Ingabe izwi lakho lihoshozile? Ingabe selihoshozile? (Ukuhoshozela/Ukuphazamiseka kwengqondo) - Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uzizwa sengathi izwi lakho lishintshile uma uvuka ekuseni, noma ngemva kosuku olunzima lokukhuluma? Kufana nokuthi libanjwe umkhuhlane, noma seliba yisihosho, okwenza kube nzima ukukhuluma. Ngezinye izikhathi izwi lakho lingaba buthaka, noma lingaba nzima kakhulu futhi libe lukhuni. Lokhu yilokho esivame ukukubiza ngokuthi 'ukuhoshozela' noma, ngokwezokwelapha, ushintsho ezwini (Dysphonia) . Eqinisweni, lesi yisimo esingathinta cishe umuntu oyedwa kwabathathu ngesikhathi esithile empilweni yakhe. Ngakho-ke akukho okufanele ukhathazeke ngakho, kodwa kubalulekile ukukuqaphela.

Kuyini ngempela ukuhosha?

Kalula nje, ukuhosha kwenzeka lapho ikhwalithi evamile yezwi lakho ishintsha, iba nomsindo, ibe lukhuni, icindezeleke, noma iphefumule. Lokhu kungafaka phakathi ukwanda noma ukwehla komsindo wezwi lakho, noma ushintsho ekuphakameni (iphimbo eliphezulu noma eliphansi) lezwi lakho. Cabanga uma izwi lakho elijwayelekile lizwakala ngokuzumayo sengathi othile uyalicindezela, noma uma liphuma ngokuzumayo nangokuzumayo, yilokho lesi simo esiyikho.

Lokhu kuvame kakhulu kubantu ababhemayo, kanye nalabo abasebenzisa amazwi abo ngobungcweti, njengothisha, abaculi, abadlali, abamele abathengisi, kanye nabasebenzi bezikhungo zokushaya ucingo.

Ziyini izimpawu zokuhosha?

Uma unezwi elibukhali, ungase ube nezimpawu ezifana nalezi:

• Kuzwakala sengathi unenkinga yokukhuluma uma ukhuluma.
• Izwi lizwakala lihoshozela, linomsindo, noma linomoya .
• Ukukhuluma kancane kunokujwayelekile.
• Iphimbo lezwi lihlukile kwelivamile . Izwi lingase libe liphansi kakhulu noma libe nzima kakhulu.

Kunini lapho kufanele sikhathazeke khona ngokushefa?

Esikhathini esiningi, ukuhosha kwenzeka uma sisebenzisa izwi lethu ngokweqile. Ezimweni ezinjalo, kuvame ukunyamalala ngokwako zingakapheli izinsuku ezimbalwa. Kodwa-ke, uma izwi lakho selihoshile isikhathi esingaphezu kwamasonto amathathu , noma uma unezinye zalezi zimpawu eziyingozi, kufanele nakanjani ubone udokotela.

Izimo lapho kuphoqelekile ukufuna iseluleko sezokwelapha:

* Uma umphimbo wakho ubuhlungu uma ukhuluma noma ugwinya okuthile.

* Uma uzizwa sengathi unenkinga yokuphefumula noma yokugwinya .

* Uma ukhwehlela igazi .

* Uma uzwa iqhubu entanyeni yakho .

* Uma sekudlule izinsuku eziningana kusukela ekulahlekelweni kwezwi ngokuphelele .

Uma unalezi zimpawu, ungacabangi ukuthi kuyinto evamile. Kungcono ukubona udokotela ngokushesha ngangokunokwenzeka ukuze uthole imbangela.

Kungani izwi lethu liba nomsindo kangaka? Yiziphi izizathu?

Ukuze siqonde ukuthi kungani lokhu kwenzeka kithi, ake siqale sifunde kancane ngendlela izwi lethu elakhiwa ngayo. Singakhuluma ngenxa yezingxenye ezimbili: izintambo zethu zezwi kanye ne-larynx yethu. I-larynx itholakala ngaphezu kwe-trachea/windpipe yethu. I-trachea iyipayipi elide elixhumanisa i-larynx namaphaphu.

Izintambo zakho zezwi ziyizintambo ezimbili eziguquguqukayo zezicubu ngaphakathi kwe-larynx yakho. Zicabange njengezintambo eziku-guitar. Uma sikhuluma, umoya ovela emaphashini ethu udlula phezu kwalezi zintambo zezwi, okubangela ukuba zidlidlize, kudale amaza omsindo. Ngakho-ke, noma yini ethinta lezi zintambo zezwi noma i-larynx yakho ingabangela ukuthi izwi lakho libe nomsindo.

Nazi ezinye zezizathu eziyinhloko:

• I-Laryngitis: Lena yimbangela evame kakhulu yokuhosha. Kwenzeka lapho izintambo zezwi zivuvukala ngenxa yezinto ezifana nokungezwani komzimba, izifo zokuphefumula eziphezulu, noma izifo zama-sinus. Njengomkhuhlane noma umkhuhlane kungabangela ushintsho ezwini lakho.
• Ukusebenzisa izwi lakho ngokweqile noma kabi: Isibonelo, izwi lakho lingase lihoshozele ngemva kokunikeza inkulumo ende noma ukumemeza kakhulu ngesikhathi somdlalo wezemidlalo. Kungabangelwa futhi ukukhuluma njalo ngephimbo eliphakeme noma eliphansi kunezwi lakho elivamile. Lokhu kuvamile kubantu abafana nothisha nabaculi.
• Ukuguga: Njengoba sikhula, izintambo zethu zezwi ziyancipha futhi zibe buthakathaka, okungabangela noshintsho ezwini lethu.
• I-GERD (Isifo Sokugobhoza Kwesisu): Yilokhu esivame ukukubiza ngokuthi isilungulela noma ubuhlungu besisu. I-GERD yilapho i-asidi yesisu ikhuphukela emphinjeni. Ngezinye izikhathi, le-asidi ingalimaza izintambo zezwi. Lokhu kubizwa ngokuthi i-Laryngopharyngeal Reflux (LPR).
• Ukopha kwegazi entanjeni yezwi: Lokhu kwenzeka lapho umthambo wegazi entanjeni yezwi uqhuma. Lokhu kubangela igazi ukuthi ligcwalise imicu yemisipha. Lokhu kungabangela ukulahlekelwa yizwi ngokuzumayo.
• Amaqhubu ezwi, amaqhubu kanye nama-polyp: Lawa amaqhubu angewona umdlavuza akheka ezintanjeni zezwi. Njengoba nje sithola amaqhubu lapho sisebenza ngezandla zethu, izintambo zezwi nazo zingathuthukisa lezi zimo uma sisebenzisa izwi lethu ngendlela engafanele.
• Ukukhubazeka kwe-vocal cord: Lesi yisimo lapho i-vocal eyodwa noma zombili zingavuli noma zivaleke kahle. Lokhu kungabangelwa izinto ezifana nokulimala kwemizwa noma imiphumela emibi evela ekuhlinzweni.
• I-Recurrent Respiratory Papillomatosis (RRP): Lesi simo sibangela ukwakheka kwamaqhubu angenabungozi ezintanjeni zezwi nasezindaweni ezizungezile.
• I-Spasmodic Dysphonia: Lokhu kuyisifo sokukhuluma sesikhathi eside esibangela ushintsho ekhwalithini yezwi.
• I-Muscle Tension Dysphonia: Lokhu kungenzeka uma kunokucindezeleka okukhulu ezintanjeni zezwi kanye nasemisipheni ezungezile. Kungabangelwa futhi ukulimala entanyeni, emahlombe, noma esifubeni.
• Izifo kanye nokuphazamiseka kwesimiso sezinzwa: Uma unesifo esifana nesifo sohlangothi noma isifo sikaParkinson, lesi sifo singathinta ingxenye yobuchopho bakho elawula imisipha ebhokisini lakho lezwi. Lokhu kungabangela noshintsho ezwini lakho.
• Umdlavuza: Umdlavuza ofana nomdlavuza we-laryngeal, umdlavuza wamaphaphu, kanye nomdlavuza womphimbo nawo ungabangela ukuhosha. Lokhu kuyinto abantu abaningi abayesabayo. Kodwa khumbula, akusikho njalo lapho izwi lakho lihosha, kungenxa yomdlavuza.

Ungakubona kanjani ukushoshozela?

Kuye ngezimpawu zakho, udokotela wakho ojwayelekile angakudlulisela kuchwepheshe wezindlebe, impumulo kanye nomphimbo (uchwepheshe we-Otolaryngologist/ENT). Uzokubuza ngomlando wakho wezokwelapha kanye nanoma yimiphi imithi oyiphuzayo. Bangase futhi bakubuze imibuzo efana nalokhu:

• Sekuyisikhathi esingakanani lo mehluko wezwi ukhona?
• Ingabe lezi zimpawu zaqala ngokuzumayo, noma zanda kancane kancane?
• Uke waba nokutheleleka kokuphefumula okuphezulu muva nje (njengomkhuhlane)?
• Zikhona yini ezinye izimpawu (isib. umkhuhlane, ubuhlungu bomzimba, ubunzima bokugwinya)?
• Uyabhema? Uma kunjalo, usubheme isikhathi esingakanani?
• Uyaphuza utshwala?

Yiziphi izivivinyo zokuxilonga?

Udokotela uzolalela izwi lakho futhi ahlole ikhanda nentamo yakho ukuthi azikho yini izigaxa noma amaqhubu. Ngaphezu kwalokho, bangenza nokuhlolwa okufana nalokhu:

• I-Laryngoscopy: Lokhu kuhilela ukufaka ithubhu elincane neliguquguqukayo (i-endoscope) ngekhala noma emlonyeni ukuhlola i-larynx kanye nezintambo zezwi. Ithubhu inekhamera enamathiselwe ekugcineni, okuvumela udokotela ukuthi ayibuke esikrinini.
• I-Videostroboscopy: Lokhu kufana ne-laryngoscopy, kodwa isebenzisa ukukhanya okukhethekile nekhamera engabona ukudlidliza kwezintambo zezwi ngokuningiliziwe, cishe ngokuhamba kancane .
• I-CT scan (i-Computed Tomography - i-CT scan): Ukuhlolwa okukhethekile kwe-X-ray okuthatha izithombe ezihlanganisa ingaphakathi lomzimba.
• I-MRI (I-Magnetic Resonance Imaging - I-MRI): Ukuhlolwa okusebenzisa amasimu kazibuthe namagagasi omsakazo ukukhiqiza izithombe ezinemininingwane zangaphakathi lomzimba.
• I-Biopsy: Uma kukhona okusolisayo emithanjeni yezwi noma endaweni ezungezile, kuthathwa ingxenye encane yezicubu bese ihlolwa ngaphansi kwe-microscope. Lokhu kwenziwa uma kukhona okusolisayo ngento efana nomdlavuza.

Yiziphi izindlela zokwelapha ukuhogela?

Ukwelashwa kuncike embangela yokushoshozela kwakho.

• Ukwelashwa okuyisisekelo ngokuvamile ukuphumula izwi . Lokho kusho ukunciphisa ukukhuluma nokumemeza ngangokunokwenzeka.
• Uma i-laryngitis ibangelwa ukutheleleka, njengokutheleleka (njenge-laryngitis) , udokotela uzokunikeza imithi edingekayo (isib. ama-antibiotic, ama-painkiller). Uma ibangelwa ukungezwani komzimba, kuzonikezwa imithi yalokho.
• Uma i-GERD iyimbangela, kuzonikezwa izinguquko zendlela yokuphila (ukulawula ukudla, ukushintsha indawo yokulala) kanye nemithi yokulawula i-asidi.
• Uma unamaqhubu , ama-polyp, noma ama-cyst ezintanjeni zakho zezwi , ngezinye izikhathi angelashwa ngokwelashwa ngezwi . Kodwa-ke, kwezinye izimo, kungase kudingeke ukuhlinzwa .
• Uma isimo esibi njengomdlavuza sibangela ukushaqeka, ukwelashwa okufana nokwelashwa ngemisebe, i-chemotherapy, noma ukuhlinzwa kungadingeka ngaphansi kokuqondisa kukadokotela wezifo zomdlavuza.
• Uma kungenxa yezifo ezihlobene nesimiso sezinzwa , ukuqeqeshwa kwezwi kunganikezwa ngenkathi isifo esiyisisekelo selashwa.

Ungakwazi yini ukuvimbela ukusha kwezwi?

Ngezinye izikhathi, ukuhogela kungabangelwa izimo zezokwelapha esingenakuzivimbela. Kodwa-ke, ukunakekela izwi lakho, ikakhulukazi uma usebenzisa izwi lakho isikhathi eside nsuku zonke (isib., uthisha, umculi, noma isikhulumi somphakathi), kungasiza ekunciphiseni ingozi yalesi simo. Nazi ezinye izeluleko:

• Gwema ukubhema ngokuphelele. (Uma udinga usizo ngalokhu, ungaxhumana nodokotela wakho.) Gwema ukubhema intuthu ebhemayo.
• Nciphisa utshwala neziphuzo eziqukethe i-caffeine (itiye, ikhofi). Lokhu kungawuqeda amanzi emzimbeni futhi kuthinte imisipha yezwi.
• Phuza amanzi amaningi. Ukuphuza okungenani izingilazi ezingu-8 zamanzi ngosuku kusiza ukugcina imisipha yakho yezwi imanzi.
• Uma umoya wangaphakathi womile, sebenzisa i-humidifier.
• Gwema ukudla okunongwe kakhulu, okunamafutha, ikakhulukazi uma une-GERD.
• Gwema imisebenzi ecindezela izwi (isib., ukukhuluma isikhathi eside, ukukhuluma kakhulu, ukumemeza).
• Uma izwi lakho likhathele (isib. uma unikeza inkulumo) , sebenzisa idivayisi efana nemakrofoni/i-megaphone.
• Xhumana nomqeqeshi wezwi mayelana nokuma kahle kanye namasu okukhuluma .

Kwenzekani uma kukhona ukuhosha ezwini?

Ngokuvamile, izwi lakho lizobuyela esimweni salo esijwayelekile ngemva kokunikeza izwi lakho ukuphumula noma ukwelapha imbangela eyisisekelo. Kodwa-ke, akuvamile kakhulu.Ukushoshozela kwezwi kungaba uphawu lomdlavuza noma isifo esibi kakhulu ohlelweni lwezinzwa. Ngakho-ke ungesabi ngokungadingekile, kodwa qaphela izimpawu.

Ngizinakekela kanjani?

Uma unezwi elihoshozelayo, ukulandela imiyalelo kadokotela wakho kuyindlela engcono kakhulu yokuphulukisa izwi lakho ngokushesha.

• Phumula izwi lakho. Gwema ukukhuluma kakhulu ngangokunokwenzeka. Ukuhleba nakho kubi ezinhlotsheni zakho zezwi, ngakho gwema nalokho.
• Phuza uketshezi olufudumele (ama-gargles amanzi anosawoti, ama-gargles e-ginger-cilantro, njll.) ukuze usize ukuzola umphimbo wakho.
• Gwema ukubhema kanye nezindawo ezibhemayo.
• Thatha imithi oyinikezwe udokotela njengoba uyalelwe futhi ngesikhathi.

Kufanele ngiphinde ngimbone nini udokotela?

Uma izwi lakho lisalokhu lihoshozela naphezu kokwelashwa, noma uma uzizwa sengathi izimpawu zakho ziya ziba zimbi kakhulu, qiniseka ukuthi ubona udokotela wakho futhi.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ukushoshozela kuyinkinga evamile. Uma unalesi simo, ungabuza udokotela wakho imibuzo efana nale:

• Kungani izwi lami linomsindo kangaka?
• Ingabe lokhu kubangelwa ukugula okungathi sína?
• Yikuphi ukwelashwa okuncomayo?
• Ngingazinakekela kanjani? Ngingenzani?

Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)

Ukuthula kuyinto enhle kakhulu, kodwa akukuhle kangako uma izwi lakho lihoshozela futhi unenkinga yokukhuluma, lapho izwi lakho lishintsha, noma lapho ulahlekelwa yizwi lakho ngokuphelele. Uma izwi lakho selihoshozile amasonto angaphezu kwamathathu, noma uma unenkinga yokugwinya noma yokuphefumula, uma ukhwehlela igazi, uma uneqhubu emphinjeni wakho, noma uma ungakwazi ukusebenzisa izwi lakho izinsuku eziningana, kufanele nakanjani ubone udokotela. Uzothola imbangela yokuhoshozela kwakho futhi akusize uphinde uthole izwi lakho elijwayelekile. Ungesabi, thatha izinyathelo ezifanele ngesikhathi esifanele!

Ukuhosha , izwi elihoshayo, i-dysphonia, izintambo zezwi, izifo zomphimbo, iseluleko sezokwelapha, i-laryngitis, izintambo zezwi, ukuhosha isiSinhala