Ke kani nei kou leo ​​me he ihu lā? E aʻo kākou e pili ana i ke ʻoki pharyngoplasty!

Ua manaʻo paha ʻoe i ka wā e ʻōlelo ai ʻoe, ʻaʻole maopopo kāu mau ʻōlelo, me he mea lā e ʻōlelo ana ʻoe ma kou ihu? A i ʻole no kekahi poʻe mākua, ua lilo ka hanu ʻana i pilikia nui i ko lākou hiamoe ʻana. ʻO ke kumu o ia mau mea, ʻo ia kekahi mau loli i loko o nā ʻiʻo i loko o ko kākou puʻu a me ke kaupaku o ko kākou waha. No laila, i kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻoki kūikawā i hana ʻia ma ke ʻano he hopena no kēia.

I ka ʻōlelo maʻalahi, he aha ka pharyngoplasty?

He hana ʻoki kino ka Pharyngoplasty e hoʻololi ai i ke ʻano a me ka hana o ka ʻiʻo palupalu ma hope o ke kaupaku o kou waha (palate palupalu) a me ka ʻiʻo ma ke kua o kou puʻu (pharynx). E noʻonoʻo, inā mākou e kamaʻilio a puka mai ka ea mai ko mākou ihu me ke kumu ʻole, kani ko mākou leo ​​me he mea lā e kamaʻilio ana mākou ma o ko mākou ihu. I ka lāʻau lapaʻau, ua kapa ʻia kēia he hypernasality . No laila, hana ʻia kēia ʻoki kino e hōʻemi i kēlā nui o ka ea e puka mai ana mai ko mākou ihu.

Ua kapa ʻia kēia kūlana ʻo velopharyngeal insufficiency (VPI) . Loaʻa i nā keiki a me nā pākeke me kēia kūlana ka pōmaikaʻi nui mai kēia ʻoki kino. Eia kekahi, hoʻohana ʻia kekahi ʻano pharyngoplasty ʻokoʻa e mālama ai i ka apnea hiamoe i nā pākeke.

ʻO wai ka mea e pono nui ai kēia ʻoki kino?

Hana pinepine ʻia kēia ʻoki kino ma nā keiki i hānau ʻia me ka palate māwae . He kīnā hānau maʻamau kēia. ʻOiai inā hoʻoponopono ʻia kahi palate māwae me ke ʻoki kino, hiki i kekahi mau keiki (ma kahi o hoʻokahi i loko o ʻekolu) ke loaʻa iā VPI, a i ʻole nasal phonation ma hope. ʻO ia ka manawa e pono ai ke ʻoki kino pharyngoplasty.

Aia kekahi mau kumu ʻē aʻe o VPI, a he mea pono paha kēia ʻoki ʻana i ia mau hihia:

• Nā kūlana e like me ka cerebral palsy .
• Nā kūlana genetic e like me Down syndrome a me DiGeorge syndrome .
• Ke loaʻa nei i ka radiation therapy no nā kūlana e like me ke kanesa o ka ʻāʻī.
• Ma hope o ke ʻoki ʻana, ua kauoha ʻia e wehe i nā adenoids (adenoidectomy) a i ʻole nā ​​tonsils (tonsillectomy) .
• Hahau ʻana .
• Nā puʻupuʻu i loko o ka lolo a i ʻole ke poʻo.

ʻO nā ʻano nui o ke ʻoki ʻana o ka pharyngoplasty

Aia kekahi mau ʻano nui o kēia ʻoki kino, kēlā me kēia ʻano ma muli o ke ʻano i hoʻohana ʻia ai.

He aha ka mea e hana ʻia i ka wā a ma hope o ke ʻoki kino?

Ma mua o ke ʻoki kino

He mea nui loa ia e hahai pololei i nā ʻōlelo a kāu kauka. Hiki ke noi ʻia ʻoe a i ʻole kāu keiki e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau, nā huaora, a i ʻole nā ​​​​lāʻau lapaʻau Ayurvedic i kekahi mau lā ma mua o ke ʻoki ʻana.

I ka wā o ke ʻoki kino

Hana ʻia kēia mau ʻoki āpau ma lalo o ka anesthesia laulā . ʻO ke ʻano kēia, ʻaʻole ʻoe a kāu keiki paha e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana, a e hiamoe loa ʻoe. Ma muli o ke ʻano o ke ʻoki ʻana, hiki ke hala ma kahi o ʻelua hola. E hoʻonoho hou nā kauka i nā ʻiʻo i loko o ka puʻu a hoʻohana i nā humuhumu hiki ke hoʻoheheʻe ʻia.Hoʻopau ʻia ke ʻoki kino ma ka waiho ʻana.

Ma hope o ke ʻoki kino

ʻO ka maʻamau, pono ʻoe e noho i ka haukapila no hoʻokahi a ʻekolu lā. Hiki iā ʻoe ke manaʻo i kēia ma hope o ke ʻoki ʻana:

• He wahi kahe koko liʻiliʻi e like me ke koko e puka mai ana mai ka waha a i ʻole ka ihu.
• Paʻa ka ihu .
• ʻEha ka ʻāʻī a me ka ʻāʻī. Hiki i kēia ke paʻakikī iki ke ale i nā lā mua.

ʻO ka maʻamau, e nalowale kēia mau hōʻailona iā lākou iho i loko o kekahi mau lā. He mea kākaʻikahi loa (ma kahi o 1 i loko o 20 mau kānaka), pono paha kahi ala ea nasopharyngeal e kōkua iā ʻoe e hanu a hiki i ka emi ʻana o ka pehu.

Nā Pōmaikaʻi, nā Pōʻino, a me ka Manawa Hoʻōla o ke ʻOki Hana

ʻO nā pono nui:

• Ka hanu maʻalahi.
• Ka moakāka o ka leo.
• Ka hōʻemi ʻana i nā hōʻailona snoring.

Ma ke kamaʻilio ʻana e pili ana i nā pilikia, i kekahi manawa hiki i ka VPI ke noho no kekahi manawa ma hope o ke ʻoki ʻana. Eia kekahi, hiki i kekahi poʻe i loaʻa i ke ʻoki VPI ke loaʻa i ka snoring leo nui (sleep apnea) ma hope. Eia naʻe, e emi ana kēia snoring i ka hala ʻana o ka manawa. Hiki i kāu kauka ke paipai i kahi noiʻi hiamoe (polysomnography) 6 mau mahina ma hope o ke ʻoki ʻana.

ʻEhia ka lōʻihi e ho'ōla ai?

ʻOkoʻa ka manawa e hoʻōla piha ai mai kēlā kanaka a kēia kanaka, akā maʻamau he hoʻokahi pule e hoʻomaha ai a hoʻomaha mai ke kula a i ʻole ka hana.

E mālama i kēia mau mea ma ka home:

• E hoʻohana i hoʻokahi a ʻelua paha uluna e hāpai iki i kou poʻo i luna i ka wā e hiamoe ana a moe paha.
• E ʻai wale i nā wai a me nā meaʻai palupalu i kuʻi maikaʻi ʻia (e like me ka yogurt, sopa, porridge, laiki i kuʻi ʻia) no hoʻokahi a ʻekolu pule.
• E ho'ōki i ka hāpai ʻana i nā mea kaumaha a me ka pāʻani ʻana i nā haʻuki ikaika a hiki i ka wā e ʻōlelo ai kāu kauka.
• E lawe i nā antibiotics i kuhikuhi ʻia i ka manawa kūpono e pale ai i ka maʻi.
• E lawe i nā lāʻau hoʻopau ʻeha i kauoha ʻia a i ʻole nā ​​​​lāʻau hoʻopau ʻeha i kūʻai ʻia ma luna o ke kauka no ka ʻeha.
• E komo i ka hoʻōla ʻōlelo e hoʻihoʻi i kou leo.
• Hiki iā ʻoe ke omo i nā pahu hau no ka ʻāʻī ʻeha.

I ka manawa e ʻike koke ai i ke kauka

Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka .

• Nā hōʻailona o ka make wai (e like me ka waha maloʻo, ka emi ʻana o ka mimi) a i ʻole ka nalowale o ka makemake e ʻai.
• Nā hōʻailona o kahi maʻi, no ka laʻana, ke kuni, ka hoʻokahe ʻala ʻino mai ka waha a i ʻole ka ihu.
• Paʻakikī ka hanu ʻana a i ʻole ka paʻakikī o ka hiamoe ʻana ma mua o ka maʻamau.