Ngaba ilizwi lakho litsho ngelizwi eliphantsi? Ngaba litsho ngelizwi eliphantsi? (Ukurhawuzelela/Ukuphazamiseka kwengqondo) - Masithethe ngale nto!

Ngaba ngamanye amaxesha uziva ngathi ilizwi lakho litshintshile xa uvuka kusasa, okanye emva kosuku olunzima lokuthetha? Kufana nokuba libanjwe ngumkhuhlane, okanye libe lirhabaxa, nto leyo eyenza kube nzima ukuthetha. Ngamanye amaxesha ilizwi lakho linokuba buthathaka, okanye libe nzima kakhulu kwaye libe rhabaxa. Oku sihlala sikubiza ngokuba 'lirhabaxa' okanye, ngokwezonyango, utshintsho kwilizwi (Dysphonia) . Enyanisweni, le yimeko enokuchaphazela umntu omnye kwabathathu ngaxa lithile ebomini bakhe. Ngoko ke akukho nto inokubangela ixhala ngayo, kodwa kubalulekile ukuyiqonda.

Yintoni kanye kanye i-hoarseness?

Ngamafutshane, ukurhawuzelela kuxa umgangatho oqhelekileyo welizwi lakho utshintsha, ube rhabaxa, urhabaxa, okanye uphefumla kancinci. Oku kungabandakanya ukunyuka okanye ukwehla kwesandi selizwi lakho, okanye utshintsho kwisandi (isandi esiphezulu okanye esiphantsi) selizwi lakho. Khawuthelekelele ukuba ilizwi lakho eliqhelekileyo livakala ngequbuliso ngathi kukho umntu olicinezelayo, okanye ukuba liphume ngequbuliso nangequbuliso, yiloo nto kanye le meko.

Oku kuqheleke kakhulu kubantu abatshayayo, kunye nabo basebenzisa amazwi abo ngobuchule, njengootitshala, iimvumi, abadlali beqonga, abameli bentengiso, kunye nabasebenzi beziko leefowuni.

Zithini iimpawu zokurhawuzelela?

Ukuba unelizwi elirhabaxa, unokufumana iimpawu ezifana nezi:

• Kubonakala ngathi kunzima kuwe ukukhupha amagama xa uthetha.
• Ilizwi livakala lirhabaxa, lirhabaxa, okanye linomoya .
• Ukuthetha kancinci kunesiqhelo.
• Isandi selizwi sahlukile kwesesiqhelo . Ilizwi lisenokuba liphantsi kakhulu okanye linzima kakhulu.

Kunini apho kufuneka sikhathazeke khona ngokurhawuzelela?

Uninzi lwexesha, ukurhawuzelela kwenzeka xa sisebenzisa ilizwi lethu kakhulu. Kwiimeko ezinjalo, kudla ngokuziphelela kwiintsuku ezimbalwa. Nangona kunjalo, ukuba ilizwi lakho belirhawuzelela ngaphezu kweeveki ezintathu , okanye ukuba unezinye zezi mpawu ziyingozi, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Iimeko apho kuyimfuneko ukufuna ingcebiso kagqirha:

* Ukuba umphimbo wakho ubuhlungu xa uthetha okanye uginya into ethile.

* Ukuba uziva ngathi unengxaki yokuphefumla okanye yokuginya .

* Ukuba ukhwehlela igazi .

* Ukuba uziva iqhuma entanyeni yakho .

* Ukuba kudlule iintsuku ezininzi emva kokulahlekelwa lilizwi ngokupheleleyo .

Ukuba unale mpawu, musa ukucinga ukuba yinto eqhelekileyo. Kungcono ukubona ugqirha ngokukhawuleza ukuze ufumane unobangela.

Kutheni ilizwi lethu litsho ngomsindo kangaka? Zithini izizathu?

Ukuze siqonde isizathu sokuba oku kwenzeke kuthi, masiqale sifunde kancinci ngendlela ilizwi lethu elenziwa ngayo. Singathetha ngenxa yeenxalenye ezimbini: iintambo zethu zelizwi kunye nelarynx yethu. Ilarynx ikwindawo engaphezulu kwetrachea/windpipe yethu. Itrachea yityhubhu ende edibanisa ilarynx nemiphunga.

Iintambo zakho zelizwi ziintambo ezimbini eziguquguqukayo zezicubu ngaphakathi kwingqula yakho. Zicinge njengeentambo kwigitare. Xa sithetha, umoya ovela emiphungeni yethu udlula phezu kwezi ntambo zelizwi, ubangele ukuba zingcangcazele, zidale amaza esandi. Ngoko ke, nantoni na echaphazela ezi ntambo zelizwi okanye ingqula yakho inokubangela ukuba ilizwi lakho libe rhabaxa.

Nazi ezinye zezizathu eziphambili:

• I-Laryngitis: Le yeyona nto ibangela ukurhawuzelela. Iyenzeka xa iintambo zelizwi zidumba ngenxa yezinto ezifana ne-allergies, usulelo lwemiphunga ephezulu, okanye usulelo lwe-sinus. Njengomkhuhlane okanye umkhuhlane kunokubangela utshintsho kwilizwi lakho.
• Ukusebenzisa ilizwi lakho ngokugqithisileyo okanye ngendlela engafanelekanga: Umzekelo, ilizwi lakho lisenokuba litsho ngelizwi eliphantsi emva kokuba uthethe ixesha elide okanye ukhwaze kakhulu ngexesha lomdlalo wezemidlalo. Linokubangelwa kukuthetha rhoqo ngelizwi eliphezulu okanye eliphantsi kunelizwi lakho eliqhelekileyo. Oku kuqhelekile kubantu abafana nootitshala nabaculi.
• Ukwaluphala: Njengoko sikhula, imithambo yethu yelizwi iya isiba buthathaka, nto leyo enokubangela utshintsho kwilizwi lethu.
• I-GERD (Isifo se-Gastroesophageal Reflux): Oku sidla ngokukubiza ngokuba yi-heartburn okanye iintlungu zesisu. I-GERD kuxa i-asidi yesisu ingena emqaleni. Ngamanye amaxesha, le asidi inokonakalisa i-vocal cords. Oku kubizwa ngokuba yi-Laryngopharyngeal Reflux (LPR).
• Ukopha kwegazi kwi-vocal cord: Oku kwenzeka xa umthambo wegazi kwi-vocal cord ugqabhuka. Oku kubangela ukuba igazi lizalise imicu yemisipha. Oku kunokubangela ukulahleka kwelizwi ngequbuliso.
• Amaqhuqhuva elizwi, ii-cysts kunye nee-polyps: Ezi zizinto ezikhula ngaphandle komhlaza ezikhula kwii-vocal cords. Njengokuba sifumana amaqhuqhuva xa sisebenza ngezandla zethu, ii-vocal cords nazo zinokukhula ezi meko xa sisisebenzisa gwenxa ilizwi lethu.
• Ukukhubazeka kwentambo yelizwi: Le yimeko apho enye okanye zombini intambo yelizwi zingavuli okanye zingavali kakuhle. Oku kunokubangelwa zizinto ezinje ngomonakalo wemithambo-luvo okanye iziphumo ebezingalindelekanga ezivela kutyando.
• I-Recurrent Respiratory Papillomatosis (RRP): Le meko ibangela ukuba kubekho iintsumpa ezingalunganga kwiintambo zelizwi nangaphakathi kwazo.
• I-Spasmodic Dysphonia: Le yingxaki yokuthetha ye-neurological ehlala ixesha elide ebangela utshintsho kumgangatho welizwi.
• I-Muscle Tension Dysphonia: Oku kunokwenzeka xa kukho uxinzelelo olugqithisileyo kwiintambo zelizwi kunye nezihlunu ezijikelezileyo. Kunokubangelwa kukwenzakala entanyeni, emagxeni, okanye esifubeni.
• Izifo kunye nokuphazamiseka kwenkqubo yemithambo-luvo: Ukuba unesifo esifana nestroke okanye isifo sikaParkinson, esi sifo sinokuchaphazela inxalenye yengqondo yakho elawula izihlunu ezikwibhokisi yakho yelizwi. Oku kunokubangela utshintsho kwilizwi lakho.
• Umhlaza: Umhlaza ofana nomhlaza we-laryngeal, umhlaza wemiphunga, kunye nomhlaza womqala nazo zinokubangela ukurhawuzela. Le yinto abantu abaninzi abayoyikayo. Kodwa khumbula, ayilo lonke ixesha ilizwi lakho lirhawuzela, kungenxa yomhlaza.

Indlela yokubona ukuba umntu unomsindo obukhali?

Ngokuxhomekeke kwiimpawu zakho, ugqirha wakho angakuthumela kwingcali yendlebe, impumlo kunye nomqala (ingcali ye-Otolaryngologist/ENT). Uza kukubuza ngembali yakho yezonyango kunye nayo nayiphi na imithi oyithathayo. Banokubuza nemibuzo efana nale:

• Kudala kangakanani lo mahluko welizwi ukho?
• Ingaba ezi mpawu ziqale ngequbuliso, okanye zanda kancinci kancinci?
• Ngaba ukhe waba nosulelo oluphezulu lokuphefumla (njengomkhuhlane) kutshanje?
• Ngaba kukho ezinye iimpawu (umz. umkhuhlane, iintlungu zomzimba, ubunzima bokuginya)?
• Uyatshaya? Ukuba kunjalo, sele utshaya ixesha elingakanani?
• Uyasela utywala?

Zithini iimvavanyo zokuxilonga?

Ugqirha uza kumamela ilizwi lakho aze ajonge intloko nentamo yakho ukuba akukho maqhuqhuva okanye amaqhuqhuva. Ukongeza, banokwenza uvavanyo olufana nolu:

• I-Laryngoscopy: Oku kuquka ukufaka ityhubhu encinci neguquguqukayo (i-endoscope) ngempumlo okanye emlonyeni ukuze kuhlolwe i-larynx kunye neentambo zelizwi. Le tyhubhu inekhamera eqhotyoshelwe esiphelweni, evumela ugqirha ukuba ayibukele kwiscreen.
• I-Videostroboscopy: Oku kufana ne-laryngoscopy, kodwa isebenzisa isibane esikhethekileyo kunye nekhamera ekwaziyo ukubona ukungcangcazela kweentambo zelizwi ngokweenkcukacha, phantse ngesantya esicothayo .
• I-CT scan (i-Computed Tomography - i-CT scan): Uvavanyo olukhethekileyo lwe-X-ray oluthatha imifanekiso enqamlezileyo yangaphakathi lomzimba.
• I-MRI (Magnetic Resonance Imaging - MRI): Uvavanyo olusebenzisa amasimi emagnethi kunye namaza erediyo ukuvelisa imifanekiso eneenkcukacha zangaphakathi lomzimba.
• I-Biopsy: Ukuba kukho into ekrokrisayo kwimithambo yelizwi okanye kwindawo ejikelezileyo, kuthathwa iqhekeza elincinci lesicubu lize lihlolwe phantsi kwemakroskopu. Oku kwenziwa ukuba kukho into ekrokrisayo efana nomhlaza.

Ziziphi iindlela zonyango zokurhawuzelela?

Unyango luxhomekeke kwisizathu sokuba urhawuzelelwe lilizwi.

• Unyango olulula ludla ngokuthomalalisa ilizwi . Oko kuthetha ukunciphisa ukuthetha nokukhwaza kangangoko kunokwenzeka.
• Ukuba i-laryngitis ibangelwa lusulelo, njengosulelo (njenge-laryngitis) , ugqirha uya kunika amayeza afunekayo (umz. ii-antibiotics, iintlungu zokuphelisa iintlungu). Ukuba ibangelwa yi-allergy, kuya kunikwa amayeza aloo nto.
• Ukuba i-GERD yimbangela, utshintsho kwindlela yokuphila (ulawulo lokutya, ukutshintsha indawo yokulala) kunye namayeza okulawula i-asidi aya kunikwa.
• Ukuba unamaqhuqhuva , iipolyps, okanye iicysts kwiintambo zakho zelizwi , ngamanye amaxesha zinokunyangwa ngonyango lwelizwi . Nangona kunjalo, kwezinye iimeko, utyando lunokufuneka.
• Ukuba imeko enzima efana nomhlaza ibangela ukurhawuzelela, unyango olufana nonyango lwemitha, i-chemotherapy, okanye utyando lunokufuneka phantsi kweliso logqirha we-oncologist.
• Ukuba kungenxa yezifo ezinxulumene nenkqubo yemithambo-luvo , uqeqesho lwelizwi lunokunikwa ngelixa isifo esisisiseko sinyangwa.

Ngaba ungakuthintela ukurhawuzelela?

Ngamanye amaxesha, ukurhawuzelela kunokubangelwa ziimeko zempilo esingenakuzithintela. Nangona kunjalo, ukukhathalela ilizwi lakho, ingakumbi ukuba usebenzisa ilizwi lakho ixesha elide yonke imihla (umz., utitshala, umculi, okanye isithethi esidlangalaleni), kunokunceda ukunciphisa umngcipheko wale meko. Nazi ezinye iingcebiso:

• Kuphephe ukutshaya ngokupheleleyo. (Ukuba ufuna uncedo ngale nto, ungaqhagamshelana nogqirha wakho.) Ziphephe ukutshaya umsi osetyenziswa ngabanye abantu.
• Nciphisa utywala neziselo ezine-caffeine (iti, ikofu). Ezi zinto zinokuwucoca umzimba kwaye zichaphazele imicu yelizwi.
• Sela amanzi amaninzi. Ukusela ubuncinane iiglasi ezisi-8 zamanzi ngosuku kunceda ukugcina imithambo yakho imanzi.
• Ukuba umoya wangaphakathi womile, sebenzisa i-humidifier.
• Kuphephe ukutya okuneziqholo, okunamafutha, ingakumbi ukuba une-GERD.
• Ziphephe izinto ezibangela ukuba ilizwi licinezeleke (umz., ukuthetha ixesha elide, ukuthetha ngokuvakalayo, ukukhwaza).
• Xa ilizwi lakho lidiniwe (umz. xa ufundisa) , sebenzisa isixhobo esifana nemakrofoni/i-megaphone.
• Nxibelelana nomqeqeshi welizwi malunga neendlela ezifanelekileyo zokuthetha kunye neendlela zokuthetha .

Kuthekani ukuba kukho ukurhawuzelela kwilizwi?

Ngokwesiqhelo, ilizwi lakho liza kubuyela esiqhelweni emva kokuba ulinike ukuphumla ilizwi lakho okanye unyange unobangela oyintloko. Nangona kunjalo, kunqabile kakhulu.Ukurhawuzelela kwelizwi kunokuba luphawu lomhlaza okanye isifo esibi kakhulu kwinkqubo yemithambo-luvo. Ngoko ke musa ukoyika ngokungeyomfuneko, kodwa qaphela iimpawu.

Ndingazinyamekela njani?

Ukuba unelizwi elirhabaxa, ukulandela imiyalelo kagqirha wakho yeyona ndlela ilungileyo yokunyanga ilizwi lakho ngokukhawuleza.

• Phumla ilizwi lakho. Kuphephe ukuthetha kangangoko unako. Ukuhleba nako akulunganga kwiindlela zakho zokuthetha, ngoko ke kuphephe nako.
• Sela ulwelo olufudumeleyo (i-gargles yamanzi anetyuwa, i-ginger-cilantro gargles, njl.njl.) ukuze uncede uthomalalise umqala wakho.
• Musa ukutshaya okanye ukutshaya kwiindawo ezinabantu ababhemayo.
• Sela amayeza anikwe ngugqirha njengoko eyalelwe kwaye ngexesha elifanelekileyo.

Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Ukuba ilizwi lakho lisatsho ngamandla nangona unyangwa, okanye ukuba uziva ukuba iimpawu zakho ziya zisiba mandundu, qiniseka ukuba ubona ugqirha wakho kwakhona.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukurhawuzelela yingxaki eqhelekileyo. Ukuba unale meko, ungabuza ugqirha wakho imibuzo efana nale:

• Kutheni ilizwi lam lirhabaxa kangaka?
• Ingaba oku kubangelwa sisifo esinzulu?
• Loluphi unyango olucebisayo?
• Ndingazinyamekela njani? Ndingenza ntoni?

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

Ukuthula kuyinto entle kakhulu, kodwa akulunganga kangako xa ilizwi lakho litsho ngelizwi eliphantsi kwaye unengxaki yokuthetha, xa ilizwi lakho litshintsha, okanye xa ulahlekelwa lilizwi lakho ngokupheleleyo. Ukuba ilizwi lakho litsho ngelizwi eliphantsi kangangeeveki ezingaphezu kwezintathu, okanye ukuba unengxaki yokuginya okanye yokuphefumla, ukuba ukhohlela igazi, ukuba uneqhuma emqaleni wakho, okanye ukuba awukwazi ukusebenzisa ilizwi lakho kangangeentsuku ezininzi, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Uza kufumanisa unobangela wokutsho kwakho ngelizwi eliphantsi aze akuncede ubuyisele ilizwi lakho eliqhelekileyo. Musa ukoyika, thabatha amanyathelo afanelekileyo ngexesha elifanelekileyo!

Ukurhawuzelela , ilizwi elirhawuzelelayo, i-dysphonia, iintambo zelizwi, usulelo lomphimbo, ingcebiso yezonyango, i-laryngitis, iintambo zelizwi, ukurhawuzelela.