Ua palahalaha kou leo? Ma muli paha kēia o ka Edema o Reinke!

Ua ʻike anei ʻoe i kahi loli i kou leo ​​i kēia mau lā, he leo ʻōhū? Malia paha ua luhi kou puʻu i kāu ʻōlelo ʻana, a ua kaumaha iki paha kou leo? A laila he mea nui paha kēia iā ʻoe. He mea nui loa ia e makaʻala i kēia ʻano, no ka mea, hiki i kekahi mau ʻano maʻamau ke hana i kēia.

He aha ka Edema o Reinke?

I ka ʻōlelo maʻalahi, ʻo Reinke's Edema ka pehu ʻana o kou mau ʻāpana leo , ʻo ia hoʻi nā ʻāpana ʻelua o kou puʻu e haʻalulu ana ke ʻōlelo ʻoe. Ua kapa pū kekahi poʻe iā ia ʻo 'Polypoid Corditis'. I ka pololei, hiki mai kēia pehu ʻana i ka wā e piha ai ka membrane ma luna o nā ʻāpana leo me kahi ʻano wai. ʻIke pinepine ʻia ia i nā mea puhi paka lōʻihi . Eia nō naʻe, hiki ke hana ʻia e ka reflux acid o ka ʻōpū mau (acid reflux) a i ʻole ka hoʻohana mau ʻana i ka leo ma ke ʻano e hōʻino ai iā ia, ʻo ia hoʻi, ke kau nei i ke kaumaha pono ʻole ma ka leo (trauma leo) .

ʻAʻole kēia pehu ʻana o ke kaula leo he ʻano weliweli e like me ke kanesa, ʻo ia hoʻi he ʻano 'maikaʻi' . Eia nō naʻe, hōʻike ia ua hōʻino ʻia kāu mau kaula leo. Hiki ke loaʻa kēia pehu ma kekahi ʻaoʻao o ka puʻu a i ʻole ma nā ʻaoʻao ʻelua. Hiki i kēia ke hoʻolilo i ka leo i mea haʻalulu, a i kekahi manawa hiki i ka leo ke lilo i mea hohonu loa. I nā hihia koʻikoʻi, hiki i kēia pehu ke ālai i nā ala ea, e pilikia ai ka hanu ʻana .

ʻAʻole koʻikoʻi ka edema o Reinke, a ʻaʻole pono mau ka mālama ʻana. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole paha e hoʻomaikaʻi ka loli o kou leo ​​me ka ʻole o ka haʻalele ʻana i ka puhipaka a i ʻole ke ʻoki kino . Inā loaʻa nā loli maikaʻi ʻole i kou leo, e ʻike i kahi otolaryngologist. Hiki iā lākou ke kōkua iā ʻoe.

Pehea ka maʻamau o kēia kūlana?

He maʻi laha ʻole ka edema o Reinke. Ma lalo o 1% o ka heluna kanaka ka hopena. He mea maʻamau ia i waena o ka poʻe ma luna o 50 mau makahiki a me ka poʻe puhi paka.

Ua hōʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka loaʻa ʻana o ka edema ʻo Reinke i nā wāhine. Akā, ʻo ke kumu paha o kēia, ʻoi aku ka nui o ka ʻike ʻana o nā wāhine i nā hōʻailona o ka leo hohonu. No ka mea, ʻaʻole paha e ʻike kekahi kanaka i leo hohonu maoli i kahi loli liʻiliʻi. A laila, ʻaʻole lākou e ʻimi i ka lāʻau lapaʻau.

He aha nā hōʻailona?

ʻO nā hōʻailona o ka edema ʻo Reinke:

• Nā loli i ka maikaʻi o ka leo a i ʻole ka leo.
• Hoʻonui mālie ka leo.
• Leo palahalaha a kaumaha paha.

ʻOi aku ka luhi o ka poʻe me ka edema ʻo Reinke ma mua o ka maʻamau i ka wā e hoʻohana ai i ko lākou leo. Hiki i ka leo ke manaʻo he luhi loa a kaumaha hoʻi.

Nā hōʻailona maʻamau ʻole

ʻIke pinepine ʻole ʻia kēia mau mea:

• Ka paʻakikī o ka ʻōlelo lohi.
• Ke ʻano o ka ʻoluʻolu ʻole a i ʻole ka ʻeha i ka wā e ʻōlelo ai a i ʻole e hīmeni ana.
• ʻAʻole hiki ke ʻōlelo a hīmeni paha me ka leo nui.
• ʻEha a ʻoʻoleʻa paha ka ʻāʻī.
• Paʻakikī ka hanu ʻana (Dyspnea).
• He walaʻau i ka wā e hanu ana (Stridor).

He aha ke kumu o ka edema ʻo Reinke?

ʻO ke kumu nui o kēia mau pehu ʻana o ke kaula leo, ʻo ia ka puhipaka lōʻihi . ʻO ia ke kumu nui ʻekahi.

Hiki ke kapa ʻia nā kumu ʻē aʻe:

• ʻO ka reflux waikawa (GERD/Acid Reflux).
• ʻO ka reflux waikawa i loko o ka larynx (Laryngopharyngeal Reflux - LPR).
• Ka hoʻopili lōʻihi ʻana i nā mea e like me nā kemika.
• ʻO ka hoʻohana nui ʻana i ka leo a i ʻole ka hōʻino ʻana i nā kaula leo (e.g., ke kamaʻilio nui ʻana, ke mele ʻana, a i ʻole kekahi mea e hoʻoluhi ai i nā kaula leo). E noʻonoʻo e pili ana i ia mea, aia kekahi mau kumu, nā haʻiʻōlelo, a i ʻole nā ​​kānaka e hoʻōho mau ana. Hiki paha iā lākou ke pilikia. ʻO ko mākou hoalauna, ʻo Nimal, hana ma kahi hale kūʻai hoʻōho i ka lā a pau, a ma luna o kēlā, aia kekahi mau manawa aia kahi cigarette i loko o kona waha. Ua loaʻa iā ia i kēia manawa kahi leo haʻalulu iki i kona leo.

Pehea e ʻike ai nā kauka i kēia?

Ke ʻike ʻoe i kahi kauka lapaʻau pepeiao, e nānā mua lākou i kou poʻo a me kou ʻāʻī. A laila e hana lākou i kahi hoʻāʻo i kapa ʻia he laryngoscopy e nānā pololei i kou mau kaula leo. I loko o kēia hoʻāʻo, e nānā pono ke kauka i:

• Nā Mokulele.
• Waha.
• ʻĀʻī.
• ʻO ke kelepaʻi thyroid.

I kou wā e kipa aku ai, e hōʻiliʻili kāu kauka i ka ʻike hou aku e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. Hiki ke nīnau ʻia ʻoe i nā nīnau e like me:

• I ka manawa hea ʻoe i ʻike mua ai i kahi loli i kou leo?
• He aha nā hōʻailona ʻē aʻe āu e loaʻa nei?
• Pehea e pili ai kēia mau hōʻailona i kou ola o kēlā me kēia lā?
• He aha nā kūlana olakino āu i loaʻa ai a i loaʻa paha iā ʻoe ma mua?
• Ke puhipaka nei ʻoe? Inā pēlā, pehea ka nui o kou puhipaka ʻana?
• Ke inu nei ʻoe i ka waiʻona? Inā pēlā, ehia ka nui?
• Ua ʻike ʻia anei ʻoe me ka waikawa o ka ʻōpū?
• He aha nā lāʻau lapaʻau āu e hoʻohana ai?
• Ua hana ʻia anei ʻoe i ke ʻoki kino?
• Ua loaʻa anei iā ʻoe ka radiation therapy?

Nā hoʻāʻo i hana ʻia

ʻAe ʻo Laryngoscopy i ke kauka e nānā pololei i kāu mau kaula leo.Hoʻohana ʻia ka hoʻāʻo. Inā loaʻa iā ʻoe ka edema ʻo Reinke, ʻike paha ʻoe i nā wahi pehu a/a i ʻole nā ​​​​​​mea ulu e like me ka polyp ma kou mau kaula leo e like me nā hua waina liʻiliʻi a i ʻole nā ​​​​​​baluna wai.

Eia kekahi, e hana ʻia kahi loiloi leo e loiloi i nā ʻano like ʻole o kou leo, e like me ke kani, ka maikaʻi, a me ka nui o ka hanu. I loko o kēia loiloi, e nānā lākou i kou larynx a noi iā ʻoe e ʻōlelo i loko o kahi microphone, ʻoiai e hoʻopaʻa ʻia ana kou leo.

I ka maʻi ʻo Reinke, hiki i nā kaula leo ke pehu e like me ʻelua mau pōpō wai i piha. E noʻonoʻo, ʻo ia ke kumu e lilo ai ka leo i ʻōʻō.

Pehea e mālama ʻia ai?

ʻO ka pahuhopu nui o ka mālama ʻana i ka edema ʻo Reinke, ʻo ia ka hoʻihoʻi ʻana a i ʻole ka hoʻomaikaʻi ʻana i ka hana leo . Aia ka lāʻau lapaʻau i ke kumu o ka edema. Hoʻomaka pinepine nā kauka me nā lāʻau lapaʻau ʻoki ʻole, e like me ka haʻalele ʻana i ka puhipaka.

Lapaʻau ʻoki ʻole

No ka hoʻopau ʻana i ka edema ʻo Reinke, pono mua ʻoe e mālama i ke kumu . No ka hana ʻana i kēia, hiki i kāu kauka ke ʻōlelo i kēia mau mea:

• Ke haʻalele ʻana i ka puhipaka: Inā he mea puhipaka ʻoe, ʻo ka hana mua, ʻo ia ke haʻalele. I kekahi mau hihia maʻalahi, hiki i kēia wale nō ke hōʻemi i ka pehu ʻana o kou mau kaula leo.
• Nā lāʻau lapaʻau no GERD a me LPR: Inā loaʻa iā ʻoe ka waikawa o ka ʻōpū, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me nā mea pale H2 a i ʻole nā ​​mea pale proton pump. Hiki iā lākou ke paipai i nā hoʻololi ʻana i ka meaʻai e hōʻemi i ka hana ʻakika.
• Lapaʻau Leo: ʻO ka lapaʻau ʻōlelo, i hana ʻia e kahi Speech-Language Pathologist (SLP), hiki ke kōkua i ka hoʻoikaika ʻana i ka hana o nā kaula leo a kōkua iā lākou e ho'ōla. Hoʻohana nā kauka i kēia lāʻau lapaʻau me nā lāʻau lapaʻau ʻoki kino a me nā lāʻau lapaʻau ʻoki kino.

Lapaʻau ʻoki kino

Inā ʻaʻole e hoʻomaikaʻi nā lāʻau lapaʻau ʻoki ʻole i kāu mau hōʻailona, ​​e kamaʻilio kāu kauka me ʻoe e pili ana i nā hana aʻe. Hiki i kēia mau mea ke komo pū me:

• Microlaryngoscopy: Hoʻohana ke kauka lapaʻau i nā mea hana maikaʻi loa e wehe i ka ʻiʻo pehu i ka nānā ʻana i kāu mau kaula leo ma o kahi microscope.
• Lapaʻau Laser: Hoʻohana ke kauka lapaʻau i ka ikehu kukui laser e wehe a hōʻemi paha i ka nui o nā kaula leo.

Ma hope o ke ʻoki ʻana, he mea nui loa ia e noho mamao aku mai nā mea i hoʻoulu ai i ka pehu ʻana o Reinke ma kahi mua . Inā paha e hoʻomau ana i ka puhipaka a i ʻole ka mālama ʻole ʻana i ka waikawa o ka ʻōpū, hiki i ka pehu ke hoʻi hou mai ma hope o ke ʻoki ʻana - i kekahi manawa i loko o kekahi mau pule!

ʻEhia ka lōʻihi e ho'ōla ai?

Ma hope o ke ʻoki ʻia ʻana o Reinke no ka pehu ʻana,Ma kahi o ʻehā a ʻeono pule e ho'ōla piha ai. Hiki i kāu kauka ke ʻōlelo aku i ka hoʻomaha piha ʻana o ka leo no ʻelima a ʻehiku lā. E hāʻawi kēia i kou mau kaula leo i ka manawa e ho'ōla ai ma mua o kou hoʻohana hou ʻana iā lākou.

He aha kā mākou e noʻonoʻo ai e pili ana i kēia kūlana? (Outlook)

Hiki i ka poʻe me ka edema ʻo Reinke ke manaʻo i kahi ho'ōla maikaʻi . ʻOiai hiki i ka pehu ʻana o ke kaula leo ke hana i nā hōʻailona ʻoluʻolu ʻole, ʻaʻole ia he mea ʻino . A inā ʻoe e pale i nā mea pilikia, ʻaʻole hiki ke hoʻi hou ke ʻano.

Hiki ke pale ʻia ka edema o Reinke?

ʻAe, i ka hapa nui o ka manawa, hiki ke pale ʻia ka pehu ʻana o Reinke ma ka pale ʻana i nā mea pilikia . Inā ʻoe e puhipaka, hiki i ka haʻalele ʻana ke hōʻemi nui i kou pilikia o ka pehu ʻana o ke kaula leo . Inā loaʻa iā ʻoe nā hōʻailona o ka reflux acid, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau e hiki ke kōkua. Inā hoʻohana pinepine ʻoe i kou leo, e hana i nā hana e pale aku ai i ka hoʻohana nui ʻana. No ka laʻana, inā he mea hīmeni ʻoe, kumu, a i ʻole kekahi e hana ana i kahi ʻoihana e koi ai iā ʻoe e ʻōlelo pinepine, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka hoʻomaha ʻana a me ka inu ʻana i ka wai he nui.

Āhea ʻoe e ʻike ai i ke kauka?

I kekahi manawa, hiki i ka pehu ʻana o nā tonsils Reinke ke hoʻohaiki i kou mau ala ea a paʻakikī ai ka hanu ʻana . Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e haʻi koke i kāu kauka . Inā ʻike ʻoe i kekahi mau loli i kou leo ​​​​e mau ana no nā pule ʻehā a ʻoi, pono ʻoe e ʻike i kahi loea pepeiao, ihu, a me ka puʻu (otolaryngologist) hiki ke nānā pololei i kāu mau kaula leo.

ʻAʻole pinepine ka pehu ʻana o nā kaula leo i kou olakino. Eia nō naʻe, hiki iā ia ke hoʻololi nui i kou leo. Hiki ke hilahila a hoʻohilahila i kekahi poʻe. Hiki i ke ʻoki kino ke kōkua. Eia nō naʻe, i mea e pale ai i ka hoʻi hou ʻana o nā hōʻailona, ​​​​pono ʻoe e pale i nā mea pilikia e like me ka puhipaka a me ka hoʻohana nui ʻana i kou leo. E nīnau i kāu kauka e pili ana i kāu mau koho lapaʻau.

Nā mea pōkole e hoʻomanaʻo ai

ʻAe, no laila, mai kā mākou i kamaʻilio ai e pili ana i ka Edema o Reinke, e hoʻomanaʻo i kēia mau mea:

• ʻO ka puhipaka ke kumu nui: ʻO kēia pinepine ke kumu nui.
• He hiʻohiʻona nui ka leo hāmama: hiki nō hoʻi ke lilo i leo hohonu.
• ʻAʻole ke kanesa: akā hōʻike ia i ka hōʻino ʻia o nā kaula leo.
• He mea nui ka haʻalele ʻana i ka puhipaka: He mea nui loa kēia no ka holomua ʻana o ka lāʻau.
• E ʻimi i ke kōkua lapaʻau: Inā hoʻomau ka loli o ka leo, e ʻike pono i ke kauka.
• Hiki ke pale ʻia: Hiki ke pale ʻia kēia ma ka pale ʻana i ka puhipaka a me ka pale ʻana i kou leo.

No laila, e mālama pono i kou leo. No ka mea, he ʻāpana nō hoʻi ia o kou olakino! Ua maopopo iā ʻoe?

ʻO ka Edema o Reinke, ka loli o ka leo, ka leo ʻōhū, ka pehu ʻana o ke kaula leo, ka puhi paka, ka ʻeha o ka puʻu