Dysphonia: akpata, mgbaàmà, na ọgwụgwọ. Ọtọ dysphonia: ọgwụgwọ. Dysphonia - a ...

Dysphonia - ihe bụ nke a? The definition nke a okwu na-nyere na ihe nke isiokwu. Anyị na-agwa gị banyere ndị na-akpata ọrịa a usoro, ga-ewetara ya mgbaàmà na ụzọ nke ọgwụgwọ.

isi ozi

Dysphonia - ihe bụ nke a? Nke a ọgwụ okwu na-ezo aka ndị mebiri nke àgwà nke olu, nke e ji hoarseness, ọ dịghị òkè ma hoarseness. Ọ bụrụ na e zuru ezu ọnwụ nke olu, dị otú ahụ a na steeti a na-akpọ Athos.

Atụmatụ na iche nke daa ọrịa

Dị ka e kwuru n'elu, dysphonia - a olu mgbanwe na-adị n'ihi na-emeghasịkwa nke olu ngwa. Nke a enweghị nchịkwa usoro pụrụ hụrụ bụghị naanị na ndị okenye ma na-na ụmụ. Site n'ụzọ, ihe mere ya mmepe, e nwere oké dịgasị iche iche. Banyere ha anyị ga-akọwa a obere n'ihu.

Dị ka ndị ọkachamara, na steeti na ajụjụ nwere ihe abụọ dị iche iche iche-iche. Tụlee ha karịsịa ugbu a.

ọtọ dysphonia

N'ihi na ndị dị otú ahụ a ọnọdụ ji enweghị ọ bụla dị ịrịba enweghị nchịkwa mgbanwe, nakwa dị ka mbufụt nke ogwooro. Na njikọ na nke a ọtọ dysphonia ọgwụgwọ nke ga-kọwara n'okpuru ebe a, ọ bụghị a nnọọ ogologo usoro. Itunanya bu na, na mmepe nke ndị dị otú ahụ a na steeti nwere ike na-eme ka dị iche iche koro ndị mmadụ n'elu na-ekwu.

E nwere ọtụtụ ụdị nke ọtọ dysphonia. Ndị a gụnyere ndị na-esonụ:

• Hypotonic - e ji a ọnụ ke muscle ụda olu nke olu folds, nakwa dị ka ọdịdị nke ike ọgwụgwụ na hoarseness.
• Gipertonusnaya - e ji ụba Akwara ụda nke akwara ụda olu na hoarseness na akpịrị.
• Mutation - gosipụtara tumadi na ụmụ nwoke n'oge ah u. N'ihi na nke a ụdị dysphonia e ji akwusighi olu, dị ka nke ọma dị ka a nkọ mgbanwe site elu ala-aj u.

organic dysphonia

Nke a daa ọrịa gosipụtara ruru mbufụt nke ogwooro (laryngitis ruru, laryngotracheitis). Mgbe ikpochapu nke mbufụt kpamkpam dysphonia. Nke a na ụdị olu mgbanwe a na-akpọ mgbe ụfọdụ mkpụmkpụ.

Na-akpata dysphonia

Ihe mere maka mmepe nke ndị dị otú ahụ a-enweghị nchịkwa na ọnọdụ na ụmụ bụ congenital laryngeal nkwarụ idu ke ekwesịghị ịdị na mmepe nke cartilage nke nkọlọ, gụnyere epiglottis. Nke a anomaly eduga a prolapse nke ikpeazụ, nakwa dị ka na-ezughị ezu oghere nke ọnụ ụzọ na nkọlọ. Nke a ọnọdụ na-egosipụta onwe mberede na kama ụzụ ume. Na-adakarị omume, nke a onu a na-akpọ laringomalyatsiey, ma ọ bụ congenital stridor.

Ke adianade congenital ntụpọ nke cartilage, vaskụla ọkachamara mata na nkọlọ anomalies, i.e. guzobere angiomas, ma ọ bụ na-akpọ vaskụla etuto ahụ. Ha ibili si ndị mebiri nke Lymph na ọbara arịa na okpụkpụ nwa.

Ihe Kpatara dysphonia nwere ike na-metụtara ndị hypoplasia ma ọ bụ zuru ezu enweghị akwara ụda olu. Na ha pụta ụwa dysfunction na ụmụ mgbaàmà, nke yiri nnọọ ka ihe mgbaàmà nke ụkwara ume ọkụ dị ka iku ume ọkụ ọkụ ọgụ, wheezing na stridor.

Anyị ga na-ekwukwa na ihe mere maka mmepe nke organic dysphonia bụ mgbe ala ala ma ọ bụ nnukwu daa ọrịa nke anabata, mkpali, oncological ma ọ bụ akwara ozi ọdịdị dị iche iche nke eji ekwu okwu na ma ọ bụ nke ala akụkụ okuku ume na tract.

The isi na-akpata nke ọtọ dysphonia

Gịnị mere e a ọtọ dysphonia? Ndị dị otú ahụ a ọnọdụ nwere ike triggered site ndị na-esonụ ihe:

• nchegbu ọnọdụ;
• mgbochi, ma ọ bụ na-akpọ mebiri nke lumen nke elu karị (n'ihi ingress nke mba ozu);
• akpa ume, obi, endocrine usoro na ọbara arịa;
• Ọrịa mmekọahụ glands, thyroid ma ọ bụ adrenal glands;
• ojiji nke anabolic Steroid (steroid hormone-dị ka bekee);
• anaemia, hypo-na avitaminosis;

• ọrụ ndị a na-achụ mgbe niile iji olu (ozizi omume, vocals);
• ọrịa nke cervical spain spain (osteoporosis, ogbu na nkwonkwo, wdg);
• ịwa ahụ na olu (ie mebiri emebi olu ngwa nke ogwooro);
• uche na akwara ozi ọrịa;
• ọgwụ (olu mgbanwe n'okpuru nduzi nke ọ bụla ọgwụ ọjọọ);
• mmetụta nke na-efe efe ọrịa nakawa etu (ngwa ngwa mgbake ma ọ bụ irreversible mgbanwe mucosa nke ogwooro mgbe nnukwu ọrịa).

mgbaàmà

Dysphonia mgbaàmà metụtara na-elu-edu olu ọrịa. Na mmepe nke ọrịa a na ụmụ mmadụ na-egosi hoarseness. Ọ na-budata gbanwere timbre ma ọ bụ ụda.

N'ihe gbasara ụmụ, ndị dị otú ahụ a na steeti ha na-emekarị so site stridor, nke ahụ bụ oké na ike ike ụda na-adị n'oge inhalation na ume e kupụrụ ekupụ nke ikuku agafe site lumen (ibelata) nke ogwooro.

nchoputa nke ọrịa

Na-emeso dysphonia kwesịrị ịbụ naanị mgbe a na oku na nke dọkịta. Maka nchoputa nke a enweghị nchịkwa ọnọdụ ọkachamara na-chọrọ isi ajụjụ ọnụ na-enyocha ndidi. Na N'ezie nke a, ha na-kpuchie:

• agwa ọrịa (mgbu na akpịrị, hoarseness, na-adịghị ike olu, ngwa ngwa ike ọgwụgwụ, wdg ...);
• oge nke enweghị nchịkwa usoro;
• metụtara nnukwu na-adịghị ala ala ọrịa, megide nke e a ele mmadụ anya n'ihu ọnwụ nke olu (eg, mbufụt nke oropharynx nje ma ọ bụ malitere ịrịa uwa);
• ihe na-emetụta mmepe nke dysphonia (agụpụta, na-abụ abụ, ibelata ma ọ bụ dịkwuo na ụda olu , wdg).

Ụzọ ndị ọzọ nke nnyocha

Physical nyochaa onye ọrịa na dysphonia development agụnye ndị na-esonụ:

• Research (Na Na) olu n'okpuru ibu. Iji mee nke a, onye ọrịa na-jụrụ na-agụ ọ bụla e, n'oge nke tụọ njupụta na ugboro ole nke olu.
• Laryngoscopy - a visual nnyocha nke ogwooro. Usoro a bụ ihe kasị mkpa na ebumnobi. E nwere ọtụtụ ụdị nke laryngoscopy (anọ, kpọmkwem na mikrolaringoskopiya). Ha na-ekwe ka ị na-amata na arụmọrụ nke olu folds, nakwa dị ka ala nke mucous membranes nke ogwooro.
• X-ray na agbakọrọ tomography nke ogwooro.
• Densitometry - ihe ntule nke ọkpụkpụ njupụta na cervical spain. Nnyocha dị otú ahụ dị mkpa iji chọpụta osteoporosis ma ọ bụ osteoarthritis.

Ọ kwesịkwara kwuru na n'ihi na ọtụtụ dị iche iche na-akpata nke dysphonia, onye ọrịa na-achọ oge nke a ọnụ ọgụgụ nke ndị ọkachamara, gụnyere a na-awa, a okwu therapist, endocrinologist, internist, foniatora na otolaryngologist.

laabu nchoputa

Iji mata mbufụt na akpịrị onye ọrịa nwere ike zigara:

• general ọbara na mmamịrị ule (iwepụ mbufụt na-amata larịị nke kpụrụ ọcha na haemoglobin n'ime ọbara);
• Biochemical analysis of ọbara (maka estimating larịị nke parathyroid hormone na thyroid glands, adrenal glands, nakwa dị ka macro- na Chọpụta ọcha).

Dysphonia: ọgwụgwọ

Olee otú m ga-emeso a ọrịa? Dysphonia obibia ọgwụ kwesịrị mgbagwoju. Ọ na-ewe utịp ke etiopathogenic ihe. Na ndị ọzọ okwu, ọ dị mkpa ọ bụghị nanị na-emeso somatic ọrịa na-anaghị ekwe somatomorfnye, ma emmepe nke a-adịghị ala ala ọrịa.

Ihe mgbaru ọsọ nke ọgwụ bụ iji melite ala nke n'usoro ochichi nke olu ngwa, dị ka nke ọma dị ka e guzobere a ufọk ufene phonation nkà.

Ọtụtụ mgbe maka ọgwụgwọ nke ọtọ dysphonia ojiji na-abụghị ọgwụ ụzọ. Ndị a gụnyere fonopediyu, articulation na-eku ume omume. Na-emetụtakwa ifịk ifịk n'olu ịhịa aka n'ahụ, psychological, na ọgwụgwọ anụ ahụ igloreflekso-.

Ka physiotherapy na hypotonic dysphonia ọrịa kenyere eletriki mmetuta nke uru ahụ nke ogwooro site diadynamic okwukwo, nakwa dị ka electrophoresis na Amplipuls.

Ma mutational dysphonia, ọ dịghị achọ ihe ọ bụla pụrụ iche ọgwụgwọ, ma e wezụga n'ihi na ọgwụgwọ nke na opportunistic ọrịa, fonopedii ma ò ọgwụ.

Anyị ga na-ekwukwa na na ọrịa a usoro, na ọrịa na-emekarị kenyere dị iche iche ọgwụ. Mgbe hypotonic dysphonia dọkịta nwere ike ikwu na ojiji nke stimulants dị ka mgbọrọgwụ na rhizomes nke Eleutherococcus senticosus, B vitamin, nakwa dị ka neostigmine. Ndị dị otú ahụ preparations rụọ microcirculation ma laghachi olu folds nkịtị olu.

Mgbe lozhnoskladkovoy phonation na hypo-gipertonusnoy dysphonia ndidi kụziere obodo na izugbe mgbochi mkpali ọgwụgwọ nke hypertrophic laryngitis.

Banyere ọgwụ nke spastic dysphonia, ọ rụrụ ọnụ na neurologists. N'ihi nke a, GABAergic ọgwụ ọjọọ, ịhịa aka n'ahụ n'olu mọzụlụ, na mgbochi nke ogwooro na phonophoresis.

ịkpa aka

Mgbe counter na owụt hypotonic dysphonia ndidi na-egosi tiroplastika na ịkụbanye n'ịwa ahụ. Ha nzube ya bụ aka na olu udo adduction. Mgbe anya lozhnoskladkovoy phonation, nke na-esonyere hypertrophy vestibular folds, ịwa ahụ ọgwụgwọ bụ wepu a ndiiche na saịtị.

Na postoperative oge, ma e wezụga n'ihi mgbochi mkpali ọgwụgwọ, na-ebu fonopediyu akpali akpali ọgwụ na nke na-iji na-amụba ụda olu nke olu folds.

Iji ichikota

ụfọdụ ndị mmadụ mkpa ịnọgide na-fonopediyu ruo ọtụtụ ọnwa iji weghachi nkịtị olu. Ọ bụrụ na dysphonia mere na ndị mmadụ n'otu n'otu golosorechevyh Ọrụ, ha mkpa ha na-okwu ndị na na mgbe nile ukpụhọde nke olu ibu.

Ọzọkwa, onye ọrịa a ga-eti na olu mgbanwe bụ a doro anya ihe ịrịba ama nke olu ngwa ọrịa. Ọ na-achọ ozugbo ọgwụgwọ otorhinolaryngology. Odida na-eso niile dọkịta ntụziaka nwere ike iduga guzobe nke ogwooro daa ọrịa.