Kei te rongo koe i ētahi wā he pāorooro tō reo, he ngoikore, he rite rānei ki te mea kei te kōkō koe ina kōrero koe? He uaua ki a koe te horomi kai? He maha ngā wā ka mamae tō korokoro? He tohu pea ēnei o te makariri noa, engari ki te mau tonu, tera pea he raruraru kei ō taura reo. Nō reira, i tēnei rā, me kōrero tātou mō tētahi pokanga e kiia nei ko te 'thyroplasty' ka taea te āwhina i tēnei mate me te whakaora i tō reo.
Tuatahi, kia kite tātou, he aha te pararutiki o te taura reo?
I roto i ngā kupu māmā noa iho, kei reira tētahi wāhanga o tō tātou korokoro e kiia nei ko te larynx. Ka kiia hoki e tātou ko tō tātou "pouaka reo." Kei roto i tēnei he hanganga kikokore e rua e kiia nei ko ngā taura reo. Ina kōrero tātou, ina maremare rānei, ka puta te hau mai i ō tātou pukahukahu mā roto i ēnei taura reo e rua. Kātahi ka wiri ēnei taura e rua, ka hanga i tō tātou reo.
Whakaarohia, he aha te mea ka tupu mēnā kāore tētahi o ēnei taura reo e rua e mahi tika ana, mēnā rānei ka kore e mahi? Koinei te wā e kiia ai tēnei he pararutiki taura reo . I tēnei wā, ka hangaia he āputa i waenganui i te taura reo kore mahi me te taura reo e mahi ana. Mā tēnei ka ngoikore, ka pāorooro te reo. I te nuinga o te wā, kotahi anake te taura reo kāore e mahi. He tino onge engari he mate kino te korenga o ngā taura reo e rua e hiahia ana kia arohia tonutia e te hauora.
He aha ngā tohu noa o tēnei mate?
Mena he pararutiki tō taura reo, ka pāngia pea koe e tētahi, e ētahi rānei o ngā tohu e whai ake nei.
| Tohu | Whakaahuatanga |
|---|---|
| Te pāorooro | Ka kore e mārama te reo, ka ngoikore, ka hau nui. |
| Te uaua ki te horomi (Dysphagia) | Te kōroke me te maremare i te wā e horomia ai te kai, te inu rānei. |
| Te horoi pinepine i te korokoro | E ngana ana koe ki te whakawātea i tō korokoro nā te mea kei te rongo tonu koe kei te mau tetahi mea i roto i tō korokoro. |
| Te uaua ki te manawa | Te poto o te manawa i te wā e kōrero ana, e mahi ana rānei i ngā mahi iti nei. |
| Maremare mau tonu | He maremare e roa ana, kāore he take motuhake. |
Ko wai e hiahia ana ki te pokanga thyroplasty?
Ehara i te mea ko te hunga katoa e pāngia ana e ēnei tohu e hiahia ana ki te pokanga. He ngawari noa iho ngā tohu o ētahi tāngata, ā, ka taea e rātou te noho noa me te kore he raruraru. Heoi, ki te mea kei te uaua tō reo ki te mahi i te mahi, he uaua ki te pupuri i ngā whanaungatanga pāpori, he mate morearea rānei tōu pērā i te kōroke , ka tūtohu pea tō tākuta i tēnei pokanga.
Ki te kī māmā noa, he tikanga pokanga te thyroplasty e whakamahi ana i tētahi mea tāpiri iti hei nuku i te taura reo kāore e mahi tika ana ki te taura reo hauora, kia whakaitihia ai te āputa i waenganui i ngā mea e rua.
Ngā mea ka pāngia ai te taura reo e te mate
He maha ngā take mō tēnei āhuatanga, ā, i ētahi wā kāore e kitea he tino take.
| Te take pea | Ngā tauira |
|---|---|
| Ngā mate pūnaha ārai mate | Ngā mate pēnei i te myasthenia gravis. |
| Matepukupuku | Matepukupuku pūkahukahu, matepukupuku tairoi. |
| Te maimoatanga mō te mate pukupuku | Te rongoā irahiko ki te mahunga, ki te kaki, ki te uma rānei. |
| Ngā mate o te pūnaha io | Te mate a Parkinson, te whiu. |
| Pokanga kaki, uma rānei | Pokanga ngākau, tango tairoiti. |
| Te whakamahinga o te ngongo manawa i te wā e pokanga ana | Te whakaurunga ngongo, te whakapūngao rānei. |
| Ngā mate urutā | Ngā mate urutā o te pūnaha manawa pērā i te rewharewha me te makariri. |
Me pēhea te mahi i te pokanga?
Mā te tohunga taringa, ihu, me te korokoro (taote ENT) tēnei pokanga e mahi, he tākuta he tohungatanga motuhake ki te ara korokoro me ngā aho reo.
I mua i te pokanga
Me whai koe i ngā tohutohu a tō tākuta kia tika. Hei tauira:
- Kaua e kai me te inu i roto i ētahi haora i mua i te pokanga.
- Ki te kai paipa koe, kati.
- Me mutu pea te tango i ētahi rongoā me ngā huaora. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.
I te wā o te pokanga
Ka mahia te tākihi i roto i te rūma pokanga. I te nuinga o te wā, kāore koe e tino whakamoea. Ko te kaki anake ka whakangāwarihia, ā, ka mahia te pokanga i a koe e ara ana. Nā te mea me tirotirohia tō reo i te wā o te pokanga, ā, me tika te whakanoho i te mea i whakatōkia.
1. Tuatahi, ka tapahia e te tākuta tētahi wahi iti ki tō kaki.
2. Muri iho, ka hangaia he matapihi iti mā roto i te arai (pouaka reo) kei reira te taura reo kua pararutiki.
3. Kātahi, i muri i te tono atu kia kōrero koe, ka whakarongo rātou ki tō reo, ka whakauru i tētahi mea kua hangaia kia rite ki tōna āhua. Mā tēnei ka panaia te taura reo kore mahi ki waenganui, kia māmā ake ai te tukinga ki ētahi atu taura reo.
4. Kia tino pai te reo, ka katihia te tapahi ki ngā tuitui ka taea te rewa.
He aha ngā mea ka tupu i muri i te pokanga? Me aha ahau kia tere ai te ora?
Tērā pea ka taea e koe te hoki ki te kāinga i taua rā anō i muri i te pokanga, me noho rānei koe ki te hōhipera mō te pō. He tino angitu te pokanga, ā, he tokomaha te hunga e kite ana i te whakapainga mārama o ō rātou reo.
Pērā i ngā pokanga katoa, he iti noa te tūponotanga o te pangia me te toto. Ka toe he koha iti ki te kaki. Tērā pea ka mamae te kaki mō te wā poto, ka rerekē te reo, ka uaua hoki te horomi mō ētahi rā i muri i te pokanga.
Engari kia maumahara, he onge noa iho ēnei pānga taha ka pumau. Ka memeha haere i roto i ētahi rā.
Whāia ēnei mahi hei whakaora wawe:
- Whakangāwaritia tō reo: Whakangāwaritia tō reo mō ētahi rā i muri i te pokanga. Ko te tikanga tēnei me karo i te hamama, te kōrero nui, te kōrero rānei mō ngā wā roa. Kāore koe e hiahia kia noho puku rawa. Me taea e koe te kōrero noa i roto i te wiki pea.
- Ngā wai me ngā kai ngawari: Ki te mamae tō korokoro, inuhia he nui te wai. Kai i ngā kai ngawari pēnei i te parāoa me te miraka kawa i ngā rā tōmua.
- Kaua e tukua te tapahi kia mākū: Kaua e kaukau mō ngā rā e toru i muri i te pokanga. Kia maroke te tapahi me te takai.
- Tangohia tō rongoā kia rite ki te mea i whakaritea: Tangohia ngā paturopi, ngā steroids, me ngā rongoā whakamamae kia rite ki te mea i whakaritea e tō tākuta.
- Kaua e hiki i ngā taumaha: Kaua e hiki i tētahi mea taumaha atu i te 7 kg (15 lbs) mō ngā wiki e rua. Kaua e whakakorikori tinana pēnei i te oma. He pai te hikoi.
- Whakaora Reo: Ki te tūtohutia e tō tākuta, me toro atu ki tētahi kaiwhakaora reo mō ētahi tohutohu.
Āhea koe me waea atu ki te tākuta tonu?
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, waea atu ki tō tākuta, haere rānei ki te hōhipera tonu atu.
| Āhuatanga hei aro atu | Whakaahuatanga |
|---|---|
| Te uaua ki te manawa | He āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata. |
| Mamae nui | Te mamae nui e kore e taea te whakahaere ahakoa te rongoā. |
| Ngā tohu o te mate | He kirika, he wai rite ki te pupuhi kōwhai e maringi mai ana i te patunga i tapahia. |
| Te pupuhi, te toto rānei | Te pupuhi nui (edema) te toto rānei i te wāhi i tapahia. |
Karere Tangohia ki te Kāinga
- He tikanga pokanga angitu te Thyroplasty hei whakaora i te mahi a te taura reo kua ngoikore, kua kore rānei e mahi tika.
- Ma tenei ka tino pai ake to reo, ka whakatau hoki i nga raru penei i te uaua ki te horomi.
- Ka mahia tēnei pokanga e te tohunga taringa, ihu, me te korokoro (taote ENT).
- Ki te mea he roa te wā e pāngia ana koe e te raruraru reo, kaua e whakama, kaua hoki e wehi, engari me toro atu ki te tākuta, me te rapu tohutohu.
- He mea tino nui kia tino whai i ngā tohutohu a te tākuta kia tere ai te ora i muri i te pokanga.
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