Ama-Vocal Cords afriziwe
I-vocal cord ukukhubazeka kuyisifo esijwayelekile sezwi esenzeka ngeyodwa (engasetshenziswa) noma kokubili (izingxenye zombili) zamagama omculo. Lokhu kwenzeka uma izintambo noma izingcingo zakho zingavulwa futhi zivale ngendlela efanele, esimweni esiqhwaqwe noma esiwumfutho okhubazekile, esingashiya umoya wakho ongavimbelwe umoya. Izintambo zomsindo ongakwesokunxele nangakwesokudla zilele ngqo ngaphezu kwe-trachea ngaphakathi kwebhokisi le- larynx noma ngezwi .
I-cord paresis yocingo ifana ne-vocal cord ukukhubazeka ngaphandle kokukhubazeka, izintambo zamagama zisasebenza kancane, kodwa hhayi kahle kakhulu.
Iningi lamacala ahlangene nethambo yezwi lokudla kwesokunxele ethinteka kabili kaningi njengelungelo. Amantombazane nawo angama-33% ngaphezu kwamadoda ukuba aphethwe yintambo yokukhubazeka. Ukulimala kwemisipha emikhulu ekuhlinzekeni izintambo zamagama (i-laryngeal nererve ne- vagus nerve ) kanye / noma izingxenye ezithile zobuchopho zingahlobene nokubangela ukukhubazeka. Kuncike ekutheni isimo sokuqina nokukhubazeka kwesimo sokukhubazeka, izimpawu zentambo yokukhubazeka ukukhubazeka zingahluka kusukela kumnene kuya ekusongeni ukuphila. I-vocal cord vocal ukukhubazeka ayivamile kodwa isongela ukuphila.
Izimbangela ze-Vocal Cord Ukukhubazeka
Kunezimbangela eziningi ezingabangela ukukhubazeka komlomo okuhlanganisa:
- izicubu (umdlavuza non-cancer)
- ukulimala okubuhlungu
- i-neurotoxins - (ukuvezwa izinto ezinobungozi ezifana nokuhola, i-arsenic, noma i-mercury)
- idiopathic (imbangela engaziwa) - ikholelwa ukuthi cishe ihlobene neuronitis yegciwane (labrynthitis)
- ukutheleleka ngegciwane
- isifo se-neurodegenerative nesifo se-neuromuscular
Izicubu ezisebunzini be-skull, intamo, nesifuba zihambisana nomthambo wokudangala ukukhubazeka. Ukukhubazeka kwenzeka ngenxa yokucindezeleka kwezinzwa ezilawula izintambo zezwi. Izingosi zomzimba ezivamile zihlanganisa i-thyroid, isifo nesifuba. I-Traumas ehlobene ne-vocal cord ukukhubazeka ihlanganisa ukulimala kwengozi ngesikhathi sezintambo noma ukuhlinzwa kwesifuba, ukushaywa komlomo noma ukuthungatha isifuba esingenayo, futhi okungajwayelekile ngenxa yokungena ekugcineni (ukufaka ithubhu lokuphefumulela emlonyeni nasemaphashini).
Izimpawu ze-Vocal Cord Ukukhubazeka
Izimpawu zezintambo eziphikisanayo zokukhubazeka zihlanganisa:
- ukukhathazeka
- izwi lokuzwela (abanye bezwa imisindo yokuphefumula ngenkathi ukhuluma)
- shintsha ikhwalithi yezwi - ukulahlekelwa kwezwi elikhulu noma ukujula
Izimpawu zentambo yezwi elilodwa ukukhubazeka zihlanganisa:
- i-dyspnea (ukuphefumula kanzima)
- isiteji (umsindo ophihliwe phezulu lapho uphefumula)
- ubunzima bokugwinya - kungabamba noma ukukhwehlela ngenkathi bedla
Ezingxenyeni zombili zomculo ezikhubazekile, zombili izintambo zezwi azikwazi ukuvula nokuvala ngokufanelekile ngakho-ke awuvuli lapho uphefumulela futhi uvale uma ugwinya. Ngenxa yokuthi umoya womoya uvinjiwe kancane uma uvuselela, umgudu ungase uvele ngenxa yokugeleza komoya okuphazamisayo ngokusebenzisa izintambo zezwi. Ukuchofoza nokukhwehlela kungenzeka uma udla ngoba umgwaqo ongenqandekile ngenkathi ugwinya futhi ukudla noma uketshezi kungase kudlule izintambo zomculo zingene emoyeni. Lokhu kwaziwa nangokuthi uyasifisa futhi kungabangela ukuqhuma kwe-pneumonia.
Ukuxilongwa kwe-Vocal Cord Ukukhubazeka
Ukuze uhlolisise ukukhubazeka komlomo, i- otolaryngologist (ENT) kufanele ixoxwe. Yilungele ukuphendula uchungechunge lwemibuzo mayelana nokutholakala kwemvelo kwezingculaza, ukuhlinza kwangaphambilini, izigameko zakamuva, nezinye izimpawu ozibonayo.
I- endoscope izophinde isetshenziselwe ukuvumela udokotela ukuba abone ngeso lengqondo izintambo zakho zezwi. Isifo solimi lwezinkulumo singase sibe usizo ekutholeni ucingo lokukhubazeka ukukhubazeka.
Ngesikhathi ukusetshenziswa kwe-endoscope kungasetshenziswa ukuhlolisisa ukukhubazeka kwamagama, ezinye izivivinyo zingadingeka zenzelwe ukuze zibone imbangela yokukhubazeka. Ezinye izivivinyo ezingase zidingeke zenziwe zifaka:
- umsebenzi wegazi
- x-ray
- I-MRI
- Ukuhlola kwe-CT
- i-electromyography yama-laryngeal
- i-acoustic spectrography
Ukwelashwa kwe-Vocal Cord Ukukhubazeka
Uma imbangela yomsindo wokudangala ukukhubazeka kubonakala ukuthi ukwelashwa kungaqala. Uma kwenzeka ukuhlinzeka nge-tumor kungadingeka ukususa noma ukunciphisa usayizi walo.
Uma imbangela iguqulwa, izinyathelo kufanele zithathwe ukulungisa inkinga. Ezimweni eziningi, ukwelashwa komugqa wokuqala kuyindlela yokwelapha inkulumo . Ukuhlinzwa akudingeki ngaso sonke isikhathi futhi ezinye izimo zomsindo wokukhubazeka zizozilungisa ngokwesikhathi sonyaka. Ngakho-ke odokotela abaningi bayonxusa ukulibazisa izinqubo zokuhlinzeka kuze kube yilapho unyaka usuqedile ukubona ukuthi ukukhubazeka kuzozixazulula ngokwakho.
Ukwelashwa nakho kuyatholakala ukusiza ukuthuthukisa izwi uma ikhwalithi ingabuyeli eyedwa noma ngezokwelapha. Imithi emithathu etholakalayo yokwelashwa kwezwi elilodwa ukukhubazeka ihlanganisa ukukhushulwa, ukuphindaphinda okuhlinzekwayo, nokuphindwa kabusha kwensimbi yezwi.
- Ukungathandwa kwabathengi kanye nokukhwabanisa intambo yezwi kungenziwa yi-otolaryngologist. Lokhu kwenziwa ngokufakela i-Teflon, i-collagen, i-fat, noma enye uhlobo lwe-tissue graft ku-cord vocal cord. Ngokwenza intambo yezwi elikhuthele ibe yilapho iyoba khona eduze kwentambo yezwi elingathintekile futhi ukudlidliza phakathi kwezintambo ezimbili kungathuthukisa ikhwalithi yezwi.
- Ukuphindwa kabusha kwe-cord vocal kuyasebenza ngendlela efanayo ekukhuliseni i-vocal cord vocal eduze komthamo ongathintekile kungase kuthuthukise ikhwalithi yezwi.
- Ukubuyiselwa kabusha kwe- Reinnervation noma ukuvuselela izinzwa ezithintekile kuye kwavivinywa kodwa kwakungavamile ukuphumelela futhi akuvame ukuqhutshwa njengokwelashwa kwe-vocal cord ukukhubazeka.
Uma ukukhushulwa noma ukuphindaphinda okuhlinzekwayo kwentambo yomsindo okhubazekile kwenzekile, ukwelashwa kwamazwi kuzosadingeka ukuze kusize ukuhlehlisa ikhwalithi yezwi.
Ezimweni ezisongela ukuphila kwentambo yokukhubazeka ukukhubazeka ngokushesha kuzodinga ukuthathwa udokotela ukuqinisekisa ukuphepha kwakho. Ngokuvamile, i-tracheotomy izodinga ukwenziwa (ivulekile idalwe entanyeni kanye ngqo emthonjeni wokuvumela ukuphefumula - lokhu kubizwa nangokuthi i-stoma). I-tracheotomies ingahlala unomphela noma yesikhashana kuye ngokuthi ubuhlungu bezwi lokukhubazeka.
Imithombo:
I-American Academy of Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. I-Vocal Cord Ukukhubazeka. Kufinyelelwe: September 9, 2009 kusuka ku-http: //www.entnet.org/?q=node/1448
I-American Speech-Language-Hearing Association. I-Vocal Cord Ukukhubazeka. Kufinyelelwe: September 9, 2009 kusuka ku-http: //www.asha.org/public/speech/disorders/vfparalysis.htm
Merck. I-Vocal Cord Ukukhubazeka. Kufinyelelwe: September 9, 2009 kusuka ku-http: //www.merck.com/mmpe/sec08/ch092/ch092g.html
Isikhungo Sikazwelonke Sokuzizwa Sokuzizwa Nezinye Izinkinga Zokuxhumana. Ukukhubazeka Kwe-Vocal Fold. Kufinyelelwe: September 9, 2009 kusuka ku-http: //www.nidcd.nih.gov/health/voice/pages/vocalparal.aspx