He leo ʻūlū kou? Ma muli paha kēia o ka maʻi lolo o ke kaula leo.

I kekahi manawa, ke ala kākou i ke kakahiaka, ʻano ʻokoʻa iki ko kākou leo, ʻeā? A i ʻole ke pau kākou i ke mele ʻana i kahi mele maikaʻi, a i ʻole ke kāhea a ʻōlelo kākou, lilo ko kākou leo ​​i ʻano ʻūlū iki. ʻO ka maʻamau, e hoʻomaikaʻi kēia mau mea i hoʻokahi a ʻelua paha lā. Akā inā ua ʻokoʻa a ʻūlū paha kou leo ​​no nā pule, inā luhi ʻoe i ka wā e ʻōlelo ai, a inā paha e like me ʻoe e ʻūlū ana i ka wā e moni ai ʻoe i ka meaʻai a me ka mea inu, ʻaʻole ia he mea e lawe māmā ʻia. I kēia lā, e kamaʻilio kākou e pili ana i hoʻokahi kūlana kikoʻī e hiki ai ke hoʻoulu i ia mau hōʻailona. ʻO ia ka paralysis o ke kaula leo, a i ʻole e like me kā mākou e ʻōlelo nei ma ka ʻōlelo Pelekania, he kūlana i kapa ʻia ʻo 'Vocal Cord Paralysis'.

I ka ʻōlelo maʻalahi, he aha ka hana ʻole o ke kaula leo?

I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o kēia mau kaula leo. E noʻonoʻo i loko o ko kākou puʻu, ma ka hoʻomaka ʻana o ka trachea, ma ka ʻāpana i kapa ʻia ʻo larynx, aia ʻelua mau kaula lahilahi o nā ʻiʻo. E like me nā puka ʻelua ma ka puka pā. ʻO kēia nā mea a kākou e kapa aku nei he mau kaula leo.

Aia kekahi mau hana o kēia mau mea:

• Ke hanu ʻoe: Neʻe kēia mau kaula ʻelua i kahi kaʻawale, e hana ana i ke ala no ka ea e komo ai i loko o nā māmā.
• I ka moni ʻana i ka meaʻai: Pani paʻa kēia mau mea a pale i ka meaʻai mai ke komo ʻana i loko o ke alaea.
• Ke ʻōlelo kākou: Hoʻopuka ʻia ko kākou leo ​​ke hui pū ʻia kēia mau ʻāpana ʻelua a haʻalulu me ka ea e puka mai ana mai nā māmā.

I kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o kēia mau kaula leo? No laila, ʻo ka hana pono ʻole o ke kaula leo ʻo ia hoʻi he hōʻino ʻia kekahi mau aʻalolo e kāohi ana i kēia mau kaula leo, a ʻaʻole hana pono kēia mau ʻāpana ʻiʻo. ʻO ia hoʻi, ʻaʻole wehe a pani pono kēia mau 'puka puka'. Hiki i kēia ke paʻakikī i ka ʻōlelo ʻana, ka moni ʻana, a i kekahi manawa hanu pū kekahi.

ʻElua ʻano nui o kēia maʻi.

Hiki ke puʻunaue ʻia kēia hana hewa o ke kaula leo i ʻelua ʻano nui, ma muli o ka hana hewa ʻana o kekahi a i ʻole nā ​​kaula leo ʻelua.

Loaʻa iā ʻoe kēia mau hōʻailona?

Hiki ke ʻokoʻa nā hōʻailona o ka hana ʻole o ke kaula leo ma muli o ke koʻikoʻi a me ka wahi o nā kaula leo hana ʻole.

Eia nā hōʻailona maʻamau:

• Nā loli o ka leo: ka palahalaha o ka leo, ka nāwaliwali, ke kani ʻana o ka hanu.
• Nā loli i ke kiʻekiʻe a me ka leo: Hiki ke loli ke kiʻekiʻe a me ka leo o ka leo.
• Pōkole o ka hanu i ke kamaʻilio ʻana: Lilo i mea paʻakikī ke hanu ʻoiai ma hope o ke kamaʻilio ʻana no kekahi manawa pōkole, a luhi ʻoe.
• Wheezing: Hiki ke hana ʻia ka wheezing i ka wā e hanu ana.
• Paʻakikī i ke ale ʻana (Dysphagia): He manaʻo o kahi puʻu i loko o ka puʻu i ka wā e ale ai i ka meaʻai a mea inu paha.
• Ka ʻū ʻana: Manaʻo mau e like me ʻoe e ʻū ʻia ana ke inu ʻoe i kahi wai liʻiliʻi a ʻai paha i ka meaʻai.
• Paʻakikī e hoʻomaʻemaʻe i ka puʻu: Manaʻo e like me ka paʻa ʻana o ka mucus i loko o ka puʻu, e paʻakikī ai ke hoʻomaʻemaʻe.

He aha nā kumu o kēia kūlana?

Nui nā kumu e hōʻino ʻia ai nā aʻalolo e kaohi ana i nā kaula leo. I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu.

Eia kekahi o nā kumu nui:

• ʻOki kino: Hiki ke hōʻino ʻia kēia mau aʻalolo, ʻoiai i ka wā o nā ʻoki kino e pili ana i ka ʻāʻī, ka umauma, a me ke poʻo (no ka laʻana, thyroidectomy). Hiki ke hōʻino ʻia lākou i kekahi manawa e ka ʻōmole hanu i kau ʻia i ka wā anesthesia i ka wā o ke ʻoki kino.
• ʻEha: ʻO kahi ulia nui i ka ʻāʻī, ke poʻo, a i ʻole ka umauma hiki ke hōʻino i nā aʻalolo.
• Nā maʻi neurological: ʻO nā maʻi e hoʻonāwaliwali i nā aʻalolo, e like me ka maʻi Parkinson, ka sclerosis maha (MS), a i ʻole ka hahau ʻana, hiki ke hoʻopilikia i kēia mau aʻalolo.
• Nā Tumors: ʻO nā tumors, inā he ʻino a maikaʻi ʻole paha, e ulu ana ma ka larynx a i ʻole ma nā ala aʻalolo hiki ke hoʻopaʻa a hōʻino i nā aʻalolo.
• Nā maʻi: ʻO kekahi mau maʻi viral, no ka laʻana, herpes, Epstein-Barr virus, a me COVID-19, hiki ke hana i ka mumū a me ka hōʻino ʻana i nā aʻalolo.
• Nā maʻi Autoimmune: Hiki ke hana ʻia kēia ʻano e nā maʻi i hoʻouka ai ka ʻōnaehana pale ponoʻī o ke kino i nā aʻalolo, no ka laʻana, myasthenia gravis.
• Nā mea ʻawahia: ʻO ka ʻai ʻana i nā mea ʻawahia e like me ke kēpau, mercury, a me ka arsenic hiki ke hōʻino i nā ʻiʻo nerve. Inā manaʻo ʻoe ua ʻai ʻoe i kahi mea ʻawahia, e kelepona koke i ke Kikowaena ʻIke ʻAi ʻawahia Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo.

I kekahi manawa hiki ke hana ʻia kēia ʻano ma hope o ke anu maʻamau. ʻO nā hihia kahi i loaʻa ʻole ai ke kumu maopopo ua kapa ʻia ʻo 'idiopathic'.

Pehea e ʻike ai ke kauka i kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i kahi loea pepeiao, ihu, a me ka ʻāʻī (kauka ENT). E hoʻolohe pono mua ke kauka i kāu mau hōʻailona a me ka mōʻaukala olakino. Ma hope o kēlā, hiki iā lākou ke hana i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• Laryngoscopy: Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi ma kou ihu a waha paha e nānā pololei i kou mau kaula leo. Mai hopohopo, e hāʻawi ʻia ʻoe i kahi lāʻau hoʻomālielie inā pono ma mua o ka hana ʻana i kēia. Hiki iā ʻoe ke ʻike maopopo inā e neʻe ana kāu mau kaula leo a i ʻole.
• Videostroboscopy: Ua like kēia me ka laryngoscopy, akā hoʻohana ia i kahi kāmela kūikawā e nānā i nā kaula leo e haʻalulu i ka neʻe lohi i kāu ʻōlelo ʻana.
• Nā haʻawina kiʻi: Hiki ke hana ʻia kahi CT scan a i ʻole MRI scan e nānā i nā puʻupuʻu ma nā wahi e like me ka lolo, ka ʻāʻī, a me ka umauma.
• Laryngeal electromyography (LEMG): Ke ana kēia i nā hōʻailona uila i hoʻouna ʻia mai nā aʻalolo i nā ʻiʻo o ka larynx. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua hōʻino ʻia nā aʻalolo.
• Nā hoʻāʻo koko: Hiki ke hana i nā hoʻāʻo koko inā manaʻo ʻia kahi maʻi a i ʻole ka maʻi autoimmune.

He aha nā lāʻau lapaʻau no kēia?

Hoʻoholo ʻia ka lāʻau lapaʻau e ke koʻikoʻi o ka maʻi, nā hōʻailona, ​​a me kona kumu.

Hoʻōla Leo

ʻO kēia ka lāʻau lapaʻau mua. He kūpono loa ia, ʻoiai inā ʻaʻole koʻikoʻi loa ke ʻano. Maanei, e aʻo aku kahi loea ʻōlelo iā ʻoe i nā hoʻomaʻamaʻa kūikawā e hoʻoikaika i kou mau kaula leo a kaohi i kou hanu ʻana i ka wā e ʻōlelo ana.

ʻO ke ʻoki kino a me nā lāʻau lapaʻau ʻē aʻe

Inā koʻikoʻi ke kūlana a i ʻole ʻaʻole hiki ke kāohi ʻia me ka leo leo, pono paha ke ʻoki kino.

• Ke hana ʻole kekahi kaula leo (Unilateral Paralysis):
• ʻInu ʻana i ke kaula leo: Ma kēia kaʻina hana, ua hoʻokomo ʻia kahi mea hoʻopihapiha kūikawā e hoʻopiha i ka hakahaka ma waena o nā kaula leo. ʻO kēia ka mea e maʻalahi ai ka ʻōlelo ʻana a me ke ale ʻana.
• ʻO ke ʻoki kino Laryngeal: Ma kēia, ua hoʻokomo ʻia kahi implant i hana ʻia me kahi mea e like me ka silicone i loko o ka larynx ma o kahi ʻoki liʻiliʻi, e hoʻokuke ana i ke kaula leo hana ʻole i waenakonu. ʻO kēia ka mea e maʻalahi ai no ke kaula leo ʻē aʻe ke komo mai a pani.
• Hoʻoulu hou ʻana: Pili kēia i ka lawe ʻana i kahi aʻalolo olakino e hele ana i kekahi ʻiʻo ʻē aʻe ma ka ʻāʻī a hoʻopili iā ia i ke aʻalolo i loko o nā kaula leo hana ʻole.

• Ke hana ʻole nā ​​kaula leo ʻelua (Bilateral Paralysis):
• ʻOiai ʻo ka pilikia nui i kēia ka paʻakikī o ka hanu ʻana, ʻo ka mea mua e hana ai, ʻo ia ka hana ʻana i kahi ala hanu. ʻO ka mea nui e hana ai no kēlā, he ʻoki tracheostomy .
• Ma kēia ʻoki kino, hana ʻia kahi lua liʻiliʻi ma ke alo o ka ʻāʻī a hoʻokomo pololei ʻia kahi ʻōmole i loko o ka ʻōpū hanu. ʻAe kēia i ka mea maʻi e hanu maʻalahi.
• Eia kekahi, hiki ke hoʻohana ʻia nā kukuna laser e wehe i kahi ʻāpana liʻiliʻi o ke kua o nā kaula leo e hoʻonui i ke ala ea.

Āhea ʻoe e ʻike koke ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona e like me ka loli o kou leo, ka leo haʻalulu, a i ʻole ka paʻakikī i ke ale ʻana, mai hoʻowahāwahā iā ia a e ʻike i ke kauka. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻo ka maikaʻi o kou pale ʻana i ka maʻi mai ka ʻino ʻana.

ʻO ka paʻakikī o ka hanu ʻana he hōʻailona ia o ka hāʻule ʻana o nā kaula leo ʻelua. Eia kekahi, inā paʻa ka meaʻai a mea inu paha a komo i loko o nā māmā, hiki iā ia ke hana i nā maʻi koʻikoʻi e like me ka aspiration pneumonia. No laila e makaʻala loa i kēia mau hōʻailona.