Ðe gbɔgbɔ sesẽ na wò zi ɖeka, eye nèse le ɖokuiwò me abe ɖe wò ŋɔti le ƒoƒom ene kpɔa? Ne èdze agbagba be yeagbɔ ya la, ewɔna na wò abe ɖe wòle tutum ene, eye wòdoa vɔvɔ̃ na ame. Ame geɖe susuna be asrãe nye esia le ɣeyiɣi sia tɔgbe me. Gake menye ɣesiaɣie wònyea asrã ɖeka ma ke o. Egbea míele nu ƒom tso nɔnɔme aɖe si ƒe dzesiwo sɔ kple wo nɔewo, gake eto vovo na asrã ŋu. Emae nye Vocal Cord Dysfunction, alo VCD kpuie.
Kpuie ko la, nukae nye Gbeɖiɖi ƒe Dɔmawɔmawɔ nyuie (VCD)?
Be míase esia gɔme la, mina míasrɔ̃ nu vi aɖe tso míaƒe gbeɖiɖikawo ŋu gbã. Gbeɖiɖika siawo le wò ŋɔti me, vevietɔ le ŋɔti me. Wole abe lãmeka eve ene.
Bu eŋu abe agbo ene. Ne èle gbɔgbɔm la, ele be agbo sia (gbeɖiɖikawo) naʋu keŋkeŋ , ale be ya nate ŋu age ɖe wò lãkusiwo me mɔxenu aɖeke manɔmee. Ne èƒo nu, kɔ, alo kɔ wò ŋɔti me la, agbo sia tua. Haƒoha eve siawo ƒe ʋuʋu ɖekae nana wò gbea dona.
Fifia, amesi ŋu dɔléle aɖe si woyɔna be Vocal Cord Dysfunction (VCD) le la toa nusi to vovo na nuwɔna sia me. Eyae nye be gbeɖiɖika siwo wosusu be woʋuna ne èle gbɔgbɔm la tuna le vo me alo tsia . Bu nusi dzɔna ne yaƒoƒomɔ̃a xa zi ɖeka ŋu kpɔ? Emae nye nusi dzɔna ɖe VCD dzi. Esia wɔnɛ be gbɔgbɔ sesẽna ŋutɔ. Le ame aɖewo gome la, nɔnɔme sia ate ŋu adzɔ enuenu eye wòasẽ ŋutɔ.
Nu vevitɔe nye be esia to vovo kura tso asrã gbɔ. Le asrãdɔ me la, kuxiae nye yaƒoƒomɔ̃ sue siwo le lãkusiwo me ƒe tsitsi. Gake le VCD me la, kuxia le ŋɔti me, si nye gbeɖiɖikawo.
Nukawoe nye VCD ƒe dzesi siwo bɔ wu?
Ame si ŋu VCD le ate ŋu axɔ dzesi siawo kpata. Esia ate ŋu anye nuteƒekpɔkpɔ dziŋɔ aɖe. Gake ele vevie ŋutɔ be nànya dzesi siawo.
| Dzesi si dzena | Numeɖeɖe bɔbɔe |
|---|---|
| Yagbɔgbɔ sesẽ | Esiae nye dzesi vevitɔ. Esesẽna be woagbɔ ya wu be woagbɔ ya. Ewɔna nam abe ɖe nèle gbɔgbɔm ene. |
| Seselelãme si nye be nu te ɖe ame ŋu alo nane si le ŋɔti me | Àte ŋu ase le ɖokuiwò me abe ɖe ƒu aɖe le wò ŋɔti me ene, alo abe ɖe ame aɖe le wò ŋɔti ƒom ene. |
| Gbeɖiɖi si nye ‘whooshing’ ne wole gbɔgbɔm (Stridor) . | Ne ègbɔ ya la, èwɔa ‘hee...’ ƒe gbeɖiɖi sesẽ aɖe le wò ŋɔti me. Esia to vovo na ‘ɣlidodo’ si nèsena le asrãdɔ me. |
| Ehiã enuenu be nàkɔ wò ŋɔti me | Mesena le ɖokuinye me be nane tsi nye ŋɔti me, eyata mesena le ɖokuinye me ɣesiaɣi be makɔ nye ŋɔti me be maɖee ɖa. |
| Taɖuame | Àte ŋu ase le ɖokuiwò me be yeƒe ta natsi ne wò oxygen ƒe agbɔsɔsɔ ɖiɖi vie le esi mète ŋu le gbɔgbɔm nyuie o ta. |
| Afɔ kple afɔwo ƒe ʋuʋu | Ɣeaɖewoɣi la, asibidɛwo kple afɔbidɛwo ate ŋu ase le wo ɖokui me be yewole ʋuʋum le gbɔgbɔ ƒe tɔtrɔ ta. |
Nukatae esia dzɔna ɖo? Nusiwo hea VCD vɛ
Ðɔktawo menya nusi tututu gbɔ VCD tsona haɖe o. Gake wode dzesi nu geɖe siwo ate ŋu ahe nɔnɔmea vɛ, alo "aʋãe." Woate ŋu ama esiawo ɖe hatsotso vevi geɖe me.
1. Kamedede
Ame aɖewo, vevietɔ sɔhɛ kamedefefewɔlawo, ate ŋu axɔ VCD le kamedede me alo le kamedede vɔ megbe . Woyɔa esia be ``Kamedede-si wotsɔna xea mɔ na lãkusi (EILO)''. Anɔ bɔbɔe be wòadzɔ le kamedede sesẽwo, abe duƒuƒu alo tsiƒuƒu ene me.
2. Atikewɔwɔ ƒe nɔnɔme bubuwo
VCD ate ŋu agblẽ ɖe edzi le dɔléle bubu siwo le ŋuwò hã ta.
- Asrã: Togbɔ be asrã kple VCD nye nu eve siwo to vovo hã la, anɔ eme be VCD nadze amesi ŋu asrã le dzi.
- Gastritis alo gastroesophageal reflux disease (GERD): Dɔgbo me acid ƒe gege ɖe ŋɔti me ate ŋu ana gbeɖiɖikawo navuvu eye woase veve, si ana VCD nava.
- Yagbɔgbɔ ƒe akpa si le etame ƒe dɔlélewo:Nɔnɔme sia ate ŋu atso gbeɖiɖikawo ƒe vuvu le nusiwo abe dzamezã kple ŋɔti me dɔlékuiwo ene gbɔ.
3. Susu ƒe Lãmesẽnyawo
Nuteɖeamedzi kple dzimaɖitsitsi ate ŋu anye nu vevi aɖe si gbɔ VCD tsona.
- Dzimaɖitsitsidɔ si bɔ: Dzimaɖitsitsi kple vɔvɔ̃ ɣesiaɣi ate ŋu ana lãmeka siwo le ŋutilãa me nasẽ. Nenema ke lãmeka siwo le ŋɔti me ate ŋu asẽ, si ana VCD nado.
- Blanuiléle si le Dɔdaƒe
- Nuteɖeamedzi le afɔku megbe (PTSD) .
4. Nusiwo Doa Dziku Si Wogbɔna
Ne míegbɔ nu aɖewo le míaƒe nutoa me la, ate ŋu ana gbeɖiɖikawo nase le wo ɖokui me eye wòana woatu zi ɖeka.
- Ya fafɛ si ƒu kplakplakpla
- Ke, dzudzɔ (nudzodzoevi ƒe dzudzɔ, sigaret ƒe dzudzɔ) .
- Ʋeʋẽ sesẽwo abe ami ʋeʋĩwo kple yaƒoƒomɔ̃wo ene
- Atike sesẽwo abe bleach kple ammonia ene
- Nu ʋeʋĩ si dona tso ame aɖewo ƒe nuɖuɖu ɖaɖa me (nu ʋeʋĩ etɔ̃ alo atɔ̃) .
Aleke nàwɔ anya kple kakaɖedzi be menye asrãe nye esia o, ke boŋ VCD ye?
Esiae nye kuxi gãtɔ kekeake. Esi wònye be VCD ƒe dzesiwo ɖi asrã ta la, ɖɔktawo gɔ̃ hã ate ŋu atɔtɔ nɔnɔme eveawo ɣeaɖewoɣi. Eyata ele vevie ŋutɔ be woakpɔ dɔlélea nyuie. Ne menye nenema o la, màkpɔ gbɔdzɔe aɖeke tso wò asrãdɔdada me o.
Wò ɖɔkta ate ŋu awɔ dodokpɔ geɖe atsɔ anya dɔléle sia.
- Laryngoscopy: Esiae nye mɔ nyuitɔ si dzi woato anya VCD. Le dodokpɔ sia me la, wotsɔa mɔ̃ aɖe si le tsɛ ŋutɔ si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ le la dea wò ŋɔti me hedea wò ŋɔti me be wòalé ŋku ɖe wò gbeɖiɖikawo ŋu tẽ. Ðɔktaa abia tso asiwò be nàgbɔ ya ahaƒo nu nyuie esime wòle ŋku lém ɖe alesi wò gbeɖiɖikawo wɔa dɔe ŋu. Ɣeaɖewoɣi la, woate ŋu ana nusi aʋã wò (abe ʋeʋẽ sesẽ ene) be nàkpɔe ɖa be wò gbeɖiɖikawo tu hã. Woyɔa esia be dzikudodo ƒe dodokpɔ .
- Aklã ƒe Dɔwɔwɔ Dodokpɔwo (Spirometry): Dodokpɔ sia dzidzea alesi wò aklã le dɔ wɔm nyuie. Wobia tso asiwò be nàku ya ɖe mɔ̃ aɖe si woyɔna be spirometer me. Ne asrã le ŋuwò la, dodokpɔ sia me tsonu ate ŋu ato vovo. Esi wònye be zi geɖe la, naneke megblẽna le amesi ŋu VCD le ƒe lãkusi ŋu o ta la, dodokpɔ sia ate ŋu anye nusi sɔ zi geɖe. Ke hã, ɣeaɖewoɣi la, nɔnɔmetata si le dodokpɔ sia me ƒe nɔnɔme (`flow-volume loop`) ate ŋu ana ɖikeke nanɔ VCD ŋu.
Nukawoe nye VCD ƒe atikewo?
Ne èle VCD dam la, ele vevie be nàbu nusi gbɔ wò dɔlélea tso, zi nenie wòdzɔna, kple alesi wò dzesiawo nu sẽe ŋu.
Akpa nyuitɔ kekeakee nye be, VCD nye nɔnɔme si dzi woate ŋu aɖu le akpa gãtɔ me ne wowɔ atike na wo nyuie eye wona hehee.
Atikewɔwɔmɔnu vevi eve li:
1. Yagbɔgbɔ ƒe Hehenamɔnu: Nuƒoƒo kple gbegbɔgblɔ ŋuti dɔléleŋutinunyala si wona hehee etɔxɛe akpe ɖe ŋuwò le esia me. Ne VCD le ŋuwò la, woafia gbɔgbɔ ƒe kamedede tɔxɛ aɖewo wò siwo akpe ɖe ŋuwò nàɖu wò gbɔgbɔ dzi. Le kpɔɖeŋu me:
- Nuyi Gbɔgbɔ si Woƒo: Gbɔgbɔ blewuu to ŋɔti me eye nàgbɔ ya blewuu to nu me abe ɖe nèle kpẽ kum ene.
- Diaphragmatic Breathing: Gbɔgbɔ tso ƒodo me ƒe hehexɔxɔ. Mɔnu sia nana lãmeka siwo le ŋɔti me la ɖea dzi ɖi eye wònana gbeɖiɖikawo gaʋuna ake. Àse le ɖokuiwò me be vovototo gã aɖe le ye ŋu le atikewɔwɔ sia zazã ʋɛ aɖewo ko megbe.
2. Nɔnɔme Siwo Hea VCD vɛ dada: Nusi gbɔ VCD tsona hã dada le vevie ŋutɔ.
- Ne GERD (gastritis) , le ŋuwò la, ele be nàzã atikeawo abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ.
- Ne dzimaɖitsitsi alo nuteɖeamedzi le ŋuwò , ele vevie be nàyi tagbɔdɔdala gbɔ hena aɖaŋuɖoɖo kple atikewɔwɔ.
Nyabiase vevitɔwo dometɔ aɖewo tso esia ŋu
Ðe woate ŋu ada nɔnɔme sia keŋkeŋa?
Ao, "atike" ɖeka aɖeke meli na esia o. Gake ne ède dzesi nusiwo gbɔ VCD tsona heda wo, eye nèsrɔ̃ gbɔgbɔ ƒe kamedede nyuie la, àte ŋu awɔ akpa gã aɖe le mɔxexe ɖe nɔnɔme sia nu be wòagadzɔ o, eye ne edzɔ la, àte ŋu aɖu edzi nyuie wu.
Ðe Gbeɖiɖi ƒe Dɔmawɔmawɔ nyuie Dea Agbe Afɔku Mea?
Ao, esiae nye nu vevitɔ kekeake si wòle be nànya. Togbɔ be VCD ate ŋu ado vɔvɔ̃ na ame eye ate ŋu ade ame ƒe agbe afɔku me hã la, menye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me o . Togbɔ be àse le ɖokuiwò me be gbɔgbɔ le sesẽm na ye hã la, wò ŋutilã le oxygen si wòhiã la xɔm.
Ke hã, mègaŋe aɖaba ƒu gbɔgbɔtsixetsixe dzi gbeɖe o. Ne gbɔgbɔtsixe le fu ɖem na wò la, yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake. Dodokpɔ siwo wowɔna le afima ate ŋu aɖo kpe edzi nenye be ɔksidzin mele ŋuwò o vavã loo alo mehiãe o.
Aleke mawɔ akpɔ ɖokuinye ta tso nɔnɔme sia me?
Mɔ nyuitɔ si dzi nàto axe mɔ ɖe VCD nue nye be nàde dzesi nusiwo nana wòte ŋu xɔa dɔlélea bɔbɔe eye nànɔ adzɔge tso wo gbɔ.
- Ne ʋeʋẽ lilili sesẽwo gbɔe esia tso la, ƒo asa na nu mawo zazã.
- Do ametakpɔnu ne èle teƒe siwo ke le yim.
- Ne nuteɖeamedzi tae esia le dzɔdzɔm la, dze agbagba nàna wò susu nadze akɔ anyi to nuwo abe ŋugbledede kple yoga ene dzi.
- Ƒo nu kple wò ɖɔkta eye nàwɔ ɖoɖo aɖe si dzi nàto akpɔ nɔnɔme sia gbɔ si awɔ dɔ na wò.
Gbedasi si Wotsɔ Yi Aƒeme
- Gbeɖiɖi ƒe Dɔmawɔmawɔ nyuie (VCD) nye nɔnɔme si me gbeɖiɖikawo tuna le vo me alo nɔa kpuie ne èle gbɔgbɔm. Esia menye asrã o.
- Dzesi vevitɔe nye gbɔgbɔ sesẽ kpata eye gbeɖiɖi si nye ‘ɣlidodo’ si dona tso ŋɔti me.
- Kamedede, dɔgbo ƒe dɔléle (GERD), nuteɖeamedzi kple dzimaɖitsitsi, kple nusiwo doa dziku na ame siwo wogbɔna (dzudzɔ, ami ʋeʋĩ) ate ŋu ana nɔnɔme sia nadze egɔme.
- Togbɔ be esia nye nuteƒekpɔkpɔ dziŋɔ hã la, VCD menye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me o .
- Woate ŋu aɖu nɔnɔme sia dzi nyuie ŋutɔ to gbɔgbɔtsixe ƒe kamedede tɔxɛwo kple nusi gbɔ VCD tsona dada me.
- Ne dzesi siawo tɔgbe le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ eye nàkpɔ dɔlélea nyuie.
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