Aia kekahi loli i kou leo? Hiki paha kēia ma muli o ka maʻi lolo o ke kaula leo!

Ke manaʻo nei ʻoe i kekahi manawa ua palahalaha loa kou leo, a i ʻole ua loli ia ke ʻōlelo ʻoe, me he mea lā he anu kou? Malia paha ua ʻeha kou puʻu ma hope o ka inu ʻana i kahi wai liʻiliʻi, a i ʻole ua manaʻo koke ʻoe ua pōkole kou hanu ke ʻōlelo ʻoe. ʻAʻole kēia he mau hōʻailona wale nō o ke anu, akā malia paha ke kumu o kēia he ʻano i kapa ʻia ʻo Vocal Cord Paralysis, a mākou e kamaʻilio nei i kēia lā. Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha ka Paralysis o ke Kaula Leo?

I ka ʻōlelo maʻalahi, ʻo ka hana ʻole o ke kaula leo ke hana pono ʻole kekahi a i ʻole nā ​​kaula leo ʻelua i loko o kou puʻu e hana ana i kou leo. E noʻonoʻo iā lākou e like me nā kaula o ka guitar. Akā aia lākou i loko o kahi pahu liʻiliʻi i loko o kou puʻu i kapa ʻia ʻo ka larynx . Aia ka larynx ma luna o kou windpipe (trachea) .

Ke hanu kākou, neʻe kaʻawale kēia mau kaula leo ʻelua, e ʻae ana i ka ea e komo i loko o nā māmā. Ke moni kākou i ka meaʻai a mea inu paha, pani paʻa kēia mau ʻiʻo ʻelua, a i ʻole hiki i ka meaʻai a mea inu paha ke paʻa i loko o ka ʻōpū hanu. Ke ʻōlelo a hīmeni paha kākou, hui pū kēia mau kaula leo a haʻalulu i ka wā e haʻalulu ai ka ea mai nā māmā, e hana ana i ke kani.

No laila, ʻo ka mea e hana ʻia ana i ka hana hewa ʻana o ke kaula leo, ʻo ia ka wā e hōʻino ʻia ai nā aʻalolo e hoʻomalu ana i kēia mau kaula leo , ʻaʻole e wehe a pani pono kēlā mau ʻiʻo. A laila hiki ke paʻakikī ke ʻōlelo, ale, a i kekahi manawa hanu pū kekahi. Ua maopopo iaʻu?

He aha nā ʻano hana ʻole o ke kaula leo?

ʻElua mau ʻano nui:

1. ʻO ka maʻi lolo o ke kaula leo ʻaoʻao hoʻokahi: ʻO kēia ka wā e maʻi lolo ai kekahi kaula leo. Ke hana ʻole kekahi ʻaoʻao, aia paha kahi loli i ka leo, a paʻakikī paha kekahi poʻe i ka moni ʻana. Eia nō naʻe, ʻaʻohe pilikia nui i ka hanu ʻana.

2. Ka maʻi lolo o ke kaula leo ʻelua ʻaoʻao: Maanei, ua maʻi lolo nā kaula leo ʻelua. He kūlana koʻikoʻi kēia. No ka mea, i ka wā e maʻi lolo ai nā kaula leo ʻelua, kū pinepine lāua a kokoke. A laila ua ālai ʻia ke ala ea, e hoʻoulu ai i nā pilikia hanu nui. Hiki i kēia ke hoʻoweliweli i ke ola.

E hoʻomanaʻo, ʻo ka hana pono ʻole o kekahi ʻaoʻao ka mea maʻamau. He mea kākaʻikahi ka hana pono ʻole o nā kaula leo ʻelua. Eia nō naʻe, hiki i nā ʻano ʻelua ke ulu i kēlā me kēia makahiki.

Pehea ke koʻikoʻi o kēia kūlana?

I ka maʻi lolo ʻaoʻao hoʻokahi, hiki i nā hōʻailona ke ʻano like ʻole mai ka ʻoluʻolu a i ka ʻino. No ka laʻana, hiki i kekahi poʻe ke paʻakikī i ka ʻōlelo ʻana. I nā hihia ʻoi aku ka koʻikoʻi, hiki iā lākou ke loaʻa ka pōkole o ka hanu i ka wā e kamaʻilio ana. Hiki iā lākou ke loaʻa ka ʻū a me ka ʻeha o ka puʻu i ka wā e ʻai ai a inu paha.

I ka hana ʻino ʻana o nā ʻaoʻao ʻelua, pili loa nā kaula leo a ālai i ke ala ea, e paʻakikī loa ai ka hanu ʻana. Hoʻopilikia pū kekahi i ka ale ʻana. Inā komo ka meaʻai a mea inu paha i ke ala ea a komo i loko o nā māmā, hiki ke loaʻa kahi maʻi weliweli i kapa ʻia ʻo ka aspiration pneumonia .

Inā pilikia ʻoe i ka hanu ʻana a i ʻole ke ale ʻana, e ʻike koke i ke kauka.

He aha nā hōʻailona o ka hana ʻole o ke kaula leo?

Hoʻopili ʻia nā hōʻailona i ka nui o ka hana pono ʻole a me ke ʻano o ke kau ʻana o nā kaula leo kekahi i kekahi.

Eia nā hōʻailona maʻamau:

• Lio ka leo i ka walaʻau, nāwaliwali, ʻūlū, a makani paha .
• Nā loli i ke kiʻekiʻe o ka leo.
• Nā loli i ka leo o ka leo.
• Paʻakikī ka hanu ʻana (Dyspnea) a i ʻole ka nalowale o ka leo.
• Ke hana nei i kahi walaʻau i ka wā e hanu ana (e like me ke kani ʻana o ka hū).
• Ka paʻakikī i ke ale ʻana (Dysphagia).
• ʻAʻole hiki ke hoʻomaʻemaʻe i ka puʻu mai ka ʻū ʻana.
• Paʻa ka ʻāʻī i ka wā e hoʻāʻo ai e ale.

He aha ke ʻano o ke kaula leo make?

ʻAʻole paha ʻoe e ʻike pololei i kekahi manaʻo mai kou mau kaula leo. Akā, hiki iā ʻoe ke ʻike i nā hōʻailona i hoʻokumu ʻia e kou mau kaula leo hana ʻole. Hiki iā ʻoe ke manaʻo i ka nui o ke kaumaha a me ka luhi i ka hoʻāʻo ʻana e hoʻokomo i ka ea hou aku i loko o kou mau māmā a i ʻole e hoʻokani i kou leo ​​​​e like me kou makemake. Manaʻo paha ʻoe e like me ke ālai ʻia nei kou puʻu inā paʻa ka meaʻai a mea inu paha i loko o kou ʻōpū. Manaʻo kekahi poʻe ua piha mau ko lākou puʻu i ka mucus a ʻaʻole hiki ke hoʻomaʻemaʻe iā ia.

Hiki ke ʻōlelo me ka maʻi ʻole o ke kaula leo?

Hiki i ka hapa nui o ka poʻe ke ʻōlelo, akā nui ka hoʻoikaika. E ʻike ʻoe i nā loli i kou leo. Hiki iā ʻoe ke lilo i ʻōhū i ka wā e ʻōlelo ai. Inā koʻikoʻi ka hana ʻino, hiki iā ʻoe ke nalowale loa kou leo.

He aha nā kumu o ka hana ʻole o ke kaula leo?

Aia kekahi mau kumu e hiki ai ke hōʻino ʻia nā aʻalolo e kāohi ana i ka neʻe ʻana o nā kaula leo:

• Nā maʻi Autoimmune: Nā maʻi e hoʻopilikia ai i ke kamaʻilio ʻana ma waena o nā aʻalolo a me nā ʻiʻo, no ka laʻana , ʻo Myasthenia Gravis (MG) .
• Nā maʻi: ʻO nā maʻi e like me ka maʻi Lyme, herpes, ka maʻi Epstein-Barr, a me COVID-19 hiki ke hoʻoulu i ka pehu a me ka hōʻino ʻana i nā aʻalolo e kaohi ana i nā kaula leo.
• ʻEha: ʻO nā ʻeha ma ka ʻāʻī, ke poʻo, a me ka umauma e hiki ke hōʻino i nā aʻalolo.
• Nā maʻi neurological: Nā maʻi e pili ana i ka luku ʻia ʻana a i ʻole ka hōʻino ʻia ʻana o ke aʻalolo, e like me ka sclerosis maha (MS) , ka maʻi Parkinson , a me ka hahau ʻana .
• Nā mea ʻawahia:Hiki i nā mea ʻawahia e like me ke kēpau, mercury, a me ka arsenic ke hōʻino i nā ʻiʻo nerve.
• ʻO ke ʻoki kino: ʻO nā ʻoki kino poʻo a me ka ʻāʻī, e like me ka thyroidectomy , ke ʻoki parathyroid, ke ʻoki puʻuwai, a me ke ʻoki ʻana o ka iwi kuamoʻo, hiki ke hōʻino i nā aʻalolo ma ke ʻano he pilikia. ʻO ka hoʻohana ʻana i kahi ʻōmole hanu i ka wā o ke ʻoki kino hiki ke hōʻino i nā aʻalolo i loko o ka larynx i kekahi manawa.
• Nā puʻupuʻu: Hiki i nā puʻupuʻu ʻino a me nā puʻupuʻu maikaʻi ʻole ke kaomi i nā aʻalolo i loko o ka larynx, e hōʻino ana. Hiki i ke kanesa thyroid a me nā nodules thyroid ke hōʻino i kēia mau aʻalolo.

I kekahi manawa, hiki ke hana ʻia kahi hana hewa o ke kaula leo ma hope o ke anu a i ʻole ka maʻi hanu o luna. ʻAʻole hiki i nā kauka ke loaʻa i kahi kumu kikoʻī. Ua kapa ʻia kēlā mau hihia he idiopathic a i ʻole post-viral vocal cord dysfunction.

Pehea e ʻike ai nā kauka i ka hana ʻino o ke kaula leo?

ʻO nā kauka Otolaryngologists, ʻo ia hoʻi nā laryngologists, nā kauka e nānā a mālama i kēia maʻi. ʻO ka mea mua, e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino. No ka hōʻoia ʻana i ka maʻi, hiki i kāu kauka ke kauoha i nā hoʻokolohua e like me:

• Nā haʻawina kiʻi: Hiki i nā scan MRI a i ʻole CT ke kiʻi i nā kiʻi kikoʻī o ka lolo, ka ʻāʻī, nā kaula leo, ka larynx, ka thyroid gland, a me ka umauma. Hiki i kēia ke kōkua i ka ʻike ʻana i nā mea e like me nā puʻupuʻu e hōʻino paha i nā aʻalolo i loko o ka larynx. Hiki ke noi ʻia ʻoe e lawe i kahi X-ray o kou esophagus a i ʻole ka umauma.
• Laryngoscopy: ʻAe kēia i nā kauka e nānā pololei i ka larynx a me nā kaula leo. Hoʻokomo ke kauka i kahi ʻōmole lōʻihi a lahilahi i kapa ʻia he laryngoscope ma o ka ihu a i lalo i ka ʻāʻī. Loaʻa i kēia ʻōmole palupalu kahi kāmela ma ka hopena e lawe i nā kiʻi o ka larynx a me nā kaula leo. Hōʻike ʻia nā kiʻi ma kahi monitor no ke kauka e nānā.
• Videostroboscopy: ʻAe kēia i nā kauka e ʻike pehea e haʻalulu ai kāu mau kaula leo a pehea lākou e kokoke ai kekahi i kekahi ke ʻōlelo ʻoe. Ua like kēia kaʻina hana me ka laryngoscopy. I ka manawa pinepine, hana pū ʻia nā mea ʻelua. Hoʻohana ʻo Videostroboscopy i kahi kāmela kūikawā e hōʻike i ke ʻano o ka neʻe mālie ʻana o kāu mau kaula leo i kou hana ʻana i nā leo. Kōkua kēia i ke kauka e ʻike i nā pilikia.
• ʻO ke electromyography Laryngeal (LEMG):Ke ana nei kēia hoʻāʻo pehea e hoʻomalu ʻia ai nā ʻiʻo o ka larynx e nā aʻalolo. Ua ana ʻia a hoʻopaʻa ʻia nā impulses uila mai kēia mau ʻiʻo.
• Nā hoʻāʻo koko: Inā manaʻo kāu kauka ua hana ʻia kāu hana ʻino e kahi maʻi a i ʻole ka maʻi autoimmune, e kauoha ʻo ia i nā hoʻāʻo koko.

Pehea e mālama ʻia ai ka hana ʻino o ke kaula leo?

Aia ka lāʻau lapaʻau i ke koʻikoʻi o ka hana pono ʻole a me kāu mau hōʻailona. Inā he ʻoluʻolu ka hana pono ʻole, pono paha ʻoe i ka lāʻau leo ​​e hoʻomaikaʻi i ka hana o kāu mau kaula leo. Ma kēia lāʻau lapaʻau, hana ʻoe i nā hoʻomaʻamaʻa kūikawā e hoʻoikaika i kāu mau kaula leo, aʻo iā ʻoe pehea e kaohi ai i nā ʻiʻo e kōkua iā ʻoe e ʻōlelo, a hoʻomaikaʻi i ke ʻano o kou hanu ʻana i ka wā e ʻōlelo ana.

ʻOi aku ka koʻikoʻi o ka hana ʻino ʻana o ke kaula leo e pono ai ke ʻoki ʻana.

Lapaʻau no ka hana ʻole o ke kaula leo unilateral

I nā hihia o ka hana ʻole o kekahi ʻaoʻao, kali pinepine nā kauka a hiki i ka hoʻomaikaʻi ʻana o ke kūlana a hoʻopanee i ke ʻoki ʻana no hoʻokahi makahiki. I kekahi manawa hiki ke ʻeha a ʻeha paha nā kaula leo, a he manawa ka lōʻihi no lākou e ho'ōla ai. Hiki i kēia ke hala i nā mahina. Hiki i ka hoʻōla leo me kahi pathologist ʻōlelo ke lilo i mea kūpono loa i kekahi manawa, e kōkua ana i ka hoʻoikaika ʻana i ka leo inā he maʻalahi a kaulike ka pilikia.

Hiki i kahi laryngologist ke ʻōlelo aku i ke ʻoki kino a i ʻole nā ​​​​​​ini leo e hoʻomaikaʻi i ka leo, ka moni ʻana, a me nā pilikia hanu. ʻO nā koho e komo pū me:

• Hoʻokomo ʻana i ke kaula leo: Hoʻokomo ke kauka i kahi mea hoʻopihapiha ma o kahi nila. Nui nā ʻano mea hoʻopihapiha palekana. Hoʻopili kēia mea hoʻopihapiha i ka hakahaka ma waena o nā kaula leo.
• Hoʻokomo pahu leo ​​(ʻoki kino Laryngeal): Hoʻokomo ke kauka i kahi ʻōnaehana i loko o kou larynx. Hana ʻia ka hapa nui o nā ʻōnaehana i ka silicone. Hoʻopaʻa kēia ʻōnaehana i nā kaula leo ma kahi a kōkua i ka pani ʻana i nā kaula leo ʻelua. Hoʻokomo pū kēia mau kaʻina hana i kahi kaʻina hana i kapa ʻia ʻo medialization laryngoplasty (Thyroplasty) .
• ʻO ke ʻoki kino hou: Lawe ke kauka i kahi aʻalolo e pili ana i nā ʻiʻo ʻē aʻe i kou ʻāʻī a hoʻopili hou iā ia i ke aʻalolo e hoʻoneʻe ai i kāu mau kaula leo. ʻAʻole pili kēia kaʻina hana i nā ʻiʻo ʻē aʻe i kou ʻāʻī.

Lapaʻau no ka hana ʻole o ke kaula leo bilateral

Hiki i nā poʻe me nā kaula leo ʻelua ke loaʻa nā ala ea e haiki loa. Pono paha lākou i kahi tracheostomy (kahi ʻōmole hanu i kau ʻia ma ka ʻāʻī) e wehe i ke ala ea a kōkua iā lākou e hanu.

Ma kēia ʻoki kino, hana ke kauka i kahi ʻoki ma kou ʻāʻī a hoʻokomo i kahi paipu i loko o kou puʻu. Wehe ka paipu i kou ala ea a kōkua iā ʻoe e hanu. I kekahi manawa, hoʻohana ke kauka i ka laser e wehe i kahi ʻāpana o ke kua o kekahi a i ʻole nā ​​kaula leo ʻelua, e hoʻonui ana i ke ala ea i hiki iā ʻoe ke hanu maʻalahi. Inā he tracheostomy kāu, ʻo kekahi koho e hiki ke kōkua iā ʻoe e hanu lōʻihi he tracheostomy ʻole paipu.

Hiki ke hoʻihoʻi ʻia kahi kaula leo i hana hewa ʻole ʻia?

I kekahi manawa e ho'ōla pono'ī nā kaula leo. Hiki i kēia ke hala i nā mahina. Me ka ho'ōla leo, nā inikini kaula leo, a i ʻole nā ​​mea hoʻokomo, hiki ke hoʻoikaika ʻia kou leo ​​a hiki i nā poʻe ʻē aʻe ke lohe maikaʻi iā ʻoe ke ʻōlelo ʻoe. E ʻike paha ʻoe e hoʻomaikaʻi ana kou ale ʻana a me ka hanu ʻana me ka mālama ʻana. E nīnau i kāu kauka i ka nui o ka hana o kāu kaula leo hiki iā ʻoe ke hoʻihoʻi me ka mālama ʻana.

Hiki ke pale ʻia ka hana ʻino o ke kaula leo?

ʻAʻole hiki ke pale ʻia ka hana ʻino o ke kaula leo i nā manawa a pau. E kamaʻilio me kāu kauka inā loaʻa iā ʻoe kahi maʻi e hoʻonui ai i kou pilikia. Hiki iā lākou ke paipai i nā nānā mau ʻana e nānā i kāu mau kaula leo. Pono paha ʻoe i ka lāʻau lapaʻau leo ​​e hoʻomaikaʻi i ka hana o kāu mau kaula leo.

He aha ka manaʻolana no ka poʻe me ka hana ʻole o ke kaula leo?

Hiki i ka hapa nui o nā pilikia o ke kaula leo ke ho'ōla iā lākou iho i ka hala ʻana o ka manawa. Hiki i ka hoʻōla ʻōlelo a me nā inikini hoʻopihapiha ke kōkua i ka hoʻomaikaʻi ʻana i nā hōʻailona i ka wā e ho'ōla ai kou mau kaula leo. Inā mau loa ka pilikia o kou kaula leo, ʻo kahi implant e hoʻopaʻa i ke kaula leo ma kahi o ia ka lāʻau lapaʻau maikaʻi loa. I kekahi manawa, inā neʻe ka implant i waho o kona wahi, pono paha kāu kauka e hoʻololi iā ia.

Me ka lāʻau lapaʻau, loaʻa hou i ka hapa nui o ka poʻe ka hiki ke ʻōlelo a moni ma hope o ka hana ʻino ʻana o ke kaula leo. E hilinaʻi ʻia kou wikiwiki hoʻōla ʻana ma luna o kekahi mau kumu, me ka hana ʻino ʻana ma kekahi a i ʻole nā ​​kaula leo ʻelua, a inā he akahai a koʻikoʻi paha.

Āhea wau e ʻike ai i ke kauka e pili ana i ka hana ʻole o ke kaula leo?

Inā loaʻa iā ʻoe nā hōʻailona o ka hana ʻole o ke kaula leo, e kamaʻilio me ke kauka. ʻO nā loli i kou leo, ka leo haʻalulu i wehewehe ʻole ʻia, ke kani ʻana o ka wheezing i ka hanu ʻana, ka pōkole o ka hanu i ka wā e ʻōlelo ana, a i ʻole ke kuni a me ka ʻeha o ka puʻu i ka wā e ʻai ai a inu paha, ʻaʻole ia he mea maʻamau. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua e kōkua i ka pale ʻana i kou kūlana mai ka ʻino ʻana. I kekahi mau hihia, hiki i nā lāʻau lapaʻau ʻaʻole invasive, e like me ka leo therapy, ke kōkua iā ʻoe e pale i ke ʻoki ʻana.

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

Inā pilikia ʻoe i ka hanu ʻana a i ʻole ke ale ʻana, e ʻimi koke i ke kōkua lapaʻau. ʻO ka loaʻa ʻole o ka ea lawa he hōʻailona ia o ka hana ʻino ʻana o ke kaula leo bilateral, ʻo ia ke ʻano koʻikoʻi loa o ke kūlana. Hana ʻia ka pneumonia aspiration ke komo ka meaʻai a mea inu paha i loko o ke ala ea no ka mea ʻaʻole pani pono nā kaula leo.Hiki iā ia ke ulu aʻe, a inā ʻaʻole mālama ʻia, hiki ke make.

Leka Lawe-Home

Inā loaʻa iā ʻoe nā hōʻailona e like me ka loli ʻokoʻa o kou leo, ka leo haʻalulu, ka paʻakikī o ka hanu ʻana i ka wā e ʻōlelo ana, ka paʻakikī o ka moni ʻana, a i ʻole ka luaʻi pinepine ʻana o ka meaʻai a me ka mea inu, mai hoʻowahāwahā wale. He mau hōʻailona paha kēia o ka maʻi lolo o ke kaula leo .

ʻO ka mea nui e hoʻomanaʻo:

* Inā pilikia nui kou hanu ʻana a i ʻole ka ale ʻana, e hele koke i ka haukapila.

* Inā loaʻa iā ʻoe nā hōʻailona ʻē aʻe, e ʻike koke i kahi loea pepeiao, ihu, a me ka ʻāʻī (ENT) .

* Inā ʻike ʻia a mālama ʻia i ka wā mua, hiki ke mālama maikaʻi ʻia kēia maʻi, a hiki ke ho'ōla loa ʻia.

ʻAʻohe pono e hopohopo, akā he mea nui e makaʻala i kēia mau hōʻailona. E kamaʻilio me kāu kauka a loaʻa nā hoʻokolohua a me ka lāʻau lapaʻau e pono ai.

Nā loli leo, ka hana pono ʻole o ke kaula leo, ka leo ʻōhū, ka paʻakikī i ke ale ʻana, ka paʻakikī i ka hanu ʻana, ka maʻi lolo o ke kaula leo, ka laryngoscopy, ka hoʻōla leo