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Dysphonia: nā mea āpau āu e ʻike ai e pili ana i kēia maʻi leo
ʻO Dysphonia kahi maʻi leo e hiki ke hoʻopili i kona ikaika, pitch a timbre. Hiki iā ia ke loaʻa i kekahi mau wehewehe. Hiki paha i ka Dysphonia ke ʻano hoʻouluhua, traumatic, tumoral a i ʻole kumu hoʻomakaʻu.
Wehewehe: he aha ka dysphonia?
ʻO Dysphonia kahi maʻi leo haʻi ʻia e hiki ke ʻike ʻia e:
- kahi hoʻololi i ka ikaika o ka leo, me kahi leo nāwaliwali i ka poʻe disphonic;
- kahi hoʻololi i ka leo o ka leo, me kahi leo hohonu i nā wahine a i ʻole kahi leo kiʻekiʻe i nā kāne;
- kahi hoʻololi i ke kani o ka leo, me kahi leo uha, puʻupaʻa a walaʻau paha.
Kaukaʻi ʻia i ka hihia, hiki i ka dysphonia ke hōʻike:
- kahi hoʻomaka koke a hōʻemi paha ;
- nui aʻe a emi mai paha o ka hōʻoluʻolu.
ʻO ka hihia kūikawā o ka spasmodic dysphonia
ʻO Spasmodic dysphonia kahi maʻi leo kikoʻī e ʻike pinepine ʻia i ka poʻe ma waena o nā makahiki 45 a 50. Loaʻa i nā spasms o nā kaula leo. ʻAʻole maopopo i nā kumu o ka spasmodic dysphonia. Wahi a kekahi kuhiakau, kohu mea he ʻano psychological a neurological paha kēia maʻi leo. ʻAʻole ʻike ʻia nā leona ʻino i nā poʻe me ka spasmodic dysphonia.
Wehewehe: he aha nā kumu o ka dysphonia?
Hoʻokumu ʻia ʻo Dysphonia e kahi hoʻololi i ka haʻalulu o nā kaula leo. Hana ʻia ia ke hana ʻia ka larynx (kahi ʻōnaehana o ka ʻōnaehana hanu i loko o ka ʻāʻī) a i ʻole hōʻino ʻia nā kaula leo a hōʻoluʻolu ʻole ʻia hoʻi. Ua ʻike ʻia kekahi mau kumu o ka dysphonia:
- aku aat huʻi a mau paha;
- loko o nā ʻōpū maikaʻi ʻole a maikaʻi ʻole paha;
- nā traumas ʻokoʻa, ʻoi loa i ka larynx;
- pilikia kino, ma muli o ke komo ʻana o kekahi mau ʻalolo kikoʻī.
Nā kumu o ke kumu hoʻoulu
I nā manawa he nui, hiki i kēia maʻi leo ka hopena o a laryngitis, kahi ʻōpala e hoʻopili i ka larynx. Hiki i nā ʻano laryngitis ke hana i ka dysphonia:
- laryngitis makua makua, pinepine o ka infectious a traumatic paha, i ʻike maka ʻia a hala mau i kekahi mau lā a i kekahi mau pule;
- laryngitis maʻi mau ʻo ia ka mea nui ma muli o ka puhihihi akā hiki ke hana ʻia i ka hanana o ka waiʻona, hoʻonāukiuki e ka mahu a i ʻole ka lepo, overexertion leo, nā maʻi pharyngeal a i ʻole nā maʻi sinus nasal hou;
- laryngitis kikoʻī, nā wela laha ʻole o ka larynx, me laryngeal tuberculosis, laryngeal syphilis, laryngeal sarcoidosis a me laryngeal mycosis.
Nā kumu o ka hoʻomaka ʻana o ka tumo
I kekahi mau hihia, hiki i ka dysphonia ke hopena o nā tumors i ka ʻāʻī:
- huelo kino, e like me nā tumora glottic a me nā tumraglottic tumors;
- huelo kolohe, a maʻi ʻaʻai o ka puʻu, e like me ka maʻi ʻaʻai o nā kaula leo, maʻi ʻaʻai supraglottic, a i ʻole ka maʻi ʻaʻai o ka subglottis.
Nā kumu o ke kumu traumatic
Hiki ke kumu ʻia ʻo Dysphonia e nā trauma like ʻole i ka larynx e like me:
- trauma kūwaho i ka larynx, keu hoʻi i ka contusion, haki a dislocation paha;
- hōʻeha kūloko i ka larynx, i ka manawa o ka granuloma post-intubation (ka tumo o kahi ʻano inflammatory i hōʻike ʻia ma hope o ka intubation), a i ʻole kahi crico-arytenoid arthritis (ka hoʻohaunaele o nā hui crico-arytenoid i loaʻa i ka larynx);
- nā hopena ma hope o ke kaha ʻana o ka laryngeal ʻāpana.
Nā kumu o ke kumu neurological
Hiki i kekahi mau maʻi neurological ke wehewehe i ke ʻano o ka dysphonia. Pili pū kēia mau maʻi i:
- lolo laryngeal ma muli o ka hōʻeha o ke aʻalolo motika, i ka hanana o nā lepe postoperative a i ʻole kahi tumo i ka thyroid, trachea a i ʻole esophagus;
- neuropathies diabetic, ʻo ia nā pilikia o ka maʻi kō;
- le ʻO kahi maʻi Guillain-Barré, kahi maʻi maʻi autoimmune e hoʻopili i ka ʻōnaehana nūnū peripheral;
- la mau sclerosis, kahi maʻi autoimmune e hoʻopili i ka ʻōnaehana waena;
- hahau ʻana o ka lolo.
Evolution: he aha nā hopena o ka dysphonia?
Hoʻololi nā hopena o ka dysphonia i kēlā me kēia hihia. Ma ke ʻano laulā, loaʻa i kahi kanaka disphonic ka hōʻoluʻolu ʻole i ka hoʻololi waha me ka paʻakikī e ʻōlelo a lohe ʻia paha.
Pili ka papa o ka dysphonia i kona kumu. Hiki ke hoʻomau i kēia maʻi leo akā hiki i kekahi manawa ke holomua i nā hihia koʻikoʻi loa.
Iapaau ana: he aha e hana ai i ka hihia o ka dysphonia?
I ke kumu o ka dysphonia, pono ia, e like me ka hiki, e hoʻokau i nā kaula leo. Paipai ʻia kahi kūkākūkā olakino ke hoʻomau ka maʻi o ka leo ma mua o hoʻokahi pule.
Hoʻopili ka hoʻokele olakino i ka mālama ʻana i ke kumu o ka disphonia a me ka palena ʻana i ka makaʻu o ka holomua. Kaukaʻi ʻia i ke kuhi, e noʻonoʻo ʻia kekahi mau ʻano lapaʻau. I kekahi mau hihia, lawa kahi pae o ka hoʻomaha e hōʻoki i ka disphonia. I nā ʻano koʻikoʻi loa, e noʻonoʻo ʻia paha kahi ʻōpala e kahi otolaryngologist.