Ingabe kukhona ushintsho ezwini lakho? Lokhu kungaba ngenxa yokukhubazeka kwezwi!

Ingabe ngezinye izikhathi uzizwa sengathi izwi lakho lishosholoze kakhulu, noma liyashintsha uma ukhuluma, njengokungathi unomkhuhlane? Mhlawumbe uzizwa sengathi unesihlungu somphimbo ngisho nangemva kokuphuza amanzi amancane, noma ngokuzumayo uzizwa sengathi uphelelwa umoya uma ukhuluma. Lezi akuzona nje izimpawu zomkhuhlane, kodwa mhlawumbe imbangela yalokhu yisimo esibizwa ngokuthi i-Vocal Cord Paralysis, esizokhuluma ngaso namuhla. Ungakhathazeki, ake sixoxe ngalokhu kalula.

Kuyini Ukukhubazeka Kwe-Vocal Cord?

Kalula nje, ukungasebenzi kahle kwe-vocal cord kwenzeka lapho eyodwa noma zombili izintambo zezwi emphinjeni wakho ezikhiqiza izwi lakho zingasebenzi kahle. Zicabange njengezintambo zegitare. Kodwa zitholakala ebhokisini elincane emphinjeni wakho elibizwa ngokuthi i-larynx . I-larynx itholakala ngaphezu kwe-windpipe yakho (trachea) .

Uma siphefumula, lezi zintambo ezimbili zezwi ziyahlukana, zivumela umoya ukuthi udlulele emaphashini. Uma sigwinya ukudla noma isiphuzo, le misipha emibili ivaleka kakhulu, noma ukudla noma isiphuzo kungabhajwa emphinjeni. Uma sikhuluma noma sihlabelela, lezi zintambo zezwi ziyahlangana futhi zidlidlize njengoba umoya ovela emaphashini udlidliza, udala umsindo.

Ngakho-ke, okwenzekayo ekungasebenzi kahle kwe-vocal cord ukuthi lapho imizwa elawula lezi zintambo zezwi yonakele , leyo misipha ayivuli noma ayivaleki kahle. Khona-ke kungaba nzima ukukhuluma, ukugwinya, futhi ngezinye izikhathi ngisho nokuphefumula. Uyaqonda?

Yiziphi izinhlobo zokungasebenzi kahle kwe-vocal cord?

Kunezinhlobo ezimbili ikakhulukazi:

1. Ukukhubazeka kwe-vocal cord eyodwa: Lokhu kwenzeka lapho i-vocal cord eyodwa kuphela ikhubazekile. Uma uhlangothi olulodwa lungasebenzi, kungase kube noshintsho ezwini, futhi abanye abantu bangase babe nobunzima bokugwinya. Kodwa-ke, ngokuvamile akubi nobunzima obukhulu ekuphefumuleni.

2. Ukukhubazeka kwe-Bilateral Vocal Cord: Lapha, zombili izintambo zezwi ziyakhubazeka. Lesi yisimo esibi kakhulu. Ngoba uma zombili izintambo zezwi zikhubazeka, zivame ukuma eduze. Bese indlela yokuphefumula ivaleka, okubangela ubunzima obukhulu bokuphefumula. Lokhu kungaba yingozi empilweni.

Khumbula, ukungasebenzi kahle kwezwi ohlangothini olulodwa yikona okuvame kakhulu. Akuvamile ukuthi zombili izintambo zezwi zingasebenzi kahle. Kodwa-ke, zombili izinhlobo zingakhula kunoma yimuphi ubudala.

Lesi simo singaba sibi kangakanani?

Ekukhubazekeni kwe-one-lateral, izimpawu zingahluka kusukela kokuncane kuya kokukhulu. Isibonelo, abanye abantu bangase babe nobunzima bokukhuluma. Ezimweni ezinzima kakhulu, bangase babe nokuphelelwa umoya ngenkathi bekhuluma. Bangase futhi bakhwehlele futhi babuhlungu umphimbo lapho bedla noma bephuza.

Uma ukungasebenzi kahle kwezinhlangothi zombili zomzimba, izintambo zezwi ziyasondelana futhi zivale indlela yokuphefumula, okwenza ukuphefumula kube nzima kakhulu. Kubangela nobunzima bokugwinya. Uma ukudla noma isiphuzo kungena endleleni yokuphefumula futhi kungena emaphashini, isimo esiyingozi esibizwa ngokuthi i-aspiration pneumonia singavela.

Uma unenkinga yokuphefumula noma yokugwinya, bona udokotela ngokushesha.

Ziyini izimpawu zokungasebenzi kahle kwe-vocal cord?

Izimpawu zincike ekutheni imisipha yezwi ayisebenzi kahle kangakanani nokuthi imisipha yezwi ibekwe kanjani maqondana nomunye nomunye.

Lezi yizimpawu ezivamile:

• Izwi liyaba yisihosho, libuthakathaka, liklwebhe, noma libe nomoya .
• Izinguquko ekuphakameni kwezwi.
• Izinguquko kuvolumu yezwi.
• Ubunzima bokuphefumula (ukuphelelwa umoya) noma ukulahlekelwa yizwi.
• Ukwenza umsindo ngenkathi uphefumula (isb., njengomsindo wokushaya ikhwela).
• Ubunzima bokugwinya (i-Dysphagia).
• Ukungakwazi ukuhlanza umphimbo ngenxa yokukhwehlela.
• Ukuqina komphimbo lapho uzama ukugwinya.

Izwakala kanjani intambo yezwi efile?

Ungase ungezwa lutho ngokuqondile ngemisipha yakho yezwi. Kunalokho, ungase uzizwe izimpawu ezibangelwa ukungasebenzi kahle kwemisipha yakho yezwi. Ungase uzizwe ucindezelekile kakhulu futhi ukhathele lapho uzama ukufaka umoya omningi emaphashini akho noma ukwenza izwi lakho lizwakale ngendlela oyifunayo. Ungase uzizwe sengathi umphimbo wakho uyavaleka uma ukudla noma isiphuzo kubhajwa emphinjeni wakho. Abanye abantu bazizwa sengathi umphimbo wabo uhlala ugcwele amafinyila futhi awukwazi ukuwahlanza.

Kungenzeka yini ukukhuluma nge-vocal cord engasebenzi kahle?

Iningi labantu liyakwazi ukukhuluma, kodwa kudinga umzamo omkhulu. Uzobona izinguquko ezwini lakho. Ungase uzwe umsindo uma ukhuluma. Uma ukungasebenzi kahle kukhulu, ungase ulahlekelwe yizwi lakho ngokuphelele.

Yiziphi izimbangela zokungasebenzi kahle kwe-vocal cord?

Kunezizathu eziningana zokuthi kungani izinzwa ezilawula ukunyakaza kwezintambo zezwi zingalimala:

• Izifo ezizenzakalelayo: Izifo eziphazamisa ukuxhumana phakathi kwezinzwa nemisipha, isibonelo , i-Myasthenia Gravis (MG) .
• Ukutheleleka: Ukutheleleka okufana nesifo se-Lyme, i-herpes, igciwane le-Epstein-Barr, kanye ne-COVID-19 kungabangela ukuvuvukala kanye nomonakalo ezinzwa ezilawula izintambo zezwi.
• Ukulimala: Ukulimala entanyeni, ekhanda, nasesifubeni kungabangela ukulimala kwemizwa.
• Izifo ze-neurological: Izifo ezihlobene nokubhujiswa noma ukulimala kwemizwa, njenge- multiple sclerosis (MS) , isifo sikaParkinson , kanye nesifo sohlangothi .
• Izinto ezinobuthi:Ubuthi obufana nomthofu, i-mercury, ne-arsenic bungalimaza izicubu zezinzwa.
• Ukuhlinzwa: Ukuhlinzwa kwekhanda nentamo, njengokuhlinzwa kwe-thyroid , ukuhlinzwa kwe-parathyroid, ukuhlinzwa kwenhliziyo, kanye nokuhlinzwa komgogodla wesibeletho, kungabangela ukulimala kwemizwa njengenkinga. Ukusetshenziswa kwepayipi lokuphefumula ngesikhathi sokuhlinzwa kungalimaza nemizwa e-larynx ngezinye izikhathi.
• Izimila: Zombili izimila eziyingozi nezingenabungozi zingacindezela imizwa ekulaleni, okubangela umonakalo. Zombili umdlavuza we-thyroid kanye namaqhubu e-thyroid kungalimaza lezi zimila.

Ngezinye izikhathi, ukungasebenzi kahle kwe-vocal cord kungenzeka ngemva kokutheleleka komkhuhlane noma kokuphefumula okuphezulu. Odokotela bangase bangakwazi njalo ukuthola imbangela ethile. Amacala anjalo abizwa ngokuthi i-idiopathic noma i-post-viral vocal cord dysfunction.

Odokotela bakuthola kanjani ukungasebenzi kahle kwe-vocal cord?

Odokotela be-Otolaryngologists, ikakhulukazi odokotela be-laryngologists, ngodokotela abaxilonga futhi belapha lesi simo. Okokuqala, bazobuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Ukuze aqinisekise ukuxilongwa, udokotela wakho angase acele ukuhlolwa okufana nalokhu:

• Izifundo zokuthatha izithombe: Ama-MRI noma ama-CT scan angathatha izithombe ezinemininingwane yobuchopho, umphimbo, izintambo zezwi, i-larynx, i-thyroid gland, kanye nesifuba. Lokhu kungasiza ekutholeni izinto ezifana nezimila ezingalimaza imizwa e-larynx. Ungase futhi ucelwe ukuthi uthathe i-X-ray yesisu sakho noma isifuba.
• I-Laryngoscopy: Lokhu kuvumela odokotela ukuthi babheke ngqo i-larynx kanye ne-vocal cords. Udokotela ufaka i-tube ende, encane ebizwa ngokuthi i-laryngoscope ngekhala kanye nasemphinjeni. Le tube eguquguqukayo inekhamera ekugcineni ethatha izithombe ze-larynx kanye ne-vocal cords. Izithombe ziboniswa kusikrini ukuze udokotela azibone.
• I-Videostroboscopy: Lokhu kuvumela odokotela ukuthi babone ukuthi izintambo zakho zezwi ziyavevezela kanjani nokuthi zisondelene kangakanani uma ukhuluma. Le nqubo ifana ne-laryngoscopy. Ngokuvamile, lokhu kokubili kwenziwa ndawonye. I-Videostroboscopy isebenzisa ikhamera ekhethekile ukukhombisa ukuthi izintambo zakho zezwi zihamba kancane kanjani njengoba wenza imisindo. Lokhu kusiza udokotela ukuthola noma yiziphi izinkinga.
• I-electromyography ye-laryngeal (i-LEMG):Lokhu kuhlolwa kulinganisa indlela imisipha ye-larynx elawulwa ngayo yizinzwa. Imizwa kagesi evela kule misipha iyalinganiswa futhi iqoshwe.
• Ukuhlolwa kwegazi: Uma udokotela wakho esola ukuthi ukungasebenzi kahle kwezwi lakho kubangelwa ukutheleleka noma isifo sokuzivikela komzimba, uzoyala ukuhlolwa kwegazi.

Ukungasebenzi kahle kwe-vocal cord kwelashwa kanjani?

Ukwelashwa kuncike ebunzimeni bokungasebenzi kahle kwemisipha kanye nezimpawu zakho. Uma ukungasebenzi kahle kuncane, ungadinga ukwelashwa ngezwi ukuze uthuthukise ukusebenza kwemisipha yakho yezwi. Kulokhu kwelashwa, wenza izivivinyo ezikhethekile eziqinisa imisipha yakho yezwi, zikufundise ukuthi ungayilawula kanjani imisipha ekusiza ukuthi ukhulume, futhi uthuthukise indlela ophefumula ngayo ngenkathi ukhuluma.

Ukungasebenzi kahle kwezwi okukhulu kungadinga ukuhlinzwa.

Ukwelashwa kokungasebenzi kahle kwe-vocal cord ohlangothini olulodwa

Ezimweni zokungasebenzi kahle kwengxenye eyodwa yomzimba, odokotela bavame ukulinda kuze kube yilapho isimo sithuthuka bese behlehlisa ukuhlinzwa cishe unyaka. Ngezinye izikhathi izintambo zezwi zingase ziphuke noma zicindezelwe, futhi kuthatha isikhathi ukuba zelapheke. Lokhu kungathatha izinyanga. Ukwelashwa ngezwi nodokotela wezifo zolimi lokukhuluma ngezinye izikhathi kungaba wusizo kakhulu, kusize ekuqiniseni izwi uma inkinga incane kuya kwephakathi.

Udokotela we-laryngologist angase ancome ukuhlinzwa noma imijovo yokugoqa izwi ukuze kuthuthukiswe ubunzima bokukhuluma, ukugwinya, kanye nokuphefumula. Izinketho zifaka:

• Umjovo we-vocal cord: Udokotela ujova i-filler ngenaliti. Kunezinhlobo eziningana ze-fillers eziphephile. Lo mjovo uvala igebe phakathi kwe-vocal cord.
• Ukufakelwa kwebhokisi lezwi (ukuhlinzwa kohlaka lwe-laryngeal): Udokotela ufaka uhlaka ku-larynx yakho. Iningi lohlaka lwenziwe nge-silicone. Loluhlaka lubamba izintambo zezwi endaweni yalo futhi lusiza ukuvala zombili izintambo zezwi. Lezi zinqubo zifaka inqubo ebizwa ngokuthi i-medialization laryngoplasty (Thyroplasty) .
• Ukuhlinzwa kokuvuselelwa kabusha: Udokotela uthatha inzwa exhumanisa neminye imisipha entanyeni yakho bese eyixhumanisa nemizwa eshukumisa izintambo zakho zezwi. Le nqubo ayithinti eminye imisipha entanyeni yakho.

Ukwelashwa kokungasebenzi kahle kwe-vocal cord yamabili

Abantu abanezinkinga zombili zezwi bangaba nezindlela zokuphefumula ezincishisiwe ngendlela eyingozi. Bangase badinge i -tracheostomy (ipayipi lokuphefumula elifakwa entanyeni) ukuze bavule indlela yokuphefumula futhi babasize baphefumule.

Kulokhu kuhlinzwa, udokotela wenza i-incision entanyeni yakho bese efaka ipayipi emphinjeni wakho. Ipayipi livula indlela yakho yokuphefumula futhi likusize uphefumule. Ngezinye izikhathi, udokotela usebenzisa i-laser ukususa ingxenye yangemuva yentambo eyodwa noma zombili zezwi, enweba indlela yokuphefumula ukuze ukwazi ukuphefumula kalula. Uma une-tracheostomy, enye indlela engakusiza uphefumule isikhathi eside i-tracheostomy engenapayipi.

Ingabe intambo yezwi engasebenzi kahle ingalungiswa?

Ngezinye izikhathi izintambo zezwi ziyaphola zodwa. Lokhu kungathatha izinyanga. Ngokwelashwa ngezwi, imijovo yezintambo zezwi, noma ukufakwa kwezimila, izwi lakho lingaqiniswa futhi abanye bangakuzwa kangcono uma ukhuluma. Ungase uthole nokuthi ukugwinya nokuphefumula kwakho kuyathuthuka ngokwelashwa. Buza udokotela wakho ukuthi ungawuthola yini umsebenzi wezintambo zezwi lakho ngokwelashwa.

Ingabe ukungasebenzi kahle kwe-vocal cord kungavinjelwa?

Ukungasebenzi kahle kwe-vocal cord akunakuvinjelwa ngaso sonke isikhathi. Khuluma nodokotela wakho uma unesifo esikwandisa ingozi yakho. Bangase batuse ukuhlolwa njalo ukuze kuhlolwe i-vocal cord yakho. Ungase udinge nokwelashwa ngezwi ukuze uthuthukise ukusebenza kwe-vocal cord yakho.

Iyini imbono yabantu abanenkinga yokungasebenzi kahle kwe-vocal cord?

Ukungasebenzi kahle kwemisipha yezwi okuningi kungaphola ngokwako ngokuhamba kwesikhathi. Ukwelashwa ngenkulumo kanye nokujova okugcwele kungasiza ekuthuthukiseni izimpawu ngenkathi imisipha yezwi yakho iphola. Uma ukungasebenzi kahle kwemisipha yezwi yakho kuhlala unomphela, i-implant yokubamba imisipha yezwi iyindlela engcono kakhulu yokwelapha. Akuvamile ukuthi, uma i-implant isuka endaweni yayo, udokotela wakho angadinga ukuyishintsha.

Ngokwelashwa, abantu abaningi baphinde bakwazi ukukhuluma nokugwinya ngemva kokungasebenzi kahle kwe-vocal cord. Izinga lakho lokululama lizoncika ezintweni eziningana, okuhlanganisa ukuthi ukungasebenzi kahle kwe-vocal eyodwa noma zombili, nokuthi kuncane noma kubi.

Kufanele ngimbone nini udokotela mayelana nokungasebenzi kahle kwe-vocal cord?

Uma unezimpawu zokungasebenzi kahle kwe-vocal cord, khuluma nodokotela. Izinguquko ezwini lakho, ukuhosha okungachazeki, umsindo wokuphefumula lapho uphefumula, ukuphelelwa umoya lapho ukhuluma, noma ukhwehlela kanye nomphimbo obuhlungu lapho udla noma uphuza akuyona into engavamile. Ukuthola ukwelashwa kusenesikhathi kungasiza ekuvimbeleni isimo sakho ukuba sibe sibi kakhulu. Kwezinye izimo, ukwelashwa okungahlaseli, njengokwelashwa ngezwi, kungakusiza ugweme ukuhlinzwa.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Uma unenkinga yokuphefumula noma yokugwinya, funa usizo lwezokwelapha ngokushesha. Ukungatholi umoya owanele kuwuphawu lokungasebenzi kahle kwe-vocal cord, okuwuhlobo olubi kakhulu lwesimo. I-Aspiration pneumonia yenzeka lapho ukudla noma isiphuzo kungena endleleni yokuphefumula ngoba i-vocal cord ayivaleki kahle.Kungakhula, futhi uma kungelashwa, kungaba yingozi.

Umlayezo Wokuya Nawe Ekhaya

Uma unezimpawu ezifana nokushintsha okuphawulekayo kwezwi lakho, ukuhosha, ubunzima bokuphefumula ngenkathi ukhuluma, ubunzima bokugwinya, noma ukugwinya ukudla nokuphuza njalo, ungamane nje ungazinaki. Lezi kungaba izimpawu zokukhubazeka kwezwi .

Into ebaluleke kakhulu okufanele uyikhumbule:

* Uma unenkinga enkulu yokuphefumula noma ubunzima bokugwinya, hamba esibhedlela ngokushesha.

* Uma unezinye izimpawu, bonana nochwepheshe wezindlebe, impumulo, nomphimbo (ENT) ngokushesha.

* Uma sitholakale futhi selashwa kusenesikhathi, lesi simo singaphathwa kahle, futhi singase silapheke ngokuphelele.

Asikho isidingo sokwesaba, kodwa kubalulekile ukuqaphela lezi zimpawu. Khuluma nodokotela wakho bese uthola ukuhlolwa nokwelashwa okudingekayo.

Ukushintsha kwezwi , ukungasebenzi kahle kwezwi, izwi elihoshozelayo, ubunzima bokugwinya, ubunzima bokuphefumula, Ukukhubazeka Kwezwi, I-Laryngoscopy, ukwelashwa ngezwi