E kōrero ana tāu tamaiti mā roto i tōna ihu? Akohia te Velopharyngeal Insufficiency (VPI)

Ina kōrero tāu tamaiti , ka rongo koe i tētahi oro "ihu", me te mea kei te puta mai tōna reo i tōna ihu? I ētahi wā ina kīia e ia ngā reta pēnei i te "प", "ब", "त" ka puta he oro ihu pōturi? He maha ngā mātua e whakaaro ana he mea noa tēnei, engari i ētahi wā he take hauora kei muri. Kaua e manukanuka, i tēnei rā ka kōrero tātou mō tēnei āhuatanga.

He aha te ngoikore o te roro (Velophoryngeal Insufficiency - VPI )?

Ahakoa he ahua uaua te ahua o tēnei ingoa, he tino māmā noa iho te kaupapa. Kia mārama tātou ki tēnei.

Whakaarohia he tatau kei waenganui i tō tātou waha (kōhao waha) me te kōhao i roto i tō tātou ihu (kōhao ihu). Ka kiia tēnei tatau ko te 'velopharyngeal sphincter'. He mowhiti uaua tēnei. Ina kōrero tātou, ina horomi rānei, ka kati pūmau tēnei tatau, ka ārai i te hau kei uru ki roto i tō tātou ihu. Hei tauira, ina kī tātou "taro", ka hangaia te pēhanga hau e tae atu ana ki te reta "p" i roto i tō tātou waha. I taua wā, ka kati te tatau, kia kore ai te hau e puta ki roto i tō tātou ihu.

Ko te Velopharyngeal Insufficiency ( VPI ) he āhuatanga e kore ai e kati tika te tatau, te 'sphincter' rānei. Ko te tikanga he āputa iti kei te toe. Ka ahatia? Ina kōrero tātou, ka puta te hau e tika ana kia puta mai i roto i ō tātou waha ki roto i ō tātou ihu. Koia te take e tangi ai tō tātou reo i te ihu. I ētahi wā kino, ka puta ake mā roto i ō tātou ihu ina inu tātou i tētahi mea wai pērā i te wai.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?

Ahakoa ka taea e te tangata te pāngia e te VPI, he mea tino noa i roto i ngā tamariki. He maha ngā āhuatanga e whai wāhi ana ki tēnei.

• Ngā raruraru whānau: Ka whānau mai ētahi tamariki me ētahi raruraru ki ō rātou waha. Hei tauira, ko ngā tamariki he waha ngatata, ka pāngia pea e tēnei āhuatanga. Waihoki, ka poto ake pea te waha ngohengohe o ētahi tamariki i te whānautanga.
• Te whakanui i ngā tonsil me ngā adenoid : I roto i ētahi tamariki, ina whakanuia ngā tonsil i roto i te korokoro, ngā adenoid rānei i muri i te ihu, ka raru pea tēnei i te 'sphincter' i kōrerotia e mātou.
• Ngā āhuatanga ira: Te mate DownKa taea hoki te puta te VPI me ētahi āhuatanga ira, pērā i te Down syndrome, te neurofibromatosis rānei.
• Te ngoikore o te uaua: Ka ngoikore pea ngā uaua o te mahunga nā ngā mate pūnaha io pērā i te pararutiki roro, ā, kāore e mahi tika.
• Ko ētahi pokanga:
• Te tango i te adenoid.
• Te tango i ngā tonsil.
• He pokanga hei tango i te kiko mai i te tuarongo o te korokoro (pokanga UPPP) mō ngā āhuatanga pēnei i te ngongoro .
• Ētahi atu take: Ka taea hoki e te VPI te puta mai i te whai pukupuku i te angaanga, i te whiwhi rānei i te rongoā irahiko mō te mate pukupuku korokoro/ihu.

He onge te pānga o te ahotea ki ngā kaiwaiata e whakatangi ana i ngā taonga puoro parahi, rakau rānei, i tētahi āhuatanga rangitahi e kiia nei ko te "stress VPI".

He aha ngā tohu o te tangata whai VPI?

Ki te whakapae koe he VPI tāu tamaiti, kia tūpato ki ēnei tohu.

He pēhea te tangi o te reo i te āhuatanga VPI?

Hei whakamārama ake, ina kōrero tetahi tangata whai mate pēnei, ka rongo pea koe i ngā mea penei:

• Te āhua nei ka mau te kōrero i waenganui, ā, ka mutu te kōrero i tētahi āhua rerekē.
• Kāore i te mārama te reo, te āhua nei he muhumuhu (he kōrero muhumuhu).
• I a koe e kōrero ana, tera pea ka rangona he tangi 'pū', he tangi 'tītī', he tangi 'hū' rānei, me te mea kua purua tō ihu .
• He mārama te āhua nei kei te kōrero koe mā roto i tō ihu, kaua mā roto i tō waha.

Me pēhea te mohio ki tēnei āhuatanga?

Ki te kite koe i ēnei tohu i roto i tāu tamaiti, ko te mea pai ko te toro atu ki te tākuta. Ko te tohunga taringa, ihu, me te korokoro (taote ENT) te tangata pai rawa atu mō tēnei. Ka whakahaerehia e ia ētahi whakamātautau hei whakaū i te mate.

1. Whakamātautau tinana: Tuatahi, ka pā te tākuta ki te waha o te tamaiti kia kite ai mēnā he āhuatanga rerekē kei roto.

2. Tātari kōrero: Tukua te tamaiti kia kōrero, kia whakarongo pai hoki ki ngā oro e mōhiotia ana e te VPI.

3. Nasoendoscopy: I roto i tēnei, ka whakauruhia he ngongo angiangi, ngāwari me te kāmera me te mārama ki roto i te ihu, ā, ka titiro tika te tākuta ki te mata hei tirotiro mēnā ka kati te sphincter ina kōrero koe, mēnā rānei he āputa. Ahakoa he ahua kore whakamarie tēnei, he mea tino nui mō te tautuhi tika.

4. Ataata-whakamātautau: He whakamātautau hihi-X motuhake tēnei. Ka hoatu he wai e kīia ana ko te barium hei inu mā te tamaiti, ā, ka whakaatuhia e te hihi-X te nekehanga o ngā wāhanga o te waha me te korokoro i a rātou e horomi ana, e kōrero ana hoki.

He aha ngā maimoatanga mō te VPI?

Kia whakaūtia te tūnga VPI, kāore he mea e wehi ai. He maimoatanga whai hua kei reira mō tēnei. Ka taea te wehewehe i ngā tikanga maimoatanga ki ngā wāhanga matua e rua.

1. Whakaora Kōrero

He wāhanga tino nui tēnei. Ka whakaakona te tamaiti e te kaiwhakaora kōrero ki te kōrero mā te VPI i roto i tētahi huarahi e whakaiti ana i te tangi o te ihu i roto i te reo. I ētahi wā, me whai whakaora kōrero i mua atu, ā, i muri mai hoki i te pokanga. I muri i te pokanga, me ako te tamaiti ki te whakapuaki i ngā oro i tētahi ara hou.

2. Pokanga

I te nuinga o te wā, ko te rongoā tuturu mō te VPI ko te pokanga. Ko te whāinga matua o te pokanga he kati i te āputa i waenganui i te ihu me te waha. Heoi, me tūpato kei aukati i te manawa o te ihu. I runga i te āhua o te tamaiti, ka whakamahia pea e te tākuta ngā tikanga pokanga rerekē.

• Te whakarerekē i te āhua o te waha ngohengohe.
• Ka paku mātotoru ake te pakitara o te korokoro, ka whakaiti hoki i te tawhiti ki te waha.
• Te totoro, te whakangungu anō rānei i ngā uaua o te nikau.
• Ka tangohia he pūwero uaua ('pūwero pharyngeal') mai i te pakitara o muri o te korokoro ka whakapirihia ki te tuanui o te waha. Mā tēnei ka kati te āputa.

I ētahi wā, mō te hunga kāore e taea, kāore rānei e hiahia ki te pokanga, ka whakanohoia he taputapu motuhake ('waha prosthetic') ki roto i te waha, he rite ki te retainer e whakanohoia ana ki runga i ngā niho. Ka mahia tēnei hei pana i te tuanui o te waha ki runga, hei kati i te āputa. Heoi, he uaua pea te whakamahi tonu i ēnei.

He tūponotanga kei roto i te pokanga?

Pērā i ngā pokanga katoa, tera pea ētahi mōrearea iti i roto i te pokanga VPI, engari kāore ēnei e puta i te nuinga o te wā.

• Kōrero hyponasal: Ko te tikanga o tēnei, i muri i te pokanga, ka iti iho te tangi e puta mai ana i te ihu i te mea noa, ā, ka rite te reo ki te mea nō te makariri.
• Te uaua ki te manawa mā te ihu.
• Te ngongoro me te apnea moe aukati.
• I ētahi wā, ahakoa i muri i te pokanga, kāore pea te reo o te ihu e ngaro katoa (te reo hypernasal speech), engari ka piki ake pea.

Ka kōrero taipitopito atu tō tākuta ki a koe mō tēnei mea i mua i te pokanga.

Me aha ahau mēnā kei taku tamaiti tēnei āhuatanga?

Ko te mea nui ko te toro atu ki te tākuta i te wā e taea ai, me te rapu tohutohu. Ki te kite koe i ngā tauira, i ngā tikanga, i ngā oro rerekē rānei i roto i te kōrero a tāu tamaiti, inā koa mēnā he reo ihu te reo, kaua e warewarehia.

Nā te mea ka tere te rongoā i tēnei mate, ka pai ake ngā hua. Ki te kore, ka whanake pea te whanonga o te tamaiti ki te kōrero hē, ā, ka uaua pea te whakarerekē i taua whanonga i muri mai.

Kāore he huarahi motuhake hei ārai i tēnei mate, nā te mea he maha ngā wā ka whānau mai, ka puta mai rānei i ētahi atu mate hauora.