Ke manaʻo koke nei ʻoe e like me ʻoe e ʻū ana i ka wā e ʻōlelo ai ʻoe? A i ʻole ua lilo kou leo i mea ʻūlū loa, nāwaliwali, a maopopo ʻole? Pono mau ʻoe e hoʻomaʻemaʻe i kou puʻu a me ke kuni? Inā ke hoʻopilikia nei kēia mau mea i kāu mau hana a me kāu hana o kēlā me kēia lā, ʻo ke kumu paha he pilikia me kou mau kaula leo. Mai hopohopo, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki kino kūikawā e hiki ke hāʻawi i kahi hopena kūpono loa i kēia maʻi.
I ka ʻōlelo maʻalahi, he aha ka Thyroplasty?
ʻO Thyroplasty, i ʻike ʻia i kēia manawa ʻo Medialization Laryngoplasty, he ʻoki kino ia e hoʻihoʻi i kou leo nāwaliwali. E noʻonoʻo i ka mea e hana ʻia inā lilo kekahi o nā kaula leo ʻelua e kōkua ana i ka hana ʻana i ko mākou leo i mea hana ʻole, ʻo ia hoʻi, inā e make ia. ʻAʻole e puka pono mai ka leo, ʻeā?
ʻO kēia ʻoki kino e pili ana i ke kau ʻana i kahi implant liʻiliʻi kokoke i ke kaula leo hana ʻole, aia ma kekahi ʻaoʻao, a hoʻokuke ikaika iā ia i ka ʻaoʻao kahi o ke kaula leo hana ʻē aʻe. A laila, ke ʻōlelo ʻoe, hoʻomaka nā kaula leo ʻelua e haʻalulu pū. ʻO ka hopena, e puka hou mai ana kou leo me ka maopopo a me ka ikaika.
He aha ka Paralysis o ke Kaula Leo?
I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ko kākou puʻu. Aia kekahi ʻāpana o ko kākou puʻu i kapa ʻia ʻo ka larynx. ʻO kēia ka mea e kōkua iā kākou i ka wā e ʻōlelo ai, hanu ai, a ale i ka meaʻai. Aia i loko o kēia larynx ʻelua mau ʻāpana palupalu o ka ʻiʻo i kapa ʻia ʻo nā kaula leo .
Ke ʻōlelo kākou, piʻi ka ea mai ko kākou mau māmā i luna o ka ʻōpū hanu (trachea) a hele ma waena o kēia mau kaula leo. A laila e haʻalulu kēia mau mea, e hana ana i ka mea i kapa ʻia ʻo 'leo'.
I kēia manawa, e noʻonoʻo, pehea inā ua pau ka hana pono ʻana o kekahi a i ʻole nā kaula leo ʻelua? ʻO ia ka mea a mākou e kapa nei he paralysis o ke kaula leo . ʻO ka hapa nui o ka manawa, hana kēia i hoʻokahi kaula leo wale nō (unilateral vocal cord paralysis). He mea kākaʻikahi loa ka pau ʻana o ka hana ʻana o nā kaula leo ʻelua, a he ʻoi aku ka koʻikoʻi.
He aha nā hōʻailona o kēia maʻi?
Inā loaʻa i kekahi ka pilikia o ke kaula leo, hiki iā lākou ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona. E nānā inā loaʻa iā ʻoe kekahi o kēia mau mea.
| Hōʻailona | Wehewehena |
|---|---|
| leo haʻalulu | Ke kani nei ka leo me ka maopopo ʻole, nāwaliwali, palahalaha, a i ʻole ka nahā. |
| Ka pōkole o ka hanu i ka wā e kamaʻilio ana | Luhi ke ʻōlelo nei i kekahi mau huaʻōlelo, ʻaʻole hiki ke ʻōlelo i kahi ʻōlelo lōʻihi i hoʻokahi hanu ʻana. |
| Hoʻomaʻemaʻe pinepine i ka ʻāʻī | Manaʻo e like me ke paʻa ʻana o kekahi mea i loko o kou puʻu a pono mau e hoʻomaʻemaʻe i kou puʻu. |
| ʻŪhū mau | ʻO ka loaʻa ʻana o ka ʻū maloʻo mau me ke kumu ʻole. |
| Ka paʻakikī i ka moni ʻana (Dysphagia) | Manaʻo e hanu ʻia a ʻūlū paha ma hope o ka inu ʻana i ka wai a i ʻole ka ʻai ʻana i ka meaʻai. |
ʻO wai ka mea e pono ai kēia ʻoki kino?
ʻAʻole pono nā kānaka a pau i kēia ʻoki kino. ʻAʻole paha e pono kekahi poʻe i ke ʻoki kino inā loaʻa iā lākou kēia mau hōʻailona a ʻaʻole ia e hoʻopilikia nui i ko lākou ola o kēlā me kēia lā.
Eia nō naʻe, inā koi kāu hana i ka hoʻohana ʻana i kou leo (no ka laʻana, he kumu, he mea hīmeni, a he haʻiʻōlelo paha), a inā paha e hoʻopilikia nui kēia ʻano i kou ola, hiki i kāu kauka ke ʻōlelo aku i kēia ʻoki kino.
Nā kumu o ka hana ʻole o ke kaula leo
ʻAʻole hoʻokahi kumu no kēia kūlana, akā hiki i kekahi mau kumu ke hoʻopilikia iā ia.
- Nā kūlana maʻi ʻaʻai: Nā mea e like me ke kanesa o ka māmā, ke kanesa o ka thyroid.
- Nā lāʻau lapaʻau no ke kanesa: Radiation therapy i nā wahi e like me ka ʻāʻī a me ka umauma.
- Nā maʻi o ka ʻōnaehana nerve: Nā kūlana e like me ka maʻi o Parkinson a i ʻole ka hahau ʻana.
- ʻO ke ʻoki ʻāʻī a i ʻole ka umauma: Hiki i kekahi mau ʻoki ʻana ke hōʻino i nā aʻalolo e alakaʻi ai i nā kaula leo.
- Nā ʻeha ma ka ʻāʻī a i ʻole ka umauma.
- Nā maʻi Autoimmune: No ka laʻana, myasthenia gravis.
- Nā maʻi ʻōnaehana hanu:Hiki ke ʻike ʻia kēia maʻi ma hope o kekahi mau maʻi viral.
- ʻO ka intubation, kahi paipu i kau ʻia ma ka puʻu i ka wā e mālama ʻia ai no nā pilikia hanu, hiki i kekahi manawa ke hōʻino.
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike aku i kahi loea pepeiao, ihu, a me ka ʻāʻī (kauka ENT) e nānā pono i kou kūlana.
Pehea e hana ʻia ai ke ʻoki kino?
Hana ʻia kēia ʻoki kino e ke kauka i loaʻa ka hoʻomaʻamaʻa kūikawā ma ka larynx (kauka laryngeal). Hana pinepine ʻia ia ma ka lumi hana o ka haukapila.
Ma mua o ke ʻoki kino
E hāʻawi aku kāu kauka iā ʻoe i nā kuhikuhi e pono ai ma mua o ke ʻoki ʻana.
- Hiki ke noi ʻia ʻoe e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ke ʻoki kino (hoʻokē ʻai).
- Inā puhi paka kekahi, e haʻi aku lākou iā lākou e ho'ōki.
- Hiki ke noi ʻia aku iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau a me nā huaora no kekahi manawa.
I ka wā o ke ʻoki kino
Eia kekahi mau mea e hana ʻia i ka wā o ke ʻoki kino:
1. ʻO ka mea mua, hana ʻia kahi ʻoki liʻiliʻi ma kou ʻāʻī e ʻike ai i ka larynx.
2. A laila, hana ʻia kahi ʻāpana liʻiliʻi e like me ka puka makani ma ka ʻaoʻao o ka larynx kahi o nā kaula leo hana ʻole.
3. A laila, ʻoiai e hoʻāʻo ana i kou leo, ua hoʻokomo ʻia kahi implant kūikawā, i hana kūikawā ʻia nou, ma o kēlā puka makani , e hoʻoponopono ana i ke kaula leo hana ʻole i ka ʻaoʻao like me ka mea hana.
4. ʻO ka hope loa, ua pani ʻia ka ʻoki me ka hoʻohana ʻana i nā humuhumu hiki ke hoʻoheheʻe ʻia a ua kau ʻia kahi kāʻei.
Nā hopena, nā pilikia, a me ka hoʻōla ʻana ma hope o ke ʻoki ʻana
Pehea ka holomua o ke ʻoki kino?
Ua ʻike ka nui o ka poʻe i ka hoʻomaikaʻi nui ʻana i ko lākou leo a me ka hiki ke ale ma hope o kēia ʻoki kino. No laila, hiki ke manaʻo ʻia he ʻoki kino holomua loa kēia.
He aha nā pilikia?
E like me nā ʻoki kino āpau, aia kahi pilikia liʻiliʻi o ka maʻi a me ke kahe ʻana o ke koko. Hiki i ka ʻoki ma ka ʻāʻī ke waiho i kahi ʻeha liʻiliʻi. Hiki iā ʻoe ke ʻeha ka ʻāʻī, kahi loli i kou leo, a me kekahi pilikia manawa pōkole i ka ale ʻana a i ʻole ka hanu ʻana no kekahi mau lā ma hope o ke ʻoki kino. Eia naʻe, ʻaʻole mau loa kēia mau mea.
ʻEhia ka lōʻihi e ho'ōla ai?
Hiki iā ʻoe ke hoʻi i ka home mai ka haukapila i ka lā hoʻokahi a i ʻole kekahi lā aʻe. He mea nui loa e hahai i nā ʻōlelo a ke kauka ma hope o kou hoʻi ʻana i ka home no ka hoʻōla wikiwiki ʻana.
| Nā mea e hana ai (Do's) | Nā mea ʻaʻole e hana ʻia |
|---|---|
| E hoʻomaha i kou leo no nā lā mua, akā, ʻaʻole pono ʻoe e noho mālie loa. | E pale i ke kamaʻilio leo nui, ka hoʻōho ʻana, a i ʻole ke kamaʻilio ʻana no ka manawa lōʻihi. |
| E inu i ka nui o nā wai. Inā ʻeha kou puʻu, e hoʻomaka me nā meaʻai palupalu . | Mai ʻauʻau no ʻekolu lā ma hope o ke ʻoki ʻana. Mai hoʻokuʻu i ka ʻeha e pulu. |
| E lawe i ka lāʻau lapaʻau (antibiotics, painkillers) i kauoha ʻia e ke kauka i ka manawa kūpono. | E hōʻalo i ka hoʻoikaika kino ikaika e like me ka hāpai kaumaha (ʻoi aku ma mua o 15 paona) a me ka holo ʻana no ʻelua pule. Maikaʻi ka hele wāwae. |
| Inā ʻōlelo aku kāu kauka, e komo i ka hoʻōla leo . | E pale loa i ka puhipaka i ka wā e ho'ōla ai. |
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka!
Inā ʻike ʻoe i kekahi o nā hōʻailona koʻikoʻi ma lalo nei ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka. A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Inā pilikia nui kou hanu ʻana
- Inā ʻoe e loaʻa i ka ʻeha hiki ʻole ke hoʻomanawanui
- Inā he wai melemele a he pus paha e kahe ana mai ka ʻeha, a inā he kuni kou (he mau hōʻailona kēia o ka maʻi)
- Inā pehu nui ka ʻāpana a puni ka ʻoki (edema) a i ʻole ke kahe ʻana o ke koko
Leka Lawe-Home
- He ʻoki kino holomua a palekana hoʻi ka Thyroplasty no ka hoʻihoʻi ʻana i ka leo i nāwaliwali ma muli o ka hana ʻole o ke kaula leo.
- Inā hoʻomau ʻoe i ka ʻike ʻana i nā hōʻailona e like me ka leo palahalaha, ka pōkole o ka hanu i ka wā e ʻōlelo ana, a me ka ʻū pinepine ʻana, he mea nui e ʻike i ke kauka ENT e ʻike i ke kumu.
- ʻO ka hahai pono ʻana i nā ʻōlelo a ke kauka ma hope pono o ke ʻoki ʻana e kōkua nui i ka hoʻōla koke ʻana.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, e like me ka paʻakikī o ka hanu ʻana, i kou wā e hoʻōla ai, e ʻimi koke i ke kōkua lapaʻau.
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