Ka hōʻino nā nerve laryngeal

ʻO ka hōʻino ʻia o ke aʻalolo Laryngeal kahi ʻeha i hoʻokahi a i ʻole ʻelua o nā aʻalolo i hoʻopili ʻia i ka pahu leo.

ʻO ka hōʻeha i nā aʻalolo laryngeal ka mea maʻamau.

Ke hiki mai ia, hiki iā ia mai:

• ʻO ka hoʻopiʻi ʻana o ka ʻāʻī a i ʻole ka ʻoki ʻana o ka umauma (ʻoiai ʻo ka thyroid, ka māmā, ke kahakaha o ka puʻuwai, a i ʻole ke ʻoki ʻana o ka iwi maha)
• ʻO kahi ʻōnaehana hanu i ka puka makani (Tube endotracheal)
• ʻO kahi maʻi viral e hoʻopili i nā aʻalolo
• ʻO nā tumors i ka ʻāʻī a i ʻole ka umauma luna, e like me ka thyroid a i ʻole ka maʻi ʻaʻai māmā
• Mahele o kahi kūlana neurological

ʻO nā hōʻailona me:

• Ka ʻōlelo paʻakikī
• Pilikia i ka ale ʻana
• Hoarseness

ʻO ka ʻeha ma ka ʻaoʻao hema a me ka ʻākau laryngeal i ka manawa like ke hana i kahi pilikia hanu. Hiki i kēia ke lilo i pilikia pilikia olakino.

E nānā ka mea mālama ola e ʻike i ka neʻe ʻana o kāu mau leo ​​leo. ʻO ka neʻe ʻole o ke ʻano maʻamau ua hōʻeha ʻia kahi nerve laryngeal.

E komo pū paha nā hoʻāʻo:

• ʻO Bronchoscopy
• CT scan o ka umauma
• Laryngoscopy
• MRI o ka lolo, ka ʻāʻī, a me ka umauma
• X-ray

Pili ka mālama ʻana i ke kumu o ka ʻeha. I kekahi mau hihia, ʻaʻohe pono e pono ai a e hōʻola hou ʻia ke aʻalolo ma kāna iho. He mea pono ka hoʻōla leo ma kekahi mau hihia.

Inā makemake ʻia ke ʻoki, ʻo ka pahuhopu ka hoʻololi ʻana i ke kūlana o ka leo leo lōlō e hoʻomaikaʻi ai ka leo. Hiki ke hana i kēia me:

• Hoʻohui Arytenoid (humuhumu e hoʻoneʻe i ke kaula leo i ka waena o ke alaloa)
• Nā kuʻina o collagen, Gelfoam, a i ʻole kekahi mea ʻē aʻe
• ʻO Thyroplasty

Inā hōʻino ʻia nā ʻaoʻao ʻaoʻao hema a ʻākau hoʻi, pono e ʻoki ʻia kahi puka i ka puka makani (tracheotomy) i ʻae koke i ka hanu ʻana. Hahai ʻia kēia e kahi ʻoki kino hou i kekahi lā ma hope.

Aia ka nānā i ke kumu o ka ʻeha. I kekahi mau hihia, hoʻi wikiwiki ke aʻa i ka maʻamau. Eia nō naʻe, mau nō ka poino.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Ka hanu paʻakikī ʻana (kāhea koke aku)
• ʻO ka hoarseness ʻaʻole i wehewehe ʻia e mau ana ma mua o 3 mau pule

Lōkahi kaula leo

• Nā koina o ka larynx
• Ka hōʻino nā nerve laryngeal

ʻO Dexter EU. Mālama wā kūpono o ka mea maʻi ʻoki lāʻau. I: Sellke FW, del Nido PJ, Swanson SJ, eds. ʻO Sabiston lāua ʻo Spencer Surgery o ka umauma. 9th ed. Piladelapia, PA: Elsevier; 2016: chap 4.

Sandhu GS, Nouraei SAR. ʻO ka trauma Laryngeal a me ka esophageal trauma. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 67.