Sokwenziwa Voice: ufakelo, replacement, ncomo. Izinto ezibangela nokudumba emva kokuba sokwenziwa ilizwi

Laryngectomy - i utyando ukususa kwingqula. utyando olunjalo okudingekayo xa kukho umhlaza. Kodwa emva kokuba umsebenzi onjalo umntu ufumana trauma ngokwaneleyo kakhulu ngengqondo. Emva kokuba ungenelelo isigulane evinjwa zonxibelelwano eziqhelekileyo kunye nabantu. Iinkcukacha-manani zibonisa ukuba malunga nesiqingatha abo abaphathwa ngumhlaza womlomo laryngeal kufa kwisithuba seminyaka enye enesiqingatha emva kokuxilongwa. Kwaye oku ngenxa yokuba isigulane lingenako ngokupheleleyo balahle esi sifo, kodwa ngenxa yokuba ukungaphumeleli laryngectomy. Abantu abaninzi ukulibala nje ukuba nasemva kokuba nokususwa ngokupheleleyo kwingqula unalo ithuba ukubuyisela umsebenzi kwezwi. Ngenxa yoku kuye kwadalwa isixhobo okhethekileyo - sokwenziwa ilizwi.

Indlela ukubuyisela umsebenzi yezwi

Okwangoku kukho iindlela ezininzi ukubuyisela umsebenzi uyakhala emva kotyando. It indlela logopaedic, ukusetyenziswa isixhobo ilizwi ukwakha okanye afakelweyo ilizwi. Nganye kwezi ndlela zinezibonelelo kanye nobubi.

Logopaedic esekelwe kuphuhliso lwezakhono ezifana ilizwi esophageal. Kwenye indlela ibizwa ngokuba unodoli. Xa usebenzisa le ndlela, abuyisele umsebenzi ilizwi kukho ezinye iingxaki. Ayizizo zonke isigulane uyakwazi ukuginya ngokuchanekileyo umoya emphinjeni. Ngaphandle oku kudla cwaka kakhulu, ngokungakhethi kunye ngakanye.

Elektrogortan

Elektrogortan - isixhobo ilizwi-bokwakha. Esi sisixhobo okhethekileyo, nto leyo edla isicelo ukuya kwesilevu. Iyakwazi ukuguqula intlokoma izihlunu ibekwe emgangathweni emlonyeni, kwizandi. Eyona ethile esi sixhobo - "ebuntsimbi" ilizwi. Le nomonde, kulo mzekelo abalwaziyo nesithukuthezi. Ukusebenzisa isixhobo esinjalo, kufuneka umthambo. Kungelo xesha ke iba elikhulu yaye kakhulu ngokucacileyo.

Yintoni sokwenziwa ilizwi

Kukho ngoku esinye isixhobo esisodwa - sokwenziwa ilizwi. Esi sixhobo ifakiwe ngokusebenzisa uqhaqho. Ukwehla Voice kungenxa zitho ezikhethekileyo implantable. Kudla kusetyenziswa izixhobo Provox, leyo eMzantsi Afrika yinkampani Swedish Atos. Noko ke, zitho izwi nezingalunganga. Malunga nonyaka kamva esi sixhobo kufuneka itshintshwe. Le ethile enkulu. Ngapha koko, lo msebenzi kufuneka wenziwe rhoqo ngonyaka, yaye umntu akunakwenzeka ngolo hlobo. Eyona abaxhamla kule divaysi - izwi lemvelo.

Iimpawu lokusebenzisa afakelweyo yezwi

Ukufakela sokwenziwa yezwi akukho Izimo. Nangona kunjalo, ukusetyenziswa isixhobo enjalo kufuneka yenziwe ngokungqinelana kuphela iingcebiso ingcali, kodwa ngokungqinelana nemiyalelo. Kukho ezinye izilumkiso ukuba kufuneka ufunde kwaye ukhumbule:

1. Xa ukusebenza afakelweyo ilizwi, nto leyo kwakhona becala HIV, kufuneka zicocwe. Ukwenza njalo ngabanye khetha stub tube brush.
2. Ubukhulu be ngengqondo kufuneka elowo nalowo, ukuze isigulane ngasinye. Le yimfuno esisiseko. Asilungiselelwanga ezikhethiweyo kwaye ifakwe isixhobo - ezi unobangela nokudumba emva afakelweyo ilizwi, hayi kanye mandithi, emva ukusetyenziswa kwayo. Kwimeko enjalo isabambeke khona amalaphu, ngaloo ndlela nokudumba.
3. Phambi kokuba ufake i ngengqondo ilizwi, kuyimfuneko ukumisela amathuba ukopha.
4. Ngexesha ukusebenza, lo koko iye kufuneka balandele inkqubela. Ukuba kwenzeka le ngxaki, kufuneka udibane nogqirha. Kulo mzekelo, i afakelweyo ilizwi isikhundla sakhe.

Kukuvela nokudumba evela ekusetyenzisweni sokwenziwa yezwi

Kwezinye iimeko, emva kokufaka afakelweyo ilizwi kwenzeka izenzakalo ezingemnandi ezifana ukudumba. Oku kwenzeka ngenxa yezizathu eziliqela. ingxaki komzimba kungenzeka kuqala. Oku kubonakala ngohlobo inkqubo yokukrala kwi shunt. Nomonde kwakheka ukudumba ukuba kwenzeka ngexesha lomsebenzi tracheoesophageal esa gutturotetany, hypotonia, hypertonicity kwaye ngenxa ulwelo ayahamba na ngengqondo. Kodwa loo nto bonke.

Enye imbangela eyodwa yophuhliso nokudumba ngokusebenzisa sokwenziwa ilizwi - isixhobo okhethiweyo ngokungachanekanga. Ukuba uyofaka lingenako ukuhlangabezana parameters yomguli, isiphumo angase abanjwe yi emzimbeni. Ekugqibeleni, oku kukhokelela ekumisweni nokudumba.

Provox izwi sokwenziwa

Kwiminyaka yakutshanje zithandwa Provox izixhobo zenkampani - afakelweyo ilizwi olucwangcisa izigulane ezingakwaziyo ukuthetha emva utyando kwi kwingqula. Devices uqobo imvelaphi inyuselwa khona phakathi kuvuleke iminxunya kunye trahestomoy. Oku kuvumela isigulane ukudlala ngayo kwakunye ukukhusela uqhoqhoqho ukuba zingangeni izicwili ukutya kunye nokungcola. Kakade ke, ezi zitho zifuna ukutshintshwa.

zitho ilizwi Provox ezenziwe abicah, nto leyo lifakiwe PTFE. izixhobo ezinjalo ziyafumaneka ngokobungakanani ezahlukeneyo. Nangona kunjalo, ukukhetha ifowuni ukuba ngamnye.

Izimvo izwi zitho Provox

Njengoko iimpendulo yezigulane, ixesha lokudla zitho ilizwi uphawu ungadluliselwa, ukuba ixesha lokwenza ukucoca zabo. Oku kufuna ibrashi okhethekileyo ekuvumela ukuba ukususa yencindi, ulwelo kunye nezinye izinto. Kufuneka wenze le nkqubo kabini ngemini. Izigulane bathi amanyathelo ukunceda ukukhusela iyunithi ukususela ekumisweni ngundo. Kufuneka kuqatshelwe ukuba ezinye amagciwane amelana kuthomalaliso isibulala-zintsholongwane. Umsebenzi wabo kukhokelela ekutshatyalalisweni isakhiwo abicah sokwenziwa. Ngenxa yoko, kufuneka zitshintshwe.

Ukuhlolwa kwakhona ithi okulungileyo yezixhobo ezinjalo - lilizwi lomntu. Abantu abathi usebenzisa iimveliso Provox ihlala upelo kunye elikhulu ngokwaneleyo. Ukuthetha nge sokwenziwa Kulula kakhulu kwaye kulula. Noko ke, njengoko izigulane ziye zaphawula ukuvela ngelizwi, nokuba kunye nokusetyenziswa kwale afakelweyo ayikho liqulathwe-ngokwalo. Xa kunjalo, inxalenye kwezandla efunekayo.

Noko ke, abaninzi abafuni nokumbona imfuneko lokutshintshwa rhoqo lwe afakelweyo voice (malunga kanye ngonyaka). Le nkqubo wenziwa utyando, nto leyo zintle kakhulu. Ukongeza, emva kokumiselwa afakelweyo ilizwi lakhe liya kuba nzima ukwala kuyo. Emva kumngxuma eyenziwe kummandla we kwingqula, asibi. Enye ingxaki - iindleko ukutshintshwa zitho. Olu tyando lwenziwa kwaye yalwaphulo angene ngemali.