Zicabange ukhuluma nomngane, emhlanganweni, noma ekhaya, futhi unesithakazelo esikhulu kokuthile. Kodwa ngokuzumayo, ngaphandle kwesixwayiso, izwi lakho liba likhulu noma likhulu, futhi ngezinye izikhathi amagama aphukile futhi aphume kancane njengomoya. Uzizwa unamahloni ngoba awukwazi ukusho lokho obufuna ukukusho. Ngemva kwesikhashana, izwi lakho libuyela esimweni esijwayelekile. Uke waba nalesi simo esingavamile muva nje? Uma kunjalo, lokhu kumayelana nokuthile okubalulekile kuwe. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-Spasmodic Dysphonia .
Kalula nje, iyini i-Spasmodic Dysphonia?
I-Spasmodic Dysphonia yisimo esithinta izwi. Elinye igama lalokhu yi-`(laryngeal dystonia)`. Ukuze sikuqonde kahle lokhu, ake siqale sibheke ukuthi izwi lethu lakhiwa kanjani. Ngaphakathi komphimbo wethu, ingxenye ebizwa ngokuthi i-`(larynx)`, kunezicubu ezimbili ezithambile ezibizwa ngokuthi i-`(vocal cords)` . Uma sikhuluma, lezi zintambo ezimbili zezwi ziyavevezela ziphendula umoya ovela emaphashini. Lokho kuvevezela yilokho esikuzwayo ngaphandle njengezwi lethu.
Kodwa-ke, kwenzeka okuhlukile kumuntu one-Spasmodic Dysphonia. Imisipha elawula imisipha yayo yezwi iqala ukuqaqamba ngokuzumayo, ngendlela engalawuleki. Kufana namehlo ethu acwayiza, kodwa lokhu kwenzeka ngaphakathi komphimbo. Le misipha ingaqina noma iphumule kakhulu ngokuzumayo.
- Uma ziqine kakhulu , izintambo zezwi ziyanamathelana, bese izwi liphuma liqinile, liqinile futhi linomsindo obukhali .
- Uma zikhululeka kakhulu , umoya uyavuza phakathi kwezintambo zezwi, okwenza izwi libe buthaka, liphefumule, futhi lithule .
Into eyingqayizivele ngalesi simo ukuthi sivame ukusithinta kuphela lapho sikhuluma. Uma uhlabelela, uhleka kakhulu, noma uhlebela, izwi lakho livame ukuzwakala livamile.
Yiziphi izinhlobo eziyinhloko zalesi simo?
I-Spasmodic Dysphonia ingahlukaniswa ngezinhlobo ezintathu eziyinhloko. Uhlobo ngalunye luthinta izwi ngendlela ehlukile. Ukuze uqonde lokhu ngokucacile, bheka ithebula elingezansi.
| Uhlobo lwesimo sezokwelapha | Kwenzekani nokuthi kuthinta kanjani izwi |
|---|---|
| I-Adductor Spasmodic Dysphonia | Lolu uhlobo oluvame kakhulu . Kwenzeka lapho izintambo zezwi zivalwe kahle (zinamathele) ngenxa yokuqina kwemisipha. Lokhu kubangela ukuthi izwi lizwakale liqinile kakhulu, linciphile, futhi lihoshozela . Kuzwakala sengathi kufanele ube nenkinga yokusho amagama. |
| I-Abductor Spasmodic Dysphonia | Lokhu kwenzeka lapho imisipha yemisipha yezwi ihlukana, okwenza umoya uphume phakathi kwemisipha yezwi. Ngenxa yalokho, izwi lizwakala libuthakathaka kakhulu, liphefumula umoya, futhi lithule . |
| I-Dysphonia Ehlanganisiwe Ye-Spasmodic | Lolu uhlobo olungavamile kakhulu. Kulokhu, izimpawu zazo zombili izinhlobo okukhulunywe ngazo ngenhla zingase zenzeke ngokushintshana noma ndawonye. |
Ngaphezu kwalezi zinhlobo ezintathu, abanye abantu bangase babe nokuthuthumela kwezwi, okwenza izwi labo lizwakale sengathi liyathuthumela lapho bekhuluma.
Zingaba yini izimpawu?
Lezi zimpawu zivame ukuqala ukubonakala eminyakeni ephakathi, phakathi kweminyaka engama-30 nengama-60. Azihlali njalo. Ngezinye izikhathi ziyafika zidlule, ngakho kunzima ukusho ukuthi izwi lishintsha nini ngokuzumayo.
Izici eziyinhloko ezibonakalayo yilezi:
- Izwi libukhali futhi lilukhuni .
- Izwi liyaba nomsindo futhi liqine .
- Izwi lizwakala libuthakathaka, liphefumula kanzima, noma lithule .
- Ukuhlukanisa phakathi kwamagama nemisindo lapho ukhuluma.
- Ukuzwa sengathi izwi lakho liyathuthumela .
Lezi zimpawu zingase zibe zimbi kakhulu , ikakhulukazi uma ungaphansi kokucindezeleka , lapho ukhuluma ocingweni, phambi kwesixuku, noma endaweni enomsindo.
Kungani lokhu kwenzeka? Iyini imbangela yangempela yalokhu?
Abantu abaningi bacabanga ukuthi lokhu kuyinkinga yomphimbo, kodwa empeleni lesi simo siqala ebuchosheni bakho, hhayi emphinjeni wakho .
I-basal ganglia, ingxenye yobuchopho eqondisa ukunyakaza kwemisipha okungahleliwe, iyingxenye yesimiso sezinzwa somzimba. I-Spasmodic Dysphonia yisimo esibizwa ngokuthi i-dystonia. I-Dystonia ibangelwa ubuchopho ukuthumela izimpawu ezingalungile emisipheni, okubangela ukuba ifinyele ngendlela engalawuleki.
Kalula nje, i-basal ganglia ebuchosheni bakho ithumela izimpawu zikagesi ezingalungile emisipheni elawula izintambo zakho zezwi. Lezi zimpawu ezingalungile zibangela ukuba leyo misipha iqine. Lokhu akulona iphutha lakho, futhi akulona ubuthakathaka emphinjeni wakho.
Abacwaningi abakaqiniseki ukuthi kungani lezi zimpawu ezinephutha ziqala ukuthunyelwa. Kodwa bathole ukuthi kwezinye izimo, kungase kube nomthelela wofuzo . Kungenzeka futhi ngemva kwengozi noma ukugula. Lesi simo sivame cishe kathathu kwabesifazane kunakwabesilisa.
Udokotela uhlonza kanjani lokhu?
Ukuxilonga lesi sifo kuyinqubo eyinkimbinkimbi, ngokuvamile edinga usizo lweqembu lodokotela nabelaphi.
1. Udokotela Wezinso noma Udokotela Wezinzwa: Udokotela uzolalela ngokucophelela indlela okhuluma ngayo. Uzohlola ukuthi kukhona imifantu, ukushoshozela, nezinye izimpawu ezwini lakho.
2. I-Videostroboscopy: Lolu uhlobo lokuhlola olukhethekile. Lokhu kuhilela ukusebenzisa ikhamera encane edlula ekhaleni lakho ukuze uqophe ividiyo yezintambo zakho zezwi ezihambayo njengoba ukhuluma. Lokhu kukuvumela ukuthi ubone ngokucacile ukunyakaza kwezintambo zezwi kanye nanoma yikuphi ukunyakaza okungajwayelekile.
3. Isazi Sezifo Zolimi Lokukhuluma (SLP): Lo chwepheshe wezokwelapha usiza ekucwaningeni ngokujulile ukuthi ziyini izinkinga zezwi nokuthi ziyini.
4. Udokotela wezinzwa: Ungacela usizo kudokotela wezinzwa ukuqinisekisa ukuthi lezi zimpawu ziyingxenye yesinye isifo sezinzwa nokuthi uhlole isimo se-dystonia.
Wenzani njengokwelashwa?
Into yokuqala okufanele uyikhumbule ukuthi ayikho ikhambi le-Spasmodic Dysphonia. Kodwa ungakhathazeki. Kunezindlela zokwelapha ezisebenza kahle kakhulu ezingasiza ukulawula ukuqaqamba kwemisipha ezindongeni zakho zezwi futhi zisize izwi lakho libuyele esimweni salo esijwayelekile.
| Indlela yokwelapha | Incazelo |
|---|---|
| Umjovo we-Botox® | Lena yindlela yokwelapha evame kakhulu futhi ephumelelayo . Lapha, inani elincane kakhulu le-Botox lifakwa emisipheni yezwi ethintekile. I-Botox ivimba okwesikhashana izimpawu zemizwa ezibangela ukuba imisipha inciphe. Lokhu kukhulula imisipha, okwenza kube lula ukukhuluma. Imiphumela ivame ukuhlala cishe izinyanga ezi-3-4 . Ngakho-ke, ukuze ugcine imiphumela emihle, kuzodingeka uqhubeke nokuthola imijovo. |
| Ukwelashwa Ngezwi | Udokotela wezifo zokukhuluma uzokufundisa indlela yokusebenzisa izwi lakho kangcono, alawule ukuphefumula kwakho, futhi enze izivivinyo ezahlukahlukene ukuze anciphise ukucindezeleka kwezwi. Imiphumela iba yimpumelelo enkulu uma ukwelashwa kokukhuluma kuhlanganiswa nokwelashwa nge-Botox. |
| Izinsiza Zokuxhumana | Kwezinye izimo, amadivayisi obuchwepheshe afana namadivayisi okukhulisa inkulumo noma isofthiwe (izinhlelo zokusebenza) eziguqula ukuthayipha kube inkulumo zingasetshenziswa. |
Ake sifunde nangokuhlinzwa.
Kunezindlela eziningana zokuhlinzwa zabantu abane-Adductor Spasmodic Dysphonia (uhlobo lwe-vocal cord spasm). Kodwa-ke, lokhu akuvamile ukwenziwa. `Uhlobo II lwe-thyroplasty` kanye ne-`SLAD-R` yizinhlobo ezimbili ezinjalo zokuhlinzwa. Lokhu kuhilela ukushintsha indawo ye-vocal cords noma ukushintsha indlela izimpawu zemizwa ezihamba ngayo.
Kodwa kusenemibono ehlukene ngalokhu kuhlinzwa. Ngoba imiphumela kwabanye abantu ayifani ngaso sonke isikhathi. Ngakho-ke, ngaphambi kokucabangela ukuhlinzwa, kufanele uxoxe ngokucophelela nodokotela wakho ngezinzuzo nezinkinga zako.
Kufanele ngimbone nini udokotela?
Uma izwi lakho lishintsha ngaphandle kwesizathu esibonakalayo futhi lihlala isikhathi esingaphezu kwamasonto amabili, kufanele nakanjani ubone udokotela. Kungaba yinto elula njenge-laryngitis ebangelwa umkhuhlane. Kodwa uma kungenjalo, kubalulekile ukuthola imbangela ngokushesha okukhulu.
Ungaphila kanjani ngempumelelo nalesi simo?
I-Spasmodic Dysphonia yisimo esihlala isikhathi eside. Izimpawu zivame ukukhula kancane kancane, zifinyelele ezingeni elithile, futhi zihlale kulelo zinga impilo yonke. Ngezinye izikhathi, ngaphandle kwesizathu esibonakalayo, izimpawu zingase zinyamalale isikhashana bese ziphinde zivele.
Indlela engcono kakhulu yokubhekana nalesi simo ukusebenzisana nethimba lakho lezokwelapha ukuze usilawule. Kukhona nezinto ongazenza wena ngokwakho:
- Funda ngezwi lakho: Abanye abantu bathola ukuthi izimpawu zabo ziyadamba ngokudla, ukukhuluma bephethe amakhanda, noma ukucula. Bheka ukuthi kukhona yini "amacebo" asebenzayo kuwe.
- Zinakekele: Ukukhathala nokucindezeleka kungenza izimpawu zibe zimbi kakhulu. Ngakho-ke phumula ngokwanele futhi unakekele impilo yakho yengqondo.
- Funa usizo lomeluleki: Umeluleki angakusiza ukuthi ubhekane nomthelela odalwa yilesi simo emsebenzini wakho nasebudlelwaneni bakho nabantu.
- Khuluma ngokukhululekile nabanye: Ungase uzizwe unamahloni noma ungakhululekile lapho izwi lakho lishintsha ngesikhathi sengxoxo. Ngezikhathi ezinjalo, uma ungakwazi, chaza kafushane isimo sakho kwabanye. Iningi labantu lizoqonda.
- Joyina amaqembu okusekela: Ukujoyina amaqembu okusekela lapho abanye abahlushwa yisimo esifanayo nawe bengakunikeza amandla amakhulu engqondo.
Umlayezo Wokuya Nawe Ekhaya
- I-Spasmodic Dysphonia akuyona inkinga yomphimbo, kodwa ukuphazamiseka kwezwi okubangelwa inkinga yezimpawu ezivela ebuchosheni.
- Akulona iphutha lakho lokhu. Kubangelwa ukuqaqamba kwemisipha ongakwazi ukuyilawula.
- Nakuba kungekho ikhambi eliphelele lalokhu, ukwelashwa okufana nokujova kweBotox® kanye nokwelashwa kokukhuluma kungalawula izimpawu ngempumelelo enkulu.
- Uma unezinguquko ezingachazeki ezwini lakho ezihlala isikhathi esingaphezu kwamasonto ambalwa, qiniseka ukuthi ubona udokotela .
- Ukulawula ukucindezeleka nokufuna ukwesekwa kwabanye kubaluleke kakhulu uma uphila nalesi simo. Awuwedwa, bakhona abantu abangakusiza ngalokhu.
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