Breathing Training for Vocal Recovery After Tuberculosis Infection - Pulmonology

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Breathing training can be an essential component of vocal recovery, especially after experiencing a serious condition like tuberculosis (TB) that may have affected your respiratory and vocal functions. It’s great to hear that you are actively seeking ways to improve your voice and lung capacity after your treatment for TB.
To address your specific question about using a breathing training device, it is indeed acceptable to use the device as instructed, which may involve inhaling through your mouth while keeping your lips sealed around the mouthpiece. Many breathing trainers are designed to measure airflow and resistance, which can be more effectively gauged when using the mouth for inhalation. However, it is also important to incorporate nasal breathing into your overall training regimen, as nasal breathing has its own benefits, including better filtration of air, increased oxygen uptake, and improved diaphragm engagement.

Here are some considerations and recommendations for your breathing training and vocal recovery:
1. Incorporate Both Mouth and Nasal Breathing: While using the breathing trainer, you can focus on mouth breathing as it is necessary for the device to function correctly. However, outside of using the device, practice nasal breathing as much as possible. This can help strengthen your diaphragm and improve your overall lung function.

2. Diaphragmatic Breathing: Focus on diaphragmatic or abdominal breathing, which involves engaging your diaphragm fully. When you inhale, your abdomen should expand rather than your chest. This type of breathing can help improve lung capacity and efficiency, which is crucial for vocal recovery.

3. Vocal Exercises: Since you have experienced issues with vocal cord closure, consider working with a speech-language pathologist who specializes in voice therapy. They can provide tailored exercises that focus on improving vocal cord function and closure, which may include humming, lip trills, and gentle phonation exercises.

4. Regular Practice: Consistency is key in any rehabilitation process. Set aside time each day to practice your breathing exercises and vocal exercises. This will help reinforce the muscle memory needed for effective breathing and voice production.

5. Monitor Your Progress: Use the app connected to your breathing trainer to track your progress. Look for improvements in airflow and resistance over time. If you notice any difficulties or setbacks, consult with your healthcare provider or a respiratory therapist.

6. Stay Hydrated and Healthy: Ensure you are drinking plenty of water to keep your vocal cords hydrated. Avoid irritants such as smoke or excessive caffeine, which can dry out your throat and vocal cords.

7. Consult with Professionals: Regular follow-ups with your ENT specialist and possibly a pulmonologist can help monitor your recovery and ensure that any underlying issues are addressed. They can also provide additional recommendations based on your specific condition.

In summary, using your breathing training device as instructed is beneficial, and you should also incorporate nasal breathing into your practice when not using the device. Combining these techniques with vocal exercises and professional guidance will enhance your recovery process. Remember to be patient with yourself, as recovery can take time, especially after a significant health challenge like tuberculosis.