Kana chiremba wako akakuudza kuti unofanira kubviswa muromo, unogona kunzwa kutya kukuru uye kuvhunduka. Ungave uine mibvunzo yakawanda mupfungwa dzako, yakaita sekuti "Ndichataura sei zvakare?" uye "Chii chichaitika kuhupenyu hwangu mune ramangwana?" Izvi zvakajairika. Asi usazvidya mwoyo. Ngatitaurei nezvese zviri nyore uye zvakajeka.
Zvichitaurwa zviri nyore, chii chinonzi kubviswa kwelaryngectomy?
Kuvhiyiwa kweLaryngectomy inzira yekuvhiya inobvisa zvese kana chikamu chegurokuro (voice box).
Funga nezvegurokuro rako sechishandiso chidiki chinoshanda pamitsetse mitatu yakakosha. Chiri pamusoro pemugero wako wemhepo (windpipe). Chinobatanidza nzira dzekufema dzinobva mumhino nemuromo wako nemapapu ako.
Doro iri rine mabasa matatu makuru:
- Kukubatsira kutaura: Nheyo dzezwi dzinoburitsa inzwi rako dziri pano.
- Kubatsira kufema: Nzira dzekufema dziri mumapapu dzinovhurwa.
- Kubatsira pakumedza: Pakumedza, zvinodzivirira chikafu kuti chisapinde mu trachea.
Sei munhu angade kuvhiyiwa uku?
Pane zvikonzero zvakawanda zvinoita kuti chiremba akurudzire kuvhiyiwa uku. Zvichienderana nekuoma kwechirwere chako, vanogona kusarudza kubvisa chikamu chegomarara rako (Partial Laryngectomy) kana gomarara rese (Total Laryngectomy).
Ona tafura iri pazasi kuti uone zvikonzero zvikuru.
| Chikonzero chekuvhiyiwa | Tsananguro iri nyore |
|---|---|
| Kenza yemudumbu | Ichi ndicho chikonzero chinowanzoitika. Doro rinofanira kubviswa kuti masero egomarara abviswe. |
| Kutsemuka kwepaburi remuromo | Kurohwa zvakanyanya pamutsipa mutsaona kunogona kutyora mapfupa egurokuro. |
| Kukuvara kwakanyanya | Kana gurokuro rikakuvara zvisingagadzirisiki nekuda kwetsaona kana kukuvara kumwe. |
| Kukuvadzwa kunokonzerwa nemwaranzi (Chondronecrosis) | Ichi chirwere chisingawanzoitiki. Chinogona kuitika nekuda kwekukuvara kwegwara regurokuro mushure mekurapwa nemwaranzi yegomarara. |
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Zvakanaka, ngatitii wasarudza kuvhiyiwa. Chiremba wako achakuongorora zvakanaka usati waita izvozvo. Achaitawo bvunzo shoma kuti aone kana muviri wako wagadzirira kuvhiyiwa.
- Kuongororwa kweropa: Kazhinji, zvinhu zvakaita sekuverengwa kweropa rose zvinoitwa.
- X-ray yechipfuva: Tarisa mamiriro emapapu ako.
- Kuongororwa kweECG (Electrocardiogram): Tarisa kana kushanda kwemoyo wako kuri padanho rinokwanisa kutsungirira kuvhiyiwa.
Pamusoro pezvo, chiremba wako achakutumira kune dzimwe nyanzvi dzakawanda, dzakadai seMutauro wePathologist uye Nyanzvi yekumedza . Vanhu ava vachakubatsira kugadzirira hupenyu mushure mekuvhiyiwa. Saka usapotsa nguva idzi.
Kana uri munhu anosvuta fodya, uchapiwa mazano nerutsigiro rwekuti urege usati wavhiyiwa. Uchapiwawo mazano ezvekudya kuti akubatsire kupora nekukurumidza mushure mekuvhiyiwa.
Kuvhiyiwa kunoitwa sei
Kuvhiyiwa uku kunoitwa pasi peanesthesia. Saka hauzonzwi kurwadziwa kana chimwe chinhu. Chiremba wechiremba achatevera matanho aya:
1. Kucheka ganda: Kutanga, chiremba anochera ganda remutsipa wako nokungwarira.
2. Kubviswa kwegurokuro: Zvadaro, zvichienderana nemamiriro ako ezvinhu, chikamu chegurokuro chako chose chichabviswa. Dzimwe nguva, ma lymph nodes kana chikamu chehuro yako (pharynx) chingadawo kubviswa.
3. Kugadzira Stoma: Uku ndiko kuchinja kukuru mushure mekuvhiyiwa. Chiremba achagadzira buri diki pamberi pemutsipa wako, rakabatana zvakananga nepaipi yemhepo. Iri buri rinonzi stoma . Mushure mekuvhiyiwa, uchafema nepastoma iyi. Chubhu diki (`laryngectomy tube`) inotanga yaiswa kuti ibatsire neizvi.
4. Kugadzira TEP:Dzimwe nguva, chiremba anovhiya anochera kaburi kadiki pakati pepipi yako yemhepo (trachea) negurokuro rako (esophagus). Izvi zvinonzi `Tracheoesophageal Puncture (TEP).` Izvi zvinoitirwa kuti mudziyo (`voice prosthesis`) ugone kuiswa gare gare kuti ukubatsire kutaura. Zvisinei, izvi hazvina kukodzera munhu wese. Unofanira kutaura nachiremba wako kuti asarudze kana izvi zvakakunakira.
5. Kuvhara chibooreso: Pakupedzisira, chibooreso chinovharwa nemasitichi.
Mushure mekuvhiyiwa, unowanzogara muchipatara kwevhiki imwe kana maviri. Munguva iyi, timu yezvekurapa ichakutarisira zvakanaka. Mumazuva mashoma ekutanga, uchapihwa chikafu kuburikidza nechubhu yekudyisa. Chubhu yacho ichabviswa kana wave kukwanisa kumedza mvura.
Unotaura sei mushure mekuvhiyiwa?
Ichi ndicho chinhu chinotyisa vanhu vazhinji. Ehe, kuvhiyiwa kuchabvisa izwi rako rechisikigo. Asi izvozvo hazvirevi kuti hauchazombokwanisi kutaura zvakare. Unogona kudzidza nzira itsva dzekutaura, uye chiremba wako wekutaura anogona kukubatsira nazvo.
Heano mamwe emaitiro makuru.
| Nzira yekutaurirana | Mashandiro azvinoita |
|---|---|
| Kugadzira Izwi | Kana gomba reTEP rakagadzirwa panguva yekuvhiyiwa, mudziyo uyu mudiki unosungirirwa pariri. Mushure mekudzidziswa, uchakwanisa kutungamira mweya kubva mumapapu ako kuenda muhuro mako wobva wagadzira mazwi ane kudedera ikoko. |
| Electrolarynx | Ichi chishandiso chidiki chinoshandiswa nebhatiri. Kana ukachiisa pamutsipa wako wochidzvanya, unogona kugadzira mazwi kubva mukutinhira kwachinoita. Kunyangwe zvichinzwika serobhoti, inzira yakanaka yekutanga kutaura nekukurumidza. |
| Kutaura Kwemudumbu | Nzira iyi haidi michina. Inosanganisira kutora mweya nemuromo, kuubata pahuro nepaburi remuromo, wobva wauburitsa nemhepo nenzira yakarongeka kuti ugadzire mazwi. Izvi zvinoda kudzidzira kwakawanda. |
| Kutaurirana Kusina Mashoko | Panguva yekupora, munhu wese anofanira kushandisa nzira idzi. Izvi zvinosanganisira kushandisa masaini, kurova miromo, kuratidza kumeso, kunyora nemaoko, uye kunyora pafoni kana pakombiyuta. |
Ndezvipi njodzi nematambudziko ekuvhiyiwa?
Sekunge kune chero kuvhiyiwa kupi zvako, kuvhiyiwa kwelaryngectomy kunogona kuva nenjodzi nematambudziko akati wandei.
Njodzi dzakajairika
- Utachiona
- Kugwamba kweropa
- Matambudziko emwoyo
- Kuoma kufema
Matambudziko anokonzerwa nekuvhiyiwa
- Kukuvadzwa kwetrachea kana bronchi
- Kuderera kwebasa re thyroid
- Kuoma kumedza chikafu, zvinwiwa, uye kutaura
- Kurambidzwa kwekufamba kwemutsipa nemapfudzi
- Kubatana kusina kujairika (fistulas) pakati pehuro neganda
- Matambudziko ane chekuita nestoma
Zvinotora nguva yakareba sei kuti munhu apore uye chii chinofanira kutariswa?
Zvinotora mavhiki maviri kusvika matatu kuti munhu apore, asi nguva ino inogona kusiyana kubva pamunhu kuenda kune mumwe, zvichienderana nekukwanisa kwemuviri wako kupora uye kukura kwekuvhiyiwa kwacho.
Kana wakambovhiyiwa kenza, ungangodawo mamwe marapirwo, akadai se radiation therapy kana chemotherapy , kudzivirira kenza kuti isadzoke. Zvakakoshawo kuona chiremba wako kuti akubatsire panguva dzakatarwa.
Chikwata chenyu chezvekurapa chichakudzidzisai kufema, kutaura, kumedza, uye kutarisira dumbu renyu zvakare. Kutevedzera mirairo iyi kwakakosha kuti mupore nekukurumidza.
Nguva yekutsvaga mazano ekurapa nekukasika
Paunodzokera kumba mushure mekuvhiyiwa, unofanira kukurumidza kutaura chero zviratidzo zvinomuka.
| Nguva yekuona chiremba | |
|---|---|
| Taura nachiremba wako: | |
| - Kana uine fivha | - Kana paine hurwa kana kutsvuka kwakakomberedza nzvimbo yakachekwa |
| Enda kuDhipatimendi reEmergency (ETU) riri pedyo nekukasika: | |
| - Kana uine kurwadziwa muchipfuva | - Kana uchinetseka zvakanyanya kufema |
Usarwisa manzwiro aunonzwa kana ukaudzwa kuti unofanira kuvhiyiwa seizvi uri wega. Taura nachiremba wako, mhuri yako, kana shamwari yaunovimba nayo nezvemanzwiro ako nekutya kwako. Kana zvichidikanwa, tsvaga rubatsiro kubva kumupi wezano. Uyewo, kubatana nemapoka ekutsigirana nevanhu vakambosangana nezviitiko zvakafanana kuchakupa simba guru.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweLaryngectomy inzira yekuvhiya kubvisa larynx, kunyanya yegomarara.
- Mushure mekuvhiyiwa, uchafema nepaburi rinonzi stoma rakagadzirwa pamberi pemutsipa wako.
- Kunyangwe ukarasikirwa nezwi rako rekuzvarwa naro, unogona kudzidza nzira itsva dzekutaura uchibatsirwa nenyanzvi yekutaura.
- Hutano hwepfungwa dzako hwakakosha sehutano hwako hwemuviri. Usatya kutaura nezvemanzwiro ako wowana rutsigiro rwaunoda.
*Kune timu yevanachiremba vakazvipira kukubatsira parwendo rwako rwekupora. Tevedzera mazano avo.
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