Kei te uaua ohorere tō manawa? Me ako tātou mō te ngoikore o te taura reo / te aukati i te arai o te waha!

Kei te āhua ohorere koe i ētahi wā, ā, kāore e taea te manawa? Kua pā pea tēnei ki a koe i a koe e kōrero ana, e whakakorikori tinana ana, e noho puku ana rānei. Ahakoa he āhua whakamataku, i tēnei rā ka kōrero tātou mō tētahi āhuatanga ka puta ai tēnei. Ko te Vocal Cord Dysfunction (VCD) tēnei, i ētahi wā ka kiia ko Inducible Laryngeal Obstruction (ILO) .

He aha te ngoikore o te taura reo (VCD/ILO)?

Hei whakarāpopototanga, koinei te wā kāore e mahi tika ai ō taura reo , te wāhanga rānei o tō korokoro e whakahaere ana i tō reo, e kiia nei ko te larynx (pouaka reo) . Whakaarohia, i a tātou e manawa ana i te tikanga, me tuwhera ō tātou taura reo kia tukuna te hau ki roto i ō tātou pukahukahu. Engari i roto i tēnei āhuatanga e kiia nei ko te VCD, i a koe e manawa ana, ka ngana ō taura reo ki te kati, ki te kati rānei i te wā hē. Nā tēnā ka uaua te manawa, tika?

He māmā ake te mārama ki tēnei mēnā ka ako koe i ētahi atu kōrero mō ō tātou taura reo. He kiko uaua ēnei e rua i roto i tō tātou arai. He rite ēnei ki ngā tatau iti e rua i roto i tō tātou korokoro.

• Ina manawa tātou: ka tuwhera ēnei tatau e rua, ka taea te hau te tomo ki roto i ngā pukahukahu me te kore he ārai.
• Ina kōrero tātou: Ka honoa ēnei tatau e rua, ka tūtaki ki waenganui, ka wiri. Ko taua wiri te mea e whakaputa ana i tō tātou reo. Waihoki, ina horomia e tātou tetahi mea, ina horomia e tātou te korokoro, ina maremare rānei, ka honoa ēnei taura reo, ā, ka kati hei ārai i aua mea kei uru ki te puku o te ihu.

Nā, ko te mea ka pā ki te tangata whai VCD, ina ngana rātou ki te manawa, ka kati hē ngā taura reo i te wā e tika ana kia tuwhera. Koia te take ka puta ai ngā āhuatanga pēnei i te uaua ki te manawa me te kōkō. Mō ētahi tāngata, ka tupu pinepine tēnei, ā, ka tino kino. I taua wā, ka rite ki te tino uaua ki te manawa.

He aha ngā tohu o tēnei mate?

Mena he ngoikore tō taura reo (VCD), tera pea ka rongo koe i te pupuhi i roto i tō korokoro (he ahua pupuhi i roto i te korokoro ) he kikī rānei i roto i tō korokoro. Tērā atu ētahi atu tohu, tirohia mēnā e mōhio ana koe ki ēnei:

• Te uaua ki te manawa: Koinei te tohu matua, ā, he maha ngā wā ka tino whakamataku. E ahua ana koe kei te whakamomori koe, me te mea kāore e taea e koe te manawa ki roto i tō korokoro.
• Kei te hiahia tonu koe ki te horoi i tō korokoro , me te mea kei te mau tetahi mea i roto i tō korokoro.
• Te pōuriuri, te māuiui rānei (te pōuriuri).
• He āhua kei te kōkō koe, kei te mōmona rānei.
• Ka puta mai he oro i te korokoro ina manawa koe ki roto (he stridor, he haruru rānei i te manawa). Tērā pea ka rite ki te oro whooshing.
• Te māuiui i roto i ō ringaringa me ō waewae.

He aha tēnei e tupu nei? He aha ngā take?

Kāore anō kia tino mārama ngā tohunga he aha te tino take o tēnei. Engari e whakapono ana rātou he maha atu i te kotahi te take. Ko ngā mea ka taea te whakaoho, te tīmata, te kino rānei i tēnei āhuatanga ka taea te wehewehe ki ētahi wāhanga:

• Te aukati i te arai o te ihu e puta mai ana i te whakakori tinana (EILO): E ai ki te ingoa, he āhuatanga tēnei e puta ana i te wā e whakakori tinana ana. He mea tino noa tēnei i waenga i ngā kaitākaro taitamariki . Hei tauira, whakaarohia i a koe e takaro ana i ngā hākinakina kura, e oma ana, e pekepeke ana rānei, ka uaua ki a koe te manawa.
• Ētahi atu āhuatanga hauora: Ka taea hoki e ētahi āhuatanga hauora te whakanui ake i te mōrearea o te VCD. Hei tauira:
• Mate huango
• Te Mate Reflux Gastroesophageal (GERD) (Ka kiia e mātou ko te reflux waikawa, te heartburn, koinā te tikanga)
• Ngā mate urutā o runga (hei tauira, te makariri, te mate korokoro)
• Ngā āhuatanga hauora hinengaro: Ka taea hoki e ētahi āhuatanga hauora hinengaro te whakararu i te VCD. Ko ngā mea pēnei i te ahotea me te manukanuka i puta mai i ēnei ka pā ki te mahi a ngā taura reo. Hei tauira:
• Mate Manukanuka Whānui
• Te pouri haumanu
• Te Mate Whaiaro Āwangawanga-Ārai (OCPD)
• Te Mate Auau i Muri i te Whara (PTSD)
• Ngā mea whakapataritari e hongihia ana e koe: I ētahi wā ka puta tēnei i ngā mea e hongihia ana e tātou. Ka taea e ēnei te waiho hei 'whakaoho', hei whakaoho rānei, mō ō tātou taura reo. Anei ētahi tauira:
• Hau tino makariri, hau maroke.
• Ngā hau paitini, pērā i te haukini, te mākū rānei.
• Ngā matū horoi mō te horoi i ngā whare me ngā kaukau.
• He kakara kaha, he hinu kakara rānei, he paoa whakakakara.
• Auahi, arā, ehara i te mea ko te auahi hikareti anake, engari ko te auahi mai i ngā oumu rakau, i ngā putanga hau o ngā waka, me ētahi atu momo tahunga.

Me pēhea te tautuhi a ngā tākuta i tēnei mate?

Ina hoki, he uaua pea tēnei āhuatanga ki ngā tākuta ki te tātaritanga tonu, nā te mea he rite tonu ngā tohu ki ētahi atu mate manawa, pērā i te mate huango. Kua whakaatuhia e ētahi rangahau he maha ngā wā ka pohehe ngā tākuta i te ngoikore o te taura reo (VCD) hei mate huango , hei mate puku rānei (he mate manawa e pā ana ki ngā tamariki nohinohi).

Nō reira, kia tino mōhio ai koe ki tēnei, ka mahi te tākuta i ēnei mea:

1. Ka whakahaerehia he whakamātautau tinana .

2. Pātai atu mō tō hītori hauora katoa (ngā mate o mua, ngā rongoā e tangohia ana e koe, mēnā kua pāngia tētahi o tō whānau e ngā āhuatanga ōrite, me ētahi atu).

3. Pātai atu mō ngā mahi, ngā pānga rānei i pā ki a koe i mua i te putanga mai o tēnei manawa poto (hei tauira, i whakakorikori tinana koe? I pāngia koe e tētahi kakara?).

Hei tāpiritanga, ka taea hoki te whakahaere i ēnei whakamātautau:

• Te tirotiro i te waha: Koinei te whakamātautau tino nui. Ko te tikanga o tēnei ko te whakauru a te tākuta i tētahi kāmera iti ki roto i tētahi ngongo angiangi, ngāwari ki roto i tō ihu, i tō korokoro rānei, hei tirotiro i ō taura reo. Kaua e manukanuka, ka whakarite rātou kia pai tō noho i a rātou e mahi ana i tēnei (tērā pea ka hoatu e rātou he rongoā hei whakangāwari i tō korokoro). Mā tēnei ka taea e rātou te kite i te whakatuwheratanga me te kati o ō taura reo ina manawa koe, ina kōrero koe. I ētahi wā, i a te tākuta e tirotiro ana i tō korokoro, ka taea hoki e rātou te mahi i tētahi mea ka whakaoho i te VCD (hei tauira, ka tono pea rātou kia hongi koe i tētahi kakara, kia tango rānei i ētahi manawa tere). Ka kiia tēnei he whakamātautau whakaohooho . Mā tēnei ka taea e rātou te kite i te mea e pā ana ki ō taura reo ina uaua koe ki te manawa.
• Ngā whakamātautau mahi a te pūkahukahu me te ine manawa: I roto i ēnei whakamātautau, ka tonoa koe kia manawa ki roto, ki waho hoki ki roto i tētahi taputapu e kiia nei ko te ine manawa . Ka ine tēnei i te nui o te hau ka taea e koe te manawa me te whakaputa manawa, me te tere o te whakaputa manawa. Ka mahia e tō tākuta tēnei whakamātautau hei whakakore i ētahi atu mate, pērā i te mate huango. I ētahi wā, ko ngā huringa o te porowhita rere-rahi (porowhita rere-rahi) mai i tēnei whakamātautau ka tohu pea kei a koe te VCD. Engari ko te mea nui kia maumahara ko ēnei whakamātautau mahi a te pūkahukahu anake kāore e taea te kī tino mēnā kei a koe te VCD. He aratohu noa iho ēnei.

He aha ngā maimoatanga mō tēnei?

Tērā pea ka rerekē ngā kōwhiringa maimoatanga i runga i tō āhua, tae atu ki ngā mea e pā ai tō manawa poto, te auau o tōna putanga mai, me te kaha o ō tohumate (ngāwari, ngāwari, ngāwari rānei). Ko ngā maimoatanga noa mō te ngoikore o te taura reo (VCD) ko:

• Te whakaora i te manawa: Koinei te maimoatanga tino nui, tino whai hua hoki . Mā ngā tohunga reo kōrero motuhake koe e ako ki ngā mahi manawa. Mā ēnei mahi koe e āwhina ki te whakahaere i tō manawa ina he VCD tāu. Ka ako koe ki te whakangāwari i ō taura reo me te whakarerekē i tō tauira manawa. Hei tauira:
• Te manawa ngutu pūweru: Te tuku i te manawa me ngā ngutu pūweru, me te mea kei te whiowhio koe. Mā tēnei ka āwhina kia tuwhera tonu ngā ara manawa.
• Manawa puku: Ka kiia tēnei ko te manawa hōhonu me te mārie.

I ētahi wā, mā te torutoru noa o ngā wā o tēnei whakaora manawa ka taea te whakaiti i ngā tohumate. Ki te ako tika koe i tēnei, ka taea e koe te whakahaere i tēnei mate.

• Te rongoā i ngā āhuatanga whakaoho: Hei tauira, ki te mea he mate pūmau tōu pērā i te GERD (mate reflux gastroesophageal) , he mea nui kia rongoā tika. Ka taea e te waikawa o te puku te pupuhi me te whakararuraru i ō taura reo ina hoki mai ki roto i tō korokoro. Ka tūtohu hoki ngā tākuta kia whakahaeretia, kia rongoātia hoki te makariri me ētahi atu mate ka taea te whakaoho i ngā tohumate VCD. Mena he take whai wāhi te ahotea, te manukanuka rānei, he mea nui hoki kia rapu tohutohu, kia rapu maimoatanga rānei mō ēnā.

Ka taea te whakaora katoa i tēnei mate?

Kāore, kāore anō kia kitea he rongoā mō tēnei . Kaua e manukanuka. He āhuatanga ngāwari te whakahaere. Ka taea e ngā tākuta te āwhina i a koe ki te kimi i ngā take e raru ai te mahi a tō taura reo (VCD). Ka taea hoki e rātou te tūtohu i ngā maimoatanga, inā koa ngā mahi manawa, hei āwhina i a koe ki te whakahaere i tō manawa poto. Kātahi ka taea e koe te noho noa i te ao me te kore e pāngia e te manawa poto.

Me pēhea te ārai i tēnei mea kei tupu?

Ko te huarahi anake hei whakaiti i te putanga mai o tēnei uauatanga manawa ko te karo me te whakahaere i ngā pūtake me ngā āhuatanga e whai wāhi ana ki tō uauatanga manawa.

• Whakaarohia, ki te mōhio koe ka pāngia koe e ēnei tohu ina pāngia koe e tētahi matū i tō wāhi mahi, ka taea e koe te whakaiti i taua mōrearea mā te whakamahi i ngā taputapu manawa tiaki.
• Ki te mōhio koe he kino ngā mea pēnei i te hinu kakara kaha me te paowa mōu, ngana kia matara atu i aua mea.
• Mena kei a koe tētahi mate pēnei i te GERD, me tango e koe te kai me te rongoā e tika ana.
• Ki te puta tēnei i te wā e whakakorikori tinana ana, ka āwhina pea ngā mahi pēnei i te whakamahana i mua i te tīmatanga me te whakamatao i muri i te whakakorikori tinana. Me kōrero hoki ki tō tākuta mō ngā whakakorikori tinana e tika ana māu.

He mea mōrearea te ora mō tēnei ngoikore o te taura reo?

Ina hoki, ina puta tēnei āhuatanga VCD , ka āhua morearea te ora. He wheako tino whakamataku, ā, he wheako whakararuraru hoki. Engari ehara i te mea he āhuatanga morearea te ora. Nā te mea kua kati rawa ngā taura reo, ā, kāore e taea e koe te manawa, kāore koe e haere ki hea. Heoi, ki te uaua rawa tō manawa, me haere koe ki te tari urupare ohorere me te kore e whakaroa. Mā ngā whakamātautau e mahia ana i reira ka whakaatu pinepine kei te whiwhi tō tinana i te nui o te hāora e hiahiatia ana, ahakoa kāore koe e mōhio.

He mea nui:Mena he tino uaua ki te manawa, he uaua ki te kī atu mēnā he VCD, he mea kē atu rānei. Tērā pea he mate kino ake, pērā i te mate huango. Nō reira, he mea whakaaro nui kia rapu tohutohu hauora tonu.

Me pēhea taku tiaki i ahau anō?

He mea tino nui kia kōrerohia e koe tēnei mate ngoikore o te taura reo (ILO/VCD) me tētahi rōpū tākuta he tohungatanga (he tohunga ENT, he kaiwhakaora kōrero). Kātahi ka taea e koe te mārama ake ki ngā mea e pā ana ki a koe me te aha me mahi ina pāngia koe e tēnei momo uauatanga manawa (pēnei i ngā mahi manawa). Mā rātou e hanga he mahere whakahaere e hāngai ana ki a koe.

Āhea ahau me toro atu ki taku tākuta?

Mena kua tika te mahi a koe i ngā mahi manawa, kua whakahaerea ngā mate taketake (pēnei i te GERD), ā, kua karohia ngā mea e whakaoho ana i tēnei mate, engari kei te mau tonu ngā tohu, me toro atu ki tō tākuta. Tērā pea me whakarerekē tō maimoatanga, me nui ake rānei ngā whakamātautau e hiahiatia ana.

Mena he poto tō manawa, ā, kāore e memeha mō tētahi take, mena kei te haere tahi me te mamae o te uma, mena ka kikorangi ō ngutu, mena rānei kei te ngaro tō mohiotanga, waea atu tonu ki te Ratonga Āwhina Waka Suwaseriya 1990, haere rānei ki te tari urupare ohorere o te hōhipera tata.

Ngā mea hei maumahara mā tātou i kōrerotia e tātou (Karere hei kawe ki te kāinga)

He wā tō tātou katoa e uaua ai te manawa. Whakaarohia, ina kaha koe ki te whakakori tinana, ina oma koe i runga pahi, ina puta rānei he mea taumaha. Engari, ki te mea he ngoikore tō aho reo (VCD), he aukati rānei i te arai o te waha (ILO), tera pea ka uaua koe ki te manawa, kāore he take e kitea ana.

Ahakoa ehara te VCD i te mea mōrearea ki te ora, he wheako tino whakararuraru, whakamataku hoki. Nō reira, kāore e tika kia warewarehia. Ahakoa kāore e taea e ngā tākuta te whakaora katoa i tēnei mate, ka taea e rātou te āwhina i a koe ki te kimi i ngā mea e whakaoho ana i te mate. Ka taea hoki e rātou te whakaako i a koe i ngā tikanga maimoatanga, inā koa ngā mahi manawa, hei āwhina i a koe ki te whakahaere i tō manawa poto ina puta. Nō reira, ki te pāngia koe e ēnei tohu, he pai ake kia kaua e mataku, kia whakama rānei, engari me rapu tohutohu hauora. He tāngata kei reira hei āwhina i a koe, hei ārahi i a koe kia ora angitu ai me tēnei mate.

Te ngoikore o te taura reo, te aukati i te arai o te korokoro, te uaua ki te manawa, te pupuhi o te korokoro, te arai o te korokoro, te tirotiro i te arai o te korokoro