Larynx and vocal cords
About the larynx and vocal cords are spoken when the motor activity of the laryngeal muscles decreases. This in turn leads to a violation of voice and breathing. This disease is closely associated with serious pathological disorders of the larynx muscles. Manifestation of the larynx and vocal cords: weakness, hoarseness of voice or its loss, difficulty in breathing and suffocation.
Diagnosis of the larynx paresis with computer tomography, radiography and laryngoscopy. The patient always takes the necessary bacteriological culture on the microflora, makes electromyography, examines the thoracic cavity, the brain and the thyroid gland. Paresis of the larynx is diagnosed in men and women of different ages.
Since there are many reasons for this dangerous disease, several clinical disciplines are involved in the study of causative factors, diagnosis and treatment. The larynx patient is usually referred for examination not only to the otolaryngologist, but also to the neurologist, neurosurgeon, endocrinologist, cardiologist, pulmonologist, thoracic surgeon, psychologist and psychiatrist.
By their nature, these laryngeal pareses are classified into myopathic, neuropathic , peripheral, functional, bulbar and cortical. Myopathic manifestations in the laryngeal muscles, neuropathic ones arise as a result of nerve damage.
Peripheral paresis of the larynx develops with significant disturbances of the functions of the vagus nerve. About bulbar paresis is said, when the nucleus of this nerve in the brain is significantly damaged. Cortical paresis of the larynx is noted when the sites in the cerebral cortex are damaged. Pareases of the larynx and vocal cords of a typical functional type are characterized by general damages of all functions of the cerebral cortex.
By its nature, various laryngeal pareses are divided into unilateral and bilateral. Only bilateral arrangement is marked by specialists in functional and cortical types of paresis.
What causes laryngeal paresis?
Laryngeal paresis can not occur on its own, being a consequence of many other diseases. For example, paresis of the laryngeal muscles can occur with various inflammatory diseases (laryngotracheitis). Often, this disorder is observed in various kinds of acute respiratory viral infections, influenza, tuberculosis, typhoid, syphilis, as well as dangerous botulism and poliomyelitis.
Myasthenia gravis and polymyositis usually always risk a paresis of the laryngeal muscles and vocal cords. Craniocerebral trauma, tumors and cardiovascular disorders can also become the main causative factor in paresis of the larynx. The increased voice load due to professional activities (teacher, actor, singer, combat commander) in most cases provoke the development of such a dangerous disease.
Inhalation of cold and dirty air can also lead to a dangerous disease of the larynx and vocal cords. The functional type of the paresis of the laryngeal muscles can also appear due to a variety of stressful situations and serious emotional experiences. Psychopathy and hysteria often become important causes of such conditions.
The paresis of the larynx manifests itself in violation of voice and breathing: the sonority of the vocal cords decreases, sometimes the voice disappears altogether. speech becomes quiet, turning into a whisper. there is hoarseness and hoarseness of voice. the patient is tired with voice loads. air hardly arrives in the lungs, suffocation occurs. / h How to cure the larynx and vocal cords?
Treatment of the larynx of the larynx focuses on the effective elimination of the concomitant disease that was the causative factor for the disease. Modern therapy includes specific drug treatment with various pharmaceutical preparations, as well as mandatory surgical operations on the area affected by the paresis.
In the treatment of medicines, the necessary antibiotics or suitable antiviral drugs, B vitamins are used. In addition, each patient is treated with neuroprotectors, biogenic stimulants, proserin, aloe in case of myopathic laryngeal paresis. The functional type of the laryngeal muscle paresis is treated with such psychotropic drugs as antidepressants, tranquilizers and other possible means.
In case of any craniocerebral trauma or with significant disorders of the cerebral circulation, nootropic drugs and the necessary drugs are used to strengthen the cardiovascular system.
All possible surgical methods aimed at treatment of the paresis of the laryngeal muscles, often include unavoidable operations on the vocal cords. When there is asthma, an urgent tracheotomy is performed. Among physiotherapeutic methods of treatment of the larynx and vocal ligament are electrostimulation, electrophoresis, magnetotherapy, therapeutic massage.