He rerekētanga kei roto i tō reo? Tērā pea nā te pararutiki o te taura reo tēnei!

Kei te rongo koe i ētahi wā he tino pāorooro tō reo, he rerekē rānei te āhua ina kōrero koe, me te mea he makariri koe? Tērā pea kei te mamae tō korokoro ahakoa kua inu wai noa iho, kāore rānei koe i te rongo i te poto o te manawa ina kōrero koe. Ehara i te mea he tohu makariri noa iho ēnei, engari ko te take pea o tēnei he mate e kiia nei ko te Pararutiki o te Aho Reo, ka kōrerohia e tātou i tēnei rā. Kaua e manukanuka, me kōrero noa tātou mō tēnei.

He aha te Pararutiki o te Taura Reo?

Ki te kī māmā noa, ko te ngoikore o te taura reo ko te kore e mahi tika tetahi, e rua rānei o ngā taura reo i roto i tō korokoro e whakaputa ana i tō reo. Whakaarohia ēnei hei aho o te kitā. Engari kei roto i tētahi pouaka iti i roto i tō korokoro e kiia nei ko te larynx . Kei runga ake i tō puku manawa (trachea) te larynx.

Ina manawa tātou, ka wehea ēnei taura reo e rua, ka taea ai te hau te uru ki roto i ngā pukahukahu. Ina horomia e tātou te kai, te inu rānei, ka piri pūmau ēnei uaua e rua, ka mau rānei te kai, te inu rānei ki roto i te puku o te manawa. Ina kōrero, ina waiata rānei tātou, ka honoa ēnei taura reo, ka wiri i te wiri o te hau mai i ngā pukahukahu, ka puta he oro.

Nā, ko te mea ka tupu i te ngoikore o te taura reo, ina pakaru ngā io e whakahaere ana i ēnei taura reo , kāore aua uaua e tuwhera, e kati tika rānei. Kātahi ka uaua ki te kōrero, ki te horomi, ā, i ētahi wā ka uaua ki te manawa. Kei te mārama koe?

He aha ngā momo ngoikoretanga o te taura reo?

E rua ngā momo matua:

1. Te pararutiki o te taura reo kotahi taha: Koinei te wā ka pararutiki te taura reo kotahi anake. Ina kore tetahi taha e mahi, tera pea ka rerekē te reo, ā, ka uaua pea ētahi tāngata ki te horomi. Heoi, i te nuinga o te wā kāore he uaua nui ki te manawa.

2. Te pararutiki o ngā taura reo e rua taha: I konei, ka pararutiki ngā taura reo e rua. He mate kino tēnei. Nā te mea ina pararutiki ngā taura reo e rua, ka mutu tata tonu. Kātahi ka āraia te ara manawa, ka uaua te manawa. Ka tūpono pea tēnei ki te ora.

Kia maumahara, ko te ngoikore o te taha kotahi te mea tino kitea. He onge te kore e pai te mahi a ngā taura reo e rua. Heoi, ka taea e ngā momo e rua te puta i ngā tau katoa.

Kia pēhea te kino o tēnei āhuatanga?

I roto i te pararutiki taha kotahi, ka rerekē ngā tohu mai i te ngawari ki te kino. Hei tauira, ka uaua pea ētahi tāngata ki te kōrero. I ngā wā tino kino, ka pāngia pea rātou e te poto o te manawa i a rātou e kōrero ana. Ka pāngia pea hoki rātou e te maremare me te mamae o te korokoro i a rātou e kai ana, e inu ana rānei.

I roto i te ngoikore o ngā hononga e rua, ka tata ngā taura reo tetahi ki tetahi, ka ārai i te ara manawa, ka tino uaua te manawa. Ka uaua hoki te horomi. Mēnā ka uru te kai, te inu rānei ki te ara manawa, ka uru ki ngā pukahukahu, ka puta he mate kino e kiia nei ko te niumōnia aspiration .

Ki te uaua koe ki te manawa, ki te horomi rānei, me toro atu ki te tākuta tonu.

He aha ngā tohu o te ngoikore o te taura reo?

Ko ngā tohu e whakawhirinaki ana ki te nui o te ngoikore o te oro me te tūnga o ngā taura reo tetahi ki tetahi.

Koinei ngā tohu e kitea whānuitia ana:

• Ka pāorooro te reo, ka ngoikore, ka rakuraku, ka hau nui rānei .
• Ngā panonitanga o te teitei o te reo.
• Ngā panonitanga o te rahi o te reo.
• Te uaua ki te manawa (Dyspnea) te ngaro rānei o te reo.
• Te haruru i a koe e manawa ana (hei tauira, he haruru pēnei i te whiowhio).
• Te uaua ki te horomi (Dysphagia).
• Te kore e taea te horoi i te korokoro i te maremare.
• Te kikī o te korokoro i te wā e ngana ana ki te horomi.

He aha te āhua o te taura reo kua mate?

Tērā pea kāore koe e rongo i tētahi kare ā-roto tika mai i ō taura reo. Engari, tērā pea ka rongo koe i ngā tohu i puta mai i ō taura reo kore mahi. Tērā pea ka tino pāngia koe e te taumahatanga me te ngenge i a koe e ngana ana ki te whakauru i te hau ki roto i ō pukahukahu, ki te whakaputa rānei i tō reo kia rite ki tāu e hiahia ana. Tērā pea ka rite koe ki te mea kua āraihia tō korokoro mēnā ka mau te kai, te inu rānei ki roto i tō pūkahukahu. Ko ētahi tāngata e whakaaro ana kei te kī tonu ō rātou korokoro i te hūpē, ā, kāore e taea te horoi.

Ka taea te kōrero me te ngoikore o te aho reo?

Ka taea e te nuinga o te tangata te kōrero, engari he nui te whakapau kaha. Ka kite koe i ngā panonitanga o tō reo. Tērā pea ka pāorooro koe i te wā e kōrero ana. Ki te nui rawa te ngoikore o te reo, tērā pea ka ngaro rawa tō reo.

He aha ngā take o te ngoikore o te taura reo?

He maha ngā take e pakaru ai ngā io e whakahaere ana i te nekehanga o ngā taura reo:

• Ngā mate pūnaha ārai mate: Ngā mate e whakararuraru ana i te whakawhitiwhiti kōrero i waenga i ngā io me ngā uaua, hei tauira , Myasthenia Gravis (MG) .
• Ngā Mate Pukupuku: Ka taea e ngā mate pukupuku pēnei i te mate Lyme, te herpes, te huaketo Epstein-Barr, me te COVID-19 te pupuhi me te kino ki ngā io e whakahaere ana i ngā taura reo.
• Whara: Ka pā kino pea ngā io ki te kaki, te māhunga, me te uma i ngā whara.
• Ngā mate io: Ngā mate e pā ana ki te whakangaromanga, te kino rānei o ngā io, pērā i te sclerosis maha (MS) , te mate a Parkinson , me te whiu .
• Ngā matū paitini:Ka taea e ngā paitini pēnei i te mata, te mercury, me te arsenic te kino i ngā kiko io.
• Pokanga: Ka taea e ngā pokanga o te upoko me te kaki, pērā i te tango i te tairoiti , te pokanga parathyroid, te pokanga ngākau, me te pokanga tuaiwi kaki, te whakararu i ngā io hei raruraru. Mā te whakamahi i te ngongo manawa i te wā o te pokanga ka taea hoki te whakararu i ngā io o te larynx.
• Ngā pukupuku: Ka taea e ngā pukupuku kino me ngā pukupuku pai te pēhi i ngā io o te larynx, ka pā kino. Ka taea e te mate pukupuku tairoi me ngā pona tairoi te pā kino i ēnei io.

I ētahi wā, ka puta he ngoikore o te taura reo i muri i te makariri, i te mate manawa o runga rānei. Kāore pea e taea e ngā tākuta te kimi i tētahi take motuhake. Ka kiia ēnei momo take he ngoikore o te taura reo idiopathic, he ngoikore rānei i muri i te huaketo .

Me pēhea te tautuhi a ngā tākuta i te ngoikore o te taura reo?

Ko ngā tākuta whakarongo, arā, ko ngā tākuta roro, ngā tākuta e tātaritanga ana, e rongoā ana hoki i tēnei mate. Tuatahi, ka pātai atu rātou ki a koe mō ō tohu me tō hītori hauora. Hei whakaū i te tātaritanga, ka tono pea tō tākuta i ngā whakamātautau pēnei i:

• Ngā rangahau whakaahua: Ka taea e ngā karapa MRI , CT rānei te tango pikitia taipitopito o te roro, te korokoro, ngā taura reo, te korokoro, te repe tairoi, me te uma. Ka taea e ēnei te āwhina ki te kimi i ngā mea pēnei i ngā pukupuku e kino ana ki ngā io i roto i te korokoro. Tērā pea ka tonoa koe kia tangohia he hihi-X o tō korokoro, o tō uma rānei.
• Whakamātautau i te Laryngoscope: Mā tēnei ka taea e ngā tākuta te titiro tika ki te larynx me ngā taura reo. Ka whakaurua e te tākuta he ngongo roa, angiangi e kiia nei ko te laryngoscope mā roto i te ihu, ka heke ki raro i te korokoro. He kāmera kei tēnei ngongo ngāwari e tango pikitia ana i te larynx me ngā taura reo. Ka whakaaturia ngā pikitia ki runga i te aroturuki hei tiro mā te tākuta.
• Ataata-whakaataata: Mā tēnei ka taea e ngā tākuta te kite i te wiri o ō taura reo me te tata o tētahi ki tētahi ina kōrero koe. He rite tēnei tikanga ki te ataata-whakaata. He maha ngā wā ka mahia ngātahitia ngā mea e rua. Ka whakamahia e te ataata-whakaata tētahi kāmera motuhake hei whakaatu i te neke haere o ō taura reo i a koe e whakaputa ana i ngā oro. Mā tēnei ka āwhina i te tākuta ki te kimi i ngā raruraru.
• Te hikohiko o te roro (LEMG):Ka inehia e tēnei whakamātautau te whakahaeretanga o ngā uaua o te arai e ngā io. Ka inehia, ka tuhia hoki ngā nekehanga hiko mai i ēnei uaua.
• Ngā whakamātautau toto: Mena kei te whakapae tō tākuta he mate pāwera, he mate pūnaha ārai mate rānei te take o te ngoikore o tō taura reo, ka tonoa e ia he whakamātautau toto.

Me pēhea te rongoā i te ngoikore o te taura reo?

Ko te maimoatanga e whakawhirinaki ana ki te kaha o te ngoikore o te mahi me ō tohu. Mena he ngawari te ngoikore o te mahi, me whai rongoā reo koe hei whakapai ake i te mahi a ō taura reo. I roto i tēnei rongoā, ka mahi koe i ngā mahi motuhake hei whakapakari i ō taura reo, hei ako i a koe ki te whakahaere i ngā uaua e āwhina ana i a koe ki te kōrero, me te whakapai ake i te āhua o tō manawa i a koe e kōrero ana.

Tērā pea e hiahiatia he pokanga mēnā he kino rawa atu te mahi a te taura reo.

Te maimoatanga mō te ngoikore o te taura reo kotahi

Mēnā he ngoikore te taha kotahi o te ringa, ka tatari ngā tākuta kia pai ake te āhua, kātahi ka whakaroa i te pokanga mō te tau. I ētahi wā, ka maru, ka pēhia rānei ngā taura reo, ā, ka roa te wā e ora ai. Ka roa pea tēnei i ngā marama. I ētahi wā, ka tino whai hua te whakaora reo me te tohunga reo-reo, ā, ka āwhina i te whakapakari i te reo mēnā he ngawari ki te āhua ngoikore te raruraru.

Ka tūtohu pea te tākuta roro i te pokanga, i te werohanga rānei i te kopa reo hei whakapai ake i te reo, te horomi, me ngā uauatanga manawa. Ko ētahi o ngā kōwhiringa ko:

• Werohanga taura reo: Ka werohia e te tākuta he whakakī mā te ngira. He maha ngā momo whakakī haumaru. Ka kati tēnei whakakī i te āputa i waenganui i ngā taura reo.
• Te whakaurunga pouaka reo (Pokanga anga o te larynx): Ka whakauruhia e te tākuta he anga ki roto i tō larynx. Ko te nuinga o ngā anga he mea hanga ki te silicone. Ka pupuri tēnei anga i ngā taura reo ki tōna tūranga, ā, ka āwhina ki te kati i ngā taura reo e rua. Kei roto i ēnei tikanga he tikanga e kiia nei ko te medialization laryngoplasty (Thyroplasty) .
• Pokanga whakaora: Ka tangohia e te tākuta tētahi io e hono ana ki ētahi atu uaua o tō kaki, ka hono anō ki te io e neke ana i ō taura reo. Kāore tēnei tikanga e pā ki ētahi atu uaua o tō kaki.

Te maimoatanga mō te ngoikore o te taura reo e rua

Ka tino whaiti rawa ngā ara manawa o te hunga kua pakaru ngā taura reo e rua. Tērā pea me mahi tracheostomy (he ngongo manawa kei roto i te kaki) hei whakatuwhera i te ara manawa, hei āwhina hoki i a rātou ki te manawa.

I tēnei pokanga, ka tapahia tō kaki e te tākuta, ka whakaurua he ngongo ki roto i tō korokoro. Ka huakina tō ara manawa e te ngongo, ā, ka āwhina i a koe ki te manawa. I ētahi wā, ka whakamahia e te tākuta he taiaho hei tango i tētahi wāhanga o muri o tētahi, o ngā taura reo e rua rānei, hei whakawhānui i te ara manawa kia ngāwari ake ai tō manawa. Mena he tracheostomy tōu, ko tētahi atu kōwhiringa hei āwhina i a koe ki te manawa roa ko te tracheostomy kore-ngongo.

Ka taea te whakaora i te taura reo kua pakaru?

I ētahi wā ka ora ake ngā taura reo i a rātou anō. Ka roa pea tēnei i ngā marama. Mā te whakaora reo, mā te werohanga taura reo, mā te tāpiri rānei i ngā mea hou, ka taea te whakapakari i tō reo, ā, ka pai ake te whakarongo a ētahi atu ki a koe ina kōrero koe. Tērā pea ka kitea e koe ka pai ake tō horomitanga me tō manawa i te maimoatanga. Pātai atu ki tō tākuta mō te nui o te mahi a tō taura reo ka taea e koe te whakahoki mai mā te maimoatanga.

Ka taea te ārai i te ngoikore o te taura reo?

Kāore e taea te ārai i te ngoikore o te taura reo i ngā wā katoa. Kōrero ki tō tākuta mēnā he mate hauora tōu e whakanui ake ana i tō mōrearea. Ka tūtohu pea rātou kia tirohia ō taura reo i ia wā. Me hiahia pea koe ki te rongoā reo hei whakapai ake i te mahi a ō taura reo.

He aha te tirohanga mō te hunga he ngoikore te mahi a te taura reo?

Ka taea e te nuinga o ngā ngoikoretanga o te taura reo te ora ake i roto i te wā. Mā te whakaora kōrero me ngā werohanga whakakī pea ka āwhina i te whakapai ake i ngā tohu i te wā e ora ana ō taura reo. Mena he pumau te ngoikoretanga o tō taura reo, ko te rongoā pai ko te tāpiringa hei pupuri i te taura reo ki tōna tūranga. I ētahi wā, ki te neke te tāpiringa ki waho o tōna tūranga, me neke pea tō tākuta ki tōna tūranga.

Mā te maimoatanga, ka hoki anō te nuinga o te iwi ki te kōrero me te horomi i muri i te ngoikore o te taura reo. Ka whakawhirinaki tō tere whakaora ki ētahi āhuatanga, tae atu ki te mea kei roto i te taura reo kotahi, i ngā taura reo e rua rānei te ngoikore, me te mea he ngawari, he kino rānei.

Āhea ahau me toro atu ki te tākuta mō te ngoikore o te taura reo?

Mena kei a koe ngā tohu o te ngoikore o te taura reo, kōrero ki te tākuta. Ehara i te mea onge te panoni o tō reo, te haruru o te reo, te wheezing i te manawa, te poto o te manawa i te kōrero, te maremare me te mamae o te korokoro i te kai, i te inu rānei. Mā te whiwhi maimoatanga wawe ka āwhina i te ārai i te kino haere o tō āhua. I ētahi wā, mā ngā maimoatanga kore-whakaeke, pērā i te whakaora reo, ka āwhina i a koe ki te karo i te pokanga.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Ki te uaua te manawa, te horomi rānei, rapua tonutia te awhina hauora. Ko te kore e nui te hau e whiwhi ana he tohu o te ngoikore o te taura reo e rua, koinei te momo tino kino o te mate. Ka puta te niumōnia manawa ina uru te kai, te inu rānei ki te ara manawa nā te mea kāore e kati tika ngā taura reo.Ka taea te whanake, ā, ki te kore e rongoatia, ka mate pea.

Karere Tangohia ki te Kāinga

Mena kei a koe ngā tohu pēnei i te rerekētanga o tō reo, te pāorooro, te uaua ki te manawa i te wā e kōrero ana, te uaua ki te horomi, te ruaki pinepine rānei i te kai me te inu, kaua e wareware noa. He tohu ēnei o te pararutiki o te taura reo .

Ko te mea tino nui hei maumahara:

* Ki te tino uaua koe ki te manawa, ki te horomi rānei, haere tonu ki te hōhipera.

* Mēnā kei a koe ētahi atu tohu, me toro atu ki tētahi tohunga taringa, ihu, me te korokoro (ENT) tonu atu.

* Ki te kitea wawetia tēnei mate, ā, ka rongoātia hoki i te wā tika, ka taea te whakahaere pai i te nuinga o te wā, ā, tera pea ka ora rawa atu.

Kāore he take e mataku ai, engari he mea nui kia mōhio koe ki ēnei tohu. Kōrero ki tō tākuta, kia whiwhi ai koe i ngā whakamātautau me te maimoatanga e tika ana.

Ngā panonitanga o te reo, te ngoikore o te taura reo, te reo pākū, te uaua ki te horomi, te uaua ki te manawa, te pararutiki o te taura reo, te tirotiro i te waha, te whakaora reo