I aw chu a hoar em? Hoarse a lo ni ta em ni? (Hoarseness/Dysphonia) - Hemi chungchang hi han sawi ila!

Zingkar i thawh hian emaw, ni khata i thusawi harsa tak hnuah emaw i aw chu a danglam tawh ang maiin i inhria em? Khua a tlakbuak ang mai a ni a, a nih loh leh a ri bengchheng tawh a, tawng a harsat phah ang mai a ni. A châng chuan i aw chu a chak lo thei a, a rit hle a, a khauh hle bawk. Hei hi ‘hoarseness’ emaw, damdawi lam atanga thlir chuan aw inthlak danglamna (Dysphonia) kan tih tlangpui chu a ni. Dik tak chuan, hei hi mi pathum zinga pakhat velin an nunah engtik lai pawhin a nghawng thei dinhmun a ni. Chuvangin ngaihtuahawm tur a awm lo a, mahse fimkhur a pawimawh hle.

Hoarseness hi eng nge ni tak tak?

A awlsam zawngin, hoarseness chu i aw quality pangngai a inthlak a, raspy, rough, strained, emaw breathy a nih hian a ni. Hei hian i aw ri sang emaw tihhniam emaw, i aw ri (high or low pitch) tihdanglam emaw a huam thei. I aw pangngai chu mi pakhatin a hrual ang maiin a ri nghal a, a lo chhuak nghal a, a rawn chhuak nghal a nih chuan chu chu he dinhmun hi a ni tih han ngaihtuah teh.

Hei hi zuk leh hmuam hmangtute zingah a tam hle a, chubakah professional taka an aw hmangtute, zirtirtu, hla phuah thiam, lemchan thiam, sales representative, leh call center-a hnathawkte zingah pawh a tam hle.

Hoarseness symptoms te chu engte nge ni?

Aw ri bengchheng tak i neih chuan heng ang symptoms hi i nei thei ang:

• Thu i ​​sawi dawnin thu chhuah chhuah harsa i tih ang maiin a lang.
• Aw chu a ri bengchheng, a hrual, a nih loh leh thli tleh .
• A tlangpui aia nem zawka thusawi a ngai.
• Aw ri chu a tlangpui nen a danglam . A aw chu a hniam hle emaw, a rit hle emaw pawh a ni thei.

Engtikah nge hoarseness hi kan ngaihtuah tur?

A tam zawkah chuan kan aw kan hman tam lutuk hian hoarseness a awm thin. Chutiang hunah chuan ni engemaw zat chhungin a mah chauhin a reh tlangpui. Mahse, i aw chu kar thum aia rei a lo ri tawh a nih chuan , emaw, heng chhinchhiahna hlauhawm tak takte hi i neih chuan doctor i pan ngei tur a ni.

Damdawi lam thurawn lak ngei ngei tur a nih huna thil awm dan:

* I thusawi emaw, thil i ei lai emawa i beng a na a nih chuan.

* Thâwk leh ei harsa i tih chuan .

* Thisen i khuh chuan .

* I kawr ah lump i hriat chuan .

* Aw hloh vek atanga ni engemaw zat a liam tawh chuan .

Heng symptoms te hi i neih chuan thil pangngaiah ngai suh. A chhan zawn nan a rang thei ang bera doctor pan a tha ber.

Engvangin nge kan aw chu a ri chhuak nasa em em? A chhan engte nge ni?

Hetiang hi kan chunga a lo thlen chhan hrethiam tur chuan kan aw a lo pian dan hi tlem han zir hmasa ila. Kan tawng thei hi a chhan pahnih a ni a, chungte chu: kan vocal cord leh kan larynx te an ni. Larynx hi kan trachea/windpipe chungah a awm a. Trachea hi tube sei tak a ni a, chu chuan larynx leh lung a thlunzawm a ni.

I vocal cords hi i larynx chhunga tissue band flexible pahnih a ni. Guitar-a string ang maiin han ngaihtuah teh. Kan thusawi hian kan lung atanga boruak chu heng vocal cords chungah hian a kal a, chu chuan a ti vibrate a, sound wave a siam thin. Chuvangin, heng vocal cords emaw, i larynx emaw tichhe thei thil eng pawh hian i aw a ti ri thei a ni.

A chhan lian ber ber thenkhat chu hetiang hi a ni:

• Laryngitis: Hei hi hoarseness thlentu ber a ni. Allergy, upper respiratory infection, sinus infection ang chi thil avanga vocal cords a lo hring chhuah hian a thleng thin. Khawsik emaw, flu emaw hian i aw a tidanglam thei ang bawkin.
• I aw hman tam lutuk emaw, hman dik loh emaw: Entîr nân, hun rei tak i sawi hnuah emaw, infiamna inkhelh laiin i au nasa hle emaw a ni thei. I aw pangngai aia ri sang zawk emaw, a hniam zawk emawa thusawi chhunzawm zel avanga lo awm thei a ni bawk. Hei hi zirtirtu leh zaithiam ang mite zingah a awm fo thin.
• Kum upa lam: Kum upa lam kan lo upa chhoh zel chuan kan aw (vocal cord) te chu a thim zual a, chu chuan kan aw a tidanglam thei bawk.
• GERD (Gastroesophageal Reflux Disease): Hei hi thinlung natna emaw, pum na emaw kan tih fo chu a ni. GERD chu pum chhunga acid a rawn chhoh hian a ni. A chang chuan, he acid hian vocal cords a tichhe thei bawk. Hei hi Laryngopharyngeal Reflux (LPR) an ti a.
• Vocal cord hemorrhage: Hei hi vocal cord chhunga thisen kalna kawng a puak hian a thleng thin. Hei hian thisenin taksa ruh (muscle fibers) a tikhat thin. Hei hian aw a hloh nghal thei a ni.
• Vocal nodules, cysts leh polyps: Hengte hi cancer ni lo, vocal cords-a lo piang chhuak an ni. Kan kut hmanga hnathawh hian callus kan nei ang bawkin, vocal cord pawhin kan aw kan hman dik loh chuan heng dinhmunte hi a siam thei a ni.
• Vocal cord paralysis: Hei hi vocal cord pakhat emaw, pahnih emaw a inhawng leh khar tha lo tihna a ni. Hei hi nerve chhiatna emaw, operation avanga side effects emaw ang chi thil vang a ni thei.
• Recurrent Respiratory Papillomatosis (RRP): Hetiang natna hian vocal cords leh a chhehvelah benign warts a siam thin.
• Spasmodic Dysphonia: Hei hi hun rei tak chhung neurological speech disorder a ni a, aw quality a tidanglam thin.
• Muscle Tension Dysphonia: Hei hi vocal cord leh a chhehvel muscle-a stress nasa lutuk a awm chuan a thleng thei. Kawr, kekawrte, rilru chhung hmuna hliam vang pawh a ni thei bawk.
• Nervous system natna leh harsatna: Stroke emaw Parkinson’s disease ang chi natna i neih chuan i thluak chhunga i aw box chhunga thau awmte control tu chu a nghawng thei a ni. Hei hian i aw a tidanglam thei bawk.
• Cancer: Cancer laryngeal cancer, lung cancer, leh throat cancer te pawh hian hoarseness a thlen thei bawk. Hei hi mi tam takin an hlauh em em a ni. Mahse, i aw a ri chhuak apiangin cancer vang a ni tih hre reng ang che.

Engtin nge hoarseness hi kan hriat theih ang?

I natna lan chhuah dan azirin i general practitioner chuan beng, hnar leh kawr lam specialist (Otolaryngologist/ENT specialist) hnenah a refer thei che a ni. I medical history leh damdawi i ei zawng zawng a zawt ang che. Zawhna an zawt thei bawk a, chungte chu:

• He aw inthlauhna hi eng chen nge a awm tawh?
• Heng chhinchhiahnate hi a intan thut em ni, a nih loh leh a pung zauh zauh em?
• Tun hnaiah upper respiratory infection (khawsik ang chi) i nei tawh em?
• A lan chhuah dan dang (e.g. khawsik, taksa na, ei harsa) a awm em?
• Meizial i in em? Chutiang a nih chuan eng chen nge i zuk tawh?
• Zu i in em?

Diagnostic test te hi engte nge ni?

Doctor chuan i aw a ngaithla ang a, i lu leh i kawngah lumps emaw bumps emaw a awm leh awm loh a enfiah ang. Chu bakah, test an ti thei bawk a, chungte chu:

• Laryngoscopy: Hei hian hnar emaw, hmui emaw kaltlangin tube te tak te, flexible tak (endoscope) dahin larynx leh vocal cords te enfiah a ni. Tube hian a tawp lamah camera a bun a, doctor chuan screen-ah a en thei a ni.
• Videostroboscopy: Hei hi laryngoscopy nen a inang a, mahse light bik leh camera hmangin vocal cords vibration chu chipchiar takin a hmu thei a, slow motion-ah deuhthaw a ni.
• CT scan (Computed Tomography - CT scan): X-ray test bik a ni a, taksa chhung lam cross-sectional image a la thin.
• MRI (Magnetic Resonance Imaging - MRI): Magnetic field leh radio wave hmanga taksa chhung lam chipchiar taka thlalak siamna test a ni.
• Biopsy: Vocal cord-ah emaw, a chhehvelah emaw thil rinhlelh awm a awm chuan tissue te tak te la in microscope hmangin an enfiah thin. Hei hi cancer ang chi rinhlelhna a awm chuan tih a ni.

Hoarseness enkawlna tur engte nge ni?

Treatment chu i hoarseness chhan ah a innghat.

• Enkawlna bulpui ber chu aw chawlh tir hi a ni tlangpui . Chu chu a theih ang anga thusawi leh au thawm tihtlem tihna a ni.
• Laryngitis hi natna hrik avanga lo awm a nih chuan, natna hrik (laryngitis ang chi) , doctor chuan damdawi mamawh (e.g. antibiotics, painkillers) a pe ang. Allergy vang a nih chuan chumi atan chuan damdawi pek a ni ang.
• GERD hi a chhan a nih chuan nunphung thlak danglam (diet control, mut dan thlak) leh acid-controlling damdawi an pe ang.
• I vocal cord-ah nodules, polyps, emaw cysts i neih chuan, a châng chuan voice therapy hmangin enkawl theih a ni. Mahse, ṭhenkhatah chuan zai a ngai mai thei.
• Cancer ang chi natna khirh takin a ri chhuak a nih chuan, oncologist enkawlna hnuaiah radiation therapy, chemotherapy, surgery ang chi enkawl a ngai thei a ni.
• Nervous system nena inzawm natna vang a nih chuan , natna hnuaia awm enkawl lai hian aw zirtirna pek theih a ni.

Hoarseness i veng thei ang em?

A chang chuan, hoarseness hi kan ven theih loh damdawi lam thil vang a ni thei. Mahse, i aw enkawl hian, a bik takin nitin hun rei tak i aw i hman chuan (e.g., zirtirtu, hla phuahtu, emaw vantlang hmaa thusawitu) chuan he natna hi a tihziaawm thei a ni. Tips thenkhat chu hetiang hi a ni:

• Meizial zuk loh vek tur a ni. (Hemi kawngah hian tanpuina i mamawh a nih chuan doctor rawn la rawh.) Secondhand smoke lakah hlat rawh.
• Zu leh in tur caffeine (tea, coffee) awmna khap tlat ang che. Chungte chuan taksaah tui a tichhe thei a, vocal cord a nghawng thei bawk.
• Tui tam tak in thin ang che. Ni khatah tui glass 8 tal in hian i vocal cords a hnim reng thei a ni.
• In chhung boruak a vawt chuan humidifier hmang ang che.
• Chaw rimtui, hriak nei ei loh tur a ni a, a bik takin GERD i neih chuan ei loh tur a ni.
• Aw tichhe thei thil (e.g., hun rei tak sawi, thusawi ring tak, au thawm) tih loh tur.
• I aw a chau hunah (e.g. lecture i pek laiin) , microphone/megaphone ang chi hmanrua hmang ang che.
• Thusawi dan dik leh hmanraw dik chungchangah voice coach zawt rawh .

Awah hian hoarseness a awm a nih chuan eng nge thleng ang?

A tlangpuiin, i aw chu chawlh i pek hnuah emaw, a chhan bulpui i enkawl hnuah emaw i aw chu a pangngaiin a awm leh ang. Mahse, a tlem hleAw ri ringawt hi cancer chhinchhiahna emaw, nervous system natna khirh tak emaw a ni thei. Chuvangin a tul lovah hlau suh la, a natna lan chhuah dan erawh fimkhur zawk ang che.

Engtin nge ka in enkawl ang?

Aw hoarse i neih chuan doctor thupek zawm hi i aw tihdam thuai theihna tur kawng tha ber a ni.

• I aw chu chawlh hahdamna pe rawh. A theih ang anga thusawi chu pumpelh rawh. Whispering pawh hi i vocal cords tan a tha lo a, chuvangin chu pawh chu pumpelh rawh.
• I rilru tihreh nan tui lum (salt water gargles, ginger-cilantro gargles, etc.) in thin ang che.
• Meizial leh meizukna hmun atanga hla takah awm rawh.
• Doctor-in damdawi a pek ang leh a hun taka ei tur a ni.

Engtikah nge doctor ka hmuh leh ang?

Enkawlna dawng chung pawhin i aw a la ri chhuak a, emaw, i natna lan chhuahna a zual zel nia i hriat chuan doctor pan leh ngei ngei tur a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Hoarseness hi harsatna awm fo a ni. Hetiang dinhmun hi i neih chuan i doctor hnenah zawhna i zawt thei ang:

• Engvangin nge ka aw chu a ri ringawt?
• Hei hi natna khirh tak vang a ni em?
• Eng enkawlna nge i rawt?
• Engtin nge ka in enkawl ang? Engtin nge ka tih theih ang?

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

Ngawi renga awm hi rangkachak a ni a, mahse i aw a ri bengchheng a, tawng harsa i tih lai te, i aw a inthlak lai te, i aw i hloh vek lai te chuan chutiang chuan a tha lo. Kar thum aia rei i aw a ri chhuak a nih chuan, emaw , ei leh thawk harsa i tih chuan, thisen i khuh a nih chuan, i rilruah lump i awm a nih chuan, emaw, ni engemaw zat i aw i hmang thei lo a nih chuan, doctor pan ngei ngei tur a ni. I ri bengchheng chhan chu a hrechhuak ang a, i aw pangngai chu i neih leh theih nan a pui ang che. Hlauthawng suh, a hun takah step dik tak la rawh!

` Aw ri, aw ri, dysphonia, vocal cord, ril natna, damdawi lam thurawn, laryngitis, vocal cord, hoarseness Sinhala