Makemake ʻoe e ʻike i nā mea āpau e pili ana i nā kaula leo e hāʻawi i ke ola i kou leo?

Loaʻa iā kākou āpau ko kākou leo ​​ponoʻī, ʻeā? I kekahi manawa, ʻoiai inā ʻaʻole kākou e ʻike i kekahi, ʻike mākou iā lākou ma ke ʻano o kā lākou ʻōlelo ʻana. No laila, ua noʻonoʻo paha ʻoe pehea i hoʻokumu ʻia ai ko kākou leo? He aha ka mea liʻiliʻi i loko o ko kākou kino e kōkua ana i kēlā? ʻO ka pane, ʻo ia nā kaula leo . I kēia lā, e kamaʻilio mākou e pili ana i kēia mau kaula leo kupaianaha, kā lākou hana, a pehea e mālama ai iā lākou i ke olakino.

He aha nā kaula leo? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo kou mau kaula leo he ʻelua mau ʻiʻo i loaʻa i loko o kahi pahu liʻiliʻi i loko o kou puʻu i kapa ʻia ʻo ka larynx . Aia kēia larynx ma luna o kou trachea , ka ʻōmole e lawe ana i ka ea i kou mau māmā ke hanu ʻoe.

Ke hanu ʻoe i loko a i waho, hoʻomaha kēia mau kaula leo ʻelua, e ʻae ana i ka ea e hele manuahi. Akā ke hoʻomaka ʻoe e ʻōlelo, e hoʻokokoke mai kēia mau kaula leo ʻelua, a e haʻalulu pū ka hanu āu e hoʻopuka ai ma waenakonu. ʻO kēlā haʻalulu ka mea e puka mai ana ma ke ʻano he leo kou.

He nui nā kauka e kapa nei i kēia mau "vocal folds" ma mua o "vocal cords ." Aia kekahi kumu no ia mea. I ka wā ma mua, ua manaʻo ka poʻe iā lākou he mau kaula ʻelua ma kahi mea kani e kani ana ke hahau ʻia. Akā i kēia manawa ua ʻike mākou ʻaʻole lākou he mau kaula ʻelua wale nō, akā he mau ʻiʻo a me nā cartilages i hoʻopili ʻia. ʻO ka ʻōlelo pololei, ʻaʻole lākou he mau hale hoʻokahi, akā ua pili i nā ʻiʻo a me nā cartilages like ʻole i loko o ka larynx.

He aha nā mea nui a nā kaula leo e hana ai?

ʻO ka mea nui ka hoʻopuka ʻana i ka leo, akā ma waho aʻe o kēlā, nui nā hana koʻikoʻi ʻē aʻe e hana ʻia e kēia mau kaula leo.

1. Ke hana nei i ko mākou leo ​​kū hoʻokahi

ʻO kēia ka mea nui loa. Ke kamaʻilio ʻoe, hīmeni, hum, ʻū, hāwanawana - ʻo kēia mau leo ​​a pau i hana ʻia e kēia mau kaula leo. Ke ʻūmiʻi nā kaula leo, ʻaʻole hiki i ka ea e puka mai ana mai ka ʻōpū hanu ke pakele a paʻa. Hoʻokumu kēia ea paʻa i ke kaomi ma luna o nā kaula leo. Ma muli o kēia kaomi i hoʻokuʻu ʻia ai ka ea ma ke ʻano he mau kulu liʻiliʻi, e hoʻoulu ai i nā kaula leo e haʻalulu. Ma muli o ke kiʻekiʻe o kou leo, hiki i kēia mau kaula leo ke haʻalulu i nā haneli he nui i kekona! ʻO kēia haʻalulu a me ka ea e hui pū ana e hana i kou leo.

E noʻonoʻo, ʻo nā mea a pau ma kou helehelena, e like me kou mau lehelehe, ke alelo, nā niho, nā papālina, a me nā lua sinus, e hana pū ana e hoʻomālamalama, hoʻonani, a hoʻololi i ke kani e puka mai ana mai kēia mau kaula leo, e hana ana i kou leo ​​​​ponoʻī.

2. Ke pale nei i ko mākou mau ala ea

He mea nui loa hoʻi kēia.

• Ke ale ʻoe: Ua like kou larynx me kahi hui. ʻO ia kahi e māhele ai nā ala ʻelua i ka windpipe (ea) a me ka esophagus (meaʻai a me ka mea inu). Ke ʻai ʻoe, pani ʻia kēia mau kaula leo, e pale ana i nā mea e like me ka meaʻai a me ka mea inu mai ke komo ʻana i loko o ka windpipe. Ke ale ʻoe, piʻi aʻe ka larynx, e kuhikuhi pololei ana i ka meaʻai i loko o ka esophagus.
• I ka wā e ʻū ana:Inā hoʻāʻo kekahi mea e komo i loko o ke ala ea, ʻū koke nā kaula leo, e hana ana i ka ʻū. Eia kekahi, ke loaʻa iā ʻoe ke anu, kōkua ka ʻū i ka hoʻopau ʻana i nā mea makemake ʻole ʻia i loko o ka ʻōnaehana hanu. I kēlā me kēia manawa āu e hoʻomaʻemaʻe ai i kou puʻu, i kēlā me kēia manawa āu e ʻū ai, ʻū kēia mau kaula leo.

3. Ke kāohi nei i kou hanu

Ke hanu ʻoe i loko a i waho, neʻe kaʻawale nā ​​kaula leo, e ʻae ana i ke ala ea e hele ma waena me ke keʻakeʻa ʻole ʻia.

Aia i hea nā kaula leo?

Aia kou mau kaula leo i loko o kahi ʻāpana o kou kino i kapa ʻia ʻo ka larynx , i ʻike ʻia hoʻi ʻo "pahu leo." Aia kēia ma luna o ka ʻōpū hanu, ma hope pono o ka ʻāpala o Adam, aia ma ke kikowaena mua o kou puʻu. Inā ʻoe e kau i hoʻokahi a ʻelua paha mau manamana lima ma kēia iwi a kaomi iā ia, e ʻike ʻoe e piʻi i luna. Inā ʻoe e hāmama i kou waha, e ʻike ʻoe e iho i lalo.

He aha ke ʻano a me ka haku mele ʻana o nā kaula leo?

ʻO nā kaula leo he ʻelua mau ʻāpana ʻiʻo keʻokeʻo like me ka momi ma waenakonu o kou larynx. Ke wehe ʻia nā kaula leo, hui pū ka mea ma ka ʻākau a me ka mea ma ka hema e hana i kahi "V" i hoʻohuli ʻia. Ke pani ʻia lākou, hui pū lākou e like me kahi laina lahilahi.

Holo kēia mau kaula leo mai ka ʻaoʻao hema o ka larynx a i ka ʻaoʻao ʻākau, a mai mua a i hope. Hoʻopili ʻia lākou i nā ʻiʻo a me ke cartilage i loko o ka larynx e kōkua ana i ka hoʻokele ʻana i ka neʻe ʻana o nā kaula leo.

Uhi ʻia nā kaula leo e kahi uhi pale pulu i kapa ʻia he membrane mucous . Ma lalo o kēia uhi, ua hana ʻia nā kaula leo i ʻekolu mau papa nui:

• ʻO ka papa waho loa o nā pūnaewele i kapa ʻia ʻo ka epithelium .
• ʻO ka papa waena, i kapa ʻia ʻo lamina propria, ʻo ia ka mea e kōkua ai i nā kaula leo e neʻe.
• ʻO ka papa o loko loa o nā ʻiʻo. Hoʻokomo pū kēia i ka ʻiʻo Vocalis a me nā ʻiʻo Thyroarytenoid .

Pehea e loli ai ka nui o nā kaula leo?

Ke hānau ʻia ʻoe, aia kou mau kaula leo ma waena o 6 a me 8 millimeters ka lōʻihi. I kou wā ʻelemakule, e hoʻolōʻihi pū lākou. ʻO ka lōʻihi a me ka mānoanoa o nā kaula leo e hoʻoholo ai i ke kiʻekiʻe o kou leo. Hoʻopuka nā kaula leo mānoanoa i kahi leo hohonu a haʻalulu (kiʻekiʻe haʻahaʻa).

• No nā kāne: I ka hiki ʻana o nā keikikāne i ka wā ʻōpio, ʻo ka hormone testosterone ke kumu e ulu a hoʻolōʻihi ai ko lākou mau kaula leo. ʻO ia ke kumu e hohonu ai ko lākou mau leo. ʻO ka awelika o nā kaula leo kāne makua ma waena o 1.75 a me 2.5 kenimika ka lōʻihi. ʻAʻole hiki ke hoʻohuli ʻia kēia mau loli. ʻO ke ʻano kēia, ʻo ka poʻe e hana ana i ka lāʻau lapaʻau hormone wahine e lilo i wahine, pono lākou e hana pū me kahi mea lapaʻau ʻōlelo e hoʻololi i ka leo o ko lākou leo, e hana i ke ʻoki wahine leo, a i ʻole e mau ka hohonu o ko lākou mau leo.
• Nā Wahine:Hoʻolōʻihi ʻia kekahi mau kaula leo e nā kaikamahine i ko lākou hiki ʻana i ka wā ʻōpio. ʻO ka awelika o ke kaula leo wahine makua ma waena o 1.25 a me 1.75 kenimika ka lōʻihi. Ke lawe lākou i ka lāʻau lapaʻau hormone testosterone (masculinizing hormone therapy) e lilo i kāne, hoʻonui a hoʻolōʻihi pū ʻia ko lākou mau kaula leo. ʻO ka hopena, ua hohonu ko lākou mau leo.

I ka wā e ʻelemakule ai kekahi poʻe, e nāwaliwali a mae wale ko lākou mau kaula leo a me nā ʻiʻo ʻē aʻe ma ka larynx, e paʻakikī ai ke ʻōlelo.

He aha nā maʻi e hoʻopilikia ai i nā kaula leo?

Hiki i ko kākou mau kaula leo ke loaʻa nā maʻi like ʻole. E nānā kākou i ke ʻano o ia mau mea.

Nā kūlana i ʻike pinepine ʻia:

• Laryngitis: He mumū kēia o nā kaula leo. Hiki i kēia ke hoʻolilo i kou leo ​​i leo ʻoi, nāwaliwali, ʻoi, a ʻoi paha. Hiki ke hana ʻia e ka hoʻohana nui ʻana, nā maʻi, ka puhi paka, a me ka reflux acid lōʻihi (GERD - Gastroesophageal Reflux Disease) .
• Nā Nodules, Polyps, a me nā Cysts o ke kaula leo: He mau ulu ʻaʻole ia he maʻi kanesa (benign). He mau puʻupuʻu paʻa nā Nodules a me nā polyps, aʻo nā cysts he mau ʻeke piha i ka wai. Hiki i kēia mau mea ke hoʻonāwaliwali i kou leo, hoarse, a i ʻole ʻaʻohe loa. ʻO ke kumu maʻamau ka hoʻoluhi ʻana i kou leo ​​(hoʻohana nui ʻia a hoʻohana hewa ʻole ʻia paha). ʻO nā kumu ʻē aʻe e pili ana i ka puhi paka, sinusitis , a me nā maʻi ʻaleka.
• ʻO ka Paralysis o ke kaula leo: ʻO kēia ka wā e hiki ʻole ai i nā kaula leo ke wehe a pani paha ma ke ʻano maʻamau. Hiki i kēia ke paʻakikī i ka ʻōlelo ʻana, ka hanu ʻana, a me ke ale ʻana. ʻO nā ʻano maʻi like ʻole e hōʻino ai i nā aʻalolo e hiki ai ke hoʻōki i ka hana pono ʻana o nā ʻiʻo o nā kaula leo. Hiki i kēia ke hana i ka leo e kani hanu, a i ʻole e paʻakikī ai ke ʻū a hoʻomaʻemaʻe paha i kou puʻu.

Nā kūlana i ʻike pinepine ʻole ʻia:

• Ka maʻi ʻaʻai Laryngeal: Hiki i ke kanesa ke ulu i nā ʻāpana o ka larynx, me nā kaula leo.
• Laryngospasm: He spasm koke kēia o nā kaula leo, e paʻakikī ai ka hanu ʻana a me ka ʻōlelo ʻana. He mea i manaʻo ʻole ʻia kēia mau spasms a ʻaʻole i hala i hoʻokahi minute.
• ʻO ka Muscle Tension Dysphonia (MTD): Hana ʻia kēia i ka wā e hana nui ai nā ʻiʻo o kou poʻo a me kou ʻāʻī. Hoʻopaʻa ʻoe i nā ʻiʻo i loko, i waho, a i ʻole nā ​​​​​​ʻiʻo ʻelua o kou larynx. Hiki i kēia paʻa ke paʻakikī i kāu mau kaula leo ke neʻe manuahi a maʻalahi, e hana ana i kahi manaʻo o ka paʻa a me ka ʻoluʻolu ʻole i kou puʻu a/a i ʻole ka ʻāʻī.
• ʻO ka Edema o Reinke: He ʻano kēia e hōʻiliʻili ai ka wai ma kahi o nā kaula leo i kapa ʻia ʻo 'Reinke's space' a pehu. Hiki i kēia ke hoʻolilo i ka leo i leo haʻalulu a hāʻule ka leo.
• ʻO ka dysphonia Spasmodic:He kūlana lōʻihi kēia kahi e paʻa ai a ʻoʻoleʻa paha kou mau kaula leo ke hoʻāʻo ʻoe e ʻōlelo.
• Ka Pale ʻana o ka Laryngeal i Hoʻoulu ʻia (ILO): Hoʻopilikia kēia ʻano i ka wehe ʻana i nā kaula leo, e paʻakikī ai ka hanu. Ua kapa ʻia kēia ʻo Vocal Cord Dysfunction .

He aha nā hōʻailona maʻamau o nā maʻi o ke kaula leo?

Pili nā hōʻailona i ke kūlana kikoʻī e pili ana i nā kaula leo, akā aia kekahi mau hōʻailona maʻamau:

• Ka leo palahalaha.
• Ka nalowale ʻana o ka leo.
• Leo nāwaliwali a lohe lohi paha.
• Nā loli i ka leo, ʻoiai ka neʻe ʻana mai ke kiʻekiʻe o ka leo i ka haʻahaʻa a i ʻole ka leo hoarse.
• ʻUmi pinepine, paʻakikī ke ale, a ʻeha paha ka ʻāʻī.
• Ka paʻakikī i ka moni ʻana, ka ʻōlelo ʻana, a i ʻole ka hanu ʻana.

He aha nā ʻano hana i hoʻohana ʻia e hoʻāʻo ai i nā kaula leo?

Inā he loli kou leo ​​(e like me ka leo haʻalulu, ka paʻakikī o ka ʻōlelo ʻana) no nā pule ʻelua a ʻoi aku, pono ʻoe e ʻike i ke kauka. Ma muli o kāu mau hōʻailona, ​​pono paha ʻoe e ʻike i kahi loea leo a i ʻole he loea pepeiao, ihu, a me ka ʻāʻī (ENT). Pono paha ʻoe e ʻike i kahi laryngologist, he kauka loea i nā maʻi o ka larynx, a i ʻole he pathologist ʻōlelo-ʻōlelo loea leo.

Ke ʻike ʻoe i kāu kauka, e nīnau ʻo ia e pili ana i kou mōʻaukala olakino a hana i kahi hoʻokolohua kino. Eia kekahi, hiki iā lākou ke hana i nā hoʻokolohua e like me:

• CT scan a i ʻole MRI: Hiki i kēia mau hoʻokolohua kiʻi ke nānā i nā puʻupuʻu, cysts, a i ʻole nā ​​​​​​pūpū i loko o kou puʻu.
• Hoʻāʻo moʻomeheu bacteria: Hiki i ke kauka ke lawe i kahi hāpana mai kou puʻu e nānā i nā bacteria e hiki ke hoʻoulu i ka maʻi.
• Laryngoscopy: Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi ʻōmole lahilahi (laryngoscope) i lako me ke kukui a me ke kāmela i loko o kou larynx a nānā i kāu mau kaula leo.
• Videostroboscopy: Ua like kēia me ka laryngoscopy, akā hoʻohana ia i kahi kukui kūikawā i hiki i ke kauka ke ʻike pehea e haʻalulu ai kāu mau kaula leo.
• Biopsy: Hiki i ke kauka ke lawe i kahi hāpana kiko mai kāu mau kaula leo a nānā i nā pūnaewele maʻamau.
• Laryngeal Electromyography (LEMG): Hiki i kēia hoʻāʻo ke kōkua i ka ʻike ʻana i ka hana ʻino o ke kaula leo. Ana ia i ke ʻano o ka hoʻomalu ʻana o kou mau aʻalolo i nā ʻiʻo i loko o kou larynx.

He aha nā lāʻau lapaʻau no nā maʻi o ke kaula leo?

Aia nō hoʻi ka lāʻau lapaʻau i ke ʻano o ka maʻi. ʻO nā lāʻau lapaʻau maʻamau:

• Ke hoʻomaha nei i ka leo (ʻaʻole e kamaʻilio a hīmeni paha - hoʻomaha leo).
• Nā lāʻau lapaʻau e hōʻemi ai i ka pehu a me ka ʻeha.
• ʻO ke ʻoki kino e wehe i nā mea e like me nā puʻupuʻu a me nā ʻōpū.
• Lapaʻau Leo: Hiki i kēia ke kōkua i ka ho'ōla ʻana i kou mau kaula leo a i ʻole ke aʻo iā ʻoe pehea e hoʻohana pono ai iā lākou. Hiki iā ia ke kōkua iā ʻoe e ʻōlelo me ka hilinaʻi a me ka kaohi.

He aha kā kākou e hana ai e mālama i ke olakino o ko kākou mau kaula leo?

He mea waiwai nui ko kākou leo ​​iā kākou. No laila, he mea nui loa ka mālama ʻana i ke olakino o kēia mau kaula leo. ʻO ka mea maikaʻi loa, ʻo ia ka hoʻohana pono ʻana iā lākou, me ka ʻole o ke kaumaha.

Mai kapa inoa i kēia mau mea:

• Ka luhi o kou leo ​​ma ka hoʻohana nui ʻana (kamaʻilio nui ʻana, hīmeni nui ʻana).
• Inā palahalaha a nāwaliwali paha kou leo, e hoʻāʻo e kamaʻilio a hīmeni paha.
• Ka puhipaka ʻana, ka ʻike ʻia ʻana o ka uahi o ka cigarette.
• Ke kāhea ʻana no ka manawa lōʻihi, a i ʻole ke kamaʻilio ʻana me ka hawanawana. Hoʻopilikia kēia mau mea ʻelua i nā kaula leo.

E hana i kēia mau mea:

• Inā loaʻa iā ʻoe ʻo GERD/LPRD , e mālama pono ʻia.
• E inu i ka wai lawa i ka lā a mālama i kou kino i ka wai.
• Inā makemake ʻoe e lohe ʻia kou leo ​​ma kahi mamao aku, e hoʻohana i ka microphone.
• E noho mamao aku mai nā wahi i nui ai ka lepo a me ka ʻike ʻia ʻana e nā kemika ʻino.
• Inā loaʻa iā ʻoe kahi maʻi, e hoʻēmi i ka nui (a me ka leo) o ke kamaʻilio ʻana.
• Ke ʻōlelo a hīmeni paha ʻoe, e hoʻomaʻamaʻa i ka hanu ʻana i loko o kou kino haʻahaʻa, ʻaʻole i kou umauma.
• ʻOi aku hoʻi i ka wā maloʻo (e like me ka hoʻoilo), e hoʻohana i kahi humidifier e mālama i ka ea āu e hanu ai i ka pulu.

Leka Lawe-Home

ʻO kou mau kaula leo ke kōkua iā ʻoe e ʻōlelo, hīmeni, a hanu hoʻi. ʻOiai he liʻiliʻi lākou, hiki i kou mau hoaaloha a me kou ʻohana ke ʻike iā ʻoe ma ke kani a lākou e hana ai ke haʻalulu lākou.

E pale i kou mau kaula leo mai ka luhi. Mai hoʻoluhi iā lākou ma ke kamaʻilio nui ʻana a i ʻole ke mele ʻana no ka manawa lōʻihi. E pale i ka puhipaka (me ka uahi lua), a inu i ka wai he nui. Mai hoʻomāinoino i kou mau kaula leo a mālama i kou leo ​​​​​​i ke olakino. Ma hope o nā mea a pau, he waiwai nui kou leo ​​​​​​iā ʻoe!

Leo , nā kaula leo, larynx, nā maʻi ʻāʻī, mālama leo, laryngitis, nā loli leo