Yu tink se chenj de na yu vɔys? Dis kin bi bikɔs ɔf di vɔkal kɔd paralayz!

Sɔntɛnde yu kin fil lɛk se yu vɔys kin rili ala, ɔ i kin chenj we yu de tɔk, lɛk se yu gɛt kol? Sɔntɛm yu kin fil lɛk se yu trot de at ivin afta yu dɔn drink smɔl wata, ɔ wantɛm wantɛm yu kin fil lɛk se yu nɔ de blo fayn we yu de tɔk. Dis nɔto jɔs sayn dɛm fɔ kol, bɔt sɔntɛm di kɔz bihayn dis na wan kɔndishɔn we dɛn kɔl Vocal Cord Paralysis, we wi go tɔk bɔt tide. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin na Vokal Kɔd Paralayz?

Fɔ tɔk am simpul wan, vokal kɔd nɔ de wok fayn na we wan ɔ ɔl tu di vokal kɔd dɛn na yu trot we de mek yu vɔys nɔ de wok fayn. Tink bɔt dɛn lɛk di string dɛn we de na gita. Bɔt dɛn de insay wan smɔl bɔks na yu trot we dɛn kɔl di larynx . di larynx de oba yu winda paip (trachea) .

We wi de blo, dɛn tu vɔkal kɔd ya kin muf apat, ɛn dis kin mek di briz pas insay di lɔng dɛn. We wi swɛla it ɔ drink, dɛn tu mɔsul ya kin lɔk tayt, ɔ it ɔ drink kin stɔp na di briz. We wi de tɔk ɔ siŋ, dɛn vɔkal kɔd ya kin kam togɛda ɛn shek shek we di briz we de kɔmɔt na di lɔng dɛn de shek shek, ɛn dis kin mek sawnd.

So, wetin kin apin we di vokal kɔd nɔ de wok fayn na dat we di nɛv dɛn we de kɔntrol dɛn vokal kɔd ya dɔn pwɛl , dɛn mɔsul dɛn de nɔ de opin ɔ lɔk fayn fayn wan. Dɔn i kin at fɔ tɔk, swɛla, ɛn sɔntɛnde i kin ivin blo. Dɔn gɛt am?

Wetin na di kayn we aw yu vɔkal kɔd nɔ de wok fayn?

Tu kayn dɛn de mɔ:

1. Yunilateral vokal kɔd paralayz: Dis na we na wan vokal kɔd nɔmɔ de paralayz. We wan say nɔ de wok, di vɔys kin chenj, ɛn sɔm pipul dɛn kin gɛt prɔblɛm fɔ swɛla. Bɔt bɔku tɛm, no big prɔblɛm nɔ kin de we i kin gɛt fɔ blo.

2. Baylatarכl vכkal kכd paralayz: Na ya, di tu vכkal kכd dεm de paralayz. Dis na siriɔs kɔndishɔn. Na bikɔs we di tu vɔkal kɔd dɛn paralayz, bɔku tɛm dɛn kin stɔp nia dɛnsɛf. Dɔn di say we di briz de blo kin blok, ɛn dis kin mek i nɔ izi fɔ blo bad bad wan. Dis kin mek pɔsin in layf de pan denja.

Mɛmba se, na di wan we nɔ de wok fayn na wan say. I nɔ kin izi fɔ mek di tu vɔkal kɔd dɛn nɔ wok fayn. Bɔt, dɛn tu kayn ya kin kam pan ɛni ej.

Aw siriɔs dis tin kin bi?

Insay yunilateral paralayz, di sayn dɛm kin kɔmɔt frɔm smɔl to siriɔs. Fɔ ɛgzampul, sɔm pipul dɛn kin gɛt prɔblɛm fɔ tɔk. If tin kin tranga, dɛn kin gɛt shɔt briz we dɛn de tɔk. Dɛn kin gɛt kɔf bak ɛn dɛn trot kin at we dɛn de it ɔ drink.

insay baylatarכl disfכnkshכn, di vכkal kכd dεm de kכlכs togeda εn blכk di aywe, we de mek i rili at fכ brith. I kin mek bak i nɔ izi fɔ swɛla. If it ɔ drink go insay di say we di briz de blo ɛn go insay di lɔng, wan denja tin we dɛn kɔl aspireshɔn nyumonia kin apin.

If i nɔ izi fɔ yu fɔ blo ɔ fɔ swɛla, go to dɔktɔ wantɛm wantɛm.

Wetin na di sayn dɛm wae de sho se yu vokal kɔd nɔr de woke fayn?

di simptom dεm dipכnt pan aw di vכkal kכd dεm nכ de wok fayn εn aw di vokal kכd dεm de posishכn we yu kɔmpia am to dɛnsɛf.

Dis na di kɔmɔn sayn dɛm:

• Voys kin kam lawd, wik, skrach, ɔ briz kin blo .
• Di chenj dɛn we di vɔys de mek .
• Di chenj dɛn we di vɔys de chenj.
• I nɔ izi fɔ blo (Dyspnea) ɔ yu nɔ de tɔk fayn.
• Fɔ mek nɔys we yu de blo (e.g., lɛk sawnd we yu de wisɛl).
• I nɔ izi fɔ swɛla (Dysphagia).
• Nɔ ebul fɔ klin di trot frɔm kɔf.
• Trot tayt we yu de tray fɔ swɛla.

Aw vɔkal kɔd we dɔn day kin fil?

Yu nɔ go fil ɛni sɛns dairekt frɔm yu vɔkal kɔd. Bifo dat, yu kin fil sɔm sayn dɛn we yu vokal kɔd nɔ de wok fayn. Yu kin fil bɔku strɛs ɛn taya we yu de tray fɔ mek mɔ briz go insay yu lɔng ɔ fɔ mek yu vɔys saund di we aw yu want. Yu kin fil lɛk se yu trot de blok if it ɔ drink stɔp na yu winda. Sɔm pipul kin fil lɛk se dɛn trot kin ful-ɔp wit mכkus ɔltɛm ɛn nɔ kin ebul fɔ klin am.

I pɔsibul fɔ tɔk wit vokal kɔd we nɔ de wok fayn?

Bɔku pipul dɛn kin ebul fɔ tɔk, bɔt i kin tek bɔku tray. Yu go notis se yu vɔys de chenj. Yu kin bigin fɔ tɔk lawd lawd wan we yu de tɔk. If di disfɔkshɔn rili bad, yu kin ivin lɔs yu vɔys kpatakpata.

Wetin na di tin dɛm wae kin mek yu vokal kɔd nɔr de wok fayn?

Bɔku rizin dɛn de we mek di nɛv dɛn we de kɔntrol aw di vɔkal kɔd dɛn de muv kin pwɛl:

• Autoimyun sik dεm: Sik dεm we de ambɔg di kכmyunikeshn bitwin di nεv dεm εn di mכsul dεm, fכ egzampl , Myasthenia Gravis (MG) .
• Infεkshכn: Infεkshכn lεk Laym sik, hεpi, Epstein-Barr vayrus, εn COVID-19 kin mek di nerv dεm we de kכntro di vokal kכd dεm swel εn pwεl.
• Injury: If yu wund yu nɛk, ed, ɛn chɛst eria, dat kin mek yu nerv pwɛl.
• Nyurolɔjik sik dɛm: Sik dɛm wae kin kam wit pwɛl hat ɔr pwɛl hat, lɛk multiple sclerosis (MS) , Parkinson’s disease , ɛn strok .
• Sɔbstans dɛn we gɛt pɔyzin:Pɔyzin lɛk lid, mɛkuri, ɛn asɛnik kin pwɛl di nerve tisu.
• Ɔpreshɔn: Ɔpreshɔn pan ed ɛn nɛk, lɛk tayroyd , paratayroyd ɔpreshɔn, at ɔpreshɔn, ɛn ɔpreshɔn na di sɛvikal spayna, kin mek di nerv dɛn pwɛl as prɔblɛm. If yu yuz tyub fɔ blo we yu de du ɔpreshɔn, sɔntɛnde i kin pwɛl di nɛf dɛn na di larynx bak.
• Tumɔs: Di malign ɛn benign tumor kin prɛs pan di nerves na di larynx, we kin mek i pwɛl. Tayroyd kansa ɛn tayroyd nodul ɔl tu kin pwɛl dɛn nerv ya.

Sɔntɛnde, vokal kɔd nɔ kin wok fayn afta we yu dɔn kol ɔ di ɔpa respiratɔri infɛkshɔn. Nɔto ɔltɛm dɔktɔ dɛn kin ebul fɔ fɛn wan patikyula tin we kin mek i sik. Dɛn kɔl dɛn kayn kes ya idiopathic ɔ post-viral vocal cord dysfunction.

Aw dɔktɔ dɛn kin no se di vɔkal kɔd nɔ de wok fayn?

Otolaryngologists, speshali laryngologists, na di dɔktɔ dɛm wae de no ɛn trit dis sik. Fɔs, dɛn go aks yu bɔt yu sik ɛn yu mɛdikal histri. Fɔ mek yu no se yu gɛt di sik, yu dɔktɔ kin ɔda fɔ du tɛst lɛk:

• Imej stɔdi: MRI ɔ CT skan kin tek ditayli pikchɔ dɛn bɔt di bren, trot, vokal kɔd, larynx, tayroyd gland, ɛn chɛst. dis kin εp fכ no tin dεm lεk tכmכro dεm we kin de damej di nεv dεm na di larynx. Dɛn kin aks yu bak fɔ tek ɛkstrem rayt fɔ yu ɛsophagus ɔ yu chɛst.
• Laryngoscopy: Dis kin mek dɔktɔ dɛn ebul fɔ luk di larynx ɛn di vokal kɔd dɛn dairekt wan. Di dɔktɔ kin put wan lɔng tint tiub we dɛn kɔl laryngoscope tru di nos ɛn dɔŋ di trot. Dis fleksibul tiub gɛt kamɛra na di ɛnd we de tek pikchɔ dɛn fɔ di larynx ɛn di vɔkal kɔd dɛn. Dɛn kin sho di pikchɔ dɛn na wan monita fɔ mek di dɔktɔ si.
• Vidiostroboscopy: Dis kin mek dɔktɔ dɛn si aw yu vɔkal kɔd dɛn de shek shek ɛn aw dɛn de nia dɛnsɛf we yu de tɔk. Dis we aw dɛn kin du am tan lɛk we dɛn kin du laryngoscopy. Bɔku tɛm, dɛn kin du dɛn tu tin ya togɛda. Vidiostroboscopy de yuz wan spɛshal kamɛra fɔ sho aw yu vɔkal kɔd dɛn de muv sloslo as yu de mek sawnd. Dis kin ɛp di dɔktɔ fɔ fɛn ɛni prɔblɛm.
• Laryngeal ilɛktromayografi (LEMG): .dis tεst de mכsu aw di nεv dεm de kכntro di mכsul dεm na di larynx. Dɛn kin mɛzhɔ ɛn rayt di ilɛktrik impuls dɛn we de kɔmɔt na dɛn mɔsul dɛn ya.
• Blɔd tɛst: If yu dɔktɔ tink se yu vɔkal kɔd nɔ de wok fayn na infɛkshɔn ɔ ɔtoimyun sik, i go ɔda fɔ mek dɛn du blɔd tɛst.

Aw dɛn kin trit di we aw di vɔkal kɔd nɔ de wok fayn?

Di tritmɛnt dipen pan aw di disfɔkshɔn siriɔs ɛn di sayn dɛm wae yu gɛt. If di disfɔkshɔn nɔ de wok fayn, yu kin nid fɔ yuz vɔys tɛrapi fɔ mek yu vɔys kɔd dɛn wok fayn. Insay dis tritmɛnt, yu kin du spɛshal ɛgzampul dɛn we de mek yu vɔkal kɔd dɛn strɔng, tich yu aw fɔ kɔntrol di mɔsul dɛn we de ɛp yu fɔ tɔk, ɛn aw yu de blo fayn we yu de tɔk.

Mɔ siriɔs vokal kɔd disfɔkshɔn kin nid fɔ ɔpreshɔn.

Tritmɛnt fɔ yunilatɛral vokal kɔd disfɔkshɔn

If wan say nɔ de wok fayn, bɔku tɛm dɔktɔ dɛn kin wet te di sik bɛtɛ ɛn dɛn kin put di ɔpreshɔn bifo fɔ lɛk wan ia so. Sɔntɛnde, di vɔkal kɔd dɛn kin brus ɔ strɛch, ɛn i kin tek tɛm fɔ mek dɛn wɛl. Dis kin tek sɔm mɔnt. Sɔntɛnde, fɔ trit yu vɔys wit pɔsin we de stɔdi bɔt aw pɔsin de tɔk ɛn i kin rili wok fayn, ɛn i kin ɛp fɔ mek di vɔys strɔng if di prɔblɛm smɔl to smɔl.

Wan dɔktɔ we de mɛn di laryngologist kin se dɛn fɔ du ɔpreshɔn ɔ fɔ injɛkshɔn fɔ mek yu vɔys fayn, fɔ swɛla, ɛn fɔ mek i nɔ ebul fɔ blo fayn. Di tin dɛn we yu kin pik na:

• Vokal kɔd injɛkshɔn: Di dɔktɔ kin injekt wan fila tru wan nidul. Bɔku kayn tin dɛn de we dɛn kin yuz fɔ ful-ɔp we nɔ gɛt wan prɔblɛm. Dis fil de lɔk di gap bitwin di vokal kɔd dɛn.
• Voice box implant (Laryngeal framework surgery): Di dɔktɔ kin put wan freym insay yu larynx. Bɔku pan di freym dɛn na silikon dɛn mek am. dis fכm de ol di vכkal kכd dεm na di ples εn i de εp fכ klos di tu vכkal kכd dεm. dis prosidur dεm inklud wan prosidכs we dεn k כl mεdialization laryngoplasty (Thyroplasty) .
• Reinnervation surgery: Di dɔktɔ kin tek wan nerve we de kɔnɛkt to ɔda mɔsul dɛn na yu nɛk ɛn kɔnɛkt am bak to di nerve we de muv yu vokal kɔd. Dis we aw dɛn kin du am nɔ kin afɛkt di ɔda mɔsul dɛn na yu nɛk.

Tritmɛnt fɔ baylatarɛl vokal kɔd disfɔkshɔn

Pipul wae gɛt ɔl tu di vɔkal kɔd dɛm wae nɔr de woke fayn kin gɛt denja fɔ mek dɛn ebul fɔ blo. Dɛn kin nid fɔ du tracheostomy (wan tiub fɔ blo we dɛn kin put na dɛn nɛk) fɔ opin di say we dɛn de blo ɛn ɛp dɛn fɔ blo.

Insay dis ɔpreshɔn, dɔktɔ kin kɔt yu nɛk ɛn put wan tiub insay yu trot. Di tiub de opin yu aywe ɛn ɛp yu fɔ blo. Sɔntɛnde, di dɔktɔ kin yuz lɛsa fɔ pul wan pat pan di bak pat pan wan ɔ ɔl tu di vɔkal kɔd dɛn, ɛn dis kin mek di say we yu de blo big so dat yu go ebul fɔ blo izi wan. If yu gɛt tracheostomy, wan ɔda tin we go ɛp yu fɔ blo fɔ lɔng tɛm na tracheostomy we nɔ gɛt tyub.

Yu tink se dɛn kin mek di vɔkal kɔd we nɔ de wok fayn bak?

Sɔntɛnde, di vɔkal kɔd dɛn go wɛl fɔ dɛnsɛf. Dis kin tek sɔm mɔnt. If yu yuz yu vɔys tɛrapi, yu de inj yu vɔys kɔd, ɔ yu put yu vɔys insay yu vɔys, yu vɔys kin strɔng ɛn ɔda pipul dɛn kin yɛri yu fayn we yu de tɔk. Yu kin si bak se yu swɛla ɛn briz kin bɛtɛ we yu de trit yu. Aks yu dɔktɔ ɔmɔs pan yu vɔkal kɔd wok yu kin gɛt bak wit tritmɛnt.

Yu tink se dɛn kin mek di vɔkal kɔd nɔ wok fayn?

Dɛn nɔ kin ebul fɔ stɔp di vokal kɔd we nɔ de wok fayn ɔltɛm. Tɔk to yu dɔktɔ if yu gɛt wan sik we de mek yu gɛt mɔ prɔblɛm. Dɛn kin se yu fɔ chɛk yu vɔkal kɔd ɔltɛm. Yu kin nid fɔ yuz vɔys tɛrapi bak fɔ mek yu vɔys kɔd dɛn wok fayn fayn wan.

Wetin na de luk fɔ pipul dɛm wae gɛt vokal kɔd disfɔkshɔn?

Bɔrku pan di vokal kɔd dɛm wae nɔr de wok fayn kin wɛl fɔ dɛnsɛf as tɛm de go. Spich therapy ɛn sɔntɛm fil injɛkshɔn kin ɛp fɔ mek yu gɛt bɛtɛ sayn dɛn we yu vokal kɔd dɛn de wɛl. If yu vɔkal kɔd nɔ de wok fayn fɔ ɔltɛm, wan implant fɔ ol di vɔkal kɔd na in ples na di bɛst tritmɛnt. Na smɔl tɛm nɔmɔ, if di implant muf kɔmɔt na in ples, yu dɔktɔ go nid fɔ put am bak.

Wit tritmɛnt, bɔrku pipul kin gɛt bak di ebul fɔ tɔk ɛn swɛla afta dɛn vokal kɔd nɔr de wok fayn. Di rit we yu go wɛl go dipen pan sɔm tin dɛm, lɛk if di disfɔkshɔn de na wan ɔ ɔl tu di vɔkal kɔd dɛm, ɛn if i smɔl ɔ i rili bad.

Ustɛm a fɔ go to dɔktɔ bɔt aw di vɔkal kɔd nɔ de wok fayn?

If yu gɛt sayn dɛn we de sho se yu vɔkal kɔd nɔ de wok fayn, tɔk to dɔktɔ. Yu vɔys kin chenj, yu vɔys kin mek yu vɔys we yu nɔ ebul fɔ ɛksplen, yu kin blo we yu de blo, yu nɔ kin blo fayn we yu de tɔk, ɔ yu kin kɔf ɛn yu trot kin at we yu de it ɔ drink, nɔto tin we nɔ kin apin so ɔltɛm. If yu gɛt tritmɛnt kwik, dat kin ɛp fɔ mek yu nɔr wɔs. Sɔntɛnde, tritmɛnt dɛn we nɔ de ambɔg yu, lɛk fɔ yuz yu vɔys, kin ɛp yu fɔ avɔyd ɔpreshɔn.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

If yu gɛt prɔblɛm fɔ blo ɔ fɔ swɛla, go to dɔktɔ wantɛm wantɛm. we yu nכ gεt inof briz na sayn fכ baylatarכl vכkal kכd dysfunction, we na di mכst siriכs fכm fכ di kכndyushכn. Aspiration nyumonia kin apin we it ɔ drink de go insay di say we di briz de blo bikɔs di vɔkal kɔd dɛn nɔ de lɔk fayn.I kin kam, ɛn if dɛn nɔ trit am, i kin kil pɔsin.

Mɛsej we dɛn kin kɛr go na os

If yu gɛt sɔm sayn dɛn lɛk we yu vɔys chenj klia wan, yu de ala lawd lawd wan, yu nɔ go ebul fɔ blo we yu de tɔk, i nɔ izi fɔ swɛla, ɔ yu de it ɛn drink bak ɔltɛm, nɔ jɔs ignore am. Dɛn tin ya kin bi sayn dɛn we de sho se pɔsin in vokal kɔd nɔ ebul fɔ waka .

Di tin we impɔtant pas ɔl we yu fɔ mɛmba:

* If i nɔ izi fɔ yu fɔ blo ɔ i nɔ izi fɔ yu fɔ swɛla, go na ɔspitul wantɛm wantɛm.

* If yu gɛt ɔda sayn dɛn, go to spɛshal dɔktɔ fɔ yu yes, nos, ɛn trot (ENT) wantɛm wantɛm.

* If dɛn no am ɛn trit am kwik, bɔku tɛm dɛn kin ebul fɔ kɔntrol dis sik fayn fayn wan, ɛn i kin ivin wɛl ɔl.

Nɔr nid fɔ panik, bɔt e fayn fɔ no bɔt dɛn kayn sik ya. Tɔk to yu dɔktɔ ɛn gɛt di tɛst ɛn tritmɛnt we yu nid.

` Voys chenj, vokal kɔd nɔ de wok fayn, vɔys we de ala, i nɔ kin izi fɔ swɛla, i kin at fɔ blo, Vokal Kɔd Paralayz, Laryngoscopy, vɔys tɛrapi