Kuqhelekile ukuziva uloyiko olukhulu kunye nokothuka xa ugqirha wakho ekuxelela ukuba "ibhokisi yelizwi" okanye i-larynx yakho kufuneka isuswe ngotyando. Usenokuba nemibuzo emininzi engqondweni yakho, efana nokuthi "Kuza kwenzeka ntoni kwilizwi lam?" kunye nokuthi "Andisayi kuphinda ndikwazi ukuthetha?" Kodwa ungakhathazeki. Nangona olu lutyando olukhulu, usenokuphila kakuhle kwaye uthethe ngeendlela ezintsha emva kotyando. Masithethe ngolu tyando lwe-Laryngectomy ngokulula nangokucacileyo.
Ngamafutshane, yintoni iLaryngectomy?
I-laryngectomy yinkqubo yotyando esusa inxalenye okanye yonke i-larynx yakho. Abanye abantu bayibiza ngokuba yi-"voice box" yakho. I-larynx yakho ikwindawo engaphezulu kwe-trachea yakho. Kulapho umlomo, impumlo, kunye nemiphunga kudibana khona. I-larynx ibalulekile ekuphefumleni, ekuginyeni nasekuthetheni.
Ngoku usenokuba uzibuza, "Kutheni kufuneka kususwe oku?" Ugqirha wakho uza kucebisa olu hlobo lotyando kuphela ukuba ingqula yakho yonakele kakhulu okanye ineengxaki zempilo.
Kukho izizathu ezibini eziphambili:
- Umhlaza weLaryngeal: Olu tyando lwenziwa rhoqo kwiimeko zomhlaza welarynx.
- Umonakalo ongenakuguqulwa: Ngenxa yomonakalo omkhulu, ongenakuguqulwa kwingxolo ebangelwa yingozi enkulu okanye esinye isizathu.
Ngamanye amaxesha kususwa inxalenye yengxolo. Siyibiza ngokuba yi-partial laryngectomy. Ngamanye amaxesha, yonke ingxolo kufuneka isuswe. Siyibiza ngokuba yi-total laryngectomy.
Kodwa kukho iindaba ezimnandi. Olu tyando aluxhaphakanga ngoku njengoko belunjalo ngaphambili. Oku kungenxa yokuba abantu abaninzi bayekile ukutshaya kwaye kuye kwaveliswa iindlela ezintsha zokunyanga umhlaza ngaphandle kokususa i-larynx.
Yintoni esifanele siyenze ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho uza kukuxilonga kakuhle aze aphinde akuyalele ezinye iimvavanyo ezininzi.
- I-X-ray yesifuba: Jonga imeko yemiphunga yakho.
- Uvavanyo lwe-ECG: Jonga ukuba isantya sentliziyo sinjani.
- Uvavanyo lwegazi: Jonga impilo yomzimba ngokubanzi.
Ukongeza, kuya kufuneka ubone iingcali ezininzi. Umzekelo, ingcali yezifo zolwimi lokuthetha (SLP) kunye nengcali yokugwinya. Baza kukunceda ulungelelane nobomi emva kotyando kwaye ufunde ukuthetha kwakhona. Kubaluleke kakhulu ukwenza la madinga kwangethuba ngaphambi kotyando lwakho.
Ukuba uyatshaya, iqela lakho lezonyango liza kukunceda uyeke. Uya kufumana nethuba lokuthetha nogqirha wezokutya ukuze akuncede ucwangcise ukutya kwakho emva kotyando.
Ngaphambi kosuku lotyando lwakho, iqela lakho lezonyango liza kukunika imiyalelo ecacileyo. Bahlala bekuxelela ukuba uyeke ukuthatha amayeza okunciphisa igazi kwiintsuku ezimbalwa ngaphambi kotyando. Bakwakuxelela ukuba uyeke ukutya nokusela ngobusuku bangaphambili.
Kwenzeka ntoni ngexesha lotyando?
Uza kuba phantsi kwe-anesthesia kulo lonke utyando, oko kuthetha ukuba awuyi kuva nto kwaye uza kube ulele. Ugqirha uza kulandela la manyathelo:
1. Ukwenza i-incision: Okokuqala, kwenziwa i-incision encinci ngaphambili entanyeni yakho.
2. Ukususwa kweLarynx: I-larynx yakho (ibhokisi yelizwi) iya kususwa emva koko. Ingabandakanya ukususa yonke okanye inxalenye yayo, kuquka neentambo zelizwi. Ingabandakanya nokususa ii-lymph nodes ezikufutshane okanye iinxalenye zezicubu zomqala.
3. Ukudala iStoma: Le yeyona nxalenye ibalulekileyo. Xa i-larynx yakho isusiwe, awukwazi ukuphefumla ngempumlo yakho njengoko ubusenza ngaphambili. Ngoko ke, kwakheka umngxuma omncinci entanyeni yakho ukuze kudalwe indlela entsha yokuphefumla . Oku kubizwa ngokuba yiStoma . Kufakwa umbhobho omncinci kule stoma.
4. I-Voice Prosthesis (kuphela ukuba kuyimfuneko): Oku kwenziwa nakwabanye abantu. Kwenziwa umngxuma omncinci phakathi komphimbo womoya kunye nomqala, kwaye kufakwa isixhobo esincinci kuwo ukunceda ekuthetheni.
5. Ukuvala isiko: Ekugqibeleni, isiko elenziwe entanyeni livalwa kakuhle ngezititshi.
Yintoni onokuyilindela emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele kangangeveki okanye ezimbini. Kwiintsuku ezimbalwa zokuqala, uza kondliwa ngetyhubhu yokondla . Xa iqela lezonyango liqinisekile ukuba ungaginya ngokukhuselekileyo, baya kukunceda utye ngomlomo.
Khumbula, konke oku kungenxa yempilo nokhuseleko lwakho. Iqela lezonyango liza kuhlala nawe lize likuchazele yonke into.
Kukho iingozi ezibandakanyekayo kulo naluphi na utyando. Ezinye zeengxaki ezinokubakho ngexesha lotyando zezi:
- Ukonakala kwamalungu angqongileyo afana ne-trachea okanye i-larynx.
- I-Fistula, eziziimbobo ezingaqhelekanga phakathi komqala nolusu.
- Ukunyakaza okulinganiselweyo entanyeni okanye egxalabeni.
- Ukungasebenzi kakuhle kwe-thyroid.
- Iingxaki ezinxulumene nestoma (umz. izifo, ukurhawuzelelwa lusu) kunye nobunzima bokuyinyamekela.
- Ubunzima bokutya, ukuginya, nokuthetha kwasekuqaleni.
Uninzi lwabantu luthatha malunga neeveki ezimbini ukuya kwezintathu ukuze luphile ngokupheleleyo kolu tyando, kodwa oku kunokwahluka ngokuxhomekeke kwimeko yakho yomzimba kunye nohlobo lotyando.
Uthetha njani kwakhona emva kotyando?
Le yeyona ngxaki inkulu kubo bonke abantu. Xa i-larynx kunye ne-vocal cords zakho zisusiwe, ulahlekelwa lilizwi lakho. Kodwa oko akuthethi ukuba awukwazi ukuthetha kwakhona. Ngokuqinisekileyo ungathetha kwakhona. Kufuneka nje ufunde iindlela ezintsha zokwenza oko. Ingcali yakho yokuthetha (SLP) iya kuba yinkxaso yakho enkulu kolu hambo.
Nazi ezinye iindlela eziphambili kunye nezixhobo zokukunceda uthethe:
| Indlela / Isixhobo | Kalula nje, |
|---|---|
| I-Prosthesis yelizwi | Esi sisixhobo esincinci esingena phezu kwestoma yakho. Xa uvala istoma ngomnwe wakho, umoya ovela emiphungeni yakho udlula kwesi sixhobo uye emqaleni wakho, udale isandi esifana nelizwi. Ilizwi eliphumayo lifana kakhulu nelizwi eliqhelekileyo. |
| I-Electrolarynx | Esi sisixhobo esincinci se-elektroniki osinxiba entanyeni yakho. Sithumela iintshukumo emqaleni wakho nasemlonyeni wakho, apho ziguqulwa zibe ngamazwi. Nangona ilizwi elilikhuphayo lisenokuvakala ngathi liyirobhothi, kulula kakhulu ukulifunda ukulisebenzisa. |
| Intetho ye-Esophageal | Le yindlela yokuthetha ngaphandle kwezixhobo zomculo. Okwenzayo apha kukungenisa umoya omncinci emqaleni wakho uze uwukhulule kancinci uze ulawuleke ukuze wenze isandi. Oku kufuna ixesha elithile ukuze uqhele, kodwa wakuba uyiqhelile le ndlela, akuyi kufuneka zixhobo zomculo. |
| Unxibelelwano olungenamagama | Ngelixa ufunda ukuthetha, ungasebenzisa ezinye iindlela. Umzekelo, ukubhala kwifowuni okanye kwithebhulethi yakho, ukusebenzisa izandla kunye nembonakalo yobuso, kunye nokubhala. |
Kufuneka uthethe nini nogqirha?
Xa ufika ekhaya emva kotyando, qaphela imeko yakho. Fowunela ugqirha wakho ngoko nangoko ukuba unenye yezi mpawu:
- Ifiva
- Ukukhupha ubofu kwindawo yomthungo
- Ezinye iimpawu zosulelo (ububomvu, ukudumba, iintlungu eziqatha)
Nangona kunjalo, ukuba ufumana iintlungu esifubeni okanye ubunzima obukhulu bokuphefumla , yingxamiseko. Fowunela iNkonzo yeeAmbulensi ye-1990 (Suvaseriya) ngoko nangoko, okanye uye kwiSebe leeNgxamiseko lesibhedlele esikufutshane (ETU) ngokukhawuleza.
Ukususwa kwengxolo yomlomo akulula. Usenokuziva usoyika, unomsindo, kwaye uphelelwe lithemba. Musa ukuzifihla ezi mvakalelo. Thetha nogqirha wakho kunye nosapho lwakho ngayo. Banokukunceda. Kwakhona, ukufuna uncedo kumcebisi kunye nokujoyina iqela lenkxaso nabantu abaye badlula kwinto efanayo nawe onokukunceda ngayo. Okukhona ufunda ngakumbi ngale meko, kokukhona uya kuba nesibindi sokujongana nayo.
Umyalezo Wokuya Ekhaya
- Utyando lweLaryngectomy lutyando olukhulu nolusindisa ubomi olususa i-larynx.
- Emva kotyando, kuya kufuneka uqhele ukuphefumla ngendlela entsha ngomngxuma obizwa ngokuba yi-'stoma' owenziwe entanyeni yakho.
- Nokuba ulahlekelwa lilizwi lakho, ngokuqinisekileyo kunokwenzeka ukuthetha nokunxibelelana kwakhona ngeendlela ezininzi ezintsha ngoncedo lwengcali yezonyango.
- Musa ukuhamba wedwa kolu hambo. Fumana inkxaso kwiqela lakho lezonyango, usapho lwakho, kunye nabacebisi.
- Landela imiyalelo kagqirha wakho ngononophelo njengoko ululama kwaye uqhelana nobomi bakho obutsha.
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