Created at:10/10/2025
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Ko te whakawhitinga larynx me trachea he tikanga pokanga uaua e whakakapi ai te pouaka reo me te ngongo hau kua pakaru, kua mate ranei ki te kiko hauora mai i te kaiwhakarato. Ko tēnei pokanga e huri ana i te oranga ka taea te whakahoki mai i tō kaha ki te manawa māori, ki te kōrero, me te horomia ina kua pakaru ēnei hanganga nui i te trauma nui, te mate pukupuku, te āhua whānau rānei, kare e taea te whakatika.
Ahakoa he mea onge tonu tēnei tikanga, he tūmanako mō te hunga e tū ana ki ngā raruraru ara hau me te reo tino uaua. E hiahia ana te pokanga ki te whakataurite tōtika i waenga i te kaiwhakarato me te kaiwhiwhi, ka whai i ngā rongoā e aukati ana i te ārai ā-tinana mō te oranga katoa hei aukati i te whakakorenga.
Kei roto i te whakawhitinga larynx me trachea te whakakapi i tō pouaka reo (larynx) me te ngongo hau (trachea) kua pakaru ki te kiko hauora mai i te kaiwhakarato kua mate. Kei roto i te larynx ō aho reo, ā, ka āwhina i a koe ki te kōrero, i te wā e kawe ana te trachea i te hau ki ō pūkahukahu.
I te wā o tēnei tikanga, ka ata tango ngā tākuta pokanga i te kiko kua mate, ka hono i ngā okana mai i te kaiwhakarato ki ō hanganga o nāianei. Kei roto i tēnei te hono anō i ngā oko toto, ngā io, me ngā uaua kia pai ai te mahi. Ko te whāinga kia whakahokia mai tō kaha ki te manawa me te kore he ngongo tracheostomy, ki te kōrero mārama, me te horomia marie.
Ka taea ēnei whakawhitinga te wāhanga, te oti rānei, i runga i te nui o te kiko e hiahia ana ki te whakakapi. Ka whiwhi pea ētahi tūroro i te whakawhitinga larynx anake, i te wā e hiahia ana ētahi ki ngā okana e rua kia whakakapihia i te wā kotahi.
Ka tūpono tēnei whakawhitinga ina kare e taea te whakatika i te kino nui ki tō larynx, trachea rānei mā ētahi atu rongoā. Ko te take tino noa ko te mate pukupuku laryngeal matatau e hiahia ana kia tangohia katoatia te pouaka reo, ka waiho koe e kore e taea te kōrero noa.
Ka taea hoki e ngā whara i ngā aituā, ngā pānga, i te whakaurunga rānei mō te wā roa te whakangaro i ēnei hanganga, kare e taea te whakatika. Ko ētahi tāngata i whānau mai me ngā āhuatanga whānau onge e pā ana ki te whanaketanga o ō rātou ara rererangi. I ēnei wā, kāore pea ngā tikanga whakatikatika tuku iho e whakarato i te mahi tika.
Ka whakaaro pea tō tākuta i tēnei kōwhiringa i te wā e tū ana koe ki te ngaro tonu o te reo, te uaua ki te hā, i ngā raruraru rānei ki te horomia e pā ana ki tō kounga o te oranga. E tuku ana te tikanga i te tūmanako mō te whakahoki mai i te kōrero me te hā māori i te wā i pau ai ētahi atu rongoā.
He maha ngā āhuatanga nui ka taea te arahi ki te hiahia mō te whakawhitinga o te larynx me te trachea, e whakaatu ana i ngā wero ahurei e tika ana tēnei pokanga uaua.
Ahakoa te mate pukupuku te tohu tino auau, kei te mōhiotia haere ngā whara i ngā aituā me ngā raruraru mai i ngā tikanga rongoā hei take e whakaarohia ana te whakawhitinga.
Ka taea hoki e ētahi āhuatanga onge te hiahia mō te whakawhitinga o te larynx me te trachea, ahakoa ka kitea ēnei keehi i te iti ake i te mahi haumanu.
Ko ēnei āhuatanga onge e hiahia ana ki te arotake motuhake, ā, ka puta pea ngā wero pokanga ahurei e pā ana ki te huarahi whakawhiti.
He pokanga tino uaua te tikanga whakawhiti, ā, e 12 ki te 18 haora te roa ki te whakaoti. Kei roto i tō rōpū pokanga ngā tohunga i roto i te pokanga o te upoko me te kaki, te pokanga whakawhiti, te whakamaimoa, me te pokanga moroiti e mahi ngātahi ana puta noa i te mahi.
I mua i te tīmatanga o te pokanga, ka whiwhi koe i te rongoā whānui, ā, ka honoa ki te mīhini ā-pānga ngākau-pūkahukahu ki te hiahiatia. Ka ata tango te tākuta pokanga i tō kāinga me tō trachea kua pakaru, me te tiaki i ngā hanganga nui e tata ana, pēnei i ngā oko toto nui me ngā io.
Ka whakatakotoria ngā okana takoha, ā, ka honoa mā te whakamahi i ngā tikanga moroiti. Kei roto i tēnei ko te hono anō i ngā oko toto iti, ngā io, me ngā uaua kia pai ai te rere o te toto me te mahi. E hiahia ana te tukanga ki te tino tika kia mau tonu te taurite ngawari e hiahiatia ana mō te manawa, te kōrero, me te horomia.
Mā te māramatanga ki te tukanga pokanga ka āwhina koe ki te rongo i te rite ake mō ngā mea kei mua i a koe i tēnei tikanga uaua.
E hiahia ana ia mahi ki te aro nui ki te taipitopito, ā, ka roa pea te maha o ngā haora ki te whakaoti tika. E whakawhirinaki ana te angitu o tō whakawhiti ki te whakatinanatanga tika o ēnei hononga nui.
Ko te whakarite mō tēnei pokanga nui, he whai wāhi ki te arotake hauora whānui me ngā whakarerekētanga o te oranga i roto i ngā wiki, marama rānei. Ka whakahaerehia e tō rōpū whakawhiti ngā whakamātautau whānui kia mōhio ai kei te pai tō hauora mō te mahi, ā, ka whai hua te hua.
Me whakamutu katoa te kai paipa mēnā kāore anō, nā te mea ka nui ake te mōrearea o te pokanga me ngā raruraru. Ka arotakehia e ō tākuta ngā rongoā katoa, ā, ka whakatikatikahia, ka whakamutua rānei ētahi rongoā ka raru pea i te whakaora, i te aukati rānei i te pūnaha ārai mate.
He mea nui te whakapai kai, nā te mea ka tautoko te kai pai i te whakaora me te whakaora. Ka mahi pea koe me tētahi kaiwhakarato kai kia mōhio ai kei te whiwhi koe i te pūmua, ngā huaora, me ngā kohuke i mua i te pokanga.
Me arotake whānui tō rōpū hauora i tō hauora whānui i mua i te whakaae i a koe mō te pokanga whakawhiti.
Ka āwhina ēnei arotake ki te tautuhi i ngā āhuatanga ka raru pea i te pokanga, i te whakaora rānei, ka taea e tō rōpū te whakatika i mua.
Ko te whakarereke i ngā huringa nui o te oranga i mua i te pokanga ka pai ake te tūponotanga o te hua angitu me te whakaora ngawari.
He uaua pea enei huringa, engari he haumi nui ki tō angitu pokanga me tō hauora mo te wā roa.
Ka inea te angitu i muri i te whakawhitinga karawhā me te rākau hau mā ētahi tohu nui ka mātakitakihia e tō rōpū hauora. Ko te tohu tuatahi nui ko te mahi ara rererangi tika, ko te tikanga ka taea e koe te hā pai me te kore e hiahia ki te ngongo tracheostomy.
Ko te whakaora i te reo he ine nui anō, ahakoa ka roa pea te wiki ki te marama kia tino whanake. I te tīmatanga, he rerekē, he ngoikore pea tō reo, engari e tika ana kia pai haere i te hekenga o te pūpū me te hoki mai o te mahi io.
He mea nui te mahi horomia, ā, ka whakamātauhia i mua i te wa ka taea e koe te kai me te inu noa. Ka whakamahi tō rōpū i ngā rangahau horomia motuhake kia kore ai te kai me ngā wai e uru ki tō ara rererangi.
He maha ngā tohu pai ka āwhina i a koe me tō rōpū hauora ki te mohio kei te pai te whakaora me te mahi tika o tō whakawhitinga.
Ko ēnei whakapainga ka puta haere i roto i ngā wiki ki ngā marama, me te hoki mai o ētahi mahi i mua i ētahi atu.
He mea nui kia mōhio ki ngā tohu e pā ana ki te raru e hiahia ana kia āwhina tonu te rongoā.
Whakapā atu ki tō rōpū whakawhiti tonu mēnā ka pā ki a koe ēnei tohu, nā te mea ka ārai te rongoā wawe i ngā raruraru nui.
Ko te whakaoranga mai i te whakawhiti larynx me te trachea e hiahia ana i te manawanui, te whakapau kaha, me te mahi tahi tata me tō rōpū hauora. Ko te mea tino nui ko te tango i ō rongoā anti-whakakore i te mea kua whakaritea, nā te mea ka ārai ēnei i tō pūnaha ārai mate mai i te whakaeke i te kiko kua whakawhitia.
He wāhi nui te rongoā reo i tō whakaoranga, e āwhina ana i a koe ki te ako anō me pēhea te whakamahi i tō pouaka reo hou. Ka mahi tahi tō tākuta rongoā reo me koe i ngā tikanga manawa, ngā mahi reo, me ngā rautaki whakawhitiwhiti kōrero.
He mea nui te hokinga mai i ngā mahi noa, engari me karo e koe ngā āhuatanga ka tūpono koe ki ngā mate, ki ngā whara rānei. Ka pēhia tō pūnaha ārai mate hei ārai i te whakakore, e kaha ake ai koe ki ngā mate.
Ko te whai i ēnei hikoinga nui ka āwhina i te whakarite i te putanga pai rawa atu mai i tō pokanga whakawhiti.
Ko ēnei mahi te pūtake o te manaaki whakawhitiwhiti roa, ā, ka āwhina i te pupuri i te mahi o ō pūkahukahu hou.
Ko te putanga pai rawa atu mai i te whakawhitiwhiti reo me te trachea ko te whakahoki mai i te manawa māori me te kore e hiahia ki te ngongo tracheostomy, te whakahoki mai i te reo mahi e āhei ai te kōrero mārama, me te horomia haumaru e āhei ai koe ki te pai ki ngā kai i te tikanga.
Ko te nuinga o ngā kaiwhiwhi whakawhitiwhiti angitu ka hoki ki te mahi me ngā mahi pāpori i roto i ngā marama maha ki te tau i muri i te pokanga. Ka rerekē pea tō reo i mua, engari me mārama, me te kaha hoki mō te kōrero noa.
Ko te angitu roa e whakawhirinaki ana ki te manaaki hauora tonu, te whai i ngā rongoā, me ngā whakarerekētanga o te oranga. He maha ngā tāngata e pūrongo ana i ngā whakapainga nui i roto i te kounga o te oranga me te kaha ki te whai wāhi ki ngā mahi kāore i taea e rātou i mua.
Ko te māramatanga ki ngā mea e tūmanakohia ana i te wā o tō haerenga whakaora ka āwhina i a koe kia noho hihiri me te mōhio ki te ahunga whakamua i te ara.
Kia mahara ko te katoa e whakaora ana i tō rātou ake tere, ā, ka rerekē pea tō wā tika whakaora i runga i ō āhuatanga takitahi.
He maha ngā āhuatanga ka piki ake te tūponotanga o ngā raruraru i muri i te whakawhitinga o te reo me te trachea. Ko te pakeke tētahi mea hei whakaaro, nā te mea ka uaua ake te whakaora i ngā tūroro pakeke, ā, he nui ake ngā tūponotanga o ngā raruraru pokanga, ahakoa kāore te pakeke anake e whakakore i tētahi tangata i te whakawhitinga.
Ko te rongoā iraruke o mua ki te wāhi o te kaki ka uaua te whakaora me te whakanui i te tūponotanga o te kore o te rere toto ki ngā kiko i whakawhitia. Ko te hītori kai paipa, ahakoa kua mutu koe, ka pā ki te whakaora me te whakanui i ngā raruraru manawa.
Ko ētahi atu āhuatanga hauora pēnei i te mate huka, te mate ngākau, te mate o te pūnaha ārai mate rānei ka pā ki tō kōtaha tūponotanga. Ka āta arotakehia e tō rōpū whakawhitinga ēnei āhuatanga i te whakatau mēnā he kaitono pai koe mō te pokanga.
Ko ētahi āhuatanga tūponotanga ka taea te whakapai ake, te whakakore rānei mā ngā huringa o te oranga me te whakahaere hauora i mua i tō whakawhitinga.
Ko te mahi i ēnei āhuatanga i mua i te pokanga ka tino whakapai ake i ō tūponotanga o te hua angitu me te whakaora mārie.
Ko ētahi āhuatanga tūponotanga e kore e taea te huri engari he mea nui kia whakaarohia e tō rōpū hauora i te wā e whakamahere ana i tō manaakitanga.
Ka whakatauritehia e tō rōpū hauora ēnei āhuatanga ki ngā painga ka puta mai i te whakawhitinga kia whakatauhia te tohutohu pai rawa atu mō tō āhuatanga.
Pērā i ngā pokanga nui katoa, he tūponotanga kei te whakawhitinga reo me te trachea ka puta i te wā o te pokanga, i muri rānei. Ko ngā tūponotanga o te pokanga tonu ko te whakaheke toto, te mate, me ngā raruraru ki te rongoā whakawātea, he rite ki ētahi atu pokanga nui.
Ko te āwangawanga nui rawa atu i te wā roa ko te whakakorenga o te whakawhitinga, ka whakaeke tō pūnaha ārai mate i te kiko hou ahakoa ngā rongoā ārai whakakorenga. Ka puta tēnei i ngā marama, i ngā tau rānei i muri i te pokanga, ā, me nui te rongoā hei whakahaere.
Ko ngā raruraru e pā ana ki te pēhitanga ārai mate i te wā roa ko te piki ake o te tūponotanga o te mate, ētahi momo mate pukupuku, me ngā pānga taha mai i ngā rongoā tonu. Heoi, kua tino whakaiti ngā tikanga pēhitanga ārai mate hou i ēnei tūponotanga ki ngā huarahi o mua.
He maha ngā raruraru ka puta i te wā i muri tonu i te pokanga, ahakoa ka tino mātakitaki tō rōpū hauora ki te ārai me te rongoā i ēnei take.
Ka taea te rongoā pai i te nuinga o ngā raruraru wawe ina mōhiotia, ā, ka whakatikahia e tō rōpū hauora.
Ka puta pea ētahi raruraru i ngā marama, i ngā tau rānei i muri i tō whakawhitinga, e hiahia ana ki te mātakitaki tonu me te aroturuki hauora i ngā wā katoa.
Mā te aroturuki i ngā wā katoa me te tiaki ārai ka āwhina i te kite me te whakahaere i ēnei raruraru pea i mua i te pūngāwari.
Ahakoa he mea noa, ka puta ētahi raruraru nui, ā, me whai wāhi tonu te rongoā mēnā ka puta.
Ka kōrero tō rōpū whakawhitinga i ēnei tūponotanga ki a koe, ā, ka whakarite kia mārama koe ki ngā tohu whakatūpato e hiahia ana ki te wawaotanga rongoā tonu.
Me whakapā atu koe ki tō rōpū whakawhitinga tonu mēnā ka pā ki a koe ētahi huringa ohorere i te manawa, te reo, te horomitanga rānei. Ka tohu pea ēnei i ngā raruraru nui e hiahia ana ki te wawaotanga rongoā ohorere.
Kaua rawa e warewarehia te kirika, te wiri, ngā tohu rānei o te mate i roto i ngā tūroro whakawhitinga, nā te mea nā tō pūnaha ārai mate kua aukatia ka nui ake te mōrearea o ngā mate. Ahakoa ngā tohu iti nei ka tere te pūngāwari.
Ko ngā tohu hou, ngā tohu rānei e kino haere ana e āwangawanga ana koe me whai aromātai rongoā. He pai ake tonu te whakapā atu ki tō rōpū me ngā pātai i te tatari me te tūpono ki te ngaro i ngā tohu whakatūpato nui.
Me mātua tonu ēnei tohu ki te rongoā ohorere, kaua e whakaroa, nā te mea he tohu pea mō ngā raruraru e mōrearea ana te ora.
Waea atu ki te 911, haere rānei ki te ruma ohorere tata tonu ki te pōro ana koe i ēnei tohu.
Me akiaki ēnei tohu kia whakapā atu koe ki tō rōpū whakawhiti i roto i te 24 hāora, nā te mea he tohu pea mō ngā raruraru e tupu ana e hiahia ana ki te rongoā.
Ka taea e tō rōpū whakawhiti te arotake i ēnei tohu, te whakatau rānei mēnā e hiahiatia ana te wawaotanga tonu.
He kōwhiringa pai te whakawhiti i te kārearea me te rākau manawa mō ngā tūroro mate pukupuku kua pokaina te laryngectomy katoa, e hiahia ana ki te whakahoki mai i tō rātou reo tūturu me te mahi hā. Heoi, me noho kore koe i te mate pukupuku mō tētahi wā motuhake i mua i te whakaaronga mō te whakawhiti.
Ka āta tātarihia tō hītori maimoatanga mate pukupuku, tae atu ki te rongoā matū me te iraruke, kia mōhio ai he haumaru, he tika hoki te whakawhitinga mō tō āhuatanga. Ko te nuinga o ngā pokapū whakawhitinga e hiahia ana kia 2-5 tau te iti rawa o te oranga kore mate pukupuku i mua i te whakaaro ki te whakawhitinga.
Āe, ko ngā rongoā whakawhāiti i te pūnaha ārai mate e hiahiatia ana i muri i te whakawhitinga ka piki ake te tūponotanga ki te whakawhanake i ētahi momo mate pukupuku. Ka pēnei tēnei nā te mea ka whakawhāiti ēnei rongoā i te kaha o tō pūnaha ārai mate ki te kite me te whakakore i ngā pūtau rereke.
Heoi anō, ka āta whakatauritehia tēnei tūponotanga ki ngā painga o te whakawhitinga, ā, ka āwhina te tātari mate pukupuku i ngā wā katoa ki te kite wawe i ngā raruraru. Ka āta aroturukihia koe e tō rōpū whakawhitinga, ā, ka whakatikatikahia pea ngā rongoā ki te tika kia taurite ai te aukati i te whakakorenga me te tūponotanga o te mate pukupuku.
Ahakoa he hōu tonu tēnei tikanga, e whakaatu ana ngā hua o mua ka taea e ngā whakawhitinga angitu te mahi pai mō ngā tau maha me te manaaki tika. Kei te whakawhirinaki te roa ki ngā āhuatanga pēnei i tō hauora whānui, te whai i ngā rongoā, me te kore o ngā raruraru.
Kei te kohia tonu ngā raraunga wā roa, engari ko ngā tūroro e mau ana i te hauora pai me te whai i tā rātou tikanga maimoatanga i ngā wā katoa ka koa ki ngā whakawhitinga whaihua mō te tekau tau, neke atu rānei. Ka āwhina te aroturuki i ngā wā katoa ki te kite wawe i ngā take kia mau tonu ai te mahi whakawhitinga.
Ka taea e te nuinga o ngā tūroro te whakatutuki i te kōrero whaihua i muri i te whakawhitinga kāriki, ahakoa ka rerekē pea tō reo i mua. Kei te whakawhirinaki te kounga o te whakaora reo ki ngā āhuatanga pēnei i te whakaora o te io, te whakauru o te kiko, me tō whai wāhi ki te rongoā kōrero.
Mā te rongoā reo whakatapua me te whakangungu, he tokomaha ngā tūroro ka whanake i te reo mārama, e mōhiotia ana, e āhei ai te kōrero noa. Ko ētahi tūroro ka eke ki te kounga reo tata-noa, ēngari ko ētahi ka rerekē paku, engari he reo whai hua.
He maha ngā huarahi kē atu e wātea ana i runga i tō āhuatanga motuhake. Kei roto i ēnei ko ngā momo pokanga hanga anō e whakamahi ana i ō ake kiko, ngā pūrere reo horihori, me ngā tikanga hou pēnei i ngā huarahi hangarau kiko.
Ka kōrero tō rōpū hauora i ngā kōwhiringa katoa e wātea ana ki a koe, me te whakaaro ki ngā mea pēnei i tō tau, te hauora whānui, me ō hiahia whaiaro. Ko te whakawhitinga te tikanga ka whakaarohia i te wā kāore anō ētahi atu rongoā i whai hua, kāore rānei i te tika mō tō āhuatanga.
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