Paresis wa timinofu: zimayambitsa, zizindikiro ndi mankhwala

Panopa m'phuno ndi chimodzi cha ziwalo zikuluzikulu. Ngakhale kalelo anayamba kuphunzira matabwa ake ndi kuchita izo kutali. Pali mitundu yosiyanasiyana ya zotupa laryngeal, koma wina chidwi kwambiri ndi paresis zingwe amapilira. Izo kumaonekera mwa mawonekedwe a wotsikirapo galimoto ntchito ya minofu ya thupi, chifukwa mu mkhutu kupuma ndi phonation. Pa nthawi, matenda ndi gawo lachitatu la matenda onse aakulu a m'mphako ya. Kuti ndi woopsa kwambiri, ndipo mankhwala ochiza zimadalira molondola kuzindikira zoyambitsazo.

Kodi chitukuko cha matenda?

laryngeal thunthu kumapereka lingaliro timinofu anakonza kufanana kwa wina ndi mzake. Pakati pa iwo ndi glottis. Pamene mpweya wotuluka tikamapuma mwa kutsegula popangidwa ndi kugwedera ndi oscillation ndi Mitsemphayi mawu analenga. Choncho limagwirira ntchito ya m'mphako ya kuchita ntchito ya phonation.

Minofu ya thupi kuyankha nyemba kuti amalandiridwa ndi nthambi ka chapakati mantha dongosolo. Ngati pali aliyense kuwonongeka kapena kudwala, pakati pa ubongo, mantha dongosolo ndi minofu zida kuphwanya amapezeka interconnection. Chifukwa cha zimenezi pali paresis zingwe amapilira ndi moyenera, ndi m'phuno.

matenda kufanizitsa

matenda lagawidwa mitundu itatu: myopathic (zokhudzana ndi zida minofu), neuropathic (chifukwa cha matenda laryngeal mitsempha) ndi zinchito (mavuto ndi bwino pakati malemeredwe ndi chopinga mu kotekisi oziziritsa).

Kugonjetsedwa kwa mundawo amapilira kungakhale unilateral kapena amgwirizano chikhalidwe. Komanso, chosayenerera ndi kobadwa nako ndi zinazake. Woyamba amakhala ndi chitukuko cha mitundu aakulu - kupuwala ya m'phuno ndi. Anthu amene amadwala matenda sangakhoze kupanga minofu kayendedwe thupi.

myopathic maonekedwe

Uliwonse wa mitundu ya paresis wa ntchito mawu zingwe mwatsatanetsatane. Myopathic mawonekedwe zotsatira matenda kusintha yotupa laryngeal zida chifukwa kuonjezera chiwerengero cha tizilombo. Pafupifupi zotsatira yomweyo matenda ndi tizilombo tina.

matenda komanso kumachitika pamene mtundu wa fumbi ndi zinthu matope mu mmero. Mpweya ozizira ndi nkhawa kwambiri kukhoza kukhala zinthu za bwino amapilira chingwe paresis kapena lamanzere. Nthawi zina pamakhala chilengedwe awiri amaganiza za matendawa. Zizindikiro akhoza kuwasiyanitsa:

• ndi mawu mawu;
• kusintha kamvekedwe;
• sikutheka kubereka phokoso okwera;
• wosweka izo;
• kulankhula kokha kunong'ona.

maganizo neuropathic

Mtundu wa paresis zingwe amapilira ndi m'phuno ndi ambiri kwambiri. Nayenso, lagawidwa subspecies awiri: zotumphukira ndi pakati. Woyamba amakhala ndi choipa, kapena chotupa laryngeal mitsempha. A mbiya yachiwiri aumbike chifukwa cha kuvulala, ndi kotekisi ubongo.

Ngati kuyamba kudwala unilateral, mpweya ndi mawu-ntchito ntchito yachibadwa, pang'ono kenako zikuoneka hoarseness. Kubwezeretsa mitsempha laryngeal amatenga miyezi ingapo. Komabe, ngati wodwalayo woimba, ukakhala ndi kudzasokoneza, luso amapilira sadzamva chomwecho kachiwiri. Kawiri amaganiza kudwala amakhala ndi matenda oopsa kwambiri zimene zingachititse kuti suffocation.

zizindikiro:

• phokoso popuma;
• kuti magawowa ndondomeko, wodwalayo mu malo wakhala linkakhala mu chinachake manja;
• khungu amakhala buluu.

Mawonekedwe zinchito

The peculiarity a mtundu umenewu paresis laryngeal ndi kuti imapezeka pa maziko a Kusakhazikika mu wamanjenje dongosolo. Mbali yaikulu ya mtundu zinchito za matenda - kunong'ona, osatembenukira ku Athos. Ngati wodwala chidwi pa ena malonda, iye mwina zindikirani kuti mawu atayika, zikuoneka.

Childs paresis anapanga chifukwa cha laryngitis kapena matenda ena. The M'maganizo yolakwika, amene wakhala tsopano ndithu kwambiri, kulankhula monong'oneza bola ngati mulibe kuchiza matenda chimapangitsa. Kawirikawiri azigamula madokotala kuti kuwachitira bwino. Childs, odwala awa zizindikiro zotsatirazi:

• zilonda zapakhosi;
• tickling ndipo amalankhula zowakomera;
• chizungulire ndi ululu mutu;
• kusowa tulo.

zinchito mtundu laryngeal paresis chithandizo zimatenga nthawi yaitali. Ndi bwino kugwirizana ndi yamaganizo kapena psychoanalyst. Nthawi zina odwala akudandaula kuti anataya mawu ake (pakhosi sakuwupweteka, palibe kutentha). Izi zikhoza kukhala chifukwa siteji zina zazikulu matenda.

The zimayambitsa matenda

matenda chifukwa cha chiwerengero chachikulu cha zifukwa. Paresis ndi chifukwa cha opaleshoni analephera mabele England, osati kokha. 6% milandu kutha ndi paresis zingwe amapilira. Komanso akhoza kuyambitsa maonekedwe a choipa zosiyanasiyana matenda ndiponso kuwonongeka kwa nyumba ubongo, mikwingwirima kunyumba kuntchito, ndi zina zotero D..

Zimayambitsa waukulu paresis zingwe amapilira ndi:

• maonekedwe a metastases, zotupa pa khosi, chifuwa, m'phuno ndi trachea;
• chithokomiro kukulitsa chikuchitika ndi maziko a matenda ena;
• chosaopsa zotupa za m'mphako ya;
• hematoma pambuyo choipa;
• sitiroko, matenda obadwa nawo a mtima;
• neuritis zikuchitika pa maziko a matenda opatsirana tizilombo.

wagawo Voice umamumvera nkhawa kwambiri anthu amene tikugwira amapilira akatswiri. Kawirikawiri akufotokozera paresis wa m'mphako ya. Nthawi zina matenda ndi chifukwa chopanikizika ndi matenda okhudza ubongo.

Zizindikiro za amapilira chingwe paresis

Chithunzi matenda a matenda kudzadalira mlingo wa m'phuno ndi timinofu, komanso pa nthawi ya matenda. Zizindikiro chidwi kwambiri ndi kuwonetseredwa ndi unilateral paresis ndi chisokonezo zingwe amapilira:

• hoarseness;
• kutopa;
• Iye anataya mawu ake (pakhosi sakuwupweteka, kutentha si pano);
• kufupika kwa mpweya;
• ululu mu mmero;
• mavuto ndi chinenero sayenda;
• kumverera kwa thupi zakunja pakhosi, poganiza ya chikomokere;
• kukhosomola kapena kukhosomola adalemeradi;
• kusowa tulo, mutu.

Pali milandu pamene paresis alibe kuonekera kunja. Nkhani imeneyi, matenda angathe kuonedwa yekha ndi kuunika bwinobwino ndi dokotala. Pankhani zotupa amgwirizano ya m'phuno, iwo yodziwika ndi aphonia ndi kulephera kupuma. Nthawi zina pali kukuwa chifuwa paresis zingwe amapilira. Nthawi zina, matenda m'kati kwambiri moti pasanathe maola ochepa za phukusi la mankhwala chofunika mwadzidzidzi.

diagnostics

Zizindikiro loyamba paresis ayenera yomweyo foni audiologist. Pamaso pa dokotala ayenera ntchito yaikulu - molondola kudziwa chifukwa cha matenda. Kuti tichite zimenezi, muyenera kutenga Kafukufuku ochepa, ndi kupeza malangizo kwa akatswiri ena, monga katswiriyu ndi, m'thupi yemwenso, dokotala, maganizo, ndi zina zotero. D. Makamaka ayenera bwinobwino mbiri wodwalayo ndi kupeza kupezeka kwa zikunena opaleshoni.

Pakuti matenda olondola ntchito:

• laryngoscopy kapena mikrolaringoskopiya;
• m'phuno tomography, ubongo, chifuwa;
• electromyography;
• Strobe ndi phonography;
• ultrasound wa mtima ndi chithokomiro England;
• ambiri ndi amuzolengedwa magazi.

Ngati kusintha organic sanapezeke, nthawi zambiri anapezeka ndi "zinchito paresis wa m'mphako ya."

zochiritsira

Ndipotu, paresis zingwe kumveka ndi nkhani mabuku kokha chithandizo. mankhwala Mbali imakhala chakuti pamaso poika mlingo ayambe n'kofunika kupeza chifukwa cha matenda. Kuti akwanitse chithandizo chokwanira analimbikitsa m'chipatala. Chithandizo cha paresis wa timinofu ku chipatala pogwiritsa ntchito mungachite zotsatirazi:

• mankhwala, decongestants mankhwala;
• mankhwala mavairasi oyambitsa wothandizira, mavitamini;
• mankhwala psychotropic, nootropics;
• mankhwala m'thupi, electrophoresis;
• kutema mphini, kukondoweza magetsi mitsempha, kutikita.

Nthawi zambiri zofunika ntchito alowererepo opaleshoni mankhwalawa paresis. Izo ntchito mu kukhalapo kwa zotupa, amamuyambitsa timabala kapena wosafunika mankhwala. Pali njira zosiyanasiyana za chithandizo chamtunduwu, ambiri awa ndi opaleshoni limba, omwe chifukwa cha matenda, ndi staging wa amadzala.

Opaleshoni imathandiza, koma zimatengera maonekedwe munthu wa chamoyo ndi zaka matenda zapitazo. Pambuyo pa opaleshoni, amapilira chingwe paresis, ukuchoka, ndipo adotolo atsimikiza wodwala kuchita Zochita kupuma. Pafupifupi konzanso kumatenga za 3-4 miyezi. Panthawi imeneyi, si ololedwa kupereka katundu amphamvu pa m'phuno monga muyambirenso zotheka.

Wokhulupirira pa konzanso

Monga tanenera kale, dokotala nthawi analimbikitsa pambuyo opaleshoni kuti nawonso akathe kupuma ndondomeko ndi ntchito fonopediyu. Njirazi zabwino magawo onse a mankhwala. Olimbitsa Cholinga kuonjezera galimoto ntchito ya minofu ndi Mitsemphayi. Ndi othandiza kwambiri mu Zochita zotsatirazi:

• ikuwomba / mpweya wambiri pang'onopang'ono;
• ntchito harmonica;
• anakokomeza masaya ndi kuwomba kudzera lisaoneke.

Pa nthawi imeneyi aza phunzitsa khosi zothandiza. pa mawu Zochita tikulimbikitsidwa kukhala pansi pa phoniatrics kulamulira. Wodwala ayenera kukonza katchulidwe ka liwu lililonse, syllable ndi mawu.

Kupewa ndi madokotala ananena zawo

Chifukwa kuthana ndi mankhwala a matenda, ngati sangakhoze kulekerera. Nkhani ya kupewa paresis zingwe amapilira makamaka pachimake. Kuti mosavuta pazipita kupewa matenda ayenera kuchita izi:

• bwino kuchiza matenda opatsirana ndi tizilombo;
• kupewa kuledzera;
• osati kutsegula kwambiri timinofu;
• osati supercool;
• kutsatira normalization wa chithokomiro England ndi ziwalo zina za m'kati.

The Mapa amadalira kwambiri zimayambitsa matenda ndi mankhwala. Ngati mavuto akhala kwathunthu kupewedwa, ndiye njira yabwino ya konzanso ndi kupuma ntchito kudzipatula m'phuno ndi kubwezeretsedwa. Ngati wodwalayo zinchito paresis, izo angachire paokha. Kumene, ndi kugawa lamanja la katundu pa m'mphako ya. Ndi chitukuko cha matenda kwa nthawi yaitali pali minofu ya manja ndi imfa lathunthu la mawu. Mu Zikavuta kwambiri kuwonetseredwa ziwalo za m'phuno, zimene kubweretsa mavuto aakulu kwa thanzi.