He mea noa te mataku me te ohorere nui ina kī atu tō tākuta me tango tō "pouaka reo" me tō arai. Tērā pea he maha ngā pātai kei roto i tō hinengaro, pērā i te "Ka aha tōku reo?" me te "Kāore rawa ahau e taea te kōrero anō?" Kaua e manukanuka. Ahakoa he pokanga nui tēnei, ka taea tonu e koe te ora pai me te kōrero i ngā huarahi hou i muri i te pokanga. Me kōrero tātou mō tēnei pokanga tango arai i te arai mā te māmā me te mārama.
He aha te tikanga o te Laryngectomy?
He pokanga te tango i te larynx, e tango ana i tētahi wāhanga, i te katoa rānei o tō larynx. E kiia ana hoki e ētahi ko tō "pouaka reo". Kei runga noa iho i tō trachea tō larynx. Koinei te wāhi e hono ai tō waha, tō ihu, me ō pukahukahu. He mea nui te larynx mō te manawa, te horomi, me te kōrero.
Tērā pea kei te whakaaro koe, "He aha i tangohia ai tēnei?" Ka tūtohu noa tō tākuta i tēnei momo pokanga mēnā kua tino pakaru tō korokoro, he mate hauora rānei tōu.
E rua ngā take matua:
- Matepukupuku o te korokoro: Ko te nuinga o te wā ka mahia tēnei pokanga i roto i ngā matepukupuku o te korokoro.
- Te kino kāore e taea te whakaora: Nā te kino nui, kāore e taea te whakaora ki te larynx i puta mai i tētahi aituā kino, i tētahi atu take rānei.
I ētahi wā, ko tētahi wāhanga anake o te arai ka tangohia. Ka kiia tēnei he tango hapa i te arai. I ētahi wā anō, me tango katoa te arai. Ka kiia tēnei he tango katoa i te arai.
Engari he rongo pai tēnei. Kua iti ake te noa o ēnei pokanga i ēnei rā i tō mua. Nā te mea kua mutu te kai paipa a te tini tāngata, ā, kua whakawhanakehia ngā tikanga hou hei rongoā i te mate pukupuku me te kore e tango i te korokoro.
Me aha tātou i mua i te pokanga?
I mua i te pokanga, ka tirotirohia koe e tō tākuta, ā, ka tonoa pea e ia ētahi atu whakamātautau.
- X-ray o te uma: Tirohia te āhua o ō pukahukahu.
- Whakamātautau ECG: Tirohia te tere o te manawa.
- Ngā whakamātautau toto: Tirohia te hauora whānui o te tinana.
Hei tāpiritanga, me toro atu koe ki ētahi tohunga. Hei tauira, he tohunga kōrero-reo (SLP) me te kaiwhakaora horomi. Mā rātou koe e āwhina ki te urutau ki te ao i muri i te pokanga me te ako anō ki te kōrero. He mea tino nui kia whakaritea ēnei wā i mua noa atu i tō pokanga.
Ki te kai paipa koe, mā tō rōpū hauora koe e āwhina ki te whakamutu. Ka whai wāhi anō hoki koe ki te kōrero ki tētahi tohunga kai hei āwhina i a koe ki te whakamahere i tō kai i muri i te pokanga.
I mua i te rā o tō pokanga, ka hoatu e tō tīma hauora he huinga tohutohu mārama ki a koe. He maha ngā wā ka kī atu rātou kia mutu te tango i ngā rongoā whakaiti toto i ētahi rā i mua i te pokanga. Ka kī atu hoki rātou kia mutu te kai me te inu i te pō i mua atu.
He aha ngā mea ka tupu i te wā o te pokanga?
Ka noho koe i raro i te mate whakamoe i te roanga o te pokanga, arā, kāore koe e rongo i tetahi mea, ā, ka moe tonu koe. Ka whai te taote pokanga i ēnei mahi:
1. Te tapahi: Tuatahi, ka tapahia he wahi iti ki mua o tō kaki.
2. Te tango i te korokoro: Kātahi ka tangohia tō korokoro (pouaka reo). Tērā pea ka tangohia te katoa, te wāhanga rānei o taua mea, tae atu ki ngā taura reo. Tērā pea ka tangohia hoki ngā kōpū waikura tata, ngā wāhanga rānei o te kiko korokoro.
3. Te Waihanga i te Stoma: Koinei te wāhanga tino nui. Ina tangohia tō arai, kāore e taea e koe te manawa mā tō ihu pērā i mua. Nō reira, ka hangaia he kōhao iti ki tō kaki hei waihanga i tētahi ara hou mō te manawa . Ka kiia tēnei he Stoma . Ka whakaurua he ngongo iti ki roto i tēnei stoma.
4. Te Ārai Reo (mēnā anake e tika ana): Ka mahia hoki tēnei mō ētahi tāngata. Ka hangaia he kōhao iti i waenganui i te pūhā me te korokoro, ā, ka whakaurua he taputapu iti ki roto hei āwhina i te kōrero.
5. Te kati i te tapahi: Hei whakamutunga, ka kati pai te tapahi i mahia ki te kaki ki ngā tuitui.
He aha ngā mea hei tumanakohia i muri i te pokanga?
I muri i te pokanga, me noho koe ki te hōhipera mō te wiki, e rua rānei. Mō ngā rā tuatahi, ka whāngaihia koe mā te ngongo whāngai . Kia tino mōhio te tīma hauora ka taea e koe te horomi haumaru, ka āwhina rātou i a koe ki te kai mā te waha.
Kia maumahara, he mea tēnei mō tō hauora me tō haumaru. Ka noho tahi te tīma hauora me koe, ka whakamārama i ngā mea katoa.
He tūponotanga kei roto i tētahi pokanga. Ko ētahi o ngā raruraru ka puta i te wā o tēnei pokanga ko:
- Te kino ki ngā whekau e karapoti ana pērā i te trachea, te larynx rānei.
- Ko ngā fistula, he pūwhera rerekē i waenganui i te korokoro me te kiri.
- Te nekehanga iti i te kaki, i te pakihiwi rānei.
- Te ngoikore o te mahi tairoi.
- Ngā raruraru e pā ana ki te stoma (hei tauira, te mate pāwera, te mumura o te kiri) me ngā uauatanga ki te tiaki.
- He uaua ki te kai, ki te horomi, me te kōrero i ngā wāhanga tōmua.
E rua, e toru wiki rānei te roa o te nuinga o te tangata ki te ora katoa i tēnei pokanga, engari ka rerekē pea tēnei i runga i tō āhua tinana me te āhua o te pokanga.
Me pēhea koe e kōrero anō ai i muri i te pokanga?
Koinei te raruraru nui rawa atu mō te katoa. Ina tangohia tō korokoro me ō taura reo, ka ngaro tō reo. Engari ehara i te mea kāore e taea e koe te kōrero anō. Ka taea e koe te kōrero anō. Me ako noa koe i ngā huarahi hou hei mahi i tēnā. Ko tō kaiwhakaora kōrero (SLP) te tautoko nui rawa atu i a koe i tēnei haerenga.
Anei ētahi tikanga me ngā taputapu matua hei āwhina i a koe ki te kōrero:
| Tikanga / Taputapu | Hei whakarāpopototanga, |
|---|---|
| Pūrere Reo | He taputapu iti tēnei e uru ana ki runga i tō stoma. Ina kati koe i te stoma ki tō maihao, ka puta te hau mai i ō pukahukahu mā roto i tēnei taputapu ki roto i tō korokoro, ka puta he oro rite ki te reo. He tino rite te reo e puta mai ana ki te reo noa. |
| Te ara hiko | He taputapu hiko iti tēnei ka mau ki tō kaki. Ka tukuna e ia ngā wiri mā roto i tō korokoro, ki roto hoki i tō waha, ka hurihia hei kupu. Ahakoa te ahua o te reo e puta mai ana he rite ki te karetao, he tino ngāwari ki te ako ki te whakamahi. |
| Kōrero o te korokoro | He tikanga kōrero tēnei, kāore he taputapu. Ko tāu mahi i konei he tango i te hau ki roto i tō korokoro, kātahi ka tukuna mārire, kia whakahaeretia kia puta he oro. Me whai wā ki te taunga ki tēnei, engari kia mōhio koe ki tēnei tikanga, kāore koe e hiahia ki ētahi taputapu. |
| Te whakawhitiwhiti kōrero kore kupu | I a koe e ako ana ki te kōrero, ka taea e koe te whakamahi i ētahi atu tikanga. Hei tauira, te pato i runga i tō waea pūkoro, i tō papa rānei, te whakamahi i ngā āhua o te ringa me te kanohi, me te tuhituhi. |
Āhea koe me kōrero ki te tākuta?
Kia tae koe ki te kāinga i muri i te pokanga, kia aro ki tō āhua. Waea atu ki tō tākuta tonu mēnā kei a koe ētahi o ēnei tohu:
- Kirika
- Te pupuhi e maringi ana mai i te wāhi i tuitui ai
- Ētahi atu tohu o te mate (whero, pupuhi, mamae nui)
Heoi, ki te mamae tō uma , ki te uaua rānei te manawa , he āhuatanga ohorere tēnā. Waea atu ki te Ratonga Āwhina Hauora 1990 (Suvaseriya), haere rānei ki te Tari Ohorere o te hōhipera tata (ETU) i te wā e taea ai.
Ehara i te mea ngāwari te tango i te niho. Tērā pea ka mataku koe, ka riri, ā, ka kore rawa hoki e whai tumanako. Kaua e pupuri i ēnei kare ā-roto. Kōrero ki tō tākuta me tō whānau mō tēnei mea. Ka taea e rātou te āwhina i a koe. Me rapu āwhina hoki i tētahi kaiwhakatakoto whakaaro me te whakauru atu ki tētahi rōpū tautoko me te hunga kua pā ki te mea kotahi, ka taea e rātou te āwhina i a koe. Ko te nui ake o tō ako mō tēnei mate, ko te nui ake o tō māia me tō maia ki te aro atu ki tēnei.
Karere Tangohia ki te Kāinga
- He pokanga nui e whakaora ana i te ora te tango i te larynx, te tango i te pokanga nui.
- I muri i te pokanga, me taunga koe ki te manawa i tētahi ara hou mā roto i tētahi kōhao e kīia nei ko te 'stoma' i hangaia i roto i tō kaki.
- Ahakoa ka ngaro tō reo, e tino taea tonu te kōrero me te whakawhitiwhiti kōrero anō mā roto i ētahi tikanga hou me te āwhina a tētahi kaiwhakaora kōrero.
- Kaua e haere ko koe anake i tēnei haerenga. Me rapu tautoko mai i tō tīma hauora, i tō whānau, me ngā kaitohutohu.
- Kia ata whai i ngā tohutohu a tō tākuta i a koe e ora ana, e urutau ana ki tō oranga hou.
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