Zomwe Zimatanthauza Kukhala Ndi Mawu Amphongo
Zamkati
- Kodi mawu amphongo amveka bwanji?
- Nchiyani chimayambitsa mawu amphuno?
- Kodi mawu amphongo amathandizidwa bwanji?
- Mankhwala
- Opaleshoni
- Mankhwala othandizira
- Zochita zoyesera kuyesera kunyumba
- Kutenga
Chidule
Aliyense ali ndi mtundu wina wosiyana ndi mawu awo. Anthu omwe ali ndi mawu ammphuno amatha kumveka ngati akuyankhula kudzera pamphuno yothinana kapena yothamanga, zomwe ndi zomwe zingayambitse.
Liwu lanu lolankhula limapangidwa mpweya ukamachoka m'mapapu mwanu ndikuyenda m'mwamba kudzera mu zingwe ndi khosi lanu pakamwa panu. Mtundu womveka wamtunduwu umatchedwa kumveka.
Mukamalankhula, m'kamwa mwanu mumatuluka mpaka mutadzikankhira kukhosi kwanu. Izi zimapanga chisindikizo chomwe chimayang'anira kuchuluka kwa mpweya womwe umadutsa m'mphuno mwako kutengera mawu omwe mumalankhula.
M'kamwa mofewa ndi mbali ndi kumbuyo kwa makoma anu pakhosi palimodzi mumapanga chipata chotchedwa velharyngeal valve. Ngati valavu iyi sigwira bwino ntchito, imatha kusintha kalankhulidwe.
Pali mitundu iwiri yamawu amphuno:
- Zosokoneza bongo. Kulankhula kumayambitsidwa ndi mpweya wochepa kwambiri wolowa m'mphuno mukamalankhula. Zotsatira zake, phokoso silikhala ndi mawu okwanira.
- Zovuta. Kulankhula kumayambitsidwa ndi mpweya wambiri womwe umatuluka m'mphuno mukamalankhula. Mpweya umamveketsa phokoso kwambiri.
Ngati mukumva kuti muli ndi liwu lammphuno lomwe limafunikira chidwi, makamaka ngati kusintha uku kwatsopano, onani khutu la khutu, mphuno, ndi mmero (ENT). Zambiri zomwe zimayambitsa mawu amphongo zimachiritsidwa.
Kodi mawu amphongo amveka bwanji?
Liwu lachinyengo lingamveke lotsekedwa, ngati kuti mphuno yako ili yodzaza. Ndimamvekedwe omwewo omwe mungamve ngati mutatsina mphuno mutatseka polankhula.
Mutha kukhala ndi zizindikilozi limodzi ndi liwu lachinyengo:
- yothina kapena yothamanga m'mphuno
- kuvuta kupuma kudzera m'mphuno mwako
- Kutulutsa m'mphuno mwako
- chikhure
- chifuwa
- kutaya kununkhiza ndi kulawa
- ululu kuzungulira maso anu, masaya anu, ndi pamphumi
- mutu
- kukuwa
- kununkha m'kamwa
Liwu lachiphamaso limamveka ngati kuti ukuyankhula kupyola m'mphuno mwako, ndikutulutsa komwe kumatsatana.
Mutha kukhala ndi zizindikilozi limodzi ndi liwu la hypernasal:
- kuvuta kutchula makonsonanti omwe amafunikira kuthamanga kwa mpweya, monga p, t, ndi k. k
- mpweya ukupulumuka m'mphuno mwako mukamanena zophatikiza monga s, ch, ndi sh
Nchiyani chimayambitsa mawu amphuno?
Zinthu zingapo zimayendetsa mawu anu. Izi zikuphatikiza kukula ndi mawonekedwe mkamwa mwako, mphuno, ndi mmero, komanso kuyenda kwa mpweya kudzera m'malo amenewa.
Liwu lachinyengo nthawi zambiri limakhala chifukwa chotseka mphuno. Kutsekeka kumeneku kumatha kukhala kwakanthawi - monga mukakhala ndi chimfine, matenda a sinus, kapena chifuwa.
Kapena, itha kuyambitsidwa ndi vuto lokhalitsa monga:
- matani akulu kapena adenoids
- septum yopatuka
- tizilombo ting'onoting'ono m'mphuno
Zomwe zimayambitsa liwu la hypernasal ndizovuta ndi valavu ya velharyngeal, yotchedwa velopharyngeal dysfunction (VPD).
Pali mitundu itatu ya VPD:
- Velopharyngeal insufficiency imayambitsidwa ndi vuto lakapangidwe kake ngati kamwa kakang'ono kofewa.
- Kulephera kwa Velopharyngeal kumachitika pamene valavu siyimatseka njira yonse chifukwa cha zovuta zamagulu.
- Kusocheretsa kwa Velopharyngeal ndipamene mwana samaphunzira moyenera momwe angayendetsere kuyenda kwa mpweya kudzera pakhosi ndi pakamwa.
Izi zimatchedwanso matenda amawu.
Zomwe zimayambitsa VPD ndizo:
- Kuchita opaleshoni ya Adenoid. Opaleshoni yochotsa tiziwalo timene timatuluka m'mphuno imatha kusiya malo okulirapo kumbuyo kwa mmero womwe mpweya umatha kuthawira m'mphuno. Izi ndizakanthawi ndipo ziyenera kusintha masabata angapo atachitidwa opaleshoni.
- Chatsitsa m'kamwa. Kulemala kumeneku kumachitika pakamwa pa mwana sikamapanga bwino panthawi yapakati. Kuchita opaleshoni kuti akonzedwe kumachitika ali ndi zaka 1. Koma pafupifupi 20 peresenti ya makanda omwe ali ndi phala lopindika adzapitiliza kukhala ndi VPD atachitidwa opaleshoni.
- Phala lalifupi. Izi zimapanga malo ochulukirapo pakati pakamwa ndi pakhosi momwe mpweya umatha kutuluka.
- Matenda a DiGeorge. Chromosome yovutayi imakhudza kukula kwa machitidwe ambiri amthupi, makamaka mutu ndi khosi. Zitha kupangitsa kuti m'kamwa mang'ambe komanso zovuta zina.
- Kuvulala kwaubongo kapena matenda amitsempha. Kuvulala koopsa kwaubongo kapena zikhalidwe monga ubongo waumunthu kumatha kulepheretsa kuti m'kamwa mwanu musayende bwino.
- Kusocheretsa. Ana ena samaphunzira momwe angapangire mawu olankhula molondola.
Kodi mawu amphongo amathandizidwa bwanji?
Chithandizo chomwe dokotala amakulimbikitsani chimadalira chifukwa cha mawu anu amphuno.
Mankhwala
Mankhwala otetezera thupi, antihistamines, ndi steroid nasal sprays angathandize kuchepetsa kutupa ndi kuchepetsa kusokonezeka m'mphuno kuchokera ku chifuwa, matenda a sinus, polyps, kapena septum yopotoka. Maantibayotiki amatha kuchiza matenda a sinus omwe sanasinthe ndipo amayamba chifukwa cha bakiteriya.
Opaleshoni
Mavuto ambiri amomwe amayambitsa mawu ammphuno amatha kuthekera ndikuchitidwa opaleshoni:
- matani kapena adenoids kuchotsa
- septoplasty ya septum yopatuka
- endoscopic opaleshoni kuchotsa tizilombo ting'onoting'ono m'mphuno
- Furlow palatoplasty ndi sphincter pharyngoplasty kutalikitsa m'kamwa kofewa pang'ono
- opaleshoni yokonza m'mimba mwa ana ozungulira miyezi 12
Mankhwala othandizira
Mutha kukhala ndi chithandizo chamankhwala musanachite opaleshoni kapena pambuyo pake, kapena palokha. Wothandizira chilankhulo ayambe ayese kalankhulidwe kanu kuti apeze njira yabwino yothandizira.
Chithandizo chamalankhulidwe chimakuphunzitsani kusintha momwe mungasunthire milomo yanu, lilime lanu, ndi nsagwada kuti mumve bwino mawu. Muphunziranso momwe mungakhalire olamulira pa valavu yanu ya velopharyngeal.
Zochita zoyesera kuyesera kunyumba
Katswiri wolankhula chilankhulo akuuzani zoyeserera kuti muchite kunyumba. Kubwereza ndikuchita mokhazikika ndikofunikira. Ngakhale malingaliro ena wamba, machitidwe owomba ndi oyamwa samathandiza kuti valavu ya velharyngeal itsekeke.
Njira yabwinoko ndiyo kuyankhula momwe wodwalayo akuwonetsera. Lankhulani, imbani, ndipo tchulani momwe mungathere kuti musinthe mawu anu ngati mungafune.
Kutenga
Ngati muli ndi vuto loyambitsa mphuno, pali mankhwala ambiri omwe amapezeka.
Mavuto amapangidwe monga ma polyps ndi septum yopatuka amatha kuthana ndi opaleshoni. Chithandizo chamalankhulidwe chingakuthandizeni kuwongolera kuyenda kwa mpweya pakamwa panu ndi mphuno, kuti mutha kuyankhula momveka bwino komanso molimba mtima.
Komabe, kumbukirani kuti mawu onse ali osiyana. Ngati mukumva kuti mawu anu ali ndi mphuno koma mulibe zina mwazomwe tanena kale, lingalirani kulilandira ngati gawo lanu. Nthawi zambiri timakhala otsutsa kwambiri mawu athu kuposa ena. Mwina ena sanazindikire chilichonse chokhudza mawu anu kapena apeza kuti amakupangitsani kukhala apadera munjira yabwino.