Ðe wò gbe bu zi ɖekaa? Mina míaƒo nu tso Aphonia ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe gbe medona nyuie ne èle nu ƒom oa? Alo, ɖe nèva le ɣli dom zi ɖeka, ɖeko nète ŋu ƒoa nu le ɣlidodo bɔbɔe mea, alo ɖewohĩ wò gbe bu keŋkeŋ gɔ̃ hãa? Esia doa dziku eye wòdoa vɔvɔ̃ na ame ŋutɔŋutɔ, alo? Elabena míaƒe gbee nye mɔ vevitɔ si dzi míetona ɖoa dze kple ame bubuwo. Eyata egbea míaƒo nu tso esia ŋu tsitotsito vie. Ðɔktawo yɔa nɔnɔme sia be aphonia.

Nuka tututue nye Aphonia?

Kpuie ko la, aphonia nye wò gbe ƒe bu. Eyae nye be ƒã hafi nàte ŋu asee ne èle nu ƒom. Wò gbe ate ŋu aɖiɖi, alo àte ŋu aƒo nu blewu ŋutɔ, abe ɣlidodo ene. Ɣeaɖewoɣi la, wò gbe ate ŋu abu keŋkeŋ. Ame bubuwo ate ŋu ase le wo ɖokui me be yewoƒe gbe to vovo eye wòto vovo, eye woate ŋu ahe ɖe megbe gɔ̃ hã be yewoaƒo nu. Wobua esia be enye gbe ƒe dɔmawɔmawɔ nyuie. Zi geɖe la, wokpɔa nɔnɔme sia le amesiwo doa gbe ɖe dzi hedoa ɣli zi geɖe la ŋu. Gake naneke meli si ŋu woatsi dzi ɖo o, elabena ɖɔktawo ate ŋu atsɔ gbedada ƒe kamededewo adae.

Amekawoe aphonia ƒe nɔnɔme sia gblẽa nu le wu?

Numekulawo bu akɔnta be ame siwo le dukɔwo abe United States ene me ƒe 3% va ɖo 9% ye aphonia gblẽa nu le. Ke hã, ɖɔkta aɖewo xɔe se be xexlẽmea ate ŋu asɔ gbɔ wu ema kura, elabena ame geɖe media atikewɔlawo ƒe aɖaŋuɖoɖo ne woƒe gbe megabu o. Eyata, ate ŋu anye be ame siwo ŋu dɔléle sia le le Sri Lanka hã, gake ɖewohĩ akɔntabubu si de pɛpɛpɛ aɖeke manɔ anyi tso eŋu o.

Nukae nye Aphonia ƒe dzesiwo?

Esia ƒe dzesi vevitɔ si dze ƒã wue nye be gbea medona sesĩe o alo womesea nyawo o. Gbe ƒe bu kpata nye gbeɖiɖi ƒe dzesi bubu. Ɣeaɖewoɣi la, gbea koe buna evɔ mesea veve aɖeke le ŋɔti me o. Ate ŋu adzɔ hã be ŋɔti nase le eɖokui me ne ele agbagba dzem be yeaƒo nu.

Aleke míaƒe gbe tsinae?

Togbɔ be nuƒoƒo adze nu bɔbɔe aɖe hã la, le nyateƒe me la, enye nuwɔna si me nunya mele o si bia be míaƒe ŋutilã ƒe akpa vovovowo nawɔ ɖeka. Bu eŋu kpɔ ko, esia bia be míaƒe gbɔgbɔtsixe, ŋɔti, ŋɔti, ŋɔti, kple nu katã nawɔ dɔ ɖekae.

1. Yagbɔgbɔ ƒe Dɔwɔɖoɖo: Gbã la, ya si dona tso míaƒe lãkusiwo me ye nye ŋusẽ si naa gbea. Ele abe ami na ʋu ene. Ne míegbɔ ya nyuie o, si fia be, ne míegbɔ ya sesĩe hele mɔ si dzi míaɖu o nu la, gbe ƒe kuxiwo ate ŋu ado mo ɖa.

2. Aɖuɖɔtoe kple Gbeɖiɖimɔ̃wo: Le míaƒe ŋɔti tame la, lãkusi, alo abe alesi míeyɔnae ene la, ‘gbe ƒe aɖaka’ le. Esia me la, gbeɖiɖika siwo nye lãkusi eve siwo le tsɛ ŋutɔ la le eme. Wogayɔa esiawo be gbeɖiɖi ƒe ƒuƒoƒo. Lãmetsiwo ƒe hatsotso tɔxɛ aɖe le lãkusia me si woyɔna be Phonatory Muscles.Lãmetsi siawoe nana gbeɖiɖikawo ƒoa ƒu heɖea wo nɔewo ɖa.

3. Alesi wowɔa gbeɖiɖi ƒe ƒutsotsoewoe: Ne míegbɔ ya la, ya si tso lãkusi me toa gbeɖiɖika siwo te ɖe wo nɔewo ŋu la me kabakaba. Emegbe gbeɖiɖika siawo dzea ʋuʋu gɔme. Abe alesi gita ƒe kawo ʋuʋuna ene. Ʋuʋudedi siae naa gbeɖiɖi ƒe ƒutsotsoe veviawo dona.

4. Do siwo le ɖiɖim: Emegbe gbeɖiɖi ƒe ƒutsotsoe siawo toa teƒe siwo le míaƒe ŋɔti, ŋɔti, kple nu me. Woyɔa teƒe siawo be Resonating Cavities . Esiawo dzie míaƒe gbe tona kpɔa eƒe nɔnɔme tɔxɛ, eme kɔna, kple ŋusẽ. Abe nuƒomɔ̃ ƒe akpawo ene.

Eyata ne tɔtrɔ vi aɖe va le ɖoɖo sia ƒe akpa ɖesiaɖe la, ate ŋu ahe kuxiwo vɛ na míaƒe gbe.

Nukawoe hea aphonia vɛ?

Wobua aphonia be enye gbe ƒe dɔmawɔmawɔ nyuie . Esia fia be ame siwo ŋu nɔnɔme sia le ate ŋu anye ŋutilã me nɔnɔme aɖe, i.e. dɔléle gã aɖe alo dɔléle aɖe le ŋɔti alo gbeɖiɖikawo me. Ke hã, gbe ƒe bu la tso nusiwo mesɔ o aɖewo le alesi wozãa woƒe gbee me, i.e. alesi wotrɔa asi le woƒe gbe ŋui gbɔ.

Dɔ kawoe gblẽa nu le gbea ŋu eye wòhea kuxiwo vɛ?

Ðewohĩ èse tso nuteƒekpɔkpɔ me be ne èkpɔ kriket fefe gaƒoƒo ɖeka eye nèdo ɣli le wò lãkusi tame la, wò ŋɔti ave wò eye wò gbe aɖiɖi. Ðɔktawo yɔa esia be phonotrauma , si fia be gbea gblẽ.

Azɔ hã, ame aɖewo ate ŋu agblẽ nu le woƒe gbe ŋu le dɔ si wowɔna ta. Ðɔktawo yɔa esia be gbeɖiɖi ƒe ɖeɖiteameŋu . Kpɔ kpɔɖeŋu siawo ɖa:

• Nufialawo: Nufiala siwo ƒoa nu sesĩe ŋkeke bliboa be woahe ɖeviawo ƒe susu eye woafia wo be woase woƒe nyawo.
• Dɔwɔƒea me dɔwɔlawo: Ame siwo doa ɣli heƒoa nu ɣesiaɣi le mɔ̃ sesẽwo ƒe toɣliɖeɖe ta ale be ame bubuwo nate ŋu ase wo. Kpɔe ɖa le susu me be ame aɖe le nu ƒom le mɔ̃wo ƒe toɣliɖeɖe le awudɔwɔƒe aɖe ta.
• Telefondɔwɔƒewo: Ame siwo zãa woƒe ŋkekea ƒe akpa gãtɔ ɖe telefon dzi, le kpɔɖeŋu me, amesiwo wɔa dɔ le kaƒoƒewo.
• Nuƒola kple hadzila bibiwo: Ame siwo zãa woƒe gbe abe woƒe agbemenuhiahiãwo ene.

Ele be ame siawo katã naɖɔ ŋu ɖo vevie le woƒe gbe me.

Nukae nye Tagbɔdɔléle si Naa Nuwo Gbɔna?

Ɣeaɖewoɣi la, amewo ƒe gbe ate ŋu abu le ŋutilã me susu aɖeke manɔmee. Woyɔa esia be susuŋudɔwɔwɔ ƒe aphonia alo susu ƒe tɔtrɔ ƒe aphonia . Nuveviwɔame gã aɖe, seselelãme alo susu me nuteɖeamedzi, alo nudzɔdzɔ dziŋɔ aɖe gbɔe esia tsona. Kuxi aɖeke mele amesiwo ŋu dɔléle sia le ŋu le woƒe gbeɖiɖikawo ŋu o, gake gbe si bɔbɔ ŋutɔ, si me kɔ ŋutɔ koe woate ŋu aƒo nu. Esiae nye esime woƒe gbe bu zi ɖeka.

Le veviẽ:Tagbɔdɔléle ƒe aphonia kple hysterical aphonia siaa ɖɔa gbe ƒe bu le susu me nuteɖeamedzi ta. Ŋutilã me kuxi aɖeke mele lãkusia ŋu o.

Aleke ɖɔktawo wɔa dea dzesi aphonia?

Ne èyi ɖɔkta aɖe si gbe me kuxi le gbɔ la, abia nya ʋɛ aɖewo wò gbã. Le kpɔɖeŋu me:

• Wobia tso asiwò be nàɖɔ nusi nye kuxi si le wò gbe ŋu.
• Ɣekaɣie kuxi sia dze egɔme?
• Ðe gbe ƒe kuxia nɔa anyi ɖaa, alo ɖe wòvaa hedzona? (Ne màte ŋu aƒo nu nyuie o hã la, wò ɖɔkta adi mɔ siwo dzi wòato agblɔ wò ŋutinya, ɖewohĩ ana nàŋlɔe ɖi gɔ̃ hã.)

Tsɔ kpe ɖe eŋu la, woabia nya tso wò atikewɔwɔ ŋutinya kple wò lãmesẽ bliboa ŋu . Woate ŋu abia nya tso ale si nèzãa wò gbe le ŋkekea me katã hã ŋu. Ðɔktawo yɔa esia be gbe ƒe dzadzɛnyenye gbesiagbe .

Dodokpɔ kawoe wowɔna tsɔ dea dzesi nɔnɔme sia?

Ðewohĩ ɖɔktaa adi be yeado wò lãkusi kpɔ. Esia ate ŋu alɔ dodokpɔwo abe:

• Rigid Laryngoscopy: Le esia me la, wotsɔa dɔwɔnu sue aɖe si le sue, si le dzɔdzɔe si le abe mɔ̃ ene (endoscope) dea nu me, eye wodoa aɖuɖɔtoea kpɔna to aɖea ƒoƒo ɖe axadzi me. Esia ate ŋu ase le eɖokui me be yemevo vie o, gake enye dodokpɔ si wowɔna kabakaba.
• Flexible Laryngoscopy: Le dɔ sia wɔwɔ me la, wotsɔa mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe la toa ŋɔti me yia ŋɔti ƒe megbe. Hafi woawɔ dɔa la, wotsɔa atike si naa ame ƒe lãme gbãna la dea ŋɔti me, eyata meɖea fu na ame boo o. Ðɔkta ate ŋu abia tso asiwò be nàƒo nu, adzi ha, alo akɔ akɔta, eye nàlé ŋku ɖe ale si wò aɖuɖɔtoe wɔa dɔe ŋu. Esia wɔnɛ be gbeɖiɖikawo te ŋu ʋãna nyuie ŋutɔ.

Dodokpɔ siawo ate ŋu akpɔe ɖa be ʋuʋudedi, ƒunukpeƒetetedɔ, tsitsi si mesɔ o, alo ne gbeɖiɖikawo mele dɔ wɔm nyuie o hã.

Aleke wowɔa atike na Aphonia?

Zi geɖe la ɖɔktawo tsɔa gbeɖiɖi ƒe atikewɔwɔ daa aphonia . Wò ɖɔkta ate ŋu aɖo wò ɖe nuƒoƒoŋutinunyala gbɔ.

Nuƒoƒodɔdala la awɔ atikewɔwɔ ƒe ɖoɖo si sɔ ɖe wò nɔnɔmea nu. Esia ate ŋu alɔ nusiwo le abe:

• Yagbɔgbɔ ƒe kamedede nyuie: Alesi nàwɔ akpɔ ŋusẽ si sɔ na wò gbe.
• Gbe ƒe kamededewo: Alesi woazã gbea evɔ womagblẽ nu le gbeɖiɖikawo ŋu o, alesi woakpɔ gbea ƒe ɖiɖime kple eƒe sesẽme dzi.
• Kamedede siwo naa ŋɔti kple kɔ ƒe lãmekawo ɖea dzi ɖi.
• Gbeɖiɖi ƒe Dzadzɛnyenye Ŋuti Aɖaŋuɖoɖowo: Nusiwo Nàwɔ Kple Mègale Be Nàkpɔ Wò Gbe Ta O.

Aleke wodaa Psychogenic Aphoniae?

Tagbɔdɔléle si tsoa susu me nye gbe ƒe bu le nuteɖeamedzi ta. Eyata ne wole esia dam la, ɖɔktawo kafui be woazã susumedɔdada (Mental Health Therapy / Counseling) kple nuƒoƒo ƒe atikewɔwɔ ɖekae . Nu vevitɔ le afisiae nye be nàdi nusi gbɔ nuteɖeamedzia tso ahadae, esime nèle kamedede siwo hiã wɔm be gbea nagaɖo eŋu.

Ðe atike aɖe li si wozãna tsɔ daa Aphonia?

Zi geɖe la, homeopathic ƒe atikewɔwɔwo nɔa te ɖe ŋutilã me dzesiwo, abe gbeɖiɖi ƒe ɖiɖi ene dzi ɖeɖe kpɔtɔ ŋu. Le kpɔɖeŋu me, wozãa aha vivi aɖe si wotsɔ limetsi, anyitsi, kple thyme wɔe. Gake ele vevie be nàbia wò ɖɔkta hafi atsɔ atike siawo akpe ɖe wò atikewɔwɔ ƒe ɖoɖoa ŋu. Enya nusi nyo na wò nɔnɔmea, eye ɖewohĩ esiawo masɔ na wò o.

Aleke woawɔ axe mɔ ɖe aphonia nu?

Zi geɖe la, gbea zazã fũ akpa alo ŋɔti ƒe tete gbɔe aphonia tsona. Dzɔgbenyuietɔe la, nu bɔbɔe aɖewo li nàte ŋu awɔ atsɔ akpɔ wò gbe ta, ne wò dɔa bia be nàƒo nu sesĩe gɔ̃ hã. Kpɔ aɖaŋuɖoɖo siawo ɖa:

• Srɔ̃ gbɔgbɔ nyuie: Gbugbɔ ya sesĩe, tso wò akɔta kple wò akɔta, eye nàna wò ŋɔti nagbɔ ɖe eme. Gbɔgbɔ kpui siwo me goglo o ate ŋu ana wò ŋɔti ƒe lãmekawo nate ɖeɖi ame ŋu.
• Zã nuƒomɔ̃ ne anya wɔ: Ne wò dɔa bia be nàƒo nu sesĩe ɣesiaɣi la, ke bu ame ŋutɔ ƒe nuƒomɔ̃ sue aɖe zazã ŋu. Esia ɖea vi ŋutɔ na nufialawo kple nuƒolawo.
• Ƒo asa na dzeɖoɖo didi le teƒe siwo toɣliɖeɖe le: Ƒo asa na nuƒoƒo ɣeyiɣi didi le teƒe siwo amewo sɔ gbɔ ɖo, eye toɣliɖeɖe le, abe le kɔnsɛt, dɔwɔƒe, alo bɔs me ene. Esia le alea elabena ahiã be nàƒo nu sesĩe hafi aɖu toɣliɖeɖea dzi.
• Zã mɔnu bubuwo tsɔ wu be nàdo ɣli: Le kamedefefewɔƒewo, kɔnsɛtwo, kple bubuawo me la, le esi teƒe be nàdo ɣli la, zã asikpeƒoƒo, kpẽkuku (gake kpɔ nyuie), alo mɔnu bubuwo nàtsɔ aɖee afia be yedo alɔe.
• Mègakɔ kɔdzi enuenu be nàkɔ wò ŋɔti me o: Kɔdzidede enuenu sesĩe ate ŋu agblẽ nu le wò gbeɖiɖikawo ŋu. Te tsi aɖe nono kpɔ.
• Ƒo asa na atamanono: Menye ɖeko atamanono gblẽa nu le wò gbe ŋu ko o, ke egblẽa nu le wò ŋutilã bliboa hã ŋu. Azɔ hã, ame siwo noa atama (sigaretnono si mewɔa naneke o) gbɔ nɔnɔ menyo o.

Nukae dzɔna ne aphonia le ŋunye?

Zi geɖe la, woxɔa nuƒoƒo ƒe atikewɔwɔ na amesiwo ŋu gbeɖiɖi ƒe kuxi le.Le amekoko vɔ megbe la, àte ŋu agbugbɔ wò gbe si bu la axɔ. Ne aphonia le ŋuwò la, eɖea vi ŋutɔ be nàsrɔ̃ alesi nàkpɔ wò gbe tae. Mègabu mɔkpɔkpɔ o, ne wowɔ atike na wò nyuie la, àte ŋu ahaya.

Aleke malé be na ɖokuinye?

Aphonia nye nɔnɔme aɖe si dzɔna ne gbea va le sesẽm. Eyata ne ènya gaxɔ wò gbe ko la, nu aɖewo siwo nàte ŋu awɔ be wòanɔ nɔnɔme nyui me lae nye esi:

• Tsi nanɔ eme: Tsinono le ŋkekea me katã ate ŋu akpe ɖe ŋuwò be wò ŋɔti nagaƒu o. Wò gbeɖiɖikawo hiã tsi. Dze agbagba nàno tsi kplu 8 ya teti gbesiagbe.
• Dzudzɔ alɔ̃ kple gbe: Na wò gbe nagbɔ ɖe eme ɣesiaɣi si wòanya wɔ. Le esi nànɔ nu ƒom ŋkeke bliboa teƒe la, di ɖoɖoezizi ɣeyiɣi kpui aɖewo.
• Ƒo asa na atike siwo nana wò gbeɖiɖikawo ƒuna: Ne èle vuvɔ alo nulɔdɔtikewo zãm la, bia wò ɖɔkta tso atike siwo mana wò gbeɖiɖikawo naƒu o ŋu. Atike aɖewo siwo wua ŋɔti kple esiwo ɖea ʋu ƒe sisi ɖa ate ŋu ana wò ŋɔti naƒu.
• De kame edziedzi: Kamedede nana wò gbɔgbɔ nyona ɖe edzi, eye esia hã nyo na wò gbe.
• Ðe caffeine kple aha sesẽ dzi kpɔtɔ: Nu siawo ate ŋu ana tsi nagbɔdzɔ le ŋutilãa me, si menyo na ŋɔti o.

Vovototo kae le Aphonia kple Dysphonia dome?

Togbɔ be nya eve siawo ɖi wo nɔewo vie hã la, vovototo sue aɖe le wo dome.

• Dysphonia: Esia nye ne kuxi aɖe le wò nu, aɖe, ŋɔti, alo gbeɖiɖikawo ƒe wɔwɔme ŋu. Le kpɔɖeŋu me, nɔnɔmewo abe gbeɖiɖi ƒe ka alo polyps, gbeɖiɖi ƒe lãmetutudɔ, alo velopharyngeal dysfunction (VPD) ate ŋu ahe gbeɖiɖi ƒe kuxi sesẽ vɛ. Gbea ate ŋu anɔ ɖiɖim, agbã, alo agbɔdzɔ.
• Aphonia: Le esia me la, zi geɖe la, wò gbeɖiɖi ƒe wɔwɔme nyo, si fia be naneke megblẽ le eŋu vevie o. Gake gbea ƒe bublu dzɔna le kuxi aɖe si le alesi nèzãa wò gbee ŋu, si nye alesi nètrɔa asi le wò gbe ŋui gbɔ. Esia nye nɔnɔme si nu sẽ wu Dysphonia, elabena gbea bu keŋkeŋ kloe.

Kpuie ko la, gbeɖiɖi ƒe sesẽ nye gbea ƒe nɔnɔme si mesɔ o, evɔ aphonia ya nye gbea ƒe bu keŋkeŋ alo eƒe akpa aɖe.

Nukae nye Aphonia Clericorum sia?

Aphonia Clericorum nye gbe ƒe bu le abi si nèxɔ le wò lãkusi me, alo lãkusi ƒe dɔléle aɖe abe lãkusi me kansa ene megbe . Esia to vovo na dɔwɔwɔ ƒe aphonia si míeyɔ va yi, elabena le afisia la, xɔtuɖoɖo ƒe gbegblẽ le lãkusia ŋutɔ ŋu.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Míaƒe gbe ƒe bu nye nu gã aɖe na mía dometɔ geɖe. Nuƒoƒo kple míaƒe susuwo gbɔgblɔ ƒe ŋutetee nye nusi doa ka kpli mí kple ame bubuwo. Míaƒe gbe ƒe bu ate ŋu afia ɣeaɖewoɣi be míaƒe agbemenuhiahiãwo nabu. Eya ta, míaƒe gbe ƒe ɖiɖi zi ɖeka ate ŋu awɔ nuku na mí ŋutɔ.

Aphonia nye nɔnɔme aɖe si dzɔna ne èzã wò gbe le mɔ gbegblẽ nu, si fia be ne èdo vevie nu wògbɔ eme. Ne wokpɔe be aphonia le ŋuwò la, zi geɖe la, nuƒoƒo ƒe atikewɔwɔ ate ŋu akpe ɖe ŋuwò be wò gbe nagaɖo eŋu eye nàsrɔ̃ alesi nàlée ɖe te. Naneke megblẽ le wò gbe dodo ŋu o, gake ele be nàwɔe evɔ màgblẽ nu le eŋu ale gbegbe be wòabu o.

Ne dzimaɖitsitsi alo dzimaɖitsitsi aɖe le wò gbe ŋu la, mègahe ɖe megbe gbeɖe le nuƒoƒo kple ɖɔkta me o. Aɖo to wò eye wòakpe ɖe ŋuwò. Ðo ŋku edzi be zi alesi nèxɔ atike kaba la, zi nenemae nàte ŋu ahaya kabae!

` Aphonia, gbe ƒe bu, gbe ƒe ɖiɖi, gbe ƒe hehexɔxɔ, nuƒoƒo ƒe atikewɔwɔ, lãkusi, gbeɖiɖi ƒe ka