Dysphonia: zvinokonzera, zviratidzo, kurapwa. Functional dysphonia: kurapwa. Dysphonia - a ...

Dysphonia - chii ichi? Tsanangudzo iyi izwi anopiwa mune zvinhu zviri munyaya. Nesuwo kukuudza pamusoro zvinokonzera ichi chirwere kwacho, kuuya zviratidzo zvayo uye nzira kurapwa.

chikuru mashoko

Dysphonia - chii ichi? izwi iri zvokurapa zvinoreva kutyora unhu inzwi, iyo inozivikanwa nokuva hoarseness, nasal uye hoarseness. Kana paine munhu wakakwana kurasikirwa inzwi, ipapo ezvinhu akadaro anonzi Athos.

Features uye mhando zvokurwara

Sezvataurwa pamusoro apa, dysphonia - nenzwi kuchinja kunoitika nokuda nokuvhiringidzirwa ari Vocal midziyo. Izvi pathological muitiro unogona kuonekwa kwete chete pane vanhu vakuru asi vana. Nenzira, zvikonzero zvayo kukura, pane zvakawanda. About pavo isu ichatsanangura zvishoma mberi.

Maererano nenyanzvi, hurumende iri mubvunzo ine mbiri dzakasiyana siyana. Funga navo kunyanya ikozvino.

dzichipfekeka dysphonia

Nokuti zvakadaro dzinoratidzwa kusavapo chero chinokosha Kumwe kuchinja kunotanga, uyewo kuzvimba dokeriro. Maererano neizvi dzichipfekeka dysphonia kurapwa izvo zvichashandiswa kurondedzerwa pazasi, haisi yakareba chaizvo urongwa. Sezvineiwo, kukura ezvinhu akadaro anogona kukonzera siyana neurotic inoti.

Kune mhando wandei dzichipfekeka dysphonia. Izvi zvinosanganisira zvinotevera:

• Hypotonic - kunoratidzwa vasanyanye chetsandanyama mataurire Vocal muzvirugu, uyewo chitarisiko kuneta uye hoarseness.
• Gipertonusnaya - kunoratidzwa zvakawedzera tsandanyama mataurire pahuro zvinokonzera uye hoarseness uye kwazvo huro.
• Mutation - akaratidza kunyanya vakomana pakuyaruka. Nokuti ichi mhando dysphonia kunoratidzwa kusagadzikana nenzwi, uyewo unopinza achichinja kubva kumusoro kusvika pasi pasi.

Organic dysphonia

zvokurwara Izvi akaratidza nokuda kuzvimba dokeriro (laryngitis yakafanira, laryngotracheitis). Mushure kutsakatika chokutsva nokupera dysphonia. Izvi mhando nenzwi shanduko unowanzonzi pfupi.

The zvinokonzera dysphonia

Chikonzero kukura kudaro pathological ezvinhu mune nevana vachiberekwa laryngeal kuremara iri zvisiri kukura shwashwa ari dokeriro, kusanganisira epiglottis. anomaly Izvi zvinotisvitsa prolapse neyokupedzisira, uyewo kukwana Panovhurwa nomukova dokeriro. Ichi chirwere kunoratidza pacharo chimbichimbi uye pachinzvimbo ruzha mweya. In kurapwa tsika, chiitiko ichi inonzi laringomalyatsiey, kana vachiberekwa stridor.

Mukuwedzera vakaremara kuti shwashwa, vascular vanachiremba kuona uye dokeriro anomalies, i.e. inotungamirwa angiomas, kana inonzi vascular anomera. Ivo muka kubva zvaipesana node uye ropa midziyo mu embryonic period.

Zvikonzero dysphonia anogona chokuita hypoplasia kana kushaya pahuro zvinokonzera rakakwana. With zvavo yokusafa dysfunction nevana zviratidzo, izvo chaizvo zvakafanana zviratidzo asima akadai kupfupika mweya kurwiswa, wheezing uye stridor.

Tinofanira kuonawo kuti chikonzero kukura makemikari dysphonia kazhinji chirwere kana rikwanise zvokurwara kuti sema, anogumbura, oncological kana chetsinga zviriko dzakasiyana-siyana dokeriro kana rezasi kufema turakiti.

The kukonzera dzichipfekeka dysphonia

Nei dzichipfekeka dysphonia? ezvinhu akadaro kunogona kukonzerwa zvinhu zvinotevera:

• kushushikana mamiriro;
• mhingaidzo, kana inonzi kutyora lumen rokumusoro Airways (nokuda ingress miviri vatorwa);
• bapu, mwoyo, kwemakemikari anobudiswa maitiro uye ropa midziyo;
• Zvirwere dzepabonde omumuviri, thyroid kana adrenal mumasero;
• Kushandiswa anabolic steroids (steroid kemikari-zvakadai zvinokuvadza);
• kupererwa, hypo-uye avitaminosis;

• basa chokuita kuramba kushandiswa izwi (yokudzidzisa zvinhu, vocals);
• chirwere of remuromo musana musana (osteoporosis, arthritis, etc.);
• Kuvhiya ari pamutsipa (kureva kukuvaradzwa Vocal midziyo yacho dokeriro);
• mupfungwa uye chetsinga zvirwere;
• mishonga (izwi shanduko pasi pokudzora chero zvinodhaka);
• Migumisiro zvirwere mapatani (kunonoka kupora kana kusingarapiki zvachinja mucosa pamusoro dokeriro pashure rikwanise chirwere).

zviratidzo

Dysphonia zviratidzo chokuita yepamusoro izwi zvirwere. Kukura chirwere ichi muvanhu anooneka hoarseness. Naiyewo anenge yekudyidzana kwakachinja timbre kana matauriro.

Panyaya vana, ipapo ezvinhu akadaro vanowanzoororwa achiperekedzwa stridor, kuti ruzha uye mafungu kurira kuti kunoitika munguva inhalation uye nedzinovengwa mhepo nekusarangarira kuburikidza lumen (aienda) ari dokeriro.

kuongorora chirwere zvirwere

Munokuridzirwa dysphonia kunofanira chete pashure rudano kwachiremba. Nokuti nechirwere ose ezvinhu ichi pathological nyanzvi vanosungirwa zvikurukuru kubvunzurudza uye kuongorora murwere. Nokufamba ichi, vanozovhiringidzika akafukidzwa:

• hunhu zvirwere (marwadzo ari huro, hoarseness, simba inzwi, kukurumidza kuneta, etc ...);
• nguva yose pathological muitiro;
• vakarondedzera chenjera uye chirwere, pamusoro paiva zvishomanana kurasikirwa izwi (semuenzaniso, kuzvimba oropharynx kwemabhakitiriya kana nemavhairasi hunhu);
• zvinoita kuti itibatsire kukura dysphonia (kuverenga zvinonzwika, vachiimba, kuderera kana kuwedzera inzwi , etc.).

Dzimwe nzira ongororo

Kuongorora zvokunyama murwere dysphonia kukura inosanganisira zvinotevera:

• Research (acoustic) izwi pasi mutoro. Kuti aite izvi, murwere ndiverenge chero nyaya, panguva iyo uyere amplitude uye kakawanda inzwi.
• Laryngoscopy - munhu kutarisana kuzviongorora dokeriro. Nzira iyi ndiyo inonyanya kukosha uye chinangwa. Kune mhando dzakawanda laryngoscopy (isina kunanga, yakananga uye mikrolaringoskopiya). Vanobvumira kuti dzinoona functionality ari Vocal muzvirugu, uyewo mamiriro ari mucous membranes ari dokeriro.
• X-ray uye computed tomography yacho dokeriro.
• Densitometry - ane tinyatsonzwisisa pfupa arambe achirema iri remuromo nomuzongoza. Kuongorora kwakadaro zvinokosha kuona osteoporosis kana chinonzi osteoarthritis.

Zvinofanira kucherechedzwa kuti nokuda dzakawanda dzakasiyana zvinokonzera dysphonia, murwere anoda kubvunza vanoverengeka nezvokurara, kusanganisira chiremba, mumwe chiremba wechikadzi achindidzidzisa kutaura, endocrinologist, internist, foniatora uye otolaryngologist.

rabhoritari kuongorora chirwere

Kuziva kuzvimba ari huro murwere anogona akatumira:

• vakawanda ropa uye weti nemiedzo (kubvisa kuzvimba uye kuongorora pachiyero aumba zvinhu uye Chizenga muropa);
• Nemakemikari Kuongororwa kweropa (nokuti kupima mwero parathyroid kemikari uye thyroid omumuviri, adrenal omumuviri, uyewo macro- uye kuronda zvinhu).

Dysphonia: kurapwa

Ndinofanira Kuita Sei chirwere? Dysphonia kusvika mushonga zvinofanira kuva dzakaoma. Zvinotora zvainoita etiopathogenic zvinhu. Mune mamwe manzwi, zvakakodzera kwete chete kubata somatic zvirwere uye zvinetso somatomorfnye, asi nzvimbo ine chirwere utachiwana.

Chinangwa yokurapa ndiko kuvandudza mamiriro bumbiro iri Vocal midziyo, uyewo paumbwe mudanga phonation unyanzvi.

Kakawanda nokuti pakurapa dzichipfekeka dysphonia kushandiswa asiri zvinodhaka nzira. Izvi zvinosanganisira fonopediyu, nekunyatsotsanangura uye kufema kurovedza. Anoshandawo kushingaira mutsipa masaja, mupfungwa, uye mumuviri kurapa igloreflekso-.

Sezvo physiotherapy pamwe hypotonic dysphonia murwere ushandiswe zvemagetsi kweiyi tsandanyama ari dokeriro kubudikidza diadynamic dzenzvimbo, uyewo electrophoresis uye Amplipuls.

Kana mutational dysphonia, izvozvo hakurevi chinhu chinokosha kurapwa, kunze pakurapa mikana zvirwere, fonopedii uye ndaisagona kurapa.

Tinofanirawo kuziva kuti ichi chirwere kwacho, uye varwere kazhinji ushandiswe mishonga siyana. Kana hypotonic dysphonia vanachiremba vanoti kushandiswa muviri zvakadai nemidzi uye rhizomes pamusoro Eleutherococcus senticosus, B mavhitaminzi, uyewo neostigmine. gadziriro kwakadaro kuvandudzwa microcirculation uye kudzoka Vocal pazvirugu romuzvarirwo izwi.

Kana lozhnoskladkovoy phonation uye hypo-gipertonusnoy dysphonia murwere kuitisa omunharaunda uye mukuru Anti-anogumbura mishonga hypertrophic laryngitis.

Maererano kurapa nokuda spastic dysphonia, voitakura kunze pamwe neurologists. Nokuti chinangwa ichi, GABAergic zvinodhaka, kwiza mutsipa tsandanyama, ari blockade pamusoro dokeriro uye phonophoresis.

kushanda kupindira

Kana kaunda uye akaratidza hypotonic dysphonia murwere anoratidza tiroplastika uye kudyara kuvhiyiwa. chinangwa chavo ndechokuti dzikurukure Vocal tambo adduction. Kana aiona lozhnoskladkovoy phonation, icho pamwe hypertrophy vestibular pazvirugu, kuvhiya kurapwa ndiko kubvisa mwero nzvimbo idzi.

Munguva postoperative nguva, kunze Anti-anogumbura kurapwa, vakatakura fonopediyu anotokonya kurapa uye izvo nechinangwa kuwedzera mataurire Vocal pazvirugu.

To muchidimbu

vamwe vanhu vanofanira kuramba fonopediyu kwemwedzi inoverengeka kudzorera chakaipa izwi. Kana dysphonia kwakaitika vanhu golosorechevyh ounyanzvi hwokugadzira, vanofanira kwenguva refu pashure chete chenguva dzose kuchinja enzwi mutoro.

Uyewo, murwere zvinofanira kudzoswa kuti inzwi kuchinja chiratidzo zvakajeka Vocal zvirwere midziyo. Zvinoda kurapwa pakarepo kuti otorhinolaryngology. Kukundikana kutevera zvose mirayiridzo chiremba anogona kutungamirira paumbwe dokeriro zvokurwara.