Hoarse voice, watch out for serious illness.


        Hoarseness is a characteristic manifestation of diseases in the larynx: hoarseness is a disease in the larynx, conversely, when there is a disease in the larynx, there is definitely hoarseness.

For those who have little to say but have hoarseness, they need to be very wary of incurable diseases such as tuberculosis, laryngeal cancer, etc.

Voice is the result of a smooth combination between the cerebral cortex, the transmission nerves and the place where sound is emitted is the larynx, mouth, nose, pharynx, teeth, and lips.

The larynx is the narrowest organ of the airways, the source of sound. Although the larynx is not the decisive organ for the production of voice, speech is mainly produced by the larynx.
The larynx is composed of two funnels connected to each other at the narrowest space, the glottis, the distance between the two vocal cords separates the upper part of the glottis and the lower part of the glottis.

The glottis has 3 main functions: one is the respiratory function; the second is the function of protecting the airways: thanks to two reflexes, constriction, to prevent foreign bodies (liquid, solid) from falling into the trachea, lungs and cough reflex to expel foreign objects; three is the function of pronunciation, sound and voice.
Sound is produced when air passing through the glottis vibrates the two vocal cords that make up speech.

When pronouncing two closed vocal cords, the sound comes out evenly, the inner voice has timbre, creating a unique sound of each person. If when pronouncing, the two vocal cords are not closed, the voice will be hoarse, uneven voice, loss of voice, loss of timbre…

* Why is my voice hoarse?

Hoarseness will occur in the following cases: laryngitis due to diphtheria, laryngeal tuberculosis, acute laryngitis caused by many bacteria, chronic laryngitis…; fibrocystic cysts, polyps in the larynx, tumors, cancers of the pharynx and larynx; paralysis of the recurrent nerve; foreign body in the larynx; Narrow scarring due to trauma or endotracheal intubation.

There are also risk factors for hoarseness such as: working in hot and humid places, lots of noise, steam or high humidity, dust and chemicals; people who have to talk a lot like teachers, broadcasters, salespeople, singers, etc.

* Hoarseness and accompanying symptoms

According to experts: hoarseness is the earliest and most faithful symptom of diseases in the larynx.

Once hoarseness is acquired, the quality of the voice decreases, the body responds by trying to speak louder, resulting in more severe hoarseness. If the patient tries to talk harder, he will get tired, forming a vicious circle of hoarseness.

Patient has hoarseness or loss of voice. When the doctor examines, you can see: red larynx mucosa, lots of mucus, pus flowing from the lower pharynx into the larynx, edematous laryngeal band, red vocal cords, thick edema, on the vocal cords there are many mucus, red blood vessels.
X-ray films can detect mediastinal tumors.

Sometimes the image of a laryngeal whip is seen due to the sudden impact of the larynx, causing a contact ulceration, which occurs after a strong voice exertion such as a natural singer singing a song with a high frequency that is too high. his ability, one suddenly became angry and shouted…

* How to treat and prevent?

Treatment of hoarseness must depend on the cause and have appropriate treatment. The drugs to be used include: antibiotics, anti-inflammatory, antipyretic, sedative, cough suppressant, edema reduction. Gargle with 9%o physiological saline solution.

Use a nebulizer with a solution of antibiotics combined with corticosteroids, or inject drugs directly into the larynx.

Patients should rest, eat lightly, avoid cold foods, limit the use of alcohol, beer, tobacco, coffee, etc. Eat more fruits, drink hot ginger tea. Limit or talk until it goes away, the better.

Every day, the patient should rinse his mouth several times with solid tea mixed with a little salt. Mix 2 teaspoons of honey in 250ml of warmed milk and drink slowly, several times a day.
Stop smoking, water pipe during the loss of voice because tobacco can destroy the effects of the above treatments.

Surgery to remove the lesion, remove the tumor, combined with radiation and chemotherapy. After surgery, patients need to practice voice pronunciation, avoid bad pronunciation habits such as suddenly speaking loudly, which can cause hoarseness.

To prevent loss of sound, it is necessary to take many coordinated measures such as: avoid drafts into the living room or office, car.

Do not set the temperature too low in the office when using an air conditioner, only set it at 25 – 28oC. You should wear warm enough clothes if you have to work long hours in a very cold room, especially in the neck and chest area.

Do not drink water that is too cold, or too hot, it is advisable to give up the habit of drinking ice water even on hot days. Avoid the case of clothes that are soaked with sweat but step right into the air-conditioned room. Avoid talking loudly, talking too much, screaming…

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