Mukufuna kudziwa chilichonse chokhudza ma vocal cords omwe amapatsa moyo mawu anu?

Tonsefe tili ndi mawu athuathu, sichoncho? Nthawi zina, ngakhale sitikuwona munthu, timamuzindikira kudzera mu momwe amalankhulira. Ndiye, kodi munayamba mwadzifunsapo momwe mawu athu amapangidwira? Ndi chinthu chiti chaching'ono chomwe chili m'thupi mwathu chomwe chimathandiza pa izi? Yankho lake ndi ma vocal cords . Lero, tikambirana za ma vocal cords odabwitsa awa, ntchito yawo, komanso momwe tingawasungire athanzi.

Kodi mawu olankhulidwa ndi chiyani? Mwachidule...

Mwachidule, timinofu ta mawu anu ndi timinofu tiwiri tomwe timapezeka m'dera laling'ono longa bokosi pakhosi panu lotchedwa larynx . Kholingo ili lili pamwamba pa trachea yanu, chubu chomwe chimanyamula mpweya kupita ku mapapo anu mukapuma.

Mukapuma ndi kutuluka, ma voliyumu awiriwa amamasuka, zomwe zimathandiza kuti mpweya udutse momasuka. Koma mukayamba kulankhula, ma voliyumu awiriwa amayandikirana, ndipo mpweya womwe mumapuma umagwedezeka pamodzi pakati. Kugwedezeka kumeneko ndi komwe kumatuluka ngati mawu anu.

Madokotala ambiri amatcha izi "ma vocal folds" osati "ma vocal cords ." Pali chifukwa chake. Kale, anthu ankaziona ngati zingwe ziwiri pa chida cha nyimbo chomwe chinkamveka akachigunda. Koma tsopano tikudziwa kuti si zingwe ziwiri zokha, koma ndi mndandanda wa minofu ndi ma cartilage olumikizana. Kunena zoona, si ziwalo chimodzi, koma zimalumikizidwa ndi minofu ndi ma cartilage osiyanasiyana mkati mwa kholingo.

Kodi ndi zinthu ziti zofunika kwambiri zomwe zingwe za mawu zimachita?

Chofunika kwambiri ndi kupanga mawu, koma kuwonjezera pa zimenezo, ntchito zina zambiri zofunika zimachitidwa ndi mawu amenewa.

1. Kupanga mawu athu apadera

Ichi ndiye chinthu chofunikira kwambiri. Mukalankhula, kuyimba, kung'ung'udza, kubuula, kunong'oneza - zonsezi ndi mawu omwe amapangidwa ndi zingwe za mawu izi. Zingwe za mawu zikamakokana, mpweya wochokera ku chitoliro cha mphepo sungatuluke ndipo umagwidwa. Mpweya wogwidwa uwu umapangitsa kuti zingwe za mawu ziume. Chifukwa cha kupanikizika kumeneku, mpweya umatulutsidwa ngati madontho, zomwe zimapangitsa kuti zingwe za mawu zigwedezeke. Kutengera ndi kukwera kwa mawu anu, zingwe za mawu izi zimatha kugwedezeka kambirimbiri pa sekondi imodzi! Kugwedezeka kumeneku ndi mpweya pamodzi zimapangitsa kuti mawu anu amveke.

Tangoganizirani, zinthu zonse zomwe zili pankhope panu, monga milomo yanu, lilime, mano, masaya, ndi maenje a sinus, zimagwirira ntchito limodzi kuti zimveke bwino, zikongoletse, komanso zisinthe mawu ochokera ku zingwe izi, ndikupanga mawu anu apadera.

2. Kuteteza njira zathu zopumira mpweya

Izi ndizofunikira kwambiri.

• Mukameza: Kholingo lanu limakhala ngati malo olumikizirana. Apa ndi pomwe njira ziwiri zopita ku payipi ya mpweya (njira yolowera mpweya) ndi kholingo (chakudya ndi chakumwa) zimagawikana. Mukadya, mawu awa amatseka, zomwe zimalepheretsa zinthu monga chakudya ndi chakumwa kulowa mu kholingo ya mpweya. Mukameza, kholingo limakwera, ndikulozera chakudya molunjika mu kholingo.
• Mukatsokomola:Ngati chinachake chikuyesera kulowa mu mpweya, mawu amachepa mwadzidzidzi, zomwe zimapangitsa kuti munthu ayambe kutsokomola. Komanso, mukakhala ndi chimfine, chifuwa chimathandiza kuchotsa zinthu zosafunikira m'thupi. Nthawi iliyonse mukatsegula pakhosi, nthawi iliyonse mukatsokomola, mawu awa amachepa.

3. Kulamulira mpweya wanu

Mukapuma ndi kutuluka, mawu amatuluka mopatukana, zomwe zimathandiza kuti mpweya udutse popanda choletsa.

Kodi mawu ali kuti?

Ma voice cords anu ali mkati mwa gawo la thupi lanu lotchedwa larynx , lomwe limadziwikanso kuti "voice box." Izi zili pamwamba pa windpipe, kumbuyo kwa Adam's apulo, yomwe ili pakati pa pakhosi panu. Ngati muyika chala chimodzi kapena ziwiri pa fupa ili ndikulikanikiza, mudzamva kuti likukwera mmwamba. Ngati mutatsegula pakamwa panu, mudzamva kuti likutsika.

Kodi mawonekedwe ndi kapangidwe ka mawu ndi kotani?

Zingwe zoimbira mawu ndi timizere tiwiri toyera tomwe tili pakati pa kholingo lanu. Zingwe zoimbira mawu zikatsegulidwa, yomwe ili kumanja ndi yomwe ili kumanzere zimasonkhana kuti zipange "V" yozungulira. Zikatsekedwa, zimasonkhana kuti ziwoneke ngati mzere woonda.

Zingwe zolumikizira mawu izi zimayenda kuchokera kumanzere kwa kholingo kupita kumanja, komanso kuchokera kutsogolo kupita kumbuyo. Zimalumikizidwa ku minofu ndi minyewa yomwe ili mkati mwa kholingo zomwe zimathandiza kulamulira kayendedwe ka zingwe zolumikizira mawu.

Zingwe zoyatsira mawu zimaphimbidwa ndi chophimba chonyowa komanso choteteza chotchedwa mucous membrane . Pansi pa chophimba ichi, zingwe zoyatsira mawu zimapangidwa ndi zigawo zitatu zazikulu:

• Gawo lakunja la maselo limatchedwa epithelium .
• Chigawo chapakati, chotchedwa lamina propria, ndicho chimathandiza kuti zingwe za mawu ziyende.
• Gawo lamkati la minofu. Izi zikuphatikizapo Minofu ya Vocalis ndi Minofu ya Thyroarytenoid .

Kodi kukula kwa zingwe za mawu kumasintha bwanji?

Mukabadwa, mawu anu amakhala aatali pakati pa mamilimita 6 ndi 8. Pamene mukukula, amatalikanso. Kutalika ndi makulidwe a mawu ndizomwe zimapangitsa kuti mawu anu amveke bwino . Mawu okhuthala kwambiri amatulutsa mawu akuya komanso onyodola (mawu otsika).

• Kwa amuna: Anyamata akafika msinkhu, mahomoni otchedwa testosterone amachititsa kuti mawu awo akule ndi kutalikitsa. Ichi ndichifukwa chake mawu awo amakulirakulira. Ma vocal cord a amuna akuluakulu amakhala pakati pa 1.75 ndi 2.5 cm. Kusintha kumeneku sikungasinthidwe. Izi zikutanthauza kuti omwe amalandira chithandizo cha mahomoni kuti akhale akazi ayenera kugwira ntchito ndi katswiri wolankhula kuti asinthe kamvekedwe ka mawu awo, kuchitidwa opaleshoni yokhudza mawu, kapena mawu awo azikhalabe akuya.
• Cha Amayi:Atsikana nawonso amamva kutalikitsa kwa mawu akamafika msinkhu. Chingwe cha mawu cha akazi chachikulire chimakhala pakati pa masentimita 1.25 ndi 1.75 kutalika. Akamalandira chithandizo cha testosterone hormone (masculinizing hormone therapy) kuti akhale amuna, zingwe zawo za mawu zimakulanso ndi kutalika. Zotsatira zake, mawu awo amakula kwambiri.

Anthu ena akamakula, mawu awo ndi minofu ina ya m'kholingo zimafooka ndi kufooka, zomwe zimapangitsa kuti zikhale zovuta kulankhula.

Ndi matenda ati omwe amakhudza mitsempha ya mawu?

Ma voice cords athu amathanso kudwala matenda osiyanasiyana. Tiyeni tiwone kuti ndi chiyani.

Matenda omwe amapezeka kawirikawiri:

• Laryngitis: Uku ndi kutupa kwa zingwe zolumikizira mawu. Izi zingayambitse mawu anu kukhala osamveka bwino, ofooka, osamveka bwino, kapena osamveka bwino. Zingayambitsidwe ndi kugwiritsa ntchito mopitirira muyeso, matenda opatsirana, kusuta fodya, komanso acid reflux ya nthawi yayitali (GERD - Gastroesophageal Reflux Disease) .
• Ma Nodule a Vocal Cord, Polyps ndi Cysts: Izi ndi zotupa zomwe sizimayambitsa khansa (zosavulaza). Ma Nodule ndi Polyps ndi ziphuphu zolimba, pomwe ma cysts ndi matumba odzaza ndi madzi. Izi zingayambitsenso kuti mawu anu akhale ofooka, osamveka bwino, kapena asakhalepo konse. Chifukwa chofala kwambiri ndi kupsinjika mawu anu (kugwiritsa ntchito mopitirira muyeso kapena kugwiritsa ntchito molakwika). Zina mwa zifukwa ndi kusuta fodya, sinusitis , ndi ziwengo.
• Kulephera kwa mawu: Apa ndi pamene mawu sangathe kutseguka kapena kutsekedwa bwino. Izi zingapangitse kuti zikhale zovuta kulankhula, kupuma, ndi kumeza. Mavuto osiyanasiyana omwe amawononga mitsempha angayambitse minofu ya mawu kusiya kugwira ntchito bwino. Izi zingayambitse kuti mawu azimveka ngati akupuma, kapena kuti zikhale zovuta kutsokomola kapena kutsuka pakhosi.

Matenda omwe sapezeka kawirikawiri:

• Khansa ya m'khosi: Khansa imatha kufalikira m'mbali mwa kholingo, kuphatikizapo mawu.
• Kupindika kwa mawu: Uku ndi kupindika kwadzidzidzi kwa zingwe za mawu, zomwe zimapangitsa kuti zikhale zovuta kupuma ndi kulankhula. Kupindika kumeneku sikwachilendo ndipo nthawi zambiri kumatenga mphindi imodzi.
• Kupsinjika kwa Minofu (MTD): Izi zimachitika pamene minofu ya m'mutu ndi m'khosi mwanu imagwira ntchito mopitirira muyeso. Mumalimbitsa minofu mkati, kunja, kapena m'khola mwanu monse. Kulimba kumeneku kungapangitse kuti zikhale zovuta kuti mawu anu aziyenda momasuka komanso mosavuta, zomwe zimapangitsa kuti pakhosi panu pakhale kupsinjika komanso kusasangalala.
• Kutupa kwa Reinke: Uwu ndi mkhalidwe womwe madzi amasonkhana m'dera la zingwe zoimbira mawu lotchedwa 'malo a Reinke' ndipo amatupa. Izi zingayambitse mawu kukhala osamveka bwino komanso kutsika kwa phokoso.
• Kusokonezeka kwa spasmodic:Imeneyi ndi vuto la nthawi yayitali lomwe mawu anu amakhala olimba kapena omangika mukayesa kulankhula.
• Kutsekeka kwa Mitsempha ya M'mimba (ILO): Vutoli limayambitsa kuvutika kutsegula zingwe za mawu, zomwe zimapangitsa kuti zikhale zovuta kupuma. Izi zimatchedwanso Vocal Cord Dysfunction .

Kodi zizindikiro zofala za matenda a m'mimba ndi ziti?

Zizindikiro zimadalira vuto lenilenilo lomwe limakhudza zingwe zoimbira mawu, koma pali zizindikiro zina zodziwika bwino:

• Mawu omveka bwino.
• Kutaya mawu.
• Mawu ofooka kapena kumva pang'onopang'ono.
• Kusintha kwa mawu, makamaka kusintha kuchoka pa mawu okwera kupita ku mawu otsika kapena mawu osamveka bwino.
• Kutsokomola pafupipafupi, kuvutika kumeza, kapena kupweteka pakhosi.
• Kuvuta kumeza, kulankhula, kapena kupuma.

Ndi njira ziti zomwe zimagwiritsidwa ntchito poyesa zingwe za mawu?

Ngati mawu anu asintha (monga kugwedezeka ndi phokoso, kuvutika kulankhula) kwa milungu yoposa iwiri, muyenera kuonana ndi dokotala. Kutengera ndi zizindikiro zanu, mungafunike kuonana ndi katswiri wa mawu kapena katswiri wa makutu, mphuno, ndi pakhosi (ENT). Mungafunikenso kuonana ndi katswiri wa laryngologist, dokotala yemwe ndi katswiri wa matenda a kholingo, kapena katswiri wa matenda olankhula ndi kulankhula.

Mukapita kwa dokotala wanu, adzakufunsani za mbiri yanu yachipatala ndikukupimitseni thupi. Kuphatikiza apo, angachite mayeso monga:

• Kujambula kwa CT kapena MRI: Mayeso awa amatha kuwona zotupa, ma cysts, kapena zotupa mkati mwa pakhosi panu.
• Kuyesa Kuchuluka kwa Mabakiteriya: Dokotala angatenge chitsanzo kuchokera pakhosi panu kuti aone ngati pali mabakiteriya omwe angayambitse matenda.
• Laryngoscopy: Pa opaleshoniyi, dokotala amaika chubu chopyapyala (laryngoscope) chokhala ndi kuwala ndi kamera mu kholingo yanu ndipo amafufuza zingwe zanu zomvera mawu.
• Videostroboscopy: Izi zikufanana ndi laryngoscopy, koma imagwiritsa ntchito kuwala kwapadera kuti dokotala athe kuwona momwe ma vocal cords anu amanjenjemera.
• Kufufuza za thupi: Dokotala angatenge chithunzi cha minofu kuchokera ku zingwe zanu zolumikizira mawu ndikuyang'ana maselo osazolowereka.
• Laryngeal Electromyography (LEMG): Kuyesa kumeneku kungathandize kuzindikira vuto la mawu. Kumayesa momwe mitsempha yanu imalamulira minofu ya m'khosi mwanu.

Kodi mankhwala a matenda a m'mimba ndi ati?

Chithandizo chimadaliranso mtundu wa matenda. Mankhwala ofala kwambiri ndi awa:

• Kupumitsa mawu (osati kulankhula kapena kuimba - kupuma kwa mawu).
• Mankhwala ochepetsa kutupa ndi ululu.
• Opaleshoni yochotsa zinthu monga ziphuphu ndi zotupa.
• Chithandizo cha Mawu: Izi zingathandize kuchiritsa ma voice cords anu kapena kukuphunzitsani momwe mungawagwiritsire ntchito bwino. Zingakuthandizeninso kulankhula molimba mtima komanso modziletsa.

Kodi tingatani kuti tisunge mawu athu kukhala athanzi?

Mawu athu ndi chinthu chamtengo wapatali kwambiri kwa ife. Choncho kusunga mawu awa kukhala athanzi n'kofunika kwambiri. Chinthu chabwino kwambiri ndikuwagwiritsa ntchito bwino, osawakakamiza.

Musatchule zinthu izi:

• Kutopetsa mawu anu powagwiritsa ntchito mopitirira muyeso (kulankhula mopitirira muyeso, kuimba mopitirira muyeso).
• Ngati mawu anu akumva onyowa kapena ofooka, yesani kulankhula kapena kuimba.
• Kusuta, kukhudzidwa ndi utsi wa ndudu.
• Kufuula kwa nthawi yayitali, kapena kulankhula monong'oneza. Zonsezi zimafinya zingwe za mawu.

Chitani zinthu izi:

• Ngati muli ndi GERD/LPRD , ilandireni chithandizo choyenera.
• Imwani madzi okwanira patsiku ndipo thupi lanu likhale ndi madzi okwanira.
• Ngati mukufuna kuti mawu anu amveke kutali, gwiritsani ntchito maikolofoni.
• Pewani malo omwe muli fumbi lambiri komanso momwe mumakhala mankhwala oopsa.
• Ngati muli ndi matenda, chepetsani kuchuluka (ndi kuchuluka kwa mawu) olankhula.
• Mukamalankhula kapena kuimba, yesetsani kupuma mpweya m'thupi lanu la pansi, osati pachifuwa.
• Makamaka nthawi yamvula (monga nyengo yozizira), gwiritsani ntchito chotenthetsera mpweya kuti mpweya womwe mumapuma ukhale wonyowa.

Uthenga Wopita Nawo Kunyumba

Ma waya anu olumikizira mawu ndi omwe amakuthandizani kulankhula, kuimba, komanso kupuma. Ngakhale kuti ndi ang'onoang'ono, anzanu ndi abale anu amatha kukuzindikirani ndi mawu omwe amapanga akamanjenjemera.

Tetezani ma torque anu kuti asatope. Musawavutitse polankhula mokweza kwambiri kapena kuimba kwa nthawi yayitali. Pewani kusuta fodya (kuphatikizapo utsi wosuta), ndipo imwani madzi ambiri. Musagwiritse ntchito ma torque anu molakwika ndipo sungani mawu anu kukhala athanzi. Kupatula apo, mawu anu ndi ofunika kwambiri kwa inu!

Mawu , zingwe zolumikizira mawu, kholingo, matenda a pakhosi, kusungidwa kwa mawu, laryngitis, kusintha kwa mawu