Kei te whakaaro koe he uaua ki ētahi atu te mārama ki tō reo? He ihu te tangi, he koretake rānei? Kei te raru pea koe, tetahi mema rānei o te whānau i te ngongoro, i te haukoti rānei o te manawa (sleep apnea)? I tēnei rā, kei te kōrero tātou mō tētahi tikanga pokanga motuhake hei āwhina i te whakatika i ēnei āwangawanga.
He aha te tikanga o te Pharyngoplasty i roto i ngā kupu ngāwari?
He tikanga pokanga te Pharyngoplasty i hangaia hei whakarerekē i te āhua me te mahi o te waha ngohengohe me te tuara o te korokoro (pharynx). Ko te whāinga matua o tēnei pokanga he ārai i te hau e puta koretake ana mā roto i tō ihu i a koe e kōrero ana. E kīia ana e ngā tākuta te āhua o te hau e turuturu ana mā roto i te ihu ko te Velopharyngeal Insufficiency (VPI) . Mena he reo ihu tōu (hypernasality) nā te VPI, e uaua ai ki ētahi atu te mārama ki a koe, ka tūtohu pea tō tākuta i tēnei pokanga. Hei tāpiri, ka whakamahia ngā putanga motuhake o tēnei pokanga hei rongoā i te apnea moe i roto i ngā pakeke.
Ko wai ka hiahia pea ki te Pharyngoplasty?
Ko tēnei pokanga te mea e hiahiatia ana e ngā tamariki i whānau mai me te Kapiti o te Papa . Ahakoa i muri i te pokanga tuatahi hei whakatika i te kapiti, tata ki te kotahi hautoru o ngā tamariki ka pāngia e te VPI i muri mai i te ao, ka puta he reo ihu. Koinei te wā e hiahiatia ai te pharyngoplasty. Ko ētahi atu āhuatanga e hiahia ai tēnei pokanga mō ngā tamariki me ngā pakeke ko:
- Te Pararutiki Matepukupuku me ngā āhuatanga e pā ana.
- Ngā āhuatanga ira pēnei i te Down syndrome , te DiGeorge syndrome rānei.
- Te rongoā irahiko mō ngā mate pukupuku i roto i te korokoro, i te ihu rānei.
- Ngā raruraru i muri i te tango i ngā adenoids ( adenoidectomy ) me te tango i ngā tonsils rānei ( tonsillectomy ).
- Ngā pānga o te whiu .
- Ngā pukupuku i te roro, i te waha rānei.
He aha ngā momo matua o te pharyngoplasty?
He maha ngā momo o tēnei pokanga, ā, ko te huarahi tika e whakawhirinaki ana ki tō āhua ake:
| Momo Pokanga | Kaupapa Matua |
|---|---|
| Te pokanga o te pharyngo taha | I whakamahia mō te mate moe pōrearea hei whakawhānui i te ara manawa me te whakapai ake i te manawa. |
| Te whakapūtanga o te korokoro me te pokanga o te sphincter | I mahia te VPI hei whakawhāiti i te pūaha o te korokoro, hei whakaiti hoki i te turuturu o te hau i te ihu i te wā e kōrero ana. |
He aha ngā mea ka tupu i te wā o te pokanga?
Ka mahia ngā tikanga pharyngoplasty katoa i raro i te mate whakamoe whānui., ko te tikanga ka moe katoa koe, tāu tamaiti rānei, ā, kāore he mamae. E rua hāora te roa o te pokanga, ā, he rerekē ngā tikanga motuhake i runga i te momo:
Te Whakatō Pharyngoplasty ki te taha
Hei whakamahi mā te moe pōrearea, ko te tango, te whakanoho rānei i te kiko i ngā taha o te waha me te korokoro hei whakatuwhera i te ara manawa. Mēnā kāore anō kia tangohia ō tonsil, ka tangohia pea i te wā o tēnei tikanga.
Te papa o te korokoro
Mō te VPI, ka tāpirihia he kopa mai i te tuara o te korokoro ki te waha ngohengohe. Ka kati tēnei i te āputa i waenganui i te waha me te korokoro, me te waiho i ngā pūaha iti ki te taha (ngā awa taha) hei tuku i te manawa ihu.
Te Whakatō Pharyngoplasty o te Sphincter
Ka whakamahia hoki mō te VPI, ko te tango i te kiko mai i muri o ngā tonsil ka tuitui i a rātou ki te tuarongo o te korokoro. Ka whakawhāitihia te pūaha hei ārai i te turuturu o te hau i te wā e kōrero ana, ā, ka whakarite anō kia noho he pūaha iti mō te manawa ihu.
He aha ngā mea hei tumanakohia i muri i te pokanga?
I te nuinga o te wā ka noho koe ki te hōhipera mō te kotahi ki te toru rā. Tērā pea ka pāngia koe e te toto iti mai i te ihu, i te waha rānei, te ihu pupū, te mamae rānei o te korokoro me te kaki. Ko te tikanga ka memeha haere ēnei tohu i roto i ētahi rā.
Ko te tikanga ka memeha haere ēnei tohu i roto i ngā rā torutoru, nō reira kāore he take e mataku ai.
I ētahi wā, ka whakanohoia he ngongo ara manawa iti (ara manawa nasopharyngeal) ki roto i te ihu mō te wā poto hei āwhina i te manawa i te wā e memeha haere ana te pupuhi.
Ngā Painga me ngā Mōrearea
Ko ngā painga matua ko:
- Te pai ake o te manawa.
- He kōrero mārama ake.
- Te whakaiti i ngā tohu o te apnea moe.
Mō ngā mōrearea me ngā raruraru:
I ētahi wā, ka mau tonu pea te VPI, ka puta rānei ngā tohumate hou o te ngongoro, te moe pōrearea rānei i muri i te pokanga. E ono marama pea i muri i te pokanga ka whakahaerehia e tō tākuta he rangahau moe (polysomnography) hei aroturuki i te ahunga whakamua. Mēnā e tika ana, ka taea e tētahi tukanga whai muri iti te whakarerekē i te rahi o ngā awa.
Whakaora
He rerekē te roa o te wā whakaora; whakaritea kia kotahi wiki te roa o tō hararei mai i te kura, i te mahi rānei. He mea nui te whai i ngā tohutohu a tō tākuta:
- Kia teitei tō mahunga i a koe e okioki ana, e moe ana rānei.
- Kia piri ki tētahi kai wai, ki tētahi kai ngohengohe rānei mō te kotahi ki te toru wiki.
- Āta karohia te hiki taumaha, ngā mahi uaua rānei.
- Tangohia ngā paturopi me ngā rongoā mamae kua tohua e te rata kia rite ki ngā tohutohu.
- Haere ki ngā wānanga whakaora kōrero.
- Ngotehia ngā maramara hukapapa hei rongoā mō te mamae o te korokoro.
Āhea te wā e kite ai i te tākuta
Whakapā atu ki tō tākuta tonu atu mēnā ka kite koe i ēnei tohu: he tohu o te matewai, he kirika, he kakara kino te rerenga mai i te ihu, i te waha rānei, he uaua ake rānei ki te manawa, ki te moe pōrearea rānei.
Karere Tangohia ki te Kāinga
- He mahi pokanga whai hua te pharyngoplasty mō te VPI me te sleep apnea.
- Ahakoa he mea noa mō te hunga i whakatikatikaina te waha ngatata, e whakamahia ana mō ngā momo matea hauora.
- He mea nui te piripono ki ngā tohutohu i muri i te pokanga—ina koa ko te kai me te okioki—kia angitu ai te whakaoranga.
- He teitei ngā ōrau angitu, engari, pērā i ngā pokanga katoa, kei reira tonu ngā mōrearea.
- Kōrerohia marietia ngā pātai me ngā āwangawanga katoa ki tō tīma hauora.
