Kujwayelekile ukuthi noma ubani azizwe esaba kancane futhi ethukile lapho ezwa indaba yokuhlinzwa kokususwa kolimi. Ngoba ulimi luyisitho esibalulekile engxoxweni yethu nasekujabuleleni ukudla. Kodwa-ke, kwezinye izimo zempilo ezimbi, ikakhulukazi ezimweni ezifana nomdlavuza wolimi, lokhu kuhlinzwa kungaba yinto ebalulekile ukusindisa izimpilo. Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlinzwa okubizwa ngokuthi i-Glossectomy, ngendlela elula kakhulu engasusa ukwesaba nokungabaza okuhlobene nakho.
Kalula nje, kuyini i-Glossectomy?
I-Glossectomy inqubo yokuhlinzwa esusa lonke ulimi lwakho noma ingxenye yalo. Kunezinhlobo ezintathu eziyinhloko, kuye ngohlobo kanye nobukhulu besifo.
| Uhlobo lokuhlinzwa | Incazelo |
|---|---|
| Ukususwa kwengxenye yolimi ( i-Partial Glossectomy ) | Kulokhu, kususwa ingxenye encane yolimi olunesifo. |
| Ukususwa kwengxenye yolimi ( i-hemiglossectomy ) | Njengoba igama lisho, ingxenye yolimi, okungukuthi, uhlangothi olulodwa, isusiwe ngokuphelele. |
| Ukususwa kolimi lonke ( i-Total Glossectomy ) | Kulokhu, ulimi lonke kufanele lususwe. |
Pho kungani kwenziwa lolu hlobo lokuhlinzwa?
Isizathu esiyinhloko salokhu kuhlinzwa ngokuvamile umdlavuza wolimi . Lena yindlela engcono kakhulu yokwelapha ukuvimba amangqamuzana omdlavuza ukuthi angasabalali kwezinye izindawo futhi asindise impilo yesiguli.
Ngaphandle kwalokho, lokhu kuhlinzwa akuvamile ukwenziwa ngezinye izizathu.
- I-Obstructive Sleep Apnea: Isimo esibi lapho ukuphefumula kuyeka khona ngesikhathi sokulala.
- I-Macroglossia: Ulimi olukhulu ngendlela engavamile, okwenza kube nzima ukukhuluma noma ukudla.
Kwenzekani ngaphambi kokuhlinzwa?
Uma uhlelelwe lolu hlobo lokuhlinzwa, udokotela uzoqala akuhlole ngokucophelela. Ngemuva kwalokho, bazoyala ukuhlolwa okuningana, okufana nokuskena kwe-CT noma ukuskena kwe-MRI, ukuze kutholakale isimo esiqondile sesimo sakho.
Into ebaluleke kakhulu ukuhlolwa kwezicubu. Lokhu kuhilela ukuthatha ingxenye encane kakhulu yezicubu endaweni esolisayo yolimi bese uyithumela elabhorethri ukuqinisekisa ukuthi akhona yini amangqamuzana omdlavuza noma cha.
Ngemva kwakho konke lokhu, udokotela uzokunikeza isethi yemiyalelo okufanele uyilandele ngaphambi kokuhlinzwa. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngaphambi kokuba ukuhlinzwa kuqale, uzonikezwa i-anesthesia ejwayelekile ukuze ungezwa ubuhlungu noma ukungakhululeki. Lokhu kusho ukuthi uzobe ulele ngokuphelele.
- Ukususwa Kwesitho Esingenasici: Udokotela ohlinzayo ususa ngokucophelela ingxenye yolimi egulayo bese ethunga inxeba livalwe. Ngezinye izikhathi, ingcezu yezicubu ezivela kwenye ingxenye yomzimba ingasetshenziswa ukugcwalisa isikhala.
- Uma ususwa ulimi oluyingxenye noma oluphelele (Hemi/Total Glossectomy): Lena inqubo eyinkimbinkimbi kakhulu. Ngemva kokususa ulimi lwakho, udokotela wakho uzothatha isikhumba nemisipha kwenye ingxenye yomzimba wakho, njengengalo yakho, isifuba noma ithanga , bese eyakha kabusha njengolimi olusha. Lesi zicubu ezintsha zizoxhunywa emithanjeni yegazi entanyeni yakho ukuqinisekisa ukugeleza kwegazi okuhle.
Ngezinye izikhathi, ngemva kokuhlinzwa, kungadingeka ukuthi kufakwe ipayipi okwesikhashana ngembobo encane entanyeni yakho ukuze ikusize uphefumule. Lokhu kubizwa ngokuthi i-tracheostomy . Ungakhathazeki ngalokhu, udokotela wakho uzoxoxa nawe ngalokhu ngokuningiliziwe ngaphambi kokuhlinzwa.
Injani impilo ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, ngokuvamile uzohlala esibhedlela cishe isonto lonke. Phakathi nalesi sikhathi, odokotela nabahlengikazi bazohlola njalo inhlalakahle yakho.
Umuntu obaluleke kakhulu ozohlangana naye phakathi nalesi sikhathi yi -Speech and Language Pathologist . Nguye ozokufundisa indlela yokugwinya kahle nokukhuluma kahle futhi ngemva kokuhlinzwa. Nakuba lolu kungaba uhambo oluyinselele, ngokuqeqeshwa okufanele, ungenza intuthuko enkulu.
Kwabanye iziguli, udokotela angase futhi ancome ukwelashwa ngemisebe ukuze kubhujiswe ngokuphelele noma yimaphi amangqamuzana omdlavuza asele futhi kuncishiswe ingozi yokuthi umdlavuza uphinde ubuye.
Imibuzo emikhulu yawo wonke umuntu
Ngingakwazi ukukhuluma ngemva kokuhlinzwa?
Lokhu kuncike ngokuphelele ekutheni ulimi lwakho lukhishwe kangakanani.
- Abantu abake basuswa ulimi kancane:Iningi labantu lingabiza amagama nemisindo eminingi ngokucacile, futhi leli khono lingathuthukiswa kakhulu ngokwelashwa ngenkulumo.
- Abantu abasuswe lonke ulimi: Ukukhuluma kungaba nzima kakhulu. Kodwa ungalilahli ithemba. Ungasebenzisa ubuchwepheshe obufana nepeni nephepha, noma ithebhulethi noma ikhompyutha ukuze uveze imizwa yakho.
Kwenzekani ngokunambitheka?
Lokhu kuncike nasezingeni lokuhlinzwa. Ucwaningo lubonisa ukuthi abantu abanengxenye yolimi lwabo okungenani engaphansi banomuzwa omuhle wokunambitha. Uma kususwe ingxenye yolimi, kungase kube noshintsho oluncane ekhonweni lokuhlukanisa nokubona ukunambitheka okuthile (i-dysgeusia). Kodwa ngokumangazayo, ezinye iziguli ezisuswe lonke ulimi lwazo kubikwa ukuthi zisakwazi ukunambitha ukudla .
Isikhathi sokubona udokotela ngokushesha
Uma ubuyela ekhaya ngemva kokuhlinzwa, qaphela kakhulu ngalezi zimpawu. Uma unanoma yiziphi zalezi zimpawu, shayela udokotela wakho ngokushesha . Uma kwenzeka isimo esiphuthumayo, njengobunzima bokuphefumula, iya ngqo eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| 🔴 Ukopha kakhulu emlonyeni. | 🔴 Ukuvuvukala kuyanda ngemva kwezinsuku ezimbalwa. |
| 🔴 Ukungakwazi ukudla noma ukuphuza noma yini. | 🔴 Isicanucanu noma ukuhlanza. |
| 🔴 Izimpawu zokutheleleka njengomkhuhlane kanye nokubanda. | 🔴 Ukuminyana noma ubunzima obukhulu bokugwinya. |
| 🔴 Ubuhlungu obukhulu obungalawulwa yimithi yokwelapha izinhlungu. | 🔴 Ubunzima bokuphefumula. |
Ukuhlinzwa kwe-glossectomy kuyisinqumo esikhulu empilweni yakho. Kungumsebenzi wakho siqu. Ngakho-ke, khuluma nodokotela wakho nganoma yiziphi izinkinga noma ukwesaba onakho. Qonda izinzuzo, izinkinga, kanye nezinketho zokwelashwa. Uhambo oluya ekululameni lungaba nzima, kodwa khumbula, kunabantu abaningi, okuhlanganisa odokotela kanye nabelaphi bezenkulumo, abangakusiza.
Umlayezo Wokuya Nawe Ekhaya
- I-Glossectomy iwukuhlinzwa okusindisa impilo okwenziwa ezimweni ezimbi kakhulu njengomdlavuza wolimi.
- Ikhono lokukhuluma nokunambitha ngemva kokuhlinzwa lincike ekutheni kukhishwe ulimi olungakanani.
- Ukusekelwa yi-Speechologist kanye ne-Speech Pathologist kubaluleke kakhulu enkambisweni yokuphulukiswa.
- Kubalulekile ukukhuluma ngokukhululekile nodokotela wakho ngayo yonke imibuzo yakho kanye nokwesaba kwakho.
- Uma ubona noma yiziphi izimpawu eziyisixwayiso ngemva kokuhlinzwa, funa iseluleko sezokwelapha ngokushesha.
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