Kua rongo koe i te mea ehara tō reo i tōu ake reo ina kōrero koe? Me te mea kei te kōpiri tō reo, kei te wiri, kei te puta mai rānei me te nui o te kaha. Ehara tēnei i te mea he mate makariri, he mate korokoro rānei. He mate onge pea tēnei e kiia nei ko te spasmodic dysphonia . Kaua e mataku ki te ingoa. He māmā noa iho, he mate tēnei e puta mai ana i te raruraru o ngā tohu e puta mai ana i tō tātou roro ki ngā uaua e whakahaere ana i tō tātou reo. I tēnei rā, ka kōrerohia e tātou i roto i tētahi huarahi māmā ka taea e koe te mārama.
He aha ngā tohu matua o tēnei mate?
Tērā pea ka rerekē te reo o te tangata e pāngia ana e tēnei mate. Whakaarohia, kei te ngana koe ki te kōrero ki tētahi, engari kei te whakaaro koe kāore e taea e koe te whakahaere i tō reo i te ara e hiahia ana koe. Koinei te wheako matua o tēnei mate.
Ka puta mārire ngā tohu i roto i te tau tuatahi, i ngā tau e rua rānei, kātahi ka noho tonu ki te taumata kotahi.
| Ngā huringa pea o te reo | He whakamārama māmā |
|---|---|
| Te pāorooro | Ka taimaha, ka pākiki te reo. |
| Wiriwiri/Tūtī | Te wiriwiri, te koretake hoki o te reo ina kōrero. |
| Pūmau/Tōtika | He tino uaua te puta mai o ngā kupu, me te mea kei te kōrero koe me te korokoro kua kohia. |
| Manawa/Whawhawha | I te wā e kōrero ana, te āhua nei he nui rawa te hau e puta mai ana i te reo, me te mea nei kei te kōrero hāhā koe. |
| Tūkino | Kāore te reo i te haere tonu, engari he poto noa te wāwāhi. |
Engari ko te mea whakamiharo, ahakoa ēnei raruraru kei a koe i a koe e kōrero ana, ka taea tonu e tō pouaka reo te mahi tika i a koe e mahi ana i ētahi atu mea.
Hei tauira, kāore pea koe e pāngia e ēnei tohu ina mahi koe i ēnei e whai ake nei:
- I te tangi
- I te kata
- I te manawa
- I te wā e kōrero pōuri ana
- I te wā e waiata ana
- I te horomia o tetahi mea
He aha rawa tēnei e tupu nei?
Kei te rapu tonu ngā tohunga i te pūtake o tēnei. Engari ko te whakaaro matua he raruraru kei roto i te roro . He wāhanga kei roto i tō tātou roro e kiia nei ko te basal ganglia . Ka āwhina tēnei wāhanga ki te whakahaere i ngā nekehanga uaua o tō tātou tinana. Nō reira, i roto i tēnei āhuatanga e kiia nei ko te Spasmodic Dysphonia, ka tukuna e tēnei wāhanga o te roro ngā tohu hē, rerekē ki ngā uaua i roto i ō tātou taura reo e hanga ana i tō tātou reo.
Nā ēnei tohu hē, ka whakakikitia, ka kōpiripiri rānei ngā uaua o tō korokoro ina ngana koe ki te kōrero. Ka meinga ngā taura reo kia nekeneke rerekē, ka rerekē tō reo i te āhua o tāu i kōrero ai i mua. Ka puta tēnei me te kore e taea e koe te whakahaere.
Kua whakaatuhia e ētahi rangahau, ina piki ake te ahotea , ka kaha ake pea te mahi a ēnei uaua. Ko te tikanga o tēnei, ka kite pea koe i te panoni o tō reo i ngā rā e tino ahotea ana koe.
Me pēhea te tautuhi a ngā tākuta i tēnei mate?
He uaua te tautuhi i te Spasmodic Dysphonia nā te mea he āhua noa te larynx i roto i ngā whakamātautau pēnei i te MRI, te CT scan rānei. Hei tāpiri, he rite tonu ngā tohu ki ērā o ētahi atu mate.
Nō reira, me āwhina te tīma o ētahi tākuta kia tika ai te tautuhi i tēnei mate.
- Tohunga io: Ka tirotirohia te roro me te pūnaha io kia kitea ai mēnā kei te roro te take o te raruraru.
- Tohunga Mate Kōrero: Āta tirohia tō reo, tō reo, me ngā tauira kōrero kia mārama ai koe ki te āhua o te raruraru.
- He tohunga taringa (ENT):Ka tirohia tō korokoro, tō ara korokoro, me ō taura reo. He tohunga anō hoki te rata roro i tēnei mahi. Ko ēnei tohunga te tikanga ka tātaritanga i tēnei mate.
Ka whakarongo tuatahi tō tīma hauora ki tō reo. Hei tāpiri, ka whakahaerehia pea e tō tākuta ENT tētahi whakamātautau motuhake e kiia nei ko te videostroboscopy . Ko te tikanga o tēnei ko te tuku i tētahi ngongo iti, kei roto he kāmera, mā roto i tō ihu, ka heke iho i muri o tō korokoro, ka mātakitaki i te neke o ō taura reo i runga i te mata i a koe e kōrero ana. Ka taea e tēnei te āwhina i a koe ki te kite i ngā whakahekenga uaua rerekē.
He aha ngā maimoatanga mō tēnei?
Kāore anō kia kitea he "pire makutu" hei whakaora i tēnei mate. Kaua e manukanuka, he maha ngā maimoatanga whai hua hei āwhina i a koe ki te whakahaere i ō tohumate me te kōrero noa.
| Tikanga maimoatanga | He aha te mea e tupu ana? |
|---|---|
| Ngā werohanga Botox | Koinei te maimoatanga e whakamahia whānuitia ana, ā, e angitu ana hoki. Ka werohia e te tohunga he iti noa iho o te Botox ki roto i ngā uaua o ngā taura reo. Ka ngoikore ngā uaua mō te wā poto, ā, ka mutu te wiri o aua uaua. Ka hoki te reo ki te āhua noa. Heoi, he torutoru noa ngā marama e mau ana te pānga o tēnei. Nō reira, me werohia anō. |
| Te Whakaora Reo | Mā te kaiwhakaora kōrero koe e ako i ngā tikanga me ngā mahi hei whakarerekē i tō kōrero, hei whakahaere i tō manawa, hei whakangāwari hoki i ō uaua. Ka āwhina tēnei ki te whakaiti i te pānga o ō tohumate. |
| Pokanga | I ētahi wā, ka tūtohutia te pokanga. Ko te SLAD-R tētahi tikanga. Ko te tapahi i ngā io e kawe ana i ngā tohu hē mai i te roro, ka hono anō i aua tohu i tētahi ara rerekē. Ko te Thyroplasty tētahi atu pokanga e whakarerekē ana i ngā taura reo. Ko te tikanga ka mahia tēnei mēnā kāore ētahi atu maimoatanga i angitu. |
| Ētahi atu maimoatanga | Tērā pea ka āwhina i ētahi tāngata ngā rongoā hei whakaiti i te ahotea me ngā maimoatanga pēnei i te tukunga myofascial , e whakangāwari ana i ngā uaua o te kaki. |
Me pēhea te noho pai i roto i tēnei āhuatanga?
Tuatahi, kāore he huarahi hei ārai i tēnei mate. He mate hoki tēnei mō te wā katoa. Ahakoa ka pai ake pea ngā tohu mā te rongoā, ka taea tonu te hoki mai i roto i te wā. Engari kaua e tukua kia whakangaro i tō oranga. He maha ngā mea ka taea e koe te mahi hei oranga kounga teitei me tēnei mate.
- Ngā Rōpū Tautoko: Hono atu ki ngā rōpū me te hunga e pāngia ana e te āhuatanga kotahi me koe. He nui ngā mea ka taea e koe te ako mai i ō rātou wheako, ā, ka whiwhi koe i te whakamarie.
- Tautoko mai i te hunga e arohaina ana e koe: Kōrerohia tēnei mea ki tō whānau me ō hoa. Ka waiho tō rātou tautoko me tō rātou māramatanga hei puna kaha nui mōu.
- Hauora hinengaro: Ka taea e te ahotea me te ngenge te whakararu i tēnei āhuatanga. Nō reira, kia nui te okiokinga, kia wātea, me te mahi i ngā mahi pēnei i te whakaaroaro. He mea nui anō hoki te rapu tohutohu mēnā e tika ana.
- Ngā taputapu āwhina reo: Ka taea e koe te whakamahi i ngā taputapu pēnei i ngā hopuoro (whakakaha reo) hei āwhina i te rangona mārama o tō reo.
Ko te mea nui, ki te pāngia koe e tētahi o ēnei tohu, kaua e warewarehia , engari me toro atu ki tō tākuta tonu . Māna koe e tuku ki tētahi tohunga mēnā e tika ana.
Karere Tangohia ki te Kāinga
- Ehara i te korokoro mamae anake te Spasmodic Dysphonia. He mate pūnaha io e puta mai ana i ngā tohu o te roro.
- Kia tūpato ki ngā tohu pēnei i te pāorooro, te wiri, te pāorooro, te pakū rānei o te reo.
- Hei tautuhi i tēnei, me rapu āwhina a tētahi tīma hauora, pērā i te tohunga ENT, i te tohunga roro rānei.
- Ahakoa kāore he rongoā katoa, ka taea e ngā maimoatanga pēnei i te werohanga Botox me te whakaora kōrero te whakahaere angitu i ngā tohumate.
- Mena he roa te wā ka puta he panoni o tō reo, kāore i te mārama te take, me kōrero koe ki tō tākuta.
- He kaha nui te whakahaere i te ahotea me te rapu tautoko mai i te hunga e arohaina ana hei oranga mō tēnei mate.
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