Voice and speech signs and symptoms in individuals exposed to chemical agents: an analysis of medical records
Sinais e sintomas vocais e de fala em indivíduos expostos a agentes químicos: uma análise de prontuários
Carina Dias Lisbôa; Márcia Gomide da Silva Mello
Abstract
Objective: to identify voice and speech signs and symptoms in patients exposed to chemical agents.
Methods: an exploratory and descriptive study analyzing the data from the medical records of patients who sought health services at a toxicology outpatient clinic located in Southeastern Brazil.
Results: a total of 139 medical records were obtained, 75 being selected. Twelve of the records selected contained data regarding voice and speech symptoms, including hoarseness (3), loss of voice (2), chronic throat inflammation (1), sore throat (1), secretion and burning in the throat (1), dry throat and mouth (1), lump in the throat associated with difficulty in swallowing (1), difficulty in articulating words (1), and difficulty in verbal expression (1). Diseases capable of causing phono-articulatory problems were detected in 6 cases. These symptoms affected individuals with occupational exposure to different substances, particularly community health agents (7) and pesticide applicators (7).
Conclusion: individuals exposed to chemical substances experienced voice and speech problems, either due to a possible irritation caused by chemical agents or due to diseases developed during or after the exposure.
Keywords
Resumo
Objetivo: identificar a existência de sinais e sintomas vocais e em fala em pacientes expostos a agentes químicos.
Métodos: estudo exploratório e descritivo, realizado mediante a análise dos registros contidos nos prontuários de pacientes atendidos em um ambulatório de toxicologia clínica, situado na região sudeste do Brasil.
Resultados: 139 prontuários foram obtidos e 75 selecionados, destes, em 12 foram constatados sintomas e sinal pertinentes à voz e fala: rouquidão (3), perda da voz (2), inflamação constante da garganta (1), dores na garganta (1), secreção e ardência na garganta (1), secura na garganta e na boca (1), nódulo na garganta associado à dificuldade para engolir (1), dificuldade para articular as palavras (1) e dificuldade na expressão verbal (1). Em 6 destes, doenças capazes de ocasionarem impactos fonoarticulatórios foram detectadas. Os achados acometeram indivíduos sempre com exposição por contexto laboral, destacando-se a profissão de guarda de endemias (7) e o grupo químico de inseticidas (7).
Conclusão: indivíduos expostos a substâncias químicas experienciaram problemas de voz e fala, seja devido à uma possível irritação ocasionada por agentes químicos, quanto por doenças desenvolvidas durante ou após a exposição.
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Referências
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Submetido em:
15/09/2017
Aceito em:
06/02/2018
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