Tekereza uri kuganira n'inshuti yawe, mu nama, cyangwa mu rugo, kandi ushishikajwe cyane n'ikintu runaka. Ariko mu buryo butunguranye, nta nteguza, ijwi ryawe rihinduka nk'iry'urusaku cyangwa iry'urusaku, rimwe na rimwe amagambo aracikagurika kandi nta n'ubwo asohoka neza. Ugira isoni kuko udashobora kuvuga icyo washakaga kuvuga. Nyuma y'igihe runaka, ijwi ryawe risubira ku murongo. Ese wigeze ugira ibi bintu bidasanzwe vuba aha? Niba ari ko bimeze, ibi ni ibintu by'ingenzi kuri wewe. Mu buryo bw'ubuvuzi, iyi ndwara tuyita Spasmodic Dysphonia .
Mu magambo make, Spasmodic Dysphonia ni iki?
Indwara ya Spasmodic Dysphonia ni indwara igira ingaruka ku ijwi. Irindi zina ry'ibi ni `(laryngeal dystonia)`. Kugira ngo tubisobanukirwe neza, reka tubanze turebe uko ijwi ryacu rikorwa. Mu muhogo wacu, igice cyitwa `(larynx)`, hari uturemangingo tubiri tworoshye twitwa `(vocal cords)` . Iyo tuvuga, iyi mitsi ibiri y'ijwi irahindagurika bitewe n'umwuka uva mu bihaha. Uwo muvuduko ni wo twumva hanze nk'ijwi ryacu.
Ariko, hari ikindi kintu gitandukanye kibaho ku muntu urwaye Spasmodic Dysphonia. Imitsi igenzura imitsi y'ijwi itangira gucika intege, mu buryo butunguranye. Ni nk'aho amaso yacu ahumbya, ariko ibi biba mu muhogo. Iyi mitsi ishobora gufunga cyangwa kuruhuka cyane.
- Iyo zifashe cyane , imitsi y'ijwi irafatana, maze ijwi rikagenda ripfunganye, rigafungana kandi rikagira ijwi ritoroshye .
- Iyo zirekuye cyane , umwuka uva hagati y'imitsi y'ijwi, bigatuma ijwi rigabanuka, rihumeka, kandi rigatuza .
Ikintu kidasanzwe kuri iyi ndwara ni uko akenshi igira ingaruka kuri twe iyo tuvuga gusa. Iyo uririmba, useka cyane, cyangwa urimo kuvuga cyane, ijwi ryawe rishobora kumvikana nk'iry'abantu.
Ni ubuhe bwoko bw'ingenzi bw'iyi ndwara?
Indwara ya Spasmodic Dysphonia ishobora kugabanywamo ubwoko butatu bw'ingenzi. Buri bwoko bugira ingaruka ku ijwi mu buryo butandukanye. Kugira ngo ubyumve neza, reba imbonerahamwe iri hepfo.
| Ubwoko bw'indwara | Ibibaho n'uko bigira ingaruka ku ijwi |
|---|---|
| Adductor Spasmodic Dysphonia | Ubu ni bwo bwoko bukunze kugaragara cyane . Bubaho iyo imitsi y'ijwi ifunze neza (ifatamye) bitewe no kubabara kw'imitsi. Ibi bituma ijwi ryumvikana nk'irifunganye cyane, rifunganye, kandi rigasakuza . Bisa nkaho ugomba kugorwa no kuvuga amagambo. |
| Abductor Spasmodic Dysphonia | Iki ni cyo gihe imitsi yo mu mitsi y'ijwi itandukana, bigatuma umwuka usohoka hagati y'imitsi y'ijwi. Kubera iyo mpamvu, ijwi risa n'aho ridafite imbaraga, rihumeka, kandi rituje . |
| Indwara ya Spasmodic Dysphonia ivanze | Ubu ni ubwoko budasanzwe cyane. Muri iki gihe, ibimenyetso by'ubwoko bwombi bwavuzwe haruguru bishobora kubaho mu buryo butandukanye cyangwa hamwe. |
Uretse ubwo bwoko butatu, hari abantu bashobora no kugira ubwoba bw'ijwi, bigatuma ijwi ryabo risa n'aho rinyeganyega iyo bavuga.
Ni ibihe bimenyetso bishobora kuba?
Ibi bimenyetso bikunze kugaragara mu myaka yo hagati, hagati y'imyaka 30 na 60. Ntabwo bihoraho. Hari igihe biza bikanagenda, bityo biragoye kumenya neza igihe ijwi rihinduka mu buryo butunguranye.
Ibintu by'ingenzi bigaragara ni ibi bikurikira:
- Ijwi rirakomeye kandi rirakaze .
- Ijwi rirushaho kuba rikaze kandi rikaze .
- Ijwi risa n'aho ridafite imbaraga, rihumeka, cyangwa rituje .
- Gutandukanya amagambo n'amajwi mu gihe uvuga.
- Kumva ijwi ryawe rihinda umushyitsi .
Ibi bimenyetso bishobora kwiyongera cyane cyane iyo uri mu stress , iyo uganira kuri telefoni, imbere y'abantu benshi, cyangwa ahantu hari urusaku rwinshi.
Kuki ibi bibaho? Impamvu nyayo ibi ni iyihe?
Abantu benshi batekereza ko iki ari ikibazo cyo mu muhogo, ariko iyi ndwara mu by'ukuri itangirira mu bwonko bwawe, ntabwo itangirira mu muhogo wawe .
Agatsi k'umugongo, igice cy'ubwonko gihuza imitsi idakora ku bushake, ni kimwe mu bigize uturemangingo tw'imitsi tw'umubiri. Indwara ya Spasmodic Dysphonia ni indwara yitwa dystonia. Indwara ya Dystonia iterwa n'uko ubwonko bwohereza ibimenyetso bitari byo ku mitsi, bigatuma ifungana mu buryo butunguranye.
Mu magambo make, agatsi k'imbere k'ubwonko kohereza ibimenyetso by'amashanyarazi bitari byo ku mitsi igenzura imitsi y'ijwi ryawe. Ibi bimenyetso bitari byo bituma iyo mitsi ihungabana. Ibi si wowe ubyiteye, cyangwa ngo bibe ari intege nke mu muhogo wawe.
Abashakashatsi ntibaramenya neza impamvu izi bimenyetso bifite inenge bitangira koherezwa. Ariko basanze rimwe na rimwe, hashobora kuba hari impamvu y’uturemangingo . Bishobora no kubaho nyuma y’impanuka cyangwa indwara. Iyi ndwara ikunze kugaragara ku bagore inshuro eshatu kurusha abagabo.
Ni gute umuganga asuzuma ibi?
Gusuzuma iyi ndwara ni inzira igoye, akenshi bisaba ubufasha bw'itsinda ry'abaganga n'abavuzi.
1. Umuganga w’indwara z’amaso cyangwa umuganga w’indwara zo mu mara: Muganga azagutega amatwi witonze uko uvuga. Azasuzuma niba hari imivuniko, amajwi ashyushye, n’ibindi bimenyetso mu ijwi ryawe.
2. Videostroboscopy: Iki ni ikizamini cyihariye. Ibi bikubiyemo gukoresha kamera nto inyuzwa mu mazuru yawe kugira ngo ufate videwo y'imitsi y'ijwi ryawe igenda mu gihe uvuga. Ibi bigufasha kubona neza imitsi y'ijwi n'imitsi iyo ari yo yose idasanzwe.
3. Inzobere mu by’indwara z’imvugo (SLP): Uyu muvuzi afasha kwiga mu buryo bwimbitse ibibazo by’ijwi n’imiterere yabyo.
4. Umuganga w’indwara z’imitsi: Ushobora gushaka ubufasha bw’umuganga w’indwara z’imitsi kugira ngo wemeze niba ibi bimenyetso ari bimwe mu bigize indi ndwara y’imitsi no gusuzuma neza imiterere ya dystonia.
Urimo gukora iki nk'ubuvuzi?
Ikintu cya mbere ugomba kwibuka ni uko nta muti uhari wa Spasmodic Dysphonia. Ariko ntugahangayike. Hari uburyo bwiza cyane bwo kuvura bushobora gufasha kugenzura imitsi mu mitsi yawe no gufasha ijwi ryawe gusubira mu buryo busanzwe.
| Uburyo bwo kuvura | Ibisobanuro |
|---|---|
| Urushinge rwa Botox® | Ubu ni bwo buryo bukunze kugaragara kandi bugira ingaruka nziza . Aha, agace gato cyane ka Botox gashyirwa mu mitsi y'ijwi yangiritse. Botox ihagarika by'agateganyo ibimenyetso by'imitsi bituma imitsi ifungana. Ibi biruhura imitsi, bigatuma byoroha kuvuga. Ingaruka akenshi zimara amezi 3-4 . Kubwibyo, kugira ngo ukomeze kugira umusaruro mwiza, uzakenera gukomeza guterwa inshinge. |
| Ubuvuzi bw'Ijwi | Umuganga w’imivugire azakwigisha uburyo bwo gukoresha ijwi ryawe neza, kugenzura guhumeka kwawe, no gukora imyitozo itandukanye kugira ngo ugabanye umuvuduko w’amajwi. Ibisubizo birushaho kugira ingaruka nziza iyo uburyo bwo kuvura imivugire buhujwe n’uburyo bwo kuvura indwara ya Botox. |
| Imfashanyigisho mu itumanaho | Mu bihe bimwe na bimwe, ibikoresho by'ikoranabuhanga nk'ibikoresho byongera ubushobozi bwo kuvuga cyangwa porogaramu (porogaramu) zihindura kwandika mu mvugo zishobora gukoreshwa. |
Reka kandi twige ibijyanye no kubaga.
Hari uburyo bwinshi bwo kubaga abantu bafite Adductor Spasmodic Dysphonia (ubwoko bwa spasm y'imitsi y'ijwi). Ariko, ubu buryo ntibukunze gukorwa. `Tyroplasty yo mu bwoko bwa II` na `SLAD-R` ni ubwoko bubiri bw'ubu bwoko bwo kubaga. Ubu buryo bukubiyemo guhindura aho imitsi y'ijwi iherereye cyangwa guhindura uburyo ibimenyetso by'imitsi bigenda.
Ariko haracyari ibitekerezo bitandukanye kuri ubu buvuzi. Kubera ko ibisubizo kuri bamwe bitaba bimwe buri gihe. Kubwibyo, mbere yo gutekereza kubagwa, ugomba kuganira na muganga wawe witonze ku byiza n'ibibi byabwo.
Ni ryari ngomba kujya kwa muganga?
Niba ijwi ryawe rihindutse nta mpamvu igaragara kandi rigakomeza igihe kirenga ibyumweru bibiri, ugomba kujya kwa muganga. Bishobora kuba ari ikintu cyoroshye nko kurwara ibicurane. Ariko niba atari byo, ni ngombwa gushaka impamvu vuba bishoboka.
Ni gute wabaho neza muri iki kibazo?
Indwara ya Spasmodic Dysphonia ni indwara ibaho ubuzima bwose. Ibimenyetso bikunze kwiyongera buhoro buhoro, bikagera ku rwego runaka, kandi bigakomeza kuba kuri urwo rwego ubuzima bwose. Hari igihe, nta mpamvu igaragara, ibimenyetso bishobora gushira igihe runaka hanyuma bikagaruka.
Uburyo bwiza bwo guhangana n'iki kibazo ni ugukorana n'itsinda ry'abaganga kugira ngo bakivure. Hari n'ibintu ushobora gukora ubwawe:
- Menya ijwi ryawe: Hari abantu basanga ibimenyetso byabo bigabanuka iyo bariye, bavuganye umutwe mu ntoki, cyangwa baririmba. Reba niba hari "udukingirizo" twagufasha.
- Witaho: Umunaniro n'imihangayiko bishobora gutuma ibimenyetso birushaho kwiyongera. Rero ruhuka bihagije kandi wite ku buzima bwawe bwo mu mutwe.
- Shaka ubufasha bw'umujyanama: Umujyanama ashobora kugufasha guhangana n'ingaruka iyi ndwara igira ku kazi kawe no mu mibanire yawe n'abandi.
- Vugana n'abandi mu buryo bweruye: Ushobora kumva ufite isoni cyangwa utameze neza iyo ijwi ryawe rihindutse mu kiganiro. Muri ibyo bihe, niba bishoboka, sobanurira abandi muri make uko umerewe. Abantu benshi bazabyumva.
- Jya mu matsinda y'abaterankunga: Jya mu matsinda y'abaterankunga aho abandi bafite ikibazo nk'icyawe bashobora kuguha imbaraga zo mu mutwe.
Ubutumwa bwo kujyana mu rugo
- Indwara yo mu muhogo yo mu bwoko bwa Spasmodic Dysphonia si ikibazo cyo mu muhogo, ahubwo ni ikibazo cy’ijwi giterwa n’ikibazo cy’ibimenyetso biva mu bwonko.
- Ibi si ikosa ryawe. Biterwa no kubabara kw'imitsi udashobora kugenzura.
- Nubwo nta muti wuzuye uhari, uburyo bwo kuvura nko gutera Botox® inshinge no kuvura indwara zo mu mutwe bushobora kugenzura ibimenyetso neza cyane.
- Niba ufite impinduka idasobanutse mu ijwi ryawe ikamara ibyumweru birenga bike, jya kwa muganga .
- Guhangana n'imihangayiko no gushaka ubufasha ku bandi ni ingenzi cyane mu gihe ubana n'iki kibazo. Ntabwo uri wenyine, hari abantu bashobora kugufasha muri iki kibazo.











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