Tangoganizani kuti mukulankhula ndi mnzanu, pamsonkhano, kapena kunyumba, ndipo mukusangalala kwambiri ndi chinachake. Koma mwadzidzidzi, popanda chenjezo, mawu anu amakhala osamveka bwino kapena osamveka bwino, ndipo nthawi zina mawuwo amasweka ndipo amatuluka pang'ono ngati mtsinje wa mpweya. Mumachita manyazi chifukwa simungathe kunena zomwe mukufuna kunena. Patapita kanthawi, mawu anu amabwerera mwakale. Kodi mwakumanapo ndi izi posachedwapa? Ngati ndi choncho, izi ndi nkhani yofunika kwa inu. M'mawu azachipatala, timatcha izi Spasmodic Dysphonia .
Mwachidule, kodi Spasmodic Dysphonia ndi chiyani?
Spasmodic Dysphonia ndi vuto lomwe limakhudza mawu. Dzina lina la izi ndi `(laryngeal dystonia)`. Kuti timvetse bwino izi, choyamba tiyeni tiwone momwe mawu athu amapangidwira. Mkati mwa mmero mwathu, gawo lotchedwa `(larynx)`, muli minofu iwiri yofewa yotchedwa `(vocal cords)` . Tikamalankhula, ma vocal cords awiriwa amanjenjemera poyankha mpweya wochokera m'mapapo. Kugwedezeka kumeneko ndi komwe timamva kunja ngati mawu athu.
Komabe, chinthu china chosiyana chimachitikira munthu amene ali ndi Spasmodic Dysphonia. Minofu yomwe imalamulira mawu awo imayamba kugwedezeka mwadzidzidzi, mwanjira yosalamulirika. Zili ngati maso athu akuthwanima, koma izi zimachitika mkati mwa pakhosi. Minofu imeneyi imatha kulimba mwadzidzidzi kapena kupumula kwambiri.
- Ngati zili zolimba kwambiri , mawu amamatirana pamodzi, ndipo mawu amatuluka molimba, molimba, komanso mopanda phokoso .
- Ngati zimasuka kwambiri , mpweya umatuluka pakati pa zingwe zoimbira mawu, zomwe zimapangitsa kuti mawu akhale ofooka, opuma pang'ono, komanso osamveka bwino .
Chinthu chapadera pa vutoli ndichakuti nthawi zambiri limatikhudza tikamalankhula. Mukaimba, kuseka mokweza, kapena kunong'oneza, mawu anu nthawi zambiri amamveka ngati abwinobwino.
Kodi mitundu ikuluikulu ya vutoli ndi iti?
Spasmodic Dysphonia ikhoza kugawidwa m'magulu atatu akuluakulu. Mtundu uliwonse umakhudza mawu mosiyana. Kuti mumvetse bwino izi, onani tebulo ili m'munsimu.
| Mtundu wa matenda | Chimachitika ndi momwe chimakhudzira mawu |
|---|---|
| Adductor Spasmodic Dysphonia | Uwu ndi mtundu wofala kwambiri . Umachitika pamene zingwe zolumikizira mawu zatsekedwa mwamphamvu (zimamatira) chifukwa cha kugwedezeka kwa minofu. Izi zimapangitsa kuti mawu azimveka olimba kwambiri, opapatiza, komanso osamveka bwino . Zimakhala ngati mukuvutika kunena mawu. |
| Kusokonezeka kwa Abductor Spasmodic | Apa ndi pamene minofu ya m'minofu ya mawu imasweka, zomwe zimapangitsa kuti mpweya utuluke pakati pa m'minofu ya mawu. Zotsatira zake, mawuwo amamveka ofooka kwambiri, opuma mpweya, komanso osamveka bwino . |
| Dysphonia Yosakanikirana ya Spasmodic | Mtundu uwu ndi wosowa kwambiri. Pankhaniyi, zizindikiro za mitundu yonse iwiri yomwe yatchulidwa pamwambapa zitha kuchitika motsatizana kapena pamodzi. |
Kuwonjezera pa mitundu itatu iyi, anthu ena amathanso kugwedezeka ndi mawu, zomwe zimapangitsa kuti mawu awo azimveka ngati akugwedezeka akamalankhula.
Kodi zizindikiro zake zingakhale zotani?
Zizindikiro zimenezi nthawi zambiri zimayamba kuonekera munthu akafika zaka zapakati pa 30 ndi 60. Sizimakhala zokhazikika. Nthawi zina zimabwera ndi kupita, kotero zimakhala zovuta kunena nthawi yeniyeni yomwe mawu amasintha mwadzidzidzi.
Zinthu zazikulu zomwe zimawonekera ndi izi:
- Mawu ake ndi onyodola komanso okhwima .
- Mawuwo amakhala onyodola komanso okhwima .
- Mawuwo amamveka ofooka, opuma mpweya, kapena osamveka bwino .
- Kusiyanitsa mawu ndi mawu pamene mukulankhula.
- Kumva ngati mawu anu akunjenjemera .
Zizindikiro zimenezi zingakulire , makamaka pamene muli ndi nkhawa , mukulankhula pafoni, pamaso pa khamu la anthu, kapena pamalo aphokoso.
Chifukwa chiyani izi zikuchitika? Kodi chifukwa chenicheni cha izi ndi chiyani?
Anthu ambiri amaganiza kuti vutoli ndi vuto la pakhosi, koma vuto limeneli limayambira mu ubongo wanu, osati pakhosi panu .
Chiwalo cha ubongo chomwe chimayang'anira mayendedwe a minofu mosadziletsa, ndi gawo la dongosolo la mitsempha la thupi. Kusokonezeka kwa mitsempha ndi vuto lotchedwa dystonia. Kusokonezeka kwa mitsempha kumachitika chifukwa cha ubongo kutumiza zizindikiro zolakwika ku minofu, zomwe zimapangitsa kuti minofuyo ichepetsedwe mosalamulirika.
Mwachidule, basal ganglia muubongo wanu imatumiza zizindikiro zamagetsi zolakwika ku minofu yomwe imalamulira mawu anu. Zizindikiro zolakwikazi zimapangitsa kuti minofuyo igwedezeke. Izi si vuto lanu, komanso si kufooka kwa pakhosi panu.
Ofufuza sakudziwabe chifukwa chake zizindikiro zolakwikazi zimayamba kutumizidwa. Koma apeza kuti nthawi zina, pakhoza kukhala zinthu zobadwa nazo (majini) . Zitha kuchitikanso pambuyo pa ngozi kapena matenda. Matendawa amapezeka kwambiri mwa akazi katatu kuposa amuna.
Kodi dokotala amazindikira bwanji izi?
Kuzindikira matendawa ndi njira yovuta, nthawi zambiri kumafuna thandizo la gulu la madokotala ndi akatswiri azachipatala.
1. Dokotala wa Otolaryngologist kapena Dokotala wa ENT: Dokotalayo adzamvetsera mosamala momwe mumalankhulira. Iye adzafufuza ngati muli ndi ming'alu, mawu anu amveka mokweza, ndi zizindikiro zina m'mawu anu.
2. Videostroboscopy: Iyi ndi njira yapadera yoyezera. Izi zimaphatikizapo kugwiritsa ntchito kamera kakang'ono komwe kamadutsa m'mphuno mwanu kuti mujambule kanema wa ma vocal cords anu akuyenda pamene mukulankhula. Izi zimakupatsani mwayi wowona bwino mayendedwe a ma vocal cords ndi mayendedwe aliwonse osazolowereka.
3. Katswiri wa Kulankhula ndi Kulankhula (SLP): Katswiriyu amathandiza kuphunzira mozama mavuto a mawu ndi mtundu wawo.
4. Katswiri wa mitsempha: Mutha kupempha thandizo kwa katswiri wa mitsempha kuti atsimikizire ngati zizindikirozi ndi mbali ya matenda ena a mitsempha komanso kuti apitirize kufufuza momwe dystonia ilili.
Mukuchita chiyani ngati chithandizo?
Choyamba kukumbukira ndi chakuti palibe mankhwala a Spasmodic Dysphonia. Koma musadandaule. Pali mankhwala othandiza kwambiri omwe angathandize kuchepetsa kupweteka kwa minofu m'minofu yanu ndikukuthandizani kuti mawu anu akhale abwinobwino.
| Njira yochizira | Kufotokozera |
|---|---|
| Jakisoni wa Botox® | Uwu ndiye mankhwala ofala kwambiri komanso opambana . Apa, Botox yochepa kwambiri imabayidwa mu minofu ya vocal cord yomwe yakhudzidwa. Botox imaletsa kwakanthawi zizindikiro za mitsempha zomwe zimapangitsa kuti minofu igwire ntchito. Izi zimamasula minofu, zomwe zimapangitsa kuti kulankhula kukhale kosavuta. Zotsatira zake nthawi zambiri zimakhala pafupifupi miyezi 3-4 . Chifukwa chake, kuti mupitirize kulandira jakisoni wabwino, muyenera kupitiliza kulandira jakisoni. |
| Kuchiza Mawu | Katswiri wothandiza anthu kulankhula adzakuphunzitsani momwe mungagwiritsire ntchito bwino mawu anu, kulamulira kupuma kwanu, komanso kuchita masewera olimbitsa thupi osiyanasiyana kuti muchepetse kupsinjika kwa mawu. Zotsatira zake zimakhala zogwira mtima kwambiri ngati chithandizo cha kulankhula chiphatikizidwa ndi chithandizo cha Botox. |
| Zothandizira Kulankhulana | Nthawi zina, zipangizo zamakono monga zipangizo zokulitsa mawu kapena mapulogalamu (mapulogalamu) omwe amasintha kulemba kukhala mawu angagwiritsidwe ntchito. |
Tiyeni tiphunzirenso za opaleshoni.
Pali njira zingapo zochitira opaleshoni kwa anthu omwe ali ndi Adductor Spasmodic Dysphonia (mtundu wa spasm ya vocal cord). Komabe, izi sizimachitika kawirikawiri. `Type II thyroplasty` ndi `SLAD-R` ndi mitundu iwiri ya opaleshoni. Izi zimaphatikizapo kusintha malo a vocal cords kapena kusintha momwe zizindikiro za mitsempha zimayendera.
Koma pali malingaliro osiyanasiyana pa opaleshoniyi. Chifukwa zotsatira za anthu ena sizifanana nthawi zonse. Chifukwa chake, musanaganize zochita opaleshoniyi, muyenera kukambirana mosamala ndi dokotala wanu za zabwino ndi zoyipa zake.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati mawu anu asintha popanda chifukwa chomveka bwino ndipo amatenga milungu yoposa iwiri, muyenera kuonana ndi dokotala. Zingakhale zosavuta monga laryngitis yomwe imayamba chifukwa cha chimfine. Koma ngati sichoncho, ndikofunikira kupeza chomwe chimayambitsa vutoli mwachangu.
Kodi mungakhale bwanji bwino ndi vutoli?
Matenda a Spasmodic Dysphonia ndi vuto la moyo wonse. Zizindikiro nthawi zambiri zimakula pang'onopang'ono, zimafika pamlingo winawake, ndipo zimakhalabe pamlingo umenewo moyo wonse. Nthawi zina, popanda chifukwa chomveka, zizindikiro zimatha kutha kwakanthawi kenako n’kubwereranso.
Njira yabwino yothetsera vutoli ndikugwira ntchito ndi gulu lanu lachipatala kuti muthane nalo. Palinso zinthu zina zomwe mungachite nokha:
- Dziwani za mawu anu: Anthu ena amapeza kuti zizindikiro zawo zimachepa akamadya, kulankhula mutu wawo uli m'manja, kapena kuimba. Onani ngati pali "machenjerero" aliwonse omwe angakuthandizeni.
- Dzisamalireni: Kutopa ndi kupsinjika maganizo kungapangitse kuti zizindikirozo ziwonjezeke. Choncho pumulani mokwanira ndipo samalirani thanzi lanu la maganizo.
- Funani thandizo kwa mlangizi: Mlangizi angakuthandizeni kuthana ndi mavuto omwe vutoli likukumana nawo kuntchito kwanu komanso paubwenzi wanu ndi anthu ena.
- Lankhulani momasuka ndi ena: Mungamve manyazi kapena kusasangalala mawu anu akasintha mukakambirana. Nthawi ngati zimenezi, ngati mungathe, fotokozerani ena mwachidule za vuto lanu. Anthu ambiri adzamvetsa.
- Lowani m'magulu othandizira: Kulowa m'magulu othandizira komwe ena omwe akuvutika ndi vuto lomweli angakupatseni mphamvu zambiri zamaganizo.
Uthenga Wopita Nawo Kunyumba
- Kusokonezeka kwa mawu (spasmodic dysphonia) si vuto la pakhosi, koma vuto la mawu lomwe limabwera chifukwa cha vuto la zizindikiro zochokera muubongo.
- Si vuto lanu ayi. Izi zimachitika chifukwa cha kugwedezeka kwa minofu komwe simungathe kulamulira.
- Ngakhale kuti palibe mankhwala athunthu a izi, mankhwala monga jakisoni wa Botox® ndi mankhwala olankhulira amatha kuletsa bwino zizindikiro.
- Ngati mawu anu asintha mosayembekezereka ndipo amatenga milungu ingapo, pitani kwa dokotala .
- Kuthana ndi kupsinjika maganizo ndi kupempha thandizo kwa ena n'kofunika kwambiri mukakhala ndi vutoli. Simuli nokha, pali anthu omwe angakuthandizeni ndi vutoli.











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