Speech is the prominent way of communication among humans. It needs proper training from childhood to listen understand and speak. Speaking skills are modified through many adaptive changes by generations. It needs a gradual & steady development of structures associated with speech from the foetus. F After birth, in childhood the language is grasped from the surrounding people as a part of growing up. Both physical and emotional factors play a role in the proper functioning of organs of speech. Any abnormality in any of these can lead to various kinds of speech disorders.
Spasmodic dysphonia (SD) is a chronic voice disorder, that is characterized by excessive or inappropriate contraction of laryngeal muscles during speech.
Signs and symptoms
Speech is characterized by strained or strangled phonation with intermittent voice offsets on voicing of vowels. Patients report that symptoms are worse when they are under emotional stress, when they talk on the telephone, or when they speak in public. The symptoms are often better upon awakening in the morning or after a drink of alcohol. Abductor spasmodic dysphonia (SD) is rarer than the adductor type (17% of all patients with spasmodic dysphonia). Patients have prolonged voiceless consonants because of difficulties with voice onset following voiceless sounds such as /h/, /s/, /f/, /p/, /t/, and /k/. Additional symptoms in some patients with abductor spasmodic dysphonia (SD) include pitch changes, phonatory breaks during vowels, uncontrolled rises in vowels’ fundamental frequency, or a breathy voice quality.
Cause
Genetic disorder which has been attributed to a defect on bands 9q32-34.
Fisiopatologia
Spasmodic dysphonia (SD) is currently understood to be a focal dystonia that affects laryngeal muscle control during speech. Dystonia refers to a syndrome of sustained muscle contractions. Focal dystonias involve abnormal activity in only a few muscles. Dystonic movements are aggravated or become manifest during voluntary movement and worsen with fatigue or physical and emotional stress. Dystonia may be focal, segmental, multifocal, or generalized. Although spasmodic dysphonia (SD) is considered a focal dystonia, it may present as a segmental or multifocal dystonia.
Diagnosi
Videolaryngostroboscopy
Neurologic examination
Perceptual analysis
Acoustic analysis
Aerodynamic analysis
Electromyographic analysis
Subjective evaluation by patient
Trattamenti
Injection of very small doses of botulinum toxin into laryngeal muscles
Prognosi
With the exception of dysphonia caused by stroke for which there can be marked improvement, dysphonia from other causes is stable or progressive, and the prognosis depends on the underlying cause, its tendency to progress, the availability of therapy, and the response to therapy.
Complicazioni
Malnutrizione
Aspiration pneumonia
Choking
Malattie e Ayurveda
Voice disorders are mentioned as swarasaada or swarabheda in Ayurveda. Considering the clinical manifestations, spasmodic dysphonia can be compared with medoja swarasaada.
Nidana
Rajayakshma
Purvaaroopa
Non menzionato
Samprapti
Due to causative factors, the doshas get vitiated in the rajayakshma patient, travel in the body, get lodged in the throat(kantha) and produce the disease.
Lakshana
Kantham limpan iva – coated feeling inside the throat
Manda swara – feeble voice
Khurakhurayate – hoarse or rough voice
Vibaddha – voice production is not continuous
Kricchralakshyakshara – unclear speech, can not be identified clearly
Divisioni
` Vaatika
Paittika
Slaishmika
Saannipaatikam
Kshayajam
Medojam
Prognosi
Asaadhyam – incurable
Chikithsa
It is mentioned as incurable.
Farmaci di uso comune
Kanchanaraguggulu
Varasanadi kashayam
Rasnadi choornam
Marche disponibili
AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala
Rimedi casalinghi
No home remedy is proven to cure spasmodic dysphonia
Dieta
- Da evitare
I pasti pesanti e gli alimenti difficili da digerire causano indigestione.
Cibi spazzatura: causano disturbi della digestione e riducono la biodisponibilità del farmaco.
Bevande gassate: rendono lo stomaco più acido e disturbano la digestione.
Cibi refrigerati e congelati - causano una digestione debole e lenta indebolendo Agni (fuoco digestivo).
Latte e prodotti lattiero-caseari - aumentano kapha, causano l'ostruzione dei canali e l'obesità.
Cagliata - causa vidaaha e quindi molte altre malattie
- Da aggiungere
Pasti leggeri e alimenti facilmente digeribili
Green gram, soups, honey
Cibo fresco e caldo trattato con semi di cumino, zenzero, pepe nero, ajwain, ecc.
Comportamento:
Proteggersi dal clima freddo.
È meglio evitare l'esposizione a luce solare eccessiva, pioggia o polvere.
Mantenere un programma alimentare e di sonno regolare.
Evitare di trattenere o forzare gli stimoli come urina, feci, tosse, starnuti ecc.
Avoid sedentary lifestyle. Be active,
lo yoga
Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.
L'esercizio fisico regolare aiuta a migliorare la biodisponibilità dei farmaci e degli alimenti ingeriti e porta a una salute positiva.
Lo yoga può mantenere l'armonia all'interno del corpo e con il sistema circostante.
Yoga for dysphonia
Pavanamuktasana
Nadisudhi pranayama
Bhujangasana
Semplici esercizi per la salute dei polmoni e del cuore
Tutti gli esercizi e gli sforzi fisici devono essere decisi ed eseguiti esclusivamente sotto la supervisione di un medico esperto.
Articoli di ricerca
https://pubmed.ncbi.nlm.nih.gov/18922334/
Queste dichiarazioni non sono state valutate dalla Food and Drug Administration degli Stati Uniti. Questo prodotto non è destinato a diagnosticare, trattare, curare o prevenire alcuna malattia. Consultare il proprio medico di famiglia prima dell'assunzione.
Esperto,
Medicina ayurvedica, India
Scrittore:
Il dottor Rajesh Nair, cofondatore e consulente capo di Ayurvedaforall.com, si è laureato presso il prestigioso Vaidyaratnam Ayurveda College (affiliato all'Università di Calicut), in Kerala, India. Inoltre, ha conseguito un diploma post-laurea in Yoga Terapia presso l'Università di Annamalai.
Il Dr. Nair offre consulenze in due cliniche molto frequentate a Haripad e dintorni, Alleppey, Kerala, lo stato meridionale famoso in tutto il mondo per gli autentici trattamenti ayurvedici e per i medici. Oltre a offrire consulenze su tutti gli aspetti dei trattamenti ayurvedici, il Dr. Nair ha un interesse particolare per il Panchkarma, lo Yoga e il Massaggio.
Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.
Il Dr. Nair partecipa regolarmente a conferenze sull'Ayurveda e ha visitato la Germania per diffondere l'Ayurveda. Potete scrivere direttamente a lui
rajesh@ayurvedaforall.com
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