Ina kī atu tō tākuta me tango te laryngectomy, he pokanga hei tango i tō pouaka reo, tera pea ka nui te mataku me te ohorere i roto i tō hinengaro. Tērā pea he maha ngā pātai kei roto i tō hinengaro, pērā i te "Me pēhea taku kōrero anō?" me te "Ka pēhea tōku ao ā muri ake nei?" He mea noa tēnei. Engari kaua e manukanuka. Me kōrero tātou mō ngā mea katoa i runga i te māmā me te mārama.
He aha te tikanga o te tango i te laryngitis?
Ko te tango i te laryngectomy he tikanga pokanga e tango ana i te katoa, i tetahi wāhanga rānei o tō larynx (pouaka reo).
Whakaarohia tō korokoro hei taputapu iti e mahi ana i ngā hononga nui e toru. Kei runga ake i tō trachea (pūkahukahu). Ka hono i ngā ara manawa e puta mai ana i tō ihu me tō waha ki ō pukahukahu.
E toru ngā mahi matua a tēnei korokoro:
- Te āwhina i a koe ki te kōrero: Kei konei ngā taura reo e whakaputa ana i tō reo.
- Āwhina i te manawa: Ka huakina ngā ara manawa o roto i ngā pukahukahu.
- Āwhina i te horomitanga: Ina horomitia, ka tiakina te kai kei uru ki te trachea.
He aha te take e hiahia ai tetahi ki te mahi i tēnei pokanga?
He maha ngā take e taunaki ai te tākuta i tēnei pokanga. I runga i te kaha o tō mate, ka whakatau pea rātou kia tangohia tetahi wāhanga anake o tō larynx (Partial Laryngectomy) te larynx katoa rānei (Total Laryngectomy).
Tirohia te ripanga i raro nei mō ngā take matua.
| Te take mō te pokanga | He whakamārama māmā |
|---|---|
| Matepukupuku korokoro | Koinei te tino take. Me tango te korokoro kia tangohia ai ngā pūtau matepukupuku. |
| Te whati o te larynx | Ka taea e te pānga kino ki te kaki i roto i tētahi aituā te whati i ngā wheua o te arai. |
| kino nui | Ina pakaru tonu te araikoro i tētahi atu aituā, whara rānei. |
| Ngā kino i puta mai i te rongoā irahiko (Chondronecrosis) | He tino onge tēnei āhuatanga. Ka puta pea tēnei i te pakaru o te kiriuhi o te arai i muri i te rongoā irahiko mō te mate pukupuku. |
He aha ngā mea ka tupu i mua i te pokanga?
Āe, me kī kua whakatau koe kia pokangahia. I mua i tērā, ka tirotirohia koe e tō tākuta. Ka whakahaerehia hoki e ia ētahi whakamātautau hei tirotiro mēnā kua rite tō tinana mō te pokanga.
- Ngā whakamātautau toto: I te nuinga o te wā, ka mahia ngā mahi pēnei i te tatau toto katoa.
- X-ray o te uma: Tirohia te āhua o ō pukahukahu.
- Whakamātautau ECG (Electrocardiogram): Tirohia mēnā kei te taumata e taea ai e te mahi a tō ngākau te tu atu i te pokanga.
Hei tāpiritanga, ka tukuna koe e tō tākuta ki ētahi atu tohunga, pērā i te Tohunga Kōrero-Reo me te Tohunga Horomia . Mā ēnei tāngata koe e āwhina ki te whakarite mō te oranga i muri i te pokanga. Nō reira kaua e mahue ēnei wā whakarite.
Mena he kaipaipa koe, ka hoatu he tohutohu me te tautoko ki a koe kia mutu i mua i te pokanga. Ka hoatu hoki he tohutohu kai ki a koe hei āwhina i a koe kia tere te ora i muri i te pokanga.
Te āhua o te mahi pokanga
Ka mahia tēnei pokanga i raro i te rongoā whakamoe whānui. Nō reira, kāore koe e rongo i te mamae, i tetahi mea rānei. Ka whai te taote pokanga i ēnei mahi:
1. Te tapahi: Tuatahi, ka tapahia marietia e te taote pokanga te kiri o tō kaki.
2. Te tango i te korokoro: Muri iho, i runga i tō āhua, ka tangohia tetahi wāhanga, tetahi wāhanga rānei o tō korokoro. I ētahi wā, me tango hoki ngā kōpū lymph, tetahi wāhanga rānei o tō korokoro (pharynx).
3. Te Waihanga i tētahi Stoma: Koinei te huringa nui rawa atu i muri i te pokanga. Ka hangaia e te taote pokanga he kōhao iti ki mua o tō kaki, e hono tika ana ki tō pūwero manawa. Ka kiia tēnei kōhao he stoma . I muri i te pokanga, ka manawa koe mā roto i tēnei stoma. Ka whakatakotoria tuatahitia he ngongo iti ('ngoi laryngectomy') hei āwhina i tēnei.
4. Te Hanga i tētahi TEP:I ētahi wā, ka hangaia e te taote pokanga he kōhao iti i waenganui i tō pūwero manawa (trachea) me tō korokoro (oesophagus). Ka kiia tēnei he 'Tracheoesophageal Puncture' (TEP). Ka mahia tēnei kia taea ai te whakauru i tētahi taputapu ('voice prosthesis') i muri mai hei āwhina i a koe ki te kōrero. Heoi, kāore tēnei e pai mō te katoa. Me kōrero koe ki tō tākuta kia whakatau ai mēnā he tika tēnei māu.
5. Te kati i te tapahi: Hei whakamutunga, ka katihia te tapahi ki ngā tuitui.
I muri i te pokanga, ka noho koe ki te hōhipera mō te wiki, e rua rānei. I tēnei wā, ka tiakina koe e te tīma hauora. Mō ngā rā tuatahi, ka whāngaihia koe mā te ngongo whāngai. Ka tangohia te ngongo ina taea e koe te horomi wai.
Me pēhea te kōrero i muri i te pokanga?
Koinei te mea e mataku ana te nuinga o te tangata. Ae, ka tangohia tō reo tūturu e te pokanga. Engari ehara i te mea kāore koe e taea te kōrero anō. Ka taea e koe te ako i ngā huarahi hou ki te kōrero, ā, ka taea e tō kaiwhakaora kōrero te āwhina i a koe ki tēnā.
Kei raro nei ētahi o ngā tikanga matua.
| Tikanga whakawhitiwhiti kōrero | Te āhua o tana mahi |
|---|---|
| Pūrere Reo | Mena i hangaia he kōhao TEP i te wā o te pokanga, ka tāpirihia tēnei taputapu iti ki reira. Whai muri i te whakangungu, ka taea e koe te tuku i te hau mai i ō pukahukahu ki roto i tō korokoro, me te hanga kupu mā taua wiri. |
| Te ara hiko o te korokoro | He taputapu iti tēnei e whakahaerehia ana e te pākahiko. Ina herea ki tō kaki, ka pēhia, ka taea e koe te whakaputa kupu mai i ngā wiri e puta mai ana. Ahakoa he ahua karetao te tangi, he huarahi pai ki te tīmata kōrero wawe. |
| Kōrero o te korokoro | Kāore tēnei tikanga e hiahiatia he taputapu. Ko te tikanga he tango i te hau mā te waha, ka pupuri i roto i te korokoro me te arai, kātahi ka tukuna ki waho i runga i te tikanga whakahaere kia puta ai he kupu. He nui te whakaharatau e hiahiatia ana mō tēnei. |
| Te Whakawhitiwhiti Kōrero Kore-Waha | I te wā e ora ana, me whakamahi te katoa i ēnei tikanga. Kei roto i tēnei ko ngā nekehanga ringa, te paki ngutu, ngā āhua kanohi, te tuhituhi ā-ringa, me te patopato ki te waea pūkoro, ki te rorohiko rānei. |
He aha ngā mōrearea me ngā raruraru o te pokanga?
Pērā i ngā pokanga katoa, tera pea ētahi mōrearea me ngā raruraru o te pokanga tango i te laryngectomy.
Ngā mōrearea noa
- Mate pāwera
- Ngā toto totoka
- Ngā mate o te ngākau
- Te uaua ki te manawa
Ngā raruraru motuhake mō te pokanga
- Te kino ki te trachea, ki te bronchi rānei
- Te ngoikore o te mahi tairoi
- He uaua ki te horomi i te kai, te inu, me te kōrero
- Te herenga o te nekehanga o te kaki me te pakihiwi
- Ngā hononga rerekē (fistula) i waenganui i te korokoro me te kiri
- Ngā raruraru e pā ana ki te stoma
Kia pēhea te roa o te wā e ora ai, ā, he aha ngā mea hei tirotiro māu?
E rua ki te toru wiki te roa o te wā e ora ai, engari ka rerekē pea tēnei wā i ia tangata, i ia tangata, i runga i te kaha o tō tinana ki te whakaora me te whānuitanga o te pokanga.
Mena kua pokangahia koe mō te mate pukupuku, tera pea ka hiahiatia ētahi atu maimoatanga, pērā i te radiotherapy , te chemotherapy rānei, hei ārai i te hokinga mai o te mate pukupuku. He mea nui anō hoki kia kite i tō tākuta mō ngā tirotiro i ngā wā kua whakaritea.
Mā tō tīma hauora koe e ako ki te manawa, ki te kōrero, ki te horomi, me te tiaki anō i tō stoma. He mea nui te whai i ēnei tohutohu kia tere ai tō ora.
Āhea te rapu tohutohu hauora tonu
Ina hoki koe ki te kāinga i muri i te pokanga, me ripoata tonu e koe ngā tohu e puta ake ana.
| Āhea te wā e kite ai i te tākuta | |
|---|---|
| Kōrero ki tō tākuta: | |
| - Ki te mea he kirika tōu | - Mena he pūkahukahu, he whero rānei te taha o te tapahi |
| Haere tonu ki te Tari Ohotata (ETU) tata: | |
| - Ki te mamae tō uma | - Ki te tino uaua koe ki te manawa |
Kaua e whawhai ki ngā kare ā-roto e pā ana ki a koe ina kīia mai me mahi koe i tēnei momo pokanga ko koe anake. Kōrero ki tō tākuta, ki tō whānau, ki tētahi hoa pono rānei mō ō kare ā-roto me ō mataku. Ki te tika, rapua he āwhina a tētahi kaiwhakatakoto whakaaro. Waihoki, ko te whakauru atu ki ngā rōpū tautoko me te hunga kua pāngia e ngā wheako rite ka waiho hei puna kaha nui.
Karere Tangohia ki te Kāinga
- Ko te tango i te larynx he tikanga pokanga hei tango i te larynx, ko te nuinga mō te mate pukupuku.
- I muri i te pokanga, ka manawa koe mā roto i tētahi kōhao e kīia nei ko te stoma i hangaia ki mua o tō kaki.
- Ahakoa ka ngaro tō reo tūturu, ka taea e koe te ako i ngā huarahi hou ki te kōrero mā te awhina a tētahi kaiwhakaora kōrero.
- He rite tonu te hiranga o tō hauora hinengaro ki tō hauora tinana. Kaua e wehi ki te kōrero mō ō kare ā-roto, me te tiki i te tautoko e hiahiatia ana e koe.
*He tīma hauora motuhake kei reira hei āwhina i a koe i tō haerenga whakaora. Whaia ā rātou tohutohu.
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