Kua kite koe i tāu tamaiti e kōrero ana me te ihu pakupaku, te reo korekore? Tērā pea ka rongo koe i te oro pakupaku o te hau ina whakahuahia e rātou ngā oro pēnei i te "p," "b," "t" rānei? Ahakoa he maha ngā mātua e whakahē ana i tēnei hei wāhanga noa, i ētahi wā ka tohu pea i tētahi mate hauora kei raro. Kaua e manukanuka—i Nirogi Lanka, kei konei mātou hei āwhina i a koe ki te mārama ki ngā mea e pā ana.
He aha te ngoikore o te roro (Velophoryngeal Insufficiency - VPI ) i ngā kupu māmā noa iho?
He ahua uaua te ingoa, engari he tino māmā te ariā. Me wehewehe tātou.
Whakaarohia tō korokoro he tatau iti kei waenganui i tō waha (waha) me tō ihu (ihu). Ka kiia tēnei ko te 'velopharyngeal sphincter'. He mowhiti uaua tēnei. Ina kōrero tātou, ina horomi rānei, ka kati pūmau tēnei tatau kia kore ai e puta te hau ki roto i te ihu. Hei tauira, ina kī koe "papa," ka nui haere te pēhanga hau i roto i tō waha; nā te mea kua kati taua tatau, kāore he hau e puta mā roto i tō ihu.
Ka puta te ngoikore o te ihu (Veloropharyngeal Insufficiency - VPI ) ina kore e kati katoa tēnei tatau, te sphincter rānei, ka waiho he āputa. Nō reira, ka puta te hau ki roto i te kōhao ihu i te wā e kōrero ana, ka puta he reo motuhake e rite ana ki te ihu. I ngā wā kino rawa atu, ka turuturu pea ngā wai ki roto i te ihu i te wā e inu ana.
Ki te kī māmā noa, ko te tikanga o te VPI kāore te takirere uaua i waenganui i tō waha me tō ihu e kati tika, ka puta te hau mā roto i te ihu i a koe e kōrero ana.
Ko wai te mea tino mōrearea?
Ahakoa ka pāngia te tangata e te VPI, he maha ngā āhuatanga e kitea ai tēnei i roto i ngā tamariki:
- Ngā Raru Whānau: Ka whānau mai ētahi tamariki me ngā rerekētanga hanganga o te waha, pērā i te waha ngatata . Ko ētahi atu he poto ake te waha ngohengohe i te tikanga.
- Ngā Tonsil me ngā Adenoids kua Rahi: Ina rahi ēnei repe, ka āraia e rātou te 'sphincter' kei kati tika.
- Ngā Āhuatanga Ira: Ko ngā āhuatanga pēnei i te Down syndrome me te neurofibromatosis he mea hono pinepine ki te VPI.
- Ngoikoretanga o te Uaua: Ka taea e ngā mate pūnaha io pērā i te pararutiki roro te ngoikore o ngā uaua o te waha, ka pā ki tā rātou nekehanga.
- Ngā Pānga i Muri i te Pokanga:
- Adenoidectomy (tango i ngā adenoids).
- Te tango i ngā tonsil (tonsillectomy).
- Ngā pokanga e pā ana ki te ngongoro pērā i te UPPP (uvulopalatopharyngoplasty).
- Ētahi atu Take: Ngā pukupuku i roto i te waha, te rongoā irahiko rānei mō ngā matepukupuku korokoro, ihu rānei.
He onge te pānga o te "stress VPI" ki ngā kaiwaiata e whakatangi ana i ngā taonga puoro parahi, rakau rānei, ki tētahi momo "stress VPI" rangitahi nā te nui o te pēhanga e pā ana ki ngā uaua o te korokoro.
He aha ngā tohu o te VPI?
Ki te whakapae koe he VPI tāu tamaiti, kia mataara ki ēnei tohu haumanu.
| Tohu | Whakamārama Māmā |
|---|---|
| Kōrero Ihu Nui | Te tohu matua: ka tangi te reo me te mea kei te mātao tonu te tangata, kei te pupū rānei tōna ihu. |
| He uaua ki ngā oropuare motuhake | Ka muhu ngā oro e hiahia ana ki te pēhanga (p, b, t, d, k, g) nā te mea ka turuturu te hau ki roto i te ihu. |
| Te putanga hau ihu e rangona ana | Tērā pea ka rangona e koe he oro whiowhio, he oro ngongoro, he oro pupuhi rānei e puta mai ana i te ihu i te wā e kōrero ana. |
| Regurgitation | I ngā take kino, ka uru pea ngā wai, ngā kai rānei ki roto i te ihu i te wā e inu ana, e kai ana rānei. |
He aha te pānga o te VPI ki te mārama o te kōrero?
Ina kōrero tetahi tangata whai VPI, ka kite pea koe:
- Ngā wā okiokinga rite ki te whakarāpopoto i waenganui o ngā rerenga kōrero.
- He kounga reo whakangūngū .
- He oro 'pūpū', 'tītī', 'whengū' rānei e rangona ana i te ihu.
- Ko te māramatanga mārama ko te reo e puta mai ana i te ihu, kaua i te waha.
Me pēhea te tātaritanga o te VPI?
Ki te kite koe i ēnei tohu, ko te mahi pai ko te toro atu ki tētahi tohunga ENT (Taringa, Ihu, me te Korokoro). Tērā pea ka tūtohu rātou i ēnei aromatawai e whai ake nei:
1. Whakamātautau Tinana: Ka tirohia e te tākuta te waha mō ngā āhuatanga rerekē o te hanganga e kitea ana.
2. Tātari Kōrero: Ka whakarongo te tohunga ki te kōrero a tāu tamaiti hei tautuhi i ngā tauira VPI motuhake.
3. Nasoendoscopy: Ka tukuna he ngongo iti, ngāwari me te kāmera me te mārama mā roto i te ihu kia taea ai e te tākuta te tiro i te sphincter i te wā tonu me te kite i tana nekehanga i te wā e kōrero ana.
4. Ataata-whakaataata: He rangahau hihi-X motuhake e horomia ai e tāu tamaiti he wai rerekē kore kino (barium). Mā tēnei ka taea e te tākuta te mātaki i tētahi ataata o ngā nekehanga o te waha me te korokoro i a rātou e kōrero ana, e horomia ana hoki.
He aha ngā maimoatanga mō te VPI?
Mena kua tāpaetia koe, tāu tamaiti rānei ki te VPI, kia māia koe, kaua e mataku. Kei te wātea ngā kōwhiringa maimoatanga tino whai hua. Ko ēnei maimoatanga e rua ngā wāhanga matua.
1. Whakaora Kōrero
He wāhanga nui tēnei o te tukanga whakaora. Ka mahi tahi tētahi Kaiwhakaora Kōrero motuhake me koe, me tāu tamaiti rānei, ki te whakapai ake i ngā tauira kōrero, me te whakaiti i te kounga o te reo ihu. He maha ngā wā, ka hiahiatia te whakaora kōrero i mua atu, i muri mai hoki i te pokanga, nā te mea me ako te tamaiti ki te whakaputa tika i ngā oro ina whakatikatikaina te hanganga tinana o te waha.
2. Pokanga
I te nuinga o te wā, ko te pokanga te otinga tino tika mō te VPI. Ko te whāinga matua o te pokanga he whakakī i te āputa i waenganui i te ihu me te korokoro, me te whakarite kia noho mārama te ara manawa mō te manawa noa. I runga i te āhua o tāu tamaiti, ka whiriwhiri pea tō taote pokanga i ētahi tikanga:
- Te hanga anō i te waha ngohengohe hei whakapai ake i tana mahi.
- Te whakanui ake i te pakitara o muri o te korokoro hei whakaiti i te tawhiti ki te waha.
- Te whakaroa, te whakarite anō rānei i ngā uaua o te waha ngohengohe.
- Te hanga i tētahi 'paki o te korokoro' mā te whakamahi i te kiko mai i te tuarongo o te korokoro hei whakakī i te āputa, ka tino kati ai te āputa.
Mō te hunga kāore e pai ki te pokanga, e hiahia ana rānei ki tētahi atu momo pokanga, ka taea te whakamahi i tētahi 'whakapai niho' kua whakaritea kia rite ki te taputapu pupuri niho. Ka āwhina tēnei taputapu ki te pana i te waha ki runga hei kati i te āputa, ahakoa he uaua pea te whakamahi tonu mō te wā roa.
He Mōrearea kei te Pokanga?
Pērā i ngā tikanga pokanga katoa, he iti noa ngā mōrearea e pā ana ki te pokanga VPI, ahakoa he onge noa ngā raruraru.
- Kōrero hyponasal: Ka puta tēnei ina tino iti rawa te tangi o te ihu i muri i te pokanga, ka puta he reo e rite ana ki te mea kei te pāngia te tangata e te makariri tonu.
- Te uaua ki te manawa mā te ihu.
- Te ngongoro, te mate moe ārai rānei.
- I ētahi wā, kāore pea te kounga o te 'hypernasal' (te tangi o te ihu) e tino ea, e hiahiatia ana rānei he pokanga whakatikatika anō.
Ka matapakihia e tō tākuta ēnei āhuatanga ki a koe i te wā e kōrero ana koe i mua i te pokanga.
E 85% pea te angitu o ngā pokanga VPI, arā, ko te nuinga o ngā tamariki ka kite i te whakapainga nui. Heoi, i ētahi wā, ka mau tonu pea ngā tohumate, ka hiahiatia rānei ētahi atu tikanga hei whakatutuki i te hua e hiahiatia ana.
Me aha ahau mēnā kei te pāngia taku tamaiti e tēnei āhuatanga?
Ko te mahi nui ko te toro atu ki tētahi tohunga i te wā e taea ai. Ki te kite koe i ngā tauira kōrero rerekē, i ngā tikanga rānei—ina koa mēnā he rite tonu te reo ki te ihu—kaua e warewarehia ēnei tohu.
Ko te wawaotanga wawe ka puta ngā hua pai rawa atu. Mā te whakaroa i te maimoatanga ka taea e te tamaiti te whakawhanake i ngā tikanga kōrero kino ka uaua ake te whakatika i a ia e pakeke haere ana.
Kāore he huarahi motuhake hei ārai i te VPI, nā te mea he maha ngā wā ka whānau mai, ka pāngia rānei e ētahi atu mate hauora.
Karere Tangohia ki te Kāinga
- Ka puta te ngoikore o te manawa (Veloropharyngeal Insufficiency - VPI) ina kore e kati tika ngā uaua i waenganui i te waha me te korokoro, ka puta te hau mā te ihu i te wā e kōrero ana.
- Ko te tohu matua ko te reo 'ihu'. Tērā pea ka kite koe i te uaua ki te whakapuaki i ngā oropuare pēnei i te 'p', 'b', me te 't'.
- Ko ngā take pea ko te ngatata o te waha, te rahi o ngā adenoids, ngā raruraru rānei i muri i ngā pokanga o mua.
- Ki te kite koe i ēnei panonitanga o te kōrero a tāu tamaiti, me toro atu ki te tākuta tonu.
- He whakamahara a Nirogi Lanka ki a koe he tino whai hua te whakaora kōrero me te pokanga. Mā te rapu tohutohu ngaio tere ka puta he hua pai rawa atu mō tāu tamaiti.
Te ngoikore o te waha o te ihu, VPI, kōrero ihu, reo ihu, kōrero ihu nui, waha ngatata, whakaora kōrero, mate kōrero i roto i ngā tamariki, ENT, Nirogi Lanka
