Spasmodic dysphonia

Spasmodic dysphonia o le faigata ona tautala ona o spasms (dystonia) o maso e faʻatonutonuina leo leo.

O le mafuaʻaga tonu o spasmodic dysphonia e leʻo iloa. O isi taimi e mafua mai i le mafaufau popole. Ole tele o mataupu e mafua mai ile faʻafitauli ile faiʻai ma neura e ono aʻafia ai le leo. O musele o le uaʻi ua gagase, poʻo konekalate, e mafua ai ona latalata tele pe faʻamamao ese foʻi fusi leo a o faʻaaoga e se tagata lona leo.

Spasmodic dysphonia e masani ona tupu i le va o le 30 ma le 50 tausaga. O fafine e tele na aʻafia nai lo aliʻi.

O isi taimi, o le tulaga e tupu i totonu o le aiga.

O le leo e masani ona palu pe valavala. Atonu e maluelue ma taofi. Atonu o le leo e faʻatiga pe titina, ma e foliga mai e pei o le failauga e tatau ona faʻaaoga atili taumafaiga. Lenei ua lauiloa o le adductor dysphonia.

O isi taimi, e musumusu pe manava le leo. O lenei ua taʻua o le abductor dysphonia.

Atonu e aluese le faʻafitauli pe a ata le tagata, musumusu, tautala i se leo maualuga, pese, pe alaga.

O nisi tagata e iai faʻafitauli o le maso i isi vaega o le tino, e pei o le tusitala o le cramp.

O le fomaʻi, isu, ma le faʻaʻi fomaʻi o le a siakiina mo suiga i leo leo ma isi faiʻai poʻo faʻafitauli neula.

O suʻega e masani ona faia e aofia ai:

• Faʻaaogaina se lautele lautele ma se moli ma mea puʻeata e vaʻai ai i le leo pusa (larynx)
• Suʻega leo e se tagata e tautala i le gagana

E leai se togafiti mo spasmodic dysphonia. Togafitiga mafai na o le faʻaititia o faʻailoga. Togafitiga e togafitia ai spasm o maso leo leo mafai ona faʻataʻitaʻia. E foliga mai latou te galulue e oʻo atu i le tasi afa o tagata, i le mea silisili. O nisi o nei vailaʻau e i ai faʻalavelave faʻamataʻu.

Botulinum toxin (Botox) togafitiga ono fesoasoani. Botulinum toxin e sau mai se ituaiga siama. E laʻititi lava le aofaʻi o lenei vailaʻau oona e tuiina i maso o loʻo i leo leo. Lenei togafitiga o le a masani ona fesoasoani mo le 3 i le 4 masina.

O taotoga e tipi ai se tasi o neura i uaea leo sa faaaoga e togafitia ai spasmodic dysphonia, ae e le aoga tele. O isi taotoga togafitiga e ono faʻaleleia atili ai faʻailoga i nisi tagata, peitaʻi o loʻo manaʻomia nisi suʻesuʻega.

O le faʻaosofia o le faiʻai e ono aoga i nisi tagata.

Leo togafitiga ma le mafaufau faufautua ono fesoasoani e faʻaititia ai faʻailoga i ni tulaga agamalu o spasmodic dysphonia.

Dysphonia - spasmodic; Lelei o le tautala - spasmodic dysphonia

• Nofoʻaga popolevale ma faiga lautele neula

Blitzer A, Kirke DN. Neurologic faʻafitauli o le larynx. I totonu: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Taʻavale ma le ua. 7th ed. Filatelefia, PA: Elsevier; 2021: mata 57.

Flint PW. Faʻafitauli o le faʻaʻi. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 401.

Patel AK, Carroll TL. Toʻafilemu ma le fulafonia. I: Scholes MA, Ramakrishnan VR, eds. ENT Mealilo. 4th ed. Filatelefia, PA: Elsevier; 2016: mata 71.

US Matagaluega o le Soifua Maloloina & Tagata Auaunaga; National Institute on Deafness and Other Communication Disorder (NIDCD) 'upega tafaʻilagi. Spasmodic dysphonia. www.nidcd.nih.gov/health/spasmodic-dysphonia. Faʻafouina Iuni 18, 2020. Avanoa Aukuso 19, 2020.