʻāʻo ECG (Electrocardiogram): E nānā inā hiki i ka hana o kou puʻuwai ke kū i ke ʻoki kino.

Eia kekahi, e kuhikuhi aku kāu kauka iā ʻoe i kekahi mau loea ʻē aʻe, e like me ke Kauka ʻŌlelo-ʻŌlelo a me ke Kauka Loiloi . E kōkua kēia poʻe iā ʻoe e hoʻomākaukau no ke ola ma hope o ke ʻoki ʻana. No laila, mai poina i kēia mau manawa i koho ʻia.

Inā he mea puhi paka ʻoe, e hāʻawi ʻia ʻoe i nā ʻōlelo aʻoaʻo a me ke kākoʻo e haʻalele ma mua o ke ʻoki ʻana. E hāʻawi pū ʻia ʻoe i nā ʻōlelo aʻoaʻo meaʻai e kōkua iā ʻoe e hoʻōla koke ma hope o ke ʻoki ʻana.

Pehea e hana ʻia ai ke ʻoki kino

Hana ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā. No laila, ʻaʻole ʻoe e ʻeha a i ʻole kekahi mea. E hahai ke kauka ʻoki kino i kēia mau ʻanuʻu:

1. Ke ʻoki ʻana: ʻO ka mea mua, hana pono ke kauka lapaʻau i kahi ʻoki ma ka ʻili o kou ʻāʻī.

2. Ka wehe ʻana i ka larynx: ʻO ka mea aʻe, ma muli o kou kūlana, e wehe ʻia kekahi hapa a i ʻole kou larynx āpau. I kekahi manawa, pono paha e wehe ʻia nā lymph nodes a i ʻole kekahi hapa o kou puʻu (pharynx).

3. Ke hana ʻana i kahi Stoma: ʻO kēia ka hoʻololi nui loa ma hope o ke ʻoki ʻana. E hana ke kauka ʻoki i kahi puka liʻiliʻi ma ke alo o kou ʻāʻī, e pili pono ana i kou ʻōpū hanu. Ua kapa ʻia kēia puka he stoma . Ma hope o ke ʻoki ʻana, e hanu ʻoe ma o kēia stoma. Hoʻokomo mua ʻia kahi ʻōmole liʻiliʻi (`laryngectomy tube`) e kōkua i kēia.

4. Ke hana ʻana i kahi TEP:I kekahi manawa, hana ke kauka lapaʻau i kahi lua liʻiliʻi ma waena o kou ʻōpū hanu (trachea) a me kou esophagus (esophagus). Ua kapa ʻia kēia he 'Tracheoesophageal Puncture (TEP).' Hana ʻia kēia i hiki ke hoʻokomo ʻia kahi hāmeʻa ('voice prosthesis') ma hope e kōkua iā ʻoe e ʻōlelo. Eia naʻe, ʻaʻole kūpono kēia no nā mea āpau. Pono ʻoe e kamaʻilio me kāu kauka e hoʻoholo inā kūpono kēia iā ʻoe.

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

Ma hope o ke ʻoki kino, e noho mau ʻoe ma ka haukapila no hoʻokahi a ʻelua paha pule. I loko o kēia manawa, e mālama pono ke kime lapaʻau iā ʻoe. No nā lā mua, e hānai ʻia ʻoe ma o kahi ʻōmole hānai. E wehe ʻia ka ʻōmole ke hiki iā ʻoe ke ale i nā wai.

Pehea ʻoe e kamaʻilio ai ma hope o ke ʻoki kino?

Aia ma lalo iho kekahi o nā ʻano hana nui.

He aha nā pilikia a me nā pilikia o ke ʻoki kino?

E like me nā hana ʻoki kino ʻē aʻe, hiki i ke ʻoki laryngectomy ke loaʻa kekahi mau pilikia a me nā pilikia.

Nā pilikia maʻamau

• Maʻi
• Nā ʻūpā koko
• Nā kūlana puʻuwai
• Paʻakikī ka hanu ʻana

Nā pilikia kikoʻī no ke ʻoki ʻana

• Ka hōʻino ʻana i ka trachea a i ʻole ka bronchi
• Hoʻemi ʻia ka hana thyroid
• Ke paʻakikī i ka ale ʻana i ka meaʻai, nā mea inu, a me ka ʻōlelo ʻana
• Ka palena o ka neʻe ʻana o ka ʻāʻī a me ka poʻohiwi
• Nā pilina maʻamau ʻole (fistulas) ma waena o ka ʻāʻī a me ka ʻili
• Nā pilikia e pili ana i ka stoma

ʻEhia ka lōʻihi e hoʻōla ai a he aha nā mea e makaʻala ai?

ʻO ka maʻamau, ʻelua a ʻekolu pule e hoʻōla ai, akā hiki ke ʻokoʻa kēia manawa mai kēlā kanaka a kēia kanaka, ma muli o ka hiki o kou kino ke ho'ōla a me ka nui o ke ʻoki ʻana.

Inā ua hana ʻia ʻoe i ke ʻoki kino no ke kanesa, pono paha ʻoe i nā lāʻau ʻē aʻe, e like me ka radiation therapy a i ʻole chemotherapy , e pale aku i ka hoʻi hou ʻana mai o ke kanesa. He mea nui hoʻi e ʻike i kāu kauka no nā hoʻokolohua ma nā manawa i hoʻonohonoho ʻia.

E aʻo aku kāu hui lapaʻau iā ʻoe pehea e hanu ai, ʻōlelo ai, ale ai, a mālama hou i kou stoma. He mea nui ka hahai pono ʻana i kēia mau kuhikuhi no ka hoʻōla wikiwiki ʻana.

I ka manawa e ʻimi koke ai i ke aʻo lapaʻau

Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, pono ʻoe e hōʻike koke i nā hōʻailona e kū mai ana.

Mai hakakā i nā manaʻo āu e manaʻo ai ke haʻi ʻia aku ʻoe e pono ʻoe e hana i ke ʻoki kino e like me kēia wale nō. E kamaʻilio me kāu kauka, ʻohana, a i ʻole he hoaaloha hilinaʻi e pili ana i kou mau manaʻo a me kou mau makaʻu. Inā pono, e ʻimi i ke kōkua o kahi kākāʻōlelo. Eia kekahi, ʻo ka hui pū ʻana me nā hui kākoʻo me ka poʻe i loaʻa nā ʻike like e lilo ia i kumu ikaika nui.