Recover from illness of the larynx whole resection future trouble and daily life

Larynx is a human body to carry on breath, speech to communicate and swallow protective important organ, the larynx whole resectionses doubtless will produce to more and greatly influence to the sufferer's living quality.Therefore for have no larynx sufferer Shu empress of mental state orientation, the speech recover from illness and daily life etc. of the instruction have special and important meaning.

A.mental orientation:
After the larynx whole resection, the change of breath passage, lose language, take the body disable and sick back to return a society;Parts of sufferer Shus worry behind that the tumor relapse, transfers but spirit height strain and take a temperament clue to increase;Most sufferers after the tumor cure, the original work will have a change;Add of bring sufferer heavy economy burden in the treatment process;Because everyone the noodles factor interaction influence, further injure the sufferer's living quality.So after the Shu of mental state recover from illness, mental orientation is importance.

Shu future trouble is as far as possible mentally wanting to keep Ping-ho, academic association ego intermediation.Seek other friends or mental doctor's confabulation to also do good very much.Master to talk as soon as possible after needing body instauration, actively attend work and social activity.With have no larynx the friend much gets in touch with and re- integrate society.Good mental appearance, optimism upward of the living manner recovers from illness to have aggressive meaning to the disease, face reality and face to will live in the future.Family patience keep company with, support and encouragement, be alongside of to be subjected to a sufferer external appearance image and speech communicate of way.Appeal whole have no larynx have another some care and love.Strengthen it from
And self-confident, make to have no larynx to integrate a society as soon as possible.

Two.the speech recover from illness:
Larynx's cutting off most and the most direct influence of sufferer is lose of speeches.Pen talks more and slowly, the hand language is very difficult to learn again, so more ideal communication method should communicate for the speech and use a more method to have currently:
1.The windpipe-oesophagus give out sound.Make use of a surgical operation method to become a passage between the windpipe-oesophagus, current of air inside the lung is got into oesophagus by this passage or under swallow a chamber, pound at to glue a film but give out sound, call windpipe oesophagus phonation.The surgical operation rebuilds a method a lot of, can is divided into 2 types:The ⑴ windpipe oesophagus builds Lou Shu.The adoption is from the body vein, descend to swallow to glue a film, oesophagus to glue a film, windpipe to glue organizations such as film and neck skin etc., become passage between the windpipe oesophagus.The ⑵ windpipe oesophagus wears to stab a pronunciation tube to transplant.Wear to stab between the windpipe oesophagus, transplant the Huo gum pronunciation tube.
2.Artificial larynx:Calling to help to speak a machine again is an artificial machinery outside the body, according to the voice vibrate device of the source dissimilarity can is divided into:Annoy a moving work larynx, electronics artificial a larynx.
3.The oesophagus give out sound.The creation of oesophagus speech is entrance to pass to inhale the air into the oesophagus, then releases these airs, so make to cause oesophagus to glue a film vibration, from here but the output voice can be used to talk. The choice has no larynx pronunciation the method need sufferer and train of joint effort.Look for according to the sufferer's concrete circumstance in keeping with of
Give out sound a reconstruction method, recover speech function as soon as possible.Can not only raise the sufferer's mental and healthy level, but also can ease the actual influence that the body function result in in the meantime so, make life quality to get more significant exaltation thus.


Three.the orientation build a Lou breath and Lou processing:
The larynx is the important organ of respiratory main passage, phonation and still have to swallow protection function in the meantime.Wills be disgusted with to there is a function in swallow the activity, open while breathe, let the air freely pass in and out windpipe;Will be disgusted with to close larynx passage while taking a meal to swallow, the food gets into oesophagus but wills not fall into windpipe to cause Qiang to cough.Because after the larynx whole resection, the larynx swallows protection function to immediately disappear, if surgical operation in again speak of windpipe in brief the height of larynx, and make it with next swallow connect with each other, after so taking a meal, the food pole probably falls into windpipe, cause inhalation pneumonia and even endanger life.Therefore, hand
In the Shu have to break windpipe to carry to directly build Lou at the neck ago and sew up with skin, breath and row the phlegm will be the whole life built a Lou completion by windpipe.The sufferer wants to gradually adapt to build Lou breath, and the academic association is to the nursing which builds a Lou.
1.the Lou sweep Attach to phlegm Jia of build the Lou with yarn ball clearance in brine everyday, windpipe endocrine when the thing be more, especially smoke cigarette and chronic tracheitis, can make use of to absorb a phlegm machine to suck out the secretion in the windpipe, gradually master to spit out phlegm.The windpipe set tube in fixed time scrubs everyday.
2.wear to wear to protect a cover Have no larynx because of breath the passage distance shorten and inhale of the air directly gets into windpipe to the lung, but impassability lead nasal cavity, mouth cavity, can't have already adjusted and add wet with the function of dust palliative.Therefore for keeping dust foreign body from get into windpipe, should take to exclusively protect a cover in the neck, can arrive a hospital to purchase, or use gauze oneself creation to there is protection breath the function of the way, usually keep to protect to cover of sweep, according to the oneself circumstance, replace 2 －s 3 times everyday, and clean to need to be use.
3.polish a neck Have no build of larynx neck Lou and protect a cover, some different, easily cause the surroundings person's attention.Therefore need the sufferer to polish on his/her own, the man should wear shirt, and fasten the most the above button like, had better tie, can also wear Gao Ling3 Shan;The female can use yarn towel, jewel and Gao Ling3 clothes to cover up a neck.
4.indoor degree of humidity While normally breathing, the nasal cavity has already add wet, heat and in addition to the function of dust.Larynx the empress of the whole resection, because the breath changes in the neck to build a Lou and normally add a wet function to immediately disappear.The phlegm liquid in infection inside the therefore in bar of lung and windpipe concentrated become stem Jia, should keep indoor moderation.Generally is or so for 80%, special at north winter air dry, do Jia to jam a windpipe set a tube to cause a dyspnea.Can adopt to add wet machine or steam to inhale a method, and take care of appropriate drop to go into several physiology brines through a windpipe set.
5.pull out a set of tube Generally want to build a Lou to place a windpipe set tube in the neck windpipe after the larynx whole resection, its purpose is a benefit the formation is at the Lou, in the meantime easy to Lou sweep of endocrine thing nursing, the time length which takes a tube relates to the applied technique of the doctor and the oneself physical endowment of the sufferer, usually is a few from months to 12 years.If want to pull out a set of tube, should at allow of doctor with instruction under, can adopt to pull out the method that the tube, nighttime takes a tube in the daytime, and is start of notice an observation to build a Lou constringency circumstance in several hours, if the Lou obviously didn't change, and at the evening take tube more easy, can consider pulling out a tube;If the Lou contract obviously, should immediately take care of a set to re- put to go in to build a Lou.Some sufferers pulling out after the tube a Lou constringency is very quick, if sufferer and family members already can't set the tube put back, arrive a hospital to seek a doctor a processing right away and avoid occurrence dyspnea.The windpipe builds a Lou narrow have relation with individual scar formation physical endowment, light degree of narrow can adopt a gradual increment set a tube diameter, and the extension take the method in time of tube;Serious narrow need to adopt the method that the surgical operation extension builds a Lou.There is 1 kind lately avoiding a Lou's narrow method application windpipe after clinically, windpipe building the Lou Nie titanium metal alloy support which transplants a cylinder type net structure after the larynx whole resectionses, with expect act for windpipe set take care of, with prevent°from Shu build a Lou a narrow problem currently.

Four.periodical reexamination
The larynx cancer relapses and transfers to much take place after cure of 2 years inside, so want to watch out for tumor to relapse, periodical arrive a hospital to reexamine.Had better accept the hospital check of treatment, because my reservation contains complete medical history data, and then has a doctor who acquaint with the condition.Certainly, such as journey faraway, can also nearby hospital reexamination, take up the treatment hospital submit of condition introduction.Reexamination of time is generally the 3rd month in hospital discharge, the 6th month, the 12th month.Later at interval of once a year reexamine.Certainly, if there is excrescent circumstance, should go to a hospital to check at any time.For example appear a neck lump, the neck swell
Don't ease to on the contrary aggravate, dyspnea, cough blood, mouth cavity bad smell etc..The contents of reexamination mainly has a neck to touch to diagnose with the chest X slice.Sometimes still need to do a super voice wave and CT to scan.

Five.daily life:
1.food's take a meal be the main path that people take nourishment, rich contain the food structure of nourishment and well balanced is sufferer's body to recover from illness as soon as possible, the immunity dint elevated important condition.In the food and the healthy new concept, vegetable, fruit and protein contain more important function.Therefore eat vegetable, fruit more at the time of promising ample nourishment, and have another a drinking, the little cooking oil fry and mordacious food.According to cultural heritage report way, some foods contain anti-cancer function.Such as:Vegetable:Onions, soil bean, tomato, garlic, turnip, asparagus...etc..Fruit:Xian monkey peach, sea buckthorn, persimmon, black date...etc..Another
Write according to tumor hospital in Shanghai of 《prevention and treatment of tumor 》medium report way:Sea tangle, the horsetail Zao's etc.'s seaweed ability be anti-cancer, empress through Japanese north the university mountain originally teaches a further research to think that the rock Zao in the sea tangle many sugar have to suppress a cancer function.Sea tangle conduct and actions is rich to contain nutritious food, normal person and sufferer in the meantime all appropriate edible.
2.Sport toughens to say for the larynx cancer Shu future trouble, appropriate sport can recover physical strength as soon as possible and improve the ability of the machine body anti- disease.Carry on sport toughen, according to personal circumstance and a fondness for, choose suitable item.For example:Stroll, play ball, jog, Taichi, dance, play chess, angle for fish etc., sport quantity from small arrive greatly, gradual orientation, can't be eager to beg.Must insist toughen everyday, develop a good habit, then can be effective.Moreover can keep company with at family under attend some short date tours, spacious visual field, adjust a mindset.Be advantageous to mind and body to recover from illness completely.Clothing with comfortable
Proper is principle, promise ample sleep, work up Lao Yi to combine.After all of the larynxes cut off, the swimming is subjected to a limit.The Europe and America exclusively manufactured build Lou diving pipe on a trial basis to, for have no larynx a swimming use, for have no this conditional have no larynx to say, don't swim.
The neck shoulder department function toughen:Parts of sufferers at all of the larynx cut off of in the meantime need to make the neck lymphoid close account to sweep Shu.Neck, shoulder department after the Shu the muscle be damaged, sufferer because of ache and unwell don't wish an activity, cause the muscle atrophy, the arms activity is subjected to a limit, influence life quality.Such as can carry on function to toughen the occurrence that can avoid these complicationses in time.The neck activity include curved ago, empress Yang, or so side curved, or so revolve etc. action.The shoulder joint function then raise, stretches behind before have, the side raise, inside accept, inside turn and outside turn etc. six actions.The sufferer can guide at the professional personnel under, oneself practice or let the family help, follow the sequence and advance gradually, with increment shoulder joint of movable degree, avoid a muscle atrophy, toughen the strength of the lock muscles such as milk Tu muscle, arms and back etc. of the chest big muscle, chest, the instauration lose of function.
3. Make a phone call to build up self-confident heart first, and the words will speak get ready like, the telephone calls to acquaint with of friend, they understanding circumstance, will very patiently listen to and encourage, so can strengthen confidence, to further the exaltation talk level helpful.Moreover the distance of and words tube is a little bit near, voice concentration, can make up oesophagus phonation frequency low, volume small etc. shortage.Counteract another hand presses down windpipe to build a Lou and reduce a miscellaneous sound.
4.take a bath Taiwan to reply a voice would in order to have no larynx to develop appropriation shower a cover, there are two air holes of declivities, can normally breathe.Have no larynx under the sistuation that have no shower cover as long as surround a towel in the neck, the head is slightly low, the water current will follow a towel natural get down, but will not get into a windpipe Lou, cause Qiang to cough.If wash a bath, don't double the shoulder dip into water, don't go to, either not to acquaint with a water deep public baths to take a bath and in order to prevent water gets into windpipe.
5.go out alone should along with take safe identity card.Write clear name, age, address and contact a telephone on the card, and specially note whole larynx resection, the breath changes in the neck, if needs to absorb oxygen, should insert the oxygen tube into the neck windpipe to build a Lou.
6. The sense of smell function to want to be built a people's breath, mouth cavity and nasal cavity by the neck windpipe to have no current of air because of the larynx whole resection future trouble, so lose greatly part of the sense of smell function, then could not smell smell, influence appetite and digest function.If the academic association oesophagus give out sound, can recover sense of smell and sense of taste function.
7.other larynxes can't hold spirit because of being in need of a glottal close function after cut off and climb Gao and lift to hold a heavy thing exhausting;The bowels is easily dry, edible relax bowel of medicine or food.Moreover notice to usually open a window well ventilated change spirit, can keep some flower and grasses and appreciate fish, make indoor environment and air delightfully fresh, in the meantime in the process of keeping a flower in get fun, practice moral culture to cultivate mental poise, make the life more substantial.
Carry on speech training to the larynx cancer sufferer, the mental state recover from illness, and daily life instruction, is clinical to cure of continue, can make the sufferer recover physical endowment and win slight illness, extension existence, improve their living quality, utmost return to return society.