{"id":32,"date":"2015-11-29T08:00:17","date_gmt":"2015-11-29T07:00:17","guid":{"rendered":"http:\/\/fonologos.com\/nweb\/?page_id=32"},"modified":"2022-01-20T10:08:35","modified_gmt":"2022-01-20T09:08:35","slug":"patologies-de-la-veu","status":"publish","type":"page","link":"https:\/\/fonologos.com\/nweb\/patologies\/patologies-de-la-veu\/","title":{"rendered":"Patologies de la Veu"},"content":{"rendered":"<h4><a href=\"http:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2015\/11\/patologias-de-la-voz.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-36\" src=\"http:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2015\/11\/patologias-de-la-voz.png\" alt=\"patologias-de-la-voz\" width=\"175\" height=\"145\" \/><\/a><\/h4>\n<h3><span style=\"color: #000000;\"><strong>Quines malalties pot tenir la veu?<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">Pot presentar-se una disfonia (ronquera) per un refredat o per haver cridat o enraonat massa fort en determinat moment (espectacles, festes). \u00c9s un proc\u00e9s agut que cura en pocs dies amb rep\u00f2s vocal. Per\u00f2 si la disfonia persisteix m\u00e9s de dues setmanes i <strong>la veu est\u00e0 alterada permanentment<\/strong>, es parla de <strong>disfonia cr\u00f2nica<\/strong> i <strong>cal un estudi foni\u00e0tric per determinar-ne les causes i el tractament.<\/strong><\/span><\/p>\n<h4><\/h4>\n<!--[if lt IE 9]><script>document.createElement('audio');<\/script><![endif]-->\n<audio class=\"wp-audio-shortcode\" id=\"audio-32-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"http:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2016\/04\/Audio-La-Tribu-TP-040416.mp3?_=1\" \/><a href=\"http:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2016\/04\/Audio-La-Tribu-TP-040416.mp3\">http:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2016\/04\/Audio-La-Tribu-TP-040416.mp3<\/a><\/audio>\n<h4><\/h4>\n<h3 style=\"text-align: center;\"><span style=\"color: #000000;\"><strong>Per qu\u00e8 apareixen les disfonies cr\u00f2niques?<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">La majoria s\u00f3n <strong>conseq\u00fc\u00e8ncia de for\u00e7ar la veu<\/strong>. A banda d\u2019una <strong>predisposici\u00f3 personal de base<\/strong>, treballar de cara al p\u00fablic n\u2019augmenta el risc. Comercials, teleoperadors, docents, sobretot mestres de prim\u00e0ria, s\u00f3n m\u00e9s vulnerables perqu\u00e8 han de parlar m\u00e9s i a m\u00e9s volum o en ambients sorollosos. Sense una t\u00e8cnica vocal adequada, apareix ronquera progressiva.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">S\u00f3n habituals n\u00f2duls o p\u00f2lips per\u00f2 tamb\u00e9 \u00e9s probable no trobar-hi cap lesi\u00f3 sin\u00f3 una alteraci\u00f3 del patr\u00f3 vibratori de les cordes vocals i un mal \u00fas de tot l\u2019aparell vocal. Si el problema ve des de la inf\u00e0ncia i hi ha antecedents familiars, poden ser lesions cong\u00e8nites de les cordes vocals la causa de la disfonia i el mal \u00fas vocal.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">La disfonia tamb\u00e9 pot ser expressi\u00f3 de <strong>processos d\u2019origen neurol\u00f2gic, miop\u00e0tic, endocr\u00ed o tumoral<\/strong> (on cal esmentar el tabac com a factor causal de primer ordre), sense oblidar la cada cop m\u00e9s freq\u00fcent <strong>malaltia per reflux, molt relacionada amb l\u2019estr\u00e8s i amb determinats estils de vida i h\u00e0bits alimentaris.<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">En tots aquests casos \u00e9s primordial diagnosticar i tractar la patologia causal podent fer-se al mateix temps la rehabilitaci\u00f3 de la veu.<\/span><\/p>\n<h3 style=\"text-align: center;\"><span style=\"color: #000000;\"><strong>Com es diagnostiquen?<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">1. En primer lloc una detallada <strong>anamnesi<\/strong> que aporti les possibles causes i les circumst\u00e0ncies que envolten al pacient i determinen els seus h\u00e0bits fonatoris.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">2. <strong>An\u00e0lisi ac\u00fastica:<\/strong> gravaci\u00f3 i estudi dels par\u00e0metres ac\u00fastics al <strong>laboratori de veu<\/strong>. Permet desllindar el component funcional de l\u2019org\u00e0nic de la disfonia i \u00e9s \u00fatil de cara al pron\u00f2stic de la rehabilitaci\u00f3 vocal.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">3. L\u2019exploraci\u00f3 principal i base de la visita foni\u00e0trica \u00e9s la <strong>video-laringo-estrobosc\u00f2pia (VLE)<\/strong>. Principals beneficis:<\/span><\/p>\n<ul>\n<li style=\"text-align: justify;\"><span style=\"color: #454545;\">Permet observar les cordes vocals, la resta d\u2019estructures adjacents i el comportament de la laringe durant la fonaci\u00f3.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #454545;\">Analitza el cicle vibratori, responsable de la qualitat de la veu.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #454545;\">Permet el diagn\u00f2stic m\u00e9s acurat de les patologies lar\u00edngies i la detecci\u00f3 preco\u00e7 de malalties greus.<\/span><\/li>\n<\/ul>\n<blockquote>\n<p style=\"padding-left: 60px;\"><strong><span style=\"color: #454545;\">Veure m\u00e9s sobre la video-laringo-estrobosc\u00f2pia a FonoLogos fent<\/span> <span style=\"color: #087308;\"><a href=\"\/?page_id=8\" target=\"_blank\" rel=\"noopener noreferrer\">clic aqui<\/a><\/span><\/strong><\/p>\n<\/blockquote>\n<p><a href=\"http:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2015\/11\/va-a-patolog-veu-a-estroboscopia.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-38 size-medium\" src=\"http:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2015\/11\/va-a-patolog-veu-a-estroboscopia-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" \/><\/a><\/p>\n<h3 style=\"text-align: center;\">\u00a0<span style=\"color: #000000;\"><strong>Com es tracten?<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">El tractament de les disfonies cr\u00f2niques pot ser rehabilitador, m\u00e8dic, quir\u00fargic o combinat, depenent del tipus de patologia, essent el rehabilitador -\u00e9s a dir, el logop\u00e8dic- una constant. En la disfonia funcional t\u00edpica la logop\u00e8dia \u00e9s el tractament d\u2019elecci\u00f3 i en tots els casos, sigui quin sigui el punt de partida, dotar\u00e0 al pacient de recursos per optimitzar la seva veu.<\/span><\/p>\n<h3 style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><span style=\"color: #000000;\"><strong>Mal \u00fas de la Veu<\/strong><\/span><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">Quan la causa \u00e9s el mal \u00fas o l\u2019ab\u00fas vocal tenim una disfonia funcional. Cal fer<strong> reeducaci\u00f3 vocal<\/strong>. L\u2019objectiu \u00e9s canviar els h\u00e0bits fonatoris del pacient mitjan\u00e7ant exercicis de coordinaci\u00f3 fono &#8211; respirat\u00f2ria i articulatoris, per <strong>tornar a parlar de forma natural, sense esfor\u00e7 ni cansament o dolor a la gola.<\/strong><\/span><\/p>\n<audio class=\"wp-audio-shortcode\" id=\"audio-32-2\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"http:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2016\/01\/Veu.mp3?_=2\" \/><a href=\"http:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2016\/01\/Veu.mp3\">http:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2016\/01\/Veu.mp3<\/a><\/audio>\n<h3>\u00a0<span style=\"color: #000000;\"><strong>Lesions lligades al mal \u00fas vocal<\/strong><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">N\u00f2duls, p\u00f2lips, certs quists i edemes poden ser la conseq\u00fc\u00e8ncia del sobreesfor\u00e7 vocal, mentre que lesions cong\u00e8nites com els quists intracordals, en canvi poden ser-ne la causa. Algunes necessitaran intervenci\u00f3 quir\u00fargica per\u00f2 sempre reeducaci\u00f3 abans i despr\u00e9s de la cirurgia per <strong>canviar el comportament vocal<\/strong>, evitant aix\u00ed que la lesi\u00f3 es reprodueixi.<\/span><\/p>\n<div style=\"width: 400px;\" class=\"wp-video\"><!--[if lt IE 9]><script>document.createElement('video');<\/script><![endif]-->\n<video class=\"wp-video-shortcode\" id=\"video-32-1\" width=\"400\" height=\"226\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2016\/01\/Video-castellers.mp4?_=1\" \/><a href=\"https:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2016\/01\/Video-castellers.mp4\">https:\/\/fonologos.com\/nweb\/wp-content\/uploads\/2016\/01\/Video-castellers.mp4<\/a><\/video><\/div>\n<h4><\/h4>\n<h3 style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><span style=\"color: #000000;\"><strong>Disfonies d\u2019origen org\u00e0nic<\/strong><\/span><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">Si es tracta d\u2019una <strong>par\u00e0lisi, un traumatisme o una resecci\u00f3 parcial de laringe<\/strong>, es parla de <strong>rehabilitaci\u00f3 vocal<\/strong>. Aquesta permet aprofitar al m\u00e0xim les possibilitats de la veu del pacient i en molts casos la total recuperaci\u00f3.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">En la <strong>laringectomia total \u00e9s imprescindible el treball de rehabilitaci\u00f3 per restablir una bona comunicaci\u00f3 verbal<\/strong> entrenant la <strong>veu esof\u00e0gica<\/strong>, que pot arribar a ser altament satisfact\u00f2ria.<\/span><\/p>\n<h3 style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><span style=\"color: #000000;\"><strong>Feminitzaci\u00f3\/masculinitzaci\u00f3 de la Veu<\/strong><\/span><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">Aquest \u00e9s un cas especial on no es pot parlar de patologia sin\u00f3 de la necessitat de <strong>modificar la mec\u00e0nica vocal<\/strong> <strong>per variar el to, el timbre i altres aspectes de la veu en casos de transsexualitat o transg\u00e8nere<\/strong>. La percepci\u00f3 de trets femenins o masculins a la parla est\u00e0 lligada a factors tant anat\u00f2mics com funcionals. Amb t\u00e8cniques de reeducaci\u00f3 vocal es poden modificar aquests \u00faltims per potenciar les caracter\u00edstiques vocals desitjades.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">En primer lloc s\u2019han d\u2019identificar els <strong>aspectes diferencials de la veu i la parla masculina i femenina<\/strong>, especialment timbre vocal, to fonamental, atac vocal, resson\u00e0ncia de la veu i articulaci\u00f3.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #454545;\">Les modificacions han d\u2019aplicar-se tamb\u00e9 a <strong>aspectes m\u00edmics i gestuals i a d\u2019altres dimensions de la parla<\/strong> com ara l\u2019entonaci\u00f3 i el control de pauses, ritme i tempo.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Quines malalties pot tenir la veu? Pot presentar-se una disfonia (ronquera) per un refredat o per haver cridat o enraonat massa fort en determinat moment (espectacles, festes). \u00c9s un proc\u00e9s agut que cura en pocs dies amb rep\u00f2s vocal. Per\u00f2 si la disfonia persisteix m\u00e9s de dues setmanes i la veu est\u00e0 alterada permanentment, es [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":17,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Patologies de la Veu - Fonologos<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fonologos.com\/nweb\/patologies\/patologies-de-la-veu\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patologies de la Veu - Fonologos\" \/>\n<meta property=\"og:description\" content=\"Quines malalties pot tenir la veu? Pot presentar-se una disfonia (ronquera) per un refredat o per haver cridat o enraonat massa fort en determinat moment (espectacles, festes). \u00c9s un proc\u00e9s agut que cura en pocs dies amb rep\u00f2s vocal. 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Pot presentar-se una disfonia (ronquera) per un refredat o per haver cridat o enraonat massa fort en determinat moment (espectacles, festes). \u00c9s un proc\u00e9s agut que cura en pocs dies amb rep\u00f2s vocal. 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