Ukushintsha kwezwi? Mhlawumbe lokhu (Ukuphazamiseka Kwezwi)! Sizoxoxa?

Ingabe ngezinye izikhathi uzizwa ushintsho ezwini lakho, ukushoshozela, noma ubunzima bokukhuluma? Mhlawumbe kukhona okubambeke emphinjeni wakho, noma uzizwa ukhathele lapho ukhuluma? Lokhu kungase kungabi nje izimpawu zomkhuhlane. Kungase kube izimpawu 'zokuphazamiseka kwezwi' . Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla.

Kuyini Ukuphazamiseka Kwezwi?

Kalula nje, ukuphazamiseka kwezwi kuyinoma yini ethinta ikhono lakho lokukhuluma. Lokhu kungashintsha ikhwalithi yezwi lakho, iphimbo, noma umsindo wezwi lakho.

Cabanga nje, uma sivame ukukhuluma, yilokhu okwenzekayo. Uma siphefumula, umoya ovela emaphashini udlula ku-trachea (umphimbo womoya) phezulu komphimbo bese ungena elarynx . Ngaphakathi kwelarynx yakho, phezulu kwelarynx, kunezintambo ezimbili zezwi . Uma siphefumula, lezi zintambo ezimbili zezwi ziyavuleka. Kodwa uma sizama ukukhuluma, lezi zintambo ezimbili zezwi ziyahlangana futhi zidlidlize njengoba umoya ovela emaphashini udlula. Lokho kudlidliza yikho okukhiqiza izwi lethu.

Kodwa-ke, kumuntu onenkinga yezwi, kukhona okuphazamisa le nqubo. Yilapho izwi lizwakala ngendlela ehlukile.

Lezi zinkinga zezwi zingahlukaniswa zibe izinhlobo ezintathu eziyinhloko:

1. Izinkinga Zemvelo: Lokhu kusho ukuthi kukhona okungahambi kahle ngesakhiwo se-larynx yakho, izintambo zezwi, noma amaphaphu. Isibonelo, ukukhula okungavamile ku-larynx.

2. Izinkinga Zezinzwa: Lokhu kwenzeka lapho kuba nomphumela othile ezinzwa ezilawula i-larynx. Cabanga nje, uma kukhona umonakalo ezinzwa ezilawula izwi lethu, kungase kube noshintsho ezwini.

3. Ukuphazamiseka Kokusebenza: Kulokhu, izakhiwo ezikhiqiza izwi, njenge-larynx, izintambo zezwi, namaphaphu, zivamile, kodwa azikwazi ukusetshenziswa kahle. Lokhu kuvame ukwenzeka lapho imisipha yezintambo zezwi iba nzima ukuyisebenzisa kahle. Ngezinye izikhathi, ukucindezeleka ngokweqile, imizwa, kanye nezinguquko esimweni sakho sengqondo nakho kungathinta izwi lakho.

Ngezinye izikhathi izinhlobo ezingaphezu kweyodwa zingenzeka ndawonye, ​​okubangela ukuphazamiseka kwezwi. Isibonelo, ungase ube nokukhubazeka kokugoqa izwi.Ake sithi kukhona. Lokho kusho ukuthi ukugoqa okukodwa kwezwi akusebenzi kahle. Bese kuthi okunye ukugoqa kwezwi, okungasebenzi kahle, kungasebenza kanzima, kubangele ukucindezeleka emphinjeni wakho. Lokhu kuyisifo sokusebenza. Noma, ukucindezeleka ngokweqile emphinjeni (ukuphazamiseka kokusebenza) kungaholela ezinkingeni zesakhiwo ezifana namaqhubu okugoqa kwezwi.

Ukuphazamiseka kwezwi kungenza kube nzima ngawe ukuxhumana nabanye nokuveza imizwa yakho. Lokhu kungaba nomthelela omkhulu ezingeni lakho lempilo. Kodwa khumbula, kunezindlela zokwelapha lokhu.

Yiziphi izinkinga ezivamile ezibangela ukushintsha kwezwi?

Kunezinhlobo eziningi zezinkinga ezingabangela ukushintsha kwezwi. Nazi ezinye zazo:

• I-Laryngitis: Lokhu ukucasuka noma ukuvuvukala kwemisipha yezwi lakho. Esikhathini esiningi, kungokwesikhashana. Kungabangelwa ukungezwani komzimba noma ukutheleleka kokuphefumula okuphezulu. Yilokhu okubangela ukuba izwi lakho lihoshe uma unomkhuhlane.
• I-Muscle Tension Dysphonia: Lokhu kwenzeka lapho imisipha engaphakathi kanye/noma ezungeze ibhokisi lakho lezwi (i-larynx) iqina kakhulu. Lesi simo singathinta nemisipha entanyeni yakho, emahlombe, nasemhlane ongaphezulu. Kungase kuzwakale sengathi uyaminza ngenkathi ukhuluma.
• I-Spasmodic Dysphonia / I-Laryngeal Dystonia: Lesi yisifo sezinzwa. Sibangela ukuqaqamba okungazelelwe kwezintambo zezwi. Singenza izwi lakho liqhume noma lizwakale lihoshozela uma ukhuluma.
• Izilonda Zentambo Yezwi: Lezi yizimila ezingezona umdlavuza (ezingenobungozi). Isibonelo, amaqhubu, ama-polyp, noma ama-cyst angakheka ezintanjeni zezwi. Lokhu kungathinta izwi.
• Ukukhubazeka Kwentambo Yezwi: Lokhu kwenzeka lapho izintambo zakho zezwi ziyeka ukusebenza kahle, okubangela ukuthi ulahlekelwe ukulawula imisipha elangeni lakho.

Ngaphezu kwalokhu, kukhona nezinkinga zomgudu wakho womoya ongaphezulu. Nakuba lezi zingahlobene ngqo nokusetshenziswa kwezwi, zihlobene ne-larynx kanye ne-vocal cord. Lezi yizi:

• Ukuvimbela I-Laryngeal Okungavuthi (ILO): Lokhu kubizwa nangokuthi i-Paradoxical Vocal Fold Motion Disorder (PVFM). Noma i-Vocal Cord Dysfunction.
• Ukuvinjelwa Kwe-Laryngeal Okubangelwa Ukuzivocavoca (i-EILO):

Uma une-'ILO' noma i-'EILO', izintambo zakho zezwi noma ezinye izakhiwo emphinjeni wakho zingase zinyakaze kabi uma uphefumula. Lokhu kungenza kube nzima ukuphefumula kahle.

Ziyini izimpawu zokuphazamiseka kwezwi?

Izimpawu zokuphazamiseka kwezwi ziyahlukahluka kuye ngembangela. Izwi lakho lingase lizwakale kanje:

• Izwi eliqinile, elinomkhawulo ('Elinomkhawulo'): Njengokungathi umphimbo unciphile lapho ukhuluma.
• Okuhwaqabele noma okuhoshozelayo: Njengomuncu.
• Ukuphefumula noma umoya: Izwi alicacile, njengokungathi liwumoya nje.
• Umuzwa we-phlegm obambeke emphinjeni, umuzwa omanzi (`Ugcwele noma umanzi`):
• Ubuthaka, ukuphimisela okuphansi, okunzima ukukuchaza: Awukwazi ukukhuluma kakhulu, ubonakala ekhuluma kancane.
• Izwi eliphakeme kakhulu noma eliphansi kakhulu:
• Ukuzwa izwi elikhulu kakhulu noma elithambile kakhulu:
• Ukungalingani noma ukuthuthumela, okuneziphazamiso noma izikhala emsindweni: Ukungakwazi ukugcina izwi eliqinile ngenkathi ukhuluma.

Ngaphezu kwalokho, ungase uzwe ubuhlungu lapho ukhuluma, noma kungase kudingeke ukuthi uzikhandle ukuze ukhulume. Ungase uzizwe sengathi kukhona 'iqhubu emphinjeni wakho'.

Yiziphi izimbangela zokuphazamiseka kwezwi?

Imbangela eyinhloko yokuphazamiseka kwezwi ukusebenzisa izwi lakho ngokweqile . Uma umemeza, uhlabelela, noma ukhuluma kakhulu, izwi lakho lingonakala. Cabanga ngakho, ngoba abantu abafana nothisha nabaculi basebenzisa amazwi abo ngaso sonke isikhathi, banamathuba amaningi okuthuthukisa lezi zimo. Isibonelo, kwakukhona uthisha wokucula esikoleni sethu owayehlala enezinkinga zezwi ngoba wayekhathele ukufundisa izingane izingoma usuku lonke.

Ngezinye izikhathi, lezi zifo zibangelwa izifo zesikhashana (ezibukhali), njengomkhuhlane, ukungezwani komzimba, noma izifo ze-sinus (sinusitis). Lezi zifo zibangela ukuvuvukala emphinjeni, okushintsha indlela umoya ogeleza ngayo. Uma ukugula sekuphelile, izwi livame ukubuyela esimweni esijwayelekile ezinsukwini noma emavikini ambalwa.

Kodwa-ke, ukuphazamiseka kwezwi okuyinkimbinkimbi kwenzeka uma kunenkinga ngesakhiwo, imisipha, noma imizwa ye-larynx, izintambo zezwi, noma izintambo zezwi.

Ubani osengozini enkulu yokuthola izinkinga zezwi?

Ukuphazamiseka kwezwi kungathinta noma ubani, kodwa izici ezithile zingandisa ingozi:

• Ubudala nobulili: Abesifazane abangaphezu kweminyaka engama-60 basengozini enkulu.
• Umsebenzi: Kulabo abasebenza emisebenzini edinga ukusetshenziswa kakhulu kwezwi, njengothisha, abaculi, kanye nabantu abathengisa ngocingo. (Ocwaningweni olulodwa kothisha abangaba yi-1,000, abangaphezu kwengxenye yabo babenezinkinga zezwi.)
• Ukuziphatha: Izinto ezifana nokuphuza utshwala, ukubhema.
• Ukuhlinzwa:Uma uke wahlinzwa emphinjeni wakho (isib., ukususwa kwe-thyroid) noma ipayipi lokuphefumula.
• Izinkinga Zama-Hormonal: Uma unezimo ezifana ne-Diabetes Mellitus, i-Thyroid Disease, noma i-Polycystic Ovary Syndrome (PCOS).
• Ezinye izimo zezokwelapha: Izinkinga Zezinzwa, Izifo Zokuzivikela Ezizimele, Isifo Sokuphindezela Kwesisu (i-GERD), I-Laryngopharyngeal Reflux (i-LPR), Umdlavuza We-Laryngeal, Izinkinga Zokusebenzisa Izidakamizwa, noma Izinkinga Zokusebenzisa Utshwala.

Ungahlonza kanjani izinkinga zezwi?

Umhlinzeki wakho wezempilo oyinhloko angase akwazi ukuxilonga ukuphazamiseka kwezwi. Noma, angakudlulisela kudokotela wezifo zolimi lokukhuluma (SLP) noma kudokotela wezindlebe, impumulo, nomphimbo (laryngologist).

Laba odokotela bazokubuza imibuzo mayelana nezimpawu zakho, umlando wakho wezokwelapha, nokuthi lezi zinselele ngezwi lakho zikuthinta kanjani ekhaya, emsebenzini nasesikoleni.

Udokotela uzolalela ngokucophelela njengoba ukhuluma. Uzobheka ubuso bakho, ikhanda, intamo, nomphimbo wakho njengoba ukhuluma futhi uphefumula. Angase akutshele ukuthi usho imisho ethile, noma ubambe imisindo ethile isikhathi eside, noma uphakamise noma wehlise izwi lakho.

Uma uhlangabezana nanoma yiziphi izimpawu ngenkathi wenza lezi zivivinyo - njengobuhlungu, umphimbo oklwebhekayo, noma ubunzima bokuphefumula - ungakhohlwa ukutshela udokotela wakho.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi simo?

Ukuze ubone ukuthi izintambo zakho ze-larynx kanye nezwi zisebenza kahle kangakanani, ungase ube nokuhlolwa kwezithombe okufana nalokhu:

• I-Laryngoscopy: Lokhu kuhilela ukusebenzisa ithubhu elincane neliguquguqukayo (isikophu) elinekhamera yevidiyo elinamathiselwe kulo ukuze libheke ngaphakathi komphimbo wakho. Udokotela angase futhi athathe amasampula (i-biopsy) ezintanjeni zezwi ukuze ahlole noma yiziphi izigaxa (amaqhubu), ama-polyp, noma ama-cyst.
• I-Videostroboscopy: Lokhu kusebenzisa ithubhu (isikophu) exhunywe kwikhamera ekhethekile. Ingabuka izintambo zakho zezwi zihamba kancane njengoba wenza umsindo. Kufana nevidiyo ehamba kancane.
• I-Laryngeal Electromyography (LEMG): Lokhu kusebenzisa i-electrode ukukala izimpawu zemizwa ezikhiqizwa lapho usebenzisa imisipha e-larynx yakho.
• I-MRI noma i-CT scan:Lokhu kuvumela udokotela ukuthi athathe izithombe ezinemininingwane zezintambo zezwi kanye ne-larynx. Lokhu kuvumela udokotela ukuthi abone ukuthi kukhona yini ukukhula okungavamile.

Izinkinga zezwi ziphathwa kanjani?

Ezinye izinkinga zezwi zesikhashana zingelapheka ngokumane uphumule izwi lakho. Udokotela wakho angase akucebise ukuthi uyeke ukumemeza, ukucula, noma ukukhama izwi lakho izinsuku ezimbalwa. Ungase futhi utshelwe ukuthi ukhulume kancane ngangokunokwenzeka.

Ezinye izindlela zokwelapha yilezi:

• Ukwelashwa Ngezwi: Odokotela Bezifo Zolimi Lokukhuluma (SLPs) bakufundisa amasu kanye nokuzivocavoca ukuze bakusize usebenzise izwi lakho ngempumelelo. Lokhu kuzokusiza ukuthi ukhulume kahle. Bakufundisa nokuthi ungalinakekela kanjani izwi lakho ukuze ugcine impilo yezwi.
• Imithi: Uma inkinga yakho yezwi ibangelwa yi-LPR (acid reflux) noma i-GERD (isifo se-acid reflux), ama-proton pump inhibitors (PPIs) noma eminye imithi ingasiza. Ezinye izinkinga zezwi zingadinga ama-steroid noma ama-antibiotic.
• Izinqubo noma ukuhlinzwa kwezokwelapha: Ungadinga ukuhlinzwa ukuze kususwe isilonda ezintanjeni zakho zezwi. Ungadinga imijovo yobuthi be-botulinum ukuze ukhulule imisipha eqinile yethambo lezwi. Uma unezintambo zezwi ezikhubazekile, udokotela wakho angakufaka i-filler ukuze avale isikhala esiphakathi kwezintambo zakho zezwi. Noma, bangafaka i-implant ukusiza ukuhlanganisa izintambo zakho zezwi (okubizwa ngokuthi i-medialization laryngoplasty).

Ingabe ukuphazamiseka kwezwi kungavinjelwa?

Nakuba ezinye izinkinga zezwi ezibangelwa ukusetshenziswa ngokweqile zingavinjelwa, eziningi kunzima ukuzivimbela. Kodwa-ke, unganciphisa ingozi yakho ngokunakekela izwi lakho. Nazi ezinye izinto ongayenza:

• Gwema ukubhema, izidakamizwa zokuzijabulisa, kanye notshwala.
• Gcina imisipha yakho yezwi imanzi ngokuphuza amanzi amaningi. (Uma uphuza amanzi, ayamuncwa emzimbeni wakho futhi asize imisipha yakho yezwi ishelele phezu komunye nomunye kalula.)
• Thatha izinyathelo zokuvimbela ukugula ngokugeza izandla zakho njalo.
• Uma usebenza emsebenzini odinga izwi eliningi, phumula izwi lakho njalo.
• Funda ukuthi imiphi imingcele enempilo yokusebenzisa izwi lakho.

Uma kufanele ukhulume noma uhlabelele kakhulu, jwayela umzimba wakho. Ukushintsha inani lokusetshenziswa kwezwi ngokuzumayo, ngaphandle kokulungiselela okwanele, kungaholela ekukhathaleni nasekulimaleni.

Iyini inhloso yokululama kubantu abanalesi simo?

Ukuphazamiseka kwezwi okubangelwa ukusetshenziswa ngokweqile noma ukugula okukhulu kuvame ukuba okwesikhashana. Akubangeli umonakalo ohlala njalo. Kodwa-ke, uma ukuphazamiseka kwezwi lakho kuyinkimbinkimbi kakhulu, kungathatha umzamo owengeziwe ukwelapha noma ukuphatha lesi simo. Ungadinga ukuhlinzwa noma izikhathi ezimbalwa zokwelapha ngezwi. Kodwa-ke, abantu abaningi banqoba izinselele zabo zezwi ngokwelashwa.

Ngingazinakekela kanjani?

Indlela engcono kakhulu yokunakekela izwi lakho ukulandela uhlelo lwakho lokwelashwa. Kodwa-ke, kubalulekile futhi ukunakekela impilo yakho yengqondo. Uma kunzima ukukhuluma, abantu bangase bazizwe sengathi abakwazi ukuveza imizwa yabo ngokukhululeka. Ezinganeni, lokhu kungaholela ekuzithobeni phansi. Umzamo omkhulu wokukhipha izwi labo kungaba yinto ecindezelayo futhi ehlukanisayo.

Uma ubhekene nezinkinga ezinjalo, khuluma nodokotela wakho. Mbuze ngezinsiza ezingakusiza.

Kufanele ngifune nini iseluleko sezokwelapha?

Uma ubona izinguquko ezingachazeki ezwini lakho ezingathuthuki ngemva kwamasonto ambalwa, hlela i-aphoyintimenti yokubonana nodokotela ngokushesha. Ukuthola ukwelashwa kusenesikhathi kungasiza ekuvimbeleni izimpawu ukuba zingabi zimbi kakhulu. Kungavimbela nomonakalo wesikhathi eside ezintanjeni zakho zezwi, okungadinga ukwelashwa okungathi sína, njengokuhlinzwa.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Nazi ezinye imibuzo ongayibuza udokotela wakho:

• Yiziphi izindlela zokuziphatha okudingeka ngizishintshe ukuze ngithuthukise izwi lami?
• Hlobo luni lokwelashwa engiludingayo futhi kuzothatha isikhathi esingakanani?
• Ngingasebenza nobani abahlinzeki bezempilo abanjani?
• Angakanani amathuba okuba izinkinga zami zezwi zelapheke ngokuphelele?
• Ungangitshela ukuthi yiziphi izinsiza ezingangisiza ukubhekana nokuphazamiseka kwezwi?

Okokugcina, izinto okufanele uzikhumbule

Ukuphazamiseka kwezwi kungenza kube nzima ukuxhumana nabanye. Kodwa ngokwelashwa okufanele, ungathuthukisa ikhwalithi yezwi lakho. Lokhu kungakusiza ukuthi usondele kancane ekuqondweni abanye ngaphandle kokucindezela izwi lakho.

Uma ubona ushintsho ezwini lakho oluhlala isikhathi esingaphezu kwamasonto ambalwa, bonana nodokotela ngaphandle kokulibala. Angahlonza imbangela futhi akunikeze ukwelashwa okudingayo. Khumbula, ukwelashwa kwasekuqaleni kubaluleke kakhulu!

Ukuphazamiseka Kwezwi , Izintambo Zezwi, I-Laryngitis, Ukuqeqeshwa Kwezwi, Umphimbo Obuhlungu, Ukwelashwa Kwenkulumo