How to Talk with a Tracheostomy Tube. Life with a Vent
27.7 هزار بار بازدید -
3 سال پیش
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When people are faced with
When people are faced with getting a tracheostomy tube, the number one question many people have is: will I be able to talk once I get a tracheostomy tube? Many people avoid getting a tracheostomy tube fearing once they have the procedure, they will lose the ability to speak. While I cannot promise if a person will or will not be able to talk after getting a tracheotomy tube, I will share with you tips and suggestions for learning how to speak with a tracheotomy tube. #lifewithavent #tracheostomy #speaking
How to talk:
Once you have a tracheotomy tube, you will need to know the mechanics of speaking. If you use a ventilator, you will need to synchronize your talking with your breathing. For example, you need to speak when the ventilator is exhaling. If you try to speak when the ventilator is giving an inhalation breath, you will have very little success.
If you have a cuff on the trach tube, you will need to deflate the cuff completely in order to speak.If you do not use a ventilator, you will need to occlude the trach tube to force air up the airway.
To occlude the tracheostomy tube, place your finger over your trach tube and breathe out. This will cause all the exhaled air to be forced up your airway and through your vocal cords. Using your finger may cause bacteria from your finger to travel down into your airways. If this is a concern, consider placing gauze over your finger before occluding your tracheotomy tube.
Tip #1 Make animal and letter sounds
After getting a trach tube, your trachea will be swollen. This will make it difficult to communicate. However, do not be discouraged. Not being able to speak is normal. You will have to re-train your body how to talk.
Just like a young child learning to speak, the first thing you will need to do is try making sounds. Attempt to moo like a cow, quack like a duck or baw like a sheep. Any noise you can make will help you learn how to use new muscles to create speech.
Another exercise you can do is go through the alphabet and practice making each sound. It may sound something like this. ah, ah, bah, bah, cah, cah, etc. Also, try using different emotions. Try mooing feeling happy. Try saying sounds when you are upset. Different emotions use different muscles to speak.
Tip #2 Try sitting up to speak
Breathing is important when trying to talk. When you lie down, it is very hard to push air up your airway and through your vocal cords to make sounds. If possible, sit up as straight as you can. Now practice making sounds or uttering words. For me, I can speak fairly easily sitting up. If I lie down, it is very difficult to talk. If I try to speak when lying down, my voice is weak and often hard to hear.
Tip #3 When you figure it out, keep practicing
When trying to relearn how to speak, you may find there are certain words or sounds you can make which are easier than others. Once you figure out how to articulate a word or sound, practice saying it over and over again. Pay attention to what muscles you are using. Try to imitate the sound as best as you can. If you cannot figure out how you made the sound, be patient, you will most likely make the same sound again in the future.
Tip # 4 Be patient
Relearning how to speak may be a long process. For me, it took about two weeks before I was able to make noise and say words. It took about a month before I was able to speak sentences.
Tip #5 Use the right trach tube
One of the most important factors to speaking with a trach tube is using the right trach tube. You want the tracheotomy tube to be flexible and as thin as possible.Shiley tubes are often the tracheostomy tube of choice when receiving a tracheostomy tube for the first time. Shileys are wonderful tracheostomy tubes, but they are hard plastic. They do not bend and move. Moreover, if you use a cuffed tracheostomy tube, the shiley tracheostomy tube has a large cuff. The large cuff will make it very hard to speak.
For your first tracheostomy tube exchange, ask your doctor if you can switch tracheostomy tubes. The tracheostomy tubes which work best for speaking are made from silicone or flexible plastic. In the USA, Bivona is the most commonly used silicone tracheostomy tube. If using a cuff on the trach tube, the silicone tracheotomy tube has a cuff which deflates completely. This will make speaking much easier than using a Shiley which has a bulky cuff. There is also a company called Tracoe which makes a flexible tracheostomy tube made from polyurethane.
For more fun and adventures please check out my blog: https://mitowarrior.blogspot.com
Instagram: Instagram: lifewithavent
MeWe: https://mewe.com/join/lifewithaventil...
Facebook: Facebook: Life-with-a-Vent-113121960609175
Email: [email protected]
Affiliated YouTube Channel: godismystrength
How to talk:
Once you have a tracheotomy tube, you will need to know the mechanics of speaking. If you use a ventilator, you will need to synchronize your talking with your breathing. For example, you need to speak when the ventilator is exhaling. If you try to speak when the ventilator is giving an inhalation breath, you will have very little success.
If you have a cuff on the trach tube, you will need to deflate the cuff completely in order to speak.If you do not use a ventilator, you will need to occlude the trach tube to force air up the airway.
To occlude the tracheostomy tube, place your finger over your trach tube and breathe out. This will cause all the exhaled air to be forced up your airway and through your vocal cords. Using your finger may cause bacteria from your finger to travel down into your airways. If this is a concern, consider placing gauze over your finger before occluding your tracheotomy tube.
Tip #1 Make animal and letter sounds
After getting a trach tube, your trachea will be swollen. This will make it difficult to communicate. However, do not be discouraged. Not being able to speak is normal. You will have to re-train your body how to talk.
Just like a young child learning to speak, the first thing you will need to do is try making sounds. Attempt to moo like a cow, quack like a duck or baw like a sheep. Any noise you can make will help you learn how to use new muscles to create speech.
Another exercise you can do is go through the alphabet and practice making each sound. It may sound something like this. ah, ah, bah, bah, cah, cah, etc. Also, try using different emotions. Try mooing feeling happy. Try saying sounds when you are upset. Different emotions use different muscles to speak.
Tip #2 Try sitting up to speak
Breathing is important when trying to talk. When you lie down, it is very hard to push air up your airway and through your vocal cords to make sounds. If possible, sit up as straight as you can. Now practice making sounds or uttering words. For me, I can speak fairly easily sitting up. If I lie down, it is very difficult to talk. If I try to speak when lying down, my voice is weak and often hard to hear.
Tip #3 When you figure it out, keep practicing
When trying to relearn how to speak, you may find there are certain words or sounds you can make which are easier than others. Once you figure out how to articulate a word or sound, practice saying it over and over again. Pay attention to what muscles you are using. Try to imitate the sound as best as you can. If you cannot figure out how you made the sound, be patient, you will most likely make the same sound again in the future.
Tip # 4 Be patient
Relearning how to speak may be a long process. For me, it took about two weeks before I was able to make noise and say words. It took about a month before I was able to speak sentences.
Tip #5 Use the right trach tube
One of the most important factors to speaking with a trach tube is using the right trach tube. You want the tracheotomy tube to be flexible and as thin as possible.Shiley tubes are often the tracheostomy tube of choice when receiving a tracheostomy tube for the first time. Shileys are wonderful tracheostomy tubes, but they are hard plastic. They do not bend and move. Moreover, if you use a cuffed tracheostomy tube, the shiley tracheostomy tube has a large cuff. The large cuff will make it very hard to speak.
For your first tracheostomy tube exchange, ask your doctor if you can switch tracheostomy tubes. The tracheostomy tubes which work best for speaking are made from silicone or flexible plastic. In the USA, Bivona is the most commonly used silicone tracheostomy tube. If using a cuff on the trach tube, the silicone tracheotomy tube has a cuff which deflates completely. This will make speaking much easier than using a Shiley which has a bulky cuff. There is also a company called Tracoe which makes a flexible tracheostomy tube made from polyurethane.
For more fun and adventures please check out my blog: https://mitowarrior.blogspot.com
Instagram: Instagram: lifewithavent
MeWe: https://mewe.com/join/lifewithaventil...
Facebook: Facebook: Life-with-a-Vent-113121960609175
Email: [email protected]
Affiliated YouTube Channel: godismystrength
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