Koj lub suab puas qis? Qhov no tej zaum yog vim lub suab tsis ua haujlwm.

Qee zaum, thaum peb sawv thaum sawv ntxov, peb lub suab zoo li txawv me ntsis, puas yog? Los yog thaum peb hu nkauj zoo tas, los yog thaum peb qw thiab hais lus, peb lub suab yuav qis me ntsis. Feem ntau, cov no yuav zoo dua hauv ib lossis ob hnub. Tab sis yog tias koj lub suab tau txawv lossis qis rau ntau lub lis piam, yog tias koj xav tias nkees thaum koj hais lus, lossis yog tias koj xav tias koj txhaws thaum koj nqos zaub mov thiab haus dej, nws tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim. Hnub no, peb yuav tham txog ib qho mob tshwj xeeb uas tuaj yeem ua rau muaj cov tsos mob zoo li no. Ntawd yog kab mob vocal cord paralysis, lossis raws li peb hais hauv lus Askiv, ib qho mob hu ua 'Vocal Cord Paralysis'.

Hauv lus yooj yim, qhov teeb meem ntawm lub suab yog dab tsi?

Yuav kom nkag siab qhov no, cia peb xub saib seb cov hlua suab no yog dab tsi. Xav txog tias hauv peb lub caj pas, tshwj xeeb tshaj yog thaum pib ntawm lub trachea, hauv qhov hu ua larynx, muaj ob txoj leeg nqaij nyias nyias. Zoo li ob lub qhov rooj ntawm lub rooj vag. Cov no yog qhov peb hu ua cov hlua suab.

Cov no muaj ntau yam haujlwm:

• Thaum koj ua pa: Ob txoj hlua no txav mus sib nrug, ua rau huab cua nkag mus rau hauv lub ntsws.
• Thaum nqos zaub mov: Cov no kaw ruaj ruaj thiab tiv thaiv cov zaub mov kom tsis txhob nkag mus rau hauv txoj hlab pa.
• Thaum peb hais lus: Peb lub suab raug tsim tawm thaum ob txoj hlua no los ua ke thiab co nrog cua los ntawm lub ntsws.

Tam sim no koj nkag siab tias cov hlab ntsha no tseem ceeb npaum li cas? Yog li, kev ua haujlwm tsis zoo ntawm cov hlab ntsha hauv lub suab txhais tau tias muaj qee qhov kev puas tsuaj rau cov hlab ntsha uas tswj cov hlab ntsha no, thiab cov leeg nqaij no tsis ua haujlwm zoo. Ntawd yog, cov 'qhov rooj rooj vag' no tsis qhib thiab kaw zoo. Qhov no tuaj yeem ua rau nws nyuaj rau hais lus, nqos, thiab qee zaum txawm tias ua pa.

Muaj ob hom mob no tseem ceeb.

Qhov kev ua haujlwm tsis zoo ntawm lub suab no muaj ob hom loj, nyob ntawm seb ib lossis ob qho tib si lub suab puas ua haujlwm tsis zoo.

Koj puas muaj cov tsos mob no thiab?

Cov tsos mob ntawm kev ua haujlwm tsis zoo ntawm lub suab tuaj yeem sib txawv nyob ntawm seb nws hnyav npaum li cas thiab qhov chaw ntawm cov suab tsis ua haujlwm.

Cov no yog cov tsos mob uas tshwm sim ntau:

• Kev hloov pauv ntawm lub suab: suab qaj, qaug zog, ua pa nrov.
• Kev Hloov Pauv ntawm Lub Suab thiab Qhov Nrov: Lub suab thiab qhov nrov ntawm lub suab yuav hloov pauv.
• Ua tsis taus pa thaum tham lus: Nws ua rau nyuaj rau ua pa txawm tias tom qab tham lus ib ntus, thiab koj xav tias nkees.
• Ua pa nrov nrov: Tej zaum yuav muaj kev ua pa nrov nrov thaum ua pa.
• Nyuaj nqos (Dysphagia): Xav tias muaj ib lub qog hauv caj pas thaum nqos zaub mov lossis dej haus.
• Txhaws: Koj pheej xav tias koj txhaws thaum koj haus dej me ntsis lossis noj zaub mov.
• Nyuaj siab ntxuav caj pas: Xav tias cov hnoos qeev daig hauv caj pas, ua rau nyuaj ntxuav.

Cov laj thawj rau qhov xwm txheej no yog dab tsi?

Muaj ntau yam ua rau cov hlab ntsha uas tswj cov hlab ntsha hu nkauj puas tsuaj. Qee zaum, tsis muaj ib qho ua rau puas tsuaj.

Nov yog qee qhov laj thawj tseem ceeb:

• Kev Phais Mob: Cov hlab ntsha no tuaj yeem raug puas tsuaj, tshwj xeeb tshaj yog thaum lub sijhawm phais mob uas cuam tshuam nrog lub caj dab, hauv siab, thiab lub taub hau (piv txwv li, thyroidectomy). Lawv kuj tuaj yeem raug puas tsuaj los ntawm lub raj ua pa uas tau muab tso rau thaum lub sijhawm siv tshuaj loog thaum lub sijhawm phais mob.
• Kev Raug Mob: Kev raug mob hnyav rau lub caj dab, lub taub hau, lossis hauv siab tuaj yeem ua rau cov hlab ntsha puas tsuaj.
• Cov kab mob ntawm lub paj hlwb: Cov kab mob uas ua rau cov hlab ntsha tsis muaj zog, xws li tus kab mob Parkinson, ntau yam sclerosis (MS), lossis mob stroke, tuaj yeem cuam tshuam rau cov hlab ntsha no.
• Cov qog nqaij hlav: Cov qog nqaij hlav, txawm tias yog malignant lossis benign, uas tsim nyob rau hauv lub larynx lossis raws cov hlab ntsha tuaj yeem nias thiab ua rau cov hlab ntsha puas tsuaj.
• Kev kis kab mob: Qee cov kab mob viral, piv txwv li, herpes, Epstein-Barr virus, thiab COVID-19, tuaj yeem ua rau o thiab puas tsuaj rau cov hlab ntsha.
• Cov kab mob autoimmune: Tus mob no kuj tuaj yeem tshwm sim los ntawm cov kab mob uas lub cev tiv thaiv kab mob tawm tsam cov hlab ntsha, piv txwv li, myasthenia gravis.
• Cov Tshuaj Lom: Kev noj cov tshuaj lom xws li cov hlau lead, mercury, thiab arsenic tuaj yeem ua rau cov hlab ntsha puas tsuaj. Yog tias koj xav tias koj tau noj cov tshuaj lom, hu rau National Poison Information Center ntawm Colombo National Hospital tam sim ntawd kom tau txais kev qhia.

Qee zaum qhov mob no tuaj yeem tshwm sim txawm tias tom qab mob khaub thuas. Cov mob uas tsis pom tseeb ua rau mob no hu ua 'idiopathic'.

Tus kws kho mob nrhiav tau qhov no li cas?

Yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho mob pob ntseg, qhov ntswg, thiab caj pas (ENT surgeon). Tus kws kho mob yuav mloog zoo rau koj cov tsos mob thiab keeb kwm kev kho mob. Tom qab ntawd, lawv yuav ua ntau qhov kev kuaj mob kom paub tseeb tias koj tau kuaj mob.

• Kev kuaj lub qhov ncauj (Laryngoscopy): Qhov no suav nrog kev ntxig ib lub raj nyias nyias nrog lub koob yees duab me me los ntawm koj lub qhov ntswg lossis qhov ncauj kom saib ncaj qha rau koj cov hlab suab. Tsis txhob txhawj, koj yuav tau txais tshuaj loog yog tias tsim nyog ua ntej ua qhov no. Qhov no tso cai rau koj pom tseeb tias koj cov hlab suab puas txav lossis tsis txav.
• Videostroboscopy: Qhov no zoo ib yam li laryngoscopy, tab sis nws siv lub koob yees duab tshwj xeeb los saib cov suab nrov co qeeb qeeb thaum koj hais lus.
• Kev tshawb nrhiav duab: Kev luam theej duab CT lossis MRI yuav ua tau los xyuas seb puas muaj qog nyob rau hauv thaj chaw xws li lub hlwb, caj dab, thiab hauv siab.
• Kev ntsuas hluav taws xob ntawm lub caj pas (Laryngeal electromyography - LEMG): Qhov no ntsuas cov teeb liab hluav taws xob uas xa los ntawm cov hlab ntsha mus rau cov leeg ntawm lub caj pas. Qhov no tuaj yeem pab txiav txim siab seb cov hlab ntsha puas raug puas tsuaj.
• Kev kuaj ntshav: Kev kuaj ntshav yuav ua tau yog tias xav tias muaj kev kis kab mob lossis kab mob autoimmune.

Cov kev kho mob rau qhov no yog dab tsi?

Kev kho mob yog txiav txim siab los ntawm qhov hnyav ntawm tus kab mob, cov tsos mob, thiab nws qhov ua rau.

Kev Kho Mob Lub Suab

Qhov no yog kev kho mob tseem ceeb. Nws zoo heev, tshwj xeeb tshaj yog tias qhov mob tsis hnyav dhau. Ntawm no, tus kws kho mob hais lus yuav qhia koj cov kev tawm dag zog tshwj xeeb los txhawb koj cov suab thiab tswj koj txoj kev ua pa thaum hais lus.

Kev phais thiab lwm yam kev kho mob

Yog tias qhov mob hnyav heev lossis tsis tuaj yeem tswj tau nrog kev kho lub suab, tej zaum yuav tsim nyog phais.

• Thaum ib txoj hlab suab tsis ua haujlwm (Uilateral Paralysis):
• Kev txhaj tshuaj rau cov hlab suab: Hauv txoj kev kho mob no, yuav muaj ib yam khoom tshwj xeeb txhaj rau hauv kom puv qhov sib txawv ntawm cov hlab suab. Qhov no ua rau nws yooj yim dua rau kev hais lus thiab nqos.
• Kev phais mob lub qhov ncauj: Hauv qhov no, ib qho khoom siv xws li silicone raug muab tso rau hauv lub qhov ncauj los ntawm kev phais me me, thawb lub suab tsis ua haujlwm mus rau hauv nruab nrab. Qhov no ua rau nws yooj yim dua rau lwm lub suab nkag mus thiab kaw.
• Kev kho dua tshiab: Qhov no suav nrog kev coj ib txoj hlab ntsha noj qab haus huv uas mus rau lwm cov leeg hauv caj dab thiab txuas nws mus rau cov hlab ntsha hauv cov hlab ntsha hu nkauj uas tsis ua haujlwm zoo.

• Thaum ob lub suab tsis ua haujlwm (Bilateral Paralysis):
• Vim tias qhov teeb meem tseem ceeb ntawm qhov no yog ua pa nyuaj, thawj qhov yuav tsum ua yog tsim txoj kev ua pa. Qhov tseem ceeb tshaj plaws uas yuav tsum ua rau qhov ntawd yog phais tracheostomy .
• Hauv kev phais mob no, yuav ua ib lub qhov me me rau ntawm xub ntiag ntawm lub caj dab thiab muab ib lub raj tso rau hauv lub raj cua. Qhov no ua rau tus neeg mob ua pa tau yooj yim dua.
• Tsis tas li ntawd xwb, cov teeb laser siv tau los tshem ib feem me me ntawm sab nraub qaum ntawm cov hlua suab kom nthuav dav txoj hlab pa.

Thaum twg koj yuav tsum mus ntsib kws kho mob tam sim ntawd?

Yog koj muaj cov tsos mob xws li hloov koj lub suab, lub suab qw, lossis nyuaj nqos, tsis txhob tsis quav ntsej thiab mus ntsib kws kho mob. Thaum koj pib kho mob sai npaum li cas, koj yuav tiv thaiv tau qhov mob kom tsis txhob hnyav zuj zus.

Ua pa nyuaj yog ib qho cim qhia tias ob lub suab tsis ua haujlwm. Tsis tas li ntawd, yog tias zaub mov lossis dej haus daig thiab mus rau hauv lub ntsws, nws tuaj yeem ua rau muaj kab mob loj xws li mob ntsws los ntawm kev nqus pa. Yog li ntawd, yuav tsum ceev faj txog cov tsos mob no.