Yu dɔn ɛva fil lɛk se yu vɔys nɔto yu yon we yu de tɔk? I tan lɛk se yu vɔys chok, yu de shek shek, ɔ yu de kɔmɔt wit bɔku tray. Dis nɔto jɔs ɔda kol ɔ trot infɛkshɔn. I kin bi wan sik we nɔ kin apin so ɔltɛm we dɛn kɔl spasmodic dysphonia . Nɔ fred di nem. Fɔ tɔk am simpul wan, na wan sik we de kam bikɔs ɔf prɔblɛm wit di signal dɛn we de kɔmɔt na wi bren to di mɔsul dɛn we de kɔntrol wi vɔys. Tide, wi go tɔk bɔt am simpul wan we yu go ɔndastand.
Wetin na di men sayn dɛm fɔ dis sik?
Pɔsin wae gɛt dis sik kin gɛt chenj na in vɔys. Imajin, yu de tray fɔ tɔk to pɔsin, bɔt yu de fil lɛk se yu nɔ ebul fɔ kɔntrol yu vɔys di we aw yu want. Dis na di men tin wae kin kam wit dis sik.
Bɔrku tɛm, de sik kin kam smɔl smɔl insay di fɔs ɔr tu ia ɛn afta dat dɛn kin de na di sem lɛvɛl.
| Di chenj dɛn we pɔsin kin chenj na in vɔys | Wan simpul ɛksplen |
|---|---|
| Fɔ mek pɔsin ala lawd lawd wan | Di vɔys kin ebi ɛn i kin at fɔ tɔk. |
| Shaky/Trembly we de shek shek | Fɔ fil se yu vɔys de shek shek ɛn nɔ stedi we yu de tɔk. |
| Tayt/Streyn we dɛn dɔn mek | Di wɔd dɛn kin kɔmɔt wit big prɔblɛm, yu kin fil lɛk se yu de tɔk wit chok trot. |
| Breathy/I de wispa | We yu de tɔk, i tan lɛk se tumɔs briz de kɔmɔt na di vɔys, lɛk se yu de tɔk wit wispa. |
| Jerky we de na di wɔl | Di vɔys nɔ de kɔntinyu, bɔt i brok insay shɔt bɔst dɛn. |
Bɔt di wɔndaful tin na dat, ivin if yu gɛt dɛn prɔblɛm ya we yu de tɔk, yu larynx ( voice box ) kin wok nɔmal wan we yu de du ɔda tin dɛn.
Fɔ ɛgzampul, yu nɔ go gɛt dɛn sik ya we yu de du dɛn tin ya:
- We yu de kray
- We yu de laf
- We yu de blo
- We yu de wispa
- We yu de siŋ
- We yu de swɛla sɔntin
Wetin mek dis de rili apin?
Masta sabi bukman dɛn stil de tray fɔ no di rayt tin we kin mek dis apin. Bɔt di men tin na dat na prɔblɛm na di bren . Wi gɛt wan pat na wi bren we dɛn kɔl di basal ganglia . Dis pat de ɛp fɔ kɔntrol di we aw wi bɔdi in mɔsul dɛn de muv. So, insay dis kכndyushכn we dεn kכl Spasmodic Dysphonia, dis pat pan di bren de sεnd kכrekt, abnכmal signal to di mכsul dεm na wi vכkal kכd dεm we de mek wi vכys.
Bikɔs ɔf dɛn sayn dɛn ya we nɔ fayn, di mɔsul dɛn na yu larynx kin tayt ɔ spasm wantɛm wantɛm we yu tray fɔ tɔk. Dis kin mek di vɔys kɔd dɛn de muv di we aw dɛn nɔ de du tin, ɛn dis kin mek yu vɔys chenj di we aw yu bin dɔn tɔk bifo tɛm. Dis kin apin we yu nɔ ebul fɔ kɔntrol am.
Sɔm stɔdi dɛn dɔn sho se we strɛs de bɔku , dɛn mɔsul dɛn ya kin wok bak. Dis min se yu kin notis chenj na yu vɔys mɔr pan dez wae yu kin gɛt bɔrku strɛs.
Aw dɔktɔ dɛn kin no bɔt dis sik?
Spasmodic Dysphonia kin tranga fɔ no bikɔs di larynx kin tan lɛk se i nɔmal pan tɛst lɛk MRI ɔ CT skan. Apat frɔm dat, di sayn dɛm kin tan lɛk ɔda sik dɛm.
So, dɛn nid fɔ ɛp wan tim we gɛt bɔku dɔktɔ dɛn fɔ no dis kɔrɛkt wan.
- Nyurolɔjis: I de chɛk di bren ɛn di nervɔs sistɛm fɔ no if di prɔblɛm de kɔmɔt na di bren.
- Speech-Language Pathologist: Stɔdi yu vɔys, langwej, ɛn aw yu de tɔk fayn fayn wan fɔ ɔndastand aw di prɔblɛm tan.
- Wan dɔktɔ we de mɛn pipul dɛn we de tɔk to dɛnsɛf (ENT):Dɛn go chɛk yu trot, yu larynx, ɛn yu vɔkal kɔd. Wan dɔktɔ we de mɛn laryngologist na spɛshal pɔsin bak pan dis eria. Dɛn spɛshal pipul ya kin no bɔt dis sik.
Yu mɛdikal tim go lisin to yu vɔys fɔs. Apat frɔm dat, yu ENT dɔktɔ kin du wan spɛshal tɛst we dɛn kɔl videostroboscopy . Dis min se yu fɔ pas wan smɔl tiub we gɛt kamɛra tru yu nos ɛn go dɔŋ di bak pat na yu trot, usay dɛn de wach yu vɔkal kɔd dɛn we de muv na skrin we yu de tɔk. Dis kin ɛp yu fɔ si ɛni abnɔmal mɔsul kɔntrakshɔn.
Wetin na di tritmɛnt dɛm fɔ dis?
Nɔr "majik pil" stil nɔr de we go ebul fɔ mɛn dis sik ɔltogɛda. Bɔt nɔ wɔri, bɔku fayn tritmɛnt dɛn de we go ɛp yu fɔ kɔntrol yu sik dɛn ɛn tɔk nɔmal wan.
| Di we aw dɛn kin trit am | Wetin de apin? |
|---|---|
| Botox injɛkshɔn dɛn | Dis na di tritmɛnt we dɛn kin yuse pas ɔl ɛn we kin wok fayn. Wan spɛshal pɔsin kin injɛkt smɔl smɔl Botox insay di mɔsul dɛn na di vɔkal kɔd dɛn. Dis kin mek di mɔsul dɛn wik fɔ sɔm tɛm ɛn i kin mek dɛn nɔ de shek shek. Di vɔys kin kam bak lɛk aw i bin de. Bɔt di ifɛkt we dis kin gɛt kin las fɔ sɔm mɔnt nɔmɔ. So, dɛn nid fɔ injɛkshɔn bɔku tɛm. |
| Voys Tɛrapi | Wan pɔsin we de mɛn pipul dɛn we de tɔk go tich yu difrɛn we dɛn ɛn ɛksesaiz fɔ chenj di we aw yu de tɔk, kɔntrol aw yu de blo, ɛn mek yu mɔsul dɛn rilaks. Dis kin ɛp fɔ ridyus di impak we yu sik dɛn kin gɛt. |
| Ɔpreshɔn | Sɔntɛnde, dɛn kin advays fɔ mek dɛn du ɔpreshɔn. SLAD-R na wan we fɔ du am. Dis min se yu fɔ kɔt di nɛf dɛn we de kɛr di rɔng sayn dɛn frɔm di bren ɛn kɔnɛkt dɛn bak difrɛn we. Tayroplasti na ɔda ɔpreshɔn we kin chenj di vɔkal kɔd dɛn. Dɛn kin du dis if ɔda tritmɛnt dɛn nɔ dɔn wok. |
| Ɔda tritmɛnt dɛn | Mεdikeshכn dεm wae de ridyus strεs εn tritmεnt dεm lεk myofascial release , we de rilaks di mכsul dεm na di nεk, kin εp sכm pipul dεm bak. |
Aw fɔ liv fayn wit dis sityueshɔn?
Fɔs, no we nɔ de fɔ mek dɛn nɔ gɛt dis sik. Dɔn bak, na sik we pɔsin kin gɛt fɔ ɔl in layf. Pan ɔl we di sik kin bɛtɛ we dɛn de trit am, dɛn kin kam bak as tɛm de go. Bɔt yu nɔ nid fɔ mek i pwɛl yu layf. Bɔrku tin de wae yu kin du fɔ liv fayn fayn layf wit dis sik.
- Sɔpɔt Grup dɛn: Joyn grup wit pipul dɛn we de go tru di sem tin lɛk yu. Yu kin lan bɔku tin frɔm dɛn ɛkspiriɛns ɛn gɛt kɔrej.
- Sɔpɔt frɔm di wan dɛn we yu lɛk: Tɔk opin wan bɔt dis wit yu famili ɛn padi dɛn. Di sɔpɔt ɛn ɔndastandin we dɛn go gɛt go mek yu gɛt bɔku trɛnk.
- Mental hεlth: Strεs εn taya kin mek dis kכndyushכn wɔs. So, rɛst bɔku, rilaks, ɛn du tin dɛn lɛk fɔ tink gud wan. I impɔtant bak fɔ go to advays if nid de.
- Di tin dɛn we yu kin yuz fɔ ɛp yu vɔys: Yu kin yuz tin dɛn lɛk maykrofon (voys amplifaya) fɔ ɛp fɔ mek yu yɛri yu vɔys klia wan.
Di tin we impɔtant pas ɔl na dat if yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn ɛn go to yu dɔktɔ wantɛm wantɛm . I go rifer yu to spɛshal pɔsin if nid de.
Mɛsej we dɛn kin kɛr go na os
- Spasmodic Dysphonia nɔto jɔs wan trot we de at. na nyurolכjik kכndishכn we de apin bikoz fכ di bren signal dεm.
- Yu fɔ no bɔt di sayn dɛm lɛk fɔ de ala, fɔ de shek shek, fɔ de ala, ɔ fɔ krak yu vɔys.
- Fɔ no dis, dɛn nid fɔ ɛp frɔm wan mɛdikal tim, lɛk ENT spɛshal ɔ nyurolɔjis.
- Pan ɔl we dɛn nɔ gɛt kɔmplit mɛrɛsin, tritmɛnt dɛn lɛk Botox injɛkshɔn ɛn tɔk tɛrapi kin rili ebul fɔ kɔntrol di sik dɛn we de sho se dɛn gɛt sik.
- If yu gɛt chenj na yu vɔys fɔ lɔng tɛm, we yu nɔ ebul fɔ ɛksplen, fɔ tru, tɔk to yu dɔktɔ.
- Fɔ kɔntrol strɛs ɛn fɔ gɛt sɔpɔt frɔm pipul dɛm wae yu lɛk na big trɛnk fɔ liv wit dis sik.
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