Na nɔmal tin fɔ fil big big fred ɛn shɔk we yu dɔktɔ tɛl yu se dɛn nid fɔ ɔpreshɔn yu "voys bɔks" ɔ larynx. Yu kin gɛt bɔku kwɛstyɔn dɛn na yu maynd, lɛk "Wetin go apin to mi vɔys?" ɛn "A nɔ go ɛva ebul fɔ tɔk igen?" Bɔt nɔ wɔri. Pan ɔl we dis na big ɔpreshɔn, yu kin stil liv fayn ɛn tɔk nyu we afta di ɔpreshɔn. Lɛ wi tɔk bɔt dis Laryngectomy ɔpreshɔn simpul ɛn klia wan.
Fɔ tɔk am simpul wan, wetin na Laryngectomy?
Laryngectomy na ɔpreshɔn we dɛn kin du fɔ pul wan pat ɔ ɔl di larynx. Sɔm pipul dɛn kin kɔl am bak yu "voice box." Yu larynx de jɔs ɔp yu trakya. Na de yu mɔt, yu nos, ɛn yu lɔng dɛn kin kɔnɛkt. Di larynx impɔtant fɔ mek pɔsin ebul fɔ blo, fɔ swɛla, ɛn fɔ tɔk.
Naw yu go de wɔnda, "Wetin mek fɔ pul dis?" Yu dɔktɔ go jɔs tɛl yu fɔ du dis kayn ɔpreshɔn if yu larynx dɔn pwɛl bad bad wan ɔ if yu gɛt sik.
Tu men rizin dɛn de:
- Laryngeal cancer: Dɛn kin du dis ɔpreshɔn mɔ pan di kes dɛm we gɛt kansa na di larynx.
- Damej we nɔ go ɛva chenj: Bikɔs ɔf siriɔs, damej we nɔ go ebul fɔ chenj na di larynx we gɛt siriɔs aksidɛnt ɔ ɔda tin.
Sɔntɛnde, na wan pat pan di larynx nɔmɔ dɛn kin pul. Wi kin kɔl dat pat pan laryngectomy. Ɔda tɛm dɛn, dɛn kin gɛt fɔ pul di wan ol larynx. Wi kɔl dat wan tɔtal laryngectomy.
Bɔt gud nyus de. Dɛn ɔpreshɔn ya nɔ kin bɔku naw lɛk aw dɛn bin de du trade. Dis na bikɔs bɔku pipul dɛn dɔn stɔp fɔ smok ɛn dɛn dɔn mek nyu we fɔ mɛn kansa ɛn nɔ pul di larynx.
Wetin wi fɔ du bifo dɛn du di ɔpreshɔn?
Bifo dɛn du di ɔpreshɔn, yu dɔktɔ go chɛk yu gud gud wan ɛn i kin ɔda fɔ mek dɛn du bɔku ɔda tɛst dɛn bak.
- Chɛst X-ray: Chɛk aw yu lɔng dɛn de.
- ECG test: Si aw di at de bit.
- Blɔd tɛst: Chɛk di jenɛral wɛlbɔdi na di bɔdi.
Apat frɔm dat, yu go nid fɔ go to sɔm spɛshal pipul dɛn. Fɔ ɛgzampul, wan dɔktɔ we de mɛn pipul dɛn we de tɔk ɛn langwej (SLP) ɛn pɔsin we de mɛn pipul dɛn we de swɛla. Dɛn go ɛp yu fɔ ajɔst to layf afta dɛn dɔn du yu ɔpreshɔn ɛn lan fɔ tɔk bak. I rili impɔtant fɔ mek dɛn apɔntin dɛn ya bifo dɛn du yu ɔpreshɔn.
If yu de smok, yu mɛdikal tim go ɛp yu fɔ lɛf fɔ smok. Yu go gɛt di chans bak fɔ tɔk to pɔsin we sabi bɔt it fɔ ɛp yu fɔ plan aw fɔ it afta dɛn dɔn du yu ɔpreshɔn.
Bifo di de we dɛn go du yu ɔpreshɔn, yu mɛdikal tim go gi yu klia instrɔkshɔn. Bɔku tɛm dɛn go tɛl yu fɔ stɔp fɔ tek mɛrɛsin we de mek yu blɔd tan sɔm dez bifo dɛn du di ɔpreshɔn. Dɛn go tɛl yu bak fɔ stɔp fɔ it ɛn drink di nɛt bifo.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Yu go de ɔnda anestezi ɔl di tɛm we dɛn de du di ɔpreshɔn, we min se yu nɔ go fil natin ɛn yu go de slip. Di dɔktɔ we de du di ɔpreshɔn go fala dɛn tin ya:
1. Fɔ mek pɔsin kɔt: Fɔs, dɛn kin kɔt smɔl na di fɔs pat na yu nɛk.
2. Fɔ pul di larynx: Dɔn dɛn go pul yu larynx (voys bɔks). I kin min se dɛn fɔ pul ɔl ɔ sɔm pat pan am, ivin di kɔd dɛn we dɛn kin yuz fɔ tɔk. I kin min bak fɔ pul di limf no dɛm we de nia ɔ sɔm pat dɛm na di trot tisu.
3. Krio Stoma: Dis na di pat we impɔtant pas ɔl. We dɛn pul yu larynx, yu nɔ kin ebul fɔ blo tru yu nos lɛk aw yu bin de blo. So, dɛn kin mek wan smɔl opin (ol) na yu nɛk fɔ mek nyu we fɔ blo . Dɛn kɔl dis wan Stoma . wan sכm sכm tכb de insay dis stoma.
4. Voice Prosthesis (onli if nid de): Dɛn kin du dis bak fɔ sɔm pipul dɛn. Dɛn kin mek wan smɔl ol bitwin di briz paip ɛn di it we dɛn kin it, ɛn dɛn kin put smɔl tin insay de fɔ ɛp fɔ tɔk.
5. Klos di say we dɛn kɔt: Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt di nɛk fayn fayn wan wit stich.
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk wan ɔ tu wiks so. Fɔ di fɔs dez, dɛn go gi yu tin fɔ it tru wan tiub we de gi yu tin fɔ it . Wae di mɛdikal tim dɔn shɔ se yu kin swɛla fayn fayn wan, dɛn go ɛp yu fɔ it wit yu mɔt.
Mɛmba se dis na ɔl fɔ yu wɛlbɔdi ɛn sef. Di mɛdikal tim go sidɔm wit yu ɛn ɛksplen ɔltin.
Risk dɛn de we kin apin we dɛn du ɛni ɔpreshɔn. Sɔm pan di prɔblɛm dɛn we kin apin we dɛn de du dis ɔpreshɔn na:
- di damej pan di כgan dεm we de rawnd lεk di trakya כ di larynx.
- Fistulas, we na abnɔmal opin bitwin di trot ɛn di skin.
- Limitɛd muvmɛnt na di nɛk ɔ sholda.
- Di tayroyd nɔ de wok fayn.
- Prɔblɛm dɛn we gɛt fɔ du wit di stoma (e.g. infɛkshɔn, skin iritashɔn) ɛn prɔblɛm dɛn we de fɔ kia fɔ am.
- I nɔ kin izi fɔ it, swɛla, ɛn tɔk we i bigin.
Bɔrku pipul kin tek lɛk tu to tri wiks fɔ wɛl wɛl frɔm dis ɔpreshɔn, bɔt dis kin difrɛn difrɛn wan bay aw yu bɔdi de ɛn aw di ɔpreshɔn de.
Aw yu kin tɔk bak afta dɛn dɔn du yu ɔpreshɔn?
Dis na di big prɔblɛm fɔ ɔlman. We dɛn pul yu larynx ɛn yu vokal kɔd, yu nɔ de tɔk igen. Bɔt dat nɔ min se yu nɔ go ebul fɔ tɔk igen. Yu go mɔs ebul fɔ tɔk to dɛnsɛf bak. Yu jɔs gɛt fɔ lan nyu we dɛn fɔ du am. Yu tɔk thɛrapist (SLP) go bi yu big sɔpɔt pan dis joyn.
Na sɔm impɔtant we dɛn ɛn tin dɛn we yu go yuz fɔ ɛp yu fɔ tɔk:
| Di we aw dɛn de du am / Instrumɛnt | Fɔ tɔk am simpul wan, . |
|---|---|
| Voys Prɔstɛsis | Dis na smɔl tin we fit oba yu stoma. we yu klos di stoma wit yu finga, di briz we de kכmכt na yu lכng de pas tru dis divays go insay yu trot, we de mek sawnd lεk vכys. Di vɔys we de kɔmɔt de rili fiba di vɔys we nɔmal. |
| Ilɛktrolarinks | Dis na smɔl ilɛktronik tin we yu kin wɛr rawnd yu nɛk. I de sɛn vaybreshɔn tru yu trot ɛn go insay yu mɔt, usay dɛn kin chenj to wɔd dɛn. Pan ɔl we di vɔys we i de mek kin tan lɛk rɔbɔt smɔl, i rili izi fɔ lan fɔ yuz am. |
| Di Tɔk we De na di Ɛsophageal | Dis na we fɔ tɔk we nɔ gɛt ɛni inschrumɛnt. Wetin yu de du ya na fɔ tek smɔl briz insay yu trot ɛn lɛf am sloslo ɛn kɔntrol am fɔ mek sawnd. Dis kin tek sɔm fɔ yus to, bɔt wans yu masta dis we, yu nɔ go nid ɛni inschrumɛnt. |
| Kɔmyunikeshɔn we nɔ gɛt wɔd | We yu de lan aw fɔ tɔk, yu kin yuz ɔda we dɛn. Fɔ ɛgzampul, fɔ tayp na yu fon ɔ tablɛt, yuz an ɛn fes, ɛn rayt. |
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
We yu rich na os afta dɛn dɔn du yu ɔpreshɔn, pe atɛnshɔn to di sik we yu gɛt. Kɔl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:
- Fiva
- Pus we de drayn frɔm di say we di suture de
- Ɔda sayn dɛn we de sho se yu gɛt di sik (we yu de rɛd, yu de swel, yu de fil bad bad wan) .
Bɔt if yu gɛt pen na yu chɛst ɔ yu at fɔ blo bad bad wan , na imejensi. Kɔl 1990 (Suvaseriya) Ambulans Savis wantɛm wantɛm, ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu kwik kwik wan.
Fɔ mek dɛn pul di laryngectomy nɔ kin izi. Yu kin fil fred, vɛks, ɛn ivin nɔ gɛt op. Nɔr de ol dɛn filin ya.Tɔk to yu dɔktɔ ɛn yu fambul bɔt am. Dɛn kin ɛp yu. Dɔn bak, fɔ aks fɔ ɛp frɔm pɔsin we de gi advays ɛn fɔ jɔyn sɔpɔt grup wit pipul dɛn we dɔn go tru di sem tin lɛk yu, dat kin rili ɛp yu. Di mɔ yu de lan bɔt dis sik, na di mɔ yu go gɛt kɔnfidɛns ɛn gɛt maynd fɔ bia wit am.
Mɛsej we dɛn kin kɛr go na os
- Laryngectomy na big ɔpreshɔn we de sev layf ɛn we dɛn kin pul di larynx.
- Afta di ɔpreshɔn, yu go gɛt fɔ yus fɔ blo nyu we tru wan opin we dɛn kɔl ‘stoma’ we dɛn mek na yu nɛk.
- Ivin if yu lɔs yu vɔys, i rili pɔsibul fɔ tɔk ɛn tɔk to dɛnsɛf bak tru sɔm nyu we dɛn wit di ɛp we pɔsin we de mɛn pipul dɛn we de tɔk.
- Nɔ go tru dis waka yu wan. Gɛt di sɔpɔt frɔm yu mɛdikal tim, famili, ɛn advaysa dɛn.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan as yu de wɛl ɛn ajɔst to yu nyu layf.
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