Ingaba kukho utshintsho kwilizwi lakho? Oku kusenokuba kungenxa yokukhubazeka kwelizwi!

Ngaba ngamanye amaxesha uziva ngathi ilizwi lakho lirhabaxa kakhulu, okanye liyatshintsha xa uthetha, ngokungathi unomkhuhlane? Mhlawumbi uziva ngathi unesihlungu somqala emva kokusela amanzi amancinci, okanye ngequbuliso uzive ngathi uphelelwa ngumphefumlo xa uthetha. Ezi azizo nje iimpawu zomkhuhlane, kodwa mhlawumbi unobangela wale meko yimeko ebizwa ngokuba yiVocal Cord Paralysis, esiza kuthetha ngayo namhlanje. Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni iVocal Cord Paralysis?

Ukungasebenzi kakuhle kwe-vocal cord kuxa enye okanye zombini ii-vocal cords emqaleni wakho ezivelisa ilizwi lakho zingasebenzi kakuhle. Zicinge njengee-strings zegitare. Kodwa zifumaneka kwibhokisi encinci emqaleni wakho ebizwa ngokuba yi-larynx . I-larynx ifumaneka ngaphezulu kwe-windpipe yakho (trachea) .

Xa siphefumla, ezi ntambo zimbini zelizwi ziyahlukana, zivumela umoya ukuba ungene emiphungeni. Xa siginya ukutya okanye isiselo, ezi zihlunu zimbini zivala ngokuqinileyo, okanye ukutya okanye isiselo sinokunamathela kumbhobho womoya. Xa sithetha okanye sicula, ezi ntambo zelizwi ziyadibana kwaye zingcangcazele njengoko umoya ovela emiphungeni ungcangcazela, udala isandi.

Ngoko ke, okwenzekayo xa imithambo-luvo ingasebenzi kakuhle kukuba xa imithambo-luvo elawula ezi mithambo-luvo yonakele , ezo zihlunu azivuleki okanye zivaleke kakuhle. Emva koko kunokuba nzima ukuthetha, ukuginya, kwaye ngamanye amaxesha nokuphefumla. Uyayazi?

Ziziphi iintlobo zokungasebenzi kakuhle kwesandi?

Kukho iintlobo ezimbini ikakhulu:

1. Ukukhubazeka kwe-Unilateral vocal cord: Oku kwenzeka xa i-vocal cord enye kuphela ingasebenzi. Xa elinye icala lingasebenzi, kunokubakho utshintsho kwilizwi, kwaye abanye abantu banokuba nobunzima bokuginya. Nangona kunjalo, ngokuqhelekileyo akukho bunzima bungako ekuphefumleni.

2. Ukukhubazeka kwe-Bilateral Vocal Cord: Apha, zombini ii-vocal cord zikhubazekile. Le yimeko enzima. Kuba xa zombini ii-vocal cord zikhubazekile, zihlala zima zisondelelene. Emva koko indlela yomoya iyavaleka, nto leyo ebangela ubunzima obukhulu bokuphefumla. Oku kunokuba yingozi ebomini.

Khumbula, ukungasebenzi kakuhle kwecala elinye lelona lixhaphakileyo. Akuqhelekanga ukuba zombini iintambo zelizwi zingasebenzi kakuhle. Nangona kunjalo, zombini ezi ntlobo zinokukhula nakubani na ubudala.

Ingaba le meko inokuba nzulu kangakanani?

Kwi-endless paresis, iimpawu zingaqala kwezincinci ukuya kwezinzima. Umzekelo, abanye abantu banokuba nobunzima bokuthetha. Kwiimeko ezinzima ngakumbi, banokuba nokuphelelwa ngumphefumlo xa bethetha. Banokuba nokukhohlela kunye nomphimbo obuhlungu xa besitya okanye besela.

Xa kukho ukungasebenzi kakuhle kwamacala omabini, iintambo zelizwi ziyasondelana kwaye zivale indlela yomoya, nto leyo eyenza ukuphefumla kube nzima kakhulu. Oku kubangela ubunzima bokuginya. Ukuba ukutya okanye isiselo singena kwindlela yomoya size singene emiphungeni, imeko eyingozi ebizwa ngokuba yi-aspiration pneumonia inokwenzeka.

Ukuba unengxaki yokuphefumla okanye yokuginya, bonana nogqirha ngokukhawuleza.

Zithini iimpawu zokungasebenzi kakuhle kwesandi?

Iimpawu zixhomekeke kubungakanani bokungasebenzi kakuhle kunye nendlela iintambo zelizwi ezibekwe ngayo ngokuhambelana.

Ezi ziimpawu eziqhelekileyo:

• Ilizwi liyarhawuzelela, libuthathaka, likrwele, okanye libe nomoya .
• Utshintsho kwisandi selizwi.
• Utshintsho kwivolumu yelizwi.
• Ubunzima bokuphefumla (ukuphelelwa ngamandla) okanye ukuphelelwa lilizwi.
• Ukwenza ingxolo ngelixa uphefumla (umz., njengesandi somlozi).
• Ubunzima bokuginya (i-Dysphagia).
• Ukungakwazi ukususa umqala emva kokukhwehlela.
• Ukuqina komphimbo xa uzama ukuginya.

Injani i-vocal cord efileyo?

Usenokungaziva naluphi na uvakalelo ngqo kwiintambo zakho zelizwi. Endaweni yoko, unokuziva iimpawu ezibangelwa kukungasebenzi kakuhle kweentambo zakho zelizwi. Usenokuziva uxinezelekile kwaye udiniwe xa uzama ukufaka umoya omninzi emiphungeni yakho okanye ukwenza ilizwi lakho livakale ngendlela ofuna ngayo. Usenokuziva ngathi umqala wakho uyavaleka ukuba ukutya okanye isiselo sibambeke kumbhobho wakho womoya. Abanye abantu bavakalelwa kukuba umqala wabo uhlala ugcwele i-mucus kwaye awukwazi ukuyisusa.

Ngaba kunokwenzeka ukuthetha nge-vocal cord engasebenzi kakuhle?

Uninzi lwabantu luyakwazi ukuthetha, kodwa kufuna umgudu omkhulu. Uza kubona utshintsho kwilizwi lakho. Usenokuba nelizwi elirhabaxa xa uthetha. Ukuba ukungasebenzi kakuhle kukhulu, usenokulahlekelwa lilizwi lakho ngokupheleleyo.

Zithini izizathu zokungasebenzi kakuhle kwezwi?

Kukho izizathu ezahlukeneyo zokuba kutheni imithambo-luvo elawula intshukumo yemisonto inokonakala:

• Izifo ezizikhusela ngokwazo emzimbeni: Izifo eziphazamisa unxibelelwano phakathi kwemithambo-luvo kunye nemisipha, umzekelo , iMyasthenia Gravis (MG) .
• Izifo: Izifo ezifana nesifo seLyme, i-herpes, i-Epstein-Barr virus, kunye ne-COVID-19 zinokubangela ukudumba kunye nomonakalo kwimithambo-luvo elawula iintambo zelizwi.
• Ukulimala: Ukwenzakala entanyeni, entloko, nakwindawo yesifuba kunokubangela umonakalo kwimithambo-luvo.
• Izifo ze-Neurological: Izifo ezinxulumene nokutshatyalaliswa okanye umonakalo wemithambo-luvo, njenge- multiple sclerosis (MS) , isifo sikaParkinson , kunye ne-stroke .
• Izinto ezinobungozi:Iityhefu ezifana ne-lead, i-mercury kunye ne-arsenic zingonakalisa izicubu zemithambo-luvo.
• Utyando: Utyando lwentloko nentamo, olufana nokususwa kwe-thyroid , utyando lwe-parathyroid, utyando lwentliziyo, kunye notyando lomqolo wesibeleko, lunokubangela umonakalo wemithambo-luvo njengengxaki. Ukusetyenziswa kwetyhubhu yokuphefumla ngexesha lotyando kungonakalisa imithambo-luvo ekwi-larynx ngamanye amaxesha.
• Iithumba: Zombini iithumba ezinobungozi nezingenobungozi zinokucinezela imithambo-luvo ekwilarynx, zibangele umonakalo. Zombini umhlaza we-thyroid kunye neeqhubu ze-thyroid zingonakalisa le mithambo-luvo.

Ngamanye amaxesha, ukungasebenzi kakuhle kwesandi kunokubakho emva kosulelo lomkhuhlane okanye oluphezulu lokuphefumla. Oogqirha basenokungakwazi ukufumana unobangela othile rhoqo. Amatyala anjalo abizwa ngokuba yi-idiopathic okanye i-post-viral vocal cord dysfunction.

Oogqirha bafumanisa njani ukuba i-vocal cord ayisebenzi kakuhle?

Iingcali ze-otolaryngologists, ingakumbi iingcali ze-laryngologists, ngoogqirha abaxilonga baze banyange le meko. Okokuqala, baya kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Ukuqinisekisa ukuxilongwa, ugqirha wakho unokuyalela iimvavanyo ezifana nezi:

• Izifundo zomfanekiso: Ii-MRI okanye ii-CT scans zinokuthatha imifanekiso eneenkcukacha yengqondo, umphimbo, ii-vocal cords, i-larynx, i-thyroid gland, kunye nesifuba. Ezi zinokunceda ekufumaneni izinto ezifana neethumba ezinokwenzakalisa imithambo-luvo kwi-larynx. Ungacelwa ukuba uthathe i-X-ray ye-esophagus okanye isifuba sakho.
• I-Laryngoscopy: Oku kuvumela oogqirha ukuba bajonge ngqo kwi-larynx kunye nee-vocal cords. Ugqirha ufaka ityhubhu ende, ebhityileyo ebizwa ngokuba yi-laryngoscope ngempumlo kwaye yehle emqaleni. Le tube eguquguqukayo inekhamera ekupheleni ethatha imifanekiso ye-larynx kunye nee-vocal cords. Imifanekiso iboniswa kwisikrini ukuze ugqirha ayibone.
• I-Videostroboscopy: Oku kuvumela oogqirha ukuba babone indlela iintambo zakho zelizwi ezingcangcazela ngayo kunye nokuba zisondelelene kangakanani xa uthetha. Le nkqubo ifana ne-laryngoscopy. Ngokuqhelekileyo, ezi zinto zimbini zenziwa kunye. I-Videostroboscopy isebenzisa ikhamera ekhethekileyo ukubonisa indlela iintambo zakho zelizwi ezihamba ngayo kancinci njengoko usenza izandi. Oku kunceda ugqirha ukuba afumane naziphi na iingxaki.
• I-electromyography yeLaryngeal (LEMG):Olu vavanyo lulinganisa indlela izihlunu zengxolo ezilawulwa ngayo yimithambo-luvo. Iimpulselelo zombane ezivela kwezi zihlunu ziyalinganiswa kwaye zirekhodwe.
• Uvavanyo lwegazi: Ukuba ugqirha wakho ukrokrela ukuba ukungasebenzi kakuhle kwelizwi lakho kubangelwa lusulelo okanye sisifo esibangelwa kukuzikhusela komzimba, uya kuyalela uvavanyo lwegazi.

Iphathwa njani ingxaki yokungasebenzi kakuhle kwezwi?

Unyango luxhomekeke kubukhulu bokungasebenzi kakuhle kwemisipha kunye neempawu zakho. Ukuba ukungasebenzi kakuhle kuncinci, unokufuna unyango lwelizwi ukuphucula ukusebenza kwemisipha yakho yelizwi. Kolu nyango, wenza umthambo okhethekileyo oqinisa imisipha yakho yelizwi, ukufundise indlela yokulawula izihlunu ezikuncedayo ukuthetha, kunye nokuphucula indlela ophefumla ngayo ngelixa uthetha.

Ukungasebenzi kakuhle kwesandi esibuhlungu kunokufuna utyando.

Unyango lokungasebenzi kakuhle kwentambo yezwi kwicala elinye

Kwimeko yokungasebenzi kakuhle kwecala elinye, oogqirha badla ngokulinda de imeko iphucuke baze bahlehlise utyando malunga nonyaka. Ngamanye amaxesha iintambo zelizwi zinokutyumzeka okanye zicinezelwe, kwaye kuthatha ixesha ukuba ziphilise. Oku kungathatha iinyanga. Unyango lwelizwi olusebenzisa ingcali yezifo zolwimi lokuthetha ngamanye amaxesha lunokuba luncedo kakhulu, luncede ekuqiniseni ilizwi ukuba ingxaki incinci ukuya kwephakathi.

Ingcali ye-laryngologist ingacebisa utyando okanye inaliti yokugoba isandi ukuphucula ubunzima bokuthetha, ukuginya, kunye nokuphefumla. Ezinye iindlela ziquka:

• Inaliti yelizwi: Ugqirha ufaka inaliti kwinaliti. Kukho iintlobo ezahlukeneyo zezithako ezikhuselekileyo. Le naliti ivala umsantsa phakathi kwentambo yelizwi.
• Ukufakelwa kwebhokisi yelizwi (utyando lwesakhelo seLaryngeal): Ugqirha ufaka isakhelo kwilarynx yakho. Uninzi lwesakhelo senziwe ngesilicone. Esi sakhelo sibamba iintambo zelizwi endaweni yaso kwaye sinceda ukuvala zombini iintambo zelizwi. Ezi nkqubo ziquka inkqubo ebizwa ngokuba yi -medialization laryngoplasty (Thyroplasty) .
• Utyando lokubuyisela imisipha emzimbeni: Ugqirha uthatha umthambo odibanisa nezinye izihlunu entanyeni yakho aze awubuyisele kumthambo oshukumisa iintambo zakho zelizwi. Le nkqubo ayichaphazeli ezinye izihlunu entanyeni yakho.

Unyango lokungasebenzi kakuhle kwentambo yelizwi eliphakathi kwamacala omabini

Abantu abaneentambo zombini zelizwi ezingasebenzi kakuhle banokuba neendlela zomoya ezinciphileyo. Basenokufuna i -tracheostomy (ityhubhu yokuphefumla efakwe entanyeni) ukuvula indlela yomoya nokubanceda baphefumle.

Kolu tyando, ugqirha wenza i-incision entanyeni yakho aze afake ityhubhu emqaleni wakho. Le tube ivula indlela yakho yomoya kwaye ikuncede uphefumle. Ngamanye amaxesha, ugqirha usebenzisa i-laser ukususa inxalenye yomva we-vocal cord enye okanye zombini, ekwandise indlela yomoya ukuze ukwazi ukuphefumla lula. Ukuba une-tracheostomy, enye indlela enokukunceda uphefumle ixesha elide yi-tracheostomy engenatyhubhu.

Ngaba intambo yelizwi engasebenzi kakuhle ingabuyiselwa?

Ngamanye amaxesha iintambo zelizwi ziyaphola zodwa. Oku kungathatha iinyanga. Ngonyango lwelizwi, inaliti zelizwi, okanye ukufakwa kwee-implants, ilizwi lakho linokomelezwa kwaye abanye banokukuva ngcono xa uthetha. Ungafumanisa ukuba ukuginya nokuphefumla kwakho kuyaphucuka ngonyango. Buza ugqirha wakho ukuba ungawufumana phi umsebenzi wentambo yelizwi lakho ngonyango.

Ngaba ukungasebenzi kakuhle kwesandi kunokuthintelwa?

Ukungasebenzi kakuhle kwe-vocal cord akunakuthintelwa rhoqo. Thetha nogqirha wakho ukuba unesifo esiyandisa umngcipheko wakho. Banokucebisa ukuba uhlolwe rhoqo ukuze ujonge i-vocal cord yakho. Ungadinga nonyango lwelizwi ukuphucula ukusebenza kwe-vocal cord yakho.

Injani imeko yabantu abanengxaki yokungasebenzi kakuhle kwezwi?

Uninzi lweengxaki zesandi zinokuphola ngokwazo ngokuhamba kwexesha. Unyango lokuthetha kunye nokufakwa kwe-filler injections kunokunceda ukuphucula iimpawu ngelixa iintambo zakho zesandi ziphilisa. Ukuba ukungasebenzi kakuhle kwesandi sakho kuhlala kuhleli, i-implant yokubamba intambo yesandi endaweni yayo lolona nyango lungcono. Amaxesha amaninzi, ukuba i-implant isuka endaweni yayo, ugqirha wakho unokufuna ukuyitshintsha indawo yayo.

Ngonyango, uninzi lwabantu lufumana amandla okuthetha nokuginya emva kokungasebenzi kakuhle kwemithambo yelizwi. Izinga lokuchacha kwakho liya kuxhomekeka kwizinto ezahlukeneyo, kuquka nokuba ukungasebenzi kakuhle kwemithambo yelizwi kukwimithambo yelizwi enye okanye zombini, nokuba kuncinci okanye kukhulu.

Ndifanele ndimbone nini ugqirha malunga nokungasebenzi kakuhle kwezwi?

Ukuba uneempawu zokungasebenzi kakuhle kwesandi, thetha nogqirha. Utshintsho kwilizwi lakho, ukurhawuzelela okungachazwanga, isandi sokuphefumla xa uphefumla, ukuphefumla okufutshane xa uthetha, okanye ukukhohlela kunye nomphimbo obuhlungu xa usitya okanye usela aziqhelekanga. Ukufumana unyango kwangethuba kunokunceda ukuthintela imeko yakho ukuba ibe mandundu. Kwezinye iimeko, unyango olungangenisi mandla, olufana nonyango lwelizwi, lunokukunceda uphephe utyando.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Ukuba unengxaki yokuphefumla okanye yokuginya, funa uncedo lwezonyango ngokukhawuleza. Ukungafumani moya waneleyo luphawu lokungasebenzi kakuhle kwe-vocal cord, olu lolona hlobo lubi kakhulu lwesi sifo. I-Aspiration pneumonia yenzeka xa ukutya okanye isiselo singena kwindlela yomoya kuba i-vocal cords ayivaleki kakuhle.Ingakhula, kwaye ukuba ayinyangwa, ingabulala.

Umyalezo Wokuya Ekhaya

Ukuba uneempawu ezifana nokutshintsha okucacileyo kwelizwi lakho, ukurhawuzelela, ubunzima bokuphefumla xa uthetha, ubunzima bokuginya, okanye ukurhawuzelela rhoqo ukutya nokusela, musa ukungayinaki loo nto. Ezi zinokuba ziimpawu zokukhubazeka kwelizwi .

Eyona nto ibalulekileyo ekufuneka uyikhumbule:

* Ukuba unengxaki enkulu yokuphefumla okanye ubunzima bokuginya, yiya esibhedlele ngokukhawuleza.

* Ukuba unezinye iimpawu, bonana nengcali yendlebe, impumlo, nomqala (ENT) ngoko nangoko.

* Ukuba ifunyenwe kwaye yanyangwa kwangethuba, le meko inokulawulwa kakuhle, kwaye inokunyangeka ngokupheleleyo.

Akukho mfuneko yokoyika, kodwa kubalulekile ukuba uqaphele ezi mpawu. Thetha nogqirha wakho uze ufumane uvavanyo nonyango olufunekayo.

Utshintsho lwelizwi , ukungasebenzi kakuhle kwesandi, ilizwi elirhabaxa, ubunzima bokuginya, ubunzima bokuphefumla, ukukhubazeka kwesandi, i-Laryngoscopy, unyango lwelizwi