Aw inthlak danglamna a awm em? Hei hi (Voice Disorder) a ni mai thei! Kan inbe dawn em ni?

A châng chuan i aw a inthlâk danglam emaw, a bengchheng emaw, a nih loh leh ṭawng harsat emaw i nei em? I kawr chhungah thil eng emaw a tang a ni mai thei, a nih loh leh i thusawi laiin i chau tihna em ni? Chûngte chu khawsik chhinchhiahna mai a ni lo mai thei. ‘Voice Disorders’ symptoms an ni thei bawk. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila.

Voice Disorders hi eng nge ni?

A awlsam zawngin, aw lama harsatna hi i thusawi theihna tichhe thei thil eng pawh a ni. Hei hian i aw quality te, a pitch te, a nih loh leh i aw ri ring te chu a tidanglam thei a ni.

Ngaihtuah teh, kan thusawi pangngaiah hian hetiang hi a thleng thin. Kan thawh hian lung atanga boruak chu kan rilru chunglam trachea (windpipe) kaltlangin larynx ah a lut thin . I larynx chhungah, thlipui (windpipe) chung lamah chuan vocal cord pahnih a awm a . Kan thaw chhuah hian heng vocal cord pahnih hi a inhawng a. Mahse thusawi kan tum hian heng vocal cord pahnih hi an inzawm khawm a, lung atanga boruak lo chhuak chu a kal tlang chuan an vibrate ta a ni. Chu vibration chuan kan aw a siam chhuak a ni.

Mahse, aw lama harsatna nei mi pakhatah chuan thil engemaw takin he thil hi a tibuai a ni. Chutah chuan aw a ri a danglam ta.

Heng aw lama harsatna te hi chi thum ah then theih a ni:

1. Organic Disorders: Hei hian i larynx, vocal cords, emaw lungs siam danah thil dik lo a awm tihna a ni. Entirnan, larynx-a than dan pangngai lo.

2. Neurological Disorders: Hei hi larynx control tu nerve-a nghawng eng emaw tak a awm hian a ni. Ngaihtuah teh, kan aw thununtu nerve-ah chhiatna a awm a nih chuan aw-ah hian inthlâk danglamna a awm thei a ni.

3. Hnathawh lama harsatna (functional Disorders): Hemiah hian aw siamtu structure, larynx, vocal cords, leh lungs te hi a pangngai a, mahse hman tangkai theih a ni lo. Hei hi vocal cords muscles te hman dik a harsat chuan a thleng fo thin. A châng chuan, lungkhamna nasa lutuk, rilru put hmang, leh i rilru dinhmun inthlâk danglamnate pawhin i aw a nghawng thei bawk.

A châng chuan heng chi khat aia tam hi a awm dun thei a, chu chuan aw a tichhe thei a ni. Entirnan, vocal fold paralysis i nei thei.A awm ti ila. Chu chu vocal fold pakhat a thawk tha lo tihna a ni. Tichuan vocal fold dang, a thawk tha lo chu a thawkrim zawk thei a, i rilruah tension a siam thei a ni. Hei hi functional disorder a ni. A nih loh leh, rilru chhunga tension lutuk (functional disorder) hian vocal fold nodules ang chi structural disorder a thlen thei bawk.

Voice disorder hian mi dangte nena inbiak pawhna leh i rilru put hmang sawi chhuah a ti harsa thei hle. Hei hian i nunphungah nghawng lian tak a nei thei a ni. Mahse, hei hi enkawl dan tur a awm tih hre reng ang che.

Aw inthlak danglamna thlentu natna tlanglawn tak takte chu engte nge ni?

Aw tidanglam thei natna chi hrang hrang a awm a. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Laryngitis: Hei hi i vocal cords irritation emaw swelling emaw a ni. A tam zawkah chuan hun eng emaw chen atan a ni. Allergy vang emaw, upper respiratory infection vang emaw pawh a ni thei. Hei hian khawsik i neih hian i aw a ti ri nasa hle.
• Muscle Tension Dysphonia: Hei hi i voice box (larynx) chhung leh/ emaw a chhehvela muscle te a tight lutuk vang a ni. Hetiang dinhmun hian i kawr, i kekawrte leh i hnungzang chunglam ruhte pawh a nghawng thei bawk. Thusawi laiin i chok ang maiin a awm thei.
• Spasmodic Dysphonia / Laryngeal Dystonia: Hei hi thluak lam natna a ni. Vocal cords-ah rang takin spasm a siam thin. I thusawi laiin i aw a ti chhe thei a, a ti bengchheng thei bawk.
• Vocal Cord Lesions: Hengte hi cancer ni lo (benign) growth a ni. Entirnan, vocal cord-ah hian nodules, polyp emaw cyst emaw a lo awm thei a. Chûngte chuan aw a nghawng thei a ni.
• Vocal Cord Paralysis: Hei hi i vocal cord te hnathawh that loh vang a ni a, chu chuan i larynx chhunga muscle te chu i thunun thei lo a ni.

Hei bakah hian i upper airway-ah pawh harsatna a awm bawk. Chungte chu aw hman dan nen inzawm tlat lo mah se, larynx leh vocal cords nen an inzawm tlat a ni. Anni chu:

• Inducible Laryngeal Obstruction (ILO): Hei hi Paradoxical Vocal Fold Motion Disorder (PVFM) an ti bawk. A nih loh leh Vocal Cord Dysfunction a awm bawk.
• Exercise avanga mittui tlak lohna (EILO):

`ILO` emaw `EILO` emaw i neih chuan i thawk laiin i vocal cord emaw i rilru chhunga thil dang emaw chu a che dik lo thei. Hei hian thawk tha a ti harsa thei hle.

Aw lam harsatna (voice disorder) a lan chhuah dan chu engte nge ni?

Voice disorder symptoms hi a chhan a zirin a inang lo. I aw chu hetiang hian a ri mai thei:

• Aw tight, constricted (`Strained`): Thusawi laiin kawr a hrual ang maiin.
• Raspy emaw hoarse emaw: Mucus ang chi.
• Breathy or airy: Aw chu chiang tak a tlachham a, boruak mai mai ang mai a ni.
• A rilru a buai em em a, a rilru a hah em em bawk a, a rilru a buai em em bawk a, a rilru a buai em em bawk a.
• Weak, low-pitched, hard to project: Thusawi ringawt thei lo, thusawi zawi zawia sawi ang mai.
• Aw sang lutuk emaw, hniam lutuk emaw:
• Aw ri ring lutuk emaw, nêm lutuk emaw hriat:
• A inthlau emaw, a nghing emaw, aw a break emaw gap emaw a awm: Thusawi laiin aw nghet tak nei thei lo.

Chu bâkah, thusawi laiin hrehawm i nei thei a, a nih loh leh thusawi tûrin i beih a ngai mai thei bawk. `I rilruah lump` awm ang maiin i hria mai thei.

Aw lama harsatna awm chhante chu engte nge ni?

Aw lama harsatna thlentu ber chu i aw hman tam lutuk hi a ni . I au emaw, i zai emaw, i sawi tam lutuk emaw chuan i aw a chhe thei a ni. Ngaihtuah teh, zirtirtu leh hla phuahtu ang mite hian an aw an hman fo avangin heng dinhmunte hi an nei tam zawk a ni. Entirnan, kan sikulah hla sak zirtirtu pakhat a awm a, nilengin naupangte hla zirtir a hah avangin aw lamah harsatna a nei fo thin.

A châng chuan, heng natnate hi hun rei lote (acute) natna, khawsik, allergy, emaw sinus infection (sinusitis) vang a ni. Heng natnate hian kawr chhungah inflammation a siam a, chu chuan boruak kal dan a tidanglam a ni. Natna a zawh chuan ni engemaw zat emaw, kar tlemte emaw chhungin aw chu a pangngaiin a awm leh tlangpui.

Mahse, aw lama harsatna khirh zawk hi chu larynx, vocal cord, a nih loh leh vocal cords structure, muscles, or nerves-a harsatna a awm hian a lo awm thin.

Tute nge aw lama harsatna nei thei dinhmun sang zawk?

Voice disorder hian tu pawh a nghawng thei a, mahse thil thenkhat chuan a hlauhawmna a tipung thei a ni:

• Kum leh mipa leh hmeichhia: Hmeichhia kum 60 chunglam chu an hlauhawm zawk.
• Hnathawh: Vocal hman tam ngai hna thawk, zirtirtu, zaithiam, telemarketer te tan. (Zirtirtu 1,000 vêla zirchianna pakhatah chuan an zînga a chanve aia tam chuan aw lam harsatna an nei a ni.)
• Thiltih dan: Zu in, zu in ang chi thil.
• Inzai:I rilru (e.g., thyroidectomy) emaw, thawkna kawng (breathing tube) emaw operation i neih tawh chuan.
• Hormonal Disorders: Diabetes Mellitus, Thyroid Disease, Polycystic Ovary Syndrome (PCOS) ang chi natna i neih chuan.
• Damdawi lam natna dang: Neurological Disorders, Autoimmune Diseases, Gastroesophageal Reflux Disease (GERD), Laryngopharyngeal Reflux (LPR), Laryngeal Cancer, Substance Use Disorders, emaw Zu hmansualna te.

Aw lam harsatna hi engtin nge kan hriat theih ang?

I primary healthcare provider chuan aw lam harsatna a nei tih a hmuchhuak thei mai thei. A nih loh leh, speech-language pathologist (SLP) emaw, beng, hnar leh ril doctor (laryngologist) emaw hnenah an refer thei che a ni.

Hêng doctor-te hian i natna lan chhuah dân te, i damdawi lam chanchin te, leh i aw lama heng harsatnate hian in lamah, hnathawhna hmunah leh sikulah engtin nge a nghawng che tih zawhna an zawt ang che.

Doctor chuan i thusawi lai hian ngun takin a ngaithla ang. I thusawi leh i thawh lai hian i hmai, i lu, i kawr leh i kawr te chu a en ang. Thumal ṭhenkhat sawi tûr emaw, aw ṭhenkhat chu rei zâwk vawng tûr emaw, i aw tihsan emaw, tihhniam emaw tûrin a hrilh thei che a ni.

Heng exercise i tih lai hian symptoms eng emaw i neih chuan – natna, kawr hrual, thawk harsa tih ang chi te hi – doctor hnenah hrilh theihnghilh suh.

He natna hi hriat theih nan eng test nge tih thin?

I larynx leh vocal cord te hnathawh that dan hriat duh chuan heng ang imaging test te hi i nei thei ang:

• Laryngoscopy: Hei hian i rilru chhung lam en turin tube (scope) te tak te, flexible tak, video camera dahna hman a ni. Doctor chuan vocal cords atang hian sample (biopsy) a la thei bawk a, lumps (nodules), polyps, cysts awm leh awm loh a enfiah thei bawk.
• Videostroboscopy: Hei hi camera bik nena inzawm tube (scope) hmanga siam a ni. Aw i chhuah ruala i vocal cords te zawi zawiin a kal lai a en thei a ni. Slow-motion video ang mai a ni.
• Laryngeal Electromyography (LEMG): Hei hian electrode hmangin i larynx chhunga muscle i hman atanga nerve signal lo chhuak te chu a teh thin.
• MRI emaw CT scan emaw hmangin:Hei hian doctor chuan vocal cord leh larynx te chipchiar taka thlalak a la thei a ni. Hei hian doctor chuan a lo thang dan pangngai lo a awm leh awm loh a en thei a ni.

Aw lam harsatna hi engtin nge enkawl a nih?

Hun rei lote chhunga aw lama harsatna ṭhenkhat chu i aw chawlh hahdam mai mai hian tihdam theih a ni. I doctor chuan ni engemaw zat chhung chu au thawm, hla sak, a nih loh leh i aw tihbuai loh turin a fuih thei che a ni. A tlem thei ang bera tawng turin an hrilh che pawh a ni thei.

Enkawlna dangte chu:

• Voice Therapy: Speech-Language Pathologist (SLP) te hian i aw hman tangkai zawk nan technique leh exercise te an zirtir che a. Chu chuan chiang taka inbiakpawhna a ṭanpui ang che. Vocal health vawng reng turin i aw enkawl dan tur an zirtir bawk.
• Damdawi: I aw harsatna hi LPR (acid reflux) emaw GERD (acid reflux disease) avanga lo awm a nih chuan, proton pump inhibitor (PPIs) emaw damdawi dang emaw hian a pui thei a ni. Aw lama harsatna thenkhatah chuan steroid emaw antibiotics emaw a ngai thei.
• Damdawi lam kalphung emaw, operation emaw: I vocal cord-a lesion awm chu paih chhuah nan operation i mamawh mai thei. Vocal cord muscle tight tak takte tih hahdam nan botulinum toxin injection i mamawh mai thei. Vocal cord i paralyzed a nih chuan i doctor chuan i vocal cord inkar gap chu khar turin filler a inject thei ang. A nih loh leh, i vocal cords inzawmkhawmna tura pui turin implant i mamawh mai thei (medialization laryngoplasty an ti).

Aw lam harsatna hi ven theih a ni em?

Aw hman tam lutuk avanga aw lama harsatna awm ṭhenkhat chu ven theih a nih laiin, tam tak chu ven a harsa hle. Mahse, i aw enkawl that chuan i hlauhawmna chu i tihtlem thei a ni. I tih theih ṭhenkhat chu hetiang hi a ni:

• Meizial zu te, intihhlimna atana ruihhlo leh zu in loh tur.
• Tui tam tak in la, i vocal cords te chu hydrated takin awm tir rawh. (Tui i in hian i taksaah a lut a, i vocal cords te chu awlsam zawkin an inhnim pil tir thin.)
• Kut sil fo ang chi thil tih hmangin natna laka invenna atan hma la rawh.
• Aw tam tak mamawh hna i thawh chuan i aw chu chawlh hahdam tir fo ang che.
• I aw hmanna atana healthy limits chu eng nge ni tih zir rawh.

Thusawi emaw, zai tam emaw i ngai a nih chuan i taksa chu thiam tir rawh. Vocal hman zat thlak danglam nghal, inbuatsaihna tha tawk lo chuan hahna leh hliam a thlen thei a ni.

Hetiang natna vei te tan hian eng nge an hmalam hun?

Aw hman tam lutuk emaw, natna khirh tak emaw avanga aw lama harsatna awm hi hun eng emaw chen atan a ni tlangpui. Tihchhiatna nghet tak an thlen lo. Mahse, i aw lama harsatna chu a buaithlak zawk a nih chuan, chu natna enkawl emaw, enkawl emaw atan chuan thawhrimna tlem a ngai mai thei. Surgery emaw, voice therapy session tlemte emaw i mamawh mai thei. Mahse, mi tam tak chuan an aw harsatna chu enkawlna hmangin an hneh thin.

Engtin nge ka in enkawl ang?

I aw enkawl dan tha ber chu i enkawl dan tur zawm hi a ni. Amaherawhchu, i rilru hriselna hi i ngaihtuah thiam a pawimawh bawk. Thusawi a harsat hunah chuan mite chuan zalen taka an rilru put hmang sawi chhuak thei lo niin an inhria thei a. Naupang tan chuan hei hian mahni inngaihhlutna a ti hniam thei a ni. An aw chhuah chhuah tumin theihtawp chhuah nasa tak a ngai a, chu chuan lungngaihna leh inhlat tak a ni thei tak zet a ni.

Hetiang thil hi i buaipui a nih chuan i doctor nen inbia ang che. Amah chu ṭanpui thei resources chungchâng zawt rawh.

Engtikah nge damdawi lam thurawn ka lak ang?

Kar tlemte hnuah pawh i aw-ah sawifiah theih loha inthlak danglamna i hmuh chuan doctor pan nghal turin appointment siam rawh. Enkawlna lak hmasak hian natna lan chhuahna a zual loh nan a pui thei a ni. I vocal cords hun rei tak chhunga tihchhiat a veng thei bawk a, chu chu enkawlna na zawk, operation ang chi a ngai fo thei bawk.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Ka aw tihchangtlun nan eng nungchang nge ka thlak danglam ngai?
• Eng ang enkawlna nge ka mamawh a, eng chen nge a daih ang?
• Eng ang healthcare provider nge ka thawhpui a ngai ang?
• Ka aw lama harsatna chu a dam vek theihna chance engzat nge awm?
• Voice disorder ka hmachhawn theih nan eng resources nge min pui thei tih min hrilh thei ang em?

A tawp berah chuan thil hriat reng tur

Voice disorder hian mi dangte nena inbiak pawh a ti harsa thei hle. Mahse enkawl dan dik tak chuan i aw quality i ti tha thei a ni. Hei hian i aw tichhe lovin mi dangte hriatthiamna kawngah step khat hnaih turin a pui thei che a ni.

Kar tlemte aia rei i aw inthlak danglam i hmuh chuan rei lovah doctor pan rawh. A chhan chu a hmuchhuak thei a, i mamawh enkawlna a pe thei che a ni. Inenkawl hmasak hi a pawimawh hle tih hre reng ang che!

` Aw lama harsatna, Vocal cord, Laryngitis, Aw zirtirna, Thlarau na, Thusawi Therapy