I ṭhian nen emaw, inkhâwmnaah emaw, in lamah emaw i inbia a, thil engemaw i ngaihven hle niin han mitthla teh. Mahse, rang takin, vaukhânna tel lovin i aw chu a ri emaw, a ri emaw a ni a, a châng chuan thu chu a chhe vek a, boruak luang chhuak ang maiin a chhuak zo lo. I sawi duh chu i sawi theih loh avangin i mualpho hle. Rei vak lo hnuah i aw chu a pangngaiin a lo let leh ta a. Tun hnaiah hetiang thil mak tak hi i tawng tawh em? Chutiang a nih chuan hei hi i tâna thil pawimawh tak chungchâng a ni. Damdawi lam hawi chuan he natna hi Spasmodic Dysphonia tiin kan sawi thin.
A awlsam zawngin, Spasmodic Dysphonia chu eng nge ni?
Spasmodic Dysphonia hi aw a tichhe thei a ni. Chumi hming dang chu `(laryngeal dystonia)` tih a ni. Hei hi chiang taka hrethiam tur chuan kan aw a lo insiam dan hi han thlir hmasa ila. Kan rilru chhungah hian `(larynx)` an tih lai hian tissue nalh tak pahnih `(vocal cords)` an tih a awm a. Kan thusawi hian heng vocal cord pahnih hi lung atanga boruak lo chhuak chu chhangin an vibrate thin. Chu vibration chu pawn lama kan aw anga kan hriat chu a ni.
Mahse, Spasmodic Dysphonia vei chungah thil danglam tak a thleng thin. An vocal cord control tu muscle te chu rang takin an spasm tan a, chu chu control theih loh khawpin a ni. Kan mit meng ang mai a ni a, mahse hei hi kawr chhungah a thleng thin. Heng taksa ruhte hi a nghet lo emaw, a hahdam lutuk emaw thei a ni.
- If they are too tight , vocal cords chu a inzawm khawm a, aw chu strangled, tight, leh hoarse quality nen a chhuak thin.
- An lo hrual lutuk chuan , vocal cord inkarah boruak a luang chhuak a, chu chuan aw chu a tichak lo va, thawk a thawk a, a ti muang bawk .
He dinhmun danglam bik chu kan thusawi lai chauhvin min nghawng tlangpui a ni. Hla i sak emaw, i nuih emaw, i sawi ri emaw hian i aw chu a pangngaiin a ri thei fo.
Hetiang dinhmun hi eng chi hrang hrang nge ni ber?
Spasmodic Dysphonia hi chi thum ah then theih a ni. Type tin hian aw hi a nghawng dan a inang lo. Hei hi chiang taka hrethiam tur chuan a hnuaia table hi en la.
| Damdawi lam dinhmun chi hrang hrang | Eng thil nge thleng a, aw a nghawng dan |
|---|---|
| Adductor Spasmodic Dysphonia natna a ni | Hei hi a tam ber chi a ni . Muscle spasms avanga vocal cords te khar (stuck) nghet taka a awm (stuck) hian a thleng thin. Hei hian aw chu a tight hle a, a constricted hle a, a hoarse hle bawk . Thu sawi tur chuan i beih a ngai ang maiin a lang. |
| Abductor Spasmodic Dysphonia natna a ni | Hei hi vocal cords chhunga muscle te an inthen a, vocal cords inkarah boruak a chhuak a ni. Chuvângin, aw chu a chak lo hle a, thawk a la a, a muang hle bawk . |
| Mixed Spasmodic Dysphonia a awm bawk | Hei hi a rare type a ni. Chutiang a nih chuan a chunga kan sawi tak chi hnih symptoms hi a inthlak danglam emaw, a rualin emaw a lo lang thei a ni. |
Heng chi thum bakah hian mi thenkhat chuan vocal tremor an nei thei bawk a, chu chuan an aw chu an thusawi laiin a nghing ang maiin a ri thei a ni.
Eng nge a symptoms chu ni thei ang?
Heng symptoms te hi kum chanve vel atanga lo lang tan a ni tlangpui a, kum 30 leh 60 inkar a ni a, a awm reng lo. A châng chuan an lo kal a, an kal leh ṭhin a, chuvangin aw chu engtikah nge a inthlak thut tih chiang taka sawi a harsa hle.
Hmuh theih thil langsar ber berte chu:
- Aw chu a hoarse a , a khauh hle bawk .
- Aw chu a hoarse leh harsh ta hle mai .
- Aw chu a chak lo, thawk a chhuak, a nih loh leh a muang lo .
- Thusawi laiin thumal leh aw inkara inthen .
- I aw chu a khur ang maiin i hria .
Heng symptoms te hi a zual thei , a bik takin stress hnuaiah , phone-a inbiaknaah te, mipui hmaah te, hmun ri nasa takah te.
Engvangin nge hetiang hi a lo awm? Hei hi a chhan dik tak chu eng nge ni?
Mi tam tak chuan hei hi rilru lam harsatna niin an ngai a, mahse he natna hi a takah chuan i thluak atanga intan a ni a, i rilruah a intan lo .
Thluak peng pakhat, duh loh zawnga taksa peng hrang hrangte inzawmkhawmtu, basal ganglia hi taksa nervous system-a tel a ni. Spasmodic Dysphonia hi dystonia an tih mai a ni. Dystonia hi thluak hian taksa peng hrang hrangah signal dik lo a thawn a, chu chuan thunun theih loh khawpin a inzawm khawm thin.
A awlsam zawngin, i thluaka basal ganglia te hian i vocal cords control tu muscle te hnenah electrical signal dik lo a thawn thin. Heng signal dik lote hian chu ruhte chu a ti spasm tir thin. Hei hi i sualna a ni lo va, i kawr chak lohna a ni hek lo.
Researcher-te chuan heng signal dik lote hi engvangin nge an thawn tan tih chiang takin an la hre chiang lo. Mahse, ṭhenkhatah chuan, genetic factor a awm thei tih an hmu chhuak a ni . Accident emaw, damlohna emaw hnuah pawh a thleng thei bawk. He natna hi mipa aiin hmeichhiaah a let thum velin a tam zawk a ni .
Engtin nge doctor hian hei hi a hriat chian?
He natna hmuhchhuah hi thil buaithlak deuh a ni a, a tlangpuiin doctor leh therapist team puihna a ngai thin.
1. Otolaryngologist emaw ENT Surgeon: Doctor chuan i thusawi dan chu ngun takin a ngaithla ang. I aw-ah hian crack, hoarseness leh symptom dang a awm leh awm loh a enfiah ang.
2. Videostroboscopy: Hei hi test bik a ni. Hei hian i hnar atanga i kal tlang camera te tak te hmangin i thusawi laiin i vocal cords a che tih video record a huam a ni. Hei hian vocal cords che vel leh chetna pangngai lo eng pawh chu chiang takin a hmu thei a ni.
3. Speech-Language Pathologist (SLP): He therapist hian aw lama harsatna awmte chu eng nge ni tih leh a nihna chu ngun taka zir chian a pui thin.
4. Neurologist: Heng symptoms te hi neurological disease dang atanga lo chhuak an nih leh nih loh finfiah nan leh dystonia dinhmun hi zirchian belh turin neurologist tanpuina i la thei ang.
Treatment atan eng nge i tih?
Hriat tur hmasa ber chu Spasmodic Dysphonia damdawi a awm lo tih hi a ni. Mahse, lungngai suh. I vocal cords-a muscle spasms control thei tur leh i aw chu a pangngaia a awm leh theih nan enkawlna tha tak tak a awm.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Botox® injection hmanga tihdam theih a ni | Hei hi enkawlna hman tlanglawn ber leh hlawhtling ber a ni . Hetah hian Botox tlemte chauh chu vocal cord muscle natna neiah an inject a ni. Botox hian hun eng emaw chen chu taksa ruh (muscles) tichhe thei nerve signal te chu a block a ni. Hei hian taksa ruhte a ti hahdam a, thusawi a ti awlsam hle. A nghawng hi thla 3-4 vel a ni tlangpui . Chuvangin, result tha tak vawng reng tur chuan injection i dawng chhunzawm zel a ngai dawn a ni. |
| Voice Therapy hmanga enkawl a ni | Speech therapist chuan i aw hman dan tur a zirtir ang che, i thawk dan tur control dan tur, leh vocal tension tihziaawmna turin exercise hrang hrang a ti ang che. Speech therapy leh Botox treatment te hman dun a nih chuan result hi a hlawhtling zawk a ni. |
| Inbiakpawhna hmanrua | A then phei chuan technological devices, speech-amplifying devices emaw software (apps) hmangin typeing chu speech-ah a chantir thei bawk. |
Surgery chungchang pawh i zir ang u.
Adductor Spasmodic Dysphonia (vocal cord spasm chi khat) vei tan chuan surgical option engemaw zat a awm. Mahse, hengte hi tih a tlem hle. `Type II thyroplasty` leh `SLAD-R` te hi chutiang surgery chi hnih a ni. Chûng zîngah chuan vocal cord awmna hmun tihdanglam emaw, nerve signal kal dân tihdanglam emaw a tel a ni.
Mahse he surgery chungchangah hian ngaihdan hrang hrang a la awm. A chhan chu mi thenkhat tan chuan result a inang reng reng lo. Chuvangin, surgery i ngaihtuah hmain i doctor nen a thatna leh that lohna i sawipui hmasa phawt tur a ni.
Engtikah nge Doctor ka hmuh ang?
I aw chu chhan hriat loha a inthlak a, kar hnih aia rei a nih chuan doctor pan ngei ngei tur a ni. Khawsik vanga laryngitis ang chi thil awlsam tak a ni thei. Mahse a nih loh chuan a chhan zawn vat a pawimawh.
Hetiang dinhmun hi engtin nge hlawhtling taka kan nun theih ang?
Spasmodic Dysphonia hi dam chhung zawnga natna a ni. Symptoms hi a tlangpuiin a lo lang zauh zauh a, level engemaw chen a thleng a, nun chhung zawngin chutiang level-ah chuan a awm reng thin. A châng chuan, chhan hriat lohvin, natna lan chhuahna chu rei lo têah a bo a, a lo lang leh thei bawk.
He natna hi hmachhawn dan tha ber chu i medical team te nen thawk hovin enkawl hi a ni. Nangmah ngeiin i tih theih tur thil a awm bawk:
- I aw chungchang zir rawh: Mi thenkhat chuan an natna lan chhuah dan chu ei leh in emaw, kuta lu nghatin inbiakna emaw, hla sak emaw hian a reh tih an hmu a. I tana hnathawk thei "hack" a awm em tih en rawh.
- Mahni in enkawl rawh: Chauhna leh lungkhamna hian symptoms a ti na zual thei. Chuvangin chawlh tam la, i rilru hriselna enkawl rawh.
- Counsellor tanpuina zawng rawh: Counselor chuan he natna hian i hnathawh leh khawtlang inlaichinna a nghawng dan chu a hmachhawn thei che a ni.
- Mi dangte nên inhawng takin sawi rawh: Inbiak laiin i aw a inthlâk chuan i mualpho emaw, i lungawi lo emaw a ni thei. Chutiang hunah chuan i theih chuan mi dangte hnênah i dinhmun chu tawi têin hrilhfiah rawh. Mi tam zawk chuan an hrethiam ang.
- Support group-a tel: Nangmah ang bawka natna vei midangte’n rilru chakna nasa tak an pek theihna tur support group-a tel.
Take-Home Thuchah a ni
- Spasmodic Dysphonia hi ril lama harsatna a ni lo va, thluak atanga signal lo chhuak harsatna avanga aw lam harsatna a ni.
- Hei hi i sualna a ni lo. Hei hi i thunun theih loh taksa ruh (muscle spasm) vang a ni.
- Hei hi damdawi kimchang 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.
- Kar tlemte aia rei i aw-ah sawifiah theih loha inthlak danglamna i neih chuan doctor pan ngei ngei tur a ni .
- Hetiang dinhmun nena kan nun hian stress enkawl leh midangte puihna zawn hi a pawimawh hle. Nangmah chauh i ni lo, he thila pui thei tur che an awm.
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