How Long After Tracheotomy Can I Speak?

After the trachea is removed, the patient is usually not able to speak, mainly because the trachea has been diverted, and as the condition slowly improves, the patient can speak after being weaned off the ventilator.

1.One thing is for sure, after a tracheotomy, you can't speak a lot.

2.Because the airflow is diversioned and flows out of the direction of the tracheostomy, rather than in the original direction, such as through the vocal cords and then out of the mouth, you cannot speak after the tracheotomy.

3.Some people can pronounce words in extreme cases, but cannot speak a complete word or sentence.

4.There is no need to worry too much about tracheotomy, because after the disease is cured, in line with the extubation strip, the cartilage will gradually heal after 2 to 3 days after the endotracheal intubation is removed, and even after the surface ** heals, it is possible to speak again, and the language function will not be too significantly affected.

5.Of course, some people will also apply some auxiliary measures, such as buying some equipment, which can also assist people's speaking functions, or make some cards, which can also help understand the content of speech.

6.Of course, this is not too serious, and it can be recovered in the future, so don't worry too much.

7.For us at present, tracheotomy is a life-saving operation, and only by saving our lives can we talk about whether we can return to the function of speaking in the future, and even return to society in the third place.

Why can't the tracheostomy tube speak, the patient is conscious, the patient is round as if he is talking, and the people at home listen to you! Patients who have had a tracheostomy and do not have sutures for the time being, because after the tracheostomy, they will still be intubated, I don't know if you have noticed, the intubation of the trachea is inserted from the glottis, so it will affect the vocalization, and the general cavity is not able to speak. Many patients who have undergone tracheostomy have acute airway obstruction, such as tracheal foreign body and acute laryngobronchitis; laryngeal cancer patients; Rescue of comatose patients, increase the tidal volume of the patient's breathing; patients with respiratory burns; Preparing for surgery before major head and face surgery, and more.

Therefore, this kind of patient is unable to eat and drink normally, if the patient swallows food by himself, it is easy to cause problems such as suffocation, and the general admiring is peripheral intravenous nutrition, but the patients in better condition will intubate the gastric tube, and the tube inserted from the nose is generally a gastric tube, which is mainly to help with diet, and the liquid food is directly injected into the stomach to avoid the problem of suffocation; There is also a gastric tube after gastric cancer surgery, which is mainly used for gastrointestinal decompression. If the patient is able to speak, the following conditions are required: 1. The consciousness is clear; 2. After the lung infection is controlled, the tracheal cannula can be removed, and the leak has been closed.

Can I still speak after a tracheotomy?

You can say a little, but it will be very hoarse.

After tracheotomy, you can still not speak normally.

Due to the need for first aid, some patients need to cut the trachea to help breathing, and they cannot speak after the tracheotomy.

Can you speak after tracheotomy.

No. Can you eat and talk with a tracheotomy.

You can't eat and talk, you can only eat liquids, you can't make a sound, and you won't do tracheostomy unless you have a special condition.

Can you still talk after a tracheotomy.

Yes. However, it is not possible to speak during the wound healing phase, as it will affect the wound healing.

A teenager who had been lying in a tracheostomy state for a month came to speak out. Since the subject is a medical student and has checked the information, then I will go straight to the topic. When I had a tracheotomy, I realized, hey.

I really can't speak. All the qi runs out of the opening of the trachea, so when you speak, your mouth moves, and you can feel yourself exhaling, but there is no sound. That said, at that time, I liked to play ......the game of "pinching my mouth and nose and taking a deep breath".However, this is not absolute, because all the air is intubated from the trachea after the tracheostomy.

gone, so a lot of mucus in the lungs often stagnated in the intubation, although it has never been completely blocked, but sometimes some gas will come out of the mouth and nose when it is more blocked, at this time it can make a very hoarse sound (I don't know if you can understand), in addition, I also found that adjusting the posture of the head and neck while lying down can sometimes subjectively block the tracheal intubation and make a little sound. Saying that at that time I sneezed from the collarbone.

The scene of spurting a mouthful of phlegm made everyone around laugh and fall down. In addition, I had the pleasure of meeting an uncle who had had a tracheotomy for more than 20 years, and he seemed to have mastered some kind of skill and could speak in a very hoarse voice continuously.

Laryngeal obstruction: Severe laryngeal obstruction caused by laryngeal inflammation, tumor, trauma, foreign body, etc., tracheostomy surgical instruments.

When dyspnea is obvious and cannot be relieved quickly, tracheostomy should be performed in time. Tracheostomy may also be considered for patients with dyspnea caused by narrowing of the pharyngeal cavity and laryngeal cavity due to lesions in the adjacent tissues of the larynx.

Retention of lower respiratory tract secretions.

Tracheotomy can be considered for retention of lower respiratory tract secretions caused by various reasons, such as severe head injury, respiratory burns, severe chest trauma, craniocerebral tumor, coma, neuropathy, etc. In the above diseases, due to the loss of the cough reflex or the reluctance to cough due to pain, secretions are retained in the lower respiratory tract, which hinders alveolar gas exchange, reduces blood oxygen content, increases carbon dioxide concentration, and improves alveolar gas exchange after tracheotomy. At the same time, the air inhaled after surgery no longer passes through the pharynx and larynx, which reduces the dead space of the respiratory tract, improves the gas exchange in the lungs, and is also conducive to the recovery of lung function.

In addition, tracheostomy facilitates the use of artificial aids.

Prophylactic tracheostomy.

For some major oral, nasopharyngeal, maxillofacial and laryngeal surgeries, tracheostomy can be performed in order to perform general anesthesia, prevent blood from flowing into the lower respiratory tract, and maintain postoperative airway patency (prophylactic tracheostomy has been reduced compared with the previous due to the widespread use of endotracheal intubation). Some patients with tetanus are prone to laryngospasm and prophylactic tracheostomy should also be considered to prevent asphyxia.

Removal of tracheal foreign bodies.

If the tracheal foreign body is unsuccessful by endoscopic forceps, and it is estimated that there is a risk of suffocation, or if there is no tracheoscopy equipment and technology, the foreign body can be removed by tracheostomy.

People with neck trauma.

For patients with neck trauma accompanied by injury to the throat or trachea or cervical esophagus, tracheotomy should be performed promptly for those who have dyspnea immediately after the injury; Patients with no obvious dyspnea should be closely observed, carefully examined, and prepared for tracheostomy surgery. Tracheostomy is performed as soon as needed.

Problem analysis: Under normal circumstances, after the tracheal cannula is removed, only use butterfly tape to tightly pull the two sides of the tracheal incision for about a week. The difficulty in healing of the tracheostomy is related to the poor alignment of the incision after extubation, the leakage of air and sputum from the neck incision, the long time of catheterization before extubation, malnutrition, lung infection, coughing up and sputum, strenuous activities of the head and neck, and local infection of the neck incision.

Suggestions: What the general family can do is to strengthen nursing, strengthen nutrition, avoid strenuous activities of the patient's neck, and the treatment of neck incision is recommended to go to the physician in charge to solve it.