ʻO ka spasmodic dysphonia
ʻO ka spasmodic dysphonia ka paʻakikī e ʻōlelo ma muli o ka spasms (dystonia) o nā mākala e kaohi i nā kaula leo.
ʻAʻole maopopo ke kumu kūpono o ka spasmodic dysphonia. I kekahi manawa hoʻonāukiuki ʻia e ka psychological psychological. ʻO ka hapa nui o nā hihia i hopena i kahi pilikia i ka lolo a me nā ʻōnaehana e hiki ai ke hoʻopili i ka leo. ʻO ka spasm Mus Muscle spasm, a i ʻole ka ʻaelike, ka mea e hoʻokokoke ai i nā kaula leo a mamao loa paha i ka wā e hoʻohana ana ke kanaka i ko lākou leo.
Kū pinepine ka spasmodic dysphonia ma waena o nā makahiki 30 a me 50. ʻOi aku ka hopena o nā wahine ma mua o nā kāne.
I kekahi manawa, holo ka maʻi i loko o ka ʻohana.
ʻO ka leo maʻamau a peʻa paha. Malu paha a hoʻomaha paha ia. Ke kani nei paha ka leo a kiki ʻia paha, a me he mea lā e pono i ka mea haʻi ʻōlelo ke hoʻohana i ka hoʻāʻo hou. ʻIke ʻia kēia ʻo adductor dysphonia.
I kekahi manawa, hāwanawana a hanu paha ka leo. ʻIke ʻia kēia ʻo abductor dysphonia.
Hele paha ka pilikia ke ʻakaʻaka ke kanaka, hāwanawana, ʻōlelo i kahi leo kiʻekiʻe, hīmeni, a walaʻau paha.
Loaʻa i kekahi poʻe nā pilikia o ke kani i nā ʻāpana ʻē aʻe o ke kino, e like me ka cramp o ka mea kākau.
E nānā ke kauka pepeiao, ihu a me ka ʻāʻī i nā loli i nā kaula leo a me nā pilikia ʻē aʻe a me nā ʻōnaehana.
ʻO nā hoʻāʻo e hana maʻamau ʻia:
- Ke hoʻohana nei i kahi laulā kūikawā me ke kukui a me ka pahu paʻi kiʻi e ʻike ai i ka pahu leo (larynx)
- Ke hoʻāʻo leo ʻana e kahi mea haʻiʻōlelo
ʻAʻohe lāʻau lapaʻau no ka spasmodic dysphonia. Hiki i ka mālama ʻana ke hōʻemi i nā ʻōuli. Hiki ke hoʻāʻo ʻia ka lāʻau lapaʻau e mālama ai i ka spasm o nā mākala kaula leo. Kū lākou e hana a hiki i ka hapalua o ka poʻe, ʻoi loa. Loaʻa kekahi o kēia mau lāʻau i nā hopena ʻaoʻao maikaʻi.
Hiki ke kōkua i nā mālama Botulinum toxin (Botox). Hele mai ka botulinum toxin mai kekahi ʻano bacteria. Hoʻokomo ʻia paha nā mea liʻiliʻi loa o kēia toxin i loko o nā mākala a puni nā kaula leo. E kōkua pinepine kēia hana no 3 a 4 mau mahina.
ʻO ke ʻoki e ʻokiʻoki i kekahi o nā aʻalolo i nā kaula leo i hoʻohana ʻia e mālama ai i ka spasmodic dysphonia, akā ʻaʻole ia he maikaʻi loa. Hiki i nā lāʻau ʻokiʻoki ʻē aʻe ke hoʻomaikaʻi i nā ʻōuli i kekahi poʻe, akā pono ka loiloi hou.
He mea pono paha ka hoʻoulu ʻana o ka lolo i kekahi poʻe.
Hiki ke kōkua i ka hoʻōla leo a me ke aʻo ʻana i ka noʻonoʻo e hōʻemi i nā hōʻailona ma nā hihia maʻalahi o ka spasmodic dysphonia.
Dysphonia - spasmodic; ʻO ka maʻi haʻi - spasmodic dysphonia
- ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral
ʻO Blitzer A, ʻo Kirke DN. Nā maʻi Neurologic o ka larynx. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 57.
ʻO Flint PW. Nā maʻi kīloi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 401.
Patel AK, Carroll TL. Hoarseness a me ka disphonia. I: Scholes MA, Ramakrishnan VR, eds. Nā mea huna a ENT. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 71.
Ke Keʻena ʻOihana Ola & US; National Institute on Deafness and Other Communication Disorder (NIDCD) pūnaewele. ʻO ka spasmodic dysphonia. www.nidcd.nih.gov/health/spasmodic-dysphonia. Hoʻohou i Iune 18, 2020. Loaʻa iā ʻAukake 19, 2020.