Kei te ahua uaua koe ki te manawa, kei te poto rānei te manawa ina kōrero koe, ina horomi, ina tū noa rānei? I ētahi wā, ka puta pea tēnei i te kore e mahi tika ngā taura reo e rua i roto i tō korokoro. I roto i tēnei tuhinga, ka kōrerohia e mātou tētahi maimoatanga hou, ehara i te mea uaua rawa, hei āwhina i a koe ki te manawa ngāwari ake i roto i ēnei āhuatanga.
Renal function (eGFR)
Measure kidney function based on creatinine value
He aha te tikanga o te tango i te taurakira i roto i te rēhia?
He tikanga iti rawa te whakaekenga o te taura reera e mahia ana e te taote pokanga hei whakawhanui i tō ara manawa. Whakaarohia ō taura reo he tatau e rua. Ina katihia ēnei tatau, ā, he iti noa te whakatuwheratanga, kāore he wāhi e ranea ai te hau e puta. Koinā te mea ka tupu.
I tēnei pokanga, ka whakamahia e te tākuta he taiaho hei tapahi i tētahi (i ngā mea e rua rānei) o ō taura reo. Mā tēnei tapahi ka nui ake te wāhi hei whakawhiti i te hau mā roto i ngā taura reo, kia māmā ake ai te manawa.
He aha te momo mate e pā ana ki tēnei maimoatanga?
Ko te tikanga o te tango i te taura reo laser he rongoā mō te pararutiki o ngā taura reo e rua . Ka kiia tēnei he "Pararutiki o ngā taura reo e rua taha". I tēnei āhuatanga, kāore ō taura reo e tuwhera, e kati rānei. Ka piri tahi rāua, ka kati.
Nā tēnei ka tino whaiti te ara manawa, ka pā mai pea ngā raruraru pēnei i te uaua ki te manawa, te uaua ki te kōrero, me te uaua ki te horomi.
He aha te rerekētanga i waenga i te Cordotomy me te Cordectomy?
Ahakoa he rite te tangi o ēnei kupu e rua, he rerekē rawa te āhua o tā rāua mahi. He mea tino nui kia mōhio ki tēnei rerekētanga.
| Tikanga maimoatanga | Whakaahuatanga me te whakamahinga |
|---|---|
| Te tango i te taura | Ko te tikanga o tēnei ko te tapahi i tētahi tapa iti ki ngā taura reo kia taea ai te manawa. Kāore e tangohia ngā taura reo. Ka whakamahia tēnei hei rongoā mō te pararutiki o te taura reo. |
| Te tango i te taura | Ko te tikanga o tēnei ko te tango i tētahi wāhanga, i te katoa rānei o ngā taura reo. He tikanga pokanga tēnei e whakamahia ana hei rongoā i ngā āhuatanga pēnei i te mate pukupuku o te korokoro. |
Me pēhea te whakarite i mua i te pokanga?
Mā tō tīma hauora koe e tohutohu mārama mō te whakarite mō tēnei pokanga. I mua i te maimoatanga, ka tirohia e rātou ētahi mea mōu.
- Te rere o te hau me tōna kaha ina kōrero koe.
- Te āheinga manawa.
- Te mahi a ngā taura reo.
- Te kounga o te reo.
Hei tāpiritanga, ka tangohia e te tohunga reo kōrero (SLP) ētahi whakaahua ataata o ō taura reo i mua i te pokanga hei hopu i te rahi o tō ara manawa me te tūranga o ō taura reo. Ka tangohia anō hoki e rātou tētahi atu ataata i muri i te pokanga hei ine i te nui o te whakapainga kua mahia e koe.
Me titiro hoki tātou ki te āhua o te mahi pokanga.
Ka mahia tēnei pokanga i raro i te mate whakamoe whānui, ka moe hohonu koe. Nō reira, kāore koe e rongo i tetahi mea. I te wā o te pokanga, ka whai tō taote pokanga i ēnei mahi:
1. Ka whakauruhia he kāmera motuhake e kiia nei ko te laryngoscope mā roto i tō waha me tō korokoro hei tiro mārama i te larynx me ngā taura reo.
2. Muri iho, ka whakatakotoria he wahi iti o te hautai kua makuku ki te wāhi hei ārai i te kino o te kiko i raro i ngā taura reo.
3. Hei whakamutunga, ka whakamahia he hihi taiaho tino arotahi hei hanga i te tapahi iti kua whakahuatia ake nei i roto i tētahi, i ngā taura reo e rua rānei.
Ko te roanga o tēnei tukanga katoa i waenga i te 30 me te 60 meneti .
He aha ngā painga o tēnei maimoatanga?
I mua i te taenga mai o te Laser Cordotomy, he maha ngā tāngata e pāngia ana e te pararutiki o te taura reo i mahia he pokanga e kiia nei ko te tracheostomy . Ko te tikanga o tēnei ko te hanga i tētahi kōhao ki waho o te kaki ki roto i te pūhā (trachea) me te whakauru i tētahi ngongo mā roto hei tuku i te manawa.
Ki te whakatauritea ki te pokanga tracheostomy, he māmā ake te maimoatanga Laser Cordotomy, ā, he iti ake te whakaekenga .
Ka āwhina tēnei ki te whakapai ake i tō manawa, tō horomitanga, me te mahi reo, me te pupuri tonu i te kounga o te oranga. I ētahi wā, ka taea hoki te mahi pokanga Cordotomy Laser ki tētahi kua whai tracheostomy hei āwhina i te tango i taua ngongo.
He pānga taha, he mōrearea rānei kei reira?
Ko te tango i te taura i roto i te reera he maimoatanga e taunakihia ana e ngā tākuta nā te mea he iti ake te mōrearea i te tracheostomy. Heoi, pērā i ngā pokanga katoa, he iti noa iho ngā mōrearea. Ko ētahi o ēnei ko:
- Te toto i roto i te larynx.
- He whara iti ki ngā ngutu, ki ngā niho, ki te waha rānei ina whakaurua te laryngoscope.
- Te hanganga o te kiko koha huri noa i ngā taura reo.
- Te pupuhi o ngā taura reo.
He rangitahi te nuinga o ēnei, ā, mā tō tākuta koe e whakamōhio atu.
Kia pēhea te roa e ora ai? Me aha tātou?
E toru marama pea te roa o te whakaora katoa i muri i te tāmitanga o te niho ki te laser. I ētahi wā, me mahi anō tētahi atu pokanga iti (tāmitanga o te niho ki te laser) kia puta ai ngā hua pai rawa atu.
I te wā whakaora, he huarahi pai te manawa mamaoa hei whakamarie i ō taura reo. Waihoki, ka tūtohu pea tō tākuta kia okioki te reo hei āwhina i a koe kia tere te whakaora. I tēnei wā, me karo koe i:
- Te kōrero nui
- Te karanga
- Te whakahaere i te mare (kia rite ki te taea)
- Waiata
Ka iti ake tō whakamahi i tō reo i tēnei wā okiokinga, ka tere ake te tukanga whakaora.
I muri i te pokanga, ka puritia koe ki te hōhipera mō te 24 hāora hei tirotiro māu. I tēnei wā, ka hoatu he steroids intravenous (IV) ki a koe hei whakahaere i te pupuhi o ō taura reo. I muri i tō hokinga ki te kāinga, ka tohua pea he rongoā paturopi, he pire steroid, me ngā rongoā ārai-reflux hei tango māu mō te kotahi ki te toru wiki i a koe e ora ana.
Āhea koe e hiahia ana ki te kite anō i te tākuta?
Ki te kite koe i ētahi tohu o ngā raruraru i muri i te pokanga, waea atu ki tō tākuta tonu. Kia tūpato ki ēnei tohu:
- Ki te tino uaua te manawa . (Mō tēnei āhuatanga, haere tika ki te Tari Whawhati Tata (ETU) o te hōhipera tata.)
- Mena he uaua ki a koe te horomi i te kai.
- Mena he mate kei te taha o ngā ngutu, o ngā niho rānei.
Karere Tangohia ki te Kāinga
- Ko te Cordotomy Laser he pokanga hou, māmā hoki e mahia ana hei rongoā i ngā uauatanga manawa e puta mai ana i te ngoikore o te aho reo.
- He maimoatanga tēnei he iti ake te mōrearea me ngā raruraru i tētahi pokanga nui pērā i te tracheostomy.
- He mea tino nui kia whakangāwarihia tō reo i te wā whakaora i muri i te pokanga. Me whai i ngā tohutohu a tō tākuta.
- Mēnā he āhuatanga ohorere, pērā i te uaua ki te manawa, me haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Ki te pā mai ēnei tohu ki a koe, me toro atu ki tētahi tohunga taringa, ihu, me te korokoro (Taonga ENT) he tohunga ki tēnei mahi.
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