Kua kite koe i tētahi panonitanga o tō reo i ēnei rā, he pāorooro? Tērā pea kua ngenge tō korokoro i a koe e kōrero ana, kua taumaha rānei tō reo? He mea nui pea tēnei ki a koe. He mea tino nui kia mōhio koe ki tēnei āhuatanga, nā te mea ka puta pea tēnei i ētahi āhuatanga.
He aha te Edema a Reinke?
He whakarāpopototanga noa iho, ko te Reinke's Edema he pupuhi o ō kopa reo , arā, ngā wāhanga e rua o tō korokoro e wiri ana ina kōrero koe. E kīia ana tēnei e ētahi ko te 'Polypoid Corditis'. Hei whakamārama ake, ka puta tēnei pupuhi ina whakakīia te kiriuhi i runga i ngā kopa reo ki tētahi momo wai. Ka kitea whānuitia i roto i ngā kaipaipa roa . Heoi anō, ka taea hoki tēnei āhuatanga te puta mai i te pikinga tonu o te waikawa puku ki roto i te korokoro (Acid Reflux) i te whakamahinga tonu rānei o te reo i tētahi ara e kino ai, arā, te whakararuraru koretake i te reo (Vocal Trauma) .
Ehara tēnei pupuhi o te taura reo i te mate kino pērā i te mate pukupuku, arā, he mate 'pai' . Heoi, e tohu ana kua pakaru ō taura reo. Ka puta tēnei pupuhi i te taha kotahi o te korokoro, i ngā taha e rua rānei. Ka taea e tēnei te whakapūha i te reo, ā, i ētahi wā ka tino hōhonu te reo. I ngā wā kino, ka taea e tēnei pupuhi te aukati i ngā ara manawa, ka uaua ai te manawa .
Kāore te pupuhi o Reinke i te tino kino, ā, kāore e hiahiatia he maimoatanga i ngā wā katoa. Heoi, he mea nui kia mahara ko te panonitanga o tō reo kāore pea e pai ake mēnā kāore koe e mutu te momi hikareti, te pokanga rānei . Mena he panonitanga kino kei roto i tō reo, tirohia he tākuta otolaryngology. Ka taea e rātou te āwhina i a koe.
E hia te auau o tēnei āhuatanga?
He tino onge te mate pupuhi a Reinke. E pāngia ana e te iti iho i te 1% o te taupori whānui. He mea noa iho i waenga i te hunga neke atu i te 50 tau te pakeke me te hunga kaipaipa.
E ai ki ngā rangahau, he nui ake te tūponotanga o te wahine ki te pāngia e te edema a Reinke. Engari ko te take pea o tēnei, he nui ake te tūponotanga o te wahine ki te kite i ngā tohu o te reo hōhonu. Nā te mea, ko te tangata he reo hōhonu tōna, kāore pea ia e kite i tētahi panoni iti pēnei. Kātahi ka kore ia e rapu rongoā.
He aha ngā tohu?
Ko ngā tohu o te edema a Reinke ko:
- Ngā panonitanga o te kounga o te reo, o te rōrahi rānei.
- Ka hohonu haere te reo.
- Te reo pāorooro, te reo taumaha rānei.
Ko te hunga whai Reinke's edema he maha ngā wā ka nui ake te ngenge i te wā e whakamahi ana i ō rātou reo. Ka tino ngenge, ka taumaha hoki te reo.
Ngā tohu iti ake te kitea
Kāore i te tino kitea ēnei:
- Te uaua ki te kōrero pōturi.
- Te mamae, te kore whakamarie rānei i te wā e kōrero ana, e waiata ana rānei.
- Te kore e taea te kōrero, te waiata rānei me te reo nui.
- Te mamae o te kaki, te pakari rānei.
- Te uaua ki te manawa (Dyspnea).
- He haruru i te wā e manawa ana (Stridor).
He aha te take o te edema a Reinke?
Ko te kai paipa roa te tino take o te pupuhi o ēnei taura reo . Koinei te tino take.
Ka taea te karanga i ētahi atu take:
- Te whakapūngao waikawa (GERD/Te whakapūngao waikawa).
- Te rerenga waikawa ki roto i te larynx (Laryngopharyngeal Reflux - LPR).
- Te pānga roa ki ngā mea pēnei i ngā matū.
- Te whakamahi nui rawa i te reo, te kino rānei o ngā taura reo (hei tauira, te kōrero nui rawa, te waiata, tetahi mea rānei e whakararuraru ana i ngā taura reo). Whakaarohia, kei reira ētahi kaiako, ētahi kaiwhakaako, ētahi tāngata rānei e hamama tonu ana. Tērā pea ka tūpono rātou ki te mōrearea. Ko tō mātou hoa noho, ko Nimal, e mahi ana i tētahi toa hamama i te rā roa, ā, i tua atu i tēnā, kei reira ētahi wā ka mau hikareti ia i roto i tōna waha. Nō nā tata nei anō hoki kua pāngia tōna reo e te paku pāorooro.
Me pēhea te kite a ngā tākuta i tēnei?
Ina kite koe i tētahi tākuta otolaryngology, ka tirohia tuatahitia e rātou tō mahunga me tō kaki. Kātahi ka whakahaerehia he whakamātautau e kiia nei ko te laryngoscopy hei tirotiro tika i ō taura reo. I roto i tēnei whakamātautau, ka aro nui te tākuta ki:
- Ngā kamupene rererangi.
- Waha.
- Korokoro.
- Te repe tairoiti.
I a koe e toro atu ana ki te tākuta, ka kohia e ia ētahi atu kōrero mō ō tohu me tō hītori hauora. Tērā pea ka pātaihia koe ki ēnei pātai:
- Nōnahea koe i kite tuatahi ai i tētahi panonitanga o tō reo?
- He aha atu ngā tohu kei a koe?
- He aha te pānga o ēnei tohu ki tō oranga o ia rā?
- He aha ngā āhuatanga hauora kei a koe, kua pāngia rānei koe i mua?
- He kaipaipa koe? Mena koinā, e hia te nui o tāu kaipaipa?
- E inu waipiro ana koe? Mena koinā, e hia te nui?
- Kua kitea kētia kei te pāngia koe e te waikawa o te puku?
- He aha ngā rongoā e whakamahia ana e koe?
- Kua pokangahia koe i mua?
- Kua whiwhi koe i te rongoā irahiko?
Ngā whakamātautau i mahia
Mā te laryngoscopy ka taea e te tākuta te titiro tika ki ō taura reo.Ka whakamahia te whakamātautau. Mena kei a koe te edema a Reinke, tera pea ka kite koe i ngā wāhi pupuhi me/ngā tipu rite ki te polyp i runga i ō taura reo e rite ana ki ngā karepe iti, ki ngā poihau wai rānei.
Ka whakahaerehia hoki he tātaritanga reo hei aromatawai i ngā āhuatanga rerekē o tō reo, pērā i te teitei o te oro, te kounga, me te nui o te manawa. I roto i tēnei tātaritanga, ka tirohia tō korokoro, ka tono atu kia kōrero koe ki te hopuoro, i te wā e hopukina ana tō reo.
I roto i te mate a Reinke, ka pupuhi ngā taura reo pērā i ngā poihau e rua kua whakakiia ki te wai. Whakaarohia, koinei te take e pāorooro ai te reo.
Me pēhea te rongoā?
Ko te whāinga matua o te rongoā i te edema a Reinke he whakaora, he whakapai ake rānei i te mahi reo . Ko te maimoatanga e whakawhirinaki ana ki te pūtake o te edema. I te nuinga o te wā ka tīmata ngā tākuta me ngā maimoatanga kore-pokanga, pērā i te whakamutu i te momi hikareti.
Maimoatanga kore-pokanga
Hei whakakore i te edema a Reinke, me rongoā tuatahi e koe te pūtake . Hei mahi i tēnei, ka tūtohu pea tō tākuta i ēnei e whai ake nei:
- Te whakamutu i te kai hikareti: Mena he kai hikareti koe, ko te taahiraa tuatahi ko te whakamutu. I ētahi wā ngāwari, mā tēnei anake ka taea te whakaiti i te pupuhi o ō taura reo.
- Ngā Rongoā mō te GERD me te LPR: Mena he waikawa puku tōu, ka tohua pea e tō tākuta he rongoā pēnei i ngā aukati H2, ngā aukati papu proton rānei. Ka tūtohu pea rātou i ngā huringa kai hei whakaiti i te hanga waikawa.
- Whakaora Reo: Mā te whakaora kōrero, e whakahaerehia ana e te Tohunga Mate Reo-Kōrero (SLP), ka taea te whakapakari i te mahi a ngā taura reo me te āwhina i a rātou kia ora. Ka whakamahia e ngā tākuta tēnei whakaora me ngā maimoatanga kore-pokanga me ngā maimoatanga pokanga.
Te maimoatanga pokanga
Ki te kore e pai ake ō tohu mā ngā maimoatanga kore-pokanga, ka kōrero tō tākuta ki a koe mō ngā mahi e whai ake nei. Tērā pea ko ēnei:
- Microlaryngoscopy: Ka whakamahia e te taote pokanga ngā taputapu tino angiangi hei tango i te kiko pupuhi i a ia e tirotiro ana i ō taura reo mā te karu hiko.
- Whakaora Taiaho: Ka whakamahia e te taote pokanga te pūngao mārama taiaho hei tango, hei whakaiti rānei i te rahi o ngā taura reo.
I muri i te pokanga, he mea tino nui kia matara atu i ngā mea i puta ai te pupuhi o Reinke i te tuatahi . Ahakoa he kai paipa tonu, he kore rānei e rongoā i te waikawa o te puku, ka hoki mai anō te pupuhi i muri i te pokanga – i ētahi wā ka roa pea i roto i ētahi wiki!
Kia pēhea te roa o te wā e ora ai?
Whai muri i te pokanga o Reinke mō te pupuhi,E whā ki te ono wiki pea te roa hei whakaora katoa. Tērā pea ka tūtohu tō tākuta kia okioki rawatia tō reo mō ngā rā e rima ki te whitu. Mā tēnei ka whai wā ō taura reo ki te whakaora i mua i te whakamahinga anō.
He aha tā tātou e whakaaro ai mō tēnei āhuatanga? (Tirohanga)
Ko te hunga whai Reinke's edema ka taea te tumanako kia pai te ora . Ahakoa ka puta he tohu kino mai i te pupuhi o te taura reo, ehara i te mea kino . Ā, ki te karohia e koe ngā āhuatanga mōrearea, he iti ake te tūponotanga ka hoki mai anō te mate.
Ka taea te ārai i te pupuhi o Reinke?
Ae, i te nuinga o te wā, ka taea te ārai i te pupuhi o Reinke mā te karo i ngā āhuatanga mōrearea . Mena he kaipaipa koe, mā te whakamutu i te kaipaipa ka tino whakaiti i tō tupono ki te pupuhi o te taura reo . Mena kei a koe ngā tohu o te reflux waikawa, kōrero ki tō tākuta mō ngā rongoā hei āwhina. Mena ka whakamahia pinepinetia e koe tō reo, me mahi i ngā mahi hei karo i te whakamahi nui rawa. Hei tauira, mena he kaiwaiata koe, he kaiako, he tangata rānei e mahi ana i tētahi umanga e hiahia ana kia kōrero pinepine koe, ka taea e koe te whakaiti i tō tupono mā te okioki me te inu i te nui o te wai.
Āhea koe me toro atu ki te tākuta?
I ētahi wā, ka taea e te pupuhi o ngā tonsil Reinke te whakawhāiti i ō ara manawa, ā, ka uaua ai te manawa . Mēnā ka kite koe i tētahi o ēnei tohu, me kōrero tonu atu ki tō tākuta . Mēnā ka kite koe i ētahi panonitanga o tō reo e roa ana mō ngā wiki e whā neke atu, me toro atu koe ki tētahi tohunga taringa, ihu, me te korokoro (otolaryngologist) ka taea e ia te tirotiro tika i ō taura reo.
Ko te pupuhi o ngā taura reo kāore e tino pā ki tō hauora. Heoi, ka taea e ia te whakaputa i ngā huringa nui ki tō reo. Ka whakama pea, ka whakamā hoki ki ētahi tāngata. Ka taea e te pokanga te āwhina. Heoi, hei ārai i te hokinga mai o ngā tohu, me karo rawa koe i ngā āhuatanga mōrearea pēnei i te momi hikareti me te whakamahi nui i tō reo. Pātai atu ki tō tākuta mō ō whiringa maimoatanga.
Ngā kōrero poto hei maumahara
Āe, mai i ngā kōrero kua kōrerotia e tātou mō te Edema a Reinke, kia maumahara ki ēnei mea:
- Ko te kai paipa te tino take: Koinei te pūtake o te nuinga o te wā.
- He āhuatanga matua te reo pākū: tērā pea ka hōhonu te reo.
- Ehara i te mate pukupuku: engari e whakaatu ana i te pakaru o ngā taura reo.
- He mea nui te whakamutu i te kai paipa: He mea tino nui tēnei kia angitu ai te maimoatanga.
- Rapua he tohutohu hauora: Ki te mau tonu te rerekētanga o te reo, me toro atu ki te tākuta.
- Ka taea te ārai: Ka taea te karo i tēnei mā te karo i te momi hikareti me te tiaki i tō reo.
Nō reira, tiakina tō reo. He wāhanga anō hoki ia o tō hauora! Kei te mārama koe?
Te pupuhi o Reinke, te hurihanga o te reo, te reo pārū, te pupuhi o te taura reo, te kai paipa, te mamae o te korokoro











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