I aw chu i hloh nghal tawh em? Aphonia chungchang hi han sawi ila!

I thusawi lai hian a chang chuan i aw a chhuak tha lo ang maiin i inhria em? A nih loh leh, i bengchheng nghal em em a, thusawi hniam tak maiin i tawng thei em, a nih loh leh i aw pawh i hloh vek mai thei em? Hei hi a tithinur takzet a, a hlauhawm tak zet a ni lawm ni? A chhan chu kan aw hi midangte nena kan inbiakpawhna ber a nih vang a ni. Chuvangin vawiinah hian hemi chungchang hi tlemin chipchiar zawkin kan sawi dawn a ni. Doctor te chuan he natna hi aphonia an ti a.

Aphonia chu eng nge ni tak tak?

A awlsam zawngin aphonia chu i aw hloh hi a ni. Chu chu i thusawi laiin i hre thei lo tihna a ni. I aw chu a ri thei lo mai thei a, a nih loh leh i tawng zawi hle mai thei a, thawm ri ang maiin i tawng thei bawk. A châng chuan, i aw chu a bo vek thei. Mi dangte chuan an aw chu mak leh danglam tak niin an ngai thei a, thusawi pawh an hreh thei bawk. Hei hi aw lama harsatna (voice disorder) anga ngaih a ni. A tam zawkah chuan he dinhmun hi aw ti sang leh au chhuak fo thinte zingah a lang thin. Mahse, ngaihtuahawm tur a awm lo, doctor-te chuan voice therapy exercise hmangin an enkawl thei a ni.

Hetiang aphonia natna hian tute nge a nghawng ber?

Zirchiangtute chuan United States ang ram mipui zinga 3% leh 9% vel chu aphonia natnain an vei niin an chhut. Mahse, doctor ṭhenkhat chuan mi tam tak chuan an aw a hloh chuan damdawi lam thurawn an la ngai lo a, hei hi a tam zawk thei niin an ngai. Chuvangin, Sri Lanka-ah pawh hetiang natna vei hi an awm thei a, mahse, hemi chungchangah hian statistics dik tak a awm lo mai thei.

Aphonia natna lanchhuahna chu engte nge ni?

Chumi chhinchhiahna bulpui leh langsar ber chu aw a chhuak lo emaw, a tawng hriat loh emaw hi a ni. Aw tlakchham thut hi aphonia chhinchhiahna dang a ni. A châng chuan, a aw chauh a bo a, kawr natna engmah a awm lo. Thu sawi tum hian rilru a na hle tih a hriat theih bawk.

Engtin nge kan aw hi a lo thanglian?

Thusawi hi thil awlsam tak angin lang mah se, a takah chuan kan taksa peng engemaw zat inzawmkhawm ngai thil nalh tak a ni. Ngaihtuah teh, hei hian kan thawkna kawng, kan hmui, kan rilru, kan hnar leh kan hmui te hi an thawk dun vek a ngai a ni.

1. Respiratory System: A hmasa berah chuan kan lung atanga boruak lo chhuak hi aw tan chakna a ni. Car tan fuel ang mai a ni. Kan thawk tha lo a nih chuan, chu chu thaw thûk tak leh thunun theiha kan thawh loh chuan aw lama harsatna a awm thei tihna a ni.

2. Larynx leh Vocal Cords: Kan rilru chung berah hian larynx emaw kan tih angin ‘voice box’ emaw a awm a. Hemi chhungah hian vocal cords a awm a, chungte chu membrane te tak te pahnih a ni. Chungte chu vocal folds an ti bawk. Larynx hian taksa peng hrang hrang a nei a, chu chu Phonatory Muscles an ti a.Heng muscle te hi vocal cords te inzawmkhawm leh inthen tirtu an ni.

3. Sound wave siam dan: Kan thaw chhuah hian lung atanga boruak chu a inhnaih tak vocal cord kaltlangin rang takin a kal a. Tichuan heng vocal cord te hi an vibrate tan ta a ni. Guitar hrui (string) a vibrate ang maiin. He vibration hian sound wave bulpui ber a siam a ni.

4. Resonating Cavities: Chumi hnuah chuan heng sound wave te hian kan ril, hnar leh ka chhunga hmun hrang hrangah an kal kual a. Heng space te hi Resonating Cavities an ti a . Chûngte hmang chuan kan aw hian a quality bik, a chiangna leh a thiltihtheihna a nei a ni. Loudspeaker-a part hrang hrang ang bawkin.

Chuvangin he thil kalpui danah hian khawi hmunah pawh inthlak danglamna tlem a awm chuan kan aw-ah harsatna a thlen thei a ni.

Aphonia hi engte nge ni?

Aphonia hi functional voice disorder anga ngaih a ni . Hei hian a awmzia chu hetiang natna vei te hian taksa dinhmun, i.e. natna lian tak emaw, rilru natna emaw, vocal cords emaw an nei thei tihna a ni. Mahse, aw hloh hi an aw hman danah thil danglam engemaw zat, i.e. an aw an hman danah a awm a ni.

Eng thiltih nge aw tichhe leh harsatna thlen thin?

Darkar khat chhung cricket match i en a, i lung chung lamah i au chhuak a nih chuan i rilru a na ang a, i aw pawh a tlahniam ang tih hi thil tawn atang khan i hre tawh ngei ang. Doctor-te chuan hei hi phonotrauma , an ti a, chu chu aw tihchhiat tihna a ni.

Tin, mi thenkhat chuan an hnathawh avang hian an aw an tichhe thei bawk. Doctor te chuan hei hi vocal fatigue an ti a . Heng entirnan te hi han en teh:

• Zirtirtu: Nilengin naupangte ngaihven hlawh tur leh ngaihthlak tura zirtirtu nilengin ring taka thu sawi thin zirtirtute.
• Factory-a thawkte: Mi dangte hriat theih nâna machine ri nasa tak ri chunga au thawm leh thusawi reng rengte. Thawmhnaw siamna hmuna machine thawm ri chunga mi pakhatin thu a sawi lai han mitthla teh.
• Telephone service pe tute: Phone-a ni tam zawk hmangtute, entirnan, call center-a thawkte.
• Professional speaker leh zaithiam: An aw chu eizawnna atana hmangtute.

Heng mi zawng zawng hian an aw hi an fimkhur hle a ngai a ni.

Psychogenic Aphonia chu eng nge ni?

A châng chuan, taksa lam thil engmah awm lovin miten an aw an hloh thei a ni. Hei hi psychogenic aphonia emaw psychogenic conversion aphonia emaw an ti a ni. Hei hi trauma lian tak, emotional emaw psychological stress emaw, traumatic event emaw avanga lo awm a ni. Hetiang natna vei te hian an vocal cord-ah harsatna an nei lo a, mahse aw hniam tak, hoarse tak maiin an tawng thei a ni. Hei hi an aw a bo thut lai a ni.

Pawimawh:Psychogenic aphonia leh hysterical aphonia te hian psychological stress avanga aw hloh an sawi vek a ni. Taksa lama harsatna a awm lo.

Engtin nge doctor-te hian aphonia hi an hriat theih?

Aw lama harsatna nei doctor i pan hunah zawhna tlem a zawt hmasa ang che. Entir nan:

• I aw-a harsatna awm chu sawifiah turin an ti che a ni.
• He harsatna hi engtikah nge a lo intan?
• Aw buaina hi a awm reng em, a nih loh leh a lo kal leh chhuak thin? (I tawng pangngai thei lo a nih pawhin i doctor chuan i chanchin sawi dan tur a zawng ang a, i ziak tir mai thei bawk.)

Chu bâkah, i damdawi lam chanchin leh i hrisêl dân tlangpui an zawt bawk ang . Nilengin i aw i hman dân chungchâng pawh an zâwt thei bawk. Doctor te chuan hei hi nitin aw thianghlimna an ti a .

He natna hi hriat theih nan eng test nge tih thin?

Doctor chuan i larynx chu a enfiah duh mai thei. Hei hian test te pawh a huam thei a, chungte chu:

• Rigid Laryngoscopy: Hetah hian tube ang maia hmanraw te tak te, te tak te, dinglam (endoscope) chu ka chhungah dahin, lei chu a sir lamah tilt in larynx an enfiah thin. Hei hi a nuam lo deuhin a lang thei a, mahse fiahna rang tak a ni.
• Flexible Laryngoscopy: Hetiang tih danah hian hnar kaltlangin tube te tak te, flexible tak mai chu hnar hnung lamah an kalpui a. Procedure hma hian hnar-ah numbing medicine an hnawih thin a, chuvangin a nuam lo vak lo. Doctor chuan thu sawi turin a ti thei che a, hla sa turin a ti thei che a, khuh turin a ti thei che a, i larynx hnathawh dan pawh a en thei bawk. Hei hian vocal cords che vel chu chiang takin a hmu thei a ni.

Heng test te hian a hring, lumps, a lo thang dan pangngai lo, a nih loh leh vocal cords a thawk tha lo em tih te a enfiah thei a ni.

Aphonia hi engtin nge enkawl a nih?

Doctor te chuan aphonia hi voice therapy hmangin an enkawl tlangpui . I doctor chuan speech therapist hnenah a refer thei che a ni.

Speech therapist chuan i dinhmun ang zela enkawlna tur ruahmanna a siam ang. Hei hian hetiang hi a huam thei a ni:

• Thâwk lak dan dik: I aw tan chakna dik tak i neih theih dan.
• Voice exercises: Vocal cords tichhe lova aw hman dan tur, aw ri leh ri ringawt control dan tur.
• Exercise tih hian rilru leh kawr ruhte a ti hahdam thei.
• Vocal Hygiene Tips: I Aw humhimna atana tih tur leh tih loh tur.

Psychogenic Aphonia hi engtin nge enkawl a nih?

Psychogenic aphonia chu stress avanga aw hloh a ni. Chuvangin, hei hi enkawl hunah doctor-te chuan rilru lam hriselna (Mental Health Therapy / Counseling) leh thusawi hmanga enkawlna inkawp a rawt a ni . Hetah hian a pawimawh ber chu stress awm chhan zawng chhuakin enkawl a, chutih rualin aw neih leh theihna tura exercise tul tak tak tih hi a ni.

Aphonia hi homeopathic hmanga enkawlna a awm em?

Homeopathic treatment-ah hian taksa lama natna lan chhuahna, ri bengchheng ang chi tihziaawmna lam an ngaihtuah tlangpui. Entirnan, lemon tui, khawizu leh thyme hmanga siam in tur lum tak an hmang thin. Mahse, heng damdawi te hi i enkawlna ruahmannaah i dah hmain doctor rawn hmasak phawt a pawimawh. I dinhmun atâna ṭha ber chu a hria a, chûngte chu i tân a inhmeh lo mai thei.

Engtin nge aphonia hi kan ven theih ang?

Aphonia hi aw hman tam lutuk vang emaw, rilru hah vang emaw a ni fo thin. Vanneihthlak takin, i hnathawhna chuan ring taka thusawi a ngai a nih pawhin, i aw humhimna tur thil awlsam tak tak i tih theih a awm. Heng rawtnate hi lo en ve teh:

• Thâwk lak dan dik tak zir rawh: Thâwk thûk takin thawk la, i rilru leh i diaphragm aṭangin, i rilruah chawlh hahdam rawh. Thâwk tawi leh thuk lo hian i rilru ruh a ti na thei a ni.
• A theih chuan microphone hmang ang che: I hnathawhna chuan ring taka thu sawi reng a ngai a nih chuan, mimal microphone te tak te hman hi ngaihtuah rawh. Hei hi zirtirtu leh thusawitu tan a tangkai hle.
• Hmun ri nasa takah rei tak inbiakna pumpelh rawh: Concert-ah te, factory-ah te, bus-ah emaw, mipui tamna hmun, ri nasa tak awmna hmunah te hun rei tak inbiakna pumpelh tur a ni. Hei hi a chhan chu thawm i hneh theih nan i thusawi ring zawk a ngai dawn a ni.
• Au thawm ai chuan hmanraw dang hmang rawh: Infiamna inelnaah te, concert-ah te, etc.-ah te, au thawm ai chuan kutbeng, whistling (mahse fimkhur rawh), a nih loh leh i thlawpna lantir nan hmanraw dang hmang rawh.
• I kawr tifai turin khuh fo suh: Khuh tam leh ri nasa tak hian i vocal cord a tichhe thei a ni. Tui tlem in tum ang che.
• Meizial zuk loh tur: Meizial hi i aw tan chauh ni lovin, i taksa pumpui tan pawh a tha lo. Tin, zu in (passive smoking) bula awm hi a tha lo.

Aphonia ka neih chuan eng nge thleng ang?

Vawi tam tak chu aphonia vei te hian speech therapy an dawng thin.Surgery hnuah i aw hloh chu i hmu leh thei a ni. Aphonia i neih chuan i aw ven dan zir hi a \angkai hle. Beiseina hloh suh, inenkawlna mumal tak i neih chuan i dam leh thei ang.

Engtin nge ka in enkawl ang?

Aphonia hi aw a tihbuai chuan a lo awm thin a ni. Chuvangin, i aw i neih leh hnu chuan, a dinhmun tha taka awm reng theihna tura i tih theih tur thenkhat chu hetiang hi a ni:

• Tay hydrated: Nitin tui in hian i rilru a vawt loh nan a pui thei a ni. I vocal cords te hian moisture an mamawh a. Ni khatah tui glass 8 tal in tum ang che.
• Vocal naps la rawh: A theih phawt chuan i aw chu chawlh hahdam tir rawh. Nilengin thu sawi ai chuan hun rei lote chhung ngawi renga awm tur zawng rawh.
• I vocal cord ti vawt thei damdawi ei loh tur: Khawsik emaw allergy emaw damdawi i ei a nih chuan i vocal cord ti vawt lo tur damdawi chungchang doctor hnenah zawt la. Antihistamine leh decongestant thenkhat chuan i rilru a ti vawt thei.
• Exercise neih fo: Exercise hian thawk dan a titha a, chu chu i aw tan pawh a tha hle.
• Caffeine leh zu tih tlem: Heng thilte hian taksaah tui a tichhe thei a, chu chu kawr tan a tha lo.

Aphonia leh Dysphonia hi eng nge an danglamna?

Heng thumal pahnih hi eng emaw chen inang mah se, a danglamna tlem a awm.

• Dysphonia: Hei hi i hmui, i lei, i rilru emaw, i vocal cords insiam danah harsatna a awm chuan a ni. Entirnan, vocal cord nodules emaw polyps emaw, vocal cord paralysis emaw, velopharyngeal dysfunction (VPD) emaw ang chi natna hian dysphonia a thlen thei. Aw chu a ri bengchheng emaw, a chhe emaw, a chak lo emaw pawh a ni thei.
• Aphonia: Hei hi i vocal structure a tha tlangpui a, chu chu major impairment a awm lo tihna a ni. Mahse, aw hloh hi i aw hman dan, chu chu i aw i hman danah harsatna a awm vang a ni. Hei hi Dysphonia aiin a na zawk a, aw chu a bo vek tawh mai dawn a ni.

A awlsam zawngin sawi ila, dysphonia chu aw danglam tak a ni a, aphonia erawh chu aw hloh vek emaw, a then emaw a ni thung.

He Aphonia Clericorum hi eng nge ni?

Aphonia Clericorum chu i larynx hliam hnua aw hloh, emaw, larynx natna, laryngeal cancer ang chi emaw a ni. Hei hi a hmaa kan sawi tawh angin functional aphonia nen a danglam a, a chhan chu hetah hian larynx ngeiah pawh structural damage a awm a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Kan aw hloh hi mi tam tak tan chuan hlohna lian tak a ni. Thusawi thiam leh sawi chhuah thiam hi midang nena min thlunzawmtu a ni. Kan aw hloh hian a chang chuan kan eizawnna hloh tihna a ni thei. Chuvangin, kan aw hloh nghal mai hi thil mak tak a ni thei.

Aphonia hi i aw i hman dik loh vang, chu chu i hman tam lutuk vang a ni. Aphonia i vei tih hmuhchhuah a nih chuan speech therapy hian i aw chu a lo nei leh thei a, i aw chu a vawn that dan tur a zir thei fo bawk. I aw chawi sang hi thil dik lo a ni lo, mahse hloh khawpa tichhe lovin i tih tur a ni.

I aw chungchangah ngaihtuahna emaw, ngaihtuahna emaw i neih chuan doctor biak hreh ngai suh. A ngaithla ang che a, a pui ang che. Enkawlna i hmuh hma poh leh i dam thuai thei tih hre reng ang che!

` Aphonia, aw hloh, aw ri bengchheng, aw zirtirna, thusawi therapy, larynx, vocal cords