Kuyini Ukufakelwa Kwelarynx kanye neTrachea? Inhloso, Inqubo & Nemiphumela

Ukufakelwa kwelarynx kanye ne-trachea kuyinqubo yokuhlinzwa eyinkimbinkimbi lapho ibhokisi lezwi elilimele noma elinesifo kanye nomoya oyingxenye yomzimba kuthathwa endaweni yethishu enempilo yomnikeli. Lokhu kuhlinzwa okushintsha impilo kungabuyisela ikhono lakho lokuphefumula ngokwemvelo, ukukhuluma, nokugwinya lapho ukulimala okukhulu, umdlavuza, noma izimo ezingokuzalwa konakalise lezi zakhi ezibalulekile ezingaphezu kokulungiswa.

Ngenkathi le nqubo isaqhubeka ingavamile, imelela ithemba kubantu ababhekene nezinkinga ezinzima kakhulu zomoya nezwi. Ukuhlinzwa kudinga ukufaniswa ngokucophelela phakathi komnikeli nomamukeli, kulandelwe imithi ecindezela amasosha omzimba impilo yonke ukuvimbela ukwenqatshwa.

Kuyini ukufakelwa kwelarynx kanye ne-trachea?

Ukufakelwa kwelarynx kanye ne-trachea kuhilela ukufaka esikhundleni sebhokisi lakho lezwi elilimele (larynx) kanye nomoya oyingxenye yomzimba (trachea) ngethishu enempilo evela kumnikeli oshonile. I-larynx iqukethe izintambo zakho zezwi futhi ikusiza ukuthi ukhulume, kuyilapho i-trachea iyithubhu elithwala umoya emaphashini akho.

Ngesikhathi sale nqubo, odokotela abahlinzayo basusa ngokucophelela ithishu enesifo bese bexhuma izitho zomnikeli ezakhiweni zakho ezikhona. Lokhu kufaka phakathi ukuxhuma kabusha imithambo yegazi, imizwa, kanye nemisipha ukuze kuqinisekiswe ukusebenza kahle. Umgomo uwukubuyisela ikhono lakho lokuphefumula ngaphandle kwethumbu le-tracheostomy, ukukhuluma ngokucacile, nokugwinya ngokuphepha.

Lokhu kufakelwa kungaba okuyingxenye noma okuphelele, kuye ngokuthi ingakanani ithishu edinga ukufakwa esikhundleni. Ezinye iziguli zingathola ukufakelwa kwe-larynx kuphela, kuyilapho ezinye zidinga zombili izitho ezifakwe esikhundleni ngasikhathi sinye.

Kungani kwenziwa ukufakelwa kwelarynx kanye ne-trachea?

Lokhu kufakelwa kuba ngcono lapho ukulimala okukhulu ku-larynx yakho noma i-trachea kungalungiswa ngeminye imithi. Isizathu esivamile kakhulu umdlavuza we-laryngeal oqhubekayo odinga ukususwa okuphelele kwebhokisi lezwi, okukushiya ungenakukwazi ukukhuluma ngokujwayelekile.

Ukulimala okubangelwa izingozi, ukusha, noma ukufakwa kwamapayipi isikhathi eside nakho kungalimaza lezi zakhiwo ngaphandle kokulungiseka. Abanye abantu bazalwa nezimo ezingavamile zokuzalwa ezithinta ukukhula kwemigudu yabo yomoya. Kulezi zimo, izindlela zokwakha kabusha zendabuko zingase zinganikezi umsebenzi owanele.

Udokotela wakho angase acabangele le nketho uma ubhekene nokulahlekelwa unomphela yizwi, ubunzima bokuphefumula, noma izinkinga zokugwinya ezinomthelela omkhulu ezingeni lakho lempilo. Le nqubo inikeza ithemba lokuthola kabusha inkulumo yokwemvelo nokuphefumula lapho ezinye izindlela zokwelapha seziphelile.

Izimo ezivamile ezidinga ukufakelwa

Izimo eziningana ezingathi sína zingaholela ekudingeni ukufakelwa kwe-larynx kanye ne-trachea, ngasinye sinikeza izinselelo eziyingqayizivele ezenza lokhu kuhlinzwa okuyinkimbinkimbi kudingeke.

• Umdlavuza we-laryngeal oqhubekayo odinga i-laryngectomy ephelele
• Ukwelashwa okukhulu okuvela ezingozini noma ukusha
• Izinkinga ezivela ekungenisweni komoya isikhathi eside
• Ukuhlinzwa okuhlulekile kokwakha kabusha kwangaphambilini
• I-congenital tracheal stenosis (umoya omncane kusukela ekuzalweni)
• Izimo ezinzima zokuvuvukala ezibangela ukulimala kwemigudu yomoya
• Umonakalo wemisebe ovela ekwelashweni komdlavuza

Ngenkathi umdlavuza usahlala uyinkomba evame kakhulu, ukulimala okubangelwa yingozi kanye nezinkinga ezivela ezinqubweni zezokwelapha ziba izizathu eziqashelwa ngokwengeziwe zokucabangela ukufakelwa.

Izimo ezingavamile ezingase zidinge ukufakelwa

Ezinye izimo ezingavamile zingase zidinge ukufakelwa kwe-larynx kanye ne-trachea, nakuba lezi zimo zibonwa kaningi emkhubeni wezempilo.

• I-Relapsing polychondritis ethinta izakhiwo ze-cartilage
• I-Granulomatosis eqinile eno-polyangiitis (eyayiyi-Wegener's disease)
• I-Laryngeal papillomatosis enoshintsho olubi
• I-Tracheoesophageal fistula enokulahleka okukhulu kwesicubu
• Izimo ze-necrotizing ngemva kokutheleleka
• Izimo ezinzima ze-autoimmune ezithinta umoya

Lezi zimo ezingavamile zivame ukudinga ukuhlolwa okukhethekile futhi zingase zibe nezinselelo ezihlukile zokuhlinzwa ezinomthelela endleleni yokufakelwa.

Yini inqubo yokufakelwa umphimbo nomoya?

Inqubo yokufakelwa iyindlela yokuhlinzwa eyinkimbinkimbi kakhulu evame ukuthatha amahora ayi-12 kuya kwayi-18 ukuqeda. Ithimba lakho labahlinzi lihlanganisa ochwepheshe ekuhlinzweni kwekhanda nentamo, ukuhlinzwa kokufakelwa, i-anesthesiology, kanye ne-microsurgery esebenza ndawonye kuyo yonke inqubo.

Ngaphambi kokuthi ukuhlinzwa kuqale, uzothola i-anesthesia ejwayelekile futhi uxhunywe emshinini wokudlula inhliziyo namaphaphu uma kudingeka. Udokotela ohlinzayo ukhipha ngokucophelela umphimbo wakho nomoya owonakele ngenkathi egcina izakhiwo ezibalulekile ezizungezile njengemithambo emikhulu yegazi nemizwa.

Izitho zomnikeli zibekwa bese zixhunywa kusetshenziswa izindlela ze-microsurgical. Lokhu kuhilela ukuxhuma kabusha imithambo emincane yegazi, imizwa, kanye nemisipha ukuze kuqinisekiswe ukugeleza kwegazi okufanele nokusebenza. Le nqubo idinga ukunemba okukhulu ukuze kugcinwe ibhalansi elibucayi edingekayo ekuphefumuleni, ukukhuluma, nokugwinya.

Izinyathelo zokuhlinzwa ngemininingwane

Ukuqonda inqubo yokuhlinzwa kungakusiza ukuthi uzizwe ulungiseleleke kakhulu kulokho okuzayo ngalesi senzo esiyinkimbinkimbi.

1. Ukuphathwa kwe-anesthesia nokubekwa kokuhlinzwa
2. Ukuvezwa ngokucophelela kwezakhiwo zentamo
3. Ukususwa kwesicubu somphimbo nomoya owonakele
4. Ukulungiswa kwezitho zomnikeli zokufakelwa
5. Ukuxhumeka kwe-Microsurgical kwemithambo yegazi
6. Ukwakhiwa kabusha kwemizwa ukuze kubuyiselwe umsebenzi
7. Ukwakhiwa kabusha kwemisipha nezicubu ezithambile
8. Ukubekwa kokugcina nokuvalwa kwezindawo zokuhlinzwa

Isinyathelo ngasinye sidinga ukunaka imininingwane futhi kungathatha amahora amaningana ukuqeda kahle. Impumelelo yokufakelwa kwakho incike ekwenzeni okunembile kwalokhu kuxhumana okubalulekile.

Ungalungiselela kanjani ukufakelwa kwakho umphimbo nomoya?

Ukulungiselela lokhu kuhlinzwa okukhulu kuhilela ukuhlolwa okuningi kwezokwelapha kanye nokuguqulwa kwendlela yokuphila emasontweni amaningana noma izinyanga. Ithimba lakho lokufakelwa izitho lizokwenza ukuhlolwa okuningi ukuze liqinisekise ukuthi unempilo eyanele yenqubo futhi cishe uzoba nomphumela omuhle.

Kuzodingeka ukuthi uyeke ukubhema ngokuphelele uma ungakaqali, njengoba ukusetshenziswa kukagwayi kwandisa kakhulu izingozi zokuhlinzwa nezinkinga. Odokotela bakho bazobuye babuyekeze yonke imithi futhi bangase balungise noma bayeke imithi ethile engaphazamisa ukuphola noma ukucindezelwa komzimba.

Ukwenza ngcono ukudla okunomsoco kubalulekile ngoba ukudla okunempilo kusekela ukuphola nokululama. Ungase usebenze nodokotela wezokudla ukuze uqinisekise ukuthi uthola amaprotheni, amavithamini, namaminerali ngaphambi kokuhlinzwa.

Ukuhlolwa kwezokwelapha okudingekayo

Ithimba lakho lezokwelapha lizodinga ukuhlola ngokucophelela impilo yakho yonke ngaphambi kokukuvumela ukuthi uhlinzwe.

• Ukuhlolwa okubanzi kwenhliziyo okuhlanganisa ukuhlolwa kokucindezeleka
• Izivivinyo zomsebenzi wamaphaphu nokuthwebula isifuba
• Ukuhlolwa komsebenzi wezinso nesibindi
• Ukuhlolwa komdlavuza nezifundo zokuhlela
• Ukuhlolwa kwengqondo nokuhlolwa kokusekela
• Ukuhlolwa kwezifo ezithathelwanayo
• Ukuhlolwa kwamazinyo nokwelashwa uma kudingeka

Lokhu kuhlola kusiza ukuhlonza noma yiziphi izimo ezingase zibe nzima ukuhlinzwa noma ukululama, okuvumela ithimba lakho ukuthi libhekane nazo ngaphambi kwesikhathi.

Ukuguqulwa kwendlela yokuphila okudingekayo

Ukushintsha izindlela zokuphila ezibalulekile ngaphambi kokuhlinzwa kungathuthukisa kakhulu amathuba akho omphumela omuhle nokululama okubushelelezi.

• Ukuqeda ngokuphelele ugwayi okungenani amasonto angu-6 ngaphambi kokuhlinzwa
• Ukukhawulela noma ukuqeda utshwala
• Ukuvivinya umzimba njalo ngaphakathi kwamakhono akho omzimba
• Ukuphatha ukucindezeleka nezindlela zokuphumula
• Ukusungulwa kwesistimu yokusekela umphakathi
• Ukulungiswa kwendawo yokusebenza neyasekhaya

Lezi zinguquko zingase zizwakale zinzima, kodwa ziyizimali ezibalulekile empumelelweni yakho yokuhlinzwa nempilo yakho yesikhathi eside.

Ungazifunda kanjani imiphumela yakho yokufakelwa kwelarynx kanye ne-trachea?

Impumelelo ngemva kokufakelwa kwelarynx kanye ne-trachea ilinganiswa ngezinkomba ezimbalwa ezibalulekile ezizogadwa eduze ithimba lakho lezokwelapha. Isibonakaliso esibaluleke kakhulu ekuqaleni ukusebenza kahle kwendlela yomoya, okusho ukuthi ungakwazi ukuphefumula ngokunethezeka ngaphandle kokudinga i-tracheostomy tube.

Ukubuyela kwezwi kungenye indlela yokulinganisa ebalulekile, nakuba kungase kuthathe amasonto kuya ezinyangeni ukuthuthuka ngokugcwele. Ekuqaleni, izwi lakho lingase lizwakale lihlukile noma libuthakathaka, kodwa ukuthuthuka kancane kancane kulindelekile njengoba ukuvuvukala kwehla futhi umsebenzi wemizwa ubuyela.

Umsebenzi wokugwinya ubaluleke ngokulinganayo futhi uzovivinywa ngendlela ehlelekile ngaphambi kokuba ukwazi ukudla nokuphuza ngokujwayelekile. Ithimba lakho lizosebenzisa izifundo ezikhethekile zokugwinya ukuqinisekisa ukuthi ukudla noketshezi akungeni endleleni yakho yomoya.

Izimpawu zokufakelwa okuphumelelayo

Izinkomba eziningana ezinhle zizokusiza kanye nethimba lakho lezokwelapha ukwazi ukuthi ukufakelwa kwakho kuyelapha kahle futhi kusebenza kahle.

• Ukuphefumula okunethezekile ngaphandle kokusekelwa ngomshini
• Ukubuyela kancane kancane kwezwi, ngisho noma ekuqaleni libuthakathaka
• Ukugwinya okuphephile ngaphandle kokufisa
• Ukugeleza okuhle kwegazi ezicutshini ezifakelwe
• Ukungabi khona kwezimpawu zokwenqatshwa noma ukutheleleka
• Ukuphola kokusikeka kokuhlinzwa
• Izimpawu ezizinzile zezimpawu ezibalulekile kanye namanani elebhu

Lokhu kuthuthuka kuvamile ukwenzeka kancane kancane emasontweni kuya ezinyangeni, nemisebenzi ethile ibuyela ngokushesha kuneminye.

Izimpawu zokuxwayisa okufanele ziqashelwe

Kubalulekile ukuqaphela izimpawu ezikhathazayo ezingase zibonise izinkinga ezidinga ukunakekelwa kwezokwelapha ngokushesha.

• Ukuba nobunzima bokuphefumula noma ukuphelelwa umoya okungazelelwe
• Ukwalahlekelwa ngokuphelele kwezwi ngemva kokululama kokuqala
• Ukukhwehlela okuqhubekayo noma ukuminyana lapho udla
• Umkhuhlane, amaqhwa, noma izimpawu zokutheleleka
• Ukuvuvukala okukhulu noma ububomvu obuzungeze ukusikeka
• Ubuhlungu obukhulu bomphimbo noma ubunzima bokugwinya
• Ushintsho ekhwalithi yezwi olusikisela izinguquko zezicubu

Xhumana nethimba lakho lokufakelwa ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu, njengoba ukwelashwa ngokushesha kungavimbela izinkinga ezinzima.

Ungayithuthukisa kanjani ukululama kwakho kokufakelwa kwe-larynx ne-trachea?

Ukwelulama ekufakelweni kwe-larynx ne-trachea kudinga ukubekezela, ukuzinikela, nokubambisana eduze nethimba lakho lezokwelapha. Isici esibaluleke kakhulu ukuthatha imithi yakho yokulwa nokwenqatshwa ngendlela eqondile njengoba kunqunyiwe, ngoba lokhu kuvimbela amasosha akho omzimba ukuthi angahlaseli izicubu ezifakelwe.

Ukwelashwa kwenkulumo kudlala indima ebalulekile ekululameni kwakho, kukusiza ukuthi ufunde kabusha ukuthi ungayisebenzisa kanjani ibhokisi lakho elisha lezwi ngempumelelo. Udokotela wakho wenkulumo uzosebenza nawe ngamasu okuphefumula, ukuzivocavoca izwi, namasu okuxhumana.

Ukuvuselelwa kancane kancane emisebenzini ejwayelekile kubalulekile, kodwa uzodinga ukugwema izimo ezingase zikubeke emathunjini noma ekulimaleni. Amasosha akho omzimba azocindezelwa ukuvimbela ukwenqatshwa, okukwenza uthambekele ezifweni.

Izinyathelo ezibalulekile zokululama

Ukulandela lezi zinyathelo ezibalulekile kungasiza ekuqinisekiseni umphumela ongcono kakhulu emsebenzini wakho wokufakelwa.

1. Thatha yonke imithi njengoba kunqunyiwe ngaphandle kokweqa imithamo
2. Hambela zonke izikhathi ezihleliwe zokulandela
3. Hlanganyela ngentshiseko ekwelashweni kwenkulumo nokugwinya
4. Gcina ukudla okunomsoco nokumanzi
5. Zijwayeze inhlanzeko enhle ukuvimbela izifo
6. Gwema izixuku nabantu abagulayo ekuqaleni
7. Bika noma yiziphi izimpawu ezikhathazayo ngokushesha

Lezi zinyathelo zakha isisekelo sokunakekelwa ngempumelelo kokufakelwa isitho eside futhi zisiza ukugcina ukusebenza kwezitho zakho ezintsha.

Uyini umphumela ongcono kakhulu wokufakelwa umphimbo nomoya?

Umphumela ongcono kakhulu ongaba khona ekufakweni komphimbo nomoya uhlanganisa ukubuyiselwa kokuphefumula kwemvelo ngaphandle kwesidingo setube le-tracheostomy, ukubuyiselwa kwenkulumo esebenzayo evumela ukuxhumana okucacile, nokugwinya okuphephile okukuvumela ukuthi ujabulele ukudla ngokujwayelekile.

Abamukeli abaningi abaphumelelayo bokufakelwa isitho bangakwazi ukubuyela emsebenzini nasemisebenzini yomphakathi phakathi nezinyanga ezimbalwa kuya onyakeni owodwa ngemva kokuhlinzwa. Izwi lakho lingase lizwakale lihlukile kunakuqala, kodwa kufanele licace futhi liqine ngokwanele ukuxoxa ngendlela evamile.

Impumelelo yesikhathi eside incike ekunakekelweni kwezokwelapha okuqhubekayo, ukuthobela imithi, kanye nokuguqulwa kwendlela yokuphila. Iziguli eziningi zibika ukuthuthuka okukhulu ekhwalithi yempilo yazo kanye nekhono lokubamba iqhaza emisebenzini ezingakwazanga ukuyijabulela ngaphambili.

Okulindelekile okungokoqobo ekululameni

Ukuqonda okufanele ukukulindela phakathi nohambo lwakho lokululama kungakusiza ukuthi uhlale ukhuthazekile futhi uqaphele ukuqhubeka endleleni.

• Ukululama kwezwi ngokuvamile kuthatha izinyanga ezi-3-6 ukuze kusebenze okuyisisekelo
• Amandla aphelele ezwi angase athathe unyaka owodwa ukuthi athuthuke
• Umsebenzi wokugwinya uvame ukubuyela phakathi nezinyanga ezi-2-3
• Ukubuyela emsebenzini kuyahlukahluka kusuka ezinyangeni ezi-6 kuya onyakeni owodwa
• Ukwenyuka kokuzivocavoca kancane kancane ngaphezu kwezinyanga
• Imisebenzi yomphakathi ingaqala kabusha njengoba ukuphola kuqhubeka

Khumbula ukuthi wonke umuntu uphola ngejubane lakhe, futhi isikhathi sakho sokululama esithile singahluka ngokuya ngezimo zakho.

Yiziphi izici eziyingozi zezinkinga zokufakelwa umphimbo nomoya?

Izinto eziningi zingakhuphula ingozi yakho yezinkinga ngemuva kokufakelwa kwelarynx kanye ne-trachea. Ubudala buyinto okufanele icatshangelwe, njengoba iziguli ezindala zingase zibe nobunzima obukhulu ekupholiseni kanye nezingozi eziphakeme zezinkinga zokuhlinzwa, nakuba iminyaka yobudala yodwa ingamkhishwa umuntu ekufakelweni.

Ukwelashwa ngemisebe kwangaphambilini endaweni yentamo kungase kube nzima ukuphola futhi kwandise ingozi yokugeleza kwegazi okungahlelekile ezicutshini ezifakelwe. Umlando wokubhema, ngisho noma uyekile, ungathinta ukuphola futhi wandise izinkinga zokuphefumula.

Ezinye izimo zezokwelapha ezifana nesifo sikashukela, isifo senhliziyo, noma izifo zesimiso somzimba sokuzivikela nazo zingathinta iphrofayili yakho yengozi. Ithimba lakho lokufakelwa lizohlola ngokucophelela lezi zinto lapho linquma ukuthi ungumuntu ofanelekayo yini ukuhlinzwa.

Izinto eziyingozi ezingashintshwa

Ezinye izinto eziyingozi zingathuthukiswa noma ziqedwe ngezinguquko zokuphila kanye nokuphathwa kwezokwelapha ngaphambi kokufakelwa kwakho.

• Ukuqeda ukubhema kunciphisa izinkinga zokuphefumula nokuphola
• Ukwenza isisindo sibe ngcono kuthuthukisa imiphumela yokuhlinzwa
• Ukulawulwa kukashukela egazini ezigulini ezinomdlavuza
• Ukuphathwa komfutho wegazi
• Ukuthuthukiswa kwesimo sokudla okunomsoco
• Ukuthuthukiswa kokubekezelelana kokuzivocavoca
• Ukuphathwa kwengcindezi nokusekelwa kwempilo yengqondo

Ukusebenza kulezi zinto ngaphambi kokuhlinzwa kungathuthukisa kakhulu amathuba akho emiphumeleni ephumelelayo nokululama okushelelayo.

Izinto eziyingozi ezingashintshwa

Ezinye izinto eziyingozi azikwazi ukushintshwa kodwa kubalulekile ukuthi ithimba lakho lezokwelapha lizicabangele lapho lihlela ukunakekelwa kwakho.

• Ubudala obuthuthukile (nakuba kungewona umkhawulo ophelele)
• Ukwelashwa ngemisebe kwangaphambilini entanyeni
• Izinto zofuzo ezithinta ukuphola
• Ububanzi besifo sokuqala noma umonakalo
• Ukuhlinzwa okungaphumelelanga kokwakha kabusha kwangaphambilini
• Ezinye izimo ze-autoimmune

Iqembu lakho lezokwelapha lizohlola lezi zinto ngokumelene nezinzuzo ezingaba khona zokufakelwa ukuze lenze izincomo ezingcono kakhulu zesimo sakho.

Ziyini izinkinga ezingaba khona zokufakelwa kwe-larynx kanye ne-trachea?

Njenganoma yikuphi ukuhlinzwa okukhulu, ukufakelwa kwe-larynx kanye ne-trachea kuthwala izingozi zezinkinga ezingenzeka ngesikhathi noma ngemva kwenqubo. Izingozi zokuhlinzwa ngokushesha zihlanganisa ukopha, ukutheleleka, nezinkinga nge-anesthesia, okufana nokunye ukuhlinzwa okukhulu.

Ukukhathazeka okukhulu kakhulu kwesikhathi eside ukwenqatshwa kokufakelwa, lapho amasosha akho omzimba ehlasela izicubu ezintsha naphezu kwemithi yokulwa nokwenqatshwa. Lokhu kungenzeka ezinyangeni noma eminyakeni ngemva kokuhlinzwa futhi kungase kudingeke ukwelashwa okukhulu ukuze kulawulwe.

Izinkinga ezihlobene nokucindezelwa komzimba isikhathi eside zihlanganisa ingozi eyengeziwe yokutheleleka, iminye imikhuhlane yomdlavuza, kanye nemiphumela emibi evela emithini ngokwayo. Kodwa-ke, izinqubo zanamuhla zokucindezela amasosha omzimba zinciphise kakhulu lezi zingozi uma ziqhathaniswa nezindlela zangaphambili.

Izinkinga zakuqala (ngaphakathi kwamasonto ambalwa okuqala)

Izinkinga eziningana zingenzeka esikhathini esiseduze ngemva kokuhlinzwa, nakuba ithimba lakho lezokwelapha lizobheka eduze ukuvimbela nokwelapha lezi zinkinga ngokushesha.

• Ukuphuma kwegazi endaweni yokuhlinzwa okudinga ezinye izinqubo
• Ukutheleleka endaweni yokuhlinzwa noma emoyeni
• Izinkinga ngokugeleza kwegazi ezicutshini ezifakelwe
• Ukuvuvukala komoya okubangela ubunzima bokuphefumula
• Ubunzima bokugwinya noma ukufisa
• Umonakalo wemizwa othinta izwi noma ukugwinya
• Ukuphendula ku-anesthesia noma imithi

Izinkinga eziningi zakuqala zingelashwa ngempumelelo uma zibonwa futhi zixazululwa ngokushesha yithimba lakho lezokwelapha.

Izinkinga zokugcina (izinyanga kuya eminyakeni kamuva)

Ezinye izinkinga zingase zivele ezinyangeni noma eminyakeni ngemva kokufakelwa kwakho, zidinga ukuqapha okuqhubekayo kanye nokulandelela njalo kwezokwelapha.

• Ukwenqatshwa okungamahlala-khona okuholela ekulimaleni kwezicubu
• Ukwanda kokuthambekela ekuthelelekeni ngamathambo
• Ingozi enkulu yomdlavuza othile ngenxa yokucindezelwa komzimba
• Izinkinga zenhliziyo nemithambo ezivela emithini
• Izinkinga zezinso ezivela emithini ecindezela umzimba
• Ukulahleka kwamathambo ngokuhamba kwesikhathi
• Ushintsho noma ukonakala kwezwi

Ukuqapha njalo nokunakekela okuvimbela kungasiza ekutholeni nasekuphatheni lezi zinkinga ezingaba khona ngaphambi kokuba zibe zimbi.

Izinkinga ezingavamile kodwa ezinzima

Nakuba kungavamile, ezinye izinkinga ezinzima zingenzeka futhi zidinga ukunakekelwa kwezokwelapha ngokushesha uma zenzeka.

• Ukuvinjelwa okuphelele komoya okudinga ukungenelela okuphuthumayo
• Ukwenqatshwa okukhulu okungelapheki
• Izifo ezisongela impilo ezigulini ezinomzimba ocindezelwe
• Ukuphazamiseka kwe-lymphoproliferative okuhlobene nokufakelwa
• Isifo esingamahlala-khona se-graft-versus-host
• Ubuthi obukhulu bemithi obuthinta izitho

Ithimba lakho lokufakelwa lizoxoxa ngalezi zingozi nawe futhi liqinisekise ukuthi uyaqonda izimpawu zokuxwayisa ezidinga ukunakekelwa kwezokwelapha ngokushesha.

Kufanele ngibone nini udokotela ngezinkinga zokufakelwa i-larynx ne-trachea?

Kufanele uthinte ithimba lakho lokufakelwa ngokushesha uma uhlangabezana nanoma yiziphi izinguquko ezingazelelwe ekuphefumuleni, izwi, noma ukugwinya. Lokhu kungabonisa izinkinga ezinzima ezidinga ukunakekelwa kwezokwelapha okuphuthumayo.

Umkhuhlane, amaqhwa, noma izimpawu zokutheleleka akufanele zinganakwa ezigulini ezifakelwe, njengoba isimiso sakho somzimba esicindezelwe senza izifo zibe yingozi kakhulu. Ngisho nezimpawu ezibonakala zincane zingashintsha ngokushesha zibe zimbi.

Noma yiziphi izimpawu ezintsha noma eziqhubekayo ezikukhathazayo zifanelwe ukuhlolwa kwezokwelapha. Kuhlale kungcono ukuthintana nethimba lakho ngemibuzo kunokulinda futhi ubeke engozini yokulahlekelwa izimpawu zokuxwayisa ezibalulekile.

Izimo eziphuthumayo ezidinga ukunakekelwa ngokushesha

Lezi zimpawu zidinga ukunakekelwa kwezimo eziphuthumayo ngokushesha futhi akufanele zihlehle, njengoba zingase zibonise izinkinga ezisongela impilo.

• Ubunzima obukhulu bokuphefumula noma ukuvinjelwa okuphelele komoya
• Ukuphuma kwegazi okukhulu emlonyeni noma ezindaweni zokuhlinzwa
• Umkhuhlane ophezulu (ngaphezu kuka-101°F) onamakhaza
• Ubuhlungu obukhulu besifuba noma izimpawu zezinkinga zenhliziyo
• Ukulahlekelwa ukwazi noma ukudideka okukhulu
• Izimpawu zokungezwani komzimba okukhulu
• Ukungakwazi ukugwinya noma ukuminyanisa okuqhubekayo

Shayela u-911 noma uye egumbini eliphuthumayo eliseduze ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu.

Izimo ezidinga ukunakekelwa kwezokwelapha ngokushesha

Lezi zimpawu kufanele zikwenze uxhumane nethimba lakho lokufakelwa ngaphakathi kwamahora angama-24, njengoba zingase zibonise izinkinga ezithuthukayo ezidinga ukwelashwa.

• Ukuqhubeka kancane kancane kwekhwalithi yezwi noma ukulahlekelwa okuphelele kwezwi
• Ukukhwehlela okuqhubekayo noma ukwanda kwezimpawu zokuphefumula
• Ubunzima bokugwinya noma izinguquko ekusebenzeni kokugwinya
• Umkhuhlane ophansi noma ukuzizwa ungaphilile
• Ukukhathala okungavamile noma ubuthakathaka
• Ushintsho ekubukekeni kwenxeba noma ukuphola
• Ubuhlungu obusha noma obuqhubekayo

Ithimba lakho lokufakelwa lingahlola lezi zimpawu futhi linqume ukuthi ngabe ukungenelela ngokushesha kuyadingeka yini.

Imibuzo evame ukubuzwa mayelana nokufakelwa kwe-larynx kanye ne-trachea

Q.1 Ingabe ukufakelwa kwe-larynx kanye ne-trachea kulungile ezigulini ezinomdlavuza?

Ukufakelwa kwe-larynx kanye ne-trachea kungaba inketho enhle kakhulu ezigulini ezinomdlavuza eziye zathola i-laryngectomy ephelele futhi zifuna ukuthola kabusha izwi labo lemvelo kanye nomsebenzi wokuphefumula. Kodwa-ke, kufanele ungabi nomdlavuza isikhathi esithile ngaphambi kokucatshangelwa ukufakelwa.

Umlando wakho wokwelashwa komdlavuza, okuhlanganisa i-chemotherapy kanye nemisebe, uzohlolisiswa ngokucophelela ukuqinisekisa ukuthi ukufakelwa kulungile futhi kufanele esimweni sakho. Izikhungo eziningi zokufakelwa zidinga okungenani iminyaka engu-2-5 yokusinda ngaphandle komdlavuza ngaphambi kokucabangela ukufakelwa.

Q.2 Ingabe ukucindezelwa komzimba ngemva kokufakelwa kwandisa ingozi yomdlavuza?

Yebo, imithi ecindezela amasosha omzimba edingeka ngemva kokufakelwa yandisa ingozi yakho yokuthuthukisa izinhlobo ezithile zomdlavuza. Lokhu kwenzeka ngoba le mithi icindezela ikhono lomzimba wakho lokuthola nokuqeda amaseli angajwayelekile.

Nokho, le ngozi ilinganiswa ngokucophelela nezinzuzo zokufakelwa, futhi ukuhlolwa komdlavuza njalo kusiza ukuthola noma yiziphi izinkinga ngaphambi kwesikhathi. Ithimba lakho lokufakelwa lizokuqapha ngokucophelela futhi lingase lilungise imithi uma kudingeka ukuze kulinganiswe ukuvimbela ukwenqatshwa nengozi yomdlavuza.

Q.3 Ukufakelwa kwe-larynx kanye ne-trachea kuvame ukuhlala isikhathi esingakanani?

Ngenkathi le nqubo isisha, imiphumela yokuqala iphakamisa ukuthi ukufakelwa okuphumelelayo kungasebenza kahle iminyaka eminingi ngokunakekelwa okufanele. Ubude bokuphila buxhomeke ezintweni ezinjengempilo yakho yonke, ukuthobela imithi, nokungabi khona kwezinkinga.

Idatha yesikhathi eside isaqoqwa, kodwa iziguli ezigcina impilo enhle futhi zilandela ukwelashwa kwazo ngokucophelela zivame ukujabulela ukufakelwa okusebenzayo iminyaka eyishumi noma ngaphezulu. Ukuqapha njalo kusiza ukuthola noma yiziphi izinkinga ngaphambi kwesikhathi ukuze kulondolozwe ukusebenza kokufakelwa.

Q.4 Ngingaba nezwi elijwayelekile ngemva kokufakelwa kwe-larynx?

Iziguli eziningi zingafinyelela inkulumo esebenzayo ngemva kokufakelwa kwe-larynx, nakuba izwi lakho lingase lizwakale lihlukile kunakuqala. Ikhwalithi yokululama kwezwi ixhomeke ezintweni ezinjengokuphola kwemizwa, ukuhlanganiswa kwezicubu, nokubamba iqhaza kwakho ekwelashweni kwenkulumo.

Ngokwelashwa kwenkulumo nokuzijwayeza okuzinikezele, iziguli eziningi zithuthukisa inkulumo ecacile, eqondakalayo evumela ingxoxo ejwayelekile. Ezinye iziguli zifinyelela ezingeni elicishe libe ngelivamile lezwi, kanti ezinye zingase zibe nezwi elihlukile kancane kodwa elisebenzayo.

Q.5 Zikhona ezinye izindlela zokufakelwa umphimbo nomgudu womoya?

Ziningi ezinye izindlela ezikhona kuye ngesimo sakho esithile. Lokhu kufaka phakathi ukuhlinzwa okuhlukahlukene kokwakha kabusha kusetshenziswa izicubu zakho, amadivays ezwi okwenziwa, kanye nezindlela ezintsha ezinjengezindlela zobunjiniyela bezicubu.

Ithimba lakho lezokwelapha lizoxoxa ngazo zonke izinketho ezitholakalayo nawe, licabangela izici ezinjengobudala bakho, impilo yonke, nezintandokazi zakho. Ukufakelwa ngokuvamile kucatshangelwa lapho ezinye izindlela zokwelapha zingazange zinikeze umsebenzi owanele noma zingafaneleki esimweni sakho.