He reo ihu tō reo? Me ako tātou mō te pokanga pharyngoplasty!

Kua rongo koe i te mea kāore ō kupu e mārama ana i a koe e kōrero ana, me te mea kei roto koe i tō ihu e kōrero ana? Mēnā rānei, kua noho te ngongoro hei raruraru nui i roto i te moe a ētahi pakeke. Ko te take o ēnei mea ko ētahi huringa i roto i ngā kiko o tō tātou korokoro me te tuanui o tō tātou waha. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake hei otinga mō tēnei.

He aha te pharyngoplasty, he aha te tikanga?

He pokanga te Pharyngoplasty e whakarerekē ana i te āhua me te mahi o te kiko ngohengohe i muri i te tuanui o tō waha (te paparinga ngohengohe) me te kiko kei muri o tō korokoro (pharynx). Whakaarohia, ki te kōrero tātou, ā, ka puta mai te hau i roto i tō tātou ihu me te kore e hiahiatia, ka rite te reo ki te mea kei te kōrero tātou mā roto i tō tātou ihu. I roto i te rongoā, ka kiia tēnei ko te hypernasality . Nō reira, ka mahia tēnei pokanga hei whakaiti i te nui o te hau e puta mai ana i roto i tō tātou ihu.

Ko te ingoa o tēnei mate ko te ngoikore o te manawa (VPI) . He nui ngā painga o tēnei pokanga ki ngā tamariki me ngā pakeke e pāngia ana e tēnei mate. Hei tāpiri, ka whakamahia hoki tētahi momo pharyngoplasty rerekē hei rongoā i te apnea moe i roto i ngā pakeke.

Ko wai te mea e tino hiahia ana ki tēnei pokanga?

Ko te nuinga o te wā ka mahia tēnei pokanga ki ngā tamariki i whānau mai me te waha whati . He hapa whānau noa tēnei. Ahakoa ka whakatikatikaina te waha whati mā te pokanga, ka pāngia pea ētahi tamariki (tata ki te kotahi i roto i te toru) e te VPI, te ihu whati rānei. Koinei te wā e hiahiatia ai te pokanga pharyngoplasty.

Tērā atu anō ngā take e puta ai te VPI. Tērā pea ka hiahiatia tēnei pokanga i roto i ēnei āhuatanga:

• Ngā āhuatanga pēnei i te pararutiki roro .
• Ngā āhuatanga ira pēnei i te Down syndrome me te DiGeorge syndrome .
• Te whiwhi i te rongoā irahiko mō ngā āhuatanga pēnei i te mate pukupuku o te korokoro.
• I muri i te pokanga hei tango i ngā adenoids (adenoidectomy) me ngā tonsils (tonsillectomy) .
• Te whiu .
• Ngā pukupuku i roto i te roro, i te angaanga rānei.

Ngā momo matua o te pokanga pharyngoplasty

He maha ngā momo matua o tēnei pokanga, ko ia momo e whakawhirinaki ana ki te āhua e whakamahia ana.

He aha ngā mea ka tupu i te wā o te pokanga, ā, i muri hoki i te pokanga?

I mua i te pokanga

He mea tino nui kia tino whai i ngā tohutohu a tō tākuta. Tērā pea ka tonoa koe, tō tamaiti rānei kia mutu te tango i ētahi rongoā, huaora, rongoā Ayurvedic rānei i ētahi rā i mua i te pokanga.

I te wā o te pokanga

Ka mahia ēnei pokanga katoa i raro i te rongoā whakamoe whānui . Ko te tikanga o tēnei, kāore koe, tāu tamaiti rānei e rongo i tetahi mea i te wā o te pokanga, ā, ka moe rawa koe. I runga i te momo pokanga, ka roa pea te rua hāora. Ka hurihia e ngā tākuta ngā kiko ki roto i te korokoro, ka whakamahia he tuitui ka taea te rewa.Ka oti te pokanga mā te waiho atu.

I muri i te pokanga

I te nuinga o te wā me noho koe ki te hōhipera mō te kotahi ki te toru rā. Ka taea e koe te tumanako i ēnei mea i muri i te pokanga:

• He iti nei te rerenga toto e puta mai ana i te waha, i te ihu rānei.
• Te pupuhi o te ihu .
• Te korokoro me te kaki mamae. Ka uaua pea te horomi i ngā rā tōmua.

Ko te tikanga ka memeha haere ēnei tohu i roto i ētahi rā. He tino onge (tata ki te 1 i roto i te 20 tāngata), ka hiahiatia pea he ara manawa ihu hei āwhina i a koe ki te manawa kia memeha ra ano te pupuhi.

Ngā painga, ngā mōrearea, me te wā whakaora o te pokanga

Ko ngā painga matua ko:

• Māmā ake te manawa.
• Te mārama o te reo.
• Te whakaiti i ngā tohu o te ngongoro.

Mō ngā tūponotanga, i ētahi wā ka noho tonu te VPI mō tētahi wā i muri i te pokanga. Waihoki, ko ētahi o te hunga kua pokangahia ki te VPI ka pāngia e te ngongoro nui (sleep apnea) i muri mai. Heoi, ka iti haere tēnei ngongoro i roto i te wā. Ka tūtohu pea tō tākuta kia whakahaerehia he rangahau moe (polysomnography) i muri i te 6 marama o te pokanga.

Kia pēhea te roa o te wā e ora ai?

He rerekē te roa o te wā e ora katoa ai te tangata, engari he wiki pea te roa hei okioki me te tango wā mai i te kura, i te mahi rānei.

Kia tiakina ēnei mea ki te kāinga:

• Whakamahia tētahi, e rua rānei urunga hei tautoko i tō mahunga ki runga paku i a koe e moe ana, e takoto ana rānei.
• Me kai noa i ngā wai me ngā kai ngohengohe kua kuru pai (hei tauira, te miraka kawa, te hupa, te pāreti, te raihi kuru) mō te kotahi ki te toru wiki.
• Kati te hiki i ngā taumaha me te tākaro i ngā hākinakina uaua kia whakahaua rā anō koe e tō tākuta.
• Tangohia ngā paturopi kua tohua i te wā tika hei ārai i te mate.
• Tangohia ngā rongoā mamae kua tohua e te rata, ngā rongoā rānei kua hokona kore utu.
• Whai wāhi atu ki te whakaora reo hei whakaora i tō reo.
• Ka taea e koe te ngote i ngā poraka hukapapa hei rongoā mō te korokoro mamae.

Āhea te wā tika kia kite tonu i te tākuta

Mena kei a koe, kei tāu tamaiti rānei tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu.

• Ngā tohu o te matewai (hei tauira, te waha maroke, te hekenga o te mimi) te kore rānei e hiahia kai.
• Ngā tohu o te mate urutā, hei tauira, te kirika, te rerenga mai i te waha, i te ihu rānei, he kakara kino.
• Te uaua ki te manawa, te uaua rānei ki te moe i te wā noa.