Imajin se yu de tɔk to yu padi, na mitin, ɔ na os, ɛn yu rili intres pan sɔntin. Bɔt wantɛm wantɛm, we yu nɔ wɔn yu, yu vɔys kin ala ɔ i kin ala, ɛn sɔntɛnde di wɔd dɛn kin brok ɛn i kin jɔs kɔmɔt lɛk briz. Yu kin shem bikɔs yu nɔ ebul fɔ tɔk wetin yu bin want fɔ tɔk. Afta sɔm tɛm, yu vɔys kin kam bak lɛk aw i bin de. Yu dɔn gɛt dis strenj ɛkspiriɛns dis biɛn tɛm? If na so i bi, dis na bɔt sɔntin we impɔtant to yu. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis sik Spasmodic Dysphonia .
Fɔ tɔk am simpul wan, wetin na Spasmodic Dysphonia?
Spasmodic Dysphonia na wan sik wae de afɛkt di vɔys. כda nem fכ dis na `(laryngeal dystonia)`. Fɔ ɔndastand dis gud gud wan, lɛ wi fɔs luk aw wi vɔys de fɔm. insay wi trot, di pat we dεn kכl `(larynx)`, tu dilik tisu dεm de we dεn k כl `(vocal cords)` . We wi de tɔk, dɛn tu vɔkal kɔd ya de shek shek fɔ ansa di briz we de kɔmɔt na di lɔng dɛn. Dat vaybreshɔn na wetin wi de yɛri na do as wi vɔys.
Bɔt sɔmtin difrɛn kin apin to pɔrsin wae gɛt Spasmodic Dysphonia. Di mɔsul dɛn we de kɔntrol dɛn vɔkal kɔd dɛn kin bigin fɔ spasm wantɛm wantɛm, we dɛn nɔ kin ebul fɔ kɔntrol. I tan lɛk se wi yay de blink, bɔt dis kin apin insay di trot. Dɛn mɔsul dɛn ya kin tayt ɔ rilaks tumɔs wantɛm wantɛm.
- If dɛn tayt tumɔs , di vɔys kɔd dɛn kin stɔp togɛda, ɛn di vɔys kin kɔmɔt wit wan kwaliti we dɛn strangl, tayt, ɛn we de ala .
- If dɛn tu lɔs , di briz kin lik bitwin di vɔys kɔd dɛn, ɛn dis kin mek di vɔys wik, i kin blo, ɛn i kin muf .
Di spɛshal tin bɔt dis kɔndishɔn na dat, i kin jɔs afɛkt wi we wi de tɔk. We yu de siŋ, laf lawd wan, ɔ wispa, bɔku tɛm yu vɔys kin tan lɛk nɔmal.
Wae na de men kayn dis sik?
Spasmodic Dysphonia kin sheb to tri men kayn. Ɛni kayn we de afɛkt di vɔys difrɛn we. Fɔ ɔndastand dis klia wan, luk di tebul we de dɔŋ ya.
| Tayp fɔ di mɛdikal kɔndishɔn | Wetin kin apin ɛn aw i kin afɛkt di vɔys |
|---|---|
| Aduktɔr Spasmodik Disfɔnia | Dis na di kayn we we dɛn kin yuz mɔ . i kin apin we di vokal kכd dεm tayt tayt (stכk) bikoz fכ di mכsul dεm we de spam. Dis kin mek di vɔys de sawnd rili tayt, i kin kɔnstrikt, ɛn i kin mek i ala . I kin tan lɛk se yu fɔ tray tranga wan fɔ tɔk wɔd dɛn. |
| Abduktɔ Spasmodik Disfɔnia | dis na we di mכsul dεm na di vכkal kכd dεm de pul apat, we de mek briz kכmכt bitwin di vכkal kכd dεm. Dis kin mek di vɔys kin rili wik, i kin blo, ɛn i kin muf . |
| Miks Spasmodik Disfɔnia we dɛn kɔl | Dis na wan kayn we we nɔ kin apin so ɔltɛm. If na so i bi, di sayn dɛm fɔ ɔl tu di kayn sik dɛm wae wi bin dɔn tɔk bɔt kin apin wan wan ɔr togɛda. |
Apat frɔm dɛn tri kayn ya, sɔm pipul dɛn kin gɛt vokal trem bak, we kin mek dɛn vɔys tan lɛk se i de shek we dɛn de tɔk.
Wetin kin bi di sayn dɛm?
Dɛn sayn ya kin bigin fɔ sho pan midul ej, bitwin 30 ɛn 60. Dɛn nɔr kin de ɔltɛm. Sɔntɛnde, dɛn kin kam ɛn go, so i nɔ kin izi fɔ tɔk di rayt tɛm we di vɔys chenj wantɛm wantɛm.
Di men tin dɛn we pɔsin kin si na:
- Di vɔys kin kray ɛn i kin at fɔ tɔk .
- Di vɔys kin kam lawd wan ɛn i kin at fɔ tɔk .
- Di vɔys de mek i wik, i de blo, ɔ i nɔ de muf .
- Brek bitwin wɔd ɛn sawnd we yu de tɔk.
- Fɔ fil lɛk se yu vɔys de shek .
Dɛn sayn ya kin wɔs , mɔr lɛk wae yu de strɛs , wae yu de tɔk na fon, bifo krawd, ɔr na say we nɔys de.
Wetin mek dis de apin? Wetin na di rial rizin fɔ dis?
Bɔrku pipul kin tink se dis na trot prɔblɛm, bɔt dis sik kin rili bigin na yu bren, nɔto yu trot.
di basal ganglia, we na wan pat pan di bren we de kכdכn di mכsul dεm we i nכ de muv, na pat pan di bכdi in nεv sεstem. Spasmodic Dysphonia na wan sik wae dɛn kɔl dystonia. Distonia kin kam bikɔs di bren kin sɛn di kɔrɛkt sayn to di mɔsul dɛm, we kin mek dɛn kɔntrakt di we we pɔsin nɔ kin ebul fɔ kɔntrol.
Fɔ tɔk am simpul wan, di basal ganglia dɛn na yu bren de sɛn ilɛktrik signal dɛn we nɔ kɔrɛkt to di mɔsul dɛn we de kɔntrol yu vɔkal kɔd dɛn. Dɛn sayn dɛn ya we nɔ kɔrɛkt kin mek dɛn mɔsul dɛn de spam. Dis nɔto yu fɔlt, ɛn nɔto wi trot wikɛd.
Di wan dɛn we de stɔdi bɔt dis stil nɔ shɔ klia wan wetin mek dɛn bigin fɔ sɛn dɛn sayn dɛn ya we nɔ fayn. Bɔt dɛn dɔn kam fɔ no se sɔntɛnde, i kin bi se sɔntin de we kin mek pɔsin gɛt jɛnɛtiks . I kin apin bak afta aksidɛnt ɔ sik. Dis sik kin kam pan uman dɛm lɛk tri tɛm pas man dɛm.
Aw dɔktɔ kin no bɔt dis?
Fɔ no dis sik na tin we nɔ izi fɔ du, ɛn bɔku tɛm dɛn kin nid fɔ gɛt wan tim we gɛt dɔktɔ ɛn tritmɛnt pipul dɛn fɔ ɛp am.
1. Wan Otolaryngologist ɔ ENT Surgeon: Di dɔktɔ go tek tɛm lisin to aw yu de tɔk. I go chɛk fɔ si if yu vɔys krak, yu de ala, ɛn ɔda sayn dɛn de.
2. Vidiostroboscopy: Dis na spɛshal tɛst. Dis min se yu fɔ yuz wan smɔl kamɛra we dɛn kin pas na yu nos fɔ rɛkɔd fim we yu vokal kɔd dɛn de muv we yu de tɔk. Dis kin mek yu si klia wan aw di vɔkal kɔd dɛn de muv ɛn ɛni muvmɛnt we nɔmal.
3. Speech-Language Pathologist (SLP): Dis thεrapist de εp fכ stכdi dip wan wetin na di vכys prכblεm dεm εn wetin na dεn nature.
4. Nyurolɔjis: Yu kin aks fɔ ɛp frɔm nyurolɔjis fɔ kɔnfirm if dɛn sayn ya na pat pan ɔda nyurolɔjik sik ɛn fɔ chɛk mɔ bɔt di kɔndishɔn fɔ dystonia.
Wetin yu de du as tritmɛnt?
Di fɔs tin fɔ mɛmba na dat, no mɛrɛsin nɔ de fɔ Spasmodic Dysphonia. Bɔt nɔ wɔri. Tritmɛnt dɛn de we rili fayn we kin ɛp fɔ kɔntrol di mɔsul dɛn we de spam na yu vɔys kɔd ɛn ɛp yu vɔys fɔ kam bak to nɔmal.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Botox® injεkshכn | Dis na di tritmɛnt we dɛn kin gɛt pas ɔl ɛn we kin wok fayn . na ya, dεn injεkt sכm bכtכks insay di vכkal kכd mכsul dεm we dεn afekt. Botox de blok di nerve signals we de mek di mכsul dεm kכntrakt fכ sכm tεm. Dis kin mek di mɔsul dɛn rilaks, ɛn dis kin mek i izi fɔ tɔk. di ifekt dεm kin las fכ 3-4 mכnt . So, fɔ mek yu kɔntinyu fɔ gɛt gud rizɔlt, yu go nid fɔ kɔntinyu fɔ tek injɛkshɔn. |
| Voys Tɛrapi | Wan pɔsin we de mɛn pipul dɛn we de tɔk to yu go tich yu aw fɔ yuz yu vɔys fayn fayn wan, aw fɔ kɔntrol aw yu de blo, ɛn du difrɛn ɛgzampul dɛn fɔ mek yu nɔ gɛt bɔku tɛnsiɔn na yu vɔys. Di rizulyt kin ivin wok fayn we dɛn jɔyn di tritmɛnt fɔ tɔk wit Bɔtɔks tritmɛnt. |
| Di Ɛp fɔ Kɔmyunikeshɔn | Sɔntɛnde, dɛn kin yuz tɛknɔlɔjik divays dɛn lɛk divays dɛn we de mek pɔsin tɔk mɔ ɔ sɔftwɛl (ap) we de chenj di we aw pɔsin de tayp to tɔk. |
Lɛ wi lan bak bɔt ɔpreshɔn.
Bɔku ɔspitul opshɔn dɛn de fɔ pipul dɛn we gɛt Adductor Spasmodic Dysphonia (wan kayn vokal kɔd spasm). Bɔt dɛn nɔ kin du dɛn tin ya. `Type II thyroplasty` ɛn `SLAD-R` na tu kayn ɔpreshɔn ya. Dɛn tin ya na fɔ chenj di say we di vɔkal kɔd dɛn de ɔ fɔ chenj di we aw di nerve signal dɛn de travul.
Bɔt difrɛn we dɛn stil de tink bɔt dis ɔpreshɔn. Na bikɔs di tin dɛn we kin apin to sɔm pipul dɛn nɔ kin bi di sem ɔltɛm. So bifo yu tink bɔt fɔ du ɔpreshɔn, yu fɔ tek tɛm tɔk to yu dɔktɔ bɔt di gud ɛn bad tin dɛn we i gɛt.
Ustɛm a fɔ go to dɔktɔ?
If yu vɔys chenj fɔ no rizin ɛn i las fɔ pas tu wiks, yu fɔ rili go to dɔktɔ. I kin bi sɔntin we simpul lɛk laryngitis we pɔsin kin gɛt we i kol. Bɔt if nɔto so, i impɔtant fɔ fɛn di rizin kwik kwik wan.
Aw fɔ liv fayn wit dis sityueshɔn?
Spasmodic Dysphonia na wan sik wae de kam wae yu de liv yu layf. Bɔrku tɛm, di sayn dɛm kin kam smɔl smɔl, kin rich wan patikyula lɛvɛl, ɛn kin de na da lɛvɛl de ɔl yu layf. Sɔntɛnde, fɔ no rizin, di sayn dɛn kin dɔn fɔ sɔm tɛm ɛn afta dat dɛn kin kam bak.
De bɛst we fɔ dil wit dis sik na fɔ woke wit yu mɛdikal tim fɔ manej am. Tin dɛn de bak we yu kin du yusɛf:
- Lan bɔt yu vɔys: Sɔm pipul dɛn kin si se dɛn sik kin stɔp we dɛn de it, tɔk wit dɛn ed na dɛn an, ɔ siŋ. Si if eni "hacks" de we wok fo yu.
- Tek kia ɔf yusɛf: If yu taya ɛn strɛs, dat kin mek di sik dɛn wɔs. So rɛst bɔku ɛn tek kia ɔf yu maynd wɛlbɔdi.
- Aks fɔ ɛp yu fɔ advays yu: Kɔnsul kin ɛp yu fɔ dil wit de impak wae dis sik de gɛt pan yu woke ɛn soshal rileshɔnship.
- Tɔk to ɔda pipul dɛn opin wan: Yu kin shem ɔ yu nɔ kin fil fayn we yu vɔys chenj we yu de tɔk to yu. Dɛn kayn tɛm dɛn de, if yu ebul, ɛksplen to ɔda pipul dɛn smɔl bɔt wetin de apin to yu. Bɔku pipul dɛn go ɔndastand.
- Join sɔpɔt grup dɛm: Joyn sɔpɔt grup dɛm usay ɔda pipul dɛm wae de sɔfa wit di sem kayn sik lɛk yu kin gi yu big trɛnk na yu maynd.
Mɛsej we dɛn kin kɛr go na os
- Spasmodic Dysphonia nɔto prɔblɛm wit yu trot, bɔt na prɔblɛm wit yu vɔys we yu gɛt prɔblɛm wit di signal dɛm we de kɔmɔt na di bren.
- Dis nɔto yu fɔlt. Dis na bikɔs ɔf wan mɔsul spasm we yu nɔ ebul fɔ kɔntrol.
- Pan ɔl we nɔr kɔmplit mɛrɛsin fɔ dis, tritmɛnt dɛm lɛk Botox® injɛkshɔn ɛn tɔk tɛrapi kin rili saksesful fɔ kɔntrol di simptom dɛm.
- If yu gɛt chenj na yu vɔys we yu nɔ ɛksplen ɛn we tek pas sɔm wiks, go mɔs go to dɔktɔ .
- Fɔ kɔntrol strɛs ɛn fɔ fɛn sɔpɔt frɔm ɔda pipul dɛn rili impɔtant we yu de liv wit dis sik. Nɔto yu wan de, pipul dɛn de we go ɛp yu wit dis.
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