Paresis of pahuro zvinokonzera: zvinokonzera, zviratidzo uye kurapwa

Iye zvino, dokeriro ndechimwe chezvinhu zvakaoma zvomukati. Kunyange kare vakatanga kudzidza maumbirwo ayo uye kuita saizvozvo kure. Kune akasiyana dzakawanda laryngeal maronda, asi chimwe chezvinhu zvinofadza ndiyo paresis chezvinhu pahuro zvinokonzera. Kunoratidza pacharo muchimiro kwakaderedza gwenya kushanda tsandanyama dzomuviri, zvichiguma havachanyatsogoni kufema uye phonation. Panguva iyoyo, chirwere ichi ndicho chetatu zvose chirwere zvirwere dokeriro. Ndiye ngozi chaizvo, uye inoshanda mishonga inoenderana kwenhoroondo kuziva zvinokonzera.

Sei kukura chirwere?

laryngeal anatomi presupposes pahuro zvinokonzera akaronga newokuti mumwe. Pakati pavo ndiye glottis. Kana mhepo iri patinofemera kunze kuburikidza pakuvhurwa inoumbwa parutivi vibration, oscillation nemarunda izwi zvakasikwa. Saka mashandiro kuti basa dokeriro, kuita mashandiro phonation.

Tsandanyama dzomuviri sei pulses kuti vari pedyo duku mapazi nechepakati tsinga wakagamuchira. Kana paine kukuvara kana zvokurwara, pakati muuropi, tsinga uye tsandanyama midziyo kutyora kunoitika interconnection. Somugumisiro chiitiko ichi paine paresis pamusoro pahuro zvinokonzera uye, naizvozvovo, ari dokeriro.

chirwere typology

chirwere ichi rakakamurwa zvitatu mhando: myopathic (chokuita tsandanyama midziyo), neuropathic (kunokonzerwa zvinetso laryngeal tsinga) uye dzichipfekeka (nezvinetso nepakati pakati excitation uye chinovhiringidza mu cerebral cortex).

The kukundwa of Vocal turakiti zvinogona yaitsigira divi kana bilateral hunhu. Mukuwedzera, abnormality riri vachiberekwa uye vawana. Wokutanga kunoratidzwa kukura zvikuru kwazvo siyana - a kuoma dokeriro. Vaya vanotambura chirwere ichi havagoni kuti kufamba muviri netsandanyama.

myopathic chitarisiko

Funga nomumwe mhando paresis of pahuro zvinokonzera zvizere. Myopathic chimiro chirwere zvabuda kubva anogumbura kuchinja laryngeal midziyo yakafanira kuwedzera kwenhamba zvigare. Inenge zvimwechetezvo rwarisa wanda.

chirwere ichi zvakare chinoitika kana mhando guruva uye madhaka zvinhu zviri huro. Mhepo inotonhora uye kunyanya kuzvidya mwoyo kunogona kuita zvinhu zviri zvakanaka Vocal tambo paresis kana kuruboshwe. Dzimwe nguva pane maviri ane mativi pezvakaita chirwere. Of zviratidzo zvinogona kupatsanurwa:

• munhu shoshoma izwi;
• kuchinja matauriro;
• hazvibviri bereka mukuru-matende ruzha;
• taudarika;
• kutaura chete ari zevezeve.

neuropathic maonero

Izvi mhando paresis pamusoro pahuro zvinokonzera uye dokeriro ndiyo kwakapararira. Iyewo, rakakamurwa subspecies maviri: peripheral uye nechepakati. Wokutanga kunoratidzwa pakukuvara kana lesion laryngeal tsinga. A chechipiri bharero achiumbwa somugumisiro kukuvara, uye chepfungwa cortex.

Kana kuva yaitsigira divi zvokurwara, nokufema uye izwi-basa basa renguva dzose, gare gare anooneka hoarseness. Kudzorerwa laryngeal tsinga anotora inoverengeka. Zvisinei, kana murwere ari muimbi, zvingava kuti kukanganisa, mano Vocal haangatongovi zvakafanana zvakare. Double-mativi zvokurwara kunoratidzwa chirwere chakakomba zvikuru kuti anogona kutungamirira kutadza kufema.

zviratidzo:

• Kufema ruzha;
• kuti zviite acho, murwere ari nokugara nzvimbo hunogara chinhu maoko;
• ganda anova rwebhuruu.

The dzichipfekeka chimiro

The peculiarity kwaiita laryngeal paresis ndechokuti kungowanikwa pakanyorwa kusagadzikana munyika tsinga. The chikuru chepfungwa dzichipfekeka chimiro chirwere - a zevezeve, akatendeuka kupinda Athos. Kana murwere kuda basa, iye angasaona kuti inzwi akarasika, zvinoita sokuti.

Yemanyorero paresis akaumba somugumisiro laryngitis kana zvimwe zvirwere. The zvekufungidzira ndonda, iyo ava chaizvo zvakawanda, kutaura anokuzendamira chero hairape runotikurudzira chirwere. Kazhinji kureva vanachiremba kuti kuvabata zvakanaka. Kazhinji, varwere ava kuona zvinotevera zviratidzo:

• zvikuru huro;
• tickling uye vanofadza;
• dzungu uye kurwadziwa mumusoro;
• kushaya hope.

dzichipfekeka mhando laryngeal paresis kurapa anotora nguva refu. Zvinokurudzirwa kuti batanidza nyanzvi yokurapa pfungwa kana psychoanalyst. Dzimwe nguva varwere vanotsutsumwa kuti vakarasika izwi rake (huro asingaiti kukuvara, hapana tembiricha). Izvi zvingava zvakafanira kuti zvakawanda zvakakomba pavaipfuura chirwere.

The zvinokonzera chirwere

chirwere ichi anokonzerwa vakawanda zvikonzero. Paresis imhaka ane akatadza kuvhiyiwa pamusoro thyroid shwanu, uye kwete chete. About 6% nyaya kuchipera paresis pamusoro pahuro zvinokonzera. It anokwanisa kukonzera chimiro siyana kukuvara chirwere uye kukuvara Neural zvivako, mavanga pamba uye kubasa, nezvimwewo zvakare. D.

The kukonzera paresis of pahuro zvinokonzera ndiwo:

• chimiro metastases, namamota kwemitsipa, chipfuva, dokeriro uye trachea;
• thyroid akawedzera kuitika tikafunga nezvimwe zvirwere;
• benign mapundu of dokeriro;
• hematoma pashure zvinokuvadza;
• Kurohwa, chirwere vachiberekwa mwoyo;
• neuritis yokuvamba pamusoro yaitwa nezvirwere zvinokonzerwa nemavhairasi zvirwere.

Voice Unit riri pasi kushushikana mupfungwa mune vanhu vari kuita basa yokusiyanisa. Kazhinji anovandudza paresis yacho dokeriro. Dzimwe nguva chirwere ichi ndicho nemhaka mupfungwa uye zvepfungwa.

Zviratidzo Vocal tambo paresis

The kunotoda Mufananidzo chirwere achavaponesa ufanane dokeriro uye tsandanyama dzinobudisa inzwi, uyewo pamusoro ya chirwere. Chinonyanya unoshamisa Zviratidzo zvinozarurwa pamwe yaitsigira divi paresis pamwe kuvhiringidzika pahuro zvinokonzera:

• hoarseness;
• nekuneta;
• Akarasikirwa izwi rake (huro hakurevi kukuvara, tembiricha haamo);
• kupfupika mweya;
• kurwadziwa huro;
• nezvinetso mutauro mufambo;
• kunzwa ane muviri worumwe huro, kunzwa chaanoziva;
• vangakosora kana rinorema vangakosora;
• kushaya hope, kutemwa.

Pane zviitiko apo paresis hakuiti unooneka kunze. In Muchiitiko ichi, chirwere chinogona kuonekwa bedzi kunyatsoongorora chiremba. Panyaya bilateral maronda ari dokeriro, ivo vaine aphonia uye kufema kukundikana. Dzimwe nguva pane kuhukura chikosoro paresis pamusoro pahuro zvinokonzera. Mune zvisingawanzoitiki Muzviitiko, chirwere mberi nokukurumidza zvokuti mukati maawa mashoma zvaida rwekuchipatara munjodzi kupindira.

Diagnostics

Nezviratidzo paresis wokutanga hwobva zivisai audiologist. Pamberi chiremba anofanira huru basa - nemazvo kuona chikonzero chacho. Kuti aite izvi, unofanira kutora kuongorora shoma, uye kuwana mazano kubva kune dzimwe nyanzvi dzakadai chiremba wetsinga, endocrinologist, chiremba, chiremba wepfungwa, uye zvichingodaro. D. Kunyanya vanofanira ukanyatsoongorora murwere nhoroondo uye tsvaka Kuwanikwa zvomusejari kupindira.

Nokuti yakarurama zvokuongorora inoshandiswa:

• laryngoscopy kana mikrolaringoskopiya;
• dokeriro tomography, uropi, chipfuva;
• electromyography;
• Strobe uye phonography;
• Ultrasound mwoyo uye thyroid shwanu;
• mukuru uye nokukanganisika bvunzo ropa.

Kana Organic kuchinja haasati awanikwa, chinowanzoonekwa chirwere "dzichipfekeka paresis yacho dokeriro."

kurapwa

Kutaura zvazviri, paresis pamusoro pahuro zvinokonzera riri pasi chete nzwisisika kurapwa. kurapa chinhu ine pakuti kugadzwa yavaipora mwero pamberi zvakafanira chakonzera chirwere. Kuti aite zvizere kurapwa yakarumbidza muchipatara. Mabatirwo paresis of pahuro zvinokonzera muchipatara nokushandisa pfungwa dzinotevera:

• antihistamines, decongestants mishonga;
• mishonga, antiviral vamiririri, mavhitaminzi;
• psychotropic zvinodhaka, nootropics;
• hormone zvinodhaka, electrophoresis;
• jekiseni, zvemagetsi tsinga dzishande, masaja.

Kazhinji zvakakosha kushandisa kuvhiya kupindira pakurapa paresis. Rinoshandiswa pamberi namamota, scarring kana asingabatsiri zvinodhaka mishonga. Kune nzira dzakawanda kurapa kwakadaro, vakawanda ava ndiyo kuvhiyiwa nhengo, inova mhaka chirwere, uye inoshandiswa pakutsigira kuti anodyara.

Kuvhiya chaizvo inoshanda, asi zvinoenderana munhu zvechadenga Muviri denda apfuura. Pashure pokuvhiyiwa, Vocal tambo paresis, vanotiza, uye chiremba anokurudzira murwere kuita muchiitwa kufema. Paavhareji, vapore kunotora inenge 3-4 kwemwedzi. Panguva ino, zvakanga chinorambidzwa kupa mutoro simba pamusoro dokeriro sezvinobvira wava kusvutazve.

Achishandisa panguva vapore

Sezvatotaurwa, chiremba inenge nguva ndaizoitwa pashure kuvhiyiwa kuti murairidzi kufema muitiro uye kushandisa fonopediyu. Nzira idzi dziri zvakanaka maitikiro zvose pakurapwa. Gymnastics ndehwokuti kuwedzera injini basa tsandanyama nemarunda. Zviri zvikuru kubudirira zvinotevera yechiitwa:

• ichivhuvhuta / yaunodya mhepo zvishoma nezvishoma;
• kushandiswa harmonica;
• achiwedzeredza pamatama uye vachiridza kuburikidza pakakoromoka.

Munguva Zvirongwa izvi kuchaita kudzidzisa mutsipa anobatsira. pamusoro inzwi kurovedza akataura kuti pasi pesimba phoniatrics. Murwere anofanira mataurirwo emashoko inzwi rimwe, mabhii uye neshoko.

Prevention uye fungidziro

Sei kubata pakurapa chirwere, kana harigoni kushivirira. Nyaya kudzivirira paresis of pahuro zvinokonzera rinonyengerwa chakasimba. To kufadza mukana kudzivisa chirwere kuita zvinotevera:

• zvakanaka kubata zvinotapukira uye nemavhairasi nezvirwere;
• nzvenga kudhaka;
• kwete vapinze kupfuura chipimo pahuro zvinokonzera;
• kwete supercool;
• kutevera normalization pamusoro thyroid shwanu uye dzimwe nhengo dzomukati.

The kushurudzira iri zvikuru novimba zvinokonzera chirwere uye mishonga. Kana zvose zvinetso kungadai kusina kudziviswa zvachose, ipapo yakarurama Zvokusunungurwa uye kufema voga dokeriro mabasa vari rakadzorerwa. Kana murwere ane dzichipfekeka paresis, unogona kusimuka hwavo. Chokwadi, pamwe chete rworudyi kuparadzira mutoro pamusoro dokeriro. With kukura chirwere kwenguva yakareba pane tsandanyama atrophy uye kurasikirwa nenzwi zvakakwana. In wakakura zvikuru zviitiko pachena kuoma dokeriro, izvo zvinogona kukuvadza zvikuru pautano.