Ke manaʻo nei ʻoe he paʻakikī kou hanu ʻana a i ʻole he pōkole kou hanu ke kamaʻilio ʻoe, moni, a kū wale paha? I kekahi manawa hiki ke hana ʻia kēia e nā kaula leo ʻelua i loko o kou puʻu ʻaʻole e hana pono. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau hou, ʻaʻole paʻakikī loa e hiki ke kōkua iā ʻoe e hanu maʻalahi i ia mau kūlana.
I ka ʻōlelo maʻalahi, he aha ka Laser Cordotomy?
He hana hoʻopilikia iki ka Laser Cordotomy i hana ʻia e ke kauka lapaʻau e hoʻonui i kou ala ea. E noʻonoʻo i kou mau kaula leo e like me ʻelua puka. Ke pani ʻia kēia mau puka a wehe iki wale ʻia, ʻaʻohe wahi lawa no ka ea e hele ai. ʻO ia ka mea e hana ʻia.
I loko o kēia ʻoki kino, hoʻohana ke kauka i ka laser e hana i kahi ʻoki liʻiliʻi loa i kekahi (a i ʻole nā mea ʻelua) o kāu mau kaula leo. Hoʻokumu kēia ʻoki i kahi ākea no ka ea e hele ma waena o nā kaula leo, e maʻalahi ai ka hanu ʻana.
He aha ke ʻano o kēia lāʻau lapaʻau no ke ʻano hea?
Hoʻohana nui ʻia ka Laser Cordotomy e mālama i kahi kūlana kahi i paralysis ai nā kaula leo ʻelua . Kāhea mākou i kēia "Bilateral Vocal Cord Paralysis". Ma kēia kūlana, ʻaʻole wehe a pani nā kaula leo ʻelua. Ua paʻa pū lākou, ma ke ʻano pani.
ʻO kēia ke kumu e haiki loa ai ke ala ea, hiki ke hana i nā pilikia e like me ka paʻakikī o ka hanu ʻana, ka paʻakikī o ka ʻōlelo ʻana, a me ka paʻakikī o ke ale ʻana.
He aha ka ʻokoʻa ma waena o ka Cordotomy a me ka Cordectomy?
ʻOiai ke kani like nei kēia mau huaʻōlelo ʻelua, he ʻokoʻa loa kā lāua hana. He mea nui loa ia e ʻike i kēia ʻokoʻa.
| ʻAno lapaʻau | Ka wehewehe a me ke ʻano hoʻohana |
|---|---|
| ʻO ke kaula ʻana o ke kaula | ʻO kēia ke ʻoki ʻana i kahi ʻoki liʻiliʻi ma nā kaula leo e ʻae ai i ka hanu ʻana. ʻAʻole wehe ʻia nā kaula leo. Hoʻohana ʻia kēia ma ke ʻano he lāʻau lapaʻau no ka maʻi lolo o ke kaula leo. |
| Hoʻopau ʻia ke kaula | ʻO kēia ka wehe ʻana i kahi hapa a i ʻole nā kaula leo āpau . He hana ʻoki kino kēia i hoʻohana pinepine ʻia e mālama i nā kūlana e like me ke kanesa laryngeal. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
E hāʻawi aku kāu hui lapaʻau iā ʻoe i nā kuhikuhi maopopo e pili ana i ke ʻano o ka hoʻomākaukau ʻana no kēia ʻoki kino. Ma mua o ka mālama ʻana, e nānā lākou i kekahi mau mea e pili ana iā ʻoe.
- Ke kahe ʻana o ka ea a me kona ikaika ke ʻōlelo ʻoe.
- Ka hiki ke hanu.
- Ka hana o nā kaula leo.
- Ka maikaʻi o ka leo.
Eia kekahi, e lawe kekahi kauka ʻōlelo-ʻōlelo (SLP) i kekahi mau kiʻi wikiō o kāu mau kaula leo ma mua o ke ʻoki ʻana e hoʻopaʻa i ka nui o kou ala ea a me ke kūlana o kāu mau kaula leo. E lawe pū lākou i kekahi wikiō ma hope o ke ʻoki ʻana e ana i ka nui o ka hoʻomaikaʻi āu i hana ai.
E nānā pū kākou pehea e hana ʻia ai ke ʻoki kino.
Hana ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā, kahi e hoʻomoe ai iā ʻoe i ka hiamoe hohonu. No laila, ʻaʻole ʻoe e manaʻo i kekahi mea. I ka wā o ke ʻoki kino, e hahai kāu kauka ʻoki kino i kēia mau ʻanuʻu:
1. Hoʻokomo ʻia kahi kāmela kūikawā i kapa ʻia he laryngoscope ma kou waha a me kou puʻu e ʻike maopopo i ka larynx a me nā kaula leo.
2. A laila, ua kau ʻia kahi ʻāpana liʻiliʻi o ka huʻahuʻa i hoʻomaʻū ʻia ma kahi e pale ai i ka hōʻino ʻana i nā ʻiʻo ma lalo o nā kaula leo.
3. ʻO ka mea hope loa, hoʻohana ʻia kahi kukuna laser i kālele pono ʻia e hana i ka ʻoki liʻiliʻi i ʻōlelo ʻia ma luna aʻe ma kekahi a i ʻole nā kaula leo ʻelua.
ʻO ka maʻamau, ma waena o 30 a me 60 mau minuke kēia kaʻina hana holoʻokoʻa.
He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?
Ma mua o ka hiki ʻana mai o ka Laser Cordotomy, nui ka poʻe me ka maʻi lolo o ke kaula leo i pono e hana i kahi hana ʻoki i kapa ʻia he tracheostomy . ʻO kēia ka hana ʻana i kahi lua ma waho o ka ʻāʻī i loko o ka windpipe (trachea) a me ka hoʻokomo ʻana i kahi ʻōmole ma loko e ʻae ai i ka hanu ʻana.
I ka hoʻohālikelike ʻia me ke ʻoki tracheostomy, ʻoi aku ka maʻalahi o ka Laser Cordotomy a me ka lāʻau lapaʻau i emi iki ka invasive .
Hiki i kēia ke kōkua i ka hoʻomaikaʻi ʻana i kou hanu ʻana, ka moni ʻana, a me ka hana leo, me ka mālama ʻana i kahi kūlana kiʻekiʻe o ke ola. I kekahi manawa, hiki ke hana ʻia ke ʻoki ʻana o ka Laser Cordotomy ma luna o kekahi kanaka i loaʻa mua kahi tracheostomy e kōkua i ka wehe ʻana i kēlā ʻōmole.
Aia kekahi mau hopena ʻaoʻao a i ʻole nā pilikia?
ʻO ka Laser Cordotomy kahi lāʻau lapaʻau a nā kauka e ʻōlelo pinepine ai no ka mea ʻoi aku ka liʻiliʻi o ka pilikia ma mua o ka tracheostomy. Eia nō naʻe, e like me nā ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi. ʻO kēia mau mea:
- Ke kahe ʻana o ke koko ma ka larynx.
- ʻEha iki i nā lehelehe, nā niho, a i ʻole ka lehelehe ke hoʻokomo ʻia ka laryngoscope.
- Hoʻokumu ʻia ʻana o nā ʻiʻo ʻeha a puni nā kaula leo.
- Ka pehu ʻana o nā kaula leo.
He manawa pōkole ka hapa nui o kēia mau mea, a na kāu kauka e hoʻomaopopo iā ʻoe e pili ana i kēia.
ʻEhia ka lōʻihi e ho'ōla ai? He aha kā mākou e hana ai?
ʻO ka maʻamau , ʻekolu mahina e ho'ōla piha ai ma hope o ka laser cordotomy. I kekahi manawa, pono paha kekahi hana ʻoki liʻiliʻi ʻē aʻe (revision cordotomy) e hoʻokō ai i nā hopena maikaʻi loa.
I ka wā ho'ōla, he ala maika'i ka hanu mahu e hō'olu'olu ai i kou mau kaula leo. Eia kekahi, hiki i kāu kauka ke paipai i ka ho'omaha leo e kōkua iā 'oe e ho'ōla koke. I loko o kēia manawa, pono 'oe e pale i:
- Ke kamaʻilio leo nui nei
- Ke kāhea nei
- Ke kāohi ʻana i ke kuni (e like me ka hiki)
- Ke mele ʻana
ʻO ka emi ʻana o kou hoʻohana ʻana i kou leo i kēia wā hoʻomaha, ʻo ka wikiwiki hoʻi o ke kaʻina hana ho'ōla.
Ma hope o ke ʻoki ʻana, e mālama ʻia ʻoe i loko o ka haukapila no kahi o 24 mau hola no ka nānā ʻana. I loko o kēia manawa, e hāʻawi ʻia ʻoe i nā steroid intravenous (IV) e kāohi i ka pehu ʻana i loko o kou mau kaula leo. Ma hope o kou hoʻi ʻana i ka home, hiki ke kuhikuhi ʻia ʻoe i nā antibiotics, nā pila steroid, a me nā lāʻau anti-reflux e lawe ai no kahi o hoʻokahi a ʻekolu mau pule i kou hoʻōla ʻana.
I ka manawa hea ʻoe e makemake ai e ʻike hou i ke kauka?
Inā ʻike ʻoe i kekahi mau hōʻailona o nā pilikia ma hope o ke ʻoki ʻana, e kāhea koke i kāu kauka. E makaʻala pono i kēia mau hōʻailona:
- Inā loaʻa iā ʻoe ka pilikia nui o ka hanu ʻana . (I kēia hihia, e hele pololei i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.)
- Inā pilikia ʻoe i ka ale ʻana i ka meaʻai.
- Inā he mau ʻeha a puni nā lehelehe a i ʻole nā niho.
Leka Lawe-Home
- ʻO ka Laser Cordotomy kahi hana ʻoki maʻalahi a hou i hana ʻia e mālama i nā pilikia hanu i hoʻokumu ʻia e ka hana ʻino o ke kaula leo.
- He lāʻau lapaʻau kēia me ka haʻahaʻa o ka pilikia a me nā pilikia liʻiliʻi ma mua o kahi ʻoki kino nui e like me ka tracheostomy.
- He mea nui loa ia e hoʻomaha i kou leo i ka wā hoʻōla ma hope o ke ʻoki kino. E hahai pono i nā ʻōlelo a kāu kauka.
- I kekahi pilikia, e like me ka pilikia nui o ka hanu ʻana, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e kūkākūkā me ke kauka loea i ka pepeiao, ihu, a me ka ʻāʻī (ENT Surgeon) nāna i akamai i kēia ʻano.
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