I thusawi lai hian i aw chu nangmah ta ni lo ang maiin i inhriat ngai em? I aw chu a hrual a, a khur emaw, thawhrimna nasa tak nen a rawn chhuak emaw ang mai a ni. Hei hi khawsik emaw, rilru natna dang emaw chauh a ni lo. Spasmodic dysphonia an tih hi thil awm lo tak a ni thei bawk . A hmingin hlau suh. A awlsam zawngin kan thluak atanga kan aw control tu muscle-a signal lo lutte harsatna avanga lo awm a ni. Vawiin hian i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
He natna lan chhuah dan berte chu engte nge ni?
Hetiang natna vei hian an aw a inthlak danglam thei a ni. Ngaihtuah teh, mi biak i tum a, mahse i duh angin i aw chu i thunun thei lo ang maiin i inhria. Hei hi he natna tawn ber a ni.
Kum khat emaw kum hnih emaw chhungin symptoms hi a lang zauh zauh tlangpui a, chutah chuan a level ang bawkin a awm reng thin.
| Aw inthlak danglamna awm thei | A sawifiahna awlsam tak |
|---|---|
| Hoarseness a awm | Aw chu a rit a, a khauh bawk. |
| A nghing/Trembly | Thusawi laiin i aw-ah a nghing leh nghet lo tih hriat. |
| Tight/Strained a ni | Thusawi chu harsatna nasa tak nen a chhuak a, kawrfual hup chungin thu i sawi ang maiin i hria. |
| Thâwk chhuak/Thuhril | Thusawi lai hian aw a\angin boruak a chhuak tam lutuk ang maiin a lang a, i thusawi chu a bengchheng lutuk ang maiin a lang. |
| Jerky a ni | Aw chu a kal zel lo va, puak tawi takah a inthen zawk a ni. |
Mahse thil mak tak chu, thusawi laiin heng harsatnate hi nei mah la, thil dang i tih hunah i larynx ( voice box ) chu a thawk pangngaiin a thawk thei a ni.
Entirnan, a hnuaia thil tih hian heng symptoms te hi i nei lo mai thei:
- Tap lai chuan
- Nuih lai chuan
- Thâwk chhuah laiin
- A thusawi lai chuan
- Hla sak laiin
- Thil i ei lai hian
Engvangin nge hetiang hi a lo awm tak tak?
Mithiamte chuan hei hi eng nge a chhan dik tak hriat tumin an la bei mek a ni. Mahse a ngaihdan ber chu thluaka harsatna a ni tih hi a ni . Kan thluak hmun thenkhat chu basal ganglia tih kan nei a . He part hian kan taksa ruh chetna (muscle movement) a thunun thei a ni. Chuvangin, he Spasmodic Dysphonia an tih dinhmunah hian he thluak peng hian kan aw siamtu kan vocal cord-a muscle-te hnenah signal dik lo, danglam tak a thawn thin.
Heng signal dik lo te avang hian i larynx chhunga muscle te chu i tawng tum chuan a tikhauh emaw, a spasm nghal emaw a ni. Hei hian vocal cords te chu a pianphung lo takin a che a, i aw chu a hmaa i sawi ang khan a tidanglam thin. Hei hi i thunun lohvin a thleng thin.
Zirna thenkhatah chuan stress a san chuan heng muscle te hi an thawkrim zawk thei bawk. Chumi awmzia chu i rilru hahna nasa tak i tawh ni-ah i aw inthlak danglamna i hmu tam zawk mai thei tihna a ni.
Engtin nge doctor-te hian he natna hi an hriat theih?
Spasmodic Dysphonia hi hriat a harsa thei a, a chhan chu MRI emaw CT scan ang chi test-ah chuan larynx hi a normal angin a lang a ni. Chu bâkah, natna dangte nêna a lan chhuah dân chu a inang thei bawk.
Chuvangin, hei hi dik taka hriat theih nan doctor engemaw zat team puihna a ngai a ni.
- Neurologist: Thluak leh nervous system a enfiah a, buaina chu thluak atanga lo chhuak a ni em tih a hriat theih.
- Speech-Language Pathologist: I aw, i tawng leh i thusawi dan te ngun takin zir chiang la, buaina awm dan hrethiam rawh.
- Otolaryngologist (ENT) pakhat chuan:I ril, larynx leh vocal cord te chu enfiah a ni ang. Laryngologist pawh hemi kawngah hian specialist a ni. Heng specialist te hian he natna hi an hmuchhuak tlangpui.
I medical team chuan i aw chu an ngaithla hmasa ang. Chu bâkah, i ENT doctor chuan videostroboscopy tih test bik a ti thei bawk. Hei hian i hnar aṭangin camera hmanga thuam tube te tak te, i rilru hnunglam hnuai lam pan a, chutah chuan i thusawi laiin screen-a i vocal cords kal lai chu an en a ni. Hei hian taksa peng hrang hrang (muscle contraction) pangngai lo eng pawh chu a hmu thei a ni.
Hei hi eng enkawlna nge ni?
He natna hi tidam kim thei "magic pill" a la awm lo. Mahse lungngai suh, i symptoms control thei tur leh tawng pangngaia tawng thei tur enkawlna tha tak tak a awm nual.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Botox injection hmanga tihdam theih a ni | Hei hi enkawlna hman tlanglawn ber leh hlawhtling ber a ni. Specialist pakhat chuan Botox tlemte chauh chu vocal cords muscle-ah a inject a. Hei hian hun eng emaw chen chu ruhte chu a tichak lo va, a tichhe thei lo. Aw chu a pangngaiin a kir leh ta. Mahse, hei hian a nghawng chu thla engemaw zat chauh a ni. Chuvangin injection nawn fo a ngai a ni. |
| Voice Therapy hmanga enkawlna | Speech therapist chuan i thusawi dan thlak danglam theihna tur, i thawk dan tur control theihna tur leh i taksa ruhte tihhahdamna tur technique leh exercise hrang hrang a zirtir ang che. Hei hian i symptoms te nghawng a tihziaawm thei a ni. |
| Inzai | A then phei chuan surgery neih a tha. SLAD-R hi hmanraw pakhat a ni. Hei hian thluak atanga signal dik lo phurtu nerve te chu cut a, kawng danglam taka inzawm leh a huam a ni. Thyroplasty hi surgery dang a ni a, chu chuan vocal cord a tidanglam a ni. Hei hi enkawlna dangin hna a thawh loh chuan tih a ni tlangpui. |
| Enkawlna dang | Stress tihziaawmna damdawi leh myofascial release , kawr ruhte ti hahdamtu ang chi enkawlna te hian mi thenkhat chu a pui thei bawk. |
Hetiang dinhmun hi engtin nge kan nun that theih ang?
A hmasa berah chuan he natna hi ven dan tur a awm lo. Tin, dam chhung zawnga dinhmun a ni bawk. Enkawlna nen a natna lan chhuah dan chu a lo tha chho thei a, mahse hun kal zelah a lo lang leh thei a ni. Mahse, i nun tichhe turin i phal a ngai lo. Hetiang dinhmun nen hian nunphung sang tak nei turin thil tam tak i tih theih a ni.
- Support Groups: Nangmah ang bawka thil tawk mekte nen group-ah tel ve rawh. An thil tawn atang hian thil tam tak i zir thei a, thlamuanna i nei thei bawk.
- Hmangaihte hnen a\anga \anpuina: Hemi chungchang hi i chhungte leh i \hiante nen zalen takin sawi rawh. An thlawpna leh hriatthiamna hi i tan chakna nasa tak a ni ang.
- Rilru hriselna: Stress leh hahna hian he natna hi a tizual thei a ni. Chuvangin, chawlh hahdam la, chawlh hahdam la, ngaihtuahna seng ang chi thil ti rawh. A tul chuan counselling lak a pawimawh bawk.
- Voice assistive devices: I aw chiang taka hriat theih nan microphone (voice amplifiers) ang chi hmanrua i hmang thei.
A pawimawh ber chu heng symptoms te hi i neih chuan ngaihthah suh la , i doctor pan nghal rawh . A tul chuan specialist hnenah a refer ang che.
Take-Home Thuchah a ni
- Spasmodic Dysphonia hi kawr natna mai a ni lo. Thluak signal avanga lo awm thin neurological condition a ni.
- Aw ri bengchheng, khur, ri bengchheng, aw ri hrual ang chi symptoms te chu hre reng ang che.
- Hei hi hriat chian nan chuan medical team, ENT specialist emaw neurologist emaw puihna a ngai a ni.
- Damdawi famkim awm lo mah se, Botox injection leh speech therapy ang chi enkawlna hian a natna lan chhuahna chu hlawhtling takin a thunun thei a ni.
- Hun rei tak chhung, sawifiah theih loha i aw inthlak danglamna i neih chuan i doctor nen inbia ngei ang che.
- Stress enkawl leh hmangaih tak takte hnen atanga tanpuina dawn hi he dinhmun nena nun theihna tur chakna ropui tak a ni.
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