Ke pilikia koke nei ʻoe i ka hanu ʻana? E aʻo kākou e pili ana i ka Vocal Cord Dysfunction / Inducible Laryngeal Obstruction!

Ke manaʻo nei ʻoe i kekahi manawa e like me ka ʻū ʻana o kou ʻōpū a ʻaʻole hiki ke hanu? Ua ʻike paha ʻoe i kēia i kou kamaʻilio ʻana, hoʻoikaika kino ʻana, a i ʻole e noho mālie ana. ʻOiai he mea weliweli iki paha ia, i kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e hiki ai ke hana i kēia. Ua kapa ʻia kēia ʻo Vocal Cord Dysfunction (VCD) , i kekahi manawa i kapa ʻia ʻo Inducible Laryngeal Obstruction (ILO) .

He aha ka hana ʻino o ke kaula leo (VCD/ILO)?

I ka ʻōlelo maʻalahi, ʻo ia ka manawa e hana pono ʻole ai kāu mau kaula leo , a i ʻole ka ʻāpana o kou puʻu e hoʻomalu ana i kou leo, i kapa ʻia ʻo ka larynx (pahu leo). E noʻonoʻo e pili ana i ia mea, i ka wā e hanu mau ai kākou, pono e wehe ʻia kā kākou mau kaula leo e hoʻokuʻu i ka ea i loko o ko kākou mau māmā. Akā ma kēia kūlana i kapa ʻia ʻo VCD, i ka wā e hanu ai ʻoe, hoʻāʻo kāu mau kaula leo e pani, a i ʻole, pani lākou i ka manawa kūpono ʻole. ʻO ia ka mea e paʻakikī ai ka hanu ʻana, ʻeā?

He mea maʻalahi kēia ke hoʻomaopopo inā ʻoe e aʻo hou aʻe e pili ana i kā mākou mau kaula leo. He ʻelua mau ʻiʻo kēia i loko o ko mākou larynx. Hana lākou e like me ʻelua mau puka liʻiliʻi i loko o ko mākou puʻu.

• Ke hanu kākou: wehe ʻia kēia mau puka ʻelua, e ʻae ana i ka ea e komo i loko o nā māmā me ke keʻakeʻa ʻole.
• Ke ʻōlelo kākou: E hui pū kēia mau puka ʻelua, e hui ma waenakonu, a e haʻalulu. ʻO kēlā haʻalulu ka mea e hoʻopuka ai i ko kākou leo. Pēlā nō, ke ale kākou i kahi mea, e hoʻomaʻemaʻe i ko kākou puʻu, a i ʻole e ʻū, e hui pū kēia mau kaula leo a pani ʻia e pale aku i kēlā mau mea mai ke komo ʻana i loko o ka ʻōpū hanu.

No laila, ʻo ka mea e hana ʻia i kahi kanaka me VCD, ʻo ia ka wā e hoʻāʻo ai lākou e hanu i loko, pani hewa nā kaula leo i ka manawa e pono ai lākou e wehe. ʻO ia ke kumu e kū ai nā mea e like me ka paʻakikī o ka hanu ʻana a me ka ʻū ʻana. No kekahi poʻe, hiki ke hana pinepine a koʻikoʻi kēia. I kēlā manawa, manaʻo ʻia he paʻakikī loa ka hanu ʻana.

He aha nā hōʻailona o kēia maʻi?

Inā loaʻa iā ʻoe ka hana ʻino o ke kaula leo (VCD), hiki iā ʻoe ke manaʻo i kahi puʻu i loko o kou puʻu (kahi manaʻo o kahi puʻu i loko o ka pharynx ) a i ʻole ka paʻa ʻana o kou puʻu. Aia kekahi mau hōʻailona ʻē aʻe, e nānā inā kamaʻāina kēia iā ʻoe:

• Paʻakikī ka hanu ʻana: ʻO kēia ka hōʻailona nui a weliweli pinepine. Manaʻo ia e like me ʻoe e hanu ana, me he mea lā ʻaʻole hiki iā ʻoe ke hanu i lalo o kou puʻu.
• Ke manaʻo mau nei e hoʻomaʻemaʻe i kou puʻu , me he mea lā ua paʻa kekahi mea i loko o kou puʻu.
• Manaʻo poniuniu a poʻo māmā paha (lightheadedness).
• He manaʻo e ʻū ana ʻoe a hanu paha.
• Puka mai ke kani mai ka puʻu mai ke hanu ʻoe i loko (stridor a i ʻole ka hanu walaʻau i ka wā e hanu ana). Hiki ke kani e like me ke kani whooshing.
• Ke ʻano o ka ʻūlū ma kou mau lima a me kou mau wāwae.

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻAʻole maopopo i nā loea ke kumu maoli o kēia. Akā, manaʻoʻiʻo lākou he nui aku ma mua o hoʻokahi kumu. Hiki ke hoʻokaʻawale ʻia nā mea e hiki ke hoʻoulu, a hoʻomaka, a hoʻonui paha i kēia kūlana i kekahi mau ʻano:

• ʻO ke ālai ʻana o ka laryngeal i hoʻoulu ʻia e ka hoʻoikaika kino (EILO): ʻO kēia, e like me ka inoa e hōʻike nei, he ʻano ia e kū mai ana i ka wā o ka hoʻoikaika kino. He mea maʻamau ia i waena o nā mea pāʻani ʻōpio . E noʻonoʻo, no ka laʻana, i kou wā e pāʻani ana i nā haʻuki kula, e holo ana, a e lele ana paha, ua paʻakikī koke iā ʻoe ke hanu.
• Nā kūlana olakino ʻē aʻe: Hiki i kekahi mau kūlana olakino ke hoʻonui i ka pilikia o VCD. Eia kekahi laʻana:
• Asthma
• ʻO ka maʻi Reflux Gastroesophageal (GERD) (Kāhea mākou iā ia he reflux acid, heartburn, ʻo ia ka mea)
• Nā maʻi hanu kiʻekiʻe (e.g., anu, nā maʻi ʻāʻī)
• Nā kūlana olakino noʻonoʻo: Hiki i kekahi mau kūlana olakino noʻonoʻo ke hoʻonui i ka VCD. ʻO nā mea e like me ke kaumaha a me ka hopohopo i hoʻokumu ʻia e kēia mau mea hiki ke hoʻopilikia i ka hana o nā kaula leo. Eia kekahi laʻana:
• Ka maʻi hopohopo laulā
• Kaumaha Lapaʻau
• Ka maʻi pilikino obsessive-compulsive (OCPD)
• Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD)
• Nā mea hoʻonāukiuki āu e hanu ai: I kekahi manawa hiki ke hana ʻia kēia e nā mea a mākou e hanu ai. Hiki i kēia ke lilo i mea hoʻoulu, a i ʻole mea hoʻoulu, no kā mākou mau kaula leo. Eia kekahi mau laʻana:
• Makani anu loa, maloʻo.
• Nā kinoea ʻawahia, e like me ka ammonia a i ʻole ka bleach.
• Nā kemika hoʻomaʻemaʻe no ka hoʻomaʻemaʻe ʻana i nā hale a me nā lumi ʻauʻau.
• Nā ʻala ikaika a i ʻole nā ​​​​mea ʻala, ka uahi ʻala.
• ʻO ka uahi, ʻo ia hoʻi, ʻaʻole wale ka uahi cigarette, akā, ʻo ka uahi mai nā kapuahi wahie, ka ʻōpala o ke kaʻa, a me nā ʻano ʻā ʻē aʻe.

Pehea e ʻike ai nā kauka i kēia maʻi?

ʻO kaʻoiaʻiʻo, hiki i nā kauka ke paʻakikī iki i kēia kūlana ke ʻike koke, no ka mea, hiki ke like nā hōʻailona me nā maʻi hanu ʻē aʻe, e like me ka hānō. Ua hōʻike kekahi mau noiʻi i kekahi manawa ua kuhihewa nā kauka i ka hana ʻino o ke kaula leo (VCD) no ka hānō a i ʻole ka croup (kahi maʻi hanu e hoʻopilikia ai i nā keiki ʻōpio).

No laila, i mea e pololei ai, e hana pinepine ke kauka i kēia mau mea:

1. Hana ʻia kahi hoʻokolokolo kino .

2. E nīnau e pili ana i kāu mōʻaukala olakino piha (nā maʻi ma mua, nā lāʻau lapaʻau āu e lawe ai, inā paha ua loaʻa i kekahi o kou ʻohana nā kūlana like, a pēlā aku).

3. E nīnau e pili ana i nā hana a i ʻole nā ​​​​​​mea i hōʻike ʻia iā ʻoe ma mua o ka hiki ʻana mai o kēia hanu pōkole (e.g., ua hoʻoikaika kino ʻoe? Ua hōʻike ʻia ʻoe i kahi ʻala?).

Eia kekahi, hiki ke hana ʻia kēia mau hoʻokolohua:

• Laryngoscopy: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Pili kēia i ke kauka e hoʻokomo i kahi kāmela liʻiliʻi ma kahi ʻōmole lahilahi a palupalu i loko o kou ihu a i ʻole kou puʻu e nānā i kāu mau kaula leo. Mai hopohopo, e hōʻoia lākou e ʻoluʻolu ʻoe i ka wā e hana ai lākou i kēia (hāʻawi paha lākou iā ʻoe i kahi lāʻau lapaʻau e hoʻomāmā ai i kou puʻu). E ʻae kēia iā lākou e ʻike pehea e wehe ai a pani ai kāu mau kaula leo i kou hanu ʻana a me kāu ʻōlelo ʻana. I kekahi manawa, ʻoiai ke nānā nei ke kauka i kou puʻu, hiki iā lākou ke hana i kahi mea e hiki ai ke hoʻoulu i ka VCD (no ka laʻana, e noi paha lākou iā ʻoe e honi i kahi ʻala a i ʻole e hanu iki). Ua kapa ʻia kēia he hoʻāʻo hoʻonāukiuki . E ʻae kēia iā lākou e ʻike pono i ka mea e hana ʻia i kāu mau kaula leo ke paʻakikī ʻoe i ka hanu ʻana.
• Nā hoʻāʻo hana pulmonary a me ka spirometry: Ma kēia mau hoʻāʻo, ua noi ʻia ʻoe e hanu i loko a i waho i loko o kahi mea i kapa ʻia he spirometer . Ana kēia i ka nui o ka ea hiki iā ʻoe ke hanu a hoʻokuʻu i waho, a me ka wikiwiki o kou hoʻokuʻu ʻana i waho. E hana kāu kauka i kēia hoʻāʻo e kāpae i nā kūlana ʻē aʻe, e like me ka hānō. I kekahi manawa, hiki i nā loli i loko o ka loop flow-volume (flow-volume loop) mai kēia hoʻāʻo ke hōʻike he VCD kāu. Akā ʻo ka mea nui e hoʻomanaʻo ai, ʻaʻole hiki i kēia mau hoʻāʻo hana māmā wale nō ke haʻi maopopo inā he VCD kāu. He alakaʻi wale nō lākou.

He aha nā lāʻau lapaʻau no kēia?

Hiki ke ʻokoʻa nā koho lapaʻau ma muli o kou kūlana, me nā mea hoʻoulu e hoʻoulu ai i kou hanu pōkole, pehea ka pinepine o ka hanana ʻana, a pehea ka koʻikoʻi o kāu mau hōʻailona (ʻoluʻolu, waena, a koʻikoʻi paha). ʻO nā lāʻau lapaʻau maʻamau no ka hana ʻole o ke kaula leo (VCD) e komo pū ana me:

• Lapaʻau hoʻomaʻamaʻa hou ʻana i ka hanu: ʻO kēia ka lāʻau lapaʻau koʻikoʻi a maikaʻi loa . Aʻo aku nā kauka ʻōlelo i aʻo kūikawā ʻia iā ʻoe i nā hoʻomaʻamaʻa hanu. Kōkua kēia mau hoʻomaʻamaʻa iā ʻoe e kāohi i kou hanu ʻana ke loaʻa iā ʻoe ka VCD. Aʻo lākou iā ʻoe pehea e hoʻomaha ai i kāu mau kaula leo a hoʻololi i kou ʻano hanu. Eia kekahi laʻana:
• Ka hanu ʻana me nā lehelehe i ʻūmiʻi ʻia: Ke hanu ʻana me nā lehelehe i ʻūmiʻi ʻia, me he mea lā e hū ana ʻoe. Kōkua kēia i ka wehe ʻana o nā ala ea.
• ʻO ka hanu ʻana diaphragmatic: Kapa mākou ia he hanu ʻōpū, ʻo ia hoʻi ka hanu hohonu a mālie.

I kekahi manawa, hiki i kekahi mau kau o kēia lāʻau lapaʻau hanu ke hōʻemi nui i nā hōʻailona. Inā ʻoe e aʻo pono iā ia, hiki iā ʻoe ke kāohi i kēia maʻi iā ʻoe iho.

• Ke mālama ʻana i nā kūlana hoʻoulu: No ka laʻana, inā loaʻa iā ʻoe kahi maʻi mau e like me GERD (maʻi reflux gastroesophageal) , he mea nui e mālama pono iā ia. Hiki i ka waikawa o ka ʻōpū ke hoʻonui i ka pehu a me ka naʻau o kou mau kaula leo ke hoʻi hou mai i loko o kou puʻu. Paipai pū nā kauka i ka kaohi ʻana a me ka mālama ʻana i nā anu a me nā maʻi ʻē aʻe e hiki ke hoʻoulu i nā hōʻailona VCD. Inā he mau kumu kōkua ke kaumaha a hopohopo paha, he mea nui hoʻi e ʻimi i ka ʻōlelo aʻo a i ʻole ka mālama ʻana no kēlā mau mea.

Hiki ke ho'ōla loa ʻia kēia maʻi?

ʻAʻole, ʻaʻohe lāʻau lapaʻau no kēia . Akā, mai hopohopo. He kūlana hiki ke hoʻokele ʻia. Hiki i nā kauka ke kōkua iā ʻoe e ʻike i nā mea hoʻonāukiuki e hoʻopilikia ai i kāu leo ​​​​​​kaula leo (VCD). Hiki iā lākou ke ʻōlelo aku i nā lāʻau lapaʻau, ʻoiai nā hoʻomaʻamaʻa hanu, e kōkua iā ʻoe e hoʻokele i kou hanu pōkole. A laila hiki iā ʻoe ke ola i kahi ola maʻamau me ka ʻole o ka hanu pōkole.

Pehea e hiki ai ke pale ʻia kēia mai ka hana ʻana?

ʻO ke ala wale nō e hōʻemi ai i ka hanana o kēia pilikia hanu ʻana, ʻo ia ke pale a kāohi i nā kumu a me nā kūlana e kōkua ai i kou pilikia hanu ʻana.

• E noʻonoʻo, inā ʻike ʻoe e loaʻa iā ʻoe kēia mau hōʻailona ke hōʻike ʻia i kahi kemika ma kāu wahi hana, hiki iā ʻoe ke hōʻemi i kēlā pilikia ma ka hoʻohana ʻana i nā mea hanu pale.
• Inā ʻike ʻoe he mea ʻino nā mea e like me nā mea ʻala ikaika a me ka uahi iā ʻoe, e hoʻāʻo e noho mamao aku mai ia mau mea.
• Inā loaʻa iā ʻoe kahi maʻi e like me GERD, e lawe i ka meaʻai kūpono a me ka lāʻau lapaʻau.
• Inā hana kēia i ka wā e hoʻoikaika kino ana, hiki i nā mea e like me ka hoʻomehana ʻana ma mua o ka hoʻomaka ʻana a me ka hoʻomaʻalili ʻana ma hope o ka hoʻoikaika kino ke kōkua. Eia kekahi, e kamaʻilio me kāu kauka e pili ana i nā hoʻoikaika kino kūpono iā ʻoe.

He mea hoʻoweliweli anei kēia hana ʻino o ke kaula leo i ke ola?

ʻOiaʻiʻo, ke hiki mai kēia kūlana VCD , hiki ke manaʻo ʻia he mea hoʻoweliweli i ke ola. He ʻike weliweli loa ia a hoʻopilikia hoʻi. Akā, ʻaʻole ia he kūlana hoʻoweliweli i ke ola. No ka mea, ua pani loa ʻia nā kaula leo a ʻaʻole hiki iā ʻoe ke hanu, ʻaʻole ʻoe e hele i kahi ʻē. Eia nō naʻe, inā pilikia nui ʻoe i ka hanu ʻana, pono ʻoe e hele i ka ʻoihana pilikia me ka kānalua ʻole. ʻO nā hoʻokolohua i hana ʻia ma laila e hōʻike pinepine ana ua loaʻa i kou kino ka nui o ka oxygen e pono ai, ʻoiai inā ʻaʻole ʻoe i ʻike.

Mea nui:Inā pilikia nui kou hanu ʻana, hiki ke paʻakikī ke ʻike ponoʻī inā he VCD a i ʻole kekahi mea ʻē aʻe. Hiki nō hoʻi ke lilo i maʻi koʻikoʻi, e like me ka hānō. No laila, he mea naʻauao ke ʻimi koke i ke kōkua lapaʻau.

Pehea wau e mālama ai iaʻu iho?

He mea nui loa iā ʻoe ke kūkākūkā i kēia pilikia o ke kaula leo (ILO/VCD) me kahi hui o nā kauka i loaʻa ka ʻike loea (he loea ENT, he mea lapaʻau ʻōlelo). A laila hiki iā ʻoe ke hoʻomaopopo maikaʻi i ka mea e hana nei iā ʻoe a me ka mea e hana ai ke loaʻa iā ʻoe kēia ʻano pilikia hanu (e like me nā hoʻomaʻamaʻa hanu). E hana lākou i kahi hoʻolālā hoʻokele i hana pilikino ʻia no ʻoe.

Āhea wau e ʻike ai i kaʻu kauka?

Inā ua hana pololei ʻoe i nā hoʻomaʻamaʻa hanu, ua mālama i kekahi mau kūlana kumu (e like me GERD), a ua pale i nā mea e hoʻoulu ai i kēia kūlana, akā loaʻa mau nā hōʻailona iā ʻoe, e ʻike pono i kāu kauka. Pono paha e hoʻololi ʻia kāu lāʻau lapaʻau a i ʻole e pono paha nā hoʻokolohua hou aku.

Inā he pōkole kou hanu ʻaʻole e emi iho no kekahi kumu, inā hele pū me ka ʻeha o ka umauma, inā polū kou mau lehelehe, a inā paha e manaʻo ana ʻoe e nalowale ana kou ʻike, e kāhea koke aku i ka 1990 Suwaseriya Ambulance Service a i ʻole e hele i ka keʻena ulia pōpilikia kokoke loa i ka haukapila.

Nā mea e hoʻomanaʻo ai mai nā mea a mākou i kūkākūkā ai (Leka Lawe-Home)

Loaʻa iā kākou a pau nā manawa e paʻakikī ai ka hanu ʻana. E noʻonoʻo e pili ana i ia mea, i kou wā e hoʻoikaika kino ana, e holo ana no kahi kaʻa, a i ʻole i ka wā e loaʻa ai kekahi mea kaumaha. Akā inā loaʻa iā ʻoe ka hana ʻino o ke kaula leo (VCD), a i ʻole ka inducible laryngeal obstruction (ILO), hiki iā ʻoe ke pilikia i ka hanu ʻana me ke kumu ʻole.

ʻOiai ʻaʻole he mea hoʻoweliweli ola ka VCD, hiki ke lilo i mea hoʻoluhi a weliweli hoʻi. No laila, ʻaʻole kūpono ke hoʻowahāwahā iā ia. ʻOiai ʻaʻole hiki i nā kauka ke hoʻōla piha i kēia maʻi, hiki iā lākou ke kōkua iā ʻoe e ʻike i nā mea hoʻonāukiuki. Hiki iā lākou ke aʻo iā ʻoe i nā ʻano lapaʻau, ʻoiai nā hoʻomaʻamaʻa hanu, hiki ke kōkua iā ʻoe e kāohi i kou hanu pōkole i ka wā e hana ʻia ai. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka makaʻu ʻole a hilahila paha a ʻimi i ke aʻo lapaʻau. Aia kekahi poʻe e hiki ke kōkua iā ʻoe a alakaʻi iā ʻoe e ola me ka holomua me kēia maʻi.

ʻO ka hana pono ʻole o ke kaula leo, ka pale ʻana o ka larynx, ka paʻakikī o ka hanu ʻana, ka paʻa ʻana o ka puʻu, ka larynx, ka laryngoscopy