Spasmodic dysphonia

Spasmodic dysphonia e thatafalloa ho bua ka lebaka la li-spasms (dystonia) tsa mesifa e laolang lithapo tsa lentsoe.

Lebaka le tobileng la spasmodic dysphonia ha le tsejoe. Ka linako tse ling e bakoa ke khatello ea maikutlo. Maemo a mangata a bakoa ke bothata bokong le sistimi ea methapo e ka amang lentsoe. Thapo ea lentsoe e qhekella, kapa konteraka, e etsang hore lithapo tsa lentsoe li atamele kapa li arohane haholo ha motho a ntse a sebelisa lentsoe la tsona.

Spasmodic dysphonia hangata e hlaha lipakeng tsa lilemo tse 30 ho isa ho tse 50. Basali ba kotsing ea ho ameha ho feta banna.

Ka linako tse ling, maemo a ba teng ka lapeng.

Hangata lentsoe le phahama kapa le thetsoa. E kanna ea thekesela mme ea emisa. Lentsoe le ka utloahala le petelitsoe kapa le fenethiloe, 'me ho ka utloahala eka sebui se tlameha ho ikitlaetsa haholoanyane. Sena se tsejoa e le adductor dysphonia.

Ka linako tse ling, lentsoe lea hoeshetsa kapa le hema. Sena se tsejoa e le abductor dysphonia.

Bothata bo ka fela ha motho a tšeha, a hoeshetsa, a bua ka lentsoe le phahameng, a bina, kapa a hooa.

Batho ba bang ba na le mathata a molumo oa mesifa likarolong tse ling tsa 'mele, joalo ka mokokotlo oa mongoli.

Ngaka ea tsebe, ea nko le ea 'metso e tla hlahloba liphetoho lithapo tsa lentsoe le mathata a mang a boko kapa a methapo.

Liteko tse atisang ho etsoa li kenyelletsa:

• Ho sebelisa sebopeho se khethehileng ka lebone le kh'amera ho sheba lebokose la lentsoe (larynx)
• Ho lekoa ka lentsoe ke mofani oa puo ea puo

Ha ho na pheko bakeng sa spasmodic dysphonia. Kalafo e ka fokotsa matšoao feela. Moriana o sebetsanang le spasm ea mesifa ea molumo oa lentsoe o ka lekoa. Li bonahala li sebetsa ho fihlela halofo ea batho, hantle. E meng ea meriana ena e na le litla-morao tse tšoenyang.

Phekolo ea botulinum toxin (Botox) e ka thusa. Chefo ea botulinum e tsoa mofuteng o itseng oa libaktheria. Ho na le chefo e nyane haholo ea chefo ena e ka kenang mesifa e potileng methapo ea lentsoe. Kalafo ena hangata e tla thusa likhoeli tse 3 ho isa ho tse 4.

Phekolo ea ho khaola le leng la methapo ea methapo e sebelisitsoe ho phekola spasmodic dysphonia, empa ha e sebetse haholo. Mefuta e meng ea kalafo e ka ntlafatsa matšoao ho batho ba bang, empa tlhahlobo e ngoe ea hlokahala.

Ho susumetsa boko ho ka ba molemo ho batho ba bang.

Kalafo ea lentsoe le tlhabollo ea kelello li ka thusa ho fokotsa matšoao maemong a bonolo a spasmodic dysphonia.

Dysphonia - spasmodic; Boloetse ba puo - spasmodic dysphonia

• Sisteme ea methapo e bohareng le methapo ea methapo

Blitzer A, Kirke DN. Mathata a Neurologic a larynx. Ka: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 7th. Philadelphia, PA: Elsevier; 2021: khaolo ea 57.

Lejoe PW. Mathata a 'metso. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 401.

Patel AK, Carroll TL. Hoarseness le dysphonia. Ka: Scholes MA, Ramakrishnan VR, eds. Liphiri tsa ENT. La 4 ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 71.

Lefapha la Bophelo le Litšebeletso tsa Botho la US; Setsi sa Naha sa Bokooa ba Litsebeng le Mathata a Mang a Puisano (NIDCD). Spasmodic dysphonia. www.nidcd.nih.gov/health/spasmodic-dysphonia. E ntlafalitsoe ka la 18 Phuptjane 2020. E fihlile ka Phato 19, 2020.