TREATMENT

Although the treatment is according to the type of disfonía, the fundamental steps are usually:

1. Relaxation: entire or partial. Different skills can be used.

a) Whole: working the entire body and favoring also the relaxation at mental level.
b) Partial: working separately every part of the body or the area that we see is more carried away and affects to the production of the voice.

For the relaxation, especially of the area of the shoulders, neck, larynx and face, it usually use the massage.
 Anyway it is necessary to bear in mind that at the disfonías produced by a relaxation of the muscles of the larynx the relaxation one is not employed since it would aggravate the problem.

2. Respiration

It is one of the most important phases in the treatment since it is usually the cause or one of the aspects that more influence the disfonías.
One begins to work with the patient knocked down later to go on to the position of sat and finally standing.
The type of respiration that tries to be obtained is the cost - diagragmática since it is the one that allows a major inspiration and air exhalation and the pulmonary capacity of the patient increases.
In this phase of the treatment also exercises usually get fonatorios during the exhalation.

3. Muscular exercising: of the bucofonatorio system and associate musculature

4. Vocal Impostación

 It is the last phase of the treatment and the culmination of this one. In her the patient is taught to fonar (to produce voice, to speak) correctly coordinated the respiration and the movements of the mouth, neck... necessary avoiding the contraction of the unnecessary muscles and the achievement of incorrect rules that are those who took the disfonía.
 One teaches the patient to listen to his voice and to express it in the more ideal tone and intensity for him.
 
But the most important of the treatment is to teach the patient to watch and control his vocal hygiene and the bad habits since there are usually the prime mover of the disfonías and if we them do not eliminate the treatment will be ineffective.

PREVENTION

It is possible to focus from the avoidance and/or elimination of:

• External agents: tobacco, alcohol, harmful gases (lacquers, dyes...), meals and strong or too warm or cold drinks, certain medicines, very warm or cold ambiences, sudden changes of temperature, noisy ambiences that force to force the voice, situations of stress...

• Incorrect habits:

• to breathe for the mouth
• to speak higher or in an inadequate tone,
• to "be hoarse" or to cough often,
• to force the voice when this one is not well
• to scream, to shout often...
• to speak whispering
• to speak while there is realized an important physical effort (ej. To raise or to move with something of weight)

Most of these habits can be corrected or be modified so that, if they happen, the damage for the larynx is the possible minor.

• Correct habits:

• to support a good hydration of the ropes drinking water, doing gargles, taking steam...
• in persons who need to speak very much for his profession to have rest periods and not to force the voice
• correct corporal position
• correct feeding
• to sleep 8 daily minimal hours
• relaxation

The most important thing is that the patient realizes about how he speaks and what rules continues to do it this way to try to avoid or correct those that I did not realize correctly.
Of the same form it is necessary to make aware the population of the importance of his voice and of the incorporation to his daily life of a series of habits to take care of it and to improve it.

WHAT DOCTOR CAN TREAT ME?

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