Ke manaʻo nei ʻoe i kahi loli i kou leo, kahi leo haʻalulu, a i ʻole ka paʻakikī o ka ʻōlelo ʻana? I kekahi manawa ʻo ke kumu o kēia mau mea he pilikia liʻiliʻi me kā mākou mau kaula leo. No laila, i nā manawa e like me kēia, ʻo kahi hoʻāʻo kūikawā a me ke ʻano lapaʻau e hoʻohana ai nā kauka e ʻike pono i ke ʻano o ka pilikia ua kapa ʻia ʻo microlaryngoscopy. Mai makaʻu, ʻoiai he paʻakikī iki ka inoa, ʻaʻole kēia he mea nui e like me kou manaʻo. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī.
He aha ka Microlaryngoscopy?
I ka ʻōlelo maʻalahi, he ʻoki kino kēia. Akā i kēia hihia, ʻaʻohe ʻoki i hana ʻia ma kou ʻāʻī. Hoʻohana ke kauka i kahi mea hana kūikawā e nānā i ke kūlana o kou mau kaula leo. Hiki i kahi microscope i hoʻopili ʻia i kēia mea hana ke hoʻonui a hoʻonui maopopo i nā loli liʻiliʻi loa i nā kaula leo.
I loko o kēia hoʻokolokolo ʻana, hiki i ke kauka ke wehe i nā ulu ʻana, e like me nā puʻupuʻu a i ʻole nā ʻeha, ma nā kaula leo. Hoʻohana ʻia kēia kaʻina hana e hoʻoponopono i nā maʻi neʻe ʻē aʻe a i ʻole nā ʻūlū ʻana i ka larynx.
No ke aha lā wau e makemake ai e hana i kēia ʻano hana ʻoki kino?
ʻO ka maʻamau, ʻōlelo ke kauka i kēia ʻoki kino inā ʻike lākou i kekahi mau mea ʻē i loko o kou larynx. He hoʻāʻo a he lāʻau lapaʻau kēia. E ʻike maopopo ʻia kēia iā ʻoe ke nānā ʻoe i ka papa ma lalo nei.
| Pilikia/Kūlana | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā ʻeha leo ʻaʻole maʻi kanesa | Wehe i nā mea e like me nā nodules, polyps, a i ʻole cysts e kū mai ana i ka poʻe e hoʻohana nui ana i ko lākou leo. |
| Nā maʻi neʻe ʻana o ka pelu leo | E ʻike a i kekahi manawa e mālama i nā kūlana e like me ka maʻi lolo o ka leo. |
| Ka maʻi ʻaʻai laryngeal | Inā kānalua ʻoe he mau hōʻailona o ka maʻi kanesa, e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) mai ia wahi a e nānā ʻia. |
| ʻO ka stenosis subglottic | E mālama i ka hāiki o ka trachea ma lalo o nā kaula leo. |
Pehea pololei e hana ʻia ai kēia ʻoki kino?
ʻO kēia ka mea e hana ʻia. ʻO ka mea mua, ua hoʻopau loa ʻia ʻoe. ʻO ia hoʻi, ua hiamoe ʻoe a ʻaʻole ʻoe e manaʻo i kekahi mea. A laila hoʻokomo ke kauka i kahi ʻōmole kūikawā (ʻōmole paʻa) ma kou waha a i loko o kou larynx. ʻAe kēia ʻōmole i ke kauka e ʻike pololei i loko o kou mau kaula leo.
ʻO ka mea aʻe, hoʻohana ʻia kahi microscope a me ke kukui e nānā i nā kaula leo no kekahi mau loli a i ʻole nā puʻupuʻu. Inā pono e wehe ʻia kahi puʻupuʻu a i ʻole ka ʻōpū, hoʻokomo ʻia nā mea hana ʻoki liʻiliʻi loa (e like me nā ʻoki liʻiliʻi a i ʻole nā forceps) ma o ka ʻōmole a wehe ʻia ka puʻupuʻu. I kekahi mau hihia, hoʻohana ʻia ka laser e wehe i kēia mau puʻupuʻu.
ʻO ka mea nui loa, ʻoiai ua hana ʻia kēia mau mea a pau i loko o ka waha, ʻaʻohe ʻoki a i ʻole nā palapala ma waho o kou kino.
Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻOiai ua hana ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā , pono ʻoe e hoʻomākaukau iki i ka lā ma mua. He mea nui loa e hahai pololei i kēia mau ʻanuʻu.
- E pale i ka puhipaka: Inā ʻoe e puhipaka, pono ʻoe e hoʻōki ma ka liʻiliʻi hoʻokahi lā ma mua o ke ʻoki ʻana. Eia nō naʻe, no nā hopena maikaʻi loa, ʻoi aku ka maikaʻi o ka hoʻōki ʻana i ka puhipaka i ʻelua pule ma mua o ke ʻoki ʻana a no ka liʻiliʻi ʻelua pule ma hope o ke ʻoki ʻana.
- E hoʻōki i ka ʻai ʻana a me ka inu ʻana: ʻO ka maʻamau, pono ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana i kekahi mea i 8 mau hola ma mua o ke ʻoki ʻana. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī no kēia.
- E hoʻomaopopo ʻia e pili ana i kāu mau lāʻau lapaʻau: 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 meaʻai. Hiki ke aʻo ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o ke ʻoki ʻana.
He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, hiki iā ʻoe ke manaʻo i kahi ʻeha a ʻoluʻolu ʻole paha i kou puʻu no kekahi mau lā. He mea maʻamau kēia. Hiki iā ʻoe ke ʻai maʻamau i ka lā hoʻokahi a i ʻole ka lā aʻe. Hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau i loko o kekahi mau lā.
He mea pono ka hoʻomaha ʻana i kou leo!
ʻO kēia ka ʻāpana koʻikoʻi a paʻakikī loa ma hope o ke ʻoki ʻana. Pono ʻoe e hāʻawi i kou mau kaula leo i ka manawa e ho'ōla ai. A i ʻole, ʻaʻole e hāʻawi ke ʻoki ʻana iā ʻoe i nā hopena āu e makemake ai. E haʻi aku kāu kauka iā ʻoe e hoʻōki loa i ka hoʻohana ʻana i kou leo no kekahi mau lā a i ʻole mau pule. ʻO ia hoʻi, ua pāpā loa ʻia ʻoe e hana i kēia mau mea:
- Kamaʻilio ʻana
- Ke hāwanawana mālie nei ( Manaʻo ka poʻe he nui he mea maikaʻi ka hāwanawana mālie no ka leo, akā ʻoi aku ka nui o ke kaumaha ma nā kaula leo. )
- ʻO ka puʻu
- Ke ʻūhū nui nei
- Ke hīmeni ʻana i nā mele
Āhea wau e loaʻa ai nā hopena?
Ma hope o kou ala ʻana mai ka anesthesia, e wehewehe ke kauka iā ʻoe i ka mea i ʻike ʻia i ka wā o ke ʻoki kino. Inā ʻike ʻia kahi puʻupuʻu a ʻāpana paha o ka ʻiʻo kānalua, e lawe ʻia kahi ʻāpana liʻiliʻi o ia mea a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Ua kapa ʻia kēia he biopsy . Hiki ke hala kekahi mau lā ma mua o ka hōʻea ʻana o ka hōʻike.
ʻO ka pahuhopu nui o kēia ʻoki kino, ʻo ia ke ʻimi i ke kumu pololei o kou pilikia leo, mālama iā ia, a hoʻomaikaʻi i ka maikaʻi o kou leo. Ke hana ʻia e ke kauka akamai, he hana palekana loa kēia ʻoki kino.
Leka Lawe-Home
- He hana ʻoki liʻiliʻi ka Microlaryngoscopy e hana ʻia i loko o ka waha, me ka ʻole o ka hana ʻana i kekahi ʻoki ma waho o ke kino.
- Hoʻohana ʻia kēia ʻano hana no ka ʻike a me ka mālama ʻana i nā pilikia e like me ka palahalaha o ka leo, nā ʻōʻō o ke kaula leo, a me nā maʻi neʻe.
- He mea nui loa ka hoʻokē ʻai ma mua o ke ʻoki ʻana a hahai i nā ʻōlelo a ke kauka.
- ʻO ka mea nui o ke kaʻina hana hoʻōla ma hope o ke ʻoki ʻana, ʻo ia ka hoʻomaha piha ʻana i kou leo a hiki i ka wā e ʻōlelo ai ke kauka.
- Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka.
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