Ke manaʻo nei ʻoe i kekahi manawa ua loli kou leo ke ala ʻoe i ke kakahiaka, a i ʻole ma hope o kahi lā paʻakikī o ke kamaʻilio ʻana? Me he mea lā ua loaʻa i ke anu, a ua lilo paha i leo haʻalulu, e paʻakikī ai ke ʻōlelo. I kekahi manawa hiki i kou leo ke lilo i nāwaliwali, a i ʻole hiki ke lilo i mea kaumaha loa a ʻoʻoleʻa. ʻO kēia ka mea a mākou e kapa pinepine ai ʻo 'haʻalulu' a i ʻole, ma nā huaʻōlelo lapaʻau, he loli i ka leo (Dysphonia) . ʻO ka ʻoiaʻiʻo, he ʻano kēia e hiki ke hoʻopilikia i kahi o hoʻokahi o ʻekolu mau kānaka i kekahi manawa o ko lākou ola. No laila, ʻaʻohe mea e hopohopo ai, akā he mea nui e makaʻala i ia mea.
He aha maoli ka leo o ka leo haʻi?
I ka ʻōlelo maʻalahi, ʻo ka hoarseness ka loli ʻana o ke ʻano maʻamau o kou leo, e lilo i raspy, rough, strangely, a breathy paha. Hiki i kēia ke komo pū me ka hoʻonui a i ʻole ka emi ʻana o ka nui o kou leo, a i ʻole ka loli ʻana o ke kiʻekiʻe (kiʻekiʻe a haʻahaʻa paha) o kou leo. E noʻonoʻo inā kani koke kou leo maʻamau me he mea lā e ʻomi ana kekahi, a inā paha i puka koke mai a koke, ʻo ia ke ʻano o kēia kūlana.
He mea maʻamau kēia i nā mea puhi paka, a me ka poʻe e hoʻohana nei i ko lākou leo i ka ʻoihana, e like me nā kumu, nā mea hīmeni, nā mea hana keaka, nā ʻelele kūʻai aku, a me nā limahana kikowaena kelepona.
He aha nā hōʻailona o ka leo palahalaha?
Inā he leo ʻoi kou, hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:
- Me he mea lā he paʻakikī iā ʻoe ke hoʻopuka i nā huaʻōlelo i waho ke ʻōlelo ʻoe.
- He hāwanawana, ʻoʻoleʻa, a makani paha ke kani ʻana o ka leo.
- Pono e ʻōlelo mālie ma mua o ka mea maʻamau.
- ʻOkoʻa ke kiʻekiʻe o ka leo mai ka mea maʻamau . Hiki ke haʻahaʻa loa ka leo a kaumaha loa paha.
Āhea kākou e hopohopo ai e pili ana i ka leo o ka leo?
ʻO ka hapa nui o ka manawa, hiki mai ka leo palahalaha ke hoʻohana nui mākou i ko mākou leo. I ia mau hihia, hoʻopau pinepine ia i loko o kekahi mau lā. Eia nō naʻe, inā ua palahalaha kou leo no nā pule ʻekolu a ʻoi , a inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona weliweli, pono ʻoe e ʻike i ke kauka.
Nā kūlana i ka wā e koi ʻia ai ke ʻimi ʻana i ke kōkua lapaʻau:
* Inā ʻeha kou puʻu i kou kamaʻilio ʻana a i ʻole ke ale ʻana i kahi mea.
* Inā manaʻo ʻoe e pilikia ana ʻoe i ka hanu ʻana a i ʻole ke ale ʻana .
* Inā ʻoe e ʻū ana i ke koko .
* Inā ʻike ʻoe i kahi puʻupuʻu ma kou ʻāʻī .
* Inā ua hala kekahi mau lā mai ka nalowale loa ʻana o ka leo .
Inā loaʻa iā ʻoe kēia mau hōʻailona, mai manaʻo he mea maʻamau ia. ʻOi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe e ʻike ai i ke kumu.
No ke aha e lilo ai ko kākou leo i mea hāmama? He aha nā kumu?
I mea e maopopo ai ke kumu o kēia hana iā kākou, e aʻo mua kākou e pili ana i ke ʻano o ka hoʻokumu ʻia ʻana o ko kākou leo. Hiki iā kākou ke ʻōlelo ma muli o ʻelua ʻāpana: ko kākou mau kaula leo a me ko kākou larynx. Aia ka larynx ma luna o ko kākou trachea/windpipe. He ʻōmole lōʻihi ka trachea e hoʻopili ana i ka larynx i nā māmā.
ʻO kou mau kaula leo he mau kaula palupalu ʻelua o nā ʻiʻo i loko o kou larynx. E noʻonoʻo iā lākou e like me nā kaula ma ka guitar. Ke ʻōlelo mākou, hele ka ea mai ko mākou mau māmā ma luna o kēia mau kaula leo, e hoʻoluliluli iā lākou, e hana ana i nā nalu leo. No laila, ʻo nā mea āpau e hoʻopilikia ai i kēia mau kaula leo a i ʻole kou larynx hiki ke hoʻolilo i kou leo i mea haʻalulu.
Eia kekahi o nā kumu nui:
- Laryngitis: ʻO kēia ke kumu maʻamau o ka leo hoarse. Hana ʻia ia i ka wā e pehu ai nā kaula leo ma muli o nā mea e like me nā maʻi allergies, nā maʻi hanu kiʻekiʻe, a i ʻole nā maʻi sinus. E like me ke anu a i ʻole ka maʻi flu hiki ke hoʻololi i kou leo.
- Hoʻohana nui ʻia a hoʻohana hewa ʻia paha kou leo: No ka laʻana, hiki i kou leo ke lilo i ʻano ʻūlū ma hope o kou hāʻawi ʻana i kahi haʻiʻōlelo lōʻihi a i ʻole e hoʻōho nui ʻana i ka wā o kahi pāʻani haʻuki. Hiki ke hana ʻia hoʻi ma muli o ka ʻōlelo mau ʻana ma kahi leo kiʻekiʻe a haʻahaʻa paha ma mua o kou leo maʻamau. He mea maʻamau kēia i waena o ka poʻe e like me nā kumu a me nā mea hīmeni.
- Ka ʻelemakule ʻana: I ko kākou ʻelemakule ʻana, e lahilahi a nāwaliwali ko kākou mau kaula leo, a hiki ke hoʻololi i ko kākou leo.
- GERD (Maʻi Reflux Gastroesophageal): ʻO kēia ka mea a mākou e kapa pinepine ai he ʻeha puʻuwai a i ʻole ka ʻeha ʻōpū. ʻO GERD ka wā e piʻi ai ka waikawa o ka ʻōpū i loko o ka puʻu. I kekahi manawa, hiki i kēia waikawa ke hōʻino i nā kaula leo. Ua kapa ʻia kēia ʻo Laryngopharyngeal Reflux (LPR).
- Ke kahe koko o ke kaula leo: Hana ʻia kēia i ka wā e pohā ai ke kīʻaha koko i loko o ke kaula leo. Hoʻopiha kēia i ke koko i nā olonā ʻiʻo. Hiki i kēia ke kumu o ka nalowale koke o ka leo.
- Nā nodules leo, nā cysts a me nā polyps: He mau ulu ʻaʻole kēia e kū mai ana ma nā kaula leo. E like me ka loaʻa ʻana o nā calluses i ka wā e hana ai me ko mākou mau lima, hiki i nā kaula leo ke hoʻomohala i kēia mau kūlana ke hoʻohana hewa mākou i ko mākou leo.
- ʻO ka maʻi lolo o ke kaula leo: He kūlana kēia kahi e wehe ʻole ai a pani pono ʻole ai kekahi a i ʻole nā kaula leo ʻelua. Hiki ke hana ʻia kēia e nā mea e like me ka hōʻino ʻana o ke aʻalolo a i ʻole nā hopena ʻaoʻao mai ke ʻoki ʻana.
- Papillomatosis hanu hou (RRP): ʻO kēia kūlana ke kumu o ka hana ʻana o nā warts benign ma luna a puni nā kaula leo.
- ʻO Spasmodic Dysphonia: He maʻi ʻōlelo neurological lōʻihi kēia e hoʻololi ai i ka maikaʻi o ka leo.
- ʻO ka Dysphonia o ke Kūpilikiʻi ʻIʻo: Hiki ke hana kēia i ka wā e nui ai ke kaumaha ma nā kaula leo a me nā ʻiʻo a puni. Hiki ke hana ʻia e kahi ʻeha i ka ʻāʻī, nā poʻohiwi, a i ʻole ka ʻāpana umauma.
- Nā maʻi a me nā maʻi o ka ʻōnaehana nerve: Inā loaʻa iā ʻoe kahi maʻi e like me ka hahau ʻana a i ʻole ka maʻi Parkinson, hiki i ka maʻi ke hoʻopilikia i ka ʻāpana o kou lolo e kaohi ana i nā ʻiʻo i loko o kāu pahu leo. Hiki i kēia ke hoʻololi i kou leo.
- Kanesa: ʻO nā maʻi kanesa e like me ke kanesa laryngeal, ke kanesa māmā, a me ke kanesa ʻāʻī hiki ke hana i ka leo hoarse. He mea kēia a ka poʻe he nui e makaʻu nei. Akā e hoʻomanaʻo, ʻaʻole i nā manawa a pau e horse ai kou leo, ma muli ia o ke kanesa.
Pehea e ʻike ai i ka palahalaha o ka lauoho?
Ma muli o kāu mau hōʻailona, hiki i kāu kauka lapaʻau ke kuhikuhi iā ʻoe i kahi loea pepeiao, ihu a me ka ʻāʻī (Otolaryngologist/ENT loea). E nīnau ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino a me nā lāʻau lapaʻau āu e lawe nei. Hiki iā lākou ke nīnau i nā nīnau e like me:
- ʻEhia ka lōʻihi o kēia ʻokoʻa leo?
- Ua hoʻomaka koke anei kēia mau hōʻailona, a ua piʻi mālie paha?
- Ua loaʻa anei iā ʻoe kahi maʻi hanu luna (e like me ke anu) i hala koke nei?
- Aia kekahi mau hōʻailona ʻē aʻe (e like me ke kuni, ʻeha kino, paʻakikī i ka moni ʻana)?
- Ke puhipaka nei ʻoe? Inā pēlā, pehea ka lōʻihi o kou puhipaka ʻana?
- Ke inu nei ʻoe i ka waiʻona?
He aha nā hoʻokolohua diagnostics?
E hoʻolohe ke kauka i kou leo a nānā i kou poʻo a me kou ʻāʻī no nā puʻupuʻu a i ʻole nā puʻupuʻu. Eia kekahi, hiki iā lākou ke hana i nā hoʻokolohua e like me:
- Laryngoscopy: Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi a palupalu (he endoscope) ma o ka ihu a i ʻole ka waha e nānā i ka larynx a me nā kaula leo. Loaʻa i ka ʻōmole kahi kāmela i hoʻopili ʻia i ka hopena, e ʻae ana i ke kauka e nānā iā ia ma kahi pale.
- Videostroboscopy: Ua like kēia me ka laryngoscopy, akā hoʻohana ia i kahi kukui kūikawā a me ke kāmela e hiki ke ʻike i ka haʻalulu o nā kaula leo me nā kikoʻī nui, kokoke i ka neʻe lohi .
- CT scan (Computed Tomography - CT scan): He hoʻāʻo X-ray kūikawā e lawe i nā kiʻi ʻokiʻoki o loko o ke kino.
- MRI (Magnetic Resonance Imaging - MRI): He hoʻāʻo e hoʻohana ana i nā kahua magnetic a me nā nalu lekiō e hana i nā kiʻi kikoʻī o loko o ke kino.
- Biopsy: Inā he mea kānalua i loko o nā kaula leo a i ʻole ka ʻāpana a puni, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo a nānā ʻia ma lalo o kahi microscope. Hana ʻia kēia inā he kānalua no kekahi mea e like me ke kanesa.
He aha nā lāʻau lapaʻau no ka leo hoʻōho?
Aia ka lāʻau lapaʻau i ke kumu o kou leo pahee.
- ʻO ka lāʻau lapaʻau maʻamau loa, ʻo ia ka hoʻomaha ʻana i ka leo . ʻO ia hoʻi ka hoʻēmi ʻana i ke kamaʻilio ʻana a me ka hoʻōho ʻana i ka hiki.
- Inā hoʻokumu ʻia ka laryngitis e kahi maʻi, e like me kahi maʻi (e like me ka laryngitis) , e kuhikuhi ke kauka i nā lāʻau lapaʻau e pono ai (e like me nā antibiotics, nā mea hoʻomaha ʻeha). Inā hoʻokumu ʻia e kahi maʻi allergy, e hāʻawi ʻia ka lāʻau lapaʻau no ia mea.
- Inā ʻo GERD ke kumu, e kuhikuhi ʻia nā loli o ke ʻano o ka nohona (kaohi ʻana i ka ʻai, ka hoʻololi ʻana i ke kūlana hiamoe) a me nā lāʻau lapaʻau kaohi waikawa.
- Inā he mau nodules, polyps, a cysts paha kou ma kou mau kaula leo , hiki ke mālama ʻia iā lākou me ka leo hoʻōla . Eia nō naʻe, i kekahi mau hihia, pono paha ke ʻoki kino .
- Inā he maʻi koʻikoʻi e like me ke kanesa ke kumu o ka leo horse, pono paha ka lāʻau e like me ka radiation therapy, chemotherapy, a i ʻole ke ʻoki ʻana ma lalo o ka nānā ʻana a ke kauka maʻi oncologist.
- Inā ma muli o nā maʻi e pili ana i ka ʻōnaehana nerve , hiki ke hāʻawi ʻia ke aʻo leo ʻana i ka wā e mālama ʻia ai ka maʻi kumu.
Hiki iā ʻoe ke pale aku i ka hoarseness?
I kekahi manawa, hiki ke hoʻoulu ʻia ka leo ʻino e nā kūlana olakino hiki ʻole iā mākou ke pale aku. Eia nō naʻe, ʻo ka mālama ʻana i kou leo, ʻoiai inā hoʻohana ʻoe i kou leo no ka manawa lōʻihi i kēlā me kēia lā (e laʻa, he kumu, he mea hīmeni, a he mea haʻiʻōlelo paha), hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o kēia ʻano. Eia kekahi mau ʻōlelo aʻoaʻo:
- E pale loa i ka puhipaka. (Inā makemake ʻoe i ke kōkua me kēia, hiki iā ʻoe ke kūkākūkā me kāu kauka.) E noho mamao mai ka uahi lua.
- E hōʻemi i ka waiʻona a me nā mea inu i loaʻa ka caffeine (kī, kofe). Hiki i kēia mau mea ke hoʻomaloʻo i ke kino a hoʻopilikia i nā kaula leo.
- E inu i ka nui o ka wai. ʻO ka inu ʻana ma ka liʻiliʻi he 8 mau aniani wai i ka lā e kōkua i ka mālama ʻana i kou mau kaula leo.
- Inā maloʻo ka ea i loko, e hoʻohana i kahi humidifier.
- E hōʻalo i nā meaʻai ʻala a me ka ʻaila, ʻoiai inā loaʻa iā ʻoe ʻo GERD.
- E hōʻalo i nā hana e hoʻoluhi ai i ka leo (e.g., ke kamaʻilio ʻana no ka manawa lōʻihi, ke kamaʻilio nui ʻana, ka hoʻōho ʻana).
- Ke luhi kou leo (e.g. ke hāʻawi nei i kahi haʻiʻōlelo) , e hoʻohana i kahi mea e like me ka microphone/megaphone.
- E kūkākūkā me kahi kumu aʻo leo e pili ana i nā kūlana a me nā ʻano hana kūpono o ka ʻōlelo ʻana .
He aha ka mea e hana ai inā he palahalaha ka leo?
ʻO ka maʻamau, e hoʻi hou kou leo i ka maʻamau ma hope o kou hoʻomaha ʻana i kou leo a i ʻole ka mālama ʻana i ke kumu. Eia naʻe, he mea kākaʻikahi loa iaHiki i ka leo haʻalulu ke lilo i hōʻailona o ka maʻi ʻaʻai a i ʻole kahi maʻi koʻikoʻi o ka ʻōnaehana nerve. No laila, mai makaʻu nui, akā e makaʻala i nā hōʻailona.
Pehea wau e mālama ai iaʻu iho?
Inā he leo ʻoʻoleʻa kou, ʻo ka hahai ʻana i nā ʻōlelo a kāu kauka ke ala maikaʻi loa e ho'ōla koke ai i kou leo.
- E hoʻomaha i kou leo. E pale i ka kamaʻilio ʻana i ka hiki. He mea ʻino hoʻi ka hawanawana ʻana no kou mau kaula leo, no laila e pale aku i kēlā.
- E inu i nā wai mehana (nā gargles wai paʻakai, nā gargles ginger-cilantro, a me nā mea ʻē aʻe) e kōkua i ka hōʻoluʻolu i kou puʻu.
- E noho mamao aku mai ka puhipaka a me nā wahi e puhipaka ana.
- E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka e like me ke kauoha a i ka manawa kūpono.
Āhea wau e ʻike hou ai i ke kauka?
Inā palahalaha kou leo ʻoiai ke mālama ʻia, a inā manaʻo ʻoe e ʻoi aku ka ʻino o kāu mau hōʻailona, e ʻike hou i kāu kauka.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
He pilikia maʻamau ka leo ʻōʻō. Inā loaʻa iā ʻoe kēia maʻi, hiki iā ʻoe ke nīnau i kāu kauka e like me:
- No ke aha i pahee ai koʻu leo?
- Ke kumu ʻia nei kēia e kahi maʻi koʻikoʻi?
- He aha nā lāʻau lapaʻau āu e paipai nei?
- Pehea e mālama ai iaʻu iho? He aha kaʻu e hiki ai ke hana?
ʻO ka mea hope loa, e hoʻomanaʻo (Leka Lawe-Home)
He gula ka noho mālie, akā, ʻaʻole maikaʻi loa ia ke kani ʻino kou leo a paʻakikī iā ʻoe ke ʻōlelo, ke loli kou leo, a i ʻole ke nalowale loa kou leo. Inā ua kani ʻino kou leo no nā pule ʻekolu a ʻoi, a inā paʻakikī iā ʻoe ke ale a hanu paha, inā ʻū ʻoe i ke koko, inā he puʻu kou i loko o kou puʻu, a inā ʻaʻole hiki iā ʻoe ke hoʻohana i kou leo no kekahi mau lā, pono ʻoe e ʻike i ke kauka. E ʻike ʻo ia i ke kumu o kou kani ʻino a kōkua iā ʻoe e hoʻihoʻi i kou leo maʻamau. Mai hopohopo, e hana i nā hana kūpono i ka manawa kūpono!
ʻO ka leo nui, leo nui, dysphonia, nā leo kani, nā maʻi ʻāʻī, ʻōlelo aʻo lapaʻau, laryngitis, nā leo kani, ka leo nui Sinhala











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