Hoarseness

ʻO ka Hoarseness e pili ana i kahi paʻakikī e hana i nā kani ke hoʻāʻo e ʻōlelo. He nāwaliwali paha ke kani ʻana o ka leo leo, hanu, ʻeleu, a husky paha, a e loli paha ke kani a me ke ʻano o ka leo.

Hoʻokumu pinepine ʻia ka Hoarseness e kahi pilikia me nā kaula leo. ʻO nā kaula leo kahi ʻāpana o kāu pahu leo ​​(larynx) aia i ka ʻāʻī. Ke hele a wela a maʻi paha nā kaula leo, pehu lākou. Hiki i kēia ke kumu i ka hoarseness.

ʻO ke kumu maʻamau o ka hoarseness kahi anu a maʻi sinus paha, kahi e hele pinepine ma ona iho ma waena o 2 mau pule.

ʻO kahi kumu koʻikoʻi a koʻikoʻi ʻole o ka hoarseness ʻaʻole e hele i loko o kekahi mau pule ka maʻi ʻaʻai o ka pahu leo.

Hoʻokumu ʻia ka Hoarseness e:

• ʻIke reflux (gastroesophageal reflux)
• Nā Pāhoihoi
• Ka hanuʻana i nā mea hoʻonāukiuki
• Ka maʻi ʻaʻai o ka ʻāʻī a i ʻole ka larynx
• Kaukukū mau
• ʻO ke anuanu a i ʻole nā ​​maʻi hanu luna
• ʻO ka puhi nui a me ka inu ʻana, ʻo ia pū kekahi
• Hoʻohana a hoʻomāinoino paha i ka leo (e like me ka uē ʻana a i ʻole ke mele ʻana), kahi e hoʻoulu ai a ulu paha ma nā kaula leo

ʻO nā kumu maʻamau ʻole ka:

• Ka ʻeha a i ʻole ka huhū mai kahi ʻōnaehana hanu a i ʻole bronchoscopy
• Poino i nā aʻalolo a me nā mākala a puni ka pahu leo ​​(mai ka ʻeha a ʻoki paha)
• Haole mea i ka esophagus a i ʻole trachea
• Ke ale nei i kahi wai kemika ʻino
• Nā hoʻololi i ka larynx i ka wā ʻōpio
• ʻO ka maʻi ʻaʻai thyroid a akemāmā paha
• Pahu thyroid paʻa ʻole
• Immobility o hoʻokahi a i ʻole nā ​​leo leo ʻelua

Hoarseness paha he wā pōkole (koʻikoʻi) a lōʻihi paha (mau). Hoʻomaha a hoʻomaha ka manawa i ka hoarseness. Hoarseness e hoʻomau nei no mau pule a mau mahina paha e pono e nānā ʻia e kahi mea mālama ola.

Nā mea hiki iā ʻoe ke hana ma ka home e kōkua i ka hōʻoluʻolu i ka pilikia e:

• E kamaʻilio wale ke pono ʻoe a hiki i ka hele ʻana o ka hoarseness.
• E inu i ka nui o nā wai e kōkua e mālama i nā kahawai o kou mau ea. (ʻAʻole kōkua ʻo Gargling.)
• E hoʻohana i kahi vaporizer e hoʻohui i ka wai i ka ea āu e hanu nei.
• Hōʻalo i nā hana i keakea i nā kaula leo e like me ka hawanawana ʻana, ka uē ʻana, ka uē ʻana, a me ke mele ʻana.
• E lawe i nā lāʻau e hōʻemi ai i ka waikawa ʻōpū inā ʻo ka hoarseness ma muli o ka maʻi gastroesophageal reflux maʻi (GERD).
• Mai hoʻohana i nā decongestants i hiki ke hoʻomaloʻo i nā kaula leo.
• Inā ʻoe puhi, ʻoki, a kū paha ma ka liʻiliʻi a hiki i ka hele ʻana o ka hoarseness.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe ka pilikia e hanu a ale paha.
• Kū ka Hoarseness me ka drooling, keu hoʻi i kahi keiki liʻiliʻi.
• Loaʻa ka hoarseness i kahi keiki ma lalo o 3 mau makahiki.
• Ua hala ʻo Hoarseness ma mua o 1 pule ma kahi keiki, a i ʻole 2 a 3 mau pule i kahi makua.

E nānā ka mea hāʻawi i kou ʻāʻī, ʻāʻī, a me kou waha a nīnau iā ʻoe i kekahi mau nīnau e pili ana i kāu hōʻailona a me ka mōʻaukala olakino. Pākuʻi ʻia kēia mau mea:

• I ka nui hea kou nalowale i kou leo ​​(āpau a hapa paha)?
• He aha ke ʻano o nā pilikia leo e loaʻa nei iā ʻoe (ke kani ʻana o ke kani, ka hanu, a me ka leo husky)?
• Āhea i hoʻomaka ai ka hoarseness?
• Hele mai paha ka hoarseness a hele a hōʻino paha i ka holo ʻana o ka manawa?
• Ua walaʻau paha ʻoe, e hīmeni ana, a i ʻole hoʻohana ʻana paha i kou leo, a e uē nui ana (inā he keiki)?
• Ua ʻike ʻia ʻoe i ka uahi paʻakikī a i ʻole nā ​​wai?
• Loaʻa iā ʻoe nā maʻi āpau a i ʻole ka ihu ihu post?
• Ua loaʻa paha iā ʻoe kahi ʻoki ʻōkā?
• Puhi ʻoe a hoʻohana paha i ka ʻalekohola?
• Loaʻa iā ʻoe kahi hōʻailona ʻē aʻe e like me ke kuni, ka puʻu, ʻāʻī puʻuwai, paʻakikī i ka ale ʻana, ka pohō kaumaha, a me ka luhi paha?

Loaʻa iā ʻoe hoʻokahi a ʻoi paha o nā hōʻike aʻe:

• Laryngoscopy
• Moʻomeheu Kaha
• Nānā kuʻi me kahi aniani liʻiliʻi
• X-kukuna o ka ʻāʻī a i ʻole CT scan
• Nā hoʻokolohua koko e like me ka helu piha o ke koko (CBC) a i ʻole ka hoʻokae koko

Kanikani leo; ʻO Dysphonia; Poho leo

• Anatomia kuʻi

ʻO Choi SS, Zalzal GH. Nā maʻi leo. 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 203.

ʻO Flint PW. Nā maʻi kīloi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 429.

ʻO Stachler RJ, Francis DO, Schwartz SR, et al. Kuhikuhina Hana Lapaʻau: Hoarseness (Dysphonia) (Hoʻohou). Otolaryngol poʻo poʻo ʻoki. 2018; 158 (1_suppl): S1-S42. PMID: 29494321 www.ncbi.nlm.nih.gov/pubmed/29494321.