I-Total Laryngectomy - Iindleko, Iimpawu, Ukulungiselela, Iingozi, kunye nokuBuyisa

Yintoni iTotal Laryngectomy?

I-Total Laryngectomy yinkqubo yotyando equka ukususwa ngokupheleleyo kwe-larynx, eyaziwa ngokuba yi-voice box. Le nkqubo idla ngokwenziwa ukunyanga iimeko ezahlukeneyo ezichaphazela i-larynx, ingakumbi umhlaza. I-larynx idlala indima ebalulekileyo ekuphefumleni, ekuginyeni nasekuthetheni, kwaye ukususwa kwayo kutshintsha kakhulu le misebenzi. Emva kwe-total laryngectomy, i-trachea (i-windpipe) ithunyelwa kwindawo evulekileyo entanyeni, eyaziwa ngokuba yi-stoma, evumela isigulane ukuba siphefumle ngokuthe ngqo ngale ndawo ivulekileyo.

Injongo ephambili yokususwa kwe-laryngectomy epheleleyo kukususa izicubu ezinomhlaza kunye nokuthintela ukusasazeka kwesifo esibulalayo kwiindawo ezikufutshane. Ihlala icetyiswa kwizigulana ezifunyaniswe zinomhlaza we-laryngeal ophucukileyo, apho ezinye iindlela zonyango, ezifana ne-radiation okanye i-chemotherapy, zisenokungasebenzi. Ukongeza kumhlaza, ukususwa kwe-laryngectomy epheleleyo kunokuboniswa nakwiimeko ezinzima zokulimala kwe-laryngeal, i-laryngitis engapheliyo, okanye ezinye iimeko ezibuthathaka ezibeka emngciphekweni umsebenzi we-larynx.

Kutheni kwenziwa i-Total Laryngectomy?

Ukususwa kwe-laryngectomy iyonke kudla ngokucetyiswa kwizigulana ezineempawu ezinzima ezinxulumene nomhlaza we-laryngeal okanye ezinye iingxaki ezibalulekileyo ze-laryngeal. Iimpawu ezinokubangela ukuba kuqwalaselwe le nkqubo ziquka ukurhawuzelela okuqhubekayo, ubunzima bokuginya, ukukhwehlela okungapheliyo, kunye nokuba khona kweqhuma entanyeni. Kwiimeko ezininzi, ezi mpawu zinokubonisa ukuba kukho ithumba okanye ezinye iimeko ezinzulu ezichaphazela i-larynx.

Isigqibo sokuqhubeka nokuhlinzwa kwe-laryngectomy epheleleyo sidla ngokwenziwa emva kovavanyo olucokisekileyo, kuquka izifundo zomfanekiso kunye ne-biopsies, ukuqinisekisa ukuxilongwa kunye nokuvavanya ubungakanani besifo. Ukuba umhlaza ungaphakathi kwaye awusasazekanga kwizicubu ezikufutshane okanye kwi-lymph nodes, ukuhlinzwa kwe-laryngectomy epheleleyo kunokuba yeyona ndlela isebenzayo yokuqinisekisa ukususwa ngokupheleleyo kweeseli zomhlaza. Kwimeko apho umhlaza sele usasazeke khona, unyango olongezelelweyo lunokufuneka, kodwa ukuhlinzwa kwe-laryngectomy epheleleyo kusenokudlala indima ebalulekileyo ekulawuleni isifo.

Iimpawu ze-Total Laryngectomy

Iimeko ezininzi zonyango kunye neziphumo zokuxilongwa zingabonisa ukuba isigulana sifanelekile ukususwa kwe-laryngectomy ngokupheleleyo. Ezi ziquka:

• Ukuxilongwa komhlaza weLaryngeal: Eyona nto ixhaphakileyo xa kususwa i-laryngectomy kukuxilongwa komhlaza we-laryngeal, ingakumbi xa ubekwa kwinqanaba lesi-3 okanye lesi-4. Kule nqanaba, umhlaza usenokuba uhlasele izicubu ezingqongileyo okanye ii-lymph nodes, nto leyo ebangela ukuba kufuneke utyando.
• Ubungakanani beTumor kunye nendawo: Ukuba ithumba likhulu okanye likwindawo ebangela ukuba kube nzima ukulisusa ngeendlela ezingangenisi kakhulu, kunokucetyiswa ukuba kususwe i-laryngectomy iyonke. Iithumba ezithintela indlela yomoya okanye ezibangela ubunzima obukhulu bokuginya nazo zingabalulekanga kakhulu kule nkqubo.
• Isifo Esiphindaphindayo okanye Esiqhubekayo: Izigulane ezikhe zafumana unyango lwangaphambili lomhlaza we-laryngeal, olufana nokususwa kwemitha okanye i-partial laryngectomy, kwaye ziphinde zafumana isifo okanye ziqhubeke zisifumana zingadinga ukususwa kwe-laryngectomy ukuze kufezekiswe iziphumo ezingcono.
• Ukungasebenzi kakuhle kweLaryngeal: Kwimeko apho ingxolo yonakele kakhulu ngenxa yokwenzakala, ukudumba okungapheliyo, okanye ezinye iimeko ezingezizo ezomhlaza, ingxolo iyonke ingafuneka ukuze kubuyiselwe ukusebenza komoya kunye nokuphucula umgangatho wobomi bomguli.
• Impilo yesigulana iyonke: Impilo iyonke yesigulana kunye nokukwazi ukunyamezela utyando nazo zizinto ezibalulekileyo ekuqinisekiseni ukuba umntu uza kuhlinzwa ngokupheleleyo. Uvavanyo olupheleleyo lweqela elinolwazi oluhlukeneyo, kuquka oogqirha be-oncologists, oogqirha botyando, kunye nabagqirha bokuthetha, lubalulekile ukuqinisekisa iziphumo ezilungileyo.

Ngamafutshane, i-total laryngectomy yinkqubo ebalulekileyo yotyando eboniswa ikakhulu kwizigulana ezinomhlaza we-laryngeal oqhubele phambili okanye ukungasebenzi kakuhle kwe-laryngeal. Isigqibo sokuqhubeka nolu tyando sisekelwe kuvavanyo olupheleleyo lwemeko yesigulana, iimpawu, kunye nemeko yempilo iyonke. Ukuqonda izizathu zale nkqubo kunokunceda izigulana kunye neentsapho zazo ukuba zilungiselele uhambo oluzayo, kubandakanya inkqubo yokuchacha kunye nohlengahlengiso oluya kuba yimfuneko emva kotyando.

Izithintelo zotyando lwe-Total Laryngectomy

Ukususwa kwe-laryngectomy iyonke yinkqubo ebalulekileyo yotyando ebandakanya ukususwa ngokupheleleyo kwe-larynx, edla ngokuba ngenxa yomhlaza okanye isifo esinzima se-larynx. Nangona kunjalo, ayingomntu wonke ofanelekileyo kolu tyando. Kukho izinto ezininzi ezingahambelaniyo nezinokubangela ukuba isigulana singafaneleki ukususwa kwe-larynx iyonke, kuquka:

• Ubudala obuPhezulu: Izigulana ezindala zinokuba nomngcipheko omkhulu weengxaki ngenxa yeengxaki zempilo ezifihlakeleyo okanye ukuncipha kokuqina komzimba.
• Izigulo eziMandundu: Iimeko ezifana nesifo seswekile esingalawulekiyo, isifo sentliziyo, okanye iingxaki zokuphefumla ezingapheliyo zingenza kube nzima utyando kunye nokuchacha.
• Impilo Embi xa iyonke: Izigulane ezinenkqubo yomzimba yokuzikhusela ebuthathaka okanye abo bangondlekanga kakuhle basenokungakwazi ukumelana noxinzelelo lotyando.
• Usulelo olungalawulwayo: Usulelo olusebenzayo emqaleni okanye kwiindawo ezikufutshane lunokubangela iingozi ezinkulu ngexesha nasemva kotyando.
• Imiba yezengqondo: Izigulana ezinexhala elinzima, ukudakumba, okanye ezinye iingxaki zempilo yengqondo zinokusokola ngempembelelo yeemvakalelo neyengqondo yokulahlekelwa lilizwi lazo kunye notshintsho kwindlela eziphila ngayo.
• Ukungakwazi Ukuthobela Ukhathalelo Lwasemva Kotyando: Ukususwa kwe-laryngectomy iyonke kufuna unyango olucokisekileyo emva kotyando, kuquka unyango lwe-stoma kunye nonyango lokuthetha olunokwenzeka. Izigulana ezingakwaziyo ukulandela ezi mfuno zisenokungabi ngabagqatswa abafanelekileyo.
• Iimpawu zeTumor: Ukuba umhlaza usasazeke ngaphaya kwengxolo ukuya kwizakhiwo ezikufutshane okanye ukuba kukho ii-metastases ezikude, i-total laryngectomy isenokungafaneleki.
• Ukhetho lwesigulana: Ezinye izigulana zinokukhetha ukujonga ezinye iindlela zonyango, ezinje ngeradiation okanye i-chemotherapy, endaweni yokususwa ngokupheleleyo kwe-laryngectomy.

Ukuqonda ezi zinto zingavumelekanga kubalulekile kubaguli nakubaboneleli beenkonzo zonyango ukuqinisekisa ukuba isigqibo sotyando senziwe ngokuqwalasela ngononophelo impilo kunye neemeko zesigulana iyonke.

Indlela Yokulungiselela I-Total Laryngectomy

Ukulungiselela i-laryngectomy epheleleyo kubandakanya amanyathelo aliqela abalulekileyo ukuqinisekisa iziphumo ezilungileyo kangangoko. Nantsi into enokulindelwa zizigulana ngaphambi kwenkqubo:

• Uthethwano lwaphambi kotyando: Izigulana ziza kudibana neqela lazo lotyando, kuquka ingcali ye-otolaryngologist (ingcali yendlebe, impumlo, nomqala), ingcali ye-anesthesiologist, mhlawumbi nengcali yokuthetha. Eli lithuba lokuxoxa ngenkqubo, iingozi, kunye neziphumo ezilindelekileyo.
• Uvavanyo lwezonyango: Kuza kwenziwa uvavanyo olupheleleyo lwezonyango, kuquka ukuphononongwa kwembali yezonyango yesigulana, uvavanyo lomzimba, kunye nezifundo zobugcisa ezifana ne-CT scans okanye ii-MRIs ukuze kuhlolwe ubungakanani besifo.
• Uvavanyo lweLebhu: Kuza kwenziwa uvavanyo lwegazi ukujonga naziphi na iingxaki zempilo ezisisiseko, ezinje nge-anemia okanye usulelo, kunye nokuqinisekisa ukuba isigulana sikulungele utyando.
• Ukuyeka Ukutshaya: Ukuba isigulana siyatshaya, siya kucetyiswa ukuba siyeke ukutshaya kwangethuba ngaphambi kotyando ukuze siphucule ukuphiliswa kwaso kwaye sinciphise iingxaki.
• Uvavanyo lwesondlo: Kungathethwa nogqirha wezokutya ukuqinisekisa ukuba isigulana sikulungele ukutya okunempilo ukuze sityandwe, njengoko ukutya okunempilo kunokunceda ekuchacheni.
• Imfundo yeStoma: Izigulana ziya kufundiswa ngezinto ezilindelekileyo emva kotyando, kuquka ukunyanyekelwa kwe-stoma (umngxuma owenziwe entanyeni wokuphefumla) kunye nendlela yokulawula utshintsho kunxibelelwano.
• Inkqubo yoNkxaso: Kubalulekile ukuba izigulana zibe nenkqubo yokuxhasa, kuquka usapho kunye nabahlobo abanokunceda ngexesha lokuchacha.
• Imiyalelo yaphambi kotyando: Izigulana ziya kufumana imiyalelo ethile malunga namayeza, ukuzila ukutya ngaphambi kotyando, kunye nawo nawaphi na amalungiselelo ayimfuneko okubulala iintlungu.
• Ukulungiselela ngokweemvakalelo: Izigulana kufuneka zilungiselele ngokwengqondo nangokweemvakalelo utshintsho oluya kwenzeka emva kotyando, kuquka ukulahlekelwa lilizwi lazo lendalo kunye nesidingo seendlela zonxibelelwano ezizezinye.

Ngokulandela la manyathelo okulungiselela, izigulane zinokunceda ukuqinisekisa amava otyando olulula kunye nenkqubo yokubuyisela.

I-Total Laryngectomy: Inkqubo yeNyathelo ngeNyathelo

Ukuqonda inkqubo yokususwa kwe-laryngectomy iyonke kunokunceda ekunciphiseni ixhala kubaguli nakwiintsapho zabo. Nantsi inkcazo-ntetho yenyathelo ngenyathelo yoko kwenzekayo ngaphambi, ngexesha, nasemva kotyando:

• Ngaphambi kweNkqubo:
  • Izigulana ziza kufika esibhedlele ngomhla wotyando zize zibhalise.
  • Umgca we-intravenous (IV) uya kufakwa ukulawula amayeza kunye nolwelo.
  • Ingcali yokubulala iintlungu iza kuxoxa ngeendlela zokubulala iintlungu kwaye inike i-anesthesia efanelekileyo ukuqinisekisa ukuba isigulane sikhululekile kwaye asinazintlungu ngexesha lotyando.
• Ngexesha leNkqubo:
  • Ugqirha uza kwenza utyando entanyeni ukuze afikelele kwi-larynx.
  • Ingxolo, kuquka neentambo zelizwi, ziya kususwa ngokupheleleyo. Izicwili ezijikelezileyo nazo zinokuhlolwa kwaye zisuswe ukuba kukho umhlaza.
  • I-trachea (umphimbo womoya) iya kuthunyelwa kwenye indawo ukuze yenze i-stoma, evumela umguli ukuba aphefumle ngentamo.
  • Iqela lotyando liza kuqinisekisa ukuba i-stoma ibekwe kakuhle kwaye isebenza kakuhle ngaphambi kokuba ivale i-incision.
• Emva kweNkqubo:
  • Izigulana ziza kusiwa kwigumbi lokuchacha, apho ziza kubekwa esweni xa zivuka emva kokubulala iintlungu.
  • Ulawulo lweentlungu luya kubonelelwa, kwaye izigulana zinokufumana amayeza okubulala iintsholongwane ukuthintela usulelo.
  • Ingcali yezentetho iza kuqala ukuxoxa ngeendlela zokunxibelelana, ezifana nokuthetha ngomqala okanye ukusetyenziswa kwe-electrolarynx.
  • Izigulana ziya kufumana imfundo ngokhathalelo lwe-stoma, kuquka nendlela yokucoca nokukhusela i-stoma.
• Ukuhlala esibhedlele: Ixesha eliqhelekileyo lokuhlala esibhedlele emva kokususwa kwengxolo limalunga neentsuku ezi-5 ukuya kwezi-7, kuxhomekeke kwinkqubela phambili yokuchacha kwesigulana kunye nazo naziphi na iingxaki.
• Ukulandela Ukukhathalelwa: Kuza kucwangciswa amaxesha okulandela rhoqo ukuze kujongwe ukuphiliswa, kulawulwe naziphi na iingxaki, kwaye kubonelelwe ngenkxaso eqhubekayo yokubuyisela umva intetho.

Ngokuqonda inkqubo iyonke yokususwa kwe-laryngectomy, izigulana zinokuziva zikulungele ngakumbi kwaye zinolwazi malunga noko zinokukulindela ngexesha lohambo lwazo lotyando.

Iingozi kunye neengxaki ze-Total Laryngectomy

Njengalo naluphi na utyando olukhulu, i-total laryngectomy ineengozi ezithile kunye neengxaki ezinokubakho. Nangona izigulane ezininzi ziphila kakuhle emva kwenkqubo, kubalulekile ukuqaphela iingozi eziqhelekileyo nezingaqhelekanga:

• Imingcipheko eqhelekileyo:
  • Usulelo: Usulelo lwendawo yotyando lunokwenzeka, lufuna i-antibiotics okanye unyango olongezelelweyo.
  • Ukopha: Ukopha okuthile kuyinto eqhelekileyo, kodwa ukopha kakhulu kunokufuna ukungenelela okungakumbi.
  • Intlungu: Intlungu emva kotyando ixhaphakile, kodwa idla ngokulawulwa ngamayeza.
  • Ukudumba: Ukudumba okujikeleze indawo yotyando kunokwenzeka, okunokuchaphazela ukuphefumla okwethutyana.
• Imingcipheko enqabileyo:
  • Iingxaki zeStoma: Iingxaki ezinje ngokuncitshiswa kwestoma okanye ukuvaleka kwayo zinokubakho, nto leyo edinga unyango olongezelelekileyo.
  • Iingxaki Zokubuyisela Ilizwi Lakho Kwisimo Salo: Ezinye izigulana zinokuba nzima ukuziqhelanisa neendlela ezintsha zonxibelelwano.
  • Iingxaki zesondlo: Kunokufuneka ulungise ukutya okutyayo, nto leyo enokubangela ukuba kube nzima ukuginya okanye utshintsho kwindlela otya ngayo.
  • Iingozi ze-Anesthesia: Njengakwezinye iindlela zotyando ezifuna i-anesthesia, kukho iingozi ezikhoyo, kuquka ukusabela kwi-allergy okanye iingxaki ezinxulumene neemeko zempilo ezikhoyo.
• Iingqwalasela zexesha elide:
  • Utshintsho kwindlela yokuphefumla: Izigulana ziya kuphefumla nge-stoma, nto leyo enokufuna utshintsho kwindlela yokuphila nemisebenzi.
  • Impembelelo Yengqondo: Ukulahlekelwa lilizwi lendalo kunokukhokelela kwimingeni yeemvakalelo, kwaye inkxaso evela kwiingcali zempilo yengqondo inokuba luncedo.

Ngokwaziswa ngezi ngozi kunye neengxaki, izigulana zinokuzibandakanya kwiingxoxo neqela labo lezempilo ukuze benze izigqibo ezinolwazi kwaye balungiselele uhambo lwabo lokuchacha emva kokususwa ngokupheleleyo kwe-laryngectomy.

Ukubuyiselwa Emva kotyando lwe-Total Laryngectomy

Inkqubo yokuchacha emva kokususwa kwengxolo epheleleyo ibalulekile kwizigulana ukuze ziphinde ziphile kakuhle kwaye ziqhelane nobomi bazo emva kotyando. Ixesha elilindelekileyo lokuchacha linokwahluka kumntu nomntu, kodwa ngokubanzi, izigulana zinokulindela indlela ecwangcisiweyo yokuphiliswa.

Ixesha elilindelekileyo lokuBuyisa kwakhona

• Isigaba Esikhawulezileyo Emva Kokusebenza (iveki ye-0-1): Emva kotyando, izigulana zihlala iintsuku ezimbalwa esibhedlele. Ngeli xesha, ziya kubekwa iliso kuzo naziphi na iingxaki. Ityhubhu ye-tracheostomy iya kufakwa ukunceda ekuphefumleni, kwaye izigulana zinokuba neentlungu kunye nokungonwabi, okunokulawulwa ngamayeza.
• Iiveki Ezimbalwa Zokuqala (iiveki ezi-1-4): Nje ukuba baphume esibhedlele, izigulana ziya kuqhubeka zichacha ekhaya. Iveki yokuqala idla ngokuba yeyona inzima kakhulu, njengoko izigulana ziqhelana nendlela yazo entsha yokuphefumla nokuthetha. Ukuginya nako kunokuba nzima ekuqaleni. Kuya kucwangciswa amaxesha okulandela ukuze kujongwe ukuphola nokususa nayiphi na imithungo.
• Iinyanga ezi-1-3: Ngeli xesha, izigulane ezininzi ziqala ukuziva zikhululekile. Zisenokuqala unyango lokuthetha ukuze zifunde indlela yokunxibelelana ngempumelelo ngaphandle kwengxolo. Ukuginya kunokuphucuka, kodwa ezinye izigulane zinokufuna ukulandela ukutya okutshintshiweyo ukuze zilungele umzimba wazo omtsha.
• Iinyanga ezi-3-6: Uninzi lwezigulana lunokubuyela kwimisebenzi eqhelekileyo, kuquka umsebenzi kunye nokuzibandakanya nabantu, nangona ezinye zisenokufuna unyango lokuthetha oluqhubekayo. Ukulandelela rhoqo neqela lezonyango kubalulekile ukuqinisekisa ukuphiliswa ngokufanelekileyo kunye nokujongana nazo naziphi na iingxaki.
• Iinyanga ezi-6 nangaphezulu: Ukuchacha ixesha elide kungathatha unyaka okanye ngaphezulu. Izigulana ziya kuqhubeka ziqhelana nendlela yazo entsha yokuphila, kwaye uninzi lwazo luxela ukuba ziphucuke kakhulu kumgangatho wobomi bazo njengoko zifunda ukunxibelelana nokutya ngokukhululeka.

Iingcebiso zasemva kononophelo

• Ukhathalelo lwamanxeba: Gcina indawo yotyando icocekile kwaye yomile. Landela imiyalelo yogqirha wakho malunga nendlela yokunyamekela i-stoma (umngxuma owenzelwe ukuphefumla).
• Hydration: Sela amanzi amaninzi ukuze uhlale unamanzi, nto leyo enokunceda ekuveliseni i-mucus kunye nentuthuzelo iyonke.
• Unyango lokuthetha: Zibandakanye kwiiseshoni zonyango lwentetho njengoko kucetyisiwe. Oku kubalulekile ekufundeni ezinye iindlela zonxibelelwano.
• Ulungelelaniso lokutya: Qala ngokutya okuthambileyo uze kancinci kancinci ungenise ukutya okuqinileyo njengoko kuvumelekile. Ukuhlafuna kakuhle nokuluma kancinci kunokunceda.
• Ziphephe izinto ezicaphukisayo: Ziphephe umsi, ivumba elibi, kunye nokungcola okunokucaphukisa inkqubo yokuphefumla.

Xa Imisebenzi Yesiqhelo Inokuqalisa kwakhona

Uninzi lwezigulana lunokubuyela kwimisebenzi elula kwiiveki ezimbalwa, kodwa ukuqalisa ngokupheleleyo imisebenzi eqhelekileyo, kuquka umsebenzi kunye nokuzilolonga, kungathatha iinyanga ezininzi. Kubalulekile ukumamela umzimba wakho kunye nokubonisana nomboneleli wakho wezempilo ngaphambi kokuba uqalise nayiphi na imisebenzi enzima.

Iingenelo ze-Total Laryngectomy

Ukususwa kwe-laryngectomy iyonke kunika uphuculo oluphambili lwempilo kunye neziphumo zomgangatho wobomi kwizigulana ezinesifo somhlaza we-larynx okanye ukungasebenzi kakuhle kwe-larynx.

• Unyango loMhlaza: Kwizigulane ezinomhlaza we-laryngeal, ukususwa kwe-laryngectomy iyonke kunokuba yindlela esindisa ubomi. Isusa izicubu zomhlaza, inciphisa umngcipheko wokuphinda ubuye kwaye iphucule amazinga okusinda.
• Ukuphefumla okuphuculweyo: Emva kotyando, izigulana ziphefumla nge-stoma, nto leyo enokubangela ukuba ukuphefumla kube lula kwaye kube nempumelelo ngakumbi, ingakumbi kwabo babekhe bavalelwa umoya ngaphambili.
• Umngcipheko Oncitshisiweyo Wokuphefumla: Ngokususa i-larynx, umngcipheko wokufunxwa (ukutya okanye ulwelo olungena kwindlela yomoya) uncitshiswa kakhulu, nto leyo enokubangela ukuba kubekho usulelo oluncinci kunye neengxaki zokuphefumla.
• Umgangatho woBomi owongeziweyo: Izigulana ezininzi zixela ukuba ubomi bazo buphucukile emva kotyando. Zihlala ziziva zikhululekile kumthwalo wemeko yazo yangaphambili kwaye zinokuzibandakanya ngokupheleleyo kwimisebenzi yobomi.
• Ukuziqhelanisa neendlela ezintsha zonxibelelwano: Nangona izigulana zilahlekelwa lilizwi lazo lendalo, zinokufunda ezinye iindlela zokunxibelelana, ezinje ngokuthetha ngomqala okanye ukusebenzisa i-voice prosthesis, enokubanika amandla.

Ukususwa kweLaryngectomy iyonke xa kuthelekiswa nokususwa kweLaryngectomy engaphelelanga

Nangona i-total laryngectomy iyindlela eqhelekileyo kwiimeko ezinzima, ezinye izigulana zinokuba ngabaviwa be-partial laryngectomy, egcina inxalenye ye-larynx. Nantsi uthelekiso lweenkqubo ezimbini:

Ixabiso le-Total Laryngectomy eIndiya

Ixabiso eliqhelekileyo lotyando lwe-laryngectomy eIndiya liqala kwi-₹1,50,000 ukuya kwi-₹3,00,000. Ukuze ufumane uqikelelo oluchanekileyo, nxibelelana nathi namhlanje.

Imibuzo Ebuzwa Rhoqo Malunga neTotal Laryngectomy

• Ndingayitya ntoni emva kokususwa kwe-laryngectomy epheleleyo? Emva kotyando, ungaqala ngokutya okuthambileyo uze kancinci kancinci uqalise ukutya okuqinileyo njengoko kuvumelekile. Kubalulekile ukuhlafuna kakuhle nokuluma kancinci ukuze ungakrwitshwa. Iqela lakho lezonyango liza kubonelela ngezikhokelo ezithile zokutya ezenzelwe ukuchacha kwakho.
• Ndiza kuhlala ixesha elingakanani esibhedlele emva kotyando? Uninzi lwezigulane zihlala esibhedlele malunga neentsuku ezi-3 ukuya kwezi-7 emva kotyando, kuxhomekeke kwinkqubela yazo yokuchacha kunye nazo naziphi na iingxaki. Umboneleli wakho wezempilo uza kukunika uqikelelo oluchanekileyo ngakumbi ngokusekelwe kwimeko yakho.
• Ngaba ndiza kukwazi ukuthetha emva kotyando? Emva kokuhlinzwa ngokupheleleyo kwe-laryngectomy, uya kulahlekelwa lilizwi lakho lendalo. Nangona kunjalo, ungafunda ezinye iindlela zonxibelelwano, ezinje ngokuthetha ngomqala okanye ukusebenzisa i-voice prosthesis, ngoncedo lwengcali ye-speech therapist.
• Ndingenza ntoni xa ndifumana ubunzima bokuphefumla? Ukuba ufumana ubunzima bokuphefumla, kubalulekile ukuqhagamshelana nomboneleli wakho wezempilo ngoko nangoko. Banokuvavanya imeko yakho baze bakunike amanyathelo afanelekileyo okuqinisekisa ukhuseleko lwakho.
• Ngaba ndingakwazi ukuhlamba ngesiqhelo emva kotyando? Ungayihlamba, kodwa kufuneka uphephe ukungena kwamanzi ngqo kwi-stoma. Ukusebenzisa isikhuselo seshawa okanye ukugquma i-stoma ngebhandishi engangeni manzi kunokunceda ukuyikhusela xa uhlamba.
• Kukangaphi apho ndiya kufuna idinga lokulandelisa? Amadinga okulandela emva kotyando adla ngokucwangciswa rhoqo emva kweeveki ezimbalwa kwiinyanga ezimbalwa zokuqala emva kotyando. Umboneleli wakho wezempilo uya kugqiba ukuba uza kuphinda aphile kangakanani ngokuxhomekeke ekuchacheni kwakho kunye neemfuno zonyango eziqhubekayo.
• Zeziphi iimpawu zosulelo ekufanele ndilujonge? Iimpawu zosulelo ziquka ukuba bomvu obuninzi, ukudumba, ubushushu obujikeleze indawo yotyando, umkhuhlane, okanye ukuphuma kwesisu. Ukuba ubona naziphi na kwezi mpawu, nxibelelana nomboneleli wakho wezempilo ngokukhawuleza.
• Ndingabuyela emsebenzini emva kokususwa ngokupheleleyo kwe-laryngectomy? Izigulana ezininzi zinokubuyela emsebenzini kwiinyanga ezimbalwa, kuxhomekeke ekubeni ziphilile na kunye nohlobo lomsebenzi wazo. Kubalulekile ukuxoxa ngemeko yakho ethile nomboneleli wakho wezempilo.
• Luluphi utshintsho kwindlela yokuphila endifanele ndiyiqwalasele emva kotyando? Emva kokususwa ngokupheleleyo kwengxolo, kunokufuneka wenze uhlengahlengiso oluthile kwindlela ophila ngayo, njengokuphepha ukutshaya, ukuhlala kude nezinto ezikucaphukisayo, nokufunda iindlela ezintsha zonxibelelwano. Iqela lakho lezempilo linokubonelela ngesikhokelo kwezi nguqu.
• Ingaba kukhuselekile ukuhamba emva kotyando lwam? Ukuhamba ngokuqhelekileyo kukhuselekile emva kokuba uphilile ngokwaneleyo, kodwa kubalulekile ukubonisana nomboneleli wakho wezempilo ngaphambi kokuba wenze naziphi na izicwangciso zokuhamba. Banokukunika iingcebiso malunga naluphi na ukhuseleko omele uluthathe.
• Ndingalulawula njani unyango lwam lwe-stoma? Ukunyamekela istoma ngokufanelekileyo kubandakanya ukugcina indawo icocekile kwaye yomile, ukusebenzisa isigqubuthelo sestoma xa ungaphandle, kunye nokujonga rhoqo naziphi na iimpawu zokurhawuzelelwa okanye usulelo. Umboneleli wakho wezempilo uya kukunika imiyalelo ethile malunga nokunyamekela istoma.
• Ngaba ndiza kufuna ukutya okukhethekileyo emva kotyando? Ekuqaleni, kusenokufuneka ulandele ukutya okuthambileyo, kodwa njengoko uphola, ungabuyela kancinci kancinci kwindlela yokutya eqhelekileyo. Kubalulekile ukulandela iingcebiso zomboneleli wakho wezempilo malunga notshintsho kwindlela yokutya.
• Ndingenza ntoni xa ndinengxaki yokuginya? Ukuba ufumana ubunzima bokuginya, yazisa umniki-nkonzo wakho wezempilo. Banokucebisa ukuba usebenzisane nogqirha wengqondo ukuze akuncede ulungelelanise utshintsho ekuginyeni emva kotyando.
• Ngaba ndingathatha inxaxheba kwimisebenzi yomzimba emva kokuphola? Uninzi lwezigulana lunokubuyela kwimisebenzi yomzimba emva kweenyanga ezimbalwa, kodwa kubalulekile ukubonisana nomboneleli wakho wezempilo ngaphambi kokuba uqalise umthambo onzima okanye imidlalo.
• Ndingamelana njani nempembelelo yeemvakalelo yokulahlekelwa lilizwi lam? Ukulahlekelwa lilizwi lakho kunokuba nzima ngokweemvakalelo. Cinga ngokujoyina amaqela enkxaso okanye ukuthetha nengcali yezempilo yengqondo ukukunceda ujongane nolu tshintsho kwaye uqhagamshelane nabanye abaye baba namava afanayo.
• Ziziphi iingozi ezinxulumene nokususwa kwe-laryngectomy iyonke? Njengakwezinye iindlela zotyando, ukususwa kwe-laryngectomy kunokubangela iingozi, kubandakanya usulelo, ukopha, kunye neengxaki ezinxulumene ne-anesthesia. Xoxa ngezi ngozi nomboneleli wakho wezempilo ukuze uziqonde ngcono.
• Ndiza kuyidinga ixesha elingakanani unyango lokuthetha? Ubude bexesha lonyango lokuthetha buyahluka ngokwabantu ngabanye. Abanye abaguli banokudinga iinyanga ezininzi zonyango ukuze baziqhelanise neendlela ezintsha zonxibelelwano, ngelixa abanye banokufuna inkxaso eqhubekayo.
• Ngaba ndisenakonwabela imisebenzi yoluntu emva kotyando? Ewe, izigulane ezininzi zifumanisa ukuba zisenakonwabela imisebenzi yoluntu emva kotyando. Kungathatha ixesha ukuziqhelanisa, kodwa ngenkxaso efanelekileyo kunye neendlela zonxibelelwano, unokugcina ubomi obusebenzayo boluntu.
• Ndimele ndenze ntoni ukuba ndiziva ndinexhala malunga nokuchacha kwam? Kuqhelekile ukuba uzive uxhalabile malunga nokuchacha. Cinga ngokuxoxa ngeemvakalelo zakho nomboneleli wakho wezempilo okanye ingcali yezempilo yengqondo. Banokubonelela ngamaqhinga okunceda ukulawula ixhala kunye nokuxhasa impilo-ntle yakho yeemvakalelo.
• Ndingaqinisekisa njani ukuba impilo yam iya kulunga emva kotyando? Landela imiyalelo yomboneleli wakho wezempilo ngokusondeleyo, yiya kuzo zonke iintlanganiso zokulandelela, thatha inxaxheba kunyango lokuthetha, kwaye ugcine ukutya okunempilo. Ukuhlala unolwazi kwaye uzimisele malunga nokuchacha kwakho kuya kunceda ukuqinisekisa inkqubo yokuchacha egudileyo.

isiphelo

Ukususwa kwe-laryngectomy iyonke yinkqubo ebalulekileyo enokuba nefuthe elikhulu kubomi besigulana, ingakumbi kwabo balwa nomhlaza we-laryngeal okanye ukungasebenzi kakuhle komzimba. Ukuqonda inkqubo yokuchacha, iingenelo, kunye nemingeni enokubakho kunokunika amandla izigulana ukuba zihambe uhambo lwazo ngempumelelo. Ukuba wena okanye umntu omthandayo nicinga ngale nkqubo, kubalulekile ukuthetha nengcali yezonyango ukuze nixoxe ngeendlela eninokukhetha kuzo kwaye niphuhlise isicwangciso sokhathalelo oluqondene nani.