Dokotala wanu akakuuzani kuti muyenera kuchitidwa opaleshoni yochotsa mawu anu, mungamve mantha kwambiri komanso kudabwa. Mungakhale ndi mafunso ambiri m'maganizo mwanu, monga "Ndidzalankhulanso bwanji?" ndi "Kodi chidzachitike ndi chiyani pa moyo wanga mtsogolo?" Izi ndi zachilendo. Koma musadandaule. Tiyeni tikambirane chilichonse mosavuta komanso momveka bwino.
Mwachidule, kodi opaleshoni yochotsa larynx ndi chiyani?
Kuchotsa laryngectomy ndi opaleshoni yomwe imachotsa kholingo lonse kapena gawo lake.
Ganizirani za kholingo lanu ngati chipangizo chaching'ono chomwe chimagwira ntchito m'malo atatu ofunikira. Chili pamwamba pa kholingo lanu (mpweya). Chimalumikiza njira zopumira zomwe zimachokera kumphuno ndi pakamwa panu kupita ku mapapo anu.
Kholingo ili lili ndi ntchito zitatu zazikulu:
- Kukuthandizani kulankhula: Zingwe zoyankhulira zomwe zimapanga mawu anu zili pano.
- Kuthandiza kupuma: Njira zopumira m'mapapo zimatsegulidwa.
- Kuthandiza kumeza: Pomeza, chakudya chimateteza kuti chisalowe mu trachea.
N’chifukwa chiyani munthu angafune kuchitidwa opaleshoni imeneyi?
Pali zifukwa zingapo zomwe dokotala angakulimbikitseni opaleshoniyi. Kutengera ndi kuopsa kwa vuto lanu, angasankhe kuchotsa gawo limodzi la kholingo lanu (Partial Laryngectomy) kapena kholingo lonse (Total Laryngectomy).
Onani tebulo ili m'munsimu pazifukwa zazikulu.
| Chifukwa cha opaleshoni | Kufotokozera kosavuta |
|---|---|
| Khansa ya m'phuno | Ichi ndi chifukwa chofala kwambiri. Kholingo liyenera kuchotsedwa kuti maselo a khansa achotsedwe. |
| Kusweka kwa m'phuno | Kuvulala kwambiri pakhosi pangozi kungaswe mafupa a kholingo. |
| Kuwonongeka kwakukulu | Pamene kholingo lawonongeka mosatha chifukwa cha ngozi ina kapena kuvulala kwina. |
| Kuwonongeka komwe kumachitika chifukwa cha chithandizo cha radiation (Chondronecrosis) | Vutoli ndi losowa kwambiri. Lingachitike chifukwa cha kuwonongeka kwa khosi la kholingo pambuyo polandira chithandizo cha khansa pogwiritsa ntchito radiation. |
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Chabwino, tiyerekeze kuti mwasankha kuchitidwa opaleshoni. Dokotala wanu asanachite zimenezo, adzakuyesani bwino. Adzachitanso mayeso angapo kuti aone ngati thupi lanu lakonzeka kuchitidwa opaleshoniyo.
- Kuyezetsa magazi: Kawirikawiri, zinthu monga kuwerengera magazi onse zimachitika.
- X-ray ya pachifuwa: Yang'anani momwe mapapo anu alili.
- Kuyeza kwa ECG (Electrocardiogram): Onani ngati ntchito ya mtima wanu ili pamlingo womwe ungapirire opaleshoni.
Kuphatikiza apo, dokotala wanu adzakutumizani kwa akatswiri ena angapo, monga Katswiri wa Matenda a Chilankhulo Cholankhula ndi Katswiri wa Kumeza . Anthu awa adzakuthandizani kukonzekera moyo wanu mukatha opaleshoni. Choncho musaphonye nthawi yokumana ndi dokotala.
Ngati ndinu wosuta fodya, mudzapatsidwa upangiri ndi chithandizo kuti musiye musanachite opaleshoni. Mudzapatsidwanso upangiri wazakudya kuti muchiritse msanga mukatha opaleshoni.
Momwe opaleshoni imachitikira
Opaleshoni iyi imachitika pansi pa mankhwala oletsa ululu. Choncho simudzamva ululu uliwonse kapena chilichonse. Dokotala wa opaleshoniyo adzatsatira izi:
1. Kuduladula: Choyamba, dokotala wa opaleshoni amaduladula mosamala khungu la khosi lanu.
2. Kuchotsa kholingo: Kenako, kutengera momwe mulili, gawo lina kapena kholingo lonse lidzachotsedwa. Nthawi zina, ma lymph nodes kapena gawo la pakhosi panu (pharynx) lingafunikenso kuchotsedwa.
3. Kupanga Stoma: Ichi ndi kusintha kwakukulu kwambiri mukachita opaleshoni. Dokotala wa opaleshoniyo adzapanga kabowo kakang'ono kutsogolo kwa khosi lanu, kolumikizidwa mwachindunji ndi mphuno yanu. Kabowo aka kamatchedwa stoma . Mukachita opaleshoni, mudzapuma kudzera mu stoma iyi. Chubu chaching'ono (`laryngectomy chubu`) chimayikidwa poyamba kuti chithandize pa izi.
4. Kupanga TEP:Nthawi zina, dokotala wa opaleshoni amabowola kabowo kakang'ono pakati pa mphuno yanu (trachea) ndi mmero (m'mero). Izi zimatchedwa `Tracheoesophageal Puncture (TEP).` Izi zimachitika kuti chipangizo (`voice prosthesis`) chikhoze kuyikidwa pambuyo pake kuti chikuthandizeni kulankhula. Komabe, izi sizoyenera aliyense. Muyenera kulankhula ndi dokotala wanu kuti mudziwe ngati izi ndizoyenera kwa inu.
5. Kutseka chocheka: Pomaliza, chochekacho chimatsekedwa ndi zosokera.
Mukatha opaleshoni, nthawi zambiri mumakhala m'chipatala kwa sabata imodzi kapena ziwiri. Panthawiyi, gulu lachipatala lidzakusamalirani bwino. Kwa masiku angapo oyamba, mudzapatsidwa chakudya kudzera mu chubu chodyetsera. Chubucho chidzachotsedwa mukadzatha kumeza zakumwa.
Kodi mumalankhula bwanji mutatha opaleshoni?
Ichi ndi chinthu chomwe chimawopseza anthu ambiri. Inde, opaleshoni idzachotsa mawu anu achilengedwe. Koma sizikutanthauza kuti simudzathanso kulankhula. Mutha kuphunzira njira zatsopano zolankhulira, ndipo katswiri wanu wolankhula angakuthandizeni ndi zimenezo.
Pansipa pali njira zina zazikulu.
| Njira yolumikizirana | Momwe imagwirira ntchito |
|---|---|
| Chida Chopangira Mawu | Ngati dzenje la TEP linapangidwa panthawi ya opaleshoni, chipangizochi chaching'ono chimalumikizidwa nacho. Mukamaliza maphunziro, mudzatha kutsogolera mpweya wochokera m'mapapo anu kupita kukhosi kwanu ndikupanga mawu okhala ndi kugwedezeka kumeneko. |
| Electrolarynx | Ichi ndi chipangizo chaching'ono chogwiritsidwa ntchito ndi batire. Mukachiyika pakhosi panu ndikuchikanikiza, mutha kupanga mawu kuchokera ku kugwedezeka komwe chimapanga. Ngakhale kuti chimamveka ngati roboti pang'ono, ndi njira yabwino yoyambira kulankhula mwachangu. |
| Kulankhula kwa Mimba | Njira iyi siifuna zida zilizonse. Imafuna kutenga mpweya kudzera pakamwa, kuugwira pakhosi ndi pakhosi, kenako kuutulutsa m'njira yowongoka kuti upange mawu. Izi zimafuna kuyeseza kwambiri. |
| Kulankhulana Kopanda Mawu | Pa nthawi yochira, aliyense ayenera kugwiritsa ntchito njira izi. Izi zikuphatikizapo manja, kumenya milomo, nkhope, kulemba, komanso kulemba pafoni kapena pa kompyuta. |
Kodi zoopsa ndi zovuta za opaleshoniyi ndi ziti?
Monga opaleshoni iliyonse, opaleshoni yochotsa laryngectomy ikhoza kukhala ndi zoopsa komanso zovuta zina.
Zoopsa zofala
- Matenda
- Magazi amaundana
- Matenda a mtima
- Kuvuta kupuma
Mavuto okhudzana ndi opaleshoni
- Kuwonongeka kwa trachea kapena bronchi
- Kuchepa kwa ntchito ya chithokomiro
- Kuvuta kumeza chakudya, zakumwa, ndi kulankhula
- Kuletsa kuyenda kwa khosi ndi phewa
- Kulumikizana kosazolowereka (fistula) pakati pa pakhosi ndi khungu
- Mavuto okhudzana ndi stoma
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire komanso zomwe muyenera kuyang'ana?
Nthawi zambiri zimatenga milungu iwiri kapena itatu kuti munthu achire, koma nthawi ino imatha kusiyana malinga ndi munthu, kutengera mphamvu ya thupi lanu yochira komanso kukula kwa opaleshoniyo.
Ngati mwachitidwa opaleshoni ya khansa, mungafunikenso njira zina zothandizira khansa, monga radiation therapy kapena chemotherapy , kuti khansa isabwererenso. Ndikofunikanso kuonana ndi dokotala wanu kuti akuthandizeni panthawi yomwe yakonzedwa.
Gulu lanu lachipatala lidzakuphunzitsani momwe mungapumire, kulankhula, kumeza, komanso kusamalira stoma yanu kachiwiri. Kutsatira malangizo awa ndikofunikira kwambiri kuti muchiritse mwachangu.
Nthawi yoti mupeze upangiri wachipatala nthawi yomweyo
Mukabwerera kunyumba mutachita opaleshoni, muyenera kunena nthawi yomweyo zizindikiro zilizonse zomwe zingachitike.
| Nthawi yoti mukaonane ndi dokotala | |
|---|---|
| Lankhulani ndi dokotala wanu: | |
| - Ngati muli ndi malungo | - Ngati pali mafinya kapena kufiira mozungulira malo odulidwawo |
| Pitani ku Dipatimenti Yoona Zadzidzidzi (ETU) yapafupi nthawi yomweyo: | |
| - Ngati muli ndi ululu pachifuwa | - Ngati mukuvutika kupuma kwambiri |
Musamavutike ndi maganizo omwe mumamva mukauzidwa kuti muyenera kuchitidwa opaleshoni yotereyi nokha. Lankhulani ndi dokotala wanu, banja lanu, kapena mnzanu wodalirika za momwe mukumvera komanso mantha anu. Ngati kuli kofunikira, funani thandizo kwa mlangizi. Komanso, kulowa m'magulu othandizira ndi anthu omwe adakumanapo ndi zofanana ndi zanu kudzakuthandizani kwambiri.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa larynx ndi opaleshoni yochotsa larynx, makamaka khansa.
- Pambuyo pa opaleshoni, mudzapuma kudzera m'malo otseguka otchedwa stoma omwe adapangidwa kutsogolo kwa khosi lanu.
- Ngakhale mutataya mawu anu achibadwa, mutha kuphunzira njira zatsopano zolankhulira mothandizidwa ndi katswiri wolankhula.
- Thanzi lanu la maganizo ndi lofunika monga momwe thanzi lanu lakuthupi limakhalira. Musaope kulankhula za momwe mukumvera ndikupeza chithandizo chomwe mukufuna.
*Pali gulu lachipatala lodzipereka loti likuthandizeni paulendo wanu wochira. Tsatirani malangizo awo.
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