Zomwe muyenera kudziwa zokhudza glossectomy

'Kuchotsa lirime'… Izi zikutanthauza kuti ngakhale mutamva za opaleshoni yochotsa lilime, thupi lanu limamva dzanzi pang'ono, sichoncho? Ndipotu, mukayenera kulankhula za opaleshoni yaikulu yotereyi, mukayenera kukumana nayo, ndi zachilendo kuti mantha, nkhawa, ndi mafunso ambiri akuluakulu abwere m'maganizo mwanu. "Kodi sindingathe kulankhulanso?", "Kodi sindingathe kudya?", "Kodi moyo wanga udzakhala bwanji mtsogolomu?" Zinthu izi zitha kubwereranso m'maganizo mwanu. Koma ngati tikudziwa zambiri zenizeni komanso zomveka bwino za izi, mantha ndi kusatsimikizika m'maganizo mwanu zitha kuchepetsedwa kwambiri. Chifukwa chake tiyeni tikambirane za opaleshoni iyi ya glossectomy lero, ngati kuti mukulankhula ndi mnzanu kapena wachibale wanu.

Mwachidule, kodi 'Glossectomy' ndi chiyani?

Kuchotsa lilime ndi opaleshoni yochotsa lilime. Komabe, lilime lonse silimachotsedwa nthawi zonse. Zimatengera mtundu ndi kukula kwa vutolo. Likhoza kugawidwa m'mitundu ingapo ikuluikulu.

Nanga n’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?

Nthawi zambiri, opaleshoni ya glossectomy imachitidwa ngati chithandizo cha khansa ya lilime. Izi zingafunike kuchotsa maselo a khansa ndikuletsa kufalikira kwa maselo ena a thupi.

Koma nthawi zina chifukwa chake sichimakhala khansa. Nthawi zina opaleshoni imeneyi imafunika kuchitika pazifukwa zina zingapo.

• Kulephera Kupuma Movutikira: Anthu ena akhoza kukhala ndi vuto lomwe lilime lawo limabwerera m'mbuyo akamagona, zomwe zimatseka njira yolowera mpweya. Ngati izi zili zovuta ndipo mankhwala ena sanagwire ntchito, opaleshoni ingalimbikitsidwe kuti achotse gawo la lilime ndikusunga njira yolowera mpweya yotseguka.
• Macroglossia (lilime lokulira): Ngati lilime ndi lalikulu kwambiri, kaya chifukwa cha kubadwa kapena matenda ena, lingapangitse kuti zikhale zovuta kulankhula, kudya, kapena kupuma. Pazochitika zotere, opaleshoniyi imachitika kuti ichepetse kukula kwa lilime.

Kodi chimachitika ndi chiyani opaleshoni isanachitike?

Mukasankha kuchita opaleshoni yamtunduwu, madokotala samangofulumizitsa opaleshoni. Pali mayeso ambiri ndi kukonzekera komwe kumafunika kuchitika musanachite opaleshoniyo.

1. Kuyezetsa kuchipatala: Choyamba, dokotala adzakuyezetsani bwino. Adzakuyezetsani mosamala pakamwa panu, lilime lanu, ndi khosi lanu.

2. Mayeso Ojambula Zithunzi: Kenako, mudzafunsidwa kuti muchite mayeso monga CT scan kapena MRI scan kuti muwone momwe vuto lomwe lili m'chinenero chanu lafalikira komanso momwe lilili lozama.

3. Kufufuza za khansa: Iyi ndi sitepe yofunika kwambiri. Pachifukwa ichi, chidutswa chaching'ono kwambiri cha minofu chimatengedwa kuchokera kudera lokayikitsa la lilime ndikutumizidwa ku labotale kuti akayesedwe. Ichi ndi chomwe chidzatsimikizire ngati ndi khansa kapena ayi, ndipo ngati ndi choncho, mtundu wanji.

Pambuyo pa zonsezi, dokotala adzakupatsani malangizo angapo okhudza zomwe muyenera kuchita musanachite opaleshoni. Mwachitsanzo, kusiya kudya ndi kumwa usiku woti opaleshoni ichitike, ndikukupatsani malangizo okhudza mankhwala ena omwe muyenera kumwa. Ndikofunikira kwambiri kutsatira malangizo awa molondola.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Mukalowa m'chipinda chochitira opaleshoni, choyamba mudzapatsidwa mankhwala oletsa ululu kuti musamve kupweteka kapena kusasangalala. Izi zikutanthauza kuti mudzagona mokwanira mpaka opaleshoniyo itatha.

Kenako, dokotalayo adzachita opaleshoni yoyenera kutengera momwe mulili.

• Pa opaleshoni ya glossectomy yochepa: Dokotala amachotsa mosamala gawo lokhalo la lilime lomwe lili ndi matenda ndipo amatseka lotsalalo ndi kusoka. Nthawi zina, chidutswa chaching'ono cha minofu (tishu graft) chotengedwa kuchokera ku gawo lina la thupi chingagwiritsidwe ntchito kudzaza mpata womwe watsala pochotsa.
• Pa opaleshoni ya hemiglossectomy: Pamene theka la lilime lachotsedwa, pamakhala mwayi waukulu woti munthu apume movutikira chifukwa cha kutupa kwa lilime pambuyo pa opaleshoni. Chifukwa chake, nthawi zina tracheostomy imachitidwanso nthawi yomweyo ndi opaleshoni iyi. Musadandaule, izi zimaphatikizapo kupanga kabowo kakang'ono kutsogolo kwa khosi kuti kupuma kukhale kosavuta. Dokotala wanu adzakambirana nanu izi musanachite opaleshoniyi.
• Pa opaleshoni yonse ya glossectomy: Lilime lonse likachotsedwa, kapangidwe katsopano kofanana ndi lilime kamapangidwa kuti kadzaze mpatawo. Pachifukwa ichi, madokotala amatenga khungu ndi minofu kuchokera ku gawo lina la thupi lanu, monga mkono wanu, chifuwa, kapena ntchafu . Minofu yatsopanoyo imalumikizidwa ndi mitsempha yamagazi m'khosi mwanu kuti magazi aziyenda bwino. Awa ndi opaleshoni yovuta kwambiri komanso yapamwamba.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa masiku angapo, nthawi zambiri mpaka sabata imodzi. Panthawiyi, madokotala ndi anamwino adzayang'ana thanzi lanu nthawi zonse.

Nthawi zina, makamaka ngati opaleshoni yachitika chifukwa cha matenda a khansa, dokotala wanu angakulangizeninso chithandizo cha radiation kuti muwononge maselo otsala a khansa ndikuchepetsa chiopsezo cha khansa kubwerera.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Monga chithandizo chilichonse chamankhwala, opaleshoni iyi ili ndi ubwino ndi zoopsa zake.

Ubwino waukulu

Ubwino waukulu komanso wofunika kwambiri wa opaleshoniyi ndikuti ndi njira yothandiza kwambiri yochizira khansa ya lilime. Opaleshoniyi ndi njira yochizira khansa, makamaka m'mbali ya lilime yomwe imayendayenda. Ili ndi mwayi waukulu wopulumutsa moyo.

Zoopsa zomwe zingachitike

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa ndi zovuta zomwe zingachitike, ndipo ndikofunikira kudziwa izi pasadakhale.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire? Moyo pambuyo pa opaleshoni...

Ili ndi funso lalikulu lomwe anthu ambiri amafunsa: "Zitenga nthawi yayitali bwanji kuti ndibwerere ku moyo wabwinobwino?"

Ndipotu, nthawi yochira imadalira kwathunthu kuchuluka kwa lilime lanu lomwe lachotsedwa.

• Kuchotsa gawo la lilime (ngati gawo la lilime lachotsedwa): Mudzatha kudya ndi kumwa bwino pakatha milungu iwiri.
• Kuchotsa glossectomy yonse (ngati glossectomy yonse yachotsedwa): Mphamvu yomeza ikhoza kutayika kwathunthu. Zikatero, zakudya zamadzimadzi zingafunike kuperekedwa kudzera mu chubu cha nasogastric (NG chubu) kapena chubu cholumikizidwa ndi m'mimba (PEG chubu).

Mulimonsemo, ndikofunikira kupitiriza kugwira ntchito ndi katswiri wanu wa kulankhula ndi chilankhulo.

Kodi chimachitika ndi chiyani ndi luso lolankhula?

Izi zimadaliranso kuchuluka kwa lilime lomwe lachotsedwa.

• Anthu omwe adachotsedwa gawo la lilime lawo:Luso lolankhula mawu ndi mawu ambiri lingakhalepobe. Luso limeneli likhoza kuwonjezeredwa ndi chithandizo cha kulankhula.
• Anthu omwe achotsedwa lilime lonse: Angataye luso lawo lolankhula, koma sizikutanthauza kuti asiya kulankhula ndi dziko lapansi. Angathe kulankhulana ndi ena pogwiritsa ntchito ukadaulo, monga cholembera ndi pepala, piritsi, kapena kompyuta .

Kodi chimachitika ndi chiyani ndi kukoma?

Vutoli n'lomveka bwino, chifukwa mphamvu zathu zolawa zimapezeka pa lilime. Kafukufuku wasonyeza kuti anthu omwe ali ndi theka la lilime lawo lomwe silinathe amakhala ndi mphamvu zolawa bwino. Komabe, ngati lilime loposa theka lachotsedwa, zingayambitse mavuto ena posiyanitsa ndi kuzindikira kukoma kwina (dysgeusia) .

Koma chodabwitsa n’chakuti, ngakhale odwala ena omwe achotsedwa lilime lonse (kuchotsedwa kwathunthu kwa glossectomy) akuti ali ndi kukoma pang'ono komanso kuthekera kosangalala ndi chakudya.

Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo!

Mukabwerera kunyumba mutachita opaleshoni, ndikofunikira kusamala kwambiri za kusintha kwa thupi lanu. Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi nanu.

Kuchotsa glossectomy ndi opaleshoni yosintha moyo. Kupanga chisankho chotere ndi nkhani yaumwini komanso yovuta. Chifukwa chake, lankhulani ndi dokotala wanu mosamala ndipo onetsetsani kuti mwamvetsa njira zonse zamankhwala zomwe mungasankhe. Funsani mafunso aliwonse omwe mungakhale nawo okhudza zabwino ndi zoyipa za opaleshoniyi komanso zomwe mungayembekezere mukatha opaleshoniyi. Kuchira kungakhale kovuta, koma kumbukirani kuti muli ndi gulu la madokotala, anamwino, makamaka akatswiri olankhula kuti akuthandizeni. Ndi thandizo lawo, mutha kuphunzira kulankhula, kumeza, ndikukweza moyo wanu.