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First: the patient is speechless after tracheostomy. ** At the end, it can be gradually restored after the tracheal sleeve is removed.
Generally speaking, the sound will be affected in such cases, so it needs to be checked. You need to go to the hospital to check your recovery. It is possible to speak after the tracheostomy has healed, but sometimes there are some problems with the voice.
Second: because after tracheostomy, all the qi is removed from the tracheal intubation, so a lot of mucus in the lungs will often be stuck in the intubation, although it has never been completely blocked, but sometimes some gas will come out of the mouth and nose when the blockage is more severe, at this time it can make a very hoarse air sound, and when lying down, adjust the posture of the head and neck, sometimes you can subjectively block the tracheal intubation and make a little sound.
Third: After the tracheotomy, all the qi runs out of the tracheal opening, so when you speak, your mouth is moving, and you can feel that you are exhaling, but there is no sound. After tracheostomy surgery, it is easy to damage the vocal cords, and you can speak but not speak clearly, and your expression ability is poor!
Precautions. After tracheotomy, it is necessary to pay attention to postoperative care, prevent and treat complications of infection, drink more water, avoid spicy food, eat slowly when eating, pay attention to observe the patient at all times, and avoid symptoms such as dyspnea.
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Do not speak immediately after tracheostomy, which may cause damage to the wound, and it is important to wait until the body has fully recovered before making a normal sound, so as not to cause sequelae. Li Jianjun, director of Yiling Hospital, replied.
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In life, there are patients with severe tracheal cancer, in order to control the development of the disease, tracheostomy surgery will be taken, this surgery will cause the patient to be greatly affected physically and mentally, and life may be overshadowed, so everyone in life should protect their body, always pay attention to the physical condition, and seek medical attention in time if they find abnormalities, so what is the matter with someone who regrets doing tracheostomy, and what are the sequelae of tracheotomy?
A large part of the reason why many people do not agree to do tracheostomy is that they do not understand this kind of surgery, thinking that tracheostomy people will definitely not be able to do it, and whether life after tracheostomy is very affected, so they dare not cut it. In fact, many things in the world are proportional to the risks and benefits, and the patient's condition is serious and willing to take risks to have a chance to live, but unwillingness is equivalent to giving up**.
Some patients with dyspnea have no effect on the drug, many doctors will recommend the implementation of tracheostomy to maintain the patient's breathing and relieve the suffocation crisis, but after the operation, it will cause many adverse reactions, and even cause serious sequelae, especially during the operation, which may hurt the vocal cords, and the situation will cause difficulty in speaking, and the patient will lose the normal respiratory tract protection, which is easy to cause infection and even pneumonia.
Because there are many sequelae after surgery, the patient regrets having a tracheotomy, but if he has to do it for his life, he does not regret it, after all, there is only one life. It is recommended that the postoperative care of the patient must be done properly, be sure to listen to the doctor's instructions, pay more attention to the incision situation, and inform the doctor immediately if there is an infection or other abnormalities, but the recovery after tracheostomy varies from person to person.
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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.
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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.
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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.
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Hello, I'll answer your questions about endotracheal intubation.
After the patient is intubated due to the insertion from the glottis during intubation, it will affect the occurrence, so the intubated patient is generally unable to speak or eat, and is generally fed through peripheral veins.
As for the timing of tracheal extubation, the cause of respiratory failure should be eliminated first, and the patient is a patient of brain surgery, most likely a patient with traumatic brain injury, and there should be no more intracranial hemorrhage and no new pressure on the respiratory center.
It also depends on the patient's recovery, if there is trauma and inflammation in the lungs, the inflammation needs to be controlled. Combined with the patient's arterial blood gas, the expectoration ability gradually lowers the index of the ventilator, and then tries to wean, which will have an iterative process, due to the patient's long-term use of the ventilator resulting in ventilator dependence.
To sum up, the weaning of the ventilator is not a slow process, but needs to be combined with the patient's recovery.
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If the cannula is not removed, only a small part of the airflow passes through the glottis, and the voice will be very small.
The timing of cannula removal depends on factors such as whether the patient is awake and whether the amount of sputum is large. After the cannula is removed, the wound recovers quickly and usually heals in 3-5 days.
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