Iintambo zeVocal Crozen
Intambo yokukhubazeka yinto eqhelekileyo yokuphazamiseka kwezwi eyenzeka kunye nanye (unilateral) okanye zombini (macala). Oku kwenzeka xa intambo (vocal) yakho ingavulwa kwaye ivale ngokufanelekileyo, kwimeko echwayibhile okanye ekhubazekile, enokushiya indlela yakho yokuhamba engakhuselekanga. Izintambo zomlomo ezikhohlo kunye nekunene zilele ngqo kwi-trachea ngaphakathi kwelarynx okanye ibhokisi lezwi.
I-coco paresis iyafana nentambo yezwi lokukhubazeka ngaphandle kokukhubazeka, iintambo zezwi ziqhubeka zisebenza kancinci, kodwa kungekhona kakuhle.
Uninzi lwamatyala aluhambisani kunye nentambo yesandla esisekhohlo echaphazeleka kabini kaninzi njengelungelo. Abafazi banamathuba angama-33% ngaphezu kwamadoda ukuba abe nentambo yokudangala. Ukulimala kwiimbambo ezininzi zokubonelela iintambo zamagama (i-laryngeal nererve kunye ne- vagus nererve ) kunye / okanye ezinye iinxalenye zesifo sengqondo zingakwazi ukuhambelana nesizathu sokukhubazeka. Ngokuxhomekeka kwimeko kunye nobukhulu bokukhubazeka, iimpawu zentambo yokukhubazeka ziyakwazi ukususela kwizinto ezinobungozi ukuya ebomini. Intambo yezwi elilodwa ukukhubazeka ayinqabile kodwa usongela ubomi.
Iimbangela zeCoco Cord Paralysis
Kukho ezininzi ezinokubangela ukuba intambo yezwi ikhubazeke kuquka:
- izicubu (umdlavuza kunye nonomdlavuza)
- ukulimala kabuhlungu
- i-neurotoxins - (ukubonakalisa izinto ezinobungozi ezifana ne-lead, arsenic, okanye i-mercury)
- idiopathic (isizathu esingaziwa) -kholelwa ukuba inokwenzeka ukuba inxulumene ne- viral neuronitis (i-labrynthitis)
- usulelo lwentsholongwane
- isifo se-neurodegenerative nesifo se-neuromuscular
Ukuxhamla kwisiseko skull, intamo, kunye nesifuba zidibaniswa nentambo yezwi ukukhubazeka. Ukukhubazeka kwenzeka ngenxa yokunyanzeliswa kweentsimbi ezilawula intambo yezwi. Iindawo eziqhelekileyo zesisu ziquka i-thyroid, isifo kunye nesifuba. I-Traumas enxulumene nentambo yezwi lokukhubazeka iquka ukulimala kwengozi kwintsimbi okanye isifuba somfuzo, ukunyanzelwa kwentamo / intlungu yesifuba esingenangqondo, kwaye ngokungaqhelekanga ngenxa yokungenwa kwe-endotracheal (ukufakwa kwiphubhu yokuphefumula emlonyeni nasemiphakeni).
Iimpawu zeCococo Cord Paralysis
Izibonakaliso zentambo yezwi lokukhubazeka zibandakanya:
- ukuthobeka
- ukuphulaphula izwi (abanye bakuva izandi zokuphefumula ngelixa uthetha)
- utshintshile kumgangatho womculo - ukulahleka kwezwi okanye ukuma
Izibonakaliso zentambo yesibini yokukhubazeka ziquka:
- dyspnea (ubunzima bokuphefumla)
- isiteji (isandi esiphezulu xa siphefumula)
- ubunzima bokugwinya - kunokukhahlela okanye ukukhwehlela ngexesha lokutya
Ngentambo yesigxina esiswini, iimbambo zombini azikwazi ukuvula kwaye zivale ngokufanelekileyo kwaye ngoko ungavuli xa uphefumula kwaye uvale xa uginya. Ngenxa yokuba uhambo lwenqwelomoya luvaliwe ngokukhawuleza xa lugxininisa, isiteji sinokubangelwa ngenxa yokungcoliswa komoya ngentsambo yezwi. Ukukhethwa kunye nokukhwehlela kungenzeka xa udla ngenxa yokuba u-airway ungakhuselekanga xa ugwinya kwaye ukutya okanye i-liquid ingadlulisa intambo yezwi kwi-airway. Oku kwaziwa nangokuthi unomnqweno kwaye kunokubangela ukuba i-pneumonia ivele.
Ukuxilongwa kwe-Vocal Cord Ukukhubazeka
Ukuze uhlolisise intambo yezwi lokukhubazeka, i- otolaryngologist (ENT) kufuneka ixoxwe. Yilungiselele ukuphendula uluhlu lwemibuzo malunga nokukhuselwa kwimeko ye-neurotoxins, uphando oludlulileyo, izigulane zamva nje kunye nezinye iimpawu oye wazifumana.
I- endoscope iya kusetyenziselwa ukuvumela ugqirha ukuba acinge iilwimi zakho. I-pathologist yolwimi lithetha ulwimi lungaba luncedo ekufumaneni i-vocal cord ukukhubazeka.
Nangona ukusetyenziswa kwe-endoscope kungasetyenziselwa ukuxilonga intambo yezwi lokukhubazeka, ezinye iimvavanyo zingafuneka zenziwe ukuze zichonge imbangela yokukhubazeka. Ezinye iimviwo ezingadinga ukwenziwa ziquka:
Unyango lwe-Vocal Cord Paralysis
Emva kokuba imbangela yezwi lokukhubazeka ichongwa ukuba unyango luyaqala. Kwimeko yesifo soxinzelelo kunokufuneka ukuba ususe okanye unciphise ubukhulu bayo.
Ukuba isizathu sibuyiselwa, amanyathelo kufuneka athathwe ukulungisa ingxaki. Kwiimeko ezininzi, unyango lokuqala lonyango lonyango . Ukuhlinzwa akusoloko kuyimfuneko kwaye ezinye iziganeko zentambo yokukhubazeka ziya kuzilungisa ngokweziganeko zonyaka. Ngako oko, oogqirha abaninzi baya kucebisa ukulibazisa iinkqubo zokutyhutyha de kube unyaka udlulile ukuze ubone ukuba ukukhubazeka kuya kuzincoma.
Unyango luyafumaneka ukuze uncede ukuphucula ilizwi ukuba umgangatho awubuyiselanga ngokwawo okanye ngeyonyango yokuthetha. Izifo ezintathu ezitholakalayo zonyango lokungaxhamli komzimba zikhubaze ukuquka ukunyuka, ukuphindaphinda, kunye nokubuyisela kwakhona intambo yezwi.
- Ukongezwa okanye ukubethelela intambo yesandi kunokwenziwa ngumntu otolaryngologist. Oku kwenziwa ngokufaka i-Teflon, i-collagen, i-fat, okanye olunye uhlobo lwe-tissue graft kwi-vocal cord. Ngokwenza intambo yezwi elichaphazelekayo iya kuba yinkcazo yentambo yezwi kunye nokungatshintshi phakathi kweentambo ezimbini kunokuphucula umgangatho wezwi.
- Ukutshintshwa kwakhona kwendlela yentsimbi kusebenza ngendlela efana nokwenyuka ngokukhupha intambo yokukhubazeka ngokusondeleyo kwintambo engathintekiyo kunokuphucula umgangatho welizwi.
- Ukubuyiswa kweReinnervation okanye ukuvuselela iintsholongwane ezichaphazelekayo kwizandi zamagama ziye zazama kodwa zazingaphumelekanga kwaye aziqhelwanga ngokuqhelekileyo njengonyango lwezwi lokukhubazeka.
Xa kuqhutywe ukongezwa okanye ukupakishwa kokugqithwa kwentambo yokukhubazeka, ukunyangwa kwentetho kuya kusadingeka ukukunceda ukuhlaziya ixabiso lezwi.
Kwiimeko zokusongela ubomi zentambo yesifo ukukhubazeka ngokukhawuleza kuyakufuneka kuthatyathwe ngugqirha ukuqinisekisa ukhuseleko lwakho. Ngokuqhelekileyo, kufuneka kuqhutywe i-tracheotomy (ukuvuleka kwenzelwa intamo entanyeni kunye ngqo kwi-trachea ukuvumela ukuphefumula-oku kubizwa ngokuba yi-stoma). I-tracheotomi inokuhlala isigxina okanye ixeshana ngokuxhomekeka kobunzima bezwi lokukhubazeka.
Imithombo:
I-American Academy ye-Otolaryngology - iNtloko kunye nokuPhepha kweNeck. Vocal Cord Ukukhubazeka. Kufumaneka: Septemba 9, 2009 ukusuka http://www.entnet.org/?q=node/1448
Umbutho we-American Speech-Hearing Association. Vocal Cord Ukukhubazeka. Kufumaneka: Septemba 9, 2009 ukusuka kwi-http: //www.asha.org/public/speech/disorders/vfparalysis.htm
Merck. Vocal Cord Ukukhubazeka. Kufumaneka: Septemba 9, 2009 ukusuka http://www.merck.com/mmpe/sec08/ch092/ch092g.html
ISikole saZwelonke ngeNtlupheko kunye nezinye iingxaki zoNxibelelwano. Vocal Fold Paralysis. Ifumaneka: Septemba 9, 2009 ukusuka ku-http: //www.nidcd.nih.gov/health/voice/pages/vocalparal.aspx