Yu vɔys de ala? I dɔn tɔn to hoarse? (Hoarseness/Dysphonia) - Lɛ wi tɔk bɔt dis!

Sɔntɛnde yu kin fil lɛk se yu vɔys dɔn chenj we yu wek na mɔnin, ɔ afta yu dɔn tɔk tranga wan? I tan lɛk se dɛn dɔn kech am na kol, ɔ i dɔn mek i nɔ izi fɔ tɔk. Sɔntɛnde, yu vɔys kin wik, ɔ i kin rili ebi ɛn i kin tranga. Dis na wetin wi kin kɔl ‘hoarseness’ ɔ, insay mɛrɛsin, chenj na di vɔys (Dysphonia) . Infakt, dis na sik wae kin afɛkt lɛk wan pan ɔl tri pipul dɛm sɔm tɛm na dɛn layf. So natin nɔ de fɔ wɔri bɔt, bɔt i impɔtant fɔ no bɔt am.

Wetin rili na fɔ tɔk lawd lawd wan?

Fɔ tɔk am simpul wan, fɔ mek yu vɔys lawd lawd lawd wan na we di nɔmal kwaliti fɔ yu vɔys chenj, ɛn i kin rɔf, rɔf, strɛs, ɔ yu kin blo. Dis kin min se yu vɔys de lawd ɔ yu nɔ de tɔk igen, ɔ yu vɔys de chenj (ay ɔ smɔl). Imajin if yu nɔmal vɔys bin tan lɛk se sɔmbɔdi de swɛt am wantɛm wantɛm, ɔ if i kɔmɔt wantɛm wantɛm ɛn wantɛm wantɛm, na dat dis kɔndishɔn bi.

Dis kin apin mɔ pan pipul dɛn we de smok, ɛn bak pan di wan dɛn we de yuz dɛn vɔys fɔ wok, lɛk ticha dɛn, siŋ dɛn, aktɔ dɛn, pipul dɛn we de sɛl tin dɛn, ɛn pipul dɛn we de wok na di kɔl sɛnta.

Wetin na di sayn dɛm we de sho se pɔsin de kray?

If yu gɛt vɔys we de ala, yu kin gɛt sɔm sayn dɛn lɛk dis:

• I kin tan lɛk se i nɔ kin izi fɔ yu fɔ pul di wɔd dɛn we yu de tɔk.
• Di vɔys de sawnd kray, rɔf, ɔ briz .
• Fɔ gɛt fɔ tɔk saful saful pas aw i kin tɔk.
• Di pitch fɔ di vɔys difrɛn frɔm di we aw i kin bi . Di vɔys kin rili smɔl ɔ i kin rili ebi.

Ustɛm wi fɔ wɔri bɔt aw pɔsin kin kray?

Bɔku tɛm, wi kin tɔk lawd lawd wan we wi yuz wi vɔys pasmak. We dɛn kayn tin ya kin apin, i kin sɔlv fɔ insɛf insay sɔm dez. Bɔt if yu vɔys dɔn de ala fɔ pas tri wiks , ɔ if yu gɛt ɛni wan pan dɛn denja sayn ya, yu fɔ rili go to dɔktɔ.

Di tin dɛn we kin apin we i fɔ mek yu go to dɔktɔ:

* If yu trot de at we yu de tɔk ɔ swɛla sɔntin.

* If yu fil lɛk se yu gɛt prɔblɛm fɔ blo ɔ fɔ swɛla .

* If yu kɔf blɔd .

* If yu fil se wan smɔl smɔl tin de na yu nɛk .

* If sɔm dez dɔn pas frɔm we di vɔys dɔn lɔs kpatakpata .

If yu gɛt dɛn kayn sik ya, nɔr tink se na nɔrmal tin. I bεst fɔ go to dɔktɔ kwik kwik wan fɔ no di kɔz.

Wetin mek wi vɔys kin tan lɛk se i de ala? Wetin na di rizin dɛn?

Fɔ ɔndastand wetin mek dis kin apin to wi, lɛ wi lan smɔl fɔs bɔt aw wi vɔys kin mek. Wi kin tɔk bikɔs ɔf tu pat: wi vɔkal kɔd ɛn wi larynx. di larynx de oba wi trakya/windpaip. di trakya na wan lכng tכb we de kכnekt di larynx to di lכng dεm.

yu vokal kכd dεm na tu fleksibul bכnd dεm fכ tisu insay yu larynx. Tink bɔt dɛn lɛk strɛch dɛn na gita. We wi de tɔk, di briz we de kɔmɔt na wi lɔng dɛn kin pas oba dɛn vɔkal kɔd dɛn ya, ɛn dis kin mek dɛn de shek shek, ɛn dis kin mek sawnd wev dɛn. So, ɛnitin we afɛkt dɛn vɔkal kɔd ya ɔ yu larynx kin mek yu vɔys de ala.

Na sɔm pan di men rizin dɛn:

• Laryngitis: Dis na di tin wae kin mek pɔrsin de ala lawd lawd wan. I kin apin we di vokal kɔd dɛn kin swel bikɔs ɔf tin dɛn lɛk alɛji, ɔpa respiratɔri infɛkshɔn, ɔ sayn infɛkshɔn. Jɔs lɛk aw kol ɔ flu kin mek yu vɔys chenj.
• Yuz yu vɔys pasmak ɔ yuz yu vɔys di rɔŋ we: Fɔ ɛgzampul, yu vɔys kin klin afta yu dɔn gi lɔng tɔk ɔ ala lawd wan we yu de ple spɔt. I kin kam bak we yu de kɔntinyu fɔ tɔk wit ay ɔ smɔl vɔys pas yu nɔmal vɔys. Dis kin apin to pipul dɛn lɛk ticha ɛn siŋ.
• We wi de ol: As wi de ol, wi vɔkal kɔd dɛn kin tan ɛn wik, ɛn dis kin mek wi vɔys chenj bak.
• GERD (Gastroesophageal Reflux Disease): Dis na wetin wi kin kɔl bɔku tɛm at bɔn ɔ bɛlɛ pen. GERD na we di bɛlɛ asid kam ɔp insay di trot. Sɔntɛnde, dis asid kin pwɛl di vɔkal kɔd dɛn. Dɛn kɔl dis Laryngopharyngeal Reflux (LPR).
• Vokal kɔd ɛmoraji: Dis kin apin we wan blɔd vesel na di vokal kɔd bɔs. Dis kin mek blɔd ful-ɔp di mɔsul fayv dɛn. Dis kin mek yu vɔys lɔs wantɛm wantɛm.
• di vokal nodul dεm, di sist dεm εn di polip dεm: dis na tin dεm we nכ de gro we nכ de fכm pan di vokal kכd dεm. Jɔs lɛk aw wi kin gɛt kɔl we wi de wok wit wi an, na so di vɔkal kɔd dɛn kin gɛt dɛn kayn tin ya bak we wi nɔ yuz wi vɔys di rayt we.
• Vokal kɔd paralayz: Dis na tin we wan ɔ ɔl tu di vokal kɔd dɛn nɔ de opin ɔ lɔk fayn fayn wan. Dis kin bi bikɔs ɔf tin dɛm lɛk fɔ pwɛl di nerve ɔr di sayd ɛfɛkt dɛm wae dɛn kin gɛt frɔm di ɔpreshɔn.
• Rikכrεnt rεspiratory Papillomatosis (RRP): Dis kכndyushכn de mek bεnign wכt dεm fכm pan εn rawnd di vכkal kכd dεm.
• Spasmodic Dysphonia: Dis na wan nyurolɔjik tɔk disɔda we kin te we kin mek di vɔys in kwaliti chenj.
• Muscle Tension Dysphonia: Dis kin apin we strεs pasmak de pan di vokal kכd dεm εn di mכsul dεm we de rawnd am. I kin kam bak we pɔsin wund na in nɛk, in sholda, ɔ in chɛst.
• Narvous system diseases and disorders: If yu gɛt wan sik lɛk strok ɔr Parkinson’s disease, dis sik kin afɛkt di pat na yu bren we de kɔntrol di mɔsul dɛm na yu vɔys bɔks. Dis kin mek bak yu vɔys chenj.
• Kansa: Kansa lɛk kansa na yu laryngeal, kansa na yu lɔng, ɛn kansa na yu trot kin mek bak yu ala lawd lawd wan. Dis na sɔntin we bɔku pipul dɛn kin fred. Bɔt mɛmba se nɔto ɔltɛm yu vɔys de ala, na bikɔs ɔf kansa.

Aw fɔ no se pɔsin de kray?

Dipen pan yu simptom dɛm, yu jenɛral prɛktishɔn kin rifer yu to yu yes, nos ɛn trot spɛshal dɔktɔ (Otolaryngologist/ENT spɛshal). I go aks yu bɔt yu mɛdikal histri ɛn ɛni mɛrɛsin we yu de tek. Dɛn kin aks kwɛstyɔn dɛn bak lɛk:

• Aw lɔng dis difrɛns pan vɔys dɔn de?
• Yu tink se dɛn sik ya bigin wantɛm wantɛm, ɔ dɛn bin de go ɔp smɔl smɔl?
• Yu nɔ tu te yet we yu gɛt ɔpa respiratory infection (lɛk kol)?
• Ɔda sayn dɛn de (e.g. fiva, bɔdi we de at, i nɔ izi fɔ swɛla)?
• Yu de smok? If na so i bi, aw lɔng yu dɔn de smok?
• Yu de drink rɔm?

Wetin na di tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt sik?

Di dɔktɔ go lisin to yu vɔys ɛn chɛk yu ed ɛn nɛk fɔ si if yu gɛt ɛni lumps ɔ bɔmp. Apat frɔm dat, dɛn kin du tɛst dɛn bak lɛk:

• Laryngoscopy: Dis min se yu fɔ put wan tin, fleksibul tiub (wan ɛndoskop) tru di nos ɔ mɔt fɔ chɛk di larynx ɛn di vokal kɔd dɛn. Di tiub gɛt kamɛra we dɛn tay na di ɛnd, we de mek di dɔktɔ ebul fɔ si am na skrin.
• Vidiostroboscopy: Dis tan lɛk laryngoscopy, bɔt i de yuz spɛshal layt ɛn kamɛra we kin si di vaybreshɔn na di vokal kɔd dɛn fayn fayn wan, i kin lɛf smɔl fɔ lɛ i muv sloslo .
• CT scan (Computed Tomography - CT scan): na spεshal εks-ray tεst we de tek kכros-sekshכnal imej dεm fכ di insay pat pan di bכdi.
• MRI (Magnetic Resonance Imaging - MRI): Na tεst we de yuz magnεtik fil dεm εn redio wev dεm fכ mek ditayl imej dεm fכ di insay pat pan di bכdi.
• Bayopsi: If sɔntin de we pɔsin kin sɔprayz pan na di vɔkal kɔd ɔ di say we de rawnd am, dɛn kin tek wan smɔl pat pan di tisu ɛn chɛk am ɔnda maykroskɔp. Dɛn kin du dis if pɔsin de tink se sɔntin lɛk kansa.

Wetin na di tritmɛnt dɛm fɔ hoarseness?

Di tritmɛnt dipen pan wetin mek yu de ala lawd lawd wan.

• Di tritmɛnt we impɔtant pas ɔl na fɔ rɛst di vɔys . Dat min se yu fɔ stɔp fɔ tɔk ɛn ala as yu ebul.
• If di laryngitis na infεkshכn, lεk infεkshכn (lεk laryngitis) , di dכkta go gi yu di mεdikeshכn dεm we i nid (e.g. antibaytik, pen kil). If na alɛji mek am, dɛn go gi am mɛrɛsin fɔ dat.
• If na GERD na di kɔz, dɛn go gi yu layf chenj (kɔntrol di it, chenj di we aw yu de slip) ɛn mɛrɛsin we de kɔntrol asid.
• If yu gɛt nodul, polip, ɔ sist na yu vɔkal kɔd , sɔntɛnde dɛn kin trit dɛn wit vɔys tɛrapi . Bɔt sɔntɛnde, i kin nid fɔ du ɔpreshɔn .
• If siriɔs sik lɛk kansa mek pɔsin de ala, dɛn kin nid fɔ gɛt tritmɛnt lɛk redyushɔn tɛrapi, kemotɛrapi, ɔ ɔpreshɔn ɔnda di sɔpɔtishɔn fɔ ɔnkɔlɔjis.
• If na bikɔs ɔf sik dɛn we gɛt fɔ du wit di nervɔs sistɛm , dɛn kin gi yu vɔys trenin we dɛn de trit di sik we de ɔnda am.

Yu go ebul fɔ mek yu nɔ tɔk lawd lawd lawd wan?

Sɔmtɛm, de hoarseness kin kam bikɔs ɔf mɛrɛsin wae wi nɔr kin ebul fɔ avɔyd. Bɔt fɔ tek kia ɔf yu vɔys, mɔ if yu de yuz yu vɔys fɔ lɔng tɛm ɛvride (e.g., ticha, siŋman, ɔ pɔsin we de tɔk na pɔblik), kin ɛp fɔ ridyus di risk fɔ dis sik. Na sɔm advays dɛn ya:

• Nɔ smok kpatakpata. (If yu nid ɛp fɔ du dis, yu kin go to yu dɔktɔ.) Nɔ smok we yu de smok.
• Limit rɔm ɛn drink we gɛt kafin (ti, kɔfi). Dɛn tin ya kin mek di bɔdi nɔ gɛt wata ɛn afɛkt di vɔkal kɔd dɛn.
• Drink bɔku wata. If yu drink at le 8 glas wata wan de, dat kin ɛp fɔ mek yu vɔkal kɔd dɛn wet.
• If di briz we de insay di os dray, yuz humidifier.
• Nɔ it tin dɛn we gɛt spays ɛn we gɛt ɔyl, mɔ if yu gɛt GERD.
• Nɔ du tin dɛn we de mek yu vɔys strɛs (e.g., fɔ tɔk fɔ lɔng tɛm, fɔ tɔk lawd wan, fɔ ala).
• We yu vɔys taya (e.g. we yu de gi lɛkshɔn) , yuz divays lɛk maykrofon/mɛgafon.
• Kɔnsul pɔsin we de kɔch yu vɔys bɔt aw fɔ tinap ɛn aw fɔ tɔk kɔrɛkt wan .

Wetin kin apin if di vɔys de kray?

Bɔrku tɛm, yu vɔys go kam bak to nɔmal afta yu dɔn gi yu vɔys rɛst ɔ trit di ɔndalayn kɔz. Bɔt, na smɔl tɛm nɔmɔDi vɔys we de ala kin bi sayn fɔ kansa ɔr siriɔs sik na di nervɔs sistɛm. So nɔ fɔ fred we yu nɔ nid fɔ fred, bɔt na fɔ no di sayn dɛn we de sho se yu gɛt dis sik.

Aw a kin kia fɔ misɛf?

If yu gɛt vɔys we de ala, fɔ fala wetin yu dɔktɔ tɛl yu na di bɛst we fɔ mek yu vɔys wɛl kwik kwik wan.

• Gi yu vɔys fɔ rɛst. Nɔ tɔk as yu ebul. Fɔ wispa bad bak fɔ yu vɔkal kɔd, so nɔ du dat bak.
• Drink wam wata (sɔl wata gargles, jinja-silantro gargles, ɛn ɔda tin dɛn) fɔ ɛp fɔ mek yu trot kol.
• Stay away frɔm say dɛn we pipul dɛn de smok ɛn smok.
• Tek di mɛrɛsin dɛn we di dɔktɔ tɛl yu fɔ tek lɛk aw dɛn tɛl yu fɔ tek am ɛn di rayt tɛm.

Ustɛm a fɔ go to dɔktɔ bak?

If yu vɔys stil de ala pan ɔl we dɛn dɔn trit yu, ɔ if yu fil se yu sik de wɔs, mek shɔ se yu go to yu dɔktɔ bak.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Fɔ tɔk lawd lawd lawd wan na prɔblɛm we bɔku pipul dɛn kin gɛt. If yu gɛt dis sik, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk:

• Wetin mek mi vɔys de ala so?
• Yu tink se na siriɔs sik kin kam wit dis?
• Us tritmɛnt dɛn yu kin advays?
• Aw a fɔ kia fɔ misɛf? Wetin a go du?

Fɔ dɔn, mɛmba (Take-Home Message) .

Saylens na golden, bɔt i nɔ kin fayn so we yu vɔys de ala ɛn i nɔ izi fɔ yu fɔ tɔk, we yu vɔys chenj, ɔ we yu lɔs yu vɔys ɔltogɛda. If yu vɔys dɔn de ala fɔ pas tri wiks, ɔ if i nɔ izi fɔ yu fɔ swɛla ɔ fɔ blo, if yu kɔf blɔd, if yu gɛt wan smɔl smɔl tin na yu trot, ɔ if yu nɔ ebul fɔ yuz yu vɔys fɔ sɔm dez, yu fɔ rili go to dɔktɔ. I go no wetin mek yu de kray ɛn ɛp yu fɔ gɛt yu nɔmal vɔys bak. Nɔ panik, tek di rayt step dɛn di rayt tɛm!

` Hoarseness, hoarse voice, dysphonia, vokal kɔd, trot infɛkshɔn, mɛdikal advays, laryngitis, vokal kɔd, hoarseness Sinhala