Ke manaʻo nei ʻoe i kekahi manawa he leo ʻūlū kou leo, nāwaliwali, a i ʻole me he mea lā e ʻū ana ʻoe i ka wā e ʻōlelo ai ʻoe? He paʻakikī iā ʻoe ke ale i ka meaʻai? He pinepine kou ʻāʻī ʻeha? Hiki i kēia ke lilo i mau hōʻailona o ke anu maʻamau, akā inā hoʻomau lākou, he pilikia paha ia me kou mau kaula leo. No laila i kēia lā, e kamaʻilio kākou e pili ana i kahi ʻoki kino i kapa ʻia ʻo 'thyroplasty' hiki ke kōkua i kēia kūlana a hoʻihoʻi i kou leo.
ʻO ka mea mua, e nānā kākou, he aha ka maʻi lolo o ke kaula leo?
I nā huaʻōlelo maʻalahi, aia kekahi ʻāpana o ko kākou puʻu i kapa ʻia ʻo ka larynx. Kāhea pū mākou iā ia ʻo ko mākou "pahu leo." I loko o kēia he ʻelua mau ʻano lahilahi a ʻiʻo i kapa ʻia he mau kaula leo. Ke ʻōlelo mākou a ʻū paha, hele ka ea mai ko mākou mau māmā ma o kēia mau kaula leo ʻelua. A laila e haʻalulu kēia mau kaula ʻelua, e hana ana i ko mākou leo.
E noʻonoʻo, he aha ka mea e hana ai inā ʻaʻole hana pono kekahi o kēia mau kaula leo ʻelua a inā lilo ia i mea hana ʻole? ʻO ia ka manawa e kapa ai mākou i kēia maʻi lolo o ke kaula leo . I kēia manawa, hana ʻia kahi hakahaka ma waena o ke kaula leo hana ʻole a me ke kaula leo hana. ʻO kēia ke kumu o ka leo e nāwaliwali a palahalaha. ʻO ka hapa nui o ka manawa, hoʻokahi wale nō kaula leo i hana ʻole. ʻO ka hiki ʻole o nā kaula leo ʻelua he ʻano kakaikahi loa akā he koʻikoʻi e pono ai ke kōkua koke ʻia e ke kauka.
He aha nā hōʻailona maʻamau o kēia maʻi?
Inā loaʻa iā ʻoe ka maʻi lolo o ke kaula leo, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei.
| Hōʻailona | Wehewehena |
|---|---|
| leo haʻalulu | Lilo ka leo i maopopo ʻole, nāwaliwali, a makani nui. |
| Ka paʻakikī i ka moni ʻana (Dysphagia) | Ka ʻū ʻana a me ke kuni ʻana i ka wā e moni ai i ka meaʻai a mea inu paha. |
| Hoʻomaʻemaʻe pinepine i ka ʻāʻī | Ke hoʻāʻo nei e hoʻomaʻemaʻe i kou puʻu no ka mea ke manaʻo mau nei ʻoe ua paʻa kekahi mea i loko o kou puʻu. |
| Paʻakikī ka hanu ʻana | Ka pōkole o ka hanu i ka wā e kamaʻilio ai a i ʻole e hana ana i nā hana liʻiliʻi. |
| ʻŪhū mau loa | He ʻū ʻana e mau ana no ka manawa lōʻihi me ke kumu ʻole. |
ʻO wai ka mea e pono ai ke ʻoki thyroplasty?
ʻAʻole pono nā kānaka a pau me kēia mau hōʻailona i ke ʻoki kino. He palupalu nā hōʻailona o kekahi poʻe a hiki iā lākou ke ola maʻamau me ka ʻole o nā pilikia. Eia nō naʻe, inā pilikia kou pilikia leo i ka hana ma ka hana, pilikia i ka mālama ʻana i nā pilina pilikanaka, a inā he mau maʻi hoʻoweliweli ola kou e like me ka ʻū ʻana , hiki i kāu kauka ke paipai i kēia ʻoki kino.
I ka ʻōlelo maʻalahi, ʻo ka thyroplasty kahi hana ʻoki e hoʻohana ana i kahi implant liʻiliʻi e hoʻoneʻe i ke kaula leo hana ʻole i ke kaula leo olakino, e hōʻemi ana i ka hakahaka ma waena o nā mea ʻelua.
Nā mea e hiki ai ke hoʻoulu i ka maʻi lolo o ke kaula leo
Nui nā kumu no kēia ʻano, a i kekahi manawa ʻaʻole hiki ke loaʻa kahi kumu maopopo.
| Kumu kūpono | Nā Laʻana |
|---|---|
| Nā maʻi autoimmune | Nā maʻi e like me ka myasthenia gravis. |
| Ka maʻi ʻaʻai | Ka maʻi ʻaʻai māmā, ka maʻi ʻaʻai thyroid. |
| Lapaʻau no ka maʻi ʻaʻai | Lapaʻau radiation i ke poʻo, ka ʻāʻī, a i ʻole ka umauma. |
| Nā maʻi o ka ʻōnaehana nerve | Maʻi o Parkinson, hahau. |
| ʻO ke ʻoki ʻāʻī a i ʻole ka umauma | ʻO ke ʻoki puʻuwai, ka hoʻokaʻawale ʻana i ka thyroid. |
| Ka hoʻohana ʻana i kahi ʻōmole hanu i ka wā o ke ʻoki kino | Hoʻokomo ʻana i ka tubing a i ʻole ka hoʻoulu ʻana i ka ea me ka mīkini. |
| Nā maʻi | Nā maʻi ʻōnaehana hanu e like me ka maʻi flū a me ke anu. |
Pehea e hana ʻia ai ke ʻoki kino?
Hana ʻia kēia ʻoki kino e kekahi loea pepeiao, ihu, a me ka ʻāʻī (kauka ENT), he kauka nona ka ʻike kūikawā i ka larynx a me nā kaula leo.
Ma mua o ke ʻoki kino
Pono ʻoe e hahai pono i nā kuhikuhi a kāu kauka. Eia kekahi laʻana:
- Mai ʻai a inu no kekahi mau hola ma mua o ke ʻoki ʻana.
- Inā ʻoe e puhipaka, e hoʻōki.
- Pono paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau a me nā huaora. Na kāu kauka e wehewehe i kēia mau mea āpau iā ʻoe.
I ka wā o ke ʻoki kino
Hana ʻia ka Thyroplasty i loko o kahi lumi hana. I ka hapanui o nā hihia, ʻaʻole ʻoe i hoʻomaʻamaʻa piha ʻia. ʻO ka ʻāʻī wale nō ka mea i hoʻomānoino ʻia a hana ʻia ke ʻoki ʻana i kou wā e ala ana. ʻO kēia no ka mea pono e nānā ʻia kou leo i ka wā o ke ʻoki ʻana a pono e kau pono ʻia ka implant.
1. ʻO ka mea mua, e hana ke kauka i kahi ʻoki liʻiliʻi ma kou ʻāʻī.
2. A laila, hana ʻia kahi puka makani liʻiliʻi ma o ka larynx (pahu leo) kahi i loaʻa ai ke kaula leo i lolo.
3. A laila, ma hope o ke noi ʻana iā ʻoe e ʻōlelo, hoʻolohe lākou i kou leo a hoʻokomo i kahi mea hoʻokomo i hoʻolālā kūikawā ʻia e kūpono iā ia. Hoʻokuke kēia i ke kaula leo hana ʻole i waenakonu, e maʻalahi ai iā ia ke kuʻi me nā kaula leo ʻē aʻe.
4. Ke maikaʻi loa ka leo, e pani ʻia ka ʻoki me nā humuhumu hiki ke hoʻoheheʻe ʻia.
He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana? He aha kaʻu e hana ai e hoʻōla koke ai?
Hiki paha iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ke ʻoki ʻana, a i ʻole pono paha ʻoe e noho i ka haukapila i ka pō. Ua holomua loa ke ʻoki ʻana, a ʻike ka poʻe he nui i kahi hoʻomaikaʻi maopopo i ko lākou leo.
E like me nā ʻoki kino āpau, aia kahi pilikia liʻiliʻi o ka maʻi a me ke kahe ʻana o ke koko. E waiho ʻia kahi ʻeha liʻiliʻi ma ka ʻāʻī. Aia paha he ʻeha ʻāʻī no ka manawa pōkole, nā loli o ka leo, a me ka paʻakikī i ka moni ʻana no kekahi mau lā ma hope o ke ʻoki kino.
Akā e hoʻomanaʻo, ʻaʻole mau loa kēia mau hopena ʻaoʻao. Nalo pinepine lākou ma hope o kekahi mau lā.
E hahai i kēia mau hana e ho'ōla koke ai:
- E hoʻomaha i kou leo: E hoʻomaha i kou leo no kekahi mau lā ma hope o ke ʻoki kino. ʻO ia hoʻi ke pale ʻana i ka hoʻōho ʻana, ke kamaʻilio leo nui ʻana, a i ʻole ke kamaʻilio ʻana no ka manawa lōʻihi. ʻAʻole pono ʻoe e noho mālie loa. Pono ʻoe e hiki ke ʻōlelo maʻamau i loko o hoʻokahi pule.
- Nā wai a me nā meaʻai palupalu: Inā ʻeha kou puʻu, e inu i ka wai he nui. E ʻai i nā meaʻai palupalu e like me ka porridge a me ka yogurt i nā lā mua.
- Mai hoʻokuʻu i ka ʻoki e pulu: Mai ʻauʻau no ʻekolu lā ma hope o ke ʻoki ʻana. E mālama i ka ʻoki a me ke kāʻei maloʻo.
- E lawe i kāu lāʻau lapaʻau e like me ke kauoha: E lawe i nā antibiotics, steroids, a me nā painkiller e like me ke kauoha a kāu kauka.
- Mai hāpai i nā mea kaumaha: Mai hāpai i kekahi mea kaumaha ma mua o 7 kg (15 lbs) no ʻelua pule. E pale i ka hoʻoikaika kino e like me ka holo ʻana. Maikaʻi ka hele wāwae.
- Lapaʻau Leo: Inā ʻōlelo kāu kauka, e ʻike i kahi mea lapaʻau leo no ka ʻōlelo aʻo.
Āhea ʻoe e kāhea koke aku ai i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila.
| Hiʻohiʻona e hoʻolohe ai | Wehewehena |
|---|---|
| Paʻakikī ka hanu ʻana | He pilikia kēia. E hele koke i ka Halemai Pilikia (ETU) kokoke loa. |
| ʻEha nui | ʻEha nui hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau. |
| Nā hōʻailona o ka maʻi | Kuni, wai e like me ka pehu melemele e kahe ana mai ka ʻoki. |
| Ka pehu ʻana a i ʻole ke kahe ʻana o ke koko | Pehu nui (edema) a i ʻole ke kahe ʻana o ke koko ma kahi i ʻoki ʻia. |
Leka Lawe-Home
- He hana ʻoki kino holomua ka Thyroplasty e hoʻihoʻi i ka hana o ke kaula leo i nāwaliwali a i ʻole ke kani i hana ʻole ʻia.
- E hoʻomaikaʻi maikaʻi kēia i kou leo a hoʻoponopono pū i nā pilikia e like me ka pilikia o ka moni ʻana.
- Hana ʻia kēia ʻoki kino e ke kauka pepeiao, ihu, a me ka ʻāʻī (kauka ENT).
- Inā he pilikia leo lōʻihi kou, mai hilahila a makaʻu paha iā ia, akā e ʻike i ke kauka a e ʻimi i ka ʻōlelo aʻo.
- He mea nui loa e hahai pololei i nā ʻōlelo a ke kauka no ka hoʻōla koke ʻana ma hope o ke ʻoki ʻana.
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