Ke ʻōlelo nei kāu keiki ma o kona ihu? E aʻo e pili ana i ka Velopharyngeal Insufficiency (VPI)

Ke ʻōlelo kāu keiki liʻiliʻi , lohe anei ʻoe i kahi leo "ihu", me he mea lā e puka mai ana ko lākou leo ​​mai ko lākou ihu? I kekahi manawa ke ʻōlelo lākou i nā leka e like me "प", "ब", "त" hana lākou i kahi leo ihu palalulu? Manaʻo ka nui o nā mākua he mea maʻamau kēia, akā i kekahi manawa aia kekahi kumu olakino ma hope o ia mea. Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i ia ʻano kūlana.

I ka ʻōlelo maʻalahi, he aha ka Velopharyngeal Insufficiency ( VPI )?

ʻOiai paha he mea paʻakikī iki kēia inoa, he maʻalahi loa ke kumu. E hoʻomaopopo kākou i kēia.

E noʻonoʻo he puka ma waena o ko kākou waha (waha waha) a me ka lua i loko o ko kākou ihu (lua ihu). Kāhea mākou i kēia puka ʻo ka 'velopharyngeal sphincter'. He apo kēia o nā ʻiʻo . Ke ʻōlelo mākou a moni paha, pani paʻa kēia puka, e pale ana i ka ea mai ke komo ʻana i loko o ko mākou ihu. No ka laʻana, ke ʻōlelo mākou "berena", hana ʻia ke kaomi ea e hiki mai ana i ka leka "p" i loko o ko mākou waha. I kēlā manawa, pani ʻia ka puka, no laila ʻaʻole e puka ka ea i loko o ko mākou ihu.

ʻO ka Velopharyngeal Insufficiency ( VPI ) kahi kūlana kahi e pani pono ʻole ai kēlā puka, a i ʻole `sphincter`. ʻO ia hoʻi, aia kahi hakahaka liʻiliʻi i koe. He aha ka mea e hana ai? Ke ʻōlelo mākou, puka kekahi o ka ea e pono e puka mai ana mai ko mākou waha i loko o ko mākou ihu. ʻO ia ke kumu e kani ai ko mākou leo ​​​​​​e like me ka ihu. I kekahi mau hihia koʻikoʻi, hiki ke piʻi aʻe ma o ko mākou ihu ke inu mākou i kahi mea wai e like me ka wai.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

ʻOiai hiki ke loaʻa ka VPI i kekahi kanaka, he mea maʻamau ia i nā keiki. Aia kekahi mau kumu e kōkua ai i kēia.

• Nā pilikia hānau: Hānau ʻia kekahi mau keiki me kekahi mau pilikia me ko lākou leo. No ka laʻana, loaʻa paha i nā keiki me ka leo māwae kēia maʻi. Eia kekahi, hiki ke pōkole iki ka leo palupalu o kekahi mau keiki i ka wā hānau.
• Nā tonsils a me nā adenoids i hoʻonui ʻia: I kekahi mau keiki, i ka wā e hoʻonui ʻia ai nā tonsils ma ka puʻu a i ʻole nā ​​​​adenoids ma hope o ka ihu, hiki i kēia ke hoʻopilikia i ka 'sphincter' a mākou i ʻōlelo ai.
• Nā kūlana hoʻoilina: Down syndromeHiki ke hana ʻia ka VPI me kekahi mau kūlana genetic, e like me Down syndrome a i ʻole neurofibromatosis.
• Ka nāwaliwali o nā ʻiʻo: ʻO nā maʻi neurological e like me ka cerebral palsy hiki ke hoʻonāwaliwali i nā ʻiʻo o ke poʻo a hana pono ʻole.
• ʻO kekahi mau ʻoki kino:
• Hoʻopau ʻana i ka adenoid.
• ʻOki ʻana i ke ʻano o ka tonsillectomy.
• ʻO ke ʻoki kino e wehe i nā ʻiʻo mai ke kua o ka puʻu (ʻoki kino UPPP) no nā kūlana e like me ka hānō ʻana .
• Nā kumu ʻē aʻe: ʻO ka loaʻa ʻana o kahi puʻupuʻu ma ke poʻo a i ʻole ka loaʻa ʻana o ka radiation therapy no ka maʻi ʻaʻai puʻu/ihu hiki ke hana i ka VPI.

I kekahi manawa kākaʻikahi, hiki i nā mea hoʻokani pila e hoʻokani ana i nā mea kani keleawe a i ʻole nā ​​​​mea kani lāʻau ke loaʻa i kahi kūlana manawa pōkole i kapa ʻia ʻo "stress VPI" ma muli o ke kaumaha.

He aha nā hōʻailona o kekahi me VPI?

Inā manaʻo ʻoe he VPI kāu keiki, e makaʻala i kēia mau hōʻailona.

Pehea ke kani ʻana o ka leo ma ke kūlana VPI?

I mea e pololei ai, ke ʻōlelo kekahi me kēia ʻano, lohe paha ʻoe i nā mea e like me:

• Me he mea lā ua paʻa ka moʻolelo i waenakonu, a ua pau ka moʻolelo me ke ʻano kupanaha.
• ʻAʻole maopopo ka leo, me he mea lā ua hāmau ʻia (ʻōlelo hāmau).
• I kāu ʻōlelo ʻana, lohe paha ʻoe i ke kani 'puff', ke kani 'squeak', a i ʻole ke kani 'snort', me he mea lā ua paʻa kou ihu .
• Me he mea lā ke ʻōlelo nei ʻoe ma kou ihu ma kahi o kou waha.

Pehea e ʻike ai i kēia maʻi?

Inā ʻike ʻoe i kēia mau hōʻailona i kāu keiki, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka. ʻO kahi loea pepeiao, ihu, a me ka ʻāʻī (kauka ENT) ke kanaka kūpono loa no kēia. E hana ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.

1. Hoʻokolokolo kino: ʻO ka mea mua, e hoʻopā ke kauka i ka lehelehe o ke keiki e ʻike inā he mau mea ʻē.

2. Ka loiloi ʻōlelo: E ʻae i ke keiki e ʻōlelo a hoʻolohe pono i nā leo maʻamau o VPI.

3. Nasoendoscopy: Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela a me ke kukui i loko o ka ihu a nānā pololei ke kauka i ka pale e ʻike inā pani ʻia ka sphincter ke ʻōlelo ʻoe a i ʻole he mau hakahaka. ʻOiai he mea ʻoluʻolu ʻole kēia, he mea nui loa ia no ka ʻike pololei.

4. Videofluoroscopy: He hoʻāʻo X-ray kūikawā kēia. Hāʻawi ʻia ke keiki i kahi wai i kapa ʻia ʻo barium e inu, a hōʻike ka X-ray i ka neʻe ʻana o nā ʻāpana o ka lehelehe a me ka puʻu i ko lākou moni ʻana a me ka ʻōlelo ʻana.

He aha nā lāʻau lapaʻau no VPI?

Ke hōʻoia ʻia ke kūlana VPI, ʻaʻohe mea e makaʻu ai. Aia nā lāʻau lapaʻau kūpono no kēia. Hiki ke hoʻokaʻawale ʻia nā ʻano lapaʻau i ʻelua mau māhele nui.

1. Hoʻōla ʻōlelo

He ʻāpana koʻikoʻi loa kēia. Aʻo aku kekahi mea lapaʻau ʻōlelo i ke keiki pehea e ʻōlelo ai me VPI ma ke ʻano e hōʻemi ai i ke kani o ka ihu i ka leo. I kekahi manawa, pono ka lāʻau lapaʻau ʻōlelo ma mua a ma hope o ke ʻoki ʻana. Ma hope o ke ʻoki ʻana, pono ke keiki e aʻo e haʻi i nā leo ma ke ʻano hou.

2. ʻOki kino

I ka hapanui o nā hihia, ʻo ke ʻoki kino ka hopena mau loa no VPI. ʻO ka pahuhopu nui o ke ʻoki kino, ʻo ia ke pani i ka hakahaka ma waena o ka ihu a me ka waha. Eia nō naʻe, pono e akahele ʻaʻole e ālai i ka hanu ʻana o ka ihu. Ma muli o ke kūlana o ke keiki, hiki i ke kauka ke hoʻohana i nā ʻano hana ʻoki kino like ʻole.

• Ke hoʻololi nei i ke ʻano o ka lehelehe palupalu.
• E hoʻomānoanoa iki ana i ka paia o ka puʻu a e hoʻemi ana i ka mamao i ka leo ʻole.
• Ke kīkoʻo ʻana a hoʻomaʻamaʻa hou ʻana paha i nā ʻiʻo o ka poho lima.
• Ua lawe ʻia kahi ʻāpana ʻiʻo ('pharyngeal flap') mai ka paia hope o ka puʻu a hoʻopili ʻia i ke kaupaku o ka waha. Hoʻopau kēia i ka hakahaka i kahi nui.

I kekahi manawa, no ka poʻe hiki ʻole a makemake ʻole paha i ke ʻoki kino, ua kau ʻia kahi mea kūikawā (`oral prosthetic`) i loko o ka waha, e like me ka mea paʻa i kau ʻia ma luna o nā niho. Hana ʻia kēia e hoʻokuke i ka luna o ka waha i luna a pani i ka hakahaka. Eia nō naʻe, hiki ke paʻakikī iki ka hoʻohana mau ʻana i kēia mau mea.

Aia kekahi mau pilikia i ke ʻoki kino?

E like me nā hana ʻoki kino a pau, hiki i ke ʻoki kino VPI ke lawe i kekahi mau pilikia liʻiliʻi, akā ʻaʻole kēia mau mea e hana ʻia i ka hapa nui o nā hihia.

• ʻŌlelo hyponasal: ʻO ke ʻano kēia ma hope o ke ʻoki ʻana, ua emi iho ke kani e puka mai ana mai ka ihu mai ma mua o ka maʻamau, a ua like ke kani me he mea lā no ke anu mai.
• Ka paʻakikī o ka hanu ʻana ma ka ihu.
• ʻO ka hanu ʻana a me ka apnea hiamoe obstructive.
• I kekahi manawa, ʻoiai ma hope o ke ʻoki ʻana, ʻaʻole paha e nalowale loa ka leo ihu (hypernasal speech), akā hiki ke hoʻonui ʻia.

E kūkākūkā pono kāu kauka i kēia me ʻoe ma mua o ke ʻoki kino.

He aha kaʻu e hana ai inā loaʻa kēia maʻi i kaʻu keiki?

ʻO ka mea nui e hana ai, ʻo ia ke ʻike koke i ke kauka a ʻimi i ka ʻōlelo aʻo. Inā ʻike ʻoe i nā ʻano maʻamau, nā ʻano, a i ʻole nā ​​​​leo ʻē i ka ʻōlelo a kāu keiki, ʻoiai inā kani ka leo ihu, mai hoʻowahāwahā iā ia.

No ka mea , ʻo ka wikiwiki o ka mālama ʻia ʻana o kēia maʻi, ʻoi aku ka maikaʻi o nā hopena. Inā ʻaʻole, hiki i ke keiki ke hoʻomohala i kahi maʻa o ka ʻōlelo hewa ʻana a he mea paʻakikī paha ke hoʻololi i kēlā maʻa ma hope.

ʻAʻohe ala kikoʻī e pale aku ai i kēia maʻi, no ka mea, he mea hānau pinepine ia a i ʻole i hoʻokumu ʻia e nā maʻi ʻē aʻe.