He aha te hanga anō o te laryngotracheal? Te Whāinga, Ngā Taumata/Ngā Hātepe me te Hua

Ko te hanga anō o te laryngotracheal he hātepe pokanga e hanga anō ana i ngā wāhi kua pakaru, kua whāiti rānei o tō larynx (pouaka reo) me te trachea (pūpū). Mā tēnei pokanga uaua e āwhina te whakahoki i te manawa me te mahi reo noa ina aukatia, kua whara rānei ēnei ara rererangi nui.

Whakaarohia me te hanga anō i te huarahi nui e haere ai te hau ki te pūkahukahu. Ina whāiti rawa tēnei ara, kua pakaru rānei, ka hanga e tō tākuta he ara hou, whānui ake mā te whakamahi i ngā whakawhitinga mai i ētahi atu wāhi o tō tinana, te nuinga o te kātirohi mai i ō rara.

He aha te hanga anō o te laryngotracheal?

Ko te hanga anō o te laryngotracheal he pokanga motuhake e whānui ana i ngā ara rererangi whāiti i tō korokoro me te uma o runga. Ka tangohia e tō tākuta te kiko whara, ka whakamahi i ngā whakawhitinga kātirohi hei hanga i tētahi ara rererangi nui ake, tū tonu ake.

E arotahi ana te hātepe ki ngā wāhi e rua: tō larynx, kei roto i ō aho reo, me tō trachea, te ngongo e kawe ana i te hau ki ō pūkahukahu. Ina whāiti ēnei wāhi i te wharanga, te mate, ētahi atu āhuatanga rānei, ka uaua te manawa, i ētahi wā ka mōrearea te ora.

E kiia ana tēnei pokanga he hātepe nui e hiahiatia ana he mātanga nui. Ko te tikanga ka mahia e ngā tākuta ENT (taringa, ihu, me te korokoro) e tohunga ana ki te hanga anō i ngā ara rererangi.

He aha te take e mahia ana te hanga anō o te laryngotracheal?

Ka tika tēnei pokanga ina whāiti rawa tō ara rererangi ki te tuku i te manawa pai, i te mahi reo noa rānei. Ko te whāititanga, e kīia ana ko te stenosis, ka waiho ngā mahi māmā pēnei i te hikoi i ngā pikitanga kia ngenge.

He maha ngā āhuatanga ka arahi ki te hiahia ki tēnei pokanga, ā, mā te māramatanga ki ēnei take e whakamārama ana te take i tino nui ai te hātepe mō ētahi tūroro.

• Te whakamahi ngongo manawa mo te wā roa i roto i ngā whare tiaki kaha
• Ngā wharanga nui ki te korokoro i ngā aituā, i te tutu rānei
• Ngā pokanga korokoro o mua i puta ai te kiko kōpiko
• Ngā mate ārai-a-tinana e pā ana ki ngā kiko o te korokoro
• Ngā mate kino i whakangaro i te ara rererangi
• Ngā āhuatanga whānau mai i te whānautanga
• Ngā pānga taha o te rongoā iraruke
• Te pūwhā waikawa mau tonu e whakangaro ana i te kiko

Ko te take tino nui ko te kiko kōpiko mai i ngā ngongo manawa i whakamahia i ngā hōhipera mō te wā roa. Ki te noho ēnei ngongo ki te wāhi mō ngā wiki, mō ngā marama rānei, ka pā mai te mumura, ā, ka whāiti te ara rererangi.

He aha te tikanga mō te whakahou i te laryngotracheal?

Ko te tikanga pokanga e 4 ki te 8 hāora te roa, ā, ka mahia i raro i te rongoā whānui. Ka tapahia e tō tākuta te kaki kia tae atu ki ngā wāhi ara rererangi kua whara.

E whai ana te tikanga i ētahi mahi tupato e hiahia ana i te tika me te mātanga. Anei ngā mea ka pā i te wā o te pokanga:

1. Ka tangohia e tō tākuta ngā kiko kōpiko katoa me te kirikiri kua whara mai i ngā wāhi whāiti
2. Ka kohia te kirikiri hauora mai i ō rara, i ētahi atu wāhi rānei
3. Ka hangaia, ka whakatauria te kirikiri kia hāngai ki ō hiahia ara rererangi
4. Ka tuituia te whakawhitinga ki te wāhi kia whānui ake te ara rererangi
5. Ka whakatakotoria pea tētahi ngongo manawa rangitahi (stent) hei tautoko i te whakaora
6. Ka katia te tapahi kaki ki ngā tuitui

Ka taea e tō tākuta te mahi i te whakahou i te wā kotahi, i ngā wā maha rānei, i runga i te nui o te whara. E pai ana ngā tikanga i te wā kotahi ki te taea, engari ka hiahia pea ngā take uaua ki ngā pokanga motuhake e rua, neke atu rānei.

I te wā o te pokanga, ka whakahaerehia tō manawa mā tētahi ngongo tracheostomy i whakatakotoria i raro i te wāhi pokanga. Mā tēnei e whakarite ai i tō haumaru i te wā e mahi ana tō tākuta i te ara rererangi o runga.

Me pēhea te whakarite mō tō whakahou laryngotracheal?

He maha ngā mahi nui e pā ana ki te whakarite mō tēnei pokanga kia pai ai te hua. Mā te rōpū hauora koe e ārahi i ia whakaritenga i ngā wiki i mua i tō mahi.

Ko ō whakaritenga pea ka uru mai ngā arotake hauora whānui me ngā whakarerekētanga o te noho. Anei ngā mea ka tūmanakohia e koe:

• Ngā whakamātautau toto me ngā whakamātautau mahi ngākau
• Ngā karapa CT, MRI rānei hei whakaatu i te hanganga o ō ara rererangi
• Ngā whakamātautau mahi pūkahukahu hei aromatawai i tō manawa
• Te aromatawai reo e te tākuta reo
• Te whakamutu i te kai paipa i te iti rawa 4 wiki i mua i te pokanga
• Te whakamutu i ētahi rongoā i runga i te tohutohu
• Te whakarite i te manaakitanga me te kawe i muri i te pokanga
• Te whakaoti i ngā mahi niho e tika ana

Ka kōrero hoki tō tākuta pokanga i ngā tūponotanga me ngā hua e tūmanakohia ana ki a koe. Mā tēnei kōrero e āwhina kia whai whakaaro tūturu koe mō te wā whakaora me ngā raruraru ka puta.

Whakaritea mō te noho roa ki te hōhipera, te tikanga 5 ki te 10 rā, ka whai mai i ētahi wiki whakaora i te kāinga. He mea nui te tautoko mai i te whānau, i ngā hoa rānei i tēnei wā mō te whakaora pai.

Me pēhea te pānui i ngā hua o tō whakatikatika laryngotracheal?

Ko te angitu i roto i te whakatikatika laryngotracheal e inea ana e te pai o te mahi o tō ara rererangi i muri i te whakaoranga. Ka aroturukihia e tō rōpū hauora ētahi tohu nui hei whakatau mēnā i tutuki i te pokanga ōna whāinga.

Ko ngā ine tuatahi o te angitu ko te whakapai ake i te kaha manawa, te kounga o te reo, me te kounga o te oranga whānui. Ka aroturukihia e ō tākuta ēnei whakapainga i te wā:

• Ngā inenga whānui o te ara rererangi mā ngā rangahau whakaahua
• Ngā hua o te whakamātautau manawa e whakaatu ana i te pai ake o te mahi o te pūkahukahu
• Ngā aromatawai o te kounga o te reo e ngā tohunga rongoā reo
• Te kaha ki te whakakorikori tinana me ngā taumata mahi o ia rā
• Te hiahia mō ētahi atu tikanga, wawaotanga rānei
• Te pai o te tūroru ki ngā putanga manawa me te reo

Ko te whakaora katoa te tikanga e 3 ki te 6 marama, me te pai haere i roto i tēnei wā. Ka whakamahi tō tākuta i ngā whakamātau ā-whakaahua ngawari ki te kite tika i te ara rererangi kua hangaia anō, me te aromatawai i tōna tūpono.

He rerekē ngā reiti angitu i runga i te uaua o tō keehi, engari ko te nuinga o ngā tūroru ka kite i te pai nui ake o te manawa me te mahi reo. Ētahi pea kei te whai tonu i ngā here i te whakataurite ki ngā ara rererangi tino noa, engari ko te pai ake te tikanga he huri i te oranga.

Me pēhea te whakapai ake i tō whakaora i te hanganga o te laryngotracheal?

Ko te whakaora mai i tēnei pokanga nui e hiahia ana i te manawanui me te aro nui ki ngā tohutohu a tō rōpū hauora. Ko te whai i ēnei aratohu ka āwhina i te whakaora pai me ngā hua mo te wā roa.

Ka uru tō whakaora ki ētahi wāhanga, ia wāhanga me ngā whakaritenga tiaki motuhake. Anei ngā mea e tautoko ana i te whakaora pai:

• Te okioki reo tino mō ngā wiki tuatahi i te mea i tohutohutia
• Te hau makuku hei pupuri i ngā ara rererangi kia mākū, kia pai
• Ngā whakaritenga whai-ake auau mō te aroturuki
• Te hokinga haere ki ngā mahi noa i te mea i whakaaetia
• Te karo i te paowa, te puehu, me ētahi atu mea e riri ana i te ara rererangi
• Te tango i ngā rongoā i tohutohutia kia rite tonu ki te tohutohu
• Te haere ki ngā hui rongoā reo mēnā i tūtohutia
• Te pupuri i te kai pai hei tautoko i te whakaora

Ka noho pea tō ngongo tracheostomy mō ētahi wiki ki ētahi marama i te wā e whakaora ana tō ara rererangi. Ko tēnei tikanga rangitahi e whakarite ana ka taea e koe te manawa marie i te wā e whakaora ana te wāhi pokanga.

Te nuinga o ngā tūroro ka tīmata ki te kite i ngā whakapainga o te manawa i roto i ngā wiki tuatahi, me te haere tonu o te ahunga whakamua i roto i ngā marama maha. Ka roa pea te whakapainga o te reo, ā, he pai te rongoā reo ki ētahi tūroro.

He aha te hua pai mō te whakahou i te laryngotracheal?

Ko te hua pai ko te whakatutuki i tētahi ara rererangi tū, he rahi tika, e āhei ai te manawa pai me te whakaputa reo whaihua. Ko te tikanga ka taea e koe te hoki ki ngā mahi o ia rā me te kore he rāhuitanga nui o te manawa.

Ngā hua pai ko te kaha ki te whakakori tinana, te kōrero mārama, me te moe me te kore uaua ki te manawa. Ko te nuinga o ngā tūroro angitu ka taea te tango i ā rātou ngongo tracheostomy, me te manawa noa mā tō rātou ihu me te waha.

Kāore pea te kounga o te reo e hoki ki te mea i mua i te tīmatanga o ō raru ara rererangi, engari me whaihua mō te kōrero o ia rā. E kite ana ētahi tūroro he rerekē te pū o tō rātou reo, te kounga rānei, engari he pai te whakamanawanui i tēnei.

Ko te angitu wā-roa ko te karo i te hiahia mō ngā pokanga atu i te wā e mau ana te mahi ara rererangi pai. Ko te tiaki whai-muri i ngā wā katoa ka āwhina i te hopu me te whakatika i ngā raru i te wā wawe.

He aha ngā āhuatanga tūpono mō ngā raruraru whakahou i te laryngotracheal?

He maha ngā āhuatanga ka whakanui i te tūponotanga o ngā raruraru, ka pā rānei ki te hua o tō pokanga. Mā te māramatanga ki ēnei ka āwhina i a koe me tō rōpū hauora ki te whakatau i ngā whakataunga mō tō tiaki.

Ko ētahi āhuatanga tūpono kei roto i tō mana, i te wā e pā ana ētahi atu ki ō āhuatanga hauora i raro. Koinei ngā whakaaro nui:

• Te kai paipa, te pānga rānei ki te auahi tuarua
• Te mate huka kāore i te whakahaere pai, ētahi atu mate tōraru rānei
• Ngā pokanga rererangi i rahua i mua
• Te mate rerenga waikawa e haere tonu ana
• Ngā āhuatanga ā-ārai-tinana e pā ana ki te whakaora
• Te rongoā iraruke ki te wāhi kaki
• Te kore kai nui, te iti rānei o te pūmua
• Ngā āhuatanga e pā ana ki te pakeketanga e pā ana ki te kaha whakaora

Ka arotake tō tākuta pokanga i ēnei āhuatanga i te wā e whakamahere ana i tō pokanga. Ko ētahi āhuatanga tūpono ka taea te whakapai ake i mua i te pokanga, pēnei i te whakapai ake i te whakahaere huka toto, te rongoā rānei i te rerenga waikawa.

Ko ngā tūroro he maha ngā āhuatanga tūpono ka hiahia pea ki te aroturuki atu, ki ngā huarahi pokanga rerekē rānei. Ka kōrero tō rōpū hauora mō te pānga o ēnei āhuatanga ki tō āhuatanga.

He pai ake te whai i te hanga anō o te laryngotracheal i te wā kotahi, i te wā maha rānei?

Ko te hanga anō i te wā kotahi te mea e pai ana i te nuinga o te wā, nā te mea kotahi anake te pokanga nui e hiahiatia ana, ā, ko te tikanga ka tere ake te whakaora. Heoi, kei runga i te uaua me te whānuitanga o te kino o tō rererangi te whakatau.

Ko ngā tikanga i te wā kotahi te mea pai mō ngā tūroro he iti te whānuitanga o te kiko whara, me te pai o te hauora. Ka taea e tō tākuta pokanga te tango i te kiko kua pakaru, me te whakatakoto i te whakawhitinga kirikiri i te pokanga kotahi, ka taea pea te tango i te tracheostomy i roto i ngā marama torutoru.

Ka hiahiatia te hanga anō i ngā wā maha i te wā e whānui ana te kino o te rererangi, i te wā rānei i rahua ai ngā pokanga o mua. Ko te wāhanga tuatahi ko te whakatakoto i te whakawhitinga kirikiri, i te wā e whakatikatika ana ngā wāhanga i muri mai i ngā hua, i te whakatika rānei i ngā raruraru.

Ka tūtohu tō tākuta pokanga i te huarahi e whai wāhi ana ki a koe te angitu mo te wā roa i runga i tō āhua tinana me tō hītori hauora. Ka taea e ngā huarahi e rua te whakatutuki i ngā hua pai i te wā e mahia ana e ngā tākuta pokanga mōhio.

He aha ngā raruraru ka puta i te hanga anō o te laryngotracheal?

Pērā i ngā pokanga nui katoa, he tūponotanga kei roto i te whakahou i te laryngotracheal me mōhio koe i mua i tō whakatau. Ko te nuinga o ngā raruraru ka taea te rongoā, engari he nui pea ētahi.

Mā te māramatanga ki ēnei tūponotanga ka āwhina koe ki te mōhio ki ngā tohu whakatūpato me te rapu i te manaakitanga tika mēnā e tika ana. Koinei ngā āwangawanga matua:

• Te toto e hiahia ana ki te pokanga atu
• Te mate i te wāhi pokanga
• Te rahunga, te neke rānei o te whakawhitinga
• Te whāiti tonu o te ara rererangi
• Ngā huringa o te reo, te ngaro rānei
• Te uaua ki te horomia
• Te pūkahukahu mai i te hiahia
• Te hiahia ki te tracheostomy tūturu

Ko ngā raruraru onge engari nui ka uru ki te kino ki ngā hanganga tata pēnei i te esophagus, i ngā oko toto nui rānei. Ka kōrero tō tākuta pokanga i ēnei tūponotanga i runga i te uaua o tō keehi.

Ko te nuinga o ngā tūroro ka pā ki ētahi huringa reo rangitahi me te uaua ki te horomia i muri tonu i te pokanga. Ko te tikanga ka pai ake ēnei raruraru i te wā e ora ana, ahakoa ka roa pea te whakaora katoa i ētahi marama.

Ko te reiti raruraru whānui ka rerekē i runga i te uaua o tō keehi me tō hauora whānui. Mā te whiriwhiri i tētahi tākuta pokanga mōhio me te whai i ngā tohutohu katoa i muri i te pokanga ka tino whakaiti i tō tūponotanga.

Āhea au e kite ai i te tākuta i muri i te whakahou i te laryngotracheal?

Me whakapā atu koe ki tō rōpū hauora tonu mēnā ka pā ki a koe ētahi tohu o ngā raruraru nui i te wā e ora ana koe. Mā te mahi tere ka ārai i ngā raruraru iti kia kaua e noho hei take nui.

Ko ētahi tohu e hiahia ana ki te manaakitanga hauora tonu, i te wā e tohu ana ētahi atu i te hiahia ki ngā whakatikatika whai-a-roto. Anei te wā ki te rapu manaakitanga:

• Te uaua ki te manawa, te poto rānei o te manawa
• Kirika nui (nui ake i te 101°F) he makariri rānei
• Te nui o te toto mai i ngā wāhi pokanga
• Ngā tohu o te mate, pērā i te whero nui ake, te pūhi rānei
• Te ngaro ohorere o te reo, te huringa nui rānei o te reo
• Te uaua ki te horo, te mare tonu rānei
• Te mamae o te uma, ngā tohu rānei o te pūkahukahu
• He āwangawanga mō tō ngongo tracheostomy

He mea nui ngā tūhono whai muri i ngā wā katoa mō te aroturuki i tō haere whakamua o te whakaora, me te hopu i ngā raruraru i te wā wawe. Kaua e peke i ēnei tūhono, ahakoa kei te pai koe.

Ka hiahia tō tākuta pokanga kia kite i a koe i ngā marama tuatahi i muri i te pokanga, ā, ka iti ake te auau i te haere whakamua o tō whakaora. Ko ēnei haerenga e whai ana i ngā whakamātautau scope hei kite tika i tō ara rererangi e ora ana.

Ngā pātai e pātai pinepine ana mō te whakahou i te laryngotracheal

Q.1 He pai te whakahou i te laryngotracheal mō te pararutiki o te aho reo?

Ko te whakahou i te laryngotracheal te mea matua e aro ana ki te whaiti o te ara rererangi, kaua ki te pararutiki o te aho reo. Mēnā nā te pararutiki o ngā aho reo e aukati ana i tō ara rererangi ngā raruraru o tō manawa, ko ētahi atu tikanga pērā i te whakatūnga anō o te aho reo ka pai ake.

Heoi, he raruraru te whaiti o te ara rererangi me ngā raruraru o te aho reo ki ētahi tūroro. I ēnei keehi, ka taea e tō tākuta pokanga te whakakotahi i te whakahou i te laryngotracheal me ētahi atu tikanga hei whakatika i ngā take e rua i te wā kotahi.

Q.2 Ka huri tonu te reo i te whakahou i te laryngotracheal?

Ka pā te huringa o te reo ki te nuinga o ngā tūroro i muri i te whakahou i te laryngotracheal, engari he pai tonu ēnei huringa i te whakapai ake i te manawa. Ka rerekē pea tō reo i te oro, i te kounga rānei, engari me noho tonu hei mahi mō te kōrero i ia rā.

Kei te whakawhirinaki te whānuitanga o ngā huringa o te reo ki te wāhi me te whānuitanga o tō pokanga. Ka taea e te rongoā reo te āwhina i a koe ki te urutau ki ngā huringa katoa me te whakanui i tō mahi reo i muri i te whakaoranga.

Q.3 Ka taea e ngā tamariki te whai hanga anō laryngotracheal?

Āe, ka taea e ngā tamariki te whai hanga anō laryngotracheal, ā, he pai tonu ngā hua o ngā take tamariki. He pai te whakaora o ngā ara rererangi o ngā tamariki, ā, ka taea e te wawaotanga wawe te ārai i ngā raruraru wā-roa mai i te whāiti o te ara rererangi kāore i rongoatia.

E hiahia ana ngā take tamariki ki te mātanga motuhake, ā, ka uru pea ki ngā tikanga pokanga rerekē ki ngā tikanga pakeke. Kei te whakawhirinaki te wā o te pokanga ki te tau o te tamaiti, te hauora whānui, me te kaha o te whāiti o te ara rererangi.

Q.4 Kia pēhea te roa o te whakaora mai i te hanga anō laryngotracheal?

E pā ana ki te 2 ki te 3 marama te whakaora tuatahi, engari ka roa pea te 6 ki te 12 marama te whakaora katoa me ngā hua pai. Ka noho pea koe i te hōhipera mō te 5 ki te 10 rā i te tīmatanga, ka whai mai i ētahi wiki o te mahi iti i te kāinga.

Ko te tikanga ka noho tonu tō ngongo tracheostomy mō te 2 ki te 6 marama i te wā e whakaora ana tō ara rererangi. Ka puta te hokinga ki ngā mahi noa i te āta haere, me te nuinga o ngā tūroro e hoki ana ki te mahi me te whakakori tinana māmā i roto i ētahi marama.

Q.5 He pēhea te auau angitu o te hanga anō laryngotracheal?

He rerekē ngā auau angitu i runga i te uaua o tō take me te whakamāramatanga o te angitu i whakamahia. I te katoa, e pā ana ki te 80 ki te 90 ōrau o ngā tūroro e whakatutuki ana i te mahi ara rererangi tika, ahakoa ka hiahia pea ētahi ki ngā tikanga atu.

Ko te tikanga ka inea te angitu mā te kaha ki te manawa marie me te kore he ngongo tracheostomy me te pupuri i taua whakapai ake i te wā. Ka taea e tō tākuta pokanga te hoatu ki a koe ētahi tūmanako motuhake i runga i tō āhuatanga takitahi.