Ua ʻike paha ʻoe i kahi loli i kou leo, kahi leo haʻalulu, a i ʻole ka paʻakikī o ka ʻōlelo ʻana i kekahi manawa, ʻeā? Manaʻo paha ʻoe ua paʻa kekahi mea i loko o kou puʻu, a i ʻole ʻaʻole maopopo kou leo. ʻO kēia ka manawa e pono ai kā mākou mau kauka e nānā i kou mau kaula leo, kahi i puka mai ai kou leo. No laila, ʻo kahi hana lapaʻau koʻikoʻi i hoʻohana ʻia no kēia ua kapa ʻia ʻo microlaryngoscopy. Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.
He aha ka Microlaryngoscopy?
I ka ʻōlelo maʻalahi, he hana kūikawā ka microlaryngoscopy e hiki ai iā ʻoe ke ʻike maopopo i kou mau kaula leo a hoʻonui ʻia. Ma kēia kaʻina hana, hoʻohana ke kauka i kahi microscope e nānā i kāu mau kaula leo. E noʻonoʻo e like me ka nānā ʻana i nā mea liʻiliʻi loa ma ke ʻano nui.
Hiki ke hoʻohana ʻia kēia kaʻina hana e wehe i nā ʻeha liʻiliʻi a i ʻole nā mea ulu ʻē aʻe ma kāu mau kaula leo. Hiki iā ia ke kōkua i ka hoʻoponopono ʻana i nā pilikia neʻe i loko o kou larynx, a i ʻole ka pahu leo. Hiki ke hoʻohana ʻia e mālama i nā kūlana kahi i haiki loa ai ka larynx a i ʻole trachea.
No ke aha mākou e pono ai i kēia microlaryngoscopy?
Hoʻomaʻamaʻa pinepine ʻia kēia hoʻāʻo inā manaʻo kāu kauka he pilikia me kou larynx, ʻoiai he puʻupuʻu a he lesion paha. ʻAe kēia i kāu kauka e:
- Pono e nānā pono ʻia nā ʻeha leo ʻaʻole maʻi kanesa a wehe ʻia inā pono. Hiki i kēia ke lilo i mau ulu liʻiliʻi e like me nā nodules, polyps, a i ʻole cysts. Ua like lākou me nā pehu liʻiliʻi a i ʻole cysts ma ko kākou ʻili.
- E nānā a mālama paha i nā maʻi neʻe ʻana o ka leo leo , e like me ka maʻi lolo o ka leo leo.
- E nānā i nā hōʻailona o ke kanesa laryngeal. He mea nui loa kēia, no ka mea, ʻo ka wikiwiki o ka ʻike ʻia ʻana o kahi mea, ʻo ka maʻalahi hoʻi ka mālama ʻana.
- E mālama i nā kūlana e like me ka subglottic stenosis, ʻo ia hoʻi ka haiki ʻana o ka ʻaoʻao o luna o ka windpipe . Hiki i kēia ke pilikia i ka hanu ʻana.
E noʻonoʻo e pili ana i ia mea, ʻo kou leo ke ala nui āu e hōʻike ai iā ʻoe iho. No laila, inā he pilikia me ia, hiki iā ia ke hoʻopilikia i kou ola holoʻokoʻa, ʻeā? ʻO ia ke kumu he mea nui e hana i kahi hoʻokolohua e like me kēia.
Pehea e hana ʻia ai kēia microlaryngoscopy?
Ke hana ʻia kēia, hoʻokomo ʻia nā mea kani liʻiliʻi ma kou waha e nānā i kou mau kaula leo. No laila , ʻaʻohe pono e ʻoki i kekahi wahi o kou kino . ʻO kēia kekahi o nā pono nui o kēia.
Hoʻohana pinepine ke kauka i kahi ʻōmole paʻa e nānā pololei i loko o kou larynx. Loaʻa i kēia ʻōmole kahi lawa e hoʻokomo ai i hoʻokahi a ʻelua paha mau mea hana liʻiliʻi, a ʻaʻole ia e ālai i ka mea a ke kauka e nānā nei.
Me ka hoʻohana ʻana i ke kukui a me kahi microscope i hoʻopili ʻia i kēia ʻōmole, e nānā pono ke kauka i kāu mau kaula leo e nānā i nā loli a i ʻole nā mea ulu. Inā loaʻa kekahi, hiki ke hoʻohana ʻia nā mea hana ʻoki e like me ka scalpel a i ʻole ka ʻokiʻoki e wehe iā lākou. I kekahi manawa, hoʻohana ʻia kahi kukuna laser e wehe i kēia mau mea ulu. Ua kapa ʻia kēia he laser microlaryngoscopy.
Pehea lā e hoʻomākaukau ai kākou ma mua o kēia?
Hana ʻia ka Microlaryngoscopy ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia ua hiamoe loa ʻoe i ka wā o ke kaʻina hana holoʻokoʻa a ʻaʻole ʻoe e manaʻo i kekahi mea. Eia kekahi mau mea e pono ai ʻoe e hana e hoʻomākaukau no ka anesthesia a me ke kaʻina hana:
- Inā ʻoe e puhipaka, pono ʻoe e hoʻōki i ka puhipaka ma ka liʻiliʻi hoʻokahi lā ma mua o ka hoʻāʻo. Eia nō naʻe, no nā hopena maikaʻi loa, pono ʻoe e hōʻole loa i ka puhipaka no ka liʻiliʻi he ʻelua pule ma mua a me ʻelua pule ma hope o ka hoʻāʻo.
- ʻOi aku ka maikaʻi o ka ʻai ʻole ʻana a inu ʻole paha i kekahi mea no ka liʻiliʻi o ʻewalu hola ma mua o ka hoʻāʻo ʻana. Eia nō naʻe, inā ʻōlelo ʻē aʻe kāu kauka, e hana pēlā.
- Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora a me nā mea hoʻohui. Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o ka hoʻāʻo.
He mea nui loa e hahai pololei i kēia mau kuhikuhi, no ka mea, a laila wale nō hiki ke hana ʻia ka hoʻāʻo me ka palekana.
He aha ka mea e hana ʻia i ka lā o ka microlaryngoscopy?
Hana pinepine ʻia kēia hoʻāʻo ma kahi kikowaena hana maʻi outpatient, ʻo ia hoʻi hiki iā ʻoe ke hoʻi pinepine i ka home i ka lā hoʻokahi.
E hiamoe ana ʻoe i ka wā o ka hoʻāʻo ʻana, no laila ʻaʻole ʻoe e manaʻo i kekahi mea. E ala ʻoe ma hope o ka hoʻāʻo ʻana, ma kahi hoʻōla. Ke maopopo loa ʻoe, e ʻae ʻia ʻoe e hoʻi i ka home. Eia nō naʻe, pono ʻoe e loaʻa i kekahi e lawe iā ʻoe i ka home. No ka mea e ma lalo o ka anesthesia ʻoe, ʻaʻole hiki iā ʻoe ke hoʻokele i kēlā lā.
Pehea ka lōʻihi o kēia hoʻāʻo ʻana?
ʻO ka lōʻihi o ke kaʻina hana e pili ana i ka wehe ʻana o ke kauka i kekahi mau puʻupuʻu. ʻO ka maʻamau, he hola a emi mai paha ka lōʻihi o ka microlaryngoscopy.
He aha ka mea e manaʻo ai ma hope o ka hoʻāʻo?
Hiki paha iā ʻoe ke loaʻa i ka ʻāʻī ʻeha no kekahi mau lā ma hope o ka hoʻāʻo ʻana. He mea maʻamau kēia, no laila mai hopohopo. Hiki iā ʻoe ke hoʻomaka e ʻai maʻamau i ka lā hoʻokahi a i ʻole ka lā aʻe. Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i loko o kekahi mau lā.
Akā, aia kekahi mea nui loa ma ʻaneʻi. ʻO ia hoʻi ka hāʻawi ʻana i kou leo i kahi hoʻomaha (hoʻomaha leo). E haʻi aku kāu kauka iā ʻoe i ka lōʻihi o kou hoʻohana ʻole ʻana i kou leo. Hiki ke ʻōlelo ʻia ʻoe ʻaʻole e ʻōlelo iki no kekahi mau lā. Ma hope o kēlā, hiki ke ʻōlelo ʻia iā ʻoe e hoʻohana iki i kou leo no kahi o ʻelua a ʻeono pule. Aia ia i ke ʻano o ke ʻoki kino.
ʻO ke hoʻomaha piha ʻana o ka leo, ʻaʻole ʻoe e hana i kekahi leo me kou leo. ʻO ia hoʻi:
- ʻO ka mea e uhi ana i ka ʻāʻī.
- ʻUmiʻumi (e hoʻāʻo e kāohi iā ia i ka hiki).
- Ke mele ʻana.
- Ke kamaʻilio nei.
- ʻAʻole maikaʻi ka hāwanawana mālie ʻana.
Ma ka hahai pono ʻana i kēia mau kuhikuhi, e ola koke ana kou mau kaula leo a e hoʻi hou kou leo i ke kūlana maikaʻi.
He aha ke ʻano o nā hopena a mākou e loaʻa ai?
ʻAe ʻo Microlaryngoscopy i kāu kauka e ʻike inā he mau ulu ʻaʻole maʻi kanesa a maʻi kanesa paha ma kāu mau kaula leo. Hiki iā ia ke hoʻoholo inā he mau pilikia me ke ʻano o ka neʻe ʻana o kāu mau kaula leo. I ka hapanui o nā hihia, ʻo ka pahuhopu nui o kēia ʻoki kino ka hoʻomaikaʻi ʻana i ka maikaʻi o kou leo .
ʻEhia ka lōʻihi e loaʻa ai nā hopena?
Ma hope o kou ala ʻana mai ka anesthesia, e haʻi aku paha ke kauka iā ʻoe i kāna mea i ʻike ai. Inā ʻike ke kauka i kekahi mea ʻē i ka wā o ka hoʻokolokolo ʻana, e lawe paha ke kauka i kahi laʻana ʻiʻo liʻiliʻi (biopsy). Hoʻouna ʻia kēia laʻana i kahi lab no ka nānā ʻana. ʻO ka maʻamau, he mau lā e loaʻa ai ka hōʻike lab.
He ala kūpono loa ka Microlaryngoscopy no ke kauka e nānā i kou mau kaula leo. Eia kekahi, no ka mea, hana ʻia ma o ka waha, ʻaʻole ia he mea komo nui. Hiki i kēia kaʻina hana ke kōkua i ka ʻike ʻana i nā pilikia me nā kaula leo, wehe i nā puʻupuʻu, a hoʻomaikaʻi i kou leo.
Ke hana ʻia e ke kauka akamai a mākaukau, he hana palekana loa ka microlaryngoscopy. Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o kekahi mau lā. Eia nō naʻe, he mea nui e hahai pono i nā ʻōlelo a kāu kauka, ʻoiai e pili ana i ka hoʻomaha leo a me ka mālama ʻana.
No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia?
ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui e hoʻomanaʻo:
- ʻO ka Microlaryngoscopy kahi hana e hoʻohana ana i kahi microscope e nānā i kāu mau kaula leo, kahi i puka mai ai kou leo, e ʻike i nā pilikia (e like me nā puʻupuʻu a i ʻole nā maʻi neʻe) a i kekahi manawa e mālama iā lākou ma kahi.
- Hana ʻia kēia ma lalo o ka anesthesia laulā, no laila ʻaʻole ʻoe e ʻike i kekahi ʻeha.
- Hana ʻia kēia ma ka waha, me ka ʻoki ʻole ʻana i kekahi wahi o ke kino.
- E hahai pono i nā ʻōlelo lapaʻau ma mua o ka hoʻāʻo (ʻaʻohe hoʻokē ʻai, ʻaʻohe puhipaka, ʻaʻohe lāʻau lapaʻau).
- He mea nui loa ia e hoʻomaha i kou leo ma hope o ka hoʻāʻo ʻana. Mai ʻōlelo a hoʻomaʻemaʻe paha i kou puʻu e like me ka ʻōlelo a ke kauka.
- He palekana loa kēia ke hana ʻia e ke kauka akamai.
- Inā he loli mau kou leo, he leo haʻalulu, a paʻakikī paha ke ʻōlelo ʻana, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.
E hoʻomanaʻo, mai makaʻu e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e pili ana i kou olakino. Aia lākou ma laila e kōkua iā ʻoe.
ʻO Microlaryngoscopy, nā kaula leo, leo, ʻeha puʻu, larynx, maʻi ʻaʻai, ʻoki kino
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