Dysphonia: izimbangela, izimpawu, ukwelashwa. dysphonia Functional: ukwelashwa. Dysphonia - a ...

Dysphonia - Iyini? Inchazelo kweThemu le sinikezwa izinto kwe-athikili. Siphinde ukukutshela ngezimbangela zokuziphendukela le nqubo isifo, Uyoletha izimpawu zaso nezindlela zokwelashwa.

ulwazi oluyisisekelo

Dysphonia - Iyini? Leli gama yezokwelapha libhekisela ukuhlukumeza izinga izwi, esibonakala by hoarseness, acinene futhi hoarseness. Uma kukhona ephelele ukulahlekelwa izwi, khona-ke isimo esinjalo libizwa Athos.

Izici kanye izinhlobo zokugula

Njengoba kushiwo ngenhla, dysphonia - ushintsho izwi ukuthi kwenzeka ngenxa ukuphazamiseka apharathasi vocal. Le nqubo sokugembula kungabonakala nasemkhakheni hhayi kuphela abadala kodwa futhi izingane. By the way, izizathu ngendlela, kukhona ezihlukahlukene. Mayelana nabo sizochaza kancane okunye.

Ngokusho kochwepheshe, isimo okukhulunywa has amafomu amabili ahlukene. Cabanga kubo ikakhulukazi manje.

dysphonia obusebenzayo

Ukuze isimo esinjalo libhekene nokungabi khona kwanoma yiliphi izinguquko eziphawulekayo sokugembula, kanye ukuvuvukala umphimbo. Mayelana nalokhu kuphathwa dysphonia obusebenzayo okuzokwenziwa kuchaziwe ngezansi, akuyona inqubo ende kakhulu. Phela, ukuthuthukiswa esesimweni esinjalo kungase kube nomthelela ezifundazweni ezihlukahlukene Neurotic.

Kunezinhlobo eziningana dysphonia sokusebenza. Lezi zihlanganisa lokhu okulandelayo:

• Hypotonic - libhekene ukwehla imisipha ithoni emphethweni vocal, kanye ukubukeka ukukhathala hoarseness.
• Gipertonusnaya - libhekene anda imisipha ithoni yezwi kanye hoarseness kanye umphimbo obuhlungu.
• Kwezakhi - wabonakaliswa ngokuyinhloko abafana phakathi nokuthomba. Ukuze lolu hlobo dysphonia libhekene ukuntengantenga kwezwi, kanye ushintsho abukhali kusukela phezulu kuya amathoni ongaphakeme.

dysphonia organic

Lokhu zokugula wabonakaliswa ngenxa ukuvuvukala umphimbo (laryngitis ngenxa, laryngotracheitis). Ngemva ukushabalala yisishiso ubalekela dysphonia. Lolu hlobo ushintsho izwi ngezinye izikhathi ibizwa ngokuthi iDemo.

Izimbangela dysphonia

Isizathu sokuthuthukisa isimo sokugembula enjalo ezinganeni azalwa naso laryngeal isici itholakala ukuthuthukiswa engalungile uqwanga we umphimbo, kuhlanganise epiglottis. Lokhu anomaly kuholela prolapse wale mithandazo, kanye nokuvulwa ongaphelele umnyango amalaka. Lesi simo kuzibonakalisa umoya enokhahlo futhi kunalokho ezinomsindo. Ngo umkhuba emtholampilo, lokhu mkhuba ubizwa ngokuthi laringomalyatsiey, noma stridor azalwa nako.

Ngaphezu ukukhubazeka azalwa naso cartilage, Ochwepheshe semithambo bona abuye amalaka anomalies, isb ukwakheka angiomas, noma okuthiwa izimila semithambo. Bona bavele kuphula umthetho we-lymph kanye igazi izitsha ku kwesikhathi sombungu.

Izizathu dysphonia lingaphathelaniswa ne hypoplasia noma ukungabakhathaleli nhlobo yezwi. Nge ukungasebenzi yabo ehambisana izingane izimpawu, zifana kakhulu izimpawu somoya ezifana iphika ukuhlaselwa umoya, kwesifuba futhi stridor.

Kufanele futhi wazi ukuthi isizathu sokuthuthukisa dysphonia organic ngokuvamile kukhona zokugula okungalapheki noma okukhulu nomzimba, ukuvuvukala, oncological noma izinzwa imvelo ezingxenyeni ezahlukene amalaka noma ephansi ipheshana zokuphefumula.

Ziyini izimbangela eziyinhloko zalokhu of dysphonia obusebenzayo

Kungani kunesidingo dysphonia obusebenzayo? isimo ababhekene nesimo esinje kungabaduduza senziwa lezi zinto ezilandelayo:

• izimo ukucindezeleka;
• isimiso, noma okuthiwa kokunikezwa kwe-mafutha anciphisa isikhala esingaphakathi we yomoya engenhla (ngenxa ingress imizimba angaphandle);
• izitsha kwamaphaphu, inhliziyo endocrine uhlelo negazi;
• Iziyaluyalu ubulili nezindlala, yegilo noma nezindlala adrenal;
• ukusetshenziswa Anabolic steroid (ama-hormone efana steroid izinto);
• kwegazi, Hypo-ne avitaminosis;

• umsebenzi ezihlobene nokusetshenziswa njalo izwi (imisebenzi zokufundisa, vocals);
• isifo se-wesibeletho emgogodleni nomgogodla (kwamathambo, isifo sokuqaqamba kwamalunga, njll);
• ukuhlinzwa entanyeni (ie ezilimele apharathasi vocal ka amalaka);
• nokugula ngengqondo futhi zezinzwa;
• imithi (izwi ushintsho bedle iyiphi imithi);
• imithelela ezithathelwanayo amaphethini isifo (yokutakula ingasheshi noma izinguquko ezingenakuhlehliswa ku mucosa we umphimbo emva kokutheleleka acute).

izimpawu

izimpawu Dysphonia elihlobene ne eliphezulu izwi iziyaluyalu. Ngo kakhulu ekuthuthukeni kwale izifo kubantu ivela hoarseness. Uye kakhulu ushintshe ngamazwi noma ithoni.

Ngokuphathelene nezingane ke isimo esinjalo avame ephelezelwa stridor, okungukuthi elikhulu nangokumemeza anolaka umsindo okwenzeka ngesikhathi lapho ephefumula futhi umoya air Ukudlula ngokusebenzisa mafutha anciphisa isikhala esingaphakathi (ukuvaleka) ka amalaka.

sitholakele isifo

dysphonia Phatha kufanele kube kuphela emva ucingo kudokotela. Ukuze sitholakele lesi sokugembula isimo ochwepheshe ziyadingeka ngokuyinhloko ngenze ama-interview kanye ukuhlola isiguli. Ngokuhamba lokhu, kokuthi ehlanganiswa:

• uhlamvu iziyaluyalu (ubuhlungu emphinjeni, hoarseness, izwi ababuthakathaka, ukukhathala ngokushesha, njll ...);
• isikhathi yenqubo sokugembula;
• ezihlobene oyingozi futhi ezingalapheki isifo, ngokumelene obekukhona kuwo ukulahlekelwa esinqunyiwe kwezwi (isib, ukuvuvukala oropharynx imvelo webhaktheriya noma viral);
• izici ukuthi nomthelela ekuthuthukiseni dysphonia (ukufunda ngokuzwakalayo, ukucula, ukunciphisa noma ukunyusa nephimbo lakho , njll).

Ezinye izindlela luhlolo

behlolwa isiguli nge ukuthuthukiswa dysphonia kuhlanganisa lokhu okulandelayo:

• Ucwaningo (acoustic) izwi ngaphansi komthwalo. Ukuze wenze lokhu, isiguli uyabuzwa ukufunda noma iyiphi into, ngesikhathi lapho ukukala amplitude kanye nokuvama izwi.
• Laryngoscopy - ukuhlolisisa okubonakalayo amalaka. Le ndlela iyona ebaluleke kakhulu futhi umgomo. Kunezinhlobo eziningana laryngoscopy (okuqondile, okungenxa yezimo eqondile mikrolaringoskopiya). Bavumela wena ukuhlola ukusebenza emphethweni vocal, kanye isimo nolwelwesi lwamafinyila we umphimbo.
• -X-ray kanye computed tomography we amalaka.
• Densitometry - ukuhlolwa kwabantu amathambo nomgogodla wesibeletho. Ukuzihlola okunjalo kubalulekile ukuthola kwamathambo noma i-osteoarthritis.

Kufanele kuphawulwe ukuthi ngenxa yezimbangela eziningi dysphonia ezahlukene, isiguli sidinga kokubonisana eziningi ochwepheshe, kuhlanganise udokotela ohlinzayo, inkulumo Umeluleki, endocrinology, wemithi yangaphakathi, foniatora futhi Otolaryngologist.

ukuxilongwa laboratory

Ukukhomba ukuvuvukala emphinjeni isiguli ingase ithunyelwe:

• ukuhlolwa kwegazi jikelele kanye nomchamo (ukuqeda ukuvuvukala futhi ukuhlola ezingeni izakhi kwakhiwa futhi hemoglobin egazini);
• ukuhlaziywa kwamakhemikhali kwegazi (ngoba kucatshangwa ezingeni parathyroid kwama-hormone egilo nezindlala, izindlala adrenal, kanye macro- futhi ukulandelela izakhi).

Dysphonia: ukwelashwa

kufanele Ngibaphatha kanjani isifo? Dysphonia indlela yokwelapha kumele kube eziyinkimbinkimbi. Kuthatha umphumela ezintweni etiopathogenic. Ngamanye amazwi, kubalulekile ukuba ningabi nje kuphela ukwelapha izifo ukuphathwa kwabathintwayo neziyaluyalu somatomorfnye, kodwa izikhungo we lesi sifo singalapheki.

Umgomo yokuyelapha ukuthuthukisa isimo umthethosisekelo apharathasi vocal, kanye ekwakhekeni amakhono phonation esitebeleni.

Ngokuvamile ekwelapheni obusebenzayo dysphonia ukusetshenziswa izindlela ze-non-izidakamizwa. Lezi zihlanganisa fonopediyu, ukuhambisana kanye ukuphefumula umzimba. Sebenzisa futhi ngenkuthalo entanyeni massage, ngokwengqondo, kanye sokuvivinya umzimba igloreflekso-.

Njengoba Physiotherapy nge dysphonia hypotonic nesineke ezinqunyiwe ukushukuma kagesi imisipha ye amalaka imisinga diadynamic, kanye electrophoresis futhi Amplipuls.

Kepha dysphonia mutational, ke Akudingi ukwelashwa okukhethekile, ngaphandle ukwelapha izifo ezingena ngentuba, fonopedii nokwelulekwa okunengqondo.

Kufanele wazi futhi ukuthi kule nqubo isifo, futhi iziguli evame ukunikezwa imithi ehlukahlukene. Lapho hypotonic dysphonia odokotela batusa ukusetshenziswa evuselela ezifana izimpande futhi rhizomes Eleutherococcus senticosus, amavithamini B, kanye neostigmine. amalungiselelo anjalo ekuthuthukiseni microcirculation bese ubuyela emphethweni vocal izwi evamile.

Lapho lozhnoskladkovoy phonation futhi Hypo-gipertonusnoy dysphonia nesineke ukuqhuba ukwelashwa zendawo jikelele eqeda ukuvuvukala we laryngitis hypertrophic.

Ngokuphathelene therapy ye dysphonia spastic, it is eyenziwa kanye neurologists. Ngenxa yale njongo, GABAergic izidakamizwa, uligcoba Imisipha yentamo, nokuvinjelwa amalaka futhi phonophoresis.

kokungenela op

Lapho esiphikisayo futhi wabonisa dysphonia hypotonic nesineke libonisa tiroplastika kanye nolwelwesi ukuhlinzwa. injongo wabo ukuthuthukisa vocal intambo adduction. Uma kubhekwa phonation lozhnoskladkovoy, okuyinto kuhambisana hypertrophy emphethweni vestibular, impatho kuhlinzwa kuyinto ukususa laba amasayithi ongaphilile.

Esikhathini esiyiminyaka nasezinkingeni ezilandela ngemva kokuhlinzwa, ngaphandle ukwelashwa eqeda ukuvuvukala, eyenziwa fonopediyu inkanuko yokwelapha kanye okuyinto yenzelwa okwandisa ithoni emphethweni vocal.

Kufinyeta

abanye abantu kudingeka uqhubeke fonopediyu izinyanga eziningana ukubuyisela izwi evamile. Uma dysphonia kwenzeka ngo abantu golosorechevyh ubuchwepheshe, badinga eside omlandelayo ne ukulungiswa njalo umthwalo izwi.

Futhi, isiguli kufanele wakhumbula ukuthi ushintsho izwi kuwuphawu olucacile we vocal izifo kulandzelana nekuhlunga tinsita. Kudinga ukwelashwa ngokushesha ukuze otorhinolaryngology. Ukwehluleka ukulandela yonke imiyalelo kadokotela kungaholela ekwakhekeni kweNhlangano zokugula amalaka.