He rite te tangi o tō reo ki te ihu? Me kōrero tātou mō te mahi niho i te wā e whakamahia ana te pharyngoplasty!

Kei te whakaaro koe i ētahi wā he uaua ki ētahi atu te mārama ki a koe ina kōrero koe? He ihu te tangi o tō reo, ā, kāore i te mārama? He raruraru rānei tōu, tō tētahi rānei o tō whānau ki te ngongoro, ki te whakamomori rānei i te wā e moe ana (sleep apnea)? I tēnei rā ka kōrero tātou mō tētahi pokanga motuhake hei otinga mō ēnei āhuatanga.

He aha te tikanga o te Pharyngoplasty?

He tikanga pokanga te Pharyngoplasty e whakarerekē ana i te āhua me te mahi o te waha ngohengohe me te pharynx. Whakaarohia, ko te nuinga o tēnei pokanga he aukati i te hau kei puta mai i tō ihu ina kōrero koe. Ka kiia tēnei āhuatanga e ngā tākuta ko te velopharyngeal insufficiency (VPI) . Mena ka puta te reo i roto i tō VPI he rite ki te ihu (hypernasality) ā, ka uaua ki ētahi atu te mārama ki tāu e kōrero nei, ka tūtohu pea tō tākuta i tēnei pokanga. Hei tāpiri, ka whakamahia hoki tētahi momo pokanga rerekē hei rongoā i te sleep apnea , he āhuatanga e mutu ai te manawa o ngā pakeke i te wā e moe ana.

Ko wai e hiahia ana ki te pokanga pharyngoplasty?

Ko tēnei pokanga te mea e hiahiatia ana mō ngā tamariki i whānau mai me te waha whati. Ka kiia tēnei ko te waha whati . He āhuatanga tēnei e kitea ana hoki i tō tātou whenua. Ahakoa i muri i te pokanga hei whakatika i te waha whati, tata ki te kotahi hautoru (1/3) o ētahi tamariki ka pāngia e te VPI, arā, ka puta mai ō rātou reo i roto i ō rātou ihu. Koinei te wā e hiahiatia ai te pokanga Pharyngoplasty. Haunga tēnā, tera pea ka hiahiatia tēnei pokanga e ngā tamariki me ngā pakeke mō ētahi atu take.

• Ngā āhuatanga pēnei i te pararutiki roro .
• Ngā āhuatanga ira pēnei i te Down syndrome me te DiGeorge syndrome .
• E whiwhi ana i te rongoā irahiko mō te mate pukupuku o te korokoro me te ihu.
• I muri i te tango adenoid , i te tango tonsill rānei.
• Te whiu .
• Ngā pukupuku i roto i te roro, i te angaanga rānei.

He aha ngā momo matua o te pokanga pharyngoplasty?

He maha ngā momo matua o tēnei pokanga. Kei te āhua o te raruraru kei a koe. Kia kite tātou he aha ēnei.

He aha ngā mea ka tupu i te wā o te pokanga?

Ka mahia ngā pokanga pharyngoplasty 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 katoa. E rua hāora te roa o te pokanga. He rerekē te tikanga i runga i te momo pokanga.

Te Whakatō Pharyngoplasty ki te taha

Ka mahia tēnei mō te mate moe pōrearea. I konei, ka tangohia te kiko i te tuanui o te waha me ngā taha e rua o te korokoro, ka hurihia hei whakawhanui i te ara manawa. Mena kāore anō kia tangohia ō tonsil, ka taea te tango i te wā kotahi e mahia ai tēnei pokanga.

Te papa o te korokoro

Ka mahia tēnei mō te VPI. I konei, ka tangohia he kopa kiko mai i te tuarongo o te korokoro ka tuia ki te tuanui o te waha. Ka memeha haere ēnei tuitui i roto i te wā. Ka kati tēnei kopa kiko i te āputa i waenganui i te tuanui o te waha me te korokoro. Heoi, e rua ngā pūaha iti (ngā awa taha) e waiho ana i ia taha o te kopa hei tuku i te manawa mā te ihu.

Te Whakatō Pharyngoplasty o te Sphincter

He momo pokanga anō tēnei mō te VPI. I roto i tēnei, ka tangohia ngā wahi kiko e rua mai i muri o ngā tonsil ka tuia ngātahi ki te tuara o te korokoro. Ka whakawhāitihia hoki te āputa i muri o te waha o runga, ka ārai i te hau kei rere mā te ihu i te wā e kōrero ana. Ka waiho he ara mō te manawa mā te ihu.

He aha tāu e tumanako ai i muri i te pokanga?

I te nuinga o te wā ka noho koe ki te hōhipera mō te kotahi ki te toru rā i muri i te pokanga. Tērā pea ka pāngia koe, tō tamaiti rānei e ēnei mea:

• He rerenga toto paku nei mai i te waha, i te ihu rānei.
• Te pupuhi o te ihu.
• Te korokoro me te kaki mamae. Ka uaua pea te horomi.

Heoi, he tino onge (tata ki te 1 i roto i te 20 tāngata), me tāuta he ara manawa ihu hei āwhina i a koe ki te manawa kia memeha ra ano te pupuhi.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Ko ngā painga matua ko:

• He pai ake te manawa.
• Te mārama o te reo.
• Te whakaiti i ngā tohu o te apnea moe.

Ngā tūponotanga me ngā raruraru: I ētahi wā ka mau tonu te VPI (pouaka reo) i muri i te pokanga. Waihoki, ko ētahi o te hunga kua pokangahia ki te VPI ka pāngia e te ngongoro hou me te apnea moe. Heoi, i te nuinga o te wā, ka memeha haere tēnei ngongoro i roto i te wā. Ka tono pea tō tākuta i tētahi rangahau moe (polysomnography) i ngā marama e ono i muri i te pokanga hei tirotiro mō te apnea moe. Mena ka mau tonu te VPI, ka puta rānei te apnea moe, ka mahi pea tō tākuta i tētahi atu pokanga iti. Ko te tikanga o tēnei ko te whakanui ake, te whakaiti rānei i ngā awa i roto i tō korokoro.

Kia pēhea te roa o te wā e ora ai?

He rerekē te roa o te wā whakaora i ia tangata, i ia tangata. Heoi anō, me tango pea e koe, e tāu tamaiti rānei he wiki hei okiokinga mai i te kura, i te mahi rānei. He mea tino nui kia ata whai i ngā tohutohu a tō tākuta i a koe e whakaora ana. Kei roto pea i ēnei tohutohu:

• Kia teitei tō mahunga i a koe e moe ana, e takoto ana rānei.
• Kai noa i ngā kai wai , i ngā kai ngohengohe rānei mō te kotahi ki te toru wiki.
• Āta karohia te hiki taumaha me ngā mahi uaua mō tētahi wā.
• Tangohia ngā paturopi kia rite ki te whakahaunga hei ārai i te mate.
• Whakamahia tika ngā rongoā whakamamae mamae.
• Whai wāhi atu ki te whakaora kōrero.
• Ngotehia ngā poraka hukapapa hei rongoā mō te korokoro mamae.

Āhea te wā e kite ai i te tākuta

Mena ka pāngia koe, tāu tamaiti rānei e tētahi, e ētahi rānei o ngā tohu e whai ake nei , me toro atu ki tō tākuta tonu atu.

• Te matewai, te ngaro rānei o te hiahia kai.
• Ngā tohu o te mate urutā, pērā i te kirika, te rerenga mai rānei o te ihu/waha me te kakara kino.
• Ngā mate moe, inā koa ngā āhuatanga pēnei i te apnea moe.

Te pokanga ihu Sinhala, reo ihu, VPI, moe pōrearea, waha ngatata, waha ngatata, pokanga korokoro