I fa hian a hnar hmangin thu a sawi em? Velopharyngeal Insufficiency (VPI) chungchang zir rawh

I fate a thusawi hian "nasal" ri i hre ngai em, an aw chu an hnar atanga lo chhuak ang maiin? A châng chuan "प", "ब", "त" tih ang chi letter an tih hian slurred, nasal sound an siam ṭhin em? Nu leh pa tam tak chuan hei hi thil pangngaiah an ngai a, mahse a chang chuan damdawi lam chhan a awm thei. Ngaihtuah buai suh, vawiinah hian hetiang dinhmun hi kan sawi dawn a ni.

A awlsam zawngin, Velopharyngeal Insufficiency ( VPI ) hi eng nge ni?

He hming hi a buaithlak deuhin a lang thei a, mahse a thupui chu a awlsam hle. Hei hi i hrethiam ang u.

Kan hmui (oral cavity) leh kan hnar chhunga cavity (nasal cavity) inkarah kawngkhar a awm ang tih han ngaihtuah teh. He kawngkhar hi `velopharyngeal sphincter` kan ti a. Hei hi a takah chuan ring of muscles a ni . Kan thusawi emaw, kan ei emaw hian he kawngkhar hi a khar nghet a, kan hnar chhungah boruak a lut thei lo. Entirnan, "chhang" kan tih hian "p" letter-a lo thleng air pressure chu kan hmui chhungah a lo piang ta a ni. Chutih lai chuan kawngkhar chu a khar a, chuvangin kan hnar chhungah boruak a lut lo.

Velopharyngeal Insufficiency ( VPI ) hi chu kawngkhar, a nih loh leh `sphincter` chu a khar tha lo tihna a ni. Chu chu gap tlemte a la awm tihna a ni. Chuti a nih chuan eng nge thleng? Kan thusawi hian kan ka atanga boruak lo chhuak tur thenkhat chu kan hnar chhungah a tlan lut thin. Chuvang chuan kan aw chu hnar a ri thin. Thil na tak tak thenkhatah chuan tui ang chi thil tui tak kan in hian kan hnar atang pawhin a rawn chhuak thei bawk.

He natna hi tuin nge vei tam zawk?

VPI hi tu chungah pawh awm thei mah se, naupangte zingah a hluar hle. Hei hi thil engemaw zat a ni.

• Congenital problems: Naupang thenkhat chu an pianpuiah an hmuiah harsatna engemaw zat neiin an awm thin. Entirnan, naupang cleft palate nei te hian he natna hi an nei thei a ni. Tin, naupang thenkhatte chu an pian tirh lamah an hmui nêm (soft palate) chu a tawi deuh thei bawk.
• Tonsils leh adenoids lian : Naupang thenkhatah chuan kawr chhunga tonsils emaw, hnar hnung lama adenoids te a lo lian chuan hei hian kan sawi ‘sphincter’ a tibuai thei a ni.
• Genetic conditions: Down syndrome tih hi a niVPI hi genetic condition thenkhat, Down syndrome emaw neurofibromatosis emaw nen pawh a awm thei bawk.
• Muscle chak lohna: Neurological disorder , cerebral palsy ang chi hian lu ruhte a tichak lo va, hna a thawk tha lo thei a ni.
• Surgery thenkhat chu:
• Adenoidectomy tih a ni.
• Tonsillectomy tih a ni.
• Hnar hnunglam atanga tissue lakchhuahna surgery (UPPP surgery) chu hnim hring ang chi natna atan .
• A chhan dang: Luruh ah tumor awm emaw, ril/hnar cancer avanga radiation therapy lak emaw hian VPI a thlen thei bawk.

A tlem berah chuan musician brass emaw woodwind instruments emaw tum thinte pawhin stress vangin hun eng emaw chen atana "stress VPI" an tih natna an nei thei bawk.

VPI vei hian eng symptoms nge a neih?

I fain VPI a nei nia i rinhlelh chuan heng symptoms te hi lo thlir reng ang che.

VPI dinhmunah chuan aw chu engtin nge a ri?

A dik tak chuan, he natna vei mi pakhatin thu a sawi hian hetiang hi i hre mai thei:

• Thuziak chu a laiah a tang mai mai niin a lang a, thawnthu chu mak tak maiin a tawp ta a ni.
• Aw chu a chiang lo, muffled (muffled speech) ang mai a ni.
• Thu i ​​sawi hian ‘puff’ thawm, ‘squeak’ ri, a nih loh leh ‘snort’ ri i hre thei a, chu chu i hnar a inkhar ang mai a ni .
• I hmui ni lovin i hnar hmanga thu i sawi ang maiin a lang chiang hle.

Engtin nge he dinhmun hi kan hriat theih ang?

I fate zingah heng symptoms te hi i hriatchhuah chuan a tha ber chu Doctor pan hi a ni. Hemi atan hian beng, hnar leh kawr specialist (ENT surgeon) hi mi tha ber a ni. A dinhmun finfiah nan test eng emaw zat a kalpui ang.

1. Taksa endik: A hmasa berin Doctor chuan naupang hmui chu a hrethiam ang a, thil dik lo a awm leh awm loh a en ang.

2. Thusawi thlirletna: Naupang chu VPI-a aw awm dan pangngai chu thu sawi la, uluk takin ngaithla rawh.

3. Nasoendoscopy: Hemiah hian tube te tak te, flexible tak, camera leh light awmna hnar chhungah dahin doctor chuan screen lam chu direct-in a en a, i thusawi laiin sphincter a khar em tih emaw, gap a awm em tih emaw a en thin. Hei hi tlem a nuam lo deuhin lang mah se, dik taka hriat theihna atan chuan a pawimawh hle.

4. Videofluoroscopy: Hei hi X-ray test bik a ni. Naupang chu barium an tih tui in turin an pe a, X-ray-ah chuan an ei leh in leh an thusawi laiin a hmui leh a kawr peng hrang hrangte inher dan a lang.

VPI enkawlna tur engte nge ni?

VPI status a confirm tawh chuan hlauh tur a awm tawh lo. Hemi atan hian enkawlna tha tak tak a awm. Enkawl dan hi chi hnihah then theih a ni.

1. Thusawi hmanga enkawlna

Hei hi a pawimawh hle a ni. Speech therapist chuan naupang chu VPI hmanga thusawi dan tur a zirtir a, chu chuan aw-a hnar ri a tihtlem phah a ni. A chang chuan operation hma leh operation hnuah speech therapy a ngai thin. Surgery hnuah naupang chuan aw ri chu kawng thara sawi chhuah a zir a ngai a ni.

2. Surgery tih a ni

A tam zawkah chuan VPI solution awm reng chu operation a ni. Surgery tum ber chu hnar leh hmui inkar gap khar a ni. Amaherawhchu, hnar atanga thawk tur tikhawlo lo turin fimkhur a ngai a ni. Naupang dinhmun azirin Doctor chuan surgery technique hrang hrang a hmang thei a.

• A soft palate pianzia thlak danglam.
• Thlarau bang chu tlem a thuk zawka siam leh palate thlenga hlat zawng tihtlem.
• Kutphah ruhte tihzauh emaw, zirtir thar emaw.
• A hnunglam bang atang hian muscular flap (`pharyngeal flap`) lakchhuah a ni a, hmui chung lamah an dah a ni. Hei hian inthlauhna chu nasa takin a khar a ni.

A châng chuan operation tih theih loh emaw, duh lo emaw tan chuan ha chunga retainer dah ang chi, ka chhungah hmanraw bik (`oral prosthetic`) dah a ni. Hei hi hmui chung lam nawr chhoh nan leh a inkar khar nan an ti thin. Mahse, hengte hi hman chhunzawm zel chu a harsa deuh thei.

Surgery-ah hian hlauhawmna a awm em?

Surgery dang ang bawkin VPI surgery hian hlauhawmna tenau engemaw zat a keng tel thei a, mahse hengte hi a tam zawkah chuan a thleng lo.

• Hyponasal speech: Hei hian a awmzia chu operation hnuah hnar atanga thawm lo chhuak chu a pangngai aia tlem a ni a, a aw chu khawsik atanga lo chhuak ang maiin a ri thin.
• Hnar hmanga thawk harsa.
• Snoring leh mut theih lohna (obstructive sleep apnea) te.
• A chang chuan operation hnuah pawh hnar aw (hypernasal speech) chu a bo vek lo thei a, mahse a pung thei bawk.

I doctor chuan operation hmain he thu hi chipchiar takin a sawipui ang che.

Ka fain he natna hi a neih chuan eng nge ka tih ang?

A pawimawh ber chu a rang thei ang bera Doctor hmuh a, thurawn lak hi a ni. I fa thusawiah hian pattern danglam tak tak, tih dan danglam tak tak, a nih loh leh aw danglam tak tak i hmuh chuan, a bik takin a aw chu hnar atanga ri a nih chuan ngaihthah suh.

A chhan chu he natna hi enkawl hma chuan a rah a tha zawk thin. Chutiang a nih loh chuan naupang chuan thu dik lo sawi thiamna a nei thei a, chu mizia chu nakinah thlak danglam a harsa thei bawk.

Hetiang natna hi ven dan tur chiang tak a awm lo, a chhan chu pianpui emaw, damdawi lam natna dang avanga lo awm emaw a nih fo avangin.