Paresis ye imisipha: oonobangela, iimpawu kunye nonyango

Okwangoku, kwingqula yenye amalungu kakhulu entsonkothileyo. Nkqu kumaxesha amandulo waqalisa ukufunda ubume bawo kwaye ngokwenza oko njalo kude. Kukho iintlobo ezininzi izilonda laryngeal, kodwa enye yezona umdla i paresis eentsontelo yezwi. Oku kubonakala ngokohlobo umsebenzi lwemoto kuyehla izihlunu zomzimba, nto leyo ukuphefumla kakuhle kunye phonation. Okwangoku, esi sifo isahlulo sesithathu zonke izifo ezingapheliyo ye kwingqula. Yena Kuyingozi kakhulu, kwaye unyango olusebenzayo kuxhomekeke ekuchanekeni yokuqaphela ngoonobangela.

Njani uphuhliso esi sifo?

komzimba laryngeal busenza ukuba uyakhala amalungiselelo ngaxeshanye omnye komnye. Phakathi kwawo ke glottis. Xa umoya iyaphuma kwikroba lokuvula akhiwa lokungcangcazela, oscillation kunye nemisipha ilizwi wadala. Ngoko ke indlela umsebenzi kwingqula, enza umsebenzi phonation.

Izihlunu zomzimba basabela pulses ezifunyenwe yi kwamasebe encinane kwinkqubo luvo. Ukuba kukho nawuphi na umonakalo okanye ngezifo, phakathi ingqondo, luvo kunye nezixhobo izihlunu ukungathobeli kwenzeka zokuqhagamshelwa. Ngenxa yale uphuhliso kukho paresis ye imisipha, kwaye ngokufanelekileyo, kwingqula.

typology izifo

Esi sifo zohlulwa ngokwendidi ezintathu: myopathic (ezinxulumene isixhobo dystrophy), neuropathic (okubangelwa enokuphazamisa imithambo-luvo laryngeal) kwaye esebenza (iingxaki ibhalansi phakathi excitation kunye inhibition kwi neuron).

Ekubulaleni iphecana yezwi kunokuba uhlobo ngomoya omnye okanye abambiseneyo. Ukongeza, ezingaqhelekanga na iziphene kwaye ziyafikelelwa. Eyokuqala luphawulwa kuphuhliso ntlobo ezininzi eziqatha - a ukushwabana kwingqula. Abo abaphethwe kwesi sifo akakwazi ukwenza izihlunu zomzimba intshukumo.

ukubonakala myopathic

Cinga ngalinye yeentlobo paresis eentsontelo iinkcukacha yezwi. uhlobo Myopathic iziphumo sifo evela utshintsho ukudumba izixhobo laryngeal ngenxa yokwanda kwenani ezincinane. Malunga nomphumela ofanayo iintsholongwane esosulelayo.

Esi sifo kwakhona kwenzeka xa uhlobo eluthulini kunye nezinto anodaka emqaleni. Umoya obandayo kunye xi ngokugqithiseleyo unokuba izinto ze ekunene yezwi paresis intambo okanye ngasekhohlo. Maxa wambi kukho indalo-kabini ezimbini sifo. Iimpawu zingahlukaniswa:

• ngelizwi elitshothozayo;
• ukutshintsha ithoni;
• akunakwenzeka ukuba ngokutsha izandi eziphakamileyo-bamisa;
• baphuke ngayo;
• nako ukuthetha kuphela ke intsebezo yelizwi.

imibono neuropathic

Olu hlobo paresis le imisipha kunye kwingqula yeyona kwandile. Yena, ke, yahlulwe zenyathi ezimbini: neuropathy central. Eyokuqala luphawulwa ukwenzakala okanye sisilonda esidumbileyoesingaphakathi laryngeal luvo. A umphanda yesibini senziwa ngenxa yokwenzakala, kunye neuron.

Ukuba ukuphuhlisa ngezifo ngomoya omnye, umsebenzi umoya nelizwi-umsebenzi eqhelekileyo, kamva intwana ebonakala hoarseness. Ukubuyiselwa luvo laryngeal kuthatha iinyanga eziliqela. Noko ke, ukuba isigulana imvumi, bekuya kufuneka ukucaphukisa, ubuchule ngamagama soze kuba enye kwakhona. ngezifo kabini kabini iphawulwa ikwimeko embi kakhulu enokukhokelela ukutsarhwa.

zimpawu:

• ukuphefumla ingxolo;
• ukuququzelela le nkqubo, isigulana eso sikhundla kokuhlala ilala into ezandleni;
• ulusu uba oluhlaza.

Ifomu functional

Le peculiarity yale hlobo paresis laryngeal kukuba ibonakala kuphela kwisiqalo kozinzo kwi luvo. Eyona nkalo ngendlela esebenza ngayo esi sifo - ke intsebezo yelizwi, ajike abe iAthos. Ukuba isigulane unqwenela ishishini ethile, ukuze nkqu uqaphele ukuba ilizwi ilahlekileyo, livela.

Ngokuqhelekileyo paresis kwakheka ngenxa laryngitis okanye ezinye izifo. Le elingasebenziyo Ngengqondo, leyo ngoku ziba nzima kakhulu, ethetha uthi logama nje azisinyangi isifo ngxabano. Badla athi ogqirha ukuba sibaphatha kakuhle. Ngokuqhelekileyo, ezi izigulane zifumana ezi mpawu zilandelayo:

• umqala obuhlungu;
• tickling kwaye kumnyumbaza;
• isiyezi kunye neentlungu intloko;
• ugwayi.

unyango functional uhlobo laryngeal paresis kuthatha ixesha elide. Kuyanconywa ukudibanisa i zengqondo okanye psychoanalyst. Ngamanye amaxesha izigulane isikhalazo ukuba ezilahlekileyo ilizwi lakhe (umqala akabi buhlungu, akukho lobushushu). Oku kubangelwa nqanaba kakhulu kwesi sifo.

Izinto ezibangela izifo

Esi sifo sibangelwa inani elikhulu yezizathu. Paresis usisiphumo usebenzela ayiphumelelanga kwi nobubovu lengqula, hayi nje kuphela. Malunga ne-6% amatyala zigcina paresis eentsontelo yezwi. Kwakhona wakwazi ukubangela imbonakalo yokwenzakala isifo ezahlukeneyo umonakalo nezakhiwo zemithambo, ukugruzuka ekhaya nasemsebenzini, njalo-njalo. D.

Iimbangi ezingundoqo paresis eentsontelo yezwi:

• ukubonakala metastases, nangezilonda entanyeni, esifubeni, kwingqula kunye noqhoqhoqho;
• ndlala yesinye ukuthatha indawo ngokuchasene nentsukaphi nezinye izifo;
• yamathumba ingozi ye kwingqula;
• hematoma emva kokonzakala;
• nobetho, isifo sentliziyo naso;
• neuritis ezenzeka imvelaphi kwezifo wentsholongwane egazini ezosulelayo.

unit Voice luxhomekeke konxunguphalo kubantu bazibandakanya kwezwi umsebenzi. Babedla iphuhlise paresis ye kwingqula. Ngamanye amaxesha le sifo ngenxa yoxinezeleko nangokuguka engqondweni.

Iimpawu emphinjeni intambo paresis

Lo mfanekiso kwezonyango sifo liya kuxhomekeka kumgangatho kwingqula kunye imiphimbo, kwakunye ngexesha sifo. Iimpawu kakhulu umxhelo sibonakalalisiwe kunye paresis ngomoya omnye kunye yokuphazamiseka imisipha:

• hoarseness;
• nokudinwa;
• Yena waphulukana ilizwi lakhe (umqala akabi buhlungu, ubushushu akakho);
• ukuphelelwa umoya;
• intlungu emqaleni;
• iingxaki kunye nokuhamba ulwimi;
• imvakalelo yom- liqumrhu langaphandle emqaleni, evakalelwa isiqaqa;
• ekhohlela okanye ekhohlela enzima;
• ubuthongo, intloko ebuhlungu.

Kukho iimeko xa paresis akuthethi ukuzibonakalisa ngaphandle. Kulo mzekelo, isigulo kungabonwa kuphela ngenyameko ugqirha uviwo. Ngokumalunga amanxeba amabini ka kwingqula, ukuba luphawulwa aphonia kunye ukusilela zokuphefumla. Maxa wambi kukho paresis barking khohlo lwe imisipha. Kwiimeko ezinqabe kakhulu, isifo siqhubela phambili ngokukhawuleza kangangokuba kwisithuba kwiiyure ezimbalwa yokungenelela unyango olungxamisekileyo efunekayo.

ekuxilongweni

Yimiqondiso zokuqala paresis kufuneka uqhagamshelane ngokukhawuleza i ingcali yokuva ngeendlebe. Phambi kokuba ugqirha ukuba umsebenzi ophambili - ukufumanisa ngokuchanekileyo unobangela sifo. Ukuze wenze oku, kufuneka uthathe Uphando embalwa, kwaye ufumane iingcebiso kwezinye iingcali, ezifana luvo, endocrinologist, ugqirha, wengqondo, njalo njalo. D. ingakumbi kufuneka balujongisise ngenyameko imbali yomguli uze ufumanise ukufumaneka kongenelelo yotyando.

Kuba uphethwe ochanekileyo:

• laryngoscopy okanye mikrolaringoskopiya;
• kwingqula Itomography, ingqondo, esifubeni;
• electromyography;
• Strobe kunye phonography;
• ultrasound intliziyo ingaba lengqula;
• uvavanyo lwegazi jikelele kunye nemvelo.

Ukuba imbi utshintsho eziphilayo, oko kudla kwafunyaniswa ukuba "paresis esebenzayo kwingqula."

ayini

Enyanisweni, paresis eentsontelo eziphuma unyango kwisifundo kuphela comprehensive. therapy osemqoka sikuko yokuba phambi kokuba ukuqeshwa izinga ekuphulukenwe nalo kuyimfuneko ukuchonga unobangela sifo. Ukuze afeze unyango ngokupheleleyo esibhedlele kucetyiswa. Unyango lwe paresis eentsontelo azigxeke kwisibhedlele ngokusebenzisa ezi ndlela zilandelayo:

• antihistamines, ukuxinana nemithi;
• nemithi, arhente antiviral, iivithamini;
• iziyobisi psychotropic, nootropics;
• iziyobisi hormone, electrophoresis;
• imithi, zombane luvo ukukhuthazwa, umyalezo.

Kuyimfuneko rhoqo ukusebenzisa ungenelelo ngotyando kwi unyango paresis. Oku kusetyenziswa phambi yamathumba, loloyiko okanye unyango ngamachiza yanto. Kukho iindlela ezininzi impatho enjalo, yeyona ixhaphakileyo kwezi utyando organ, nto leyo ke ebangela esi sifo, kwaye nokusindlekwa emzimbeni.

Surgery lusebenza kakhulu, kodwa kuxhomekeke iimpawu ngamnye eziphilayo kunye kwiminyaka sifo eyadlulayo. Emva kotyando, uyakhala intambo paresis, tshwa, kwaye ugqirha uncoma isigulane ukuzibandakanya imithambo yokuphefumla. Kwi-avareji, kwimo ithatha iinyanga malunga 3-4. Ngeli xesha, oko Akuvunyelwe ukunika umthwalo olumandla kwingqula njengoko ukuhluleka kunokwenzeka.

Usebenzisa phakathi kwimeko yesiqhelo

Njengoko sele sibonile, ugqirha phantse Kunconywa emva kotyando umqeqeshi inkqubo ukuphefumla kwaye usebenzise fonopediyu. Ezi iindlela okulungileyo kuzo zonke izigaba unyango. Gymnastics lijolise ekwandiseni umsebenzi motor izihlunu kunye nemisipha. Kuyinto sisebenzayo imithambo zilandelayo:

• makazichaze / air eyanele kancinane;
• ukusetyenziswa kwe harmonica;
• kuma nemihlathi bebetha kuloo msantsa.

Ngexesha ezi seshoni ziya ukuqeqesha intamo luncedo. on ilizwi umthambo ekucetyiswa ukuba phantsi phoniatrics kolawulo. Isigulana kufuneka ulungise pronunciation isandi ngasinye, ezingaphezu kunye nelizwi.

Prevention and abane

Kutheni ukujongana yonyango sifo, ukuba akubanyamezeli. Umba yothintelo lwe paresis eentsontelo eziphuma ingakumbi sibi. Ukuze okuba ubuninzi ukuthintela isifo kufuneka wenze oku kulandelayo:

• kahle izifo ezosulelayo kunye nomthamo;
• sibalekele ukunxila;
• ukuba ukulayisha ngokugqithiseleyo imisipha;
• akukho supercool;
• ukulandela kuqheleke esinobubovu lengqula kunye namanye amalungu zangaphakathi.

Uqikelelo uxhomekeke kakhulu kwi ezibangela izifo unyango. Ukuba zonke iingxaki ndaba soloko ndithintelwa ngokupheleleyo, ngoko ikhondo elifanelekileyo kwimeko yesiqhelo kunye nemisebenzi bodwa kwingqula yokuphefumla buyisa. Ukuba isigulana umntu paresis functional, oko lulama ngokwabo. Kakade ke, kunye nosasazo lasekunene umthwalo kwingqula. Ngophuhliso sifo ixesha elide kukho izihlunu yoma kunye nelahleko ngokupheleleyo ilizwi. Kwiimeko ezininzi kakhulu kubonakale ukushwabana kwingqula, nto leyo enokuzisa ingozi empilweni.