Kei te rongo koe i ētahi wā i te rerekētanga o tō reo, i te pāorooro, i te uaua rānei ki te kōrero? Tērā pea kei te mau tetahi mea i roto i tō korokoro, kei te ngenge rānei koe i a koe e kōrero ana? Ehara pea ēnei i te tohu noa iho o te makariri. Tērā pea he tohu o ngā 'Mate Reo' . Me kōrero tātou mō tēnei i tēnei rā.
He aha ngā Mate Reo?
Ki te kī māmā noa, ko ngā mate reo he mea e pā ana ki tō kaha ki te kōrero. Ka taea e tēnei te whakarerekē i te kounga o tō reo, te teitei o te reo, te kaha rānei o tō reo.
Whakaarohia, i a tātou e kōrero ana i te nuinga o te wā, koinei te mea ka tupu. Ina manawa tātou, ka haere te hau mai i ngā pukahukahu mā roto i te trachea (te ngongo hau) i te tihi o te korokoro ka uru ki te larynx . I roto i tō larynx, i te tihi o te ngongo hau, e rua ngā taura reo . Ina manawa tātou, ka tuwhera ēnei taura reo e rua. Engari ina ngana tātou ki te kōrero, ka honoa ēnei taura reo e rua ka wiri i te mea ka haere te hau e puta mai ana i ngā pukahukahu. Ko taua wiri te mea e whakaputa ana i tō tātou reo.
Heoi, mō te tangata he mate reo tōna, ka whakararuraru tetahi mea i tēnei tukanga. Koinā te wā e rerekē ai te tangi o te reo.
Ka taea te wehewehe i ēnei mate reo ki ngā momo matua e toru:
1. Ngā Mate Pūtaiao: Ko te tikanga he hapa kei roto i te hanganga o tō arai, o ō taura reo, o ō pukahukahu rānei. Hei tauira, he tipu rerekē kei roto i te arai.
2. Ngā Mate Pūnaha Roro: Koinei te wā e pāngia ai ngā io e whakahaere ana i te arai. Whakaarohia, mēnā he kino ki ngā io e whakahaere ana i tō tātou reo, tera pea ka rerekē te reo.
3. Ngā Mate Mahi: I roto i tēnei, he mea noa ngā hanganga e whakaputa ana i te reo, pērā i te korokoro, ngā taura reo, me ngā pukahukahu, engari kāore e taea te whakamahi tika. He maha ngā wā ka puta tēnei ina uaua te whakamahi tika i ngā uaua o ngā taura reo. I ētahi wā, ka pāngia tō reo e te ahotea nui, ngā kare ā-roto, me ngā huringa o tō āhua hinengaro.
I ētahi wā, ka puta ngātahi ngā momo neke atu i te kotahi, ka puta he mate reo. Hei tauira, tera pea he pararutiki o te kopa reo tōu.Me kī tātou kei reira. Ko te tikanga o tēnā, kāore tetahi o ngā kopa reo e mahi tika ana. Kātahi ka kaha ake te mahi a tetahi atu kopa reo, arā, te mea kāore e mahi tika ana, ka puta he pēhanga i roto i tō korokoro. He mate mahi tēnei. Ki te kore, ko te pēhanga nui rawa i roto i te korokoro (mate mahi) ka arahi pea ki ngā mate hanganga pērā i ngā pona kopa reo.
Ka uaua pea te kōrero ki ētahi atu me te whakapuaki i a koe anō i te mate reo. Ka pā nui tēnei ki te kounga o tō oranga. Engari kia maumahara, he maimoatanga anō kei reira mō tēnei.
He aha ngā mate e pāngia ai te reo e ngā huringa noa?
He maha ngā momo mate ka puta ai ngā panoni o te reo. Anei ētahi o aua mate:
- Te mate korokoro: He mumura, he pupuhi rānei tēnei o ō taura reo. I te nuinga o te wā, he wā poto noa iho. Ka puta pea i ngā mate pāwera, i te mate manawa o runga rānei. Koinei te take e pāngia ai tō reo e te makariri.
- Te Pōrearea o te Uaua: Koinei te wā ka tino piri rawa ngā uaua i roto, i te taha rānei o tō pouaka reo (larynx). Ka pā pea tēnei āhuatanga ki ngā uaua o tō kaki, pakihiwi, me te tuara o runga. Ka rite pea ki te mea kei te kōroke koe i a koe e kōrero ana.
- Te Mate Pūngāwerewere / Te Mate Pūngāwerewere o te Laryngeal: He mate pūnaha io tēnei. Ka puta he pupuhi ohorere o ngā taura reo. Ka taea e ia te pakaru o tō reo, te pāorooro rānei ina kōrero koe.
- Ngā Whara o te Taura Reo: He tipu kore-matepukupuku (pai) ēnei. Hei tauira, ka puta he pona, he polyp, he cyst rānei ki ngā taura reo. Ka pā pea ēnei ki te reo.
- Te Pararutiki o ngā Taura Reo: Koinei te wā ka mutu te mahi tika o ō taura reo, ka ngaro ai tō mana whakahaere i ngā uaua o tō arai.
Haunga tēnei, kei reira anō hoki ngā mate o tō ara manawa o runga. Ahakoa kāore ēnei e pā tika ana ki te whakamahinga o te reo, e pā ana ki te korokoro me ngā taura reo. Ko ēnei:
- Te Ārai i te Ara o te Roro e Āraihia ana (ILO): Ka kiia hoki tēnei ko te Paradoxical Vocal Fold Motion Disorder (PVFM). Te ngoikore rānei o te taura reo.
- Te Ārai i te Ara o te Roro i te Whakakorikori Tinana (EILO):
Mena kei a koe te 'ILO', te 'EILO' rānei, ka neke hē pea ō taura reo, ō hanganga rānei i roto i tō korokoro ina manawa koe. Ka uaua pea te manawa tika.
He aha ngā tohu o te mate reo?
He rerekē ngā tohu o te mate reo i runga i te pūtake. Tērā pea ka pēnei te tangi o tō reo:
- He reo pūmau, kuiti ("Tōia"): Me te mea nei kua kuiti te korokoro ina kōrero.
- Pāorooro, pāorooro rānei: Pēnei i te hūpē.
- He manawa māhorahora, he hauhautanga rānei: Kāore i te mārama te reo, me te mea he hau noa iho.
- He kare ā-roto e piri ana te huware ki te korokoro, he kare ā-roto mākū ('Gurgly or wet'):
- Ngoikore, iti te tangi, uaua ki te whakapuaki: Kāore e taea te kōrero nui, te āhua nei he puhoi te kōrero.
- Te reo teitei rawa, te reo iti rawa rānei:
- Te rongonga i te reo nui rawa, ngawari rawa rānei:
- Kāore i te ōrite, kāore hoki i te wiri, me ngā whatiwhatinga, ngā āputa rānei o te oro: Kāore e taea te pupuri i te reo pumau i a ia e kōrero ana.
Hei tāpiritanga, tērā pea ka pāngia koe e te mamae i a koe e kōrero ana, me te uaua rānei ki te kōrero. Tērā pea ka rite koe ki te mea he 'pūpū kei roto i tō korokoro'.
He aha ngā pūtake o ngā mate reo?
Ko te tino take o ngā mate reo ko te whakamahi nui i tō reo . Ki te hamama koe, ki te waiata, ki te kōrero nui rānei, ka pakaru pea tō reo. Whakaarohia, nā te mea ka whakamahia tonutia e te hunga pēnei i ngā kaiako me ngā kaiwaiata ō rātou reo, ka nui ake te tūponotanga ka pāngia rātou e ēnei āhuatanga. Hei tauira, i reira tētahi kaiako waiata i tō mātou kura he maha tonu ngā raruraru reo nā te mea kua ngenge ia ki te whakaako waiata ki ngā tamariki i te rā katoa.
I ētahi wā, ka puta mai ēnei mate i ngā mate wā poto (whakamataku), pērā i te makariri, te mate pāwera, te mate sinusitis rānei. Ka puta te mumura i roto i te korokoro i ēnei mate, ka huri i te rere o te hau. Kia mutu te mate, ka hoki te reo ki te āhua noa i roto i ētahi rā, wiki rānei.
Heoi, ka puta ake ngā mate reo uaua ake ina he raruraru ki te hanganga, ki ngā uaua, ki ngā io rānei o te arapū, ngā taura reo, ngā taura reo rānei.
Ko wai kei te nui ake te mōrearea ki te whakawhanake i ngā mate reo?
Ka pāngia te tangata e ngā mate reo, engari ka taea e ētahi āhuatanga te whakanui ake i te mōrearea:
- Tau me te ira tangata: He nui ake te mōrearea o ngā wāhine neke atu i te 60 tau te pakeke.
- Te Mahi: Mō te hunga e mahi ana i ngā mahi e hiahia ana kia nui te reo, pērā i ngā kaiako, ngā kaiwaiata, me ngā kaihokohoko waea. (I roto i tētahi rangahau mō te 1,000 kaiako, neke atu i te haurua o rātou he mate reo.)
- Ngā whanonga: Ngā mea pēnei i te inu waipiro, te momi hikareti.
- Pokanga:Mena kua pokangahia tō korokoro (hei tauira, te tango i te tairoiti) i te ngongo manawa rānei.
- Ngā Mate Hormonal: Mena kei a koe ngā mate pēnei i te Mate Huka, te Mate Tairoi, te Polycystic Ovary Syndrome (PCOS) rānei.
- Ētahi atu āhuatanga hauora: Ngā Mate Pūnaha Io, Ngā Mate Pūnaha Ārai Mate, Te Mate Reflux Gastroesophageal (GERD), Te Reflux Laryngopharyngeal (LPR), Te Mate Pukupuku Laryngeal, Ngā Mate Whakamahi Matū, Ngā Mate Whakamahi Waipiro rānei.
Me pēhea te tautuhi i ngā mate o te reo?
Tērā pea ka taea e tō kaiwhakarato hauora matua te tautuhi i tētahi mate reo. Tērā pea ka tukuna koe e rātou ki tētahi tohunga reo kōrero (SLP) ki tētahi tākuta taringa, ihu, me te korokoro rānei (laryngologist).
Ka pātai atu ēnei tākuta ki a koe mō ō tohumate, tō hītori hauora, me te pānga o ēnei wero ki tō reo ki a koe i te kāinga, i te mahi, me te kura.
Ka whakarongo pai te tākuta i a koe e kōrero ana. Ka titiro ia ki tō mata, ki tō mahunga, ki tō kaki, me tō korokoro i a koe e kōrero ana, e manawa ana hoki. Tērā pea ka kī atu ia ki a koe kia kōrerohia ētahi kīanga, kia roa ake rānei te pupuri i ētahi oro, kia whakanuia, kia whakaitihia rānei tō reo.
Ki te pāngia koe e ētahi tohu i a koe e mahi ana i ēnei mahi whakakori tinana – pērā i te mamae, te korokoro e mākūkū ana, te uaua rānei ki te manawa – kaua e wareware ki te kōrero ki tō tākuta.
He aha ngā whakamātautau e mahia ana hei tautuhi i tēnei mate?
Hei tirotiro i te pai o te mahi a tō korokoro me ō taura reo, ka taea e koe te whai i ngā whakamātautau whakaahua pēnei i ēnei:
- Whakamātautau i te Laryngoscopy: Ko te whakamahi i tētahi ngongo angiangi, ngāwari (scope) me tētahi kāmera ataata e piri ana ki roto hei tirotiro i roto i tō korokoro. Tērā pea ka tangohia e te tākuta he tauira (biopsy) mai i ngā taura reo hei tirotiro mō ngā puku (nodules), polyps, cysts rānei.
- Videostroboscopy: Ka whakamahia he ngongo (tirotiro) e piri ana ki tētahi kāmera motuhake. Ka taea e ia te mātaki i te neke haere o ō taura reo i a koe e whakaputa ana i tētahi oro. He rite ki tētahi ataata nekehanga puhoi.
- Te Irahiko o te Roro (LEMG): Ka whakamahia he irahiko hei ine i ngā tohu io e puta ana ina whakamahia ngā uaua o tō roro.
- Matawai MRI, matawai CT rānei:Mā tēnei ka taea e te tākuta te tango pikitia taipitopito o ngā taura reo me te arai. Mā tēnei ka taea e te tākuta te kite mēnā he tipu rerekē kei roto.
Me pēhea te rongoā i ngā mate reo?
Ka taea te whakaora i ētahi mate reo poto mā te whakangāwari noa i tō reo. Tērā pea ka tohutohu tō tākuta kia mutu te hamama, te waiata, te whakauaua rānei i tō reo mō ētahi rā. Tērā pea ka kīia atu hoki kia iti noa te kōrero.
Ko ētahi atu maimoatanga ko:
- Whakaora Reo: Mā ngā Tohunga Reo Kōrero (SLP) koe e ako ki ngā tikanga me ngā mahi hei āwhina i a koe ki te whakamahi i tō reo kia pai ake ai te whai hua. Mā tēnei ka āwhina i a koe ki te kōrero mārama. Ka ako hoki rātou i a koe ki te tiaki i tō reo kia mau tonu ai te hauora o te reo.
- Ngā Rongoā: Mena ko te LPR (waikawa reflux) te GERD rānei (mate waikawa reflux) te take o tō raruraru reo, tera pea ka āwhina ngā aukati papu proton (PPI) me ētahi atu rongoā. Tērā pea ka hiahiatia he steroids, he paturopi rānei mō ētahi raruraru reo.
- Ngā tikanga hauora, ngā pokanga rānei: Me pokanga pea koe hei tango i tētahi whara i ō taura reo. Me werohanga pea koe i te paitini botulinum hei whakangāwari i ngā uaua taura reo piri. Mena he pararutiki ō taura reo, ka werohanga pea e tō tākuta he whakakī hei kati i te āputa i waenganui i ō taura reo. Me tāpiri rānei he mea tāpiri hei āwhina i te hono i ō taura reo (e kiia ana ko te laryngoplasty medialization).
Ka taea te ārai i ngā mate reo?
Ahakoa ka taea te ārai i ētahi mate reo e puta mai ana i te nui rawa o te whakamahinga, he maha ngā mea uaua ki te ārai. Heoi, ka taea e koe te whakaiti i tō mōrearea mā te tiaki i tō reo. Anei ētahi mea ka taea e koe te mahi:
- Āta karohia te kai hikareti, te whakamahi i ngā raau taero whakangahau, me te waipiro.
- Kia mau tonu te makuku o ō taura reo mā te inu i te nui o te wai. (Ina inu koe i te wai, ka mimiti ki roto i tō tinana, ā, ka āwhina i ō taura reo kia ngāwari ake te rere tetahi ki tetahi.)
- Me mahi i ngā mahi hei ārai i te mate mā te mahi i ngā mea pēnei i te horoi i ō ringaringa i ngā wā katoa.
- Ki te mahi koe i tētahi mahi e hiahia ana kia nui te reo, me whakangāwari i tō reo i ia wā, i ia wā.
- Akohia ngā here hauora mō te whakamahi i tō reo.
Ki te mea me kōrero, me waiata rānei koe, kia taunga tō tinana ki tēnā. Mā te whakarerekē ohorere i te nui o te reo e whakamahia ana, me te kore e tika te whakarite, ka arahi pea ki te ngenge me te whara.
He aha te tirohanga mō te hunga whai i tēnei āhuatanga?
He wā poto noa iho ngā mate reo e puta mai ana i te nui rawa o te whakamahinga, i ngā mate kino rānei. Kāore e puta he kino tuturu. Heoi, ki te mea he uaua ake tō mate reo, tera pea ka nui ake te kaha ki te rongoā, ki te whakahaere rānei i te mate. Me pokanga pea koe, me whai wā rānei koe ki te whakaora reo. Heoi, he maha ngā tāngata e wikitoria ana i ō rātou raruraru reo mā te rongoā.
Me pēhea taku tiaki i ahau anō?
Ko te huarahi pai ki te tiaki i tō reo ko te whai i tō mahere maimoatanga. Heoi, he mea nui anō hoki kia tiakina tō hauora hinengaro. Ina uaua te kōrero, ka whakaaro pea te tangata kāore e taea e rātou te whakapuaki i a rātou anō. Mō ngā tamariki, ka iti ake te whakaaro ki a rātou anō. Ko te whakapau kaha ki te whakapuaki i ō rātou reo ka tino pāpouri, ka noho motuhake hoki.
Mena kei te raru koe i ēnei momo raruraru, kōrero ki tō tākuta. Pātai atu ki a ia mō ngā rauemi hei āwhina.
Āhea ahau me rapu tohutohu hauora?
Ki te kite koe i ngā panonitanga kāore i te mārama te take o tō reo, ā, kāore e pai ake i muri i ētahi wiki, whakaritea he wā ki te toro atu ki te tākuta tonu. Mā te whiwhi maimoatanga wawe ka āwhina i te ārai i te kino haere o ngā tohu. Ka taea hoki te ārai i te kino roa ki ō taura reo, e hiahia ana kia nui ake te maimoatanga, pērā i te pokanga.
He aha ngā pātai me pātai atu e au ki te tākuta?
Anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta:
- He aha ngā whanonga me whakarerekē e au hei whakapai ake i tōku reo?
- He aha te momo maimoatanga e hiahiatia ana e au, ā, kia pēhea te roa?
- He aha te momo kaiwhakarato hauora me mahi tahi māua?
- He aha ngā tūponotanga ka ora katoa ōku raruraru reo?
- Ka taea e koe te kōrero mai he aha ngā rauemi hei āwhina i ahau ki te whakatau i tētahi mate reo?
Hei whakamutunga, ngā mea hei maumahara
Ka uaua pea te kōrero ki ētahi atu i ngā mate reo. Engari mā te maimoatanga tika, ka taea e koe te whakapai ake i te kounga o tō reo. Mā tēnei ka āwhina i a koe kia tata atu ki te mārama o ētahi atu ki a koe, me te kore e whakararuraru i tō reo.
Ki te kite koe i tētahi panonitanga o tō reo e roa atu ana i ētahi wiki, me toro atu ki te tākuta i runga i te wā tonu. Ka taea e ia te tātaritanga i te take me te whakarato i te maimoatanga e hiahiatia ana e koe. Kia maumahara, he mea tino nui te maimoatanga wawe!
Ngā Mate Reo, Ngā Taura Reo, Te Pāwera o te Rā, Te Whakangungu Reo, Te Korokoro Mamae, Te Whakaora Kōrero

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