'Ukuhlinzwa kwe-Glossectomy'… Lokho kusho ukuthi ngisho nalapho uzwa ngokuhlinzwa kokususa ulimi, umzimba wakho uzizwa ungenamizwa, akunjalo? Eqinisweni, uma kufanele ukhulume ngokuhlinzwa okukhulu kangaka, uma kufanele ubhekane nakho, kuyinto evamile kakhulu ukuthi ukwesaba, ukukhathazeka, kanye nemibuzo eminingi emikhulu kufike engqondweni yakho. "Ngeke ngiphinde ngikwazi ukukhuluma?", "Ngeke ngikwazi ukudla?", "Impilo yami izobe injani esikhathini esizayo?" Lezi zinto zingase zivele engqondweni yakho. Kodwa uma sazi ulwazi oluqondile nolucacile ngalokhu, ukwesaba nokungaqiniseki engqondweni yakho kungancishiswa kakhulu. Ngakho ake sixoxe ngalokhu kuhlinzwa kwe-glossectomy namuhla, njengokungathi ukhuluma nomngane wakho noma ilungu lomndeni wakho.
Kalula nje, kuyini 'i-Glossectomy'?
I-Glossectomy inqubo yokuhlinzwa yokususa ulimi lwakho. Kodwa-ke, ulimi lonke alususwa njalo. Kuya ngohlobo kanye nobukhulu besimo. Lungahlukaniswa ngezinhlobo eziningana eziyinhloko.
| Uhlobo lokuhlinzwa | Incazelo elula |
|---|---|
| Ukususwa kwengxenye ye-glossum (ukususwa kwengxenye ye-glossum) | Lokhu kuhilela ukusika nokususa ingxenye yolimi egulayo kuphela. Lokhu kungaba yingxenye encane yolimi. |
| Ukususwa kwengxenye yolimi (i-hemiglossectomy) | Njengoba igama lisho, lokhu kuhilela ukususa ingxenye yolimi lwakho, noma uhlangothi olulodwa, ngokuphelele. |
| Ukususwa kolimi lonke (i-Total Glossectomy) | Lokhu ukuhlinzwa okukhulu kakhulu. Kulokhu, ulimi lonke kufanele lususwe ngokuhlinzwa. |
Ngakho-ke, kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Ezimweni eziningi, i-glossectomy yenziwa njengokwelashwa komdlavuza wolimi. Lokhu kungadingeka ukuze kususwe amangqamuzana omdlavuza futhi kuvinjelwe ukusabalala kwezinye izingxenye zomzimba.
Kodwa imbangela akuyona njalo umdlavuza. Kunezikhathi lapho lokhu kuhlinzwa kufanele kwenziwe ngenxa yezizathu eziningana.
- I-Obstructive Sleep Apnea: Abanye abantu bangase babe nesimo lapho ulimi lwabo luwela emuva ngesikhathi belele, luvale indlela yabo yokuphefumula. Uma lokhu kukubi kakhulu futhi ezinye izindlela zokwelapha zingasebenzi, kunganconywa ukuhlinzwa ukuze kususwe ingxenye yolimi futhi kugcinwe indlela yokuphefumula ivulekile.
- I-Macroglossia (ulimi olukhulu): Uma ulimi lukhulu ngendlela engavamile, kungaba ngenxa yokuzalwa noma esinye isimo sempilo, kungenza kube nzima ukukhuluma, ukudla, noma ngisho nokuphefumula. Ezimweni ezinjalo, lokhu kuhlinzwa kwenziwa ukuze kuncishiswe ubukhulu bolimi.
Kwenzekani ngaphambi kokuhlinzwa?
Uma unquma ukwenza lolu hlobo lokuhlinzwa, odokotela abagcini nje ngokukuphuthuma ekuhlinzweni. Kunezivivinyo eziningi kanye namalungiselelo okudingeka kwenziwe ngaphambi kwalokho.
1. Ukuhlolwa kwezokwelapha: Okokuqala, udokotela uzokukuhlola ngokuphelele. Uzokuhlola ngokucophelela umlomo wakho, ulimi kanye nentamo.
2. Ukuhlolwa Kwezithombe: Okulandelayo, uzocelwa ukuthi wenze ukuhlolwa okufana ne -CT scan noma i-MRI scan ukuze ubone ukuthi inkinga olimini lwakho isakazeke kangakanani nokuthi ijule kangakanani.
3. I-Biopsy: Lesi yisinyathelo esibaluleke kakhulu. Kulokhu, kuthathwa ingxenye encane kakhulu yezicubu endaweni esolisayo yolimi bese ithunyelwa elabhorethri ukuze ihlolwe. Yilokhu okuzoqinisekisa ukuthi umdlavuza noma cha, futhi uma kunjalo, uhlobo luni.
Ngemva kwakho konke lokhu, udokotela uzokunikeza uchungechunge lwemiyalelo mayelana nokuthi yini okudingeka uyenze ngaphambi kokuhlinzwa. Isibonelo, ukuyeka ukudla nokuphuza ngobusuku bangaphambi kokuhlinzwa, nokukunikeza iseluleko mayelana neminye imithi okufanele uyithathe. Kubaluleke kakhulu ukulandela le miyalelo ngqo.
Kwenzekani ngesikhathi sokuhlinzwa?
Uma ungena egumbini lokuhlinza, uzoqale unikezwe i-anesthesia ejwayelekile ukuze ungezwa ubuhlungu noma ukungakhululeki. Lokhu kusho ukuthi uzolala ngokuphelele kuze kube yilapho ukuhlinzwa kuphelile.
Ngemuva kwalokho, udokotela ohlinzayo uzokwenza ukuhlinzwa okufanele ngokusekelwe esimweni sakho.
- Uma kwenziwa i-glossectomy engaphelele: Udokotela ususa ngokucophelela ingxenye yolimi egulayo kuphela bese evala ingxenye esele ngokuthunga. Ngezinye izikhathi, ingxenye encane yezicubu (i-tissue graft) ethathwe kwenye ingxenye yomzimba ingasetshenziswa ukugcwalisa isikhala esishiywe ukususwa.
- Ku-hemiglossectomy: Uma ingxenye yolimi isusiwe, kunethuba elikhulu lobunzima bokuphefumula ngenxa yokuvuvukala kolimi ngemva kokuhlinzwa. Ngakho-ke, ngezinye izikhathi i -tracheostomy nayo yenziwa ngesikhathi esifanayo nalokhu kuhlinzwa. Ungakhathazeki, lokhu kuhilela ukwenza imbobo encane yesikhashana ngaphambili kwentamo ukuze kube lula ukuphefumula. Udokotela wakho uzoxoxa nawe ngalokhu ngaphambi kokuhlinzwa.
- Ku-Total Glossectomy: Uma ulimi lonke lususiwe, kwakhiwa isakhiwo esisha esifana nolimi ukuze kugcwaliswe isikhala. Ngenxa yalokhu, odokotela abahlinzayo bathatha isikhumba nezicubu kwenye ingxenye yomzimba wakho, njengengalo yakho, isifuba, noma ithanga . Izicubu ezintsha zixhunywe emithanjeni yegazi entanyeni yakho ukuze kuhlinzekwe ukugeleza kwegazi. Lokhu ukuhlinzwa okuyinkimbinkimbi kakhulu futhi okuthuthukile.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa, ngokuvamile kuze kube yisonto. Phakathi nalesi sikhathi, odokotela kanye nabasebenzi abahlengikazi bazohlola njalo isimo sakho.
Phakathi nalesi sikhathi, uzohlangana nomuntu obaluleke kakhulu. Lowo muntu unguSolwazi Wezifo Zenkulumo Nolimi . Uzokusiza ukuthi ufunde ukukhuluma nokugwinya kahle futhi ngemva kwalokhu kuhlinzwa.
Ngezinye izikhathi, ikakhulukazi uma kwenziwe ukuhlinzwa kwesimo somdlavuza, udokotela wakho angase futhi ancome ukwelashwa ngemisebe ukuze kubhujiswe noma yimaphi amangqamuzana omdlavuza asele futhi kuncishiswe ingozi yokuthi umdlavuza uphinde ubuye.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yiluphi uhlobo lokwelashwa, lokhu kuhlinzwa kunezinzuzo nezingozi zako.
Inzuzo eyinhloko
Inzuzo enkulu nebaluleke kakhulu yalokhu kuhlinzwa ukuthi kuyindlela yokwelapha ephumelela kakhulu yomdlavuza wolimi. Lokhu kuhlinzwa kuyindlela yokwelapha eyinhloko yomdlavuza, ikakhulukazi engxenyeni yolimi ehambayo. Kunethuba elikhulu kakhulu lokusindisa impilo.
Izingozi ezingaba khona
Njenganoma yikuphi ukuhlinzwa, kunezingozi nezinkinga ezingase zenzeke, futhi kubalulekile ukuzazi kusengaphambili.
| Ingozi/Inkinga | Incazelo |
|---|---|
| Ukopha | Kungase kube nokopha okuvela esilondeni ngemva kokuhlinzwa. |
| Ukutheleleka | Kukhona ingozi yokutheleleka enxebeni. |
| Ubunzima bokugwinya ukudla | Kungaba nzima ukugwinya ukudla, ikakhulukazi ezigabeni zokuqala. |
| Ukulimala kwemizwa | Kukhona ingozi encane yokulimala kwemizwa endaweni yokuhlinzwa. |
| Ukuvaleka komoya ngenxa yokuvuvukala | Ukuvuvukala kwesilonda kungabangela ubunzima bokuphefumula. |
| Ukwenqatshwa kwe-graft | Kunethuba elincane kakhulu lokuthi umzimba uzokwenqaba izicubu ezitshalwe kabusha ukuze kwakhiwe kabusha ulimi. |
| Ukuphinda umdlavuza | Ngisho nangemva kokuhlinzwa, kunengozi yokuthi umdlavuza uphinde uvele. |
Kuthatha isikhathi esingakanani ukululama? Impilo ngemva kokuhlinzwa...
Lona umbuzo omkhulu abantu abaningi abanawo: "Kuzongithatha isikhathi esingakanani ukubuyela ekuphileni impilo evamile?"
Empeleni, isikhathi sokuphulukiswa sincike ngokuphelele ekutheni ulimi lwakho lukhishwe kangakanani.
- Ukususwa kwe-Glossectomy okuyingxenye (uma ingxenye yolimi isusiwe): Uzokwazi ukudla nokuphuza ngokujwayelekile cishe emavikini amabili.
- Ukususwa kwe-Glossectomy okuphelele (uma i-glossectomy yonke isusiwe): Amandla okugwinya angase alahleke ngokuphelele. Ezimweni ezinjalo, ukudla okunomsoco oketshezi kungadingeka kunikezwe ngepayipi le-nasogastric (ipayipi le-NG) noma ipayipi elixhunywe esiswini (ipayipi le-PEG).
Kunoma ikuphi, kubalulekile ukuqhubeka nokusebenza nochwepheshe wakho wezokukhuluma nolimi.
Kwenzekani ngekhono lokukhuluma?
Lokhu kuncike futhi enanini lolimi olususiwe.
- Abantu abakhishwe ingxenye yolimi lwabo:Ikhono lokuphimisela imisindo namagama amaningi lingase liqhubeke. Leli khono lingathuthukiswa kakhulu ngokwelashwa ngenkulumo.
- Abantu abasuswe lonke ulimi: Bangase balahlekelwe ikhono lokukhuluma, kodwa lokho akusho ukuthi balahlekelwa ukuxhumana nomhlaba. Bangaxhumana nabanye besebenzisa ubuchwepheshe, njengepeni nephepha, ithebhulethi, noma ikhompyutha .
Kwenzekani ngomuzwa wokunambitha?
Le nkinga iyaqondakala, njengoba umuzwa wethu wokunambitha utholakala olimini. Ucwaningo lukhombisile ukuthi abantu abanengxenye yolimi lwabo okungenani banomuzwa omuhle wokunambitha. Kodwa-ke, uma ulimi olungaphezu kwengxenye lususwa, kungabangela ubunzima bokuhlukanisa nokubona ukunambitheka okuthile (i-dysgeusia) .
Kodwa ngokumangalisayo, ngisho nezinye iziguli ezisuswe lonke ulimi lwazo (i-total glossectomy) kubikwa ukuthi zinezinga elithile lokunambitha kanye nekhono lokujabulela ukudla.
Uma unalezi zimpawu, xhumana nodokotela ngokushesha!
Uma usubuyile ekhaya ngemva kokuhlinzwa, kubalulekile ukunaka kakhulu izinguquko emzimbeni wakho. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| Ukopha ngokweqile emlonyeni | Thatha isinyathelo ngokushesha. |
| Uma ukuvuvukala kukhula ngemva kwezinsuku ezimbalwa zokuqala | Lokhu kungaba uphawu lokutheleleka. |
| Ukungakwazi ukudla noma ukuphuza nhlobo | Ukwelashwa kuyadingeka ukuze kuvinjelwe ukuphelelwa amanzi emzimbeni. |
| Ukuhlanza noma isicanucanu | Ikakhulukazi uma kuqhubeka. |
| Izimpawu zokutheleleka njengomkhuhlane kanye nokubanda | Uphawu lokuthi inxeba lithelelekile. |
| Ukuminyana | Lesi yisimo esiphuthumayo. |
| Ubunzima obukhulu bokugwinya ukudla | Uma ukungakhululeki kukhuphuka, tshela udokotela wakho . |
| Ubuhlungu obukhulu obungapheli naphezu kokuthatha imithi | Kungaba uphawu lwenye inkinga. |
Ukuhlinzwa kwe-Glossectomy ngempela kuyindlela yokuhlinzwa eshintsha impilo. Ukwenza isinqumo esinjalo kuyinto yomuntu siqu futhi enzima. Ngakho-ke, khuluma nodokotela wakho ngokucophelela futhi uqiniseke ukuthi uyaziqonda zonke izinketho zakho zokwelashwa. Buza noma yimiphi imibuzo ongase ube nayo mayelana nezinzuzo nezingozi zalokhu kuhlinzwa nokuthi yini ongayilindela ngemva kwenqubo. Inqubo yokululama ingaba yinselele, kodwa khumbula, unethimba lodokotela, abahlengikazi, ikakhulukazi abelaphi bezenkulumo abazokusiza. Ngosizo lwabo, ungafunda ukukhuluma, ukugwinya, nokuthuthukisa ikhwalithi yokuphila kwakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Glossectomy inqubo yokuhlinzwa esusa ulimi. Ivame ukwenziwa njengokwelashwa komdlavuza wolimi.
- Umthelela ekukhulumeni, ekugwinyeni, nasekunambitheni uyahlukahluka kuye ngokuthi ukuhlinzwa kwenziwe kangakanani (ingxenye, ingxenye, noma ulimi lonke).
- Ukusekelwa ngudokotela wezokukhuluma nolimi kubalulekile enkambisweni yokululama ngemva kokuhlinzwa. Bazokusiza ukuthi uphinde uthole ikhono lakho lokugwinya nokuxhumana.
- Kuvamile ukuzizwa wesaba futhi ukhathazekile lapho ubhekene nokuhlinzwa okunje. Vulela ithimba lakho lezokwelapha imizwa yakho nemibuzo yakho.
- Uma uzwa izimpawu eziyisixwayiso ezifana nomkhuhlane, ukopha ngokweqile, noma ubuhlungu obukhulu ngemva kokuhlinzwa, funa iseluleko sezokwelapha ngokushesha.
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