{"id":3265,"date":"2024-05-10T14:00:50","date_gmt":"2024-05-10T14:00:50","guid":{"rendered":"https:\/\/drmurattopdag.com\/?p=3265"},"modified":"2024-07-14T23:54:38","modified_gmt":"2024-07-14T23:54:38","slug":"cum-vorbesc-persoanele-carora-li-s-a-indepartat-complet-laringele","status":"publish","type":"post","link":"https:\/\/drmurattopdag.com\/ro\/cum-vorbesc-persoanele-carora-li-s-a-indepartat-complet-laringele\/","title":{"rendered":"Cum Vorbesc Persoanele C\u0103rora Li S-a \u00cendep\u0103rtat Complet Laringele?"},"content":{"rendered":"<p>Tratamentul cancerului laringian necesit\u0103 uneori \u00eendep\u0103rtarea complet\u0103 a laringelui. \u00cen acest caz, rec\u00e2\u0219tigarea capacit\u0103\u021bii de a vorbi este un proces destul de dificil. Pacien\u021bii \u00eenva\u021b\u0103 diverse metode de vorbire dup\u0103 ce reu\u0219esc s\u0103 respire \u0219i s\u0103 \u00eenghit\u0103.<\/p>\n<p>Aceste tehnici includ vocea esofagian\u0103, vocea produs\u0103 cu ajutorul unui dispozitiv electrolaringian \u0219i producerea sunetului printr-o deschidere creat\u0103 \u00eentre trahee \u0219i esofag. Fiecare func\u021bioneaz\u0103 prin mecanisme diferite \u0219i este aleas\u0103 cea mai potrivit\u0103 pentru pacient. Adaptarea pacien\u021bilor \u0219i suportul de reabilitare sunt esen\u021biale \u00een acest proces.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/drmurattopdag.com\/ro\/cum-vorbesc-persoanele-carora-li-s-a-indepartat-complet-laringele\/#Recastigarea_Vocii_cu_Proteze_Metode_de_Restaurare_Secundara_a_Vocii\" >Rec\u00e2\u0219tigarea Vocii cu Proteze: Metode de Restaurare Secundar\u0103 a Vocii<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/drmurattopdag.com\/ro\/cum-vorbesc-persoanele-carora-li-s-a-indepartat-complet-laringele\/#Capacitatea_de_Vorbire_a_Persoanelor_Carora_Li_S-a_Indepartat_Complet_Laringele_cu_Ajutorul_Protezei\" >Capacitatea de Vorbire a Persoanelor C\u0103rora Li S-a \u00cendep\u0103rtat Complet Laringele cu Ajutorul Protezei<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/drmurattopdag.com\/ro\/cum-vorbesc-persoanele-carora-li-s-a-indepartat-complet-laringele\/#Evaluarea_Capacitatii_de_Vorbire_Dupa_Cancerul_Laringian_Testul_de_Insuflare\" >Evaluarea Capacit\u0103\u021bii de Vorbire Dup\u0103 Cancerul Laringian: Testul de Insuflare<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/drmurattopdag.com\/ro\/cum-vorbesc-persoanele-carora-li-s-a-indepartat-complet-laringele\/#Procesul_de_Montare_a_Protezei\" >Procesul de Montare a Protezei<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/drmurattopdag.com\/ro\/cum-vorbesc-persoanele-carora-li-s-a-indepartat-complet-laringele\/#Aplicarea_Metodei_de_Vorbire_cu_Proteza\" >Aplicarea Metodei de Vorbire cu Proteza<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/drmurattopdag.com\/ro\/cum-vorbesc-persoanele-carora-li-s-a-indepartat-complet-laringele\/#Recastigarea_Vocii_cu_Proteza_Metoda_Primara_de_Recastigare_a_Vocii\" >Rec\u00e2\u0219tigarea Vocii cu Proteza: Metoda Primar\u0103 de Rec\u00e2\u0219tigare a Vocii<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/drmurattopdag.com\/ro\/cum-vorbesc-persoanele-carora-li-s-a-indepartat-complet-laringele\/#Ingrijirea_si_Procesul_de_Schimbare_a_Protezei\" >\u00cengrijirea \u0219i Procesul de Schimbare a Protezei<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Recastigarea_Vocii_cu_Proteze_Metode_de_Restaurare_Secundara_a_Vocii\"><\/span>Rec\u00e2\u0219tigarea Vocii cu Proteze: Metode de Restaurare Secundar\u0103 a Vocii<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Pentru pacien\u021bii c\u0103rora li s-a \u00eendep\u0103rtat complet laringele, rec\u00e2\u0219tigarea capacit\u0103\u021bii de a vorbi poate \u00eent\u00e2mpina diverse dificult\u0103\u021bi. <a href=\"https:\/\/www.cancer.ie\/communicating-after-surgery-to-remove-your-larynx\" target=\"_blank\" rel=\"noopener\">C\u00e2nd metodele utilizate \u00een etapa ini\u021bial\u0103 nu sunt suficiente, se apeleaz\u0103 la tehnici secundare de restaurare a vocii.<\/a> Acest proces \u00eencepe de obicei la c\u00e2teva luni dup\u0103 interven\u021bia chirurgical\u0103 principal\u0103 \u0219i implic\u0103 proceduri speciale pentru rec\u00e2\u0219tigarea vocii. Metodele utilizate pentru restaurarea vocii includ:<\/p>\n<ul>\n<li aria-level=\"1\">Dispozitivul electrolaringian: Acest dispozitiv imit\u0103 func\u021bia corzilor vocale.<\/li>\n<li aria-level=\"1\">Vocea esofagian\u0103: Se dezvolt\u0103 o tehnic\u0103 de producere a vocii utiliz\u00e2nd esofagul.<\/li>\n<li aria-level=\"1\">Fistula traheo-esofagian\u0103: Aceast\u0103 metod\u0103 implic\u0103 crearea unei mici deschideri \u00eentre trahee \u0219i esofag.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Capacitatea_de_Vorbire_a_Persoanelor_Carora_Li_S-a_Indepartat_Complet_Laringele_cu_Ajutorul_Protezei\"><\/span>Capacitatea de Vorbire a Persoanelor C\u0103rora Li S-a \u00cendep\u0103rtat Complet Laringele cu Ajutorul Protezei<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><a href=\"https:\/\/drmurattopdag.com\/tedaviler\/girtlak-kanseri\/\">Pacien\u021bii c\u0103rora li s-a \u00eendep\u0103rtat laringele<\/a> din cauza cancerului laringian \u00ee\u0219i pot rec\u00e2\u0219tiga capacitatea de a vorbi folosind proteze. Adecvarea pentru utilizarea protezei depinde de anumite criterii. \u00cen primul r\u00e2nd, \u021besuturile g\u00e2tului \u0219i traheei pacientului trebuie s\u0103 fie s\u0103n\u0103toase.<\/p>\n<p>De asemenea, pacientul trebuie s\u0103 poat\u0103 utiliza m\u00e2inile \u00een mod eficient \u0219i s\u0103 aib\u0103 o stare de con\u0219tien\u021b\u0103 adecvat\u0103. Deschiderile necesare pentru proteza traheo-esofagian\u0103 trebuie s\u0103 aib\u0103 o l\u0103\u021bime specific\u0103. Dac\u0103 aceste deschideri nu sunt suficient de largi, poate fi necesar\u0103 o opera\u021bie suplimentar\u0103 pentru a le face adecvate. \u00cen final;<\/p>\n<ul>\n<li aria-level=\"1\">Gura traheei trebuie s\u0103 fie suficient de larg\u0103,<\/li>\n<li aria-level=\"1\">L\u0103\u021bimea esofagului trebuie s\u0103 fie adecvat\u0103,<\/li>\n<li aria-level=\"1\">Condi\u021biile necesare pentru schimbarea u\u0219oar\u0103 a protezei trebuie s\u0103 fie \u00eendeplinite.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Evaluarea_Capacitatii_de_Vorbire_Dupa_Cancerul_Laringian_Testul_de_Insuflare\"><\/span>Evaluarea Capacit\u0103\u021bii de Vorbire Dup\u0103 Cancerul Laringian: Testul de Insuflare<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dup\u0103 tratamentul cancerului laringian, capacitatea de a vorbi este evaluat\u0103 folosind testul de insuflare. \u00cen timpul acestui test, un inel este plasat la gura traheei. Un cateter este extins prin nas p\u00e2n\u0103 \u00een esofag.<\/p>\n<p>Capacitatea pacien\u021bilor de a produce sunete \u00een timpul expir\u0103rii este testat\u0103. Pentru pacien\u021bii care nu pot produce sunete \u00een etapa ini\u021bial\u0103, se utilizeaz\u0103 medicamente relaxante musculare. Dup\u0103 tratamentul medicamentos, testul este repetat \u0219i produc\u021bia de sunet este verificat\u0103. Dac\u0103 este de succes, pacien\u021bilor li se aplic\u0103 metode pentru a-\u0219i \u00eembun\u0103t\u0103\u021bi capacit\u0103\u021bile de vorbire:<\/p>\n<ul>\n<li aria-level=\"1\">Montarea protezei<\/li>\n<li aria-level=\"1\">Proceduri de relaxare muscular\u0103<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Procesul_de_Montare_a_Protezei\"><\/span>Procesul de Montare a Protezei<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00cen tratamentul cancerului laringian, utilizarea protezei pentru a rec\u00e2\u0219tiga capacitatea de vorbire este comun\u0103 dup\u0103 \u00eendep\u0103rtarea complet\u0103 a laringelui. Aceste proteze permit producerea sunetului prin crearea unei deschideri \u00eentre esofag \u0219i trahee. \u00cen timpul procedurii chirurgicale, unii medici prefer\u0103 s\u0103 monteze imediat proteza \u00een aceast\u0103 deschidere, \u00een timp ce al\u021bii monteaz\u0103 mai \u00eent\u00e2i un cateter.<\/p>\n<p>Cateterul este utilizat temporar pentru a proteja \u0219i modela zona unde va fi montat\u0103 proteza. C\u00e2teva zile mai t\u00e2rziu, cateterul este \u00eendep\u0103rtat \u0219i proteza permanent\u0103 este montat\u0103 \u00een locul s\u0103u. Proteza joac\u0103 un rol crucial \u00een restabilirea capacit\u0103\u021bii de a vorbi a pacientului.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-2497\" src=\"https:\/\/drmurattopdag.com\/wp-content\/uploads\/2024\/05\/Girtlak-kanseri-tedavisi-sonrasi-Protez-Yerlestirme-Surecinde-kateter-kullanimi.jpg\" alt=\"\" width=\"1140\" height=\"500\" srcset=\"https:\/\/drmurattopdag.com\/wp-content\/uploads\/2024\/05\/Girtlak-kanseri-tedavisi-sonrasi-Protez-Yerlestirme-Surecinde-kateter-kullanimi.jpg 1140w, https:\/\/drmurattopdag.com\/wp-content\/uploads\/2024\/05\/Girtlak-kanseri-tedavisi-sonrasi-Protez-Yerlestirme-Surecinde-kateter-kullanimi-800x351.jpg 800w, https:\/\/drmurattopdag.com\/wp-content\/uploads\/2024\/05\/Girtlak-kanseri-tedavisi-sonrasi-Protez-Yerlestirme-Surecinde-kateter-kullanimi-768x337.jpg 768w\" sizes=\"(max-width: 1140px) 100vw, 1140px\" \/><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Aplicarea_Metodei_de_Vorbire_cu_Proteza\"><\/span>Aplicarea Metodei de Vorbire cu Proteza<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Pacientul \u00eenva\u021b\u0103 o tehnic\u0103 special\u0103 pentru a-\u0219i rec\u00e2\u0219tiga capacitatea de a vorbi. \u00cen aceast\u0103 tehnic\u0103, aerul folosit \u00een timpul vorbirii este direc\u021bionat din trahee cu ajutorul unui deget. \u00cen timpul expir\u0103rii, acest proces de direc\u021bionare a aerului produce unde sonore prin trecerea aerului prin esofag. Adaptarea pacientului la aceast\u0103 nou\u0103 form\u0103 de vorbire se realizeaz\u0103 de obicei \u00eentr-un timp scurt.<\/p>\n<p>Prin aceast\u0103 metod\u0103, tonul vocii \u0219i ritmul vorbirii devin treptat mai inteligibile. Datorit\u0103 acestor abilit\u0103\u021bi \u00eenv\u0103\u021bate, pacientul \u00eencepe s\u0103 participe la via\u021ba social\u0103 \u0219i capacitatea de comunicare se \u00eembun\u0103t\u0103\u021be\u0219te semnificativ. Acest proces \u00eembun\u0103t\u0103\u021be\u0219te semnificativ calitatea vie\u021bii pacientului.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Recastigarea_Vocii_cu_Proteza_Metoda_Primara_de_Recastigare_a_Vocii\"><\/span>Rec\u00e2\u0219tigarea Vocii cu Proteza: Metoda Primar\u0103 de Rec\u00e2\u0219tigare a Vocii<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Pentru pacien\u021bii c\u0103rora li s-a \u00eendep\u0103rtat laringele din cauza cancerului laringian, metoda primar\u0103 de rec\u00e2\u0219tigare a vocii permite recuperarea rapid\u0103 a capacit\u0103\u021bii de a vorbi. Aceast\u0103 tehnic\u0103 elibereaz\u0103 pacien\u021bii de a r\u0103m\u00e2ne t\u0103cu\u021bi pentru o perioad\u0103 lung\u0103 de timp dup\u0103 opera\u021bie. Rec\u00e2\u0219tigarea vocii se realizeaz\u0103 prin crearea unei deschideri speciale \u00eentre trahee \u0219i esofag. Producerea vocii \u00een acest fel contribuie semnificativ la recuperarea social\u0103 \u0219i psihologic\u0103 a pacientului.<\/p>\n<p>Adaptarea pacien\u021bilor la aceast\u0103 nou\u0103 metod\u0103 faciliteaz\u0103 revenirea lor la via\u021ba de zi cu zi \u0219i \u00eembun\u0103t\u0103\u021be\u0219te calitatea vie\u021bii lor.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Ingrijirea_si_Procesul_de_Schimbare_a_Protezei\"><\/span>\u00cengrijirea \u0219i Procesul de Schimbare a Protezei<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Protezele utilizate pentru a permite vorbirea dup\u0103 cancerul laringian sunt de obicei fabricate din silicon. \u00centre\u021binerea \u0219i schimbarea la timp a acestor proteze sunt esen\u021biale pentru men\u021binerea func\u021biei de vorbire. Protezele nu necesit\u0103 de obicei \u00eentre\u021binere at\u00e2t timp c\u00e2t nu se acumuleaz\u0103 mucus \u00een ele. Cu toate acestea, este important ca gura protezei s\u0103 r\u0103m\u00e2n\u0103 deschis\u0103, iar acest lucru este explicat pacien\u021bilor \u0219i rudelor acestora de c\u0103tre medici.<\/p>\n<p>Caracteristicile protezelor:<\/p>\n<ul>\n<li aria-level=\"1\">Con\u021bin o valv\u0103 unidirec\u021bional\u0103<\/li>\n<li aria-level=\"1\">Permite trecerea aerului din trahee \u00een esofag<\/li>\n<li aria-level=\"1\">Previne trecerea din esofag \u00een trahee<\/li>\n<\/ul>\n<p>Protezele din silicon pot deveni deformate \u00een timp, astfel \u00eenc\u00e2t starea protezei trebuie verificat\u0103 regulat. Deformarea poate fi observat\u0103 prin scurg<\/p>\n<p>erea alimentelor lichide \u00een trahee, iar \u00een acest caz proteza trebuie \u00eenlocuit\u0103 imediat. Procesul de schimbare variaz\u0103 de la pacient la pacient. Unii pacien\u021bi necesit\u0103 schimbare frecvent\u0103, \u00een timp ce al\u021bii pot folosi aceea\u0219i protez\u0103 timp de ani de zile f\u0103r\u0103 probleme.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tratamentul cancerului laringian necesit\u0103 uneori \u00eendep\u0103rtarea complet\u0103 a laringelui. \u00cen acest caz, rec\u00e2\u0219tigarea capacit\u0103\u021bii de a vorbi este un proces destul de dificil. Pacien\u021bii \u00eenva\u021b\u0103 diverse metode de vorbire dup\u0103 ce reu\u0219esc s\u0103 respire \u0219i s\u0103 \u00eenghit\u0103. Aceste tehnici includ vocea esofagian\u0103, vocea produs\u0103 cu ajutorul unui dispozitiv electrolaringian \u0219i producerea sunetului printr-o deschidere creat\u0103 [&#8230;]\n","protected":false},"author":2,"featured_media":3276,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[50],"tags":[],"class_list":["post-3265","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgia-cancerului-laringelui"],"_links":{"self":[{"href":"https:\/\/drmurattopdag.com\/ro\/wp-json\/wp\/v2\/posts\/3265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drmurattopdag.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drmurattopdag.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drmurattopdag.com\/ro\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drmurattopdag.com\/ro\/wp-json\/wp\/v2\/comments?post=3265"}],"version-history":[{"count":2,"href":"https:\/\/drmurattopdag.com\/ro\/wp-json\/wp\/v2\/posts\/3265\/revisions"}],"predecessor-version":[{"id":3320,"href":"https:\/\/drmurattopdag.com\/ro\/wp-json\/wp\/v2\/posts\/3265\/revisions\/3320"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drmurattopdag.com\/ro\/wp-json\/wp\/v2\/media\/3276"}],"wp:attachment":[{"href":"https:\/\/drmurattopdag.com\/ro\/wp-json\/wp\/v2\/media?parent=3265"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drmurattopdag.com\/ro\/wp-json\/wp\/v2\/categories?post=3265"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drmurattopdag.com\/ro\/wp-json\/wp\/v2\/tags?post=3265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}