Wake wazizwa sengathi izwi lakho akulona elakho uma ukhuluma? Kufana nokuthi izwi lakho liyaminyaniswa, liyathuthumela, noma liphuma ngomzamo omkhulu. Lokhu akulona nje olunye ukutheleleka komkhuhlane noma komphimbo. Kungaba yisimo esingavamile esibizwa ngokuthi i-spasmodic dysphonia . Ungesabi igama. Kalula nje, yisimo esibangelwa inkinga ngezimpawu ezivela ebuchosheni bethu ziye emisipheni elawula izwi lethu. Namuhla, sizokhuluma ngakho ngendlela elula ongayiqonda.
Yiziphi izimpawu eziyinhloko zalesi sifo?
Umuntu onalesi simo angase abe noshintsho ezwini lakhe. Cabanga nje, uzama ukukhuluma nothile, kodwa uzizwa sengathi awukwazi ukulawula izwi lakho ngendlela othanda ngayo. Lesi yisipiliyoni esiyinhloko salesi sifo.
Izimpawu zivame ukubonakala kancane kancane onyakeni wokuqala noma emibili bese zihlala zisezingeni elifanayo.
| Izinguquko ezingaba khona ngezwi | Incazelo elula |
|---|---|
| Ukusha kwezwi | Izwi liba nzima futhi libe lukhuni. |
| Ukuthuthumela/Ukuthuthumela | Ukuzizwa uthuthumela futhi ungazinzile ezwini lakho lapho ukhuluma. |
| Kuqinile/Kucindezelwe | Amagama aphuma ngobunzima obukhulu, uzizwa sengathi ukhuluma uminyaniswe umphimbo. |
| Ukuphefumula/Ukuhleba | Uma ukhuluma, kubonakala sengathi kunomoya omningi ophuma ezwini, njengokungathi ukhuluma ngokuhleba. |
| UJerky | Izwi aliqhubeki, kodwa lihlukaniswe libe yiziqhumane ezimfushane. |
Kodwa into emangalisayo ukuthi, noma ngabe unalezi zinkinga lapho ukhuluma, i-larynx yakho ( ibhokisi lezwi ) ingasebenza kahle lapho yenza ezinye izinto.
Isibonelo, ungase ungabi nalezi zimpawu uma wenza okulandelayo:
- Uma ukhala
- Uma uhleka
- Uma uphefumula
- Uma uhlebela
- Uma ucula
- Uma ugwinya okuthile
Kungani lokhu kwenzeka ngempela?
Ochwepheshe basazama ukuthola ukuthi yini ngempela ebangela lokhu. Kodwa umqondo oyinhloko ukuthi kuyinkinga ebuchosheni . Sinengxenye yobuchopho bethu ebizwa ngokuthi i-basal ganglia . Le ngxenye isiza ukulawula ukunyakaza kwemisipha yomzimba wethu. Ngakho-ke, kulesi simo esibizwa ngokuthi i-Spasmodic Dysphonia, le ngxenye yobuchopho ithumela izimpawu ezingalungile, ezingavamile emisipheni yemisipha yethu yezwi eyenza izwi lethu.
Ngenxa yalezi zimpawu ezingalungile, imisipha elakeni lakho iyaqina noma iqine ngokuzumayo uma uzama ukukhuluma. Lokhu kubangela ukuthi izintambo zezwi zinyakaze ngendlela engavamile, okubangela ukuthi izwi lakho lishintshe ngendlela obuyishilo ngayo ngaphambili. Lokhu kwenzeka ngaphandle kokulawula kwakho.
Ezinye izifundo zikhombisile ukuthi lapho ukucindezeleka kukhuphuka , le misipha ingase isebenze kakhulu. Lokhu kusho ukuthi ungase uphawule ushintsho ezwini lakho kakhulu ngezinsuku lapho ucindezeleke kakhulu.
Odokotela bakuthola kanjani lesi simo?
I-Spasmodic Dysphonia ingaba nzima ukuyixilonga ngoba i-larynx ibonakala ijwayelekile ezivivinyweni ezifana ne-MRI noma i-CT scans. Ngaphezu kwalokho, izimpawu zingafana nezezinye izimo.
Ngakho-ke, usizo lweqembu lodokotela abaningana luyadingeka ukuze kutholakale lokhu ngokunembile.
- Udokotela wezinzwa: Uhlola ubuchopho kanye nesimiso sezinzwa ukuze anqume ukuthi inkinga ivela ebuchosheni.
- Isazi Sezifo Zolimi Lokukhuluma: Funda izwi lakho, ulimi, kanye namaphethini okukhuluma ngokucophelela ukuze uqonde uhlobo lwenkinga.
- Udokotela we-otolaryngologist (ENT):Umphimbo wakho, i-larynx, kanye ne-vocal cords kuzohlolwa. Udokotela we-laryngologist naye unguchwepheshe kule ndawo. Laba ochwepheshe bavame ukuxilonga lesi simo.
Ithimba lakho lezokwelapha lizoqala ngokulalela izwi lakho. Ngaphezu kwalokho, udokotela wakho we-ENT angenza ukuhlolwa okukhethekile okubizwa ngokuthi i-videostroboscopy . Lokhu kuhilela ukudlulisa ipayipi elincane, elifakwe ikhamera ngekhala lakho bese lehla ngemuva komphimbo wakho, lapho bebuka khona izintambo zakho zezwi zihamba esikrinini njengoba ukhuluma. Lokhu kungakusiza ukuthi ubone noma yikuphi ukufinyela kwemisipha okungavamile.
Yiziphi izindlela zokwelapha lokhu?
Akukabikho "iphilisi lomlingo" elingayelapha ngokuphelele lesi simo. Kodwa ungakhathazeki, kunezindlela eziningi zokwelapha ezisebenzayo ezingakusiza ukulawula izimpawu zakho futhi ukhulume ngendlela evamile.
| Indlela yokwelapha | Kwenzekani? |
|---|---|
| Imijovo yeBotox | Lolu uhlobo lokwelapha olusetshenziswa kakhulu futhi oluphumelelayo. Uchwepheshe ufaka inani elincane kakhulu le-Botox emisipheni yezintambo zezwi. Lokhu kwenza imisipha ibe buthaka okwesikhashana futhi kuyivimbe ukuthi ingadikizi. Izwi libuyela esimweni esijwayelekile. Kodwa-ke, umphumela walokhu uhlala izinyanga ezimbalwa kuphela. Ngakho-ke, kudingeka imijovo ephindaphindwayo. |
| Ukwelashwa Ngezwi | Udokotela wezifo zokukhuluma uzokufundisa amasu ahlukahlukene kanye nokuzivocavoca ukushintsha indlela okhuluma ngayo, ukulawula ukuphefumula kwakho, kanye nokukhulula imisipha yakho. Lokhu kungasiza ekunciphiseni umthelela wezimpawu zakho. |
| Ukuhlinzwa | Kwezinye izimo, kunconywa ukuhlinzwa. I-SLAD-R ingenye indlela. Lokhu kuhilela ukusika imizwa ethwala izimpawu ezingalungile ezivela ebuchosheni bese uyixhumanisa kabusha ngendlela ehlukile. I-Thyroplasty enye indlela yokuhlinzwa eshintsha izintambo zezwi. Lokhu kuvame ukwenziwa uma ezinye izindlela zokwelapha zingasebenzi. |
| Ezinye izindlela zokwelapha | Imithi enciphisa ukucindezeleka kanye nokwelashwa okufana nokukhululwa kwe-myofascial , okuphumuza imisipha entanyeni, ingasiza nabanye abantu. |
Ungaphila kanjani kahle nalesi simo?
Okokuqala, ayikho indlela yokuvimbela lesi sifo. Futhi, kuyisimo sokuphila konke. Nakuba izimpawu zingase zithuthuke ngokwelashwa, zingaphinde zibuye ngokuhamba kwesikhathi. Kodwa akudingeki ukuthi uzivumele zonakalise impilo yakho. Kunezinto eziningi ongazenza ukuze uphile impilo esezingeni eliphezulu ngalesi simo.
- Amaqembu Okusekela: Joyina amaqembu nabantu ababhekene nesimo esifanayo nawe. Ungafunda okuningi kokuhlangenwe nakho kwabo futhi uthole induduzo.
- Ukusekelwa okuvela kwabathandekayo: Khuluma ngokukhululekile ngalokhu nomndeni wakho nabangani bakho. Ukusekelwa nokuqonda kwabo kuzoba umthombo omkhulu wamandla kuwe.
- Impilo yengqondo: Ukucindezeleka nokukhathala kungenza lesi simo sibe sibi kakhulu. Ngakho-ke, phumula ngokwanele, uphumule, futhi wenze izinto ezifana nokuzindla. Kubalulekile futhi ukufuna iseluleko uma kudingeka.
- Ama-amplifiers ezwi: Ungasebenzisa amadivayisi anjengemakrofoni ukusiza izwi lakho lizwakale kahle.
Into ebaluleke kakhulu ukuthi uma unezinye zalezi zimpawu, ungazinaki bese ubona udokotela wakho ngokushesha . Uzokudlulisela kuchwepheshe uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- I-Spasmodic Dysphonia akuyona nje inkinga yomphimbo obuhlungu. Yisimo sezinzwa esenzeka ngenxa yezimpawu zobuchopho.
- Qaphela izimpawu ezinjengokuhosha, ukuthuthumela, ukuhosha, noma ukuqhekeka kwezwi.
- Ukuze kutholakale lokhu, kudingeka usizo lweqembu lezokwelapha, njengochwepheshe we-ENT noma udokotela wezinzwa.
- Nakuba kungekho ikhambi eliphelele, ukwelashwa okufana nokujova nge-Botox kanye nokwelashwa ngenkulumo kungalawula izimpawu ngempumelelo enkulu.
- Uma unesikhathi eside ushintsha izwi lakho ngendlela engachazeki, khuluma nodokotela wakho.
- Ukulawula ukucindezeleka nokuthola ukwesekwa kwabathandekayo kuyisici esibalulekile sokuphila nalesi simo.
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