Dysphonia: zimayambitsa, zizindikiro, chithandizo. Zinchito dysphonia: chithandizo. Dysphonia - ndi ...

Dysphonia - ndi chiyani ichi? The tanthauzo la mawu chikuperekedwa zipangizo za nkhaniyi. Ifenso kukuuzani zimayambitsa ndondomeko matenda, azipereka zizindikiro zake ndi njira mankhwala.

mfundo zofunika

Dysphonia - ndi chiyani ichi? Mawu zachipatala amatanthauza kuphwanya khalidwe la mawu, lomwe amakhala ndi hoarseness, m'mphuno ndi hoarseness. Ngati pali wathunthu imfa ya mawu, pamenepo boma wotchedwa Athos.

Features ndi mawonekedwe a kudwala

Monga tanena dysphonia - kusintha mawu amenewa amapezeka chifukwa kusokoneza zida ntchito mawu. Izi ndondomeko pathological zingaoneke osati akulu komanso ana. Mwa njira, chifukwa chitukuko, pali lalikulu zosiyanasiyana. Za iwo Tidzafotokoza patsogolo pang'ono.

Malinga ndi akatswiri, boma mu funso ali mitundu iwiri yosiyana. Taganizirani iwo makamaka tsopano.

zinchito dysphonia

Pakuti chikhalidwe chotere yodziwika ndi kusapezeka kusintha kulikonse kwambiri pathological, komanso kutupa m'mphako ya. Mogwirizana ndi izi zinchito dysphonia chithandizo umene pansipa, si njira yaitali kwambiri. Zodabwitsa ndizakuti, kupanga ngati boma angapereke m'maboma osiyanasiyana neurotic.

Pali mitundu ingapo ya dysphonia zinchito. Zikuphatikizapo zotsatirazi:

• Hypotonic - amakhala ndi kuchepa minofu kamvekedwe ka m'makwinya amapilira, komanso kuoneka kutopa ndi hoarseness.
• Gipertonusnaya - amakhala ndi kuchuluka minofu kamvekedwe ka zingwe amapilira ndi hoarseness ndi zilonda zapakhosi.
• Kafukufuku - akuwonetseredwa makamaka anyamata akamakula. Mtundu wa dysphonia amakhala ndi Kusakhazikika kwa mawu, komanso kusintha lakuthwa kwa mkulu malankhulidwe otsika.

dysphonia organic

kudwala ichi chinawonetseredwa chifukwa kutupa m'mphako ya (laryngitis chifukwa, laryngotracheitis). Pambuyo kutha kwa kutupa akamaphwera dysphonia. mtundu wa kusintha mawu limatchedwa yochepa.

Zimayambitsa dysphonia

Chifukwa chitukuko cha chikhalidwe chotere pathological ana ndi kobadwa nako laryngeal chilema lagona pa chitukuko pachithunzichi wa chichereŵechereŵe cha m'phuno, kuphatikizapo epiglottis lapansi. anomaly Zimenezi zimathandiza munthu prolapse wa iwowa, komanso kutsegula chosakwanira za pakhomo la ku m'mphako ya. chikhalidwe ichi kumaonekera mosayembekezeka ndi m'malo phokoso mpweya. Zochita matenda, zodabwitsazi amatchedwa laringomalyatsiey, kapena kobadwa nako stridor.

Kuwonjezera olumala wa chichereŵechereŵe, akatswiri mtima kuzindikira ndi m'phuno anomalies, i.e. mapangidwe angiomas, kapena otchedwa zotupa mtima. Iwo uka kwa kuphwanya lymph ndi magazi zotengera ku nthawi embryonic.

Zifukwa dysphonia likhoza kulumikizidwa ndi hypoplasia kapena kusowa wathunthu wa timinofu. Ndi kukanika awo chibadidwe ana zizindikiro, zimene ofanana kwambiri ndi zizindikiro mphumu monga kufupika kuukira mpweya, wheezing ndi stridor.

Tiyenera kuona kuti cholinga cha chitukuko cha dysphonia organic kawirikawiri aakulu kapena pachimake kudwala kwa thupi lawo siligwirizana, yotupa, oncological kapena ubongo chikhalidwe mu madera osiyana a m'phuno kapena kachigawo m'munsi kupuma.

Zimayambitsa waukulu dysphonia zinchito

N'chifukwa chiyani dysphonia zinchito? Chotero chikhalidwe akhoza zidzayambike ndi zinthu zotsatirazi:

• zinthu nkhawa;
• kutsekeka kapena otchedwa kuphwanya lumen wa Airways chapamwamba (chifukwa ingress wa matupi yachilendo);
• m'mapapo, mtima, dongosolo endocrine ndi magazi zotengera;
• Matenda a zopangitsa kugonana, chithokomiro kapena zopangitsa adrenal;
• ntchito anabolic mankhwala (steroid timadzi ngati zinthu);
• magazi m'thupi, hypo ndi avitaminosis;

• ntchito kugwirizana ndi zones za mawu (yophunzitsa, mingoli);
• matenda a khomo lachiberekero msana msana (kufooka kwa mafupa, nyamakazi, etc.);
• opaleshoni mu khosi (ie kuonongeka zida amapilira ya m'phuno ndi);
• maganizo ndi ubongo matenda;
• mankhwala (kusintha mawu atamwa mankhwala aliwonse);
• Zotsatira za dongosolo nthenda (kuchira pang'onopang'ono kapena inasinthiratu mu mucosa wa m'phuno pambuyo matenda pachimake).

zizindikiro

Zizindikiro Dysphonia kugwirizana ndi matenda apamwamba mawu. Mu chitukuko cha matenda anthu amapezeka hoarseness. Iye ali kwambiri anasintha timbre kapena kamvekedwe.

Pankhani ana, ndiye okhumudwa nthawi zambiri limodzi ndi stridor, ndiye mokweza ndi akhakula phokoso zidzachitika inhalation ndi mpweya wa mpweya kudutsa lumen (kuchepetsa) ya m'phuno ndi.

matenda a matenda

dysphonia azichitira ayenera pokhapokha kuyitana kwa dokotala. Kwa matenda a ichi pathological akatswiri chikhalidwe kwenikweni chofunika alankhule ndi kufufuza mtima. M'kupita kwa ichi, iwo ataphimbidwa:

• matenda khalidwe (ululu mu mmero, hoarseness, mawu ofooka, kutopa mofulumira, etc ...);
• nthawi ya ndondomeko pathological;
• zokhudzana pachimake ndi aakulu matenda, imene panali imfa tsankho la mawu (mwachitsanzo, kutupa kwa oropharynx chikhalidwe toyambitsa tizilombo);
• zinthu zimene zimakhudza kakulidwe ka dysphonia (kuwerenga mokweza, kuimba kucepesa kapena kuonjezera kamvekedwe ka mawu , etc.).

njira zina Kupenda

Kupenda thupi la wodwalayo ndi chitukuko dysphonia zikuphatikizapo zotsatirazi:

• Research (lamayimbidwe) mawu pansi pa katundu. Kuti tichite zimenezi, wodwalayo amafunsidwa kuti muwerenge nkhani iliyonse, imene kuyeza matalikidwe ndi pafupipafupi mawu.
• Laryngoscopy - ndi zithunzi Kupenda m'mphako ya. Njira imeneyi ndi yofunika kwambiri ndi cholinga. Pali mitundu ingapo ya laryngoscopy (mozungulira, mwachindunji ndi mikrolaringoskopiya). Iwo adzalola inu kuti aone magwiridwe a m'makwinya amapilira, komanso chikhalidwe cha nembanemba mucous ya m'phuno ndi.
• X-ray ndi yopangidwa tomography ya m'phuno ndi.
• Densitometry - ndi zochita za osalimba fupa msana khomo lachiberekero. Kukambirana zimenezi n'kofunika kuti azindikire kufooka kwa mafupa kapena nyamakazi.

Tiyeneranso kukumbukira kuti chifukwa cha zinthu zosiyanasiyana pa dysphonia, wodwalayo amafuna upo angapo a akatswiri, kuphatikizapo dokotala, kulankhula dokotala, m'thupi yemwenso, internist, foniatora ndi otolaryngologist.

matenda zasayansi

Kudziwa kutupa mu mmero wodwala akhoza anatumiza kuti:

• ambiri magazi ndi mkodzo mayesero (kuthetsa kutupa ndi kuwunika mlingo wa zinthu anapanga ndi hemoglobin m'magazi);
• Amuzolengedwa kusanthula magazi (kwa kuyerekeza mlingo wa parathyroid timadzi ndi chithokomiro zopangitsa, zopangitsa adrenal, komanso macro- ndi mme- zinthu).

Dysphonia: chithandizo

Kodi ndimachita matenda? Dysphonia njira mankhwala ayenera kukhala zovuta. Pamafunika mphamvu pa zinthu etiopathogenic. M'mawu ena, m'pofunika osati kuchiza matenda somatic ndi matenda somatomorfnye, koma malo matenda aakulu.

Cholinga cha mankhwala ndi kusintha dziko la malamulo a zida ntchito mawu, komanso mapangidwe ndi luso khola phonation.

Nthawi zambiri zochizira zinchito ntchito dysphonia njira sanali mankhwala. Zikuphatikizapo fonopediyu, articulation ndi kupuma kokoka. Komanso ntchito mwakhama khosi kutikita, maganizo, thupi mankhwala igloreflekso-.

Monga physiotherapy ndi hypotonic dysphonia mtima Kwalamulidwa magetsi kukondoweza kwa minofu ya m'phuno ndi mafunde diadynamic, komanso electrophoresis ndi Amplipuls.

Koma dysphonia mutational, izo sikutanthauza chithandizo zapadera, kupatula zochizira matenda osiyanasiyana, fonopedii ndi mankhwala zomveka.

Tiyenera kuona kuti mu ndondomeko matenda, ndi odwala zambiri zotchulidwa mankhwala osiyanasiyana. Pamene hypotonic dysphonia madokotala kulengeza ntchito ogalamutsa monga mizu ndi rhizomes wa Eleutherococcus senticosus, mavitamini B, komanso neostigmine. zinthuzi kuwongolera microcirculation ndi kubwerera amapilira makutu mawu yachibadwa.

Pamene lozhnoskladkovoy phonation ndi hypo-gipertonusnoy dysphonia mtima kuchititsa m'deralo ndi ambiri odana ndi yotupa mankhwala a laryngitis hypertrophic.

Ndi nkhani ya mankhwala a dysphonia chonsechi, izo ikuchitika pamodzi ndi Madokotala aubongo. Chifukwa chaichi, GABAergic mankhwala, kutikita minofu khosi, ndi anatseka misewu ya m'phuno ndi phonophoresis.

ntchito alowererepo

Pamene kauntala ndipo anasonyeza hypotonic dysphonia mtima limasonyeza tiroplastika ndi analili opaleshoni. Cholinga chawo ndi kupititsa patsogolo ntchito mawu chingwe adduction. Kuwaona lozhnoskladkovoy phonation, amene anatsagana ndi hypertrophy makutu vestibular, chithandizo opaleshoni ndi kuchotsa malowa nthenda.

Mu nthawi postoperative, kupatula mankhwala odana ndi yotupa, yotengekatengeka fonopediyu zolimbikitsa mankhwala ndi amene umalimbana kuwonjezeka kamvekedwe ka m'makwinya amapilira.

kuti adzimvera

anthu ena kupitiriza fonopediyu kwa miyezi ingapo kuti abwezeretse mawu yachibadwa. Ngati dysphonia anachitika anthu golosorechevyh ntchito, ayenera yaitali amatsata ndi kusintha nthawi zonse katundu mawu.

Komanso, wodwala ayenera kukumbukira kuti kusintha mawu ndi chizindikiro Mmenemo choonekera matenda amapilira zida. Pamafunika mankhwala mwamsanga kuti otorhinolaryngology. Satsatira malangizo onse dokotala kungachititse kuti mapangidwe ya m'phuno kudwala.