'I-Glossectomy'… Oko kuthetha ukuba nokuba usiva ngotyando lokususa ulwimi, umzimba wakho uziva ungakhululekanga, akunjalo? Enyanisweni, xa kufuneka uthethe ngotyando olukhulu kangaka, xa kufuneka ujongane nalo, kuyinto eqhelekileyo ukuba uloyiko, ixhala, kunye nemibuzo emininzi emikhulu ifike engqondweni yakho. "Andisayi kuze ndikwazi ukuthetha kwakhona?", "Andisayi kuze ndikwazi ukutya?", "Ubomi bam buza kuba njani kwixesha elizayo?" Ezi zinto zinokuvakala engqondweni yakho. Kodwa ukuba siyazi ulwazi oluchanekileyo nolucacileyo malunga noku, uloyiko kunye nokungaqiniseki engqondweni yakho kunokuncipha kakhulu. Ngoko masithethe ngolu tyando lwe-glossectomy namhlanje, ngokungathi uthetha nomhlobo wakho okanye ilungu losapho.
Ngamafutshane, yintoni i-'Glossectomy'?
I-Glossectomy yinkqubo yotyando yokususa ulwimi lwakho. Nangona kunjalo, ulwimi lonke alususwa rhoqo. Kuxhomekeke kuhlobo kunye nobungakanani bemeko. Ingohlulwa ibe ziintlobo ezininzi eziphambili.
| Uhlobo lotyando | Ingcaciso elula |
|---|---|
| Ukususwa kwenxalenye ye-glossum (ukususwa kwenxalenye ye-glossum) | Oku kuquka ukusika nokususa kuphela inxalenye yolwimi enesifo. Eli lisenokuba liqhekeza elincinci lolwimi. |
| Ukususwa kwesiqingatha solwimi (Hemiglossectomy) | Njengoko igama lisitsho, oku kuquka ukususa isiqingatha solwimi lwakho, okanye icala elinye, ngokupheleleyo. |
| Ukususwa kolwimi lonke (i-Total Glossectomy) | Olu lolona tyando lukhulu. Kule meko, ulwimi lonke kufuneka lususwe ngotyando. |
Kutheni ke ngoko kufuneka wenze olu hlobo lotyando?
Kwiimeko ezininzi, i-glossectomy yenziwa njengonyango lomhlaza wolwimi. Oku kunokuba yimfuneko ukususa iiseli zomhlaza nokuzithintela ukuba zingasasazeki kwezinye iindawo zomzimba.
Kodwa isizathu asisoloko singumhlaza. Kukho amaxesha apho olu tyando kufuneka lwenziwe ngenxa yezizathu ezininzi.
- I-Obstructive Sleep Apnea: Abanye abantu banokuba nemeko apho ulwimi lwabo lubuyela umva ngexesha lokulala, nto leyo evala indlela yabo yomoya. Ukuba oku kukhulu kwaye ezinye iindlela zonyango azisebenzanga, kunokucetyiswa ukuba kususwe inxalenye yolwimi kwaye kugcinwe indlela yomoya ivulekile.
- I-Macroglossia (ulwimi olukhulu): Ukuba ulwimi lukhulu ngokungaqhelekanga, nokuba kungenxa yokuzalwa okanye enye imeko yempilo, kunokwenza kube nzima ukuthetha, ukutya, okanye ukuphefumla. Kwiimeko ezinjalo, olu tyando lwenziwa ukunciphisa ubukhulu bolwimi.
Kwenzeka ntoni ngaphambi kotyando?
Xa ugqiba ekubeni wenze olu hlobo lotyando, oogqirha abakungxamisi nje ukuba wenze utyando. Kukho uvavanyo oluninzi kunye namalungiselelo ekufuneka enziwe ngaphambi koko.
1. Uvavanyo lwezonyango: Okokuqala, ugqirha uza kukuhlola ngokupheleleyo. Uza kukuhlola umlomo wakho, ulwimi lwakho, kunye nentamo yakho ngononophelo.
2. Uvavanyo lweMifanekiso: Okulandelayo, uza kucelwa ukuba wenze uvavanyo olufana ne -CT scan okanye i-MRI scan ukuze ubone ukuba ingxaki eselulwimini lwakho isasazeke kangakanani kwaye inzulu kangakanani.
3. I-Biopsy: Eli linyathelo elibaluleke kakhulu. Kule meko, kuthathwa iqhekeza elincinci kakhulu lesicwili kwindawo erhanelekayo yolwimi lize lithunyelwe kwilebhu ukuze livavanywe. Yiyo le nto eza kuqinisekisa ukuba ngumhlaza okanye akunjalo, kwaye ukuba kunjalo, loluphi uhlobo.
Emva kwako konke oku, ugqirha uza kukunika uthotho lwemiyalelo malunga noko kufuneka ukwenze ngaphambi kotyando. Umzekelo, ukuyeka ukutya nokusela ngobusuku bangaphambi kotyando, kunye nokukunika iingcebiso malunga namanye amayeza omele uwasebenzise. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo.
Kwenzeka ntoni ngexesha lotyando?
Xa ungena kwigumbi lotyando, uza kuqala unikwe i-anesthesia ukuze ungabi nantlungu okanye ukungakhululeki. Oku kuthetha ukuba uza kulala ubuthongo ngokupheleleyo de utyando luphele.
Emva koko, ugqirha uza kwenza utyando olufanelekileyo ngokusekelwe kwimeko yakho.
- Kwi-glossectomy engaphelelanga: Ugqirha ususa ngononophelo kuphela inxalenye yolwimi enesifo aze ayivale yonke eseleyo nge-stitches. Ngamanye amaxesha, iqhekeza elincinci lezicubu (i-tissue graft) elithathwe kwenye inxalenye yomzimba lingasetyenziswa ukuvala isithuba esishiywe kukususwa.
- Kwi-hemiglossectomy: Xa isiqingatha solwimi sisusiwe, kukho amathuba aphezulu okuba nobunzima bokuphefumla ngenxa yokudumba kolwimi emva kotyando. Ke ngoko, ngamanye amaxesha i- tracheostomy yenziwa ngexesha elinye nolu tyando. Ungakhathazeki, oku kuquka ukwenza umngxuma omncinci wexeshana ngaphambili entanyeni ukuze kube lula ukuphefumla. Ugqirha wakho uza kuxoxa nawe ngale nto ngaphambi kotyando.
- Kwi-Total Glossectomy: Xa ulwimi lonke lususiwe, kwakhiwa isakhiwo esitsha esifana nolwimi ukuze kuvalwe umsantsa. Ngenxa yoku, oogqirha botyando bathatha ulusu kunye nezicwili kwenye indawo yomzimba wakho, njengengalo yakho, isifuba, okanye ithanga . Izicwili ezintsha ziqhagamshelwe kwimithambo yegazi entanyeni yakho ukuze zinike ukuhamba kwegazi. Olu lutyando oluntsonkothileyo noluphucukileyo.
Kwenzeka ntoni emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa, rhoqo ukuya kuthi ga kwiveki. Ngeli xesha, oogqirha kunye nabasebenzi bonyango baya kujonga imeko yakho rhoqo.
Ngeli xesha, uza kudibana nomntu obaluleke kakhulu. Loo mntu yiNgcali yezifo zeNtetho noLwimi . Uza kukunceda ufunde ukuthetha nokuginya kakuhle kwakhona emva kolu tyando.
Ngamanye amaxesha, ingakumbi ukuba kwenziwe utyando lwesifo somhlaza, ugqirha wakho unokucebisa unyango lwemitha ukuze kutshatyalaliswe naziphi na iiseli zomhlaza eziseleyo kwaye kuncitshiswe umngcipheko wokuba umhlaza uphinde ubuye.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na unyango lwezonyango, olu tyando luneengenelo kunye neengozi zalo.
Inzuzo ephambili
Eyona nzuzo inkulu nebaluleke kakhulu yolu tyando kukuba lunyango oluphumelele kakhulu kumhlaza wolwimi. Olu tyando lolona nyango luphambili lomhlaza, ingakumbi kwinxalenye yolwimi eshukumayo. Lunethuba elikhulu lokusindisa ubomi.
Iingozi ezinokubakho
Njengakwezinye iintlobo zotyando, kukho iingozi kunye neengxaki ezinokubakho, kwaye kubalulekile ukuzazi ezi zinto kwangaphambili.
| Umngcipheko/Ingxaki | Inkcazo |
|---|---|
| Ukopha | Kusenokubakho ukopha enxebeni emva kotyando. |
| Usulelo | Kukho umngcipheko wokosuleleka enxebeni. |
| Ubunzima bokuginya ukutya | Kunokuba nzima ukuginya ukutya, ingakumbi xa usaqala. |
| Ukulimala kwemithambo-luvo | Kukho umngcipheko omncinci wokonakala kwemithambo-luvo kwindawo yotyando. |
| Ukuvaleka komoya ngenxa yokudumba | Ukudumba kwenxeba kunokubangela ubunzima bokuphefumla. |
| Ukwaliwa kwe-graft | Kukho ithuba elincinci kakhulu lokuba umzimba uya kuwala izicubu ezifakelweyo ukuze kwakhiwe ulwimi. |
| Ukuphinda umhlaza | Kwanasemva kotyando, kukho umngcipheko wokuba umhlaza uphinde ubuye. |
Kuthatha ixesha elingakanani ukuchacha? Ubomi emva kotyando...
Lo ngumbuzo omkhulu abantu abaninzi abanawo: "Kuza kuthatha ixesha elingakanani ukuba ndibuyele ebomini obuqhelekileyo?"
Enyanisweni, ixesha lokuphiliswa lixhomekeke ngokupheleleyo ekubeni lungakanani ulwimi lwakho olususiweyo.
- Ukususwa kweGlossectomy okungeyonxalenye (ukuba inxalenye yolwimi isusiwe): Uya kukwazi ukutya nokusela ngokuqhelekileyo kwiiveki ezimbini.
- I-Glossectomy iyonke (ukuba i-glossectomy yonke isusiwe): Amandla okuginya asenokuphela ngokupheleleyo. Kwiimeko ezinjalo, ukutya okunesondlo kunokufuneka kunikwe ngetyhubhu ye-nasogastric (ityhubhu ye-NG) okanye ngetyhubhu eqhagamshelwe esiswini (ityhubhu ye-PEG).
Nokuba kunjalo, kubalulekile ukuqhubeka usebenza nogqirha wakho wengqondo othetha nolwimi.
Kwenzeka ntoni kubuchule bokuthetha?
Oku kuxhomekeke nakwinani lolwimi olususiweyo.
- Abantu abasuswe inxalenye yolwimi lwabo:Ubuchule bokubiza izandi ezininzi namagama bunokuhlala bukhona. Olu buchule bunokuphuculwa ngakumbi ngonyango lokuthetha.
- Abantu abasuswe ulwimi lwabo lonke: Basenokulahlekelwa yikhono lokuthetha, kodwa oko akuthethi ukuba balahlekelwa lunxibelelwano nehlabathi. Banokunxibelelana nabanye abantu besebenzisa ubuchwepheshe, obufana nepeni nephepha, ithebhulethi, okanye ikhompyutha .
Kwenzeka ntoni kwimvakalelo yokungcamla?
Le ngxaki iyaqondakala, kuba ingqiqo yethu yokungcamla ifumaneka kulwimi. Uphando lubonise ukuba abantu abanesiqingatha solwimi lwabo esipheleleyo banoluvo oluhle lokungcamla. Nangona kunjalo, ukuba ulwimi olungaphezulu kwesiqingatha lususiwe, kunokubangela ubunzima bokwahlula nokuchonga ezinye iincasa (dysgeusia) .
Kodwa okumangalisayo kukuba, kwanezinye izigulana ezisuswe lonke ulwimi lwazo (i-total glossectomy) ziye zaxelwa ukuba zinencasa ethile kunye nokukwazi ukunandipha ukutya.
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza!
Wakuba ubuyele ekhaya emva kotyando, kubalulekile ukuba uqwalasele utshintsho olusemzimbeni wakho. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| Ukopha okugqithisileyo emlonyeni | Thabatha inyathelo ngoko nangoko. |
| Ukuba ukudumba kuyanda emva kweentsuku ezimbalwa zokuqala | Oku kungaba luphawu losulelo. |
| Ukungakwazi ukutya okanye ukusela konke konke | Unyango luyadingeka ukuthintela ukuphelelwa ngamanzi emzimbeni. |
| Ukuhlanza okanye isicaphucaphu | Ingakumbi ukuba iyaqhubeka. |
| Iimpawu zosulelo ezifana nomkhuhlane kunye nokubanda | Uphawu lokuba inxeba lisulelekile. |
| Ukuminxana | Le yimeko engxamisekileyo. |
| Ubunzima obukhulu bokuginya ukutya | Ukuba ukungakhululeki kuyanda, xelela ugqirha wakho . |
| Intlungu ebuhlungu engapheziyo nangona usela amayeza | Kusenokuba luphawu lwenye ingxaki. |
I-Glossectomy lutyando olutshintsha ubomi ngenene. Ukwenza isigqibo esinjalo yinto yobuqu kakhulu kwaye inzima. Ngoko ke, thetha nogqirha wakho ngononophelo kwaye uqiniseke ukuba uyaziqonda zonke iindlela zakho zonyango. Buza nayiphi na imibuzo onokuba nayo malunga neenzuzo kunye neengxaki zolu tyando kunye noko ungakulindela emva kwenkqubo. Inkqubo yokuchacha inokuba nzima, kodwa khumbula, uneqela loogqirha, abahlengikazi, ngakumbi iingcali zonyango lokuthetha ukukunceda. Ngoncedo lwabo, ungafunda ukuthetha, ukuginya, kunye nokuphucula umgangatho wobomi bakho.
Umyalezo Wokuya Ekhaya
- I-Glossectomy yinkqubo yotyando esusa ulwimi. Idla ngokwenziwa njengonyango lomhlaza wolwimi.
- Impembelelo ekuthetheni, ekuginyeni, nasekunambitheni iyahluka ngokuxhomekeke kubungakanani botyando (inxalenye, isiqingatha, okanye ulwimi lonke).
- Inkxaso yogqirha wengqondo othetha nolwimi ibalulekile kwinkqubo yokuchacha emva kotyando. Baza kukunceda uphinde ukwazi ukuginya nokunxibelelana.
- Kuqhelekile ukuba noloyiko kwaye uxhalabe xa ujongene notyando olunje. Thetha ngokukhululekileyo malunga neemvakalelo zakho kunye nemibuzo yakho kwiqela lakho lezonyango.
- Ukuba ufumana iimpawu ezilumkisayo ezinje ngomkhuhlane, ukopha kakhulu, okanye iintlungu eziqatha emva kotyando, funa ingcebiso kagqirha ngokukhawuleza.
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