Disorder and post vocal cords Vocal cord dysfunction
Disorder and post vocal cords, which are commonly know paradoxical movement of vocal fold vocal fold, characterized by an abnormal rounded abnormal adduction of the vocal cords during the respiratory session (especially during the process of inspiration), this disorder results in obstruction to air flow at the level of the larynx.
May address in most cases without response to treatment - Khsacip issued
Disorder and post vocal cords in most cases, asthma-like sustained persistent asthma and he has treated in most cases without response to treatment - Khsacip released - with high doses of inhaled corticosteroids or inhaled the overall systemic, and bronchodilators bronchodilators, and through multiple visits to the emergency department and admitted to hospital, In some cases, the work of the Gaping tracheal (windpipe incision) tracheostomy, and a tube.
In some cases, the work of the Gaping tracheal (windpipe incision) tracheostomy
Born disease
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During the session, the natural respiratory vocal cords diverge in part with inhaled air, and partially converge with the end of the exhale, and allow the movement of the vocal cords - without obstruction - the entry of air into the lungs and out of it. Psahlkip while retaining the alveoli of the lungs, providing a positive airways pressure during exhalation (positive pressure Alzferi terminal positive end-expiratory pressure or PEEP), and thus works in the first valve throat airways to help keep the lungs in the case of extended, and throat rich nerve supply and helps that in performing its function, and a revitalization planned muscles and striated muscles under voluntary control of voluntary and reflex reflexive regulates the size, as well as both the nerve cells of the larynx and motor neurons affects in the size of flutes glottic size, and are also influenced by the activity Almpehmi reflex vagal reflex activity that arises receptors of the lungs and throat.
Image viewer to examine the throat of a natural
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Mechanism that causes the narrowing gap Piper glottic chink narrowing or intermittent closure during inspiration independent of any changes measured lower respiratory tract is unknown, and of people affected by the integrated function of the audio cords stop accidentally leading to intermittent bouts of severe disability or functional blockage of the pathways respiratory, and the signs and symptoms similar to those that are observed in disorders such as paralysis of vocal cords vocal cord paralysis, and asthma, asthma, and inflammation of the epiglottis epiglottitis, laryngeal spasm and laryngospasm, and Alodomp vascular shock resulting from allergic angioedema secondary to anaphylaxis.
Development of vocal cords of a patient with vocal cords and function Onthae inspiration
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Described recent reports in some cases other causes of the disruption vocal cords of the larynx, such as the entrance to a different area of the status attached to the mucosa of the upper esophagus, and exposure to a substance such as Algelotharaladhead glutaraldehyde, and inhalation of swimmers and divers of chlorine.
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Disorder appears to function as part of the vocal cords strikes the airways caused by exposure because of occupation or profession occupational exposures, which include exposure to exciting, and stress, which occur Kadtrapat transformative conversion disorder in some people.
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One theory states that the vagus nerve vagus nerve may alter the tension of the laryngeal and reduces the threshold level of threshold level stimuli stimuli to occur shrinking Balohbal audio, or deposition of abnormal rounding of the audio cords, and what has been written on this subject suggests a greater emphasis to organic causes such as carrots contagious esophageal, gastroesophageal reflux, and the islands laryngeal throat laryngopharyngeal reflux and that's where the laryngeal pharynx is very sensitive to raise the acid stomach.
Spread of the disease
These cases are about 10% of patients who are looking for assessment of their cases as cases of asthma asthma and people that do not respond to treatment, reveals the total literature on the subject of the disturbance at the vocal cords of people living with mental (such as depression, depression, obsessive-compulsive disorder and obsessive-compulsive disorder, borderline personality disorder and borderline personality disorder, and neurosis resulting from sexual abuse in childhood neurosis induced by childhood sexual abuse), and persons who have increased body mass index, body mass index and staff medical professionals, may have trouble vocal cords a multiple of asthma at a few of patients.
Morbidity and mortality
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Do not know the mortality rates.
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Disorders occur because of the use of corticosteroid corticosteroid for long periods, such as syndrome-like illness Cushing Cushing-like syndrome, and loss of bone density bone density loss, and inhibition of growth in children.
Sex-linked disease
Notes the existence of this disease primarily in women, where the ratio between the patients in this case are 3 women for every man almost.
Age-related disease
Such cases are prevalent between the ages of 20-40 years, but can occur between the ages of 6-83 years, and the writings of modern to an increase among children and adolescents.
Symptoms
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Pinging is wheezing.
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Cough / cough cough.
A feeling of tightness in the throat
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A feeling of tightness in the throat.
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The presence of hoarseness, changing voice.
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Gnashing of (high-pitched voice) stridor.
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Shortness of breath.
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Shortness of breath with stress dyspnea on exertion.
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The difficulty of inspiration.
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Sudden bouts of shortness of breath.
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Lack of response to bronchodilators Extenders bronchi and cosmetic corticosteroid corticosteroids.
Tags
Hear the buzzing sound on the chest
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Hear the sound of the larynx laryngeal auscultation can reveal the creak of a voice during the existence of symptoms.
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Could be heard buzzing sound on the chest (which is movable on the upper part of the respiratory tract).
Causes
Problems that accompany the disorder and post vocal cords include the following:
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Gastroesophageal reflux islands, and islands laryngeal throat.
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Inflammation of the upper respiratory tract (such as rhinitis, rhinitis, sinusitis, or sinusitis, viral infection or recurrent).
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Exercise of violence.
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Inhalation exposure to exciting stuff accidentally, or by virtue of being a career occupational exposure.
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Mstorjat exposure to allergens (what is causing the allergy) or environmental pollutants pollutants.
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Psychological reasons of origin (such as severe stress).
Tests
Laboratory tests:
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Counting cells Aliousinep eosinophils to white blood cells do not increase in cases of disruption of the functions of vocal cords (which are not dealt with corticosteroid therapy for extended periods), while more than in similar cases such as asthma, which increases when these cells by more than 5%.
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Arterial blood gas measurement will be in the normal range in patients with disruption of vocal cords, while showing the prevalence of hypoxaemia in patients with asthma.
Scans:
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X-rays are normal, while an excessive swelling of the lungs when the disease asthma.
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Rays may be used to assess lung disease, or throat diseases, or heart, and may explain, or support the symptoms suffered by the patient.
Other tests:
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Spirometry spirometric testing supports the diagnosis of disruption of vocal cords in patients who complain of symptoms.
Spirometry spirometric testing
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Planning spirogram breathing is the most useful means by which to distinguish between the disorder and post vocal cords and bronchial asthma, as it shows a lack of airflow in patients with inhalation disorder and post vocal cords, also shows a sudden drop and rise in the volume of air flow during the presence of symptoms in the absence of a cough.
Planning breath spirogram
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For patients whose physical activity is the catalyst for an upset and vocal cords have jobs, sports activity is a cause of a gradual shift.
For patients whose physical activity is the catalyst for an upset and vocal cords have jobs, sports activity is a cause of progressive heart
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The work of skin sensitivity test may reveal some cases of nasal allergy, or allergic asthma.
The work of skin sensitivity test may reveal some cases of nasal allergy, or allergic asthma
Interventions
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Inspection work telescopic laryngoscopy of the larynx is the standard for the diagnosis of disorder and post vocal cords, where they are deliberately vocal cords in the convergence of abnormal during inhalation.
Inspection work telescopic laryngoscopy of the larynx is the standard for the diagnosis of disorder and post vocal cords
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Image shows the vocal cords during the examination of the telescope nearly two-thirds of the front audio cords, as shown by a gap in the form of an urgent diamond-shaped chink in the back and the hole through which air flows during inspiration.
Image shows the vocal cords during the examination of the telescope nearly two-thirds of the front audio cords
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In the absence of symptoms during the examination the patient had endoscopic changes occur Balohbal voice at work sporting effort, increased breathing or hyperventilation, or the work of the maximum forced exhalation maximal forced expiratory effort followed by a rapid inspiration rapid inspiration.
Treatment
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Multidisciplinary treatment is effective when you need him, which includes treatment by a doctor and a specialist speech therapy speech therapist, and psychiatrist.
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Speech therapy mainly includes training the patient to relax the work of the laryngeal voice and breathing exercises, and in difficult cases succeed, the treatment associated with psychosocial support, and the role of specialist speech therapy education is impressive, and communicate through a comprehensive treatment plan for the bands, with appropriate exercises for breathing.
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The role of psychotherapy is cognitive behavior therapy, or psychotherapy-General on the basis of assessment of mental disorder or personality disorder.
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Recent studies show that psychological treatment for the disorder self-directed physical form somatoform disorders, and disorders transformational conversion disorders may increase the efficiency of treatment when added to conventional therapy.
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The patient is given a mixture of helium and oxygen, and this mixture is less dense than air, and therefore reduces the chaos during inspiration, which gives a benefit only in the short term, but it could be an aid to emergency treatment for the disorder and post vocal cords.
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Injection Sefan poisoning Aloiqy laryngeal botulinum toxin released by disabling symptoms of starting acetylcholine acetylcholine, which causes muscle weakness of the throat, and facilitates the flow of air breathing and exhaling.
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Desperately panting cause vocal cords relax and increases the convergence of the Glottis.
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Put lotion Alledokayen laryngeal place, which reduces the muscle contraction Oboe glottal muscle and then click flute supraglottal.
Medical advice
The patient needs the advice of a specialist, ear, nose and throat, and specializing in lung diseases, and specializing in allergy and immunology, and specializing in the treatment of pronunciation, and psychiatrist.
Food
There is no need to ban any type of foods.
Drugs
There is no specific drugs recommended giving it to the patient.
Follow-up
Is patient follow-up after discharge from the hospital, in order to determine a response to learning and speech therapy, and assess the requirement for the psychological care by a specialist.
Prevention
Can be prevented by following the guidelines for speech therapy speech therapy guidelines, and exercise, and relaxation therapy, and other means that reduce anxiety.
The fate of the disease
The fate of the disease is well with the response to speech therapy, which allows the patient to control the disorder.
Patient Education
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The education of the patient through a variety of specialists, including a doctor, and specialist treatment of pronunciation, and psychiatrist.
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Be the physician's role is to inform the patient of the absence of diseases such as asthma, with an explanation of the nature of the patient, and patients usually have a positive interaction enhances the fate of the disease
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