We yu dɔktɔ tɛl yu se yu nid fɔ pul yu laryngectomy, we na ɔpreshɔn fɔ pul yu vɔys bɔks, yu kin fil bad bad wan ɛn shɔk. Yu kin gɛt bɔku kwɛstyɔn dɛn na yu maynd, lɛk "Aw a go ɛva tɔk igen?" ɛn "Wetin go apin to mi layf tumara bambay?" Dis na tin we rili nɔmal. Bɔt nɔ wɔri. Lɛ wi tɔk bɔt ɔltin simpul wan ɛn klia wan.
Fɔ tɔk am simpul wan, wetin na laryngectomy?
Laryngectomy na ɔpreshɔn we dɛn kin du fɔ pul ɔl ɔ pat pan yu larynx (voys bɔks).
Tink bɔt yu larynx lɛk smɔl tin we de wok na tri impɔtant say dɛn we dɛn kin jɔyn. I de ɔp yu trakya (windpaip). I de kɔnɛkt di say dɛn we yu de blo we de kɔmɔt na yu nos ɛn yu mɔt to yu lɔng.
Dis larynx gɛt tri men wok dɛn:
- Fɔ ɛp yu fɔ tɔk: Di vokal kɔd dɛn we de mek yu vɔys de ya.
- Fɔ ɛp fɔ blo: Di say dɛn we di briz de blo na di lɔng dɛn kin opin.
- Fɔ ɛp fɔ swɛla: We yu de swɛla, i de protɛkt di it fɔ mek i nɔ go insay di trakya.
Wetin mek pɔsin go want fɔ mek dɛn du dis ɔpreshɔn?
Bɔku rizin dɛn de we mek dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn. Dipen pan aw yu sik bad, dɛn kin disayd fɔ pul wan pat pan yu larynx nɔmɔ (Partial Laryngectomy) ɔ di wan ol larynx (Total Laryngectomy).
Si di tebul we de dɔŋ fɔ di men rizin dɛn.
| Rizin fɔ mek dɛn du di ɔpreshɔn | Wan simpul ɛksplen |
|---|---|
| Kansa na di laryngeal | Dis na di tin we kin mek pɔsin gɛt dis sik. Dɛn fɔ pul di larynx fɔ pul di kansa sɛl dɛn. |
| Fraktrɔs na di laryngeal | If pɔsin blo bad bad wan na in nɛk we aksidɛnt apin, i kin mek di bon dɛn na di larynx brok. |
| Bɔku bad bad tin dɛn we dɔn pwɛl | We di larynx dɔn pwɛl we nɔ go ɛva chenj bikɔs ɔf ɔda aksidɛnt ɔ injuri. |
| Damej we pɔsin kin gɛt we i de yuz redyushɔn tɛrapi (Chondronecrosis) . | Dis na tin we nɔ kin apin so ɔltɛm. I kin apin bikɔs ɔf di damej pan di katilej na di larynx afta redyushɔn tɛrapi fɔ kansa. |
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Okay, lɛ wi se yu dɔn disayd fɔ du ɔpreshɔn. Bifo dat, yu dɔktɔ go chɛk yu gud gud wan. I go du sɔm tɛst dɛn bak fɔ si if yu bɔdi dɔn rɛdi fɔ di ɔpreshɔn.
- Blɔd tɛst: Bɔku tɛm, dɛn kin du tin dɛn lɛk fɔ kɔnt blɔd kɔmplit wan.
- Chɛst X-ray: Chɛk aw yu lɔng dɛn de.
- ECG test (Electrocardiogram): Chɛk if yu at de wok na di lɛvul we go ebul fɔ bia wit ɔpreshɔn.
Apat frɔm dat, yu dɔktɔ go rifer yu to sɔm ɔda spɛshal dɔktɔ dɛn, lɛk Speech-Language Pathologist ɛn Swallowing Specialist . Dɛn pipul ya go ɛp yu fɔ rɛdi fɔ layf afta dɛn dɔn du yu ɔpreshɔn. So nɔ mis dɛn apɔntinmɛnt ya.
If yu na pɔsin we de smok, dɛn go gi yu advays ɛn sɔpɔt fɔ lɛf fɔ smok bifo dɛn du di ɔpreshɔn. Dɛn go gi yu advays bak bɔt it fɔ ɛp yu fɔ wɛl kwik kwik wan afta dɛn dɔn du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn
Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi. So yu nɔ go fil ɛni pen ɔ ɛnitin. Di dɔktɔ we de du di ɔpreshɔn go fala dɛn tin ya:
1. Fɔ kɔt yu nɛk: Fɔs, di dɔktɔ we de du di ɔpreshɔn kin tek tɛm kɔt di skin na yu nɛk.
2. Fɔ pul di larynx: Neks, dipen pan yu kɔndishɔn, dɛn go pul pat ɔ ɔl di larynx. Sɔntɛnde, dɛn kin nid fɔ pul di limf no dɛm ɔ pat pan yu trot (farinks) bak.
3. Krio Stoma: Dis na di big chenj afta di opareshon. Di dɔktɔ we de du di ɔpreshɔn go mek wan smɔl opin na di fɔs pat na yu nɛk, we go kɔnɛkt dairekt to yu winda paip. Dɛn kɔl dis opin ples stoma . Afta yu dɔn ɔpreshɔn, yu go blo tru dis stoma. fכs dεn kin put wan sכm sכm tכb (`laryngectomy tube`) fכ εp wit dis.
4. Fɔ mek wan TEP:Sɔntɛnde, di dɔktɔ we de du di ɔpreshɔn kin mek smɔl ol bitwin yu winda paip (trachea) ɛn yu esophagus (esophagus). dis dεn kכl am `Tracheoesophageal Puncture (TEP).` dεn kin du dis so dat dεn kin put wan divays (`voice prosthesis`) insay leta fכ εp yu fכ tכk. Bɔt, dis nɔ fayn fɔ ɔlman. Yu fɔ tɔk to yu dɔktɔ fɔ disayd if dis fayn fɔ yu.
5. Klos di say we dɛn kɔt: Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt wit stich.
Afta dɛn dɔn du di ɔpreshɔn, yu go de na ɔspitul fɔ wan ɔ tu wiks. Insay dis tɛm, di mɛdikal tim go tek kia ɔf yu gud gud wan. Fɔ di fɔs dez, dɛn go gi yu tin fɔ it tru wan fidin tyub. Dɛn go pul di tiub we yu ebul fɔ swɛla wata.
Aw yu kin tɔk afta dɛn dɔn du yu ɔpreshɔn?
Dis na di tin we de mek bɔku pipul dɛn fred. Yɛs, ɔpreshɔn go pul yu nɔmal vɔys. Bɔt dat nɔ min se yu nɔ go ɛva ebul fɔ tɔk igen. Yu kin lan nyu we fɔ tɔk, ɛn di pɔsin we de mɛn yu fɔ tɔk kin ɛp yu fɔ du dat.
Dis dɔŋ ya na sɔm pan di men we dɛn.
| Di we aw dɛn kin tɔk to dɛnsɛf | Aw i de wok |
|---|---|
| Voys Prɔstɛsis | If dɛn bin mek wan TEP ol we dɛn bin de du di ɔpreshɔn, dɛn kin tay dis smɔl tin pan am. Afta yu dɔn tren, yu go ebul fɔ dayrɛkt di briz we de kɔmɔt na yu lɔng dɛn insay yu trot ɛn mek wɔd dɛn wit da vaybreshɔn de. |
| Ilɛktrolarinks | Dis na smɔl tin we dɛn kin yuz batri fɔ yuz. We yu put am rawnd yu nɛk ɛn pres am, yu kin mek wɔd dɛn frɔm di vaybreshɔn dɛn we i de mek. Pan ɔl we i tan lɛk rɔbɔt smɔl, na fayn we fɔ bigin tɔk kwik kwik wan. |
| Di Tɔk we De na di Ɛsophageal | Dis we ya nɔ nid ɛni ikwipmɛnt. I min se yu fɔ tek briz tru di mɔt, ol am na yu trot ɛn larynx, dɔn yu pul am di briz we yu de kɔntrol fɔ mek wɔd dɛn. Dis nid fɔ praktis bɔku tɛm. |
| Kɔmyunikeshɔn we Nɔ De Tɔk | We pɔsin de wɛl, ɔlman nid fɔ yuz dɛn we ya. Dis kin min fɔ mek yu an, fɔ mek yu lip, fɔ sho yu fes, fɔ rayt wit yu an, ɛn fɔ tayp na fon ɔ kɔmpyuta. |
Wetin na di prɔblɛm ɛn prɔblɛm dɛn we kin apin we dɛn du di ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, ɔpreshɔn we dɛn kin du fɔ pul laryngectomy kin gɛt sɔm prɔblɛm dɛn ɛn sɔm prɔblɛm dɛn.
Risk dɛn we kɔmɔn
- Sik we de prɛd
- Blɔd we de klɔt
- Di tin dɛn we kin apin to pɔsin in at
- I nɔ kin izi fɔ yu fɔ blo
Kɔmplikɛshɔn dɛn we kin apin we dɛn du ɔpreshɔn pan
- Damej to di trakya ɔ di brɔnchi
- Di tayroyd nɔ de wok fayn
- I nɔ kin izi fɔ swɛla it, drink, ɛn tɔk
- Ristrikshɔn fɔ muv di nɛk ɛn sholda
- abnכmal kכnεkshכn (fistulas) bitwin di trot εn di skin
- Prɔblɛm dɛn we gɛt fɔ du wit stoma
Aw lɔng i kin tek fɔ mek yu wɛl ɛn wetin fɔ luk fɔ?
Bɔku tɛm, i kin tek tu to tri wiks fɔ mek i wɛl, bɔt dis tɛm kin difrɛn frɔm wan pɔsin to ɔda pɔsin, i kin dipen pan aw yu bɔdi ebul fɔ wɛl ɛn aw di ɔpreshɔn go rich.
If dɛn dɔn du ɔpreshɔn pan yu fɔ kansa, yu kin nid ɔda tritmɛnt dɛn bak, lɛk redyushɔn ɔ kemotɛrapi , fɔ mek di kansa nɔ kam bak. I impɔtant bak fɔ go to yu dɔktɔ fɔ mek dɛn fala yu di tɛm we dɛn dɔn plan fɔ du am.
Yu mɛdikal tim go tich yu aw fɔ blo, tɔk, swɛla, ɛn kia fɔ yu stoma bak. Fɔ fala dɛn instrɔkshɔn ya gud gud wan rili impɔtant fɔ mek yu wɛl kwik kwik wan.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
We yu go bak na os afta dɛn dɔn du yu ɔpreshɔn, yu fɔ ripɔt ɛni sayn we yu gɛt wantɛm wantɛm.
| Ustɛm fɔ go to dɔktɔ | |
|---|---|
| Tɔk to yu dɔktɔ: | |
| - If yu gɛt fiva | - If pus ɔ rɛdnɛs de rawnd di say we dɛn kɔt |
| Go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm: | |
| - If yu gɛt pen na yu chɛst | - If yu gɛt siriɔs prɔblɛm fɔ blo |
Nɔr fɛt de filin wae yu kin fil wae dɛn tɛl yu fɔ du ɔpreshɔn lɛk dis yu wan. Tɔk to yu dɔktɔ, yu fambul, ɔ yu padi we yu biliv bɔt aw yu de fil ɛn aw yu de fred. If nid de, aks pɔsin we de advays yu fɔ ɛp yu. Dɔn bak, fɔ jɔyn sɔpɔt grup wit pipul dɛn we dɔn gɛt di sem kayn ɛkspiriɛns go bi big tin fɔ mek yu gɛt trɛnk.
Mɛsej we dɛn kin kɛr go na os
- Laryngectomy na ɔpreshɔn fɔ pul di larynx, mɔ fɔ kansa.
- Afta di ɔpreshɔn, yu go blo tru wan opin we dɛn kɔl stoma we dɛn mek na di fɔs pat na yu nɛk.
- Ivin if yu nɔ gɛt yu yon vɔys, yu kin lan nyu we fɔ tɔk wit di ɛp we pɔsin we de mɛn pipul dɛn we de tɔk.
- Yu maynd wɛlbɔdi impɔtant jɔs lɛk aw yu bɔdi impɔtant. Nɔ fred fɔ tɔk bɔt aw yu de fil ɛn gɛt di sɔpɔt we yu nid.
*Wan dediket mɛdikal tim de fɔ ɛp yu pan yu rikavari joyn. Du wetin dɛn advays.
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