Paresis we yezwi: izimbangela, izimpawu kanye zokwelapha

Okwamanje, amalaka ingenye izitho eziyinkimbinkimbi kakhulu. Ngisho nasezikhathini zasendulo waqala ukutadisha isimo sawo futhi nikwenza kuze kube manje. Kukhona izinhlobonhlobo eziningi izilonda laryngeal, kodwa omunye yezinto ezithakazelisa kakhulu kuyinto paresis we yezwi. It kubonakala ngesimo enciphile motor umsebenzi imisipha yomzimba, okuholela ukuphefumula kahle futhi phonation. Okwamanje, lesi sifo ingxenye yesithathu yazo zonke izifo we amalaka. Yena kuyingozi kakhulu, futhi ukwelashwa okuphumelelayo incike ukunemba ekuboneni izimbangela.

Kushiwo ngamuphi umqondo ukuthi ukuthuthukiswa zesifo?

anatomy laryngeal kusikisela yephimbo ahlelwe parallel nomunye. Phakathi kwazo kunane-glottis. Lapho umoya iyaphuma ngembobo ezakhiwe vibration, oscillation nemisipha izwi wadala. Ngakho lo mshini umsebenzi amalaka, enza umsebenzi phonation.

Imisipha umzimba aphendule pulses atholakale amagatsha elincane isimiso sezinzwa esiyinhloko. Uma kukhona noma yimuphi umonakalo noma zokugula, phakathi ubuchopho, isimiso sezinzwa futhi imisipha apharathasi ukuhlukumeza kwenzeka interconnection. Ngenxa yalokho yalokhu kuthuthukiswa kukhona paresis we yezwi futhi, ngokufanelekile, amalaka.

isifo typology

Lesi sifo ahlukaniswe zibe izinhlobo ezintathu: myopathic (ezihlobene apharathasi kwemisipha), neuropathic (kubangelwa iziyaluyalu laryngeal ezinzwa) futhi ukusebenza (izinkinga nge ibhalansi phakathi excitation futhi okusithiyayo e cortex cerebral).

Ukunqotshwa kwe-pheshana vocal kungaba imvelo sohlangothi olulodwa noma zamazwe amabili. Ngaphezu kwalokho, angahlangani kuyinto azalwa naso futhi atholwe. Eyokuqala libhekene ukuthuthukiswa amafomu olunzima - a ukukhubazeka we amalaka. Labo abaphethwe yilesi sifo Awukwazi ukwenza imisipha ukunyakaza komzimba.

ukubukeka myopathic

Cabanga ngamunye izinhlobo paresis we vocal izintambo imininingwane. ifomu Myopathic imiphumela sifo izinguquko ukuvuvukala laryngeal apharathasi ngenxa anda ngenani nezilwanyana ezincane. Cishe umphumela ofanayo amagciwane ezithathelwanayo.

Lesi sifo futhi kwenzeka uma uhlobo uthuli izinto ezinodaka emphinjeni. Umoya abandayo nokucindezeleka ngokweqile bangaba izici kwelungelo vocal intambo paresis noma ngakwesobunxele. Ngezinye izikhathi kukhona uhlobo amabili emaceleni lesi sifo. Izimpawu ungabahlukanisa:

• izwi hoshozela;
• ushintsho ithoni;
• akunakwenzeka nokuzala imisindo ephezulu bamisa;
• wasihlephula;
• akwazi ukukhuluma kuphela umnyenyezo.

ukubukwa neuropathic

Lolu hlobo paresis we yezwi bese amalaka iyona obanzi kunayo. Yena, ihlukaniswe zenyathi ezimbili: neuropathy emaphakathi. Eyokuqala libhekene ukulimala noma lesion laryngeal emsipheni. Kumiswa emgqonyeni wesibili ngenxa yokulimala, futhi cortex cerebral.

Uma ukwakha zokugula sohlangothi olulodwa, umoya nezwi-umsebenzi umsebenzi kuyinto evamile, ngemva kwesikhashana livela hoarseness. Ukubuyiselwa ezinzwa laryngeal kuthatha izinyanga eziningana. Nokho, uma isiguli sifuna ngumculi, kwakuyodingeka ube ecasukile, amakhono vocal ngeke kuphinde kufane futhi. zokugula kabili emaceleni libhekene usesimweni esibucayi kakhulu ukuthi kungaholela yokungawutholi umoya.

izimpawu:

• ukuphefumula ezinomsindo;
• ukwenza lula inqubo, isiguli e-awulutho kuhlala okuthile izandla;
• isikhumba kuba blue.

Ifomu obusebenzayo

I engavamile yalolu hlobo paresis laryngeal wukuthi kubonakala kuphela isizinda nokungathembani isimiso sezinzwa. Isici esiyinhloko ifomu nemisebenzi yokusetshenziswa isifo - umnyenyezo, kuphenduke Athos. Uma isiguli ezizoqhubela abanye ibhizinisi, angase angaluboni ukuthi izwi kulahleka, kubonakala.

Ngokuvamile paresis kwakhiwa ngenxa laryngitis noma ezinye izifo. I engavumelekile acabangwayo, manje eye sesingochwepheshe eziningi, ukhuluma ngo Whispers nje musa ukwelapha lesi sifo ecashile. Bavame athi odokotela ukuthi ubaphatha kahle. Ngokuvamile, lezi iziguli ukuzwa lezi zimpawu ezilandelayo:

• umphimbo obuhlungu;
• tickling futhi bakitaza;
• isiyezi kanye nobuhlungu ikhanda;
• ukuqwasha.

obusebenzayo uhlobo ukwelashwa laryngeal paresis kuthatha isikhathi eside. Kunconywa ukuxhuma udokotela wezifo zengqondo noma psychoanalyst. Ngezinye izikhathi iziguli bakhononda ngokuthi balahlekelwa izwi lakhe (emphinjeni akusho ubuhlungu, akukho lokushisa). Lokhu kungase kube ngenxa esiteji ezinkulu nakakhulu lesi sifo.

Izimbangela isifo

Lesi sifo sibangelwa inqwaba yezizathu. Paresis kuwumphumela ukuhlinzwa sihlulekile indlala yegilo, futhi hhayi kuphela. Mayelana 6% amacala ukuqeda nge paresis we yezwi. Libuye wakwazi ukubangela ukubukeka ahlukahlukene isifo ukulimala futhi ukulimala izakhiwo kwemizwa, nemihuzuko ekhaya nasemsebenzini, nokunye. D.

Ziyini izimbangela eziyinhloko zalokhu of paresis we yephimbo yilezi:

• ukubukeka metastases, izimila entanyeni, esifubeni, umphimbo kanye kuqhoqhoqho;
• yegilo ukukhulisa ezenzeka ngokumelene zasemuva zezinye izifo;
• izimila ingozi ka amalaka;
• hematoma ngemva ukulimala;
• unhlangothi, isifo senhliziyo azalwa naso;
• neuritis okwenzeka on isizinda kwezifo ezithathelwanayo ezibangelwa amagciwane.

iyunithi Voice kuncike nokucindezeleka okubi nakakhulu kubantu abenza vocal okhokhelwayo. Bavame eba paresis we amalaka. Ngezinye izikhathi lesi sifo ngenxa yokucindezeleka nesifo sengqondo.

Izimpawu ze-vocal intambo paresis

Isithombe emitholampilo ye isifo kuzoncika ezingeni amalaka futhi yephimbo, kanye isikhathi lesi sifo. Izimpawu kunazo yesiteleka ziyabonakala nge paresis sohlangothi olulodwa nge ukuphazamiseka yezwi:

• hoarseness;
• ukukhathala;
• Walahlekelwa izwi lakhe (emphinjeni akusho ubuhlungu, izinga lokushisa alikho);
• iphika;
• ubuhlungu emphinjeni;
• izinkinga nge ulimi ukuhamba;
• umuzwa nomzimba angaphandle emphinjeni, uzizwa ka ikhoma;
• ukukhwehlela noma ukukhwehlela esindayo;
• ukuqwasha, ikhanda.

Kukhona amacala lapho paresis akusho ukuzibonakalisa olubonakalayo. Kulesi simo, ukugula kungatholakala kuphela Ukuhlolisisa kudokotela. Ngokuphathelene izilonda zamazwe amabili ka amalaka, basuke libhekene aphonia nokuvaleka kwemigudu yokuphefumula. Ngezinye izikhathi kukhona paresis sebekhathele ukukhonkotha kwazo ukukhwehlela yezwi. Ezimweni ezingavamile, isifo siqhubeka ngokushesha ukuze ngaphakathi kwamahora ambalwa yokungenela oluphuthumayo lwezokwelapha oludingekayo.

ukuhlola

Ngesikhathi izimpawu zokuqala paresis ngokushesha kumele uxhumane i Udokotela wezindlebe. Ngaphambi udokotela kufanele umsebenzi oyinhloko - kahle imbangela yalesi sifo. Ukuze wenze lokhu, udinga ukuthatha survey ambalwa, bese uthola iseluleko kusuka nabanye abasebenzi, ezifana isazi sezinzwa, endocrinology, udokotela ohlinzayo, kwengqondo, nokunye. D. Ikakhulukazi kudingeke uhlole ngokucophelela umlando lesiguli kanye ukuthola ukutholakala ukungenelela kuhlinzwa.

Ukuze uphethwe yini isetshenziswa:

• laryngoscopy noma mikrolaringoskopiya;
• amalaka tomography, ubuchopho, esifubeni;
• electromyography;
• Strobe futhi phonography;
• ultrasound inhliziyo kanye indlala yegilo;
• jikelele kanye kwamakhemikhali kwegazi.

Uma izinguquko organic ungazange kwatholakala, ngokuvamile ukuthi nginesifo "paresis obusebenzayo amalaka."

zokwelapha

Eqinisweni, paresis we yephimbo kungaphansi ukwelashwa kuphela esibanzi. yokwelapha sici liqukethe Iqiniso lokuthi ngaphambi kokuba ukuqashwa kukaNksz izinga yokutakula kuyadingeka ukuze abone imbangela yalesi sifo. Ukuze afeze ukwelashwa okuphelele esibhedlela Kunconywa. Ukwelashwa nokuvikelwa paresis we yephimbo esibhedlela ngokusebenzisa okukhethwa kukho okulandelayo:

• antihistamine, yokuvula amakhala imithi;
• imithi elwa namagciwane, ama-ejenti elwa namagciwane, amavithamini;
• izidakamizwa psychotropic, nootropics;
• izidakamizwa hormone, electrophoresis;
• ukutshopa, electrical nerve stimulation, massage.

Ngokuvamile kuye kudingeke ukuba usebenzise kokungenela kuhlinzwa ekwelapheni paresis. It is lisetshenziswe khona izimila, nezibazi noma ungento yalutho ukwelashwa. Kukhona izindlela eziningana zale ndlela yokwelapha, ezivame kakhulu sazo ukuhlinzwa sitho, okuyinto imbangela isifo, futhi isiteji izimila.

Ukuhlinzwa siyasebenza ngempela, kodwa kuncike izici ngamunye umzimba futhi eminyakeni isifo edlule. Ngemva kokuhlinzwa, vocal intambo paresis, retreats, futhi lo dokotela uncoma isiguli ukuba bahlanganyele ukuphefumula izivivinyo. Ngokwesilinganiso, ukuvuselelwa ihlala izinyanga mayelana 3-4. Phakathi nalesi sikhathi, kwenqatshelwe ukunikeza umthwalo elinamandla amalaka ngangokunokwenzeka kokushelela.

Usebenzisa ngesikhathi nokuvuselelwa

Njengoba sekuphawuliwe kakade, udokotela cishe njalo Kunconywa emva kokuhlinzwa umqeqeshi inqubo ukuphefumula futhi asebenzise fonopediyu. Lezi izindlela zinhle zonke izigaba ukwelashwa. Gymnastics ihlose ukwandisa umsebenzi motor imisipha nemisipha. Kuyinto impela izivivinyo ezilandelayo:

• ukushaywa / air eyanele kancane;
• ukusetshenziswa harmonica;
• eziyihaba izihlathi beshaya esikhaleni.

Phakathi kulezi zifundo uqeqesha entanyeni eziwusizo. ku izwi izivivinyo ezisikiselwe ukuba ngaphansi phoniatrics control. Isiguli kufanele ulungise yokubiza umsindo ngamunye, ubiza leli qoqo lezinhlamvu futhi izwi.

Izinhlelo ezivimbayo futhi Izibikezelo

Kungani ukubhekana ekwelapheni lesi sifo, uma awukwazi ukubekezelela. Udaba nokuvinjelwa paresis we yephimbo sibi kakhulu. Ukuze amathuba esiphezulu ugweme ukugula kufanele bente loku lokulandzelako:

• aphathe kahle zezifo ezithathelwanayo namakhambi viral;
• ukugwema ukudakwa;
• hhayi ukulayisha ngokweqile yezwi;
• hhayi supercool;
• ulandele ukuzinza we indlala yegilo nezinye izitho zangaphakathi.

Isibikezelo sixhomeke kakhulu izimbangela zezifo kanye lokwelatshwa. Uma zonke izinkinga livinjelwe ngokuphelele, khona-ke indlela efanele ukuvuselelwa kanye zokuphefumula ngabodwa amalaka imisebenzi zibuyiselwe. Uma isiguli paresis obusebenzayo, kungaba alulame bebodwa. Yiqiniso, nokusabalalisa kwesokudla umthwalo amalaka. With ukuthuthukiswa sifo isikhathi eside kukhona imisipha yoma nokulahlekelwa ephelele izwi. Emacaleni angu-olunzima ukukhubazeka obusobala amalaka, okuyinto kungaletha ingozi enkulu empilweni.