Kusho Ukuthini Ukuba Nezwi Lasendlini

-Delile

• Lizwakala linjani izwi lekhala?
• Yini ebanga iphimbo?
• Lelashwa kanjani iphimbo?
• Imithi
• Ukuhlinzwa
• Ukwelashwa kwenkulumo
• Ukuzivocavoca kwenkulumo ukuzama ekhaya
• Ukuthatha

Ukubuka konke

Wonke umuntu unekhwalithi ehluke kancane ezwini lakhe. Abantu abanephimbo lomakhala bangazwakala sengathi bakhuluma ngekhala elivalekile noma eligobayo, okuyizimbangela zombili ezingaba khona.

Izwi lakho lokukhuluma lakhiwa lapho umoya ushiya amaphaphu akho futhi ugelezela phezulu ngezintambo zakho zomlomo nomphimbo ungene emlonyeni wakho. Ikhwalithi yomsindo evelayo ibizwa ngokuthi i-resonance.

Njengoba ukhuluma, ulwanga lwakho oluthambile ophahleni lomlomo wakho luyakhuphuka luze lucindezele ngemuva komphimbo wakho. Lokhu kudala uphawu olulawula umoya odlula ngamakhala akho kuye ngemisindo oyikhulumayo.

Ulwanga oluthambile nezindonga ezisemaceleni nezasemuva zomphimbo wakho zihlangene zenza isango elibizwa ngokuthi i-velharyngeal valve. Uma le valve ingasebenzi kahle, ingadala ushintsho enkulumweni.

Kunezinhlobo ezimbili zamazwi acinene:

• I-Hyponasal. Inkulumo idalwa umoya omncane kakhulu ongena emakhaleni akho ngenkathi ukhuluma. Ngenxa yalokhu, umsindo awunayo i-resonance eyanele.
• I-Hypernasal. Inkulumo idalwa wumoya omningi ophuma ngamakhala akho ngenkathi ukhuluma. Umoya unikeza umsindo umsindo omkhulu kakhulu.

Uma uzizwa unezwi lamakhala elidinga ukunakwa, ikakhulukazi uma lolu shintsho lusha, bheka udokotela wendlebe, ikhala, nomphimbo (ENT). Izimo eziningi ezibanga iphimbo ngamakhala ziyelapheka kakhulu.

Lizwakala linjani izwi lekhala?

Izwi le-hyponasal lingazwakala livinjiwe, sengathi ikhala lakho lifakiwe. Ngumsindo ofanayo ongawenza uma ucindezela ikhala lakho uvale ngenkathi ukhuluma.

Ungaba nalezi zimpawu kanye nezwi le-hyponasal:

• ikhala eligcwele noma eligijimayo
• Inkinga yokuphefumula ngamakhala akho
• khipha emakhaleni akho
• Umphimbo obuhlungu
• ukukhwehlela
• ukulahlekelwa iphunga nokunambitha
• ubuhlungu obuzungeze amehlo akho, izihlathi nebunzi
• ikhanda
• ukuhoshozela
• umoya onukayo

Izwi elingacabangi lizwakala sengathi ukhuluma ngamakhala akho, ngokuvuza komoya okuhambisana nakho.

Ungaba nalezi zimpawu kanye nezwi le-hypernasal:

• Inkinga yokubiza ongwaqa abadinga umfutho womoya ophezulu, njenge k, t, futhi k
• umoya ophuma ngamakhala akho uma usho inhlanganisela yemisindo efana s, ch, futhi sh

Yini ebanga iphimbo?

Kunezici ezimbalwa ezilawula ikhwalithi yezwi lakho. Lokhu kufaka usayizi nokuma komlomo wakho, ikhala, nomphimbo, nokunyakaza komoya kulezi zakhiwo.

Izwi le-hyponasal imvamisa ngenxa yokuvaleka kwamakhala. Lokho kuvinjelwa kungaba kwesikhashana - njengalapho unesifo esibandayo, isifo sesono, noma ukungezwani komzimba.

Noma, kungabangelwa inkinga yokwakhiwa unomphela njengale:

• amalaka amakhulu noma ama-adenoids
• i-septum ephambukile
• polyp acinene

Imbangela enkulu yezwi elingenalutho yinkinga nge-velharyngeal valve, ebizwa nge-velopharyngeal dysfunction (VPD).

Kunezinhlobo ezintathu ze-VPD:

• Ukwehluleka kweVelopharyngeal kubangelwa inkinga yokwakheka njengolwanga olufushane oluthambile.
• Ukungasebenzi kahle kwe-Velopharyngeal kwenzeka lapho i-valve ingavali yonke indlela ngenxa yenkinga yokuhamba.
• Ukulahlekisa i-Velopharyngeal kulapho ingane ingafundi kahle ukulawula ukulawula ukuhamba komoya ngomphimbo nangomlomo.

Lokhu kubizwa nangokuthi ukuphazamiseka kwe-resonance.

Izimbangela ze-VPD zifaka:

• Ukuhlinzwa kwe-Adenoid. Ukuhlinzwa ukususa izindlala ezingemuva kwekhala kungashiya isikhala esikhudlwana ngemuva komphimbo lapho umoya ungaphuma uye ekhaleni. Lokhu kungokwesikhashana futhi kufanele kuthuthuke emasontweni ambalwa ngemuva kokuhlinzwa.
• Ulwanga oluhlanzekile. Le nkinga yokuzalwa yenzeka lapho umlomo wengane ungakheki kahle ngesikhathi sokukhulelwa. Ukuhlinzwa ukuze kulungiswe kwenziwa ngeminyaka engu-1. Kepha cishe amaphesenti angama-20 ezingane ezinenkalakahla ezizoqhekeka zizoqhubeka nokuba ne-VPD ngemuva kokuhlinzwa.
• Ulwanga olufushane. Lokhu kudala isikhala esiningi kakhulu phakathi kolwanga nomphimbo lapho umoya ungaphuma khona.
• I-DiGeorge syndrome. Lokhu okungavamile kwe-chromosome kuthinta ukukhula kwezinhlelo eziningi zomzimba, ikakhulukazi ikhanda nentamo. Kungadala ulwanga oluqhekeziwe nokunye okungahambi kahle.
• Ukulimala kobuchopho noma isifo sezinzwa. Ukulimala kwengqondo noma izimo ezinjenge-cerebral palsy kungavimbela ulwanga lwakho oluthambile ukuba lungahambi kahle.
• Ukulahlekisa. Ezinye izingane azifundi ukukhiqiza imisindo yenkulumo kahle.

Lelashwa kanjani iphimbo?

Yikuphi ukwelashwa okunconyelwa udokotela wakho kuya ngesizathu sezwi lakho lempumulo.

Imithi

Ama-decongestants, ama-antihistamine, kanye ne-steroid nasal sprays kungasiza ukwehlisa ukuvuvukala futhi kunciphise isiminyaminya emakhaleni kusuka ku-allergies, ukutheleleka nge-sinus, ama-polyps, noma i-septum ephambukile. Ama-antibiotic angelapha ukutheleleka ngeso lesono okungazange kuthuthuke futhi kubangelwe ngamagciwane.

Ukuhlinzwa

Izinkinga eziningi zokwakheka ezibangela iphimbo lamakhala zilungiswa ngokuhlinzwa:

• ukususwa kwamathani noma kwe-adenoids
• septoplasty ye-septum ephambukile
• ukuhlinzwa endoscopic ukususa polyp acinene
• I-furlow palatoplasty ne-sphincter pharyngoplasty yokwandisa ulwanga olufushane oluthambile
• ukuhlinzwa kokulungisa ulwanga oluchobozile ezinganeni ezineminyaka eyishumi nambili ubudala

Ukwelashwa kwenkulumo

Ungaba nokwelashwa kokukhuluma ngaphambi noma ngemuva kokuhlinzwa, noma ngokwakho. Uchwepheshe wolimi lokukhuluma uzoqala ahlole inkulumo yakho ukuthola indlela yokwelashwa engcono kakhulu kuwe.

Ukwelashwa kwenkulumo kukufundisa ukuthi ushintshe indlela yokuhambisa izindebe zakho, ulimi, nomhlathi ukuze ukhiqize kahle imisindo. Uzofunda nokuthi ungakuthola kanjani ukulawula ngaphezulu kwe-valve yakho ye-velopharyngeal.

Ukuzivocavoca kwenkulumo ukuzama ekhaya

Umelaphi wolimi lokukhuluma uzophakamisa ukuzivocavoca umzimba ukuze ukujwayeze ekhaya. Ukuphindaphinda nokwenza njalo kubalulekile. Naphezu kwezinye izincomo ezivamile, izivivinyo zokushaya nokuncelisa akusizi ukugcina i-valve ye-velopharyngeal ivaliwe.

Indlela engcono ukuzijwayeza ukukhuluma ngendlela udokotela wakho asikisela ngayo. Khuluma, cula, futhi ukhulume kakhulu ngangokunokwenzeka ukusiza ukushintsha ikhwalithi yezwi lakho uma ufisa.

Ukuthatha

Uma unesimo esidala izwi lomlomo, kunezindlela eziningi zokwelapha ezitholakalayo.

Izinkinga zesakhiwo ezinjengama-polyp kanye ne-septum ephambukile ingalungiswa ngokuhlinzwa. Ukwelashwa kokukhuluma ngolimi kungakusiza ulawule ukuhamba komoya ngomlomo nangamakhala akho, ukuze ukwazi ukukhuluma ngokucacile nangokuzethemba.

Kodwa-ke, khumbula ukuthi izwi lawo wonke umuntu lihlukile. Uma uzwa ukuthi izwi lakho linekhwalithi yamakhala kodwa awunazo izimo zezempilo esizibalile, cabanga ukulamukela njengengxenye yakho. Sivame ukugxeka kakhulu amazwi ethu kunabanye. Kungenzeka ukuthi abanye abakaze babone lutho ngezwi lakho noma bathola ukuthi kukwenza uhluke ngendlela enhle.