Zingwe Zochuluka Zowonongeka
Mphepo ya ziwalo zowonongeka ndizofala kawirikawiri matenda amodzi omwe amapezeka ndi umodzi (osagwirizana) kapena onse awiri (chingwe chimodzi). Izi zimachitika pamene chingwe chanu cha mawu sichikutsegulira ndi kutsekera moyenera, mu dziko lachisanu kapena laziwalo, zomwe zingachoke pamtunda wanu popanda chitetezo. Zingwe za kumanzere ndi zowongoka zili zowona pamwamba pa trachea mkati mwa larynx kapena bokosi la mawu .
Chingwe cha paresis chingwe chofanana ndi chingwe chothera ziwalo kupatulapo kukhala olumala, zingwe zamagetsi zimagwira ntchito pang'ono, koma osati bwino.
Ambiri amachokera kumodzi ndi chingwe chakumanzere chomwe chimakhudzidwa kawiri kawiri ngati cholondola. Amuna amakhalanso oposa 33 peresenti kusiyana ndi amuna kuti azitha kudwala ziwalo. Kuwonongeka kwa mitsempha yayikulu yopereka mitsempha ya voliyumu (mitsempha yambiri ndi vagus nerve ) ndi / kapena mbali zina za ubongo zingathe kugwirizana ndi chifukwa cha kuuma. Malingana ndi chikhalidwe ndi kufooka kwa ziwalozo, zizindikiro za chingwe chothera zikhoza kukhala zochepa mpaka kuopseza moyo. Kugwiritsira ntchito chingwe chogwirizanitsa ziwalo ndizochepa koma zimawopsyeza moyo.
Zimayambitsa Zingwe Zogwiritsidwa Ntchito Zowonongeka
Pali zifukwa zambiri zomwe zingayambitse kupweteka kwa vola kuphatikizapo:
- zotupa (khansa ndi osadwala khansa)
- kuvulaza koopsa
- mapuloteni a m'magazi - (kuwonetsa zinthu zovulaza monga kutsogolera, arsenic, kapena mercury)
- Idiopathic (chifukwa chosadziwika) - amakhulupirira kuti amakhala okhudzana kwambiri ndi mavairasi (labrynthitis)
- HIV
- matenda a neurodegenerative ndi neuromuscular
Ziphuphu pamunsi mwa chigaza, khosi, ndi chifuwa zimagwiritsidwa ntchito ndi chingwe chakumwalira. Kufa ziwalo kumachitika chifukwa cha kupanikizika kwa mitsempha yomwe imayendetsa zingwe zamagetsi. Malo oterewa amapezeka ndi chithokomiro, chifuwa, ndi chifuwa. Matenda okhudzana ndi chingwe cha kudwala ziwalo zimaphatikizapo kuwonongeka kwa mitsempha pamtundu kapena opaleshoni yamphongo, khosi lopweteka kapena lopweteka kwambiri, komanso kawirikawiri chifukwa chotsitsimula ( kutsegula mpweya wabwino kudzera pakamwa ndi m'mapapo).
Zizindikiro Zogwiritsira Ntchito Chingwe Chothera Mthupi
Zizindikiro za kugwiritsira ntchito mawu osagwirizana ndi ziwalo zikuphatikizapo:
- zosasangalatsa
- mawu omveka (ena amamva ngati kupuma pamene mukuyankhula)
- kusinthika mu khalidwe la mawu - kutaya mokweza kapena kuthamanga
Zizindikiro za kugwiritsidwa ntchito kwapakati paziwalo za thupi zikuphatikizapo:
- dyspnea (kupuma kovuta)
- stridor (kumveka phokoso pamene akupuma)
- zovuta kumeza - zingamveke kapena kukhwima pamene akudya
Pakati pa ziwalo zomveka zolimbitsa thupi, zonsezi zimatha kutseguka ndi kutsekera moyenera ndipo choncho sizimatseguka pamene mukupuma ndi kutseka pamene mukumeza. Chifukwa chakuti mphepoyo imatsekedwa pang'onopang'ono pamene ikuwombera, mpikisano ukhoza kuchitika chifukwa cha kutuluka kwa mpweya wa mpweya kudzera mu zingwe za mawu. Kuphika ndi kukakokera kungabwere pamene tikudya chifukwa ndegeyo imatetezedwa pamene ikumeza ndipo chakudya kapena madzi amatha kudutsa mumphepete mwa voliyumu. Izi zimadziwika kuti aspiration ndipo zingayambitse chibayo.
Kuzindikira kwa Vocal Cord Kuwonongeka
Kuti apeze matenda otupa, mawu akuti otolaryngologist (ENT) ayenera kuyankhulana. Khalani okonzeka kuyankha mafunso angapo onena za malo omwe mungapezeke ndi matenda a m'mitsempha, ma opaleshoni apitalo, masoka achidule, ndi zizindikiro zina zomwe mwakhala mukukumana nazo.
Endoscope idzagwiritsidwanso ntchito polola dokotala kuti aone momwe mau anu akumvera. Wodwala matenda olankhula chinenero angathenso kuthandizira kupeza chingwe chothera.
Ngakhale kugwiritsidwa ntchito kwa endoscope kungagwiritsidwe ntchito pofuna kupeza chingwe cha kudwala ziwalo, ziyeso zina ziyenera kuchitidwa pofuna kuzindikira chomwe chimayambitsa ziwalo. Ma mayesero ena omwe angafunikire kuchitidwa ndi awa:
- ntchito ya magazi
- x-rays
- MRI
- CT ikuyang'ana
- makina osokoneza bongo
- masewera olimbitsa thupi
Kuchiza kwa Vocal Cord Kulimbana
Chimodzi mwazifukwa zomwe zimayambitsa matendawa zikhoza kuyamba. Pankhani ya opaleshoni yotupa mungafunike kuchotsa kapena kuchepetsa kukula kwake.
Ngati chifukwa chake chimasinthidwa, muyenera kutengapo njira zothetsera vutoli. Nthaŵi zambiri, chithandizo choyamba cha mzere ndi mankhwala opatsirana . Sikuti nthawi zonse opaleshoni ndi yofunika ndipo ena amatha kudwala ziwalo zowonongeka pakatha chaka. Choncho madokotala ambiri amapereka uphungu kuti achepetse opaleshoni mpaka chaka chitapita kukawona ngati ziwalozo zidzasintha zokha.
Mankhwala amapezeka kuti athandize kulimbitsa mawu ngati khalidwe silinabwererenso lokha kapena ndi mankhwala. Mankhwala atatu omwe angapezeke kuti asagwiritse ntchito chingwe chimodzi chophwanyidwa ndi kuwonjezereka, ndi kuphatikizapo, kupititsa patsogolo, komanso kudzoza kachidindo ka mawu.
- Kuwonjezeka kapena kugwedeza chingwe kumagwiritsidwa ntchito ndi otolaryngologist. Izi zimachitika mwa kuika Teflon, collagen, mafuta, kapena mtundu wina wa ziboliboli mumtambo woimba ziwalo. Pogwiritsa ntchito chingwe chomwe chimakhudzidwa kwambiri, chidzakhala pafupi ndi chingwe chosamvetsetseka ndipo kugwedeza pakati pa zingwe ziwiri kungathandize kuti liwu likhale labwino.
- Kugwiritsira ntchito chingwe chogwiritsira ntchito popanga opaleshoni kumagwira ntchito mofananamo pofuna kuwonjezereka mwa kubweretsa chingwe cholira mthupi mwakuya pafupi ndi chingwe chosagwirizanitsa chomwe chingayambitse liwu labwino.
- Reinnervation kapena kubwezeretsa mitsempha yokhudzidwayi kumayesero a voliyesa ayesedwa koma kawirikawiri sakhala opambana ndipo kawirikawiri sikumayendetsedwa ngati chithandizo cha chingwe chothera ziwalo.
Pokhapokha ngati phokoso lopatsirizika kapena opaleshoni yothandizidwa la chingwe cholirapo chachitika, njira yothandizira yolankhulana idzafunikiranso kuthandiza kuthandizira bwino khalidwe la mawu.
Muzoopsa zowopsa kwa voliyo ziwalo za thupi zikhoza kuchitidwa ndi dokotala kuti muteteze chitetezo chanu. Kawirikawiri, mankhwala oterewa amayenera kuchitidwa (kutseguka kumapangidwa m'kati mwa khosi ndipo mwachindunji mumatope kuti alole kupuma - izi zimatchedwanso stoma). Matenda otchedwa tracheotomies akhoza kukhala osatha kapena osakhalitsa malingana ndi kuuma kwa chingwe chotupa.
Zotsatira:
American Academy of Otolaryngology - Mutu ndi Opaleshoni Yamakhwa. Kulimbana ndi Chingwe Kuchokera. Zapezeka: September 9, 2009 kuchokera ku http://www.entnet.org/?q=node/1448
Chilankhulo cha American-Language-Hearing Association. Kulimbana ndi Chingwe Kuchokera. Zapezeka: September 9, 2009 kuchokera ku http://www.asha.org/public/speech/disorders/vfparalysis.htm
Merck Kulimbana ndi Chingwe Kuchokera. Zapezeka: September 9, 2009 kuchokera ku http://www.merck.com/mmpe/sec08/ch092/ch092g.html
National Institute on Deafness ndi Mavuto Ena Oyankhulana. Kuchotsa Mphindi Pang'ono. Zapezeka: September 9, 2009 kuchokera ku http://www.nidcd.nih.gov/health/voice/pages/vocalparal.aspx