Ke manaʻo nei ʻoe i kekahi manawa i kahi loli i kou leo, kahi leo haʻalulu, a i ʻole ka paʻakikī o ka ʻōlelo ʻana? Malia paha ua paʻa kekahi mea i loko o kou puʻu, a luhi paha ʻoe i ka wā e ʻōlelo ai? ʻAʻole paha kēia he mau hōʻailona o ke anu wale nō. He mau hōʻailona paha ia o nā 'Maʻi Leo' . E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.
He aha nā maʻi leo?
I ka ʻōlelo maʻalahi, ʻo nā maʻi leo nā mea e hoʻopilikia ai i kou hiki ke ʻōlelo. Hiki i kēia ke hoʻololi i ke ʻano o kou leo, ke kiʻekiʻe o ka leo, a i ʻole ka nui o kou leo.
E noʻonoʻo, i ka wā e ʻōlelo mau ai kākou, ʻo kēia ka mea e hana ʻia. Ke hanu kākou, hele ka ea mai nā māmā ma o ka trachea (windpipe) ma luna o ka puʻu a i loko o ka larynx . I loko o kou larynx, ma luna o ka windpipe, ʻelua mau kaula leo . Ke hanu kākou, ua hāmama kēia mau kaula leo ʻelua. Akā i ka wā e hoʻāʻo ai kākou e ʻōlelo, hui pū kēia mau kaula leo ʻelua a haʻalulu i ka wā e hele ai ka ea e puka mai ana mai nā māmā. ʻO kēlā haʻalulu ka mea e hoʻopuka ai i ko kākou leo.
Eia nō naʻe, i loko o kekahi kanaka me ka maʻi leo, aia kekahi mea e keakea ana i kēia kaʻina hana. ʻO ia ka manawa e kani ʻokoʻa ai ka leo.
Hiki ke puʻunaue ʻia kēia mau maʻi leo i ʻekolu mau ʻano nui:
1. Nā Maʻi Organic: ʻO ke ʻano kēia he hewa kekahi mea me ke ʻano o kou larynx, nā kaula leo, a i ʻole nā māmā. No ka laʻana, nā ulu kūpono ʻole i loko o ka larynx.
2. Nā maʻi Neurological: ʻO kēia ka wā e loaʻa ai kekahi ʻano hopena ma nā aʻalolo e kāohi ana i ka larynx. E noʻonoʻo, inā he pōʻino i nā aʻalolo e kāohi ana i ko mākou leo, aia paha he mau loli i ka leo.
3. Nā Maʻi Hana: Ma kēia, ʻo nā ʻano hana e hana ai i ka leo, e like me ka larynx, nā kaula leo, a me nā māmā, he mea maʻamau, akā ʻaʻole hiki ke hoʻohana pono ʻia. Hana pinepine kēia i ka wā e paʻakikī ai ka hoʻohana pono ʻana i nā ʻiʻo o nā kaula leo. I kekahi manawa, hiki i ke kaumaha nui, nā manaʻo, a me nā loli i kou kūlana noʻonoʻo ke hoʻopilikia i kou leo.
I kekahi manawa hiki ke ʻoi aku ma mua o hoʻokahi o kēia mau ʻano ke hana pū ʻia, e hana ana i kahi maʻi leo. Eia kekahi laʻana, loaʻa paha iā ʻoe ka maʻi lolo o ka ʻaoʻao leo.E ʻōlelo kākou aia. ʻO ia hoʻi, ʻaʻole hana pono kekahi leo. A laila, ʻo kekahi leo, ka mea e hana pono ʻole ana, hiki ke hana ikaika aʻe, e hoʻoulu ai i ka ʻūlū i loko o kou puʻu. He maʻi hana kēia. A i ʻole, ʻo ka ʻūlū nui i loko o ka puʻu (maʻi hana) hiki ke alakaʻi i nā maʻi kūkulu e like me nā nodules leo.
Hiki i kahi maʻi leo ke hoʻolilo iā ʻoe i mea paʻakikī ke kamaʻilio me nā poʻe ʻē aʻe a hōʻike iā ʻoe iho. Hiki i kēia ke loaʻa ka hopena nui i kou kūlana ola. Akā e hoʻomanaʻo, aia nā lāʻau lapaʻau no kēia.
He aha nā maʻi maʻamau e hoʻololi ai i ka leo?
Nui nā ʻano maʻi e hiki ai ke hoʻololi i ka leo. Eia kekahi o lākou:
- Laryngitis: He ʻeha a pehu paha kēia o kou mau kaula leo. ʻO ka hapa nui o ka manawa, he manawa pōkole wale nō ia. Hiki ke hana ʻia e nā maʻi allergies a i ʻole ka maʻi hanu luna. ʻO kēia ke kumu e lilo ai kou leo i ʻōʻō ke loaʻa iā ʻoe ke anu.
- ʻO ka Dysphonia o ke Kūpilikiʻi ʻIʻo: ʻO kēia ka wā e paʻa loa ai nā ʻiʻo i loko a i ʻole a puni kou pahu leo (larynx). Hiki i kēia kūlana ke hoʻopilikia i nā ʻiʻo ma kou ʻāʻī, poʻohiwi, a me ke kua o luna. Hiki ke manaʻo e like me ʻoe e ʻū ana i ka wā e ʻōlelo ana.
- ʻO Spasmodic Dysphonia / Laryngeal Dystonia: He maʻi neurological kēia. Hoʻoulu ia i nā spasms koke o nā kaula leo. Hiki iā ia ke hoʻopā i kou leo a i ʻole e like me ka hāhā ke ʻōlelo ʻoe.
- Nā ʻEha o ke Kaula Leo: He mau ulu ʻaʻole ia he maʻi kanesa (maikaʻi ʻole). No ka laʻana, hiki ke hana ʻia nā nodules, polyps, a i ʻole cysts ma nā kaula leo. Hiki i kēia ke hoʻopilikia i ka leo.
- Ka Maʻi Holoholona o ke Kaula Leo: ʻO kēia ka wā e pau ai ka hana pono ʻana o kāu mau kaula leo, e lilo ai kou mana i nā ʻiʻo o kou larynx.
Eia kekahi, aia kekahi mau maʻi o kou ala ea luna. ʻOiai ʻaʻole pili pono kēia i ka hoʻohana ʻana i ka leo, pili lākou i ka larynx a me nā kaula leo. ʻO lākou kēia:
- Ka Pale Laryngeal Hiki ke Hoʻoulu ʻia (ILO): Ua kapa ʻia kēia ʻo Paradoxical Vocal Fold Motion Disorder (PVFM). A i ʻole Vocal Cord Dysfunction.
- Ka Pale ʻana o ka Laryngeal i Hoʻoulu ʻia e ka Hoʻoikaika Kino (EILO):
Inā loaʻa iā ʻoe ʻo `ILO` a i ʻole `EILO` paha, e neʻe hewa paha kou mau kaula leo a i ʻole nā hale ʻē aʻe i loko o kou puʻu i kou hanu ʻana. Hiki i kēia ke paʻakikī i ka hanu pono ʻana.
He aha nā hōʻailona o kahi maʻi leo?
ʻOkoʻa nā hōʻailona o kahi maʻi leo ma muli o ke kumu. Penei paha ke kani ʻana o kou leo:
- He leo paʻa a ʻūmiʻi (`Strained`): Me he mea lā ua ʻūmiʻi ʻia ka puʻu i ka wā e ʻōlelo ana.
- ʻŌhūhū a palahalaha paha: E like me ka mucus.
- Hanu a ea paha: ʻAʻole maopopo ka leo, me he mea lā he ea wale nō.
- Ka manaʻo o ka phlegm i paʻa i ka puʻu, kahi manaʻo pulu ('Gurgly a wet'):
- Nāwaliwali, haʻahaʻa ke kani, paʻakikī e hōʻike: ʻAʻole hiki ke ʻōlelo nui, me he mea lā e ʻōlelo lohi ana.
- Leo kiʻekiʻe loa a haʻahaʻa paha:
- Ke lohe ʻana i ka leo nui loa a palupalu paha:
- ʻAno like ʻole a haʻalulu paha, me nā haki a i ʻole nā hakahaka i ke kani: ʻAʻole hiki ke mālama i kahi leo paʻa i ka wā e ʻōlelo ana.
Eia kekahi, hiki iā ʻoe ke ʻeha i ka wā e ʻōlelo ai, a i ʻole pono ʻoe e hoʻoikaika e ʻōlelo. Manaʻo paha ʻoe he 'puʻupuʻu i loko o kou puʻu'.
He aha nā kumu o nā pilikia leo?
ʻO ke kumu nui o nā maʻi leo, ʻo ia ka hoʻohana nui ʻana i kou leo . Inā ʻoe e hoʻōho, hīmeni, a kamaʻilio nui paha, hiki ke hōʻino ʻia kou leo. E noʻonoʻo e pili ana i ia mea, no ka mea, hoʻohana mau ka poʻe e like me nā kumu a me nā mea hīmeni i ko lākou leo, ʻoi aku ka nui o ka loaʻa ʻana o kēia mau maʻi. Eia kekahi laʻana, aia kekahi kumu hīmeni ma kā mākou kula i loaʻa mau nā pilikia leo no ka mea ua luhi ʻo ia i ke aʻo ʻana i nā mele i nā keiki i ka lā a pau.
I kekahi manawa, hoʻokumu ʻia kēia mau maʻi e nā maʻi pōkole (ʻoi), e like me ke anu, nā maʻi ʻaleka, a i ʻole nā maʻi sinus (sinusitis). Hoʻoulu kēia mau maʻi i ka mumū i loko o ka puʻu, ka mea e hoʻololi ai i ke ʻano o ke kahe ʻana o ka ea. Ke pau ka maʻi, hoʻi pinepine ka leo i ka maʻamau i loko o kekahi mau lā a i ʻole mau pule.
Eia nō naʻe, ʻoi aku ka paʻakikī o nā maʻi leo ke loaʻa ka pilikia me ke ʻano, nā ʻiʻo, a i ʻole nā aʻalolo o ka larynx, nā kaula leo, a i ʻole nā kaula leo.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i nā maʻi leo?
Hiki i nā maʻi leo ke hoʻopilikia i kekahi, akā hiki i kekahi mau kumu ke hoʻonui i ka pilikia:
- Makahiki a me ke kāne: ʻOi aku ka nui o ka pilikia o nā wahine ma luna o 60.
- ʻOihana: No ka poʻe e hana ana i nā hana e pono ai ka hoʻohana nui ʻana i ka leo, e like me nā kumu, nā mea hīmeni, a me nā mea kūʻai aku ma ke kelepona. (Ma kekahi noiʻi o kahi 1,000 mau kumu, ʻoi aku ma mua o ka hapalua o lākou i loaʻa nā pilikia leo.)
- Nā ʻano: Nā mea e like me ka inu ʻana i ka waiʻona, ka puhipaka.
- ʻO ke ʻoki kino:Inā ua hana ʻia ʻoe i ke ʻoki ma kou puʻu (e like me, thyroidectomy) a i ʻole kahi ʻōmole hanu.
- Nā maʻi Hormonal: Inā loaʻa iā ʻoe nā maʻi e like me ka Diabetes Mellitus, ka maʻi Thyroid, a i ʻole Polycystic Ovary Syndrome (PCOS).
- Nā kūlana olakino ʻē aʻe: Nā maʻi Neurological, Nā maʻi Autoimmune, Gastroesophageal Reflux Disease (GERD), Laryngopharyngeal Reflux (LPR), Laryngeal Cancer, Nā maʻi hoʻohana mea ʻona, a i ʻole nā maʻi hoʻohana waiʻona.
Pehea e ʻike ai i nā maʻi leo?
Hiki paha i kāu mea lawelawe mālama ola kino mua ke ʻike i kahi maʻi leo. A i ʻole, hiki iā lākou ke kuhikuhi iā ʻoe i kahi kauka ʻōlelo-ʻōlelo (SLP) a i ʻole ke kauka pepeiao, ihu, a me ka ʻāʻī (laryngologist).
E nīnau aku kēia mau kauka iā ʻoe e pili ana i kāu mau hōʻailona, kou mōʻaukala olakino, a pehea e hoʻopilikia ai kēia mau pilikia me kou leo iā ʻoe ma ka home, ma ka hana, a ma ke kula.
E hoʻolohe pono ke kauka i kāu ʻōlelo ʻana. E nānā ʻo ia i kou helehelena, ke poʻo, ka ʻāʻī, a me kou ʻāʻī i kou ʻōlelo ʻana a me kou hanu ʻana. Hiki iā ia ke haʻi iā ʻoe e ʻōlelo i kekahi mau māmalaʻōlelo, a i ʻole e hoʻopaʻa i kekahi mau leo no ka manawa lōʻihi, a i ʻole e hoʻokiʻekiʻe a hoʻohaʻahaʻa paha i kou leo.
Inā ʻike ʻoe i kekahi mau hōʻailona i ka wā e hana ana i kēia mau hoʻoikaika kino - e like me ka ʻeha, ka ʻāʻī ʻōpala, a i ʻole ka paʻakikī o ka hanu ʻana - mai poina e haʻi i kāu kauka.
He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia maʻi?
No ka ʻike ʻana i ka hana maikaʻi o kāu larynx a me nā kaula leo, hiki iā ʻoe ke loaʻa nā hoʻokolohua kiʻi e like me kēia:
- Laryngoscopy: Pili kēia i ka hoʻohana ʻana i kahi ʻōmole lahilahi a palupalu (scope) me kahi kāmela wikiō i hoʻopili ʻia iā ia e nānā i loko o kou puʻu. Hiki i ke kauka ke lawe i nā laʻana (biopsy) mai nā kaula leo e nānā i nā puʻupuʻu (nodules), polyps, a i ʻole cysts.
- Videostroboscopy: Hoʻohana kēia i kahi ʻōmole (scope) i hoʻopili ʻia i kahi kāmela kūikawā. Hiki iā ia ke nānā i kou mau kaula leo e neʻe mālie i kou hana ʻana i kahi leo. Ua like ia me kahi wikiō neʻe lohi.
- Laryngeal Electromyography (LEMG): Hoʻohana kēia i kahi electrode e ana i nā hōʻailona aʻalolo i hana ʻia ke hoʻohana ʻoe i nā ʻiʻo i loko o kou larynx.
- MRI a i ʻole CT scan:ʻAe kēia i ke kauka e kiʻi i nā kiʻi kikoʻī o nā kaula leo a me ka larynx. ʻAe kēia i ke kauka e ʻike inā he mau ulu ʻē.
Pehea e mālama ʻia ai nā maʻi leo?
Hiki ke ho'ōla ʻia kekahi mau maʻi leo pōkole ma ka hoʻomaha wale ʻana i kou leo. Hiki i kāu kauka ke aʻo aku iā ʻoe e hoʻōki i ka hoʻōho ʻana, ke mele ʻana, a i ʻole ke hoʻoluhi ʻana i kou leo no kekahi mau lā. Hiki ke ʻōlelo ʻia aku iā ʻoe e ʻōlelo iki e like me ka hiki.
ʻO nā lāʻau lapaʻau ʻē aʻe:
- Lapaʻau Leo: Aʻo aku nā Kauka ʻŌlelo-ʻŌlelo (SLP) iā ʻoe i nā ʻano hana a me nā hoʻomaʻamaʻa e kōkua iā ʻoe e hoʻohana pono i kou leo. E kōkua kēia iā ʻoe e kamaʻilio maopopo. Aʻo pū lākou iā ʻoe pehea e mālama ai i kou leo e mālama i ke olakino leo.
- Nā lāʻau lapaʻau: Inā pilikia kou leo i ka LPR (acid reflux) a i ʻole GERD (acid reflux disease), hiki i nā mea hoʻopaʻa proton pump (PPIs) a i ʻole nā lāʻau lapaʻau ʻē aʻe ke kōkua. Pono paha kekahi mau pilikia leo i nā steroids a i ʻole nā antibiotics.
- Nā kaʻina hana lapaʻau a i ʻole ke ʻoki kino: Pono paha ʻoe i ke ʻoki kino e wehe i kahi lesion ma kou mau kaula leo. Pono paha ʻoe i nā inikini botulinum toxin e hoʻomaha i nā ʻiʻo kaula leo paʻa. Inā loaʻa iā ʻoe nā kaula leo paralyzed, hiki i kāu kauka ke inikini i ka mea hoʻopihapiha e pani i ka hakahaka ma waena o kou mau kaula leo. A i ʻole, pono paha ʻoe i kahi implant e kōkua i ka lawe pū ʻana mai o kāu mau kaula leo (i kapa ʻia he medialization laryngoplasty).
Hiki ke pale ʻia nā maʻi leo?
ʻOiai hiki ke pale ʻia kekahi mau maʻi leo i hoʻokumu ʻia e ka hoʻohana nui ʻana, he nui nā mea paʻakikī ke pale aku. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka mālama ʻana i kou leo. Eia kekahi mau mea hiki iā ʻoe ke hana:
- E hōʻalo i ka puhi paka, nā lāʻau lapaʻau leʻaleʻa, a me ka waiʻona.
- E hoʻomaʻū i kou mau kaula leo ma ka inu ʻana i ka nui o ka wai. (Ke inu ʻoe i ka wai, e komo ana ia i loko o kou kino a kōkua i kou mau kaula leo e holo ma luna o kekahi me ka maʻalahi.)
- E hana i nā hana e pale aku ai i nā maʻi ma ka hana ʻana i nā mea e like me ka holoi pinepine ʻana i kou mau lima.
- Inā ʻoe e hana ana i kahi hana e pono ai ka nui o ka leo, e hoʻomaha pinepine i kou leo.
- E aʻo i nā palena olakino no ka hoʻohana ʻana i kou leo.
Inā pono ʻoe e kamaʻilio a hīmeni paha i ka nui, e hoʻomaʻamaʻa i kou kino iā ia. ʻO ka hoʻololi koke ʻana i ka nui o ka hoʻohana ʻana i ka leo, me ka ʻole o ka hoʻomākaukau kūpono, hiki ke alakaʻi i ka luhi a me ka ʻeha.
He aha ka manaʻolana no ka poʻe me kēia maʻi?
ʻO nā maʻi leo i hoʻokumu ʻia e ka hoʻohana nui ʻana a i ʻole nā maʻi koʻikoʻi he manawa pōkole wale nō. ʻAʻole lākou e hōʻino mau loa. Eia nō naʻe, inā ʻoi aku ka paʻakikī o kāu maʻi leo, pono paha ka hoʻoikaika hou ʻana e mālama a hoʻokele paha i ke kūlana. Pono paha ʻoe i ke ʻoki kino a i ʻole kekahi mau kau o ka hoʻōla leo. Eia nō naʻe, nui ka poʻe e lanakila i ko lākou mau pilikia leo me ka lāʻau lapaʻau.
Pehea e hiki ai iaʻu ke mālama iaʻu iho?
ʻO ke ala maikaʻi loa e mālama ai i kou leo, ʻo ia ke hahai i kāu hoʻolālā lapaʻau. Eia nō naʻe, he mea nui hoʻi e mālama i kou olakino noʻonoʻo. Ke paʻakikī ke ʻōlelo, manaʻo paha ka poʻe ʻaʻole hiki iā lākou ke hōʻike manawaleʻa iā lākou iho. No nā keiki, hiki i kēia ke alakaʻi i ka haʻahaʻa o ka manaʻo ponoʻī. ʻO ka hoʻoikaika nui ʻana e hoʻopuka i ko lākou leo hiki ke hoʻoluhi a hoʻokaʻawale.
Inā ʻoe e hakakā nei me kēia ʻano pilikia, e kamaʻilio me kāu kauka. E nīnau iā ia e pili ana i nā kumuwaiwai e hiki ke kōkua.
Āhea wau e ʻimi ai i ke aʻo lapaʻau?
Inā ʻike ʻoe i nā loli i wehewehe ʻole ʻia i kou leo ʻaʻole i hoʻomaikaʻi ma hope o kekahi mau pule, e hoʻonohonoho i kahi manawa e ʻike koke i ke kauka. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua e kōkua i ka pale ʻana i nā hōʻailona mai ka ʻino ʻana. Hiki iā ia ke pale aku i ka hōʻino lōʻihi i kou mau kaula leo, kahi e pono ai ka lāʻau lapaʻau koʻikoʻi, e like me ke ʻoki ʻana.
He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?
Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:
- He aha nā ʻano hana e pono iaʻu e hoʻololi e hoʻomaikaʻi ai i koʻu leo?
- He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu a pehea ka lōʻihi?
- He aha ke ʻano o nā mea lawelawe mālama ola e pono ai iaʻu e hana pū me?
- He aha nā manawa kūpono e ho'ōla loa ʻia ai koʻu mau pilikia leo?
- Hiki iā ʻoe ke haʻi mai iaʻu i nā kumuwaiwai e hiki ke kōkua iaʻu e hoʻoponopono i kahi maʻi leo?
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
Hiki i nā maʻi leo ke hoʻolilo i mea paʻakikī ke kamaʻilio me nā poʻe ʻē aʻe. Akā me ka mālama kūpono, hiki iā ʻoe ke hoʻomaikaʻi i ka maikaʻi o kou leo. Hiki i kēia ke kōkua iā ʻoe e hoʻokokoke aku i ka hoʻomaopopo ʻia e nā poʻe ʻē aʻe me ka ʻole o ka hoʻoluhi ʻana i kou leo.
Inā ʻike ʻoe i kahi loli i kou leo e mau ana ma mua o kekahi mau pule, e ʻike koke i ke kauka. Hiki iā ia ke ʻike i ke kumu a hāʻawi iā ʻoe i ka lāʻau lapaʻau āu e pono ai. E hoʻomanaʻo, he mea nui loa ka lāʻau lapaʻau mua!
Nā Maʻi Leo, Nā Leo Leo, Laryngitis, Hoʻomaʻamaʻa Leo, ʻEha Puʻu, Hoʻōla ʻŌlelo











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