Assuntos
Soluções Isotônicas/farmacologia , Soluções Isotônicas/uso terapêutico , Cavidade Nasal/efeitos dos fármacos , Cavidade Nasal/cirurgia , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Doenças dos Seios Paranasais/tratamento farmacológico , Doenças dos Seios Paranasais/cirurgia , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Pós-OperatóriosRESUMO
The paper analyzes the incidence rates and specific features of vocal apparatus disorders in dyshormonal gynecological diseases in the reproductive and menopausal periods. It presents a complex procedure for diagnosis and treatment, which includes the management of the patient by a phoniatrist jointly with an endocrinological gynecologist, a psychoneurologist, and a phonopedist. Drugs for correcting sexual hormone levels, psychoemotional status, venous tone, breathing exercises and phonopedic classes by using biological feedback, and physiotherapeutical methods of treatment have been used. Indications and contraindications for the use of hormonal drugs in the treatment of dyshormonal gynecological diseases in individuals of voice-and-speech professions are considered.
Assuntos
Doenças dos Genitais Femininos/complicações , Hormônios Esteroides Gonadais/metabolismo , Distúrbios da Voz/complicações , Distúrbios da Voz/metabolismo , Adulto , Feminino , Humanos , Menopausa/fisiologia , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Distúrbios da Voz/diagnóstico , Qualidade da VozRESUMO
Chlamydia trachomatis DNA was detected by PCR in 12 patients with continuously recurrent catarrhal pharyngolaryngitis. These included 9 males and 3 females whose age ranged 16 to 72 years. All the patients were found to have degrees II-III alpha- and g-INF deficiencies. The interferon inducer amixine in combination with sumamed was used in the treatment of patients with chlamydial laryngitis. After treatment, there was a significant improvement in two thirds of patients. The pain syndrome was relieved, hoarseness diminished, and the laryngoscopic and microlaryngostroboscopic picture and interferon status became normal. Control studies showed no Ch. trachomatis in this group of patients. Despite positive changes in the course of the disease, the control study again detected Ch. trachomatis in 4 patients, which required repeated treatment courses.
Assuntos
Infecções por Chlamydia/diagnóstico , Infecções por Chlamydia/tratamento farmacológico , Indutores de Interferon/uso terapêutico , Laringite/diagnóstico , Laringite/tratamento farmacológico , Tilorona/uso terapêutico , Adolescente , Adulto , Idoso , Infecções por Chlamydia/microbiologia , Chlamydia trachomatis/isolamento & purificação , Feminino , Humanos , Laringite/microbiologia , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de DoençaRESUMO
Voice disturbances are analyzed in 105 patients with thyroid pathology. The clinical picture, diagnosis and treatment features are described in changes of the vocal apparatus due to thyroid dysfunction. A combined procedure of diagnosis and treatment rehabilitates most patients for their working vocal loads. Emphasis is laid on that patients should be managed jointly with the endocrinologist, which allows the voice to be stabilized by correcting the balance of thyroid hormones.
