Kamaʻilio mākou a pau, hīmeni, a hana i nā leo like ʻole. Akā, ua noʻonoʻo paha ʻoe i hea mai ai kēia leo i loko o ko mākou puʻu? Aia kahi ʻāpana liʻiliʻi akā koʻikoʻi loa i loko o ko mākou puʻu nāna e kuleana no kēia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēlā ʻāpana i kapa ʻia ʻo 'glottis'. ʻO kēia kahi nui e mālama ai i ka mea huna o ko mākou leo.
I ka ʻōlelo maʻalahi, he aha kēia glottis?
E noʻonoʻo ʻoe he "pahu leo" kou i loko o kou puʻu. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo ka larynx. ʻO ka ʻāpana waena i loko o ka larynx ka mea a mākou e kapa ai ʻo ka glottis. ʻO kēia ka wahi nui e hoʻomalu i nā ʻāpana leo ʻelua a i ʻole nā kaula leo e hana ana i kou leo a me ka hakahaka ma waena o lākou.
Manaʻo ka poʻe he nui he pahu wale nō ka larynx me ʻelua ʻāpana ʻiʻo e hana ana i ka pahu leo. Akā, aia kēlā mau kaula leo ma kahi ʻāpana i kapa ʻia ʻo glottis. Mahalo i kēia glottis a me nā kaula leo hiki iā ʻoe ke ʻōlelo a kamaʻilio me kou leo ponoʻī.
ʻEkolu mau mea nui a ka glottis e hana ai i ko mākou kino
ʻOi aku ka nui o ka hana a kēia ʻāpana liʻiliʻi o ko kākou kino ma mua o ko kākou manaʻo. E nānā i kēia mau mea.
- Kōkua i ka hanu ʻana: ʻO ka maʻamau, ke hanu ʻoe, ua pelu ʻia kou mau kaula leo i loko o ke ʻano "V". Ke hanu ʻoe ma kou ihu a waha paha, hele ka ea ma o kēia mau kaula leo i pelu ʻia a i loko o kou mau māmā, ma kou ʻōpū hanu. Ke hanu ʻoe i waho, ua pelu ʻia nā kaula leo ma ke ʻano like.
- Pale i ka meaʻai mai ke komo ʻana i loko o nā māmā: Ke moni ʻoe, pani ʻia kahi ʻāpana liʻiliʻi i kapa ʻia ʻo ka epiglottis, aia ma luna o ka glottis, i ke komo ʻana i ka larynx. ʻAe kēia i ka meaʻai e hele pololei i loko o ka ʻōmole meaʻai. I ka manawa like, ma ke ʻano he hana palekana ʻelua, pani paʻa nā kaula leo ʻelua i loko o ka glottis. Pale loa kēia i kekahi meaʻai mai ke komo ʻana i loko o nā māmā.
- Kōkua i ka hana ʻana i ka leo a me ke kani: Ke hoʻomaka ʻoe e ʻōlelo a hīmeni paha, pili pū kāu mau kaula leo. A laila, hele ka ea e puka mai ana mai kou mau māmā ma lalo o kēia mau kaula leo pani a hoʻokuke iā lākou. Ke wikiwiki ka holo ʻana o ka ea, hoʻoulu ia i nā kaula leo e haʻalulu wikiwiki. Hoʻokumu kēia haʻalulu i nā nalu leo e hiki ai iā ʻoe ke ʻōlelo.
I ka ʻōlelo maʻalahi, he ala koʻikoʻi loa ka glottis e kōkua iā mākou e hanu, moni i ka meaʻai, a ʻōlelo.
He hoʻokolohua liʻiliʻi: He aha ka glottal stop?
E kōkua kēia iā ʻoe e hoʻomaopopo maikaʻi i ke ʻano o ka hana ʻana o ka glottis. E noʻonoʻo ʻoe e ʻōlelo ana ʻoe "uh-oh" ma ka ʻōlelo Pelekania. Ke ʻōlelo ʻoe, pau ka "uh" a hoʻomaka ka "oh", me he mea lā ua pau koke ka ea ma waenakonu o kou puʻu, ʻeā? I kēlā manawa, pani koke kou mau kaula leo. Hoʻomaka ke kani, kū i loko o ka glottis, a hoʻomaka hou. ʻOiai he nui nā leo e hoʻomaka ana i loko o ka glottis, loli lākou i loko o ko mākou waha a me ko mākou ihu ma mua o ka puka ʻana i waho. Akā i kēia hihia, hoʻomaka ke kani a kū i loko o ka glottis.
Aia ma hea ka glottis a he aha kona mau ʻāpana?
Aia ka glottis ma ke alo o kou ʻāʻī, ma hope pono o kou ʻāpala ʻAdamu. ʻEkolu ʻāpana o ka larynx, a mākou i kamaʻilio ai ma mua. ʻO ka glottis ka ʻāpana waena.
- ʻO Supraglottis: ʻO kēia ka ʻāpana o luna o ka larynx. Aia ka epiglottis ma kēia ʻāpana.
- Glottis: ʻO kēia ka ʻāpana waena kahi a mākou e ʻōlelo ai. Aia nā kaula leo ma ʻaneʻi.
- Subglottis: ʻO kēia ka ʻāpana haʻahaʻa loa o ka larynx. Hoʻopili ia i ka ʻōpū hanu.
Nā ʻāpana nui o ka glottis
ʻElua mau ʻano nui i loko o ka glottis:
1. Nā kaula leo: ʻO kēia nā ʻiʻo ʻelua e kāohi ana i ke kiʻekiʻe o kou leo. ʻO nā kaula leo nui a mānoanoa hoʻi e hana i kahi kiʻekiʻe haʻahaʻa, ʻoiai ʻo nā kaula leo liʻiliʻi a lahilahi hoʻi e hana i kahi kiʻekiʻe kiʻekiʻe.
2. Rima glottidis: Pili kēia i ka wehe ʻana, a i ʻole ka hakahaka, ma waena o nā kaula leo ʻelua. Ke wehe ʻia kēia hakahaka, neʻe ka ea i mua a i hope. Ke pani ʻia, hoʻopuka ʻia ke kani ʻōlelo.
Eia kekahi, aia i loko o ka glottis ke cartilage, nā ligaments, a me nā ʻiʻo e kākoʻo a hoʻoneʻe i nā kaula leo.
He aha nā kūlana e hoʻopilikia ai i ka glottis?
E like me nā ʻōkana ʻē aʻe, hiki ke hoʻopilikia ʻia ka glottis e nā ʻano maʻi like ʻole. E nānā kākou i ke ʻano o lākou.
| Kūlana olakino | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka stenosis glottic | He ʻūmiʻi ʻana o ke ala ea, kahi i loaʻa ai ka glottis. Hiki ke loaʻa kēia i ka wā hānau, a i ʻole hiki ke ulu ma hope ma muli o ka maʻi a i ʻole ka ʻeha. |
| Ka lawa ʻole o ka glottic | ʻAʻole pani pono nā kaula leo i ka wā e ʻōlelo ai. ʻO kēia ke kumu o ka leo e palahalaha ai, e paʻakikī ai ke ale ʻana, a hiki ke komo ka meaʻai a me ka mea inu i loko o ka ʻōpū hanu. |
| Ka maʻi ʻaʻai Glottic | Hoʻomohala nā hunaola kanesa i loko o nā kaula leo a i ʻole nā ʻiʻo e hoʻopuni ana. He ʻano kanesa laryngeal kēia. |
Nā kūlana maʻamau ʻē aʻe e pili ana i ka glottis
- Laryngitis - ʻO kēia ka maʻi maʻamau.
- ʻO ka dysphonia o ka ʻiʻo
- Nā puʻupuʻu leo, nā polyp a me nā cysts
- Ka maʻi lolo a i ʻole ka paresis o ke kaula leo
Nā hōʻailona e hōʻike ana i kahi pilikia me ka glottis
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he pilikia paha ia me ka glottis.
- Ka leo haʻalulu a i ʻole ka loli ʻana o ka leo.
- Ke ʻeha a ʻoluʻolu ʻole paha i ka wā e moni ai a i ʻole e ʻōlelo ana.
- ʻO ka ʻeha mau o ka puʻu a i ʻole ke kuni.
- Ka paʻakikī i ka ale ʻana i ka meaʻai (Dysphagia).
- Paʻakikī ka hanu ʻana (Dyspnea).
Inā mau nā hōʻailona e like me kēia, ʻoiai nā loli o ka leo, no nā pule ʻelua a ʻoi, he mea nui loa ia e ʻike i ke kauka no ka nānā ʻana.
Pehea e ʻike ai ke kauka a mālama i kēia mau mea?
Ma muli o kāu mau hōʻailona, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea pepeiao, ihu, a me ka ʻāʻī (loea ENT). Hiki iā lākou ke hana i nā hoʻokolohua e like me:
- Laryngoscopy a i ʻole Videostroboscopy: Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela kūikawā ma o ka ihu a i ʻole ka waha e nānā pono i nā glottis a me nā kaula leo.
- CT scan a i ʻole MRI scan: Nā hoʻāʻo e ʻike inā he pilikia me nā ʻano kūloko.
- Biopsy: Inā kānalua ʻia ka maʻi kanesa, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo a nānā ʻia.
ʻOkoʻa nā ʻano lapaʻau ma muli o ke kūlana.
- Ke hāʻawi nei i ka lāʻau lapaʻau no nā maʻi a me ka mumū.
- Hoʻōla leo.
- Ke hoʻomaha nei i ka leo (ʻaʻole e kamaʻilio a hīmeni paha).
- I kekahi mau hihia , hana ʻoki kino.
Pehea ʻoe e pale ai i kou leo a me nā glottis?
ʻO ka pale ʻana i kou leo, ʻo ia wale nō ka pale ʻana i kou glottis. E hoʻāʻo e hahai i kēia mau ʻanuʻu maʻalahi.
- E pale i ka puhipaka a me ka inu nui ʻana i ka waiʻona: Hoʻonui nā mea ʻelua i ka pilikia o ka maʻi ʻaʻai glottic. Hoʻomaloʻo pū lākou i nā kaula leo a hoʻopōʻino maʻalahi iā lākou.
- E inu i ka wai nui: Ke hoʻomaʻemaʻe maikaʻi ʻia kou kino, ʻaʻole pono kāu mau kaula leo e hana ikaika e haʻalulu. ʻOi aku ka maʻalahi o ka ʻōlelo ʻana. Kōkua nō hoʻi ia i ka hoʻomāmā ʻana i ka mucus i loko o kou puʻu, e hōʻemi ana i ka pono e hoʻomaʻemaʻe pinepine i kou puʻu.
- E pale iā ʻoe iho mai nā maʻi hanu: E holoi pinepine i kou mau lima. E noho mamao aku mai ka poʻe i loaʻa i ke anu.
- E noho mamao aku mai nā mea e hōʻino ai i ka ʻāʻī: E noho mamao aku mai nā wahi me ka nui o ka lepo a me nā kemika i ka hiki.
- Mai hoʻokaumaha i kou leo: Inā he leo haʻalulu kou leo, e hoʻōki i ka ʻōlelo ʻana no kekahi manawa. E hōʻemi i ka hoʻōho ʻana a me ka ʻōlelo nui ʻana i ka hiki.
Leka Lawe-Home
- He ʻāpana liʻiliʻi ka glottis akā he mea nui loa ia o kou kino e pili ana i nā hana koʻikoʻi ʻekolu: ka hanu ʻana, ka ʻōlelo ʻana, a me ke moni ʻana.
- Inā he leo haʻalulu mau kou, nā loli i kou leo, a i ʻole ka paʻakikī i ke ale ʻana, mai hoʻowahāwahā. E ʻimi pono i ke aʻo lapaʻau.
- ʻO kēlā me kēia hana āu e hana ai e pale i kou leo (inu ʻana i ka wai he nui, pale ʻana i ka puhipaka) e hoʻopilikia pololei i ke olakino o kou glottis.
- He ʻāpana kou leo o kou ʻano, no laila he mea nui loa ka mālama ʻana iā ia.
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