Spasmodic dysphonia

Spasmodic dysphonia imavutika kuyankhula chifukwa cha spasms (dystonia) ya minofu yomwe imawongolera zingwe zamawu.

Zomwe zimayambitsa spasmodic dysphonia sizikudziwika. Nthawi zina zimayambitsidwa ndi kupsinjika kwamaganizidwe. Nthawi zambiri zimachitika chifukwa cha zovuta muubongo komanso zamanjenje zomwe zingakhudze mawu. Minyewa yolumikizira mawu, yomwe imapangitsa kuti zingwe zamawu ziziyandikira kwambiri kapena kutalikirana kwambiri pamene munthu akugwiritsa ntchito mawu ake.

Spasmodic dysphonia nthawi zambiri imachitika pakati pa zaka 30 ndi 50. Amayi ndi omwe amakhudzidwa kwambiri kuposa amuna.

Nthawi zina, vutoli limayenda m'banja.

Mawuwo nthawi zambiri amakhala osasa mawu. Ikhoza kugwedezeka ndi kupuma. Mawuwo akhoza kumveka opanikizika kapena wopinimbiritsa, ndipo zitha kumveka ngati wokamba nkhani akuyenera kuyesetsa kwambiri. Izi zimadziwika kuti adductor dysphonia.

Nthawi zina, mawu amangonong'ona kapena kupuma. Izi zimadziwika kuti abductor dysphonia.

Vutoli limatha munthuyo akaseka, kunong'oneza, kuyankhula mokweza, kuyimba, kapena kufuula.

Anthu ena amakhala ndi vuto lakumva kulumikizana ndi minofu m'mbali zina za thupi, monga kukokana kwa wolemba.

Dokotala wa khutu, mphuno, ndi mmero adzawona ngati zingwe zamawu ndizovuta zina zamaubongo kapena zamanjenje.

Kuyesa komwe kumachitika nthawi zambiri kumaphatikizapo:

• Kugwiritsa ntchito mawonekedwe apadera ndi kuwala ndi kamera kuti muwone bokosilo (larynx)
• Kuyesedwa kwa mawu ndi omwe amakupatsani chilankhulo

Palibe mankhwala a spasmodic dysphonia. Chithandizo chingathe kuchepetsa zizindikilozo. Mankhwala omwe amatha kuphipha minofu yolumikizira mawu angayesedwe. Amawoneka akugwira ntchito mpaka theka la anthu, chabwino. Ena mwa mankhwalawa amakhala ndi zovuta zina.

Mankhwala a botulinum toxin (Botox) atha kuthandiza. Poizoni wa botulinum amachokera ku mtundu wina wa mabakiteriya. Zinthu zochepa kwambiri za poizoniyu zimatha kulowetsedwa m'minyewa yozungulira zingwe zamawu. Mankhwalawa nthawi zambiri amathandizira miyezi itatu kapena inayi.

Kuchita maopaleshoni kuti muchepetse imodzi mwamitsempha yolumikizira mawu kwagwiritsidwa ntchito pochiza spasmodic dysphonia, koma sikothandiza kwenikweni. Mankhwala ena othandizira amatha kusintha zizindikilo mwa anthu ena, koma kuwunikiranso ndikofunikira.

Kukondoweza kwaubongo kumatha kukhala kothandiza kwa anthu ena.

Thandizo la mawu ndi upangiri wamaganizidwe zitha kuthandiza kuchepetsa zizindikilo zochepa za spasmodic dysphonia.

Dysphonia - spasmodic; Matenda olankhula - spasmodic dysphonia

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Blitzer A, Kirke DN. Matenda a Neurologic a larynx. Mu: Flint PW, Francis HW, Haughey BH, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 57.

Mwala PW. Matenda am'mero. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 401.

[Adasankhidwa] Patel AK, Carroll TL. Hoarseness ndi dysphonia. Mu: Scholes MA, Ramakrishnan VR, olemba. Zinsinsi za ENT. Wolemba 4. Philadelphia, PA: Elsevier; 2016: chap 71.

Dipatimenti ya Zaumoyo ku US & Human Services; National Institute on Deafness and Other Communication Disways (NIDCD) tsamba lawebusayiti. Spasmodic dysphonia. www.nidcd.nih.gov/health/spasmodic-dysphonia. Idasinthidwa pa June 18, 2020. Idapezeka pa Ogasiti 19, 2020.