Khawuthelekelele uthetha nomhlobo, kwintlanganiso, okanye ekhaya, kwaye unomdla kakhulu kwinto ethile. Kodwa ngequbuliso, ngaphandle kwesilumkiso, ilizwi lakho liyarhawuzelela okanye lirhawuzelele, kwaye ngamanye amaxesha amagama ayaphuka aze aphume kancinci njengomsinga womoya. Uziva uneentloni kuba awukwazi ukuthetha into obufuna ukuyithetha. Emva kwexesha elithile, ilizwi lakho libuyela esiqhelweni. Ngaba ukhe waba namava angaqhelekanga kutshanje? Ukuba kunjalo, oku malunga nento ebalulekileyo kuwe. Ngokwezonyango, sibiza le meko ngokuba yiSpasmodic Dysphonia .
Ngamafutshane, yintoni iSpasmodic Dysphonia?
I-Spasmodic Dysphonia yimeko echaphazela ilizwi. Elinye igama lale nto yi-`(laryngeal dystonia)`. Ukuze sikuqonde kakuhle oku, masiqale sijonge indlela elenziwa ngayo ilizwi lethu. Ngaphakathi emqaleni wethu, inxalenye ebizwa ngokuba yi-`(larynx)`, kukho izicubu ezimbini ezithambileyo ezibizwa ngokuba yi -`(vocal cords)` . Xa sithetha, ezi ntambo zimbini zelizwi ziyangcangcazela ziphendula umoya ovela emiphungeni. Oko kungcangcazela koko sikuvayo ngaphandle njengelizwi lethu.
Nangona kunjalo, kwenzeka into eyahlukileyo kumntu one-Spasmodic Dysphonia. Izihlunu ezilawula imithambo yazo yelizwi ziqala ukuqaqamba ngequbuliso, ngendlela engalawulekiyo. Kufana namehlo ethu aqhwanyazayo, kodwa oku kwenzeka ngaphakathi emqaleni. Ezi zihlunu zinokuqina okanye ziphumle kakhulu ngequbuliso.
- Ukuba ziqinile kakhulu , iintambo zelizwi ziyanamathelana, kwaye ilizwi liphuma liqinile, liqinile, kwaye livakala lirhabaxa .
- Ukuba zikhululekile kakhulu , umoya uyavuza phakathi kwemithambo yelizwi, nto leyo eyenza ilizwi libe buthathaka, liphefumle, kwaye lingavakali .
Into eyahlukileyo ngale meko kukuba idla ngokusichaphazela kuphela xa sithetha. Xa ucula, uhleka kakhulu, okanye uhlebeza, ilizwi lakho lidla ngokuvakala liqhelekile.
Ziziphi iintlobo eziphambili zale meko?
I-Spasmodic Dysphonia inokwahlulwa ibe ziintlobo ezintathu eziphambili. Uhlobo ngalunye luchaphazela ilizwi ngokwahlukileyo. Ukuze ukuqonde kakuhle oku, jonga itheyibhile engasezantsi.
| Uhlobo lwemeko yezonyango | Kwenzeka ntoni kwaye ichaphazela njani ilizwi |
|---|---|
| I-Adductor Spasmodic Dysphonia | Olu lolona hlobo luxhaphakileyo . Lwenzeka xa iintambo zelizwi zivalwe ngokuqinileyo (zinamathele) ngenxa yokuxinana kwemisipha. Oku kubangela ukuba ilizwi livakale liqinile kakhulu, lixinene, kwaye litsho ngelizwi elirhabaxa . Kuvakala ngathi kufuneka ube nengxaki yokuthetha amagama. |
| I-Abductor Spasmodic Dysphonia | Kulapho izihlunu ezikwiintambo zelizwi ziqhekeka khona, nto leyo ebangela ukuba umoya uphume phakathi kweentambo zelizwi. Ngenxa yoko, ilizwi livakala libuthathaka kakhulu, liphefumla, kwaye lingashukumi . |
| I-Dysphonia exutyiweyo yeSpasmodic | Olu luhlobo olungaqhelekanga kakhulu. Kwimeko enjalo, iimpawu zazo zombini ezi ntlobo zikhankanyiweyo apha ngasentla zinokwenzeka ngokwahlukana okanye kunye. |
Ukongeza kwezi ntlobo zintathu, abanye abantu banokufumana ukungcangcazela kwelizwi, nto leyo eyenza ilizwi labo livakale ngathi liyangcangcazela xa bethetha.
Zingaba yintoni iimpawu?
Ezi mpawu zihlala ziqala ukubonakala kubantu abaphakathi kweminyaka engama-30 ukuya kwengama-60 ubudala. Azihlali zihleli. Ngamanye amaxesha ziyafika zidlule, ngoko ke kunzima ukusho ngokuthe ngqo ukuba ilizwi litshintsha nini ngequbuliso.
Iimpawu eziphambili ezibonakalayo zezi:
- Ilizwi lirhabaxa kwaye lirhabaxa .
- Ilizwi liyarhawuzelela kwaye lirhabaxa .
- Ilizwi livakala libuthathaka, liphefumla kancinci, okanye lithule .
- Ukwahlula phakathi kwamagama nezandi xa uthetha.
- Ukuziva ngathi ilizwi lakho liyangcangcazela .
Ezi mpawu zinokuba mandundu , ingakumbi xa uphantsi koxinzelelo , xa uthetha efowunini, phambi kwesihlwele, okanye kwindawo enengxolo.
Kutheni oku kusenzeka? Yintoni isizathu sokwenyani sale nto?
Abantu abaninzi bacinga ukuba le yingxaki yomqala, kodwa le meko iqala engqondweni yakho, hayi emqaleni wakho .
I-basal ganglia, inxalenye yengqondo eququzelela iintshukumo zemisipha ezizenzekelayo, yinxalenye yenkqubo yemithambo-luvo yomzimba. I-Spasmodic Dysphonia yimeko ebizwa ngokuba yi-dystonia. I-Dystonia ibangelwa kukuba ingqondo ithumela imiqondiso engalunganga kwimisipha, nto leyo ebangela ukuba ifinyele ngendlela engalawulekiyo.
Ngamafutshane, i-basal ganglia engqondweni yakho ithumela imiqondiso yombane engalunganga kwimisipha elawula iintambo zakho zelizwi. Ezi miqondiso zingalunganga zibangela ukuba ezo misipha ziqine. Asikuko ukuba unetyala, kwaye asikobuthathaka emqaleni wakho.
Abaphandi abakaqiniseki ukuba kutheni ezi mpawu zingalunganga ziqala ukuthunyelwa. Kodwa bafumanise ukuba kwezinye iimeko, kunokubakho into ebangelwa yimfuza . Inokwenzeka nasemva kwengozi okanye ukugula. Le meko ixhaphake ngokuphindwe kathathu kubasetyhini kunakumadoda.
Ugqirha uyixilonga njani le nto?
Ukuchonga esi sifo yinkqubo enzima, edla ngokufuna uncedo lweqela loogqirha kunye neengcali zonyango.
1. Ingcali ye-Otolaryngologist okanye i-ENT Surgeon: Ugqirha uza kumamela ngononophelo indlela othetha ngayo. Uza kujonga ukuba akukho mifantu, ukurhawuzelela, kunye nezinye iimpawu kwilizwi lakho.
2. I-Videostroboscopy: Olu luvavanyo olukhethekileyo. Oku kubandakanya ukusebenzisa ikhamera encinci edluliselwa empumlweni yakho ukurekhoda ividiyo yeentambo zakho zelizwi ezihamba njengoko uthetha. Oku kukuvumela ukuba ubone ngokucacileyo iintshukumo zeentambo zelizwi kunye nazo naziphi na iintshukumo ezingaqhelekanga.
3. Ingcali yezifo zengqondo yoLwimi lokuThetha (SLP): Le ngcali yezonyango inceda ekufundeni nzulu ukuba zeziphi iingxaki zelizwi kunye nokuba zeziphi.
4. Ingcali yezifo zengqondo: Ungacela uncedo kwingcali yezifo zengqondo ukuqinisekisa ukuba ezi mpawu ziyinxalenye yesifo semithambo-luvo kwaye uhlolisise ngakumbi imeko ye-dystonia.
Wenza ntoni njengonyango?
Into yokuqala ekufuneka uyikhumbule kukuba akukho nyango lweSpasmodic Dysphonia. Kodwa ungakhathazeki. Kukho unyango olusebenzayo kakhulu olunokunceda ukulawula ukuqaqamba kwemisipha kwiintambo zakho zelizwi kwaye luncede ilizwi lakho libuyele kwisiqhelo.
| Indlela yonyango | Inkcazo |
|---|---|
| Inaliti yeBotox® | Olu lolona nyango luqhelekileyo noluphumelelayo . Apha, inani elincinci kakhulu leBotox lifakwa kwimisipha yelizwi echaphazelekayo. IBotox ivala okwethutyana imiqondiso yemithambo-luvo ebangela ukuba imisipha inciphe. Oku kuyayikhulula imisipha, okwenza kube lula ukuthetha. Iziphumo zihlala malunga neenyanga ezi-3-4 . Ke ngoko, ukuze ugcine iziphumo ezilungileyo, kuya kufuneka uqhubeke ufumana inaliti. |
| Unyango lwelizwi | Ingcali yonyango lokuthetha iza kukufundisa indlela yokusebenzisa ilizwi lakho ngcono, ukulawula ukuphefumla kwakho, nokwenza imithambo eyahlukeneyo ukunciphisa uxinzelelo lwelizwi. Iziphumo ziba nempumelelo ngakumbi xa unyango lokuthetha ludityaniswe nonyango lweBotox. |
| Izixhobo zoNxibelelwano | Kwezinye iimeko, izixhobo zobuchwepheshe ezifana nezixhobo zokwandisa intetho okanye isoftware (ii-apps) eziguqula ukuthayipha kube yintetho zingasetyenziswa. |
Masifunde nangotyando.
Kukho iindlela ezahlukeneyo zotyando kubantu abane-Adductor Spasmodic Dysphonia (uhlobo lwe-vocal cord spasm). Nangona kunjalo, ezi azifane zenziwe. `Uhlobo lwe-II thyroplasty` kunye ne-`SLAD-R` ziintlobo ezimbini zotyando. Ezi ziquka ukutshintsha indawo ye-vocal cords okanye ukutshintsha indlela i-nerve signals ezihamba ngayo.
Kodwa kusekho izimvo ezahlukeneyo malunga nolu tyando. Kuba iziphumo kwabanye abantu azifani rhoqo. Ke ngoko, ngaphambi kokuba ucinge ngotyando, kufuneka uthethe nogqirha wakho ngononophelo malunga nezinto ezilungileyo nezingalunganga.
Ndifanele ndimbone nini ugqirha?
Ukuba ilizwi lakho liyatshintsha ngaphandle kwesizathu esicacileyo kwaye lihlala ixesha elingaphezu kweeveki ezimbini, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Isenokuba yinto elula njenge-laryngitis ebangelwa ngumkhuhlane. Kodwa ukuba akunjalo, kubalulekile ukufumana unobangela ngokukhawuleza.
Ungaphila njani ngempumelelo nale meko?
I-Spasmodic Dysphonia yimeko yobomi bonke. Iimpawu zihlala zikhula kancinci kancinci, zifikelele kwinqanaba elithile, kwaye zihlala kuloo nqanaba ubomi bonke. Ngamanye amaxesha, ngaphandle kwesizathu esicacileyo, iimpawu zinokunyamalala okwethutyana zize ziphinde zivele.
Eyona ndlela ilungileyo yokujongana nale meko kukusebenzisana neqela lakho lezonyango ukuze uyilawule. Kukwakho nezinto onokuzenza ngokwakho:
- Funda ngelizwi lakho: Abanye abantu bafumanisa ukuba iimpawu zabo ziyaphela ngokutya, ukuthetha bephethe intloko, okanye ukucula. Jonga ukuba kukho "amacebo" asebenzayo na kuwe.
- Zikhathalele: Ukudinwa kunye noxinzelelo kunokwenza iimpawu zibe zimbi ngakumbi. Ngoko ke phumla ngokwaneleyo kwaye ukhathalele impilo yakho yengqondo.
- Funa uncedo lomcebisi: Umcebisi angakunceda ujongane nempembelelo enayo le meko emsebenzini wakho nakubudlelwane bakho nabantu.
- Thetha ngokukhululekileyo nabanye: Ungaziva uneentloni okanye ungakhululekanga xa ilizwi lakho litshintsha ngexesha lencoko. Ngamaxesha anjalo, ukuba unako, chaza imeko yakho kwabanye ngokufutshane. Uninzi lwabantu luya kuqonda.
- Joyina amaqela enkxaso: Ukujoyina amaqela enkxaso apho abanye abanengxaki efanayo nawe banokukunika amandla amakhulu engqondo.
Umyalezo Wokuya Ekhaya
- I-Spasmodic Dysphonia ayisiyongxaki yomqala, kodwa kukuphazamiseka kwelizwi okubangelwa yingxaki yemiqondiso evela engqondweni.
- Asikuko oku okubangela ingxaki yakho. Kubangelwa kukuxinana kwemisipha ongenakukwazi ukuyilawula.
- Nangona kungekho nyango lupheleleyo loku, unyango olufana neenaliti zeBotox® kunye nonyango lokuthetha lunokulawula ngempumelelo iimpawu.
- Ukuba ilizwi lakho litshintshile ngendlela engachazekiyo, nto leyo ethatha iiveki ezingaphezu kwezimbalwa, qiniseka ukuba ubonana nogqirha .
- Ukulawula uxinzelelo kunye nokufuna inkxaso kwabanye kubaluleke kakhulu xa uphila nale meko. Awuwedwa, kukho abantu abanokukunceda kule meko.
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