I aw chu a hoar em? Hei hi vocal cord paralysis vang pawh a ni thei.

A châng chuan zîng lama kan thawh chuan kan aw chu a danglam deuhin a lang a ni lawm ni? A nih loh leh hla tha tak kan sak zawh hian emaw, kan au leh kan tawng emaw hian kan aw chu a ri deuh deuh thin. A tlangpuiin heng thilte hi ni khat emaw ni hnih emaw chhungin a tha zawk thin. Mahse, i aw chu kar tam tak chhung a danglam emaw, a ri bengchheng emaw a nih chuan, i thusawi laiin i chau a, ei leh in i ei laiin i rilru a hah ang tih i hriat chuan thil awlsam taka ngaih tur a ni lo. Vawiin hian hetiang symptoms thlen thei condition pakhat bik kan sawi dawn a ni. Chu chu vocal cord paralysis a ni a, English-a kan sawi angin ‘Vocal Cord Paralysis’ an tih natna a ni.

A awlsam zawngin, vocal cord dysfunction chu eng nge ni?

Hei hi hrethiam tur chuan heng vocal cords te hi eng nge an nih kan en hmasa phawt ang u. Kan rilru chhungah, a bik takin trachea bul tannaah, larynx an tih hmunah hian taksa ruh (muscle band) te tak te pahnih a awm tih han ngaihtuah teh. Gate pakhata kawngkhar pahnih ang maiin. Hengte hi vocal cord kan tihte chu a ni.

Hengte hi hnathawh hrang hrang a awm a:

• I thawk chhuah hian: Heng band pahnih hi an inthen a, chu chuan lung chhunga boruak luh theihna tur hmun a siam a ni.
• Chaw ei lai: Hengte hian an khar nghet hle a, ei tur chu thawkna kawng chhunga lut lo turin an venghim a ni.
• Kan thusawi hian: Kan aw hi heng band pahnih hi an inzawm khawm a, lung atanga boruak lo chhuak nen an vibrate hian a lo chhuak thin.

Tunah chuan heng vocal cord te hi engtiang chiahin nge an pawimawh tih i hrethiam tawh em? Chuvangin, vocal cord dysfunction tih hian heng vocal cords control tu nerve te hi chhiatna engemaw zat a awm tihna a ni a, heng muscle band te hian hna an thawk tha lo tihna a ni. Chu chu heng ‘gate kawngkhar’ te hi a inhawng a, a inkhar tha lo tihna a ni. Hei hian thusawi a ti harsa thei a, ei a ti harsa thei a, a chang chuan thawk pawh a ti harsa thei bawk.

Hetiang dinhmun hi chi hnih a awm a.

He vocal cord dysfunction hi chi hnih ah then theih a ni a, chu chu vocal cord pakhat emaw pahnih emaw a dysfunction a zirin a ni.

Nang pawhin heng symptoms te hi i nei ve em?

Vocal cord dysfunction symptoms hi a nasat dan leh dysfunctional vocal cords awmna hmun a zirin a danglam thei.

Hengte hi a lan chhuah dan tlangpui chu:

• Aw a inthlak danglam: ri bengchheng, chak lohna, thawk ri.
• Pitch leh volume inthlak danglamna: Aw ri leh volume a inthlak thei.
• Thusawi laia thawk tawi: Hun rei vak lo inbiak hnuah pawh thawk harsa a lo ni a, i chau hle bawk.
• Wheezing: Thâwk lak laiin thawk hah a awm thei.
• Difficulty swallowing (Dysphagia): Chaw ei emaw in tur emaw ei laiin kawchhunga hnim hring (lump) awm ang maia hriatna.
• Choking: Tui tlem i in emaw, chaw i ei emaw hian i rilru a buai reng ang maia inhriatna.
• Kawngkhar tihfai harsa: Kawngkhar chhungah mucus a awm ang maia hriatna, chu chuan tihfai a harsat phah.

Hetiang dinhmun a lo awm chhan te hi engte nge ni?

Vocal cords control tu nerve te hi a chhiat theih chhan tam tak a awm a. A châng chuan, a chhan engmah hmuh theih a ni lo.

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

• Surgery: Heng nerve te hi a chhe thei hle a, a bik takin kawr, rilru leh lu (entir nan, thyroidectomy) hmanga surgery neih laiin. Operation laiin anesthesia pek laiin thawkna tube dah a nih avangin a chhe thei bawk.
• Hliam: Kawr, lu leh rilruah accident na tak a awm chuan nerve a tichhe thei a ni.
• Neurological diseases: Nerve tichak lo thei natna, Parkinson’s disease, multiple sclerosis (MS), emaw stroke te hian heng nerve te hi a nghawng thei a ni.
• Tumors: Tumors, malignant emaw benign emaw pawh nise, larynx emaw nerve pathways-a lo awm hian nerve a compress thei a, a tichhia thei bawk.
• Infection: Viral infection thenkhat, entirnan, Herpes, Epstein-Barr virus, leh COVID-19 te hian inflammation a thlen thei a, nerve a tichhe thei bawk.
• Autoimmune diseases: Hetiang dinhmun hi taksa ngeia immune system-in nerve a beih vang pawh a ni thei a, entirnan myasthenia gravis.
• Poisonous substances: Thil tha lo, lead, mercury, leh arsenic te ei hian nerve tissue a tichhe thei a ni. Thil tha lo i ei nia i rinhlelh chuan Colombo National Hospital-a National Poison Information Center-ah thurawn dil nghal rawh.

A châng chuan he natna hi khawsik pangngai hnuah pawh a awm thei. A chhan chiang tak hmuh theih lohna case chu ‘idiopathic’ an ti.

Engtin nge doctor hian hei hi a hmuh theih?

Heng symptoms te hi i neih chuan beng, hnar leh rilru lam specialist (ENT surgeon) i pan ngei ngei tur a ni. Doctor chuan i symptoms leh medical history te ngun takin a ngaithla hmasa ang. Chumi hnuah chuan test eng emaw zat an nei thei a, an natna hmuhchhuah chu an finfiah thei a ni.

• Laryngoscopy: Hei hi i hnar emaw, i hmui emaw kaltlangin camera te tak te hmanga tube te tak te dahin i vocal cords direct-a en theih a ni. Ngaihtuah buai suh, hetiang thil i tih hmain a tul chuan numbing damdawi pek i ni ang. Hei hian i vocal cords te chu a che leh che lo tih chiang takin a hmu thei a ni.
• Videostroboscopy: Hei hi laryngoscopy nen a inang a, mahse camera bik hmangin i thusawi laiin vocal cords slow motion-a vibrate chu a en thin.
• Imaging study: CT scan emaw MRI scan emaw hmangin thluak, kawng leh rilru ang chi hmuna lumps awm leh awm loh enfiah theih a ni.
• Laryngeal electromyography (LEMG): Hei hian nerve atanga larynx muscle-a electrical signal thawn chhuah te a teh thin. Hei hian nerve a chhiat leh chhiat loh hriat theih nan a pui thei a ni.
• Thisen test: Infection emaw autoimmune disease emaw rinhlelh a nih chuan thisen test theih a ni.

Hei hi eng enkawlna nge ni?

Enkawlna chu natna nasat dan, a lan chhuah dan leh a chhan a zirin a innghat a ni.

Voice Therapy hmanga enkawlna

Hei hi enkawlna bulpui ber a ni. A hlawk hle a, a bik takin a natna a na lutuk loh chuan. Hetah hian speech-language pathologist chuan i vocal cord tihchakna tur leh thusawi laiin i thawk dan tur control turin exercise bik a zirtir ang che.

Surgery leh enkawlna dangte

A natna a nasat emaw, voice therapy hmanga control theih loh emaw a nih chuan operation neih a ngai mai thei.

• Vocal cord pakhat a thawh loh chuan (Unilateral Paralysis):
• Vocal cord injection: Hetiang tih danah hian vocal cord inkar gap awm chu luah khat turin special filler inject a ni. Hei hian tawng leh ei a ti awlsam hle.
• Laryngeal framework surgery: Hetah hian silicone ang chi thil hmanga siam implant chu surgery tenau tak hmangin larynx chhungah dahin, vocal cord thawk tha lo chu a laiah a nawr lut a ni. Hei hian vocal cord dang chu a luh leh khar a awlsam phah hle.
• Reinnervation: Hei hian kawr chhunga taksa peng dang panna nerve hrisel tak chu lak a, chu chu vocal cords hnathawh that loha nerve nena inzawm tir a ni.

• Vocal cord pahnih inactive loh chuan (Bilateral Paralysis):
• Hemi kawngah hian harsatna ber chu thawk harsa a nih avangin, a hmasa ber chu thawkna kawng siam hi a ni. Chumi atana tih tur ber chu tracheostomy surgery hi a ni.
• He surgery-ah hian a kawr hma lamah khur te tak te siamin, thlipui (windpipe) chhungah direct-in tube dah a ni. Hei hian damlo chu a thawk awlsam zawk a ni.
• Tin, laser beam hmangin vocal cord hnunglam section te tak te chu la chhuakin thawkna kawng zau zawk siam theih a ni bawk.

Engtikah nge Doctor i hmuh nghal tur?

I aw inthlak danglam, ri bengchheng, ei harsa tih ang chi symptom i neih chuan ngaihthah suh la, doctor pan rawh. Enkawl i tan hma chuan i natna a zual zel loh nan i veng thei zawk ang.

Thâwk harsat hi vocal cord pahnih a chhiat chhinchhiahna a ni thei. Tin, ei leh in emaw a tlakbuak a, lung chhunga a luh chuan aspiration pneumonia ang chi natna khirh tak tak a thlen thei bawk. Chuvangin heng symptoms te hi fimkhur hle ang che.