Yu dɔn ɛva si se i nɔ izi fɔ yu fɔ blo wantɛm wantɛm, ɛn fil lɛk se yu trot de lɔk? We yu tray fɔ blo, i kin tan lɛk se i de lɔk, ɛn i kin mek yu fred. Bɔrku pipul kin tink se dis na asma na dis kayn tɛm. Bɔt nɔto ɔltɛm na di sem asma. Tide wi go tɔk bɔt wan sik wae gɛt di sem kayn sik, bɔt difrɛn frɔm asma. Dat na Vocal Cord Dysfunction, ɔ VCD fɔ shɔt.
Fɔ tɔk am simpul wan, wetin na Vocal Cord Dysfunction (VCD)?
Fɔ ɔndastand dis, lɛ wi lan smɔl fɔs bɔt wi vɔkal kɔd. Dɛn vɔkal kɔd ya de na yu trot, mɔ na di larynx. Dɛn tan lɛk tu band dɛn we gɛt mɔsul.
Tink bɔt am lɛk get. We yu de blo, dis get (di vokal kɔd dɛn) fɔ opin ɔl , so dat di briz go go insay yu lɔng dɛn we nɔ go ambɔg yu. We yu de tɔk, kɔf, ɔ klia yu trot, dis get kin lɔk. Di vaybreshɔn we dɛn tu band ya de shek togɛda de mek yu vɔys.
Naw, pɔsin we gɛt wan sik we dɛn kɔl Vocal Cord Dysfunction (VCD) kin gɛt di ɔpɔsitet pan dis prɔses. Dat min se di vɔkal kɔd dɛn, we dɛn se fɔ opin we yu de blo, kin lɔk ɔ smɔl bay mistek . Imajin wetin kin apin we di say we di briz de blo smɔl wantɛm wantɛm? Na dat kin apin wit VCD. Dis kin mek i rili at fɔ blo. Fɔ sɔm pipul dɛn, dis sik kin apin bɔku tɛm ɛn bad bad wan.
De impɔtant tin na dat dis kin difrɛn frɔm asma. Insay asma, di prɔblɛm na we di smɔl smɔl say dɛn we di briz de blo na di lɔng dɛn kin smɔl. Bɔt insay VCD, di prɔblɛm de na di trot, dat na di vɔkal kɔd dɛn.
Wetin na di sayn dɛm wae de sho se yu gɛt VCD?
Pɔsin we gɛt VCD kin gɛt dɛn sik ya wantɛm wantɛm. Dis kin mek pɔsin fred. Bɔt i rili impɔtant fɔ no bɔt dɛn sik ya.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| I nɔ kin izi fɔ yu fɔ blo | Dis na di men sayn we de sho se yu gɛt dis sik. I at fɔ blo insay pas fɔ blo. I kin tan lɛk se yu de swɛla. |
| Filin fɔ tayt ɔ sɔntin we stɔp na yu trot | Yu kin fil lɛk se wan lump de na yu trot, ɔ lɛk se sɔmbɔdi de swɛt yu trot. |
| Wan ‘whooshing’ sawnd we yu de blo (Stridor) . | We yu inhal, yu de mek lawd ‘hee...’ sawnd na yu trot. Dis difrɛn frɔm di ‘wheeze’ sawnd we yu kin yɛri we yu gɛt asma. |
| Bɔku tɛm nid fɔ klin yu trot | A kin fil lɛk se sɔntin dɔn stɔp na mi trot, so a kin fil ɔltɛm fɔ klia mi trot fɔ mek i kɔmɔt. |
| Diziz we pɔsin kin gɛt | Yu kin fil diziz if yu ɔksijɛn lɛvɛl go dɔŋ smɔl bikɔs yu nɔ ebul fɔ blo fayn. |
| Di limb dɛn we de na di an ɛn fut dɛn kin swɛla | Sɔntɛnde, di finga ɛn fut finga dɛn kin fil lɛk se dɛn nɔ gɛt bɛtɛ trɛnk bikɔs ɔf di chenj dɛn we de apin na di we aw dɛn de blo. |
Wetin mek dis kin apin? Di tin dɛn we kin mek pɔsin gɛt VCD
Dɔktɔ dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt VCD. Bɔt dɛn dɔn no sɔm tin dɛm wae kin kɔntribyut to, ɔr "trigger," di kɔndishɔn. Wi kin sheb dɛn tin ya to sɔm men kategori dɛn.
1. Ɛksesaiz
Sɔm pipul dɛn, mɔ di yɔŋ atlet dɛn, kin gɛt VCD we dɛn de du ɛksɛsayz ɔ afta dɛn dɔn du ɛksɛsayz . dis dεn kכl am ``Eksεsayz-indyus laryngeal obstruction (EILO)''. I kin apin mɔ we yu de ɛksesaiz tranga wan, lɛk we yu de rɔn ɔ swim.
2. Ɔda sik dɛn we pɔsin kin gɛt we i de mɛn pipul dɛn
VCD kin wɔs bak bikɔs ɔf ɔda sik dɛn we yu gɛt.
- Asma: Pan ɔl we asma ɛn VCD na tu difrɛn tin, pɔsin we gɛt asma kin gɛt VCD.
- Gastritis ɔ gastroesophageal reflux disease (GERD): Bɛlɛ asid kin mek di vɔkal kɔd dɛn swel ɛn bi sɛnsitiv, we kin mek VCD.
- Infεkshכn dεm we de na di כpa respiratory tract:Dis kכndyushכn kin kכz bay we di vokal kכd dεm de swel bikoz fכ tin dεm lεk kol εn trot infεkshכn.
3. Mental Ɛlth Kɔndishɔn
Stret ɛn wɔri kin bi wan men tin we kin mek pɔsin gɛt VCD.
- Generalized Anxiety Disorder: Wae yu de wɔri ɔltɛm ɛn frayd kin mek di mɔsul dɛm na di bɔdi tayt. Semweso, di mɔsul dɛn na di trot kin tayt, ɛn dis kin mek i gɛt VCD.
- Klinik Dipreshɔn
- Pɔst-traumatik strɛs disɔda (PTSD) .
4. Tin dɛn we de mek pɔsin vɛks we yu inhal
We wi blo sɔm tin dɛn na di say we wi de, dat kin mek di vɔkal kɔd dɛn fil ɛn mek dɛn lɔk wantɛm wantɛm.
- Kol, dray briz
- Dɔst, smok (moskito kɔyl smok, sigrɛt smok) .
- Strɔng sɛnt lɛk sɛnt ɛn ɛya freshɛn
- Harsh kemikal dɛn lɛk bleach ɛn amonia
- Di spays we kin kɔmɔt we dɛn kuk sɔm pipul dɛn it (tri ɔ fayv spays) .
Aw yu go no fɔ tru se dis nɔto asma, bɔt na VCD?
Dis na di big prɔblɛm. Bikɔs di sayn dɛm fɔ VCD kin rili fiba asma, sɔmtɛm ivin dɔktɔ dɛn kin kɔnfyus di tu tin dɛm. So, i rili impɔtant fɔ gɛt kɔrɛkt diagnosis. If nɔto dat, yu nɔ go gɛt ɛni rilif frɔm yu asma tritmɛnt.
Yu dɔktɔ kin du bɔku tɛst fɔ no if yu gɛt dis sik.
- Laryngoscopy: Dis na di bɛst we fɔ no if yu gɛt VCD. Insay dis tɛst, dɛn kin put wan tiub we rili tan ɛn we kin chenj ɛn we gɛt kamɛra we dɛn tay tru yu nos ɛn dɔŋ yu trot fɔ luk yu vɔkal kɔd dɛn dairekt wan. Di dɔktɔ go aks yu fɔ blo ɛn tɔk nɔmal wan we i de wach aw yu vɔkal kɔd dɛn de wok. Sɔntɛnde, dɛn kin gi yu sɔntin we de mek yu fil (lɛk we yu de smɛl bad bad wan) fɔ si if yu vɔkal kɔd dɛn kin lɔk. Dɛn kɔl dis tɛst fɔ provokeshɔn .
- Pulmonary Function Tests (Spirometry): Dis tɛst de sho aw yu lɔng dɛn de wok fayn fayn wan. Dɛn kin aks yu fɔ blo di briz insay wan tin we dɛn kɔl spayromita. If yu gɛt asma, di rizɔlt fɔ dis tɛst kin difrɛn. Bikɔs bɔku tɛm natin nɔ kin bad wit pɔsin we gɛt VCD in lɔng, bɔku tɛm dis tɛst kin bi nɔmal. כltu, sכmtεm di shep fכ di grafik (`flow-volume loop`) pan dis tεst kin mek pipul dεn sכspεshכn fכ VCD.
Wetin na di tritmɛnt dɛm fɔ VCD?
We yu de trit VCD, i impɔtant fɔ tink bɔt wetin de mek yu gɛt dis sik, aw ɔltɛm i kin apin, ɛn aw yu sik kin tranga.
Di bɛst pat na dat, VCD na wan kɔndishɔn we dɛn kin kɔntrol bɔku pan am wit di rayt tritmɛnt ɛn trenin.
Tu men we dɛn de fɔ trit pɔsin:
1. Respiratory Retraining Therapy: Wan spɛshal pɔsin we tren fɔ tɔk ɛn langwej go ɛp yu wit dis. We yu gɛt VCD, dɛn go tich yu sɔm spɛshal ɛgzampul dɛn fɔ blo we go ɛp yu fɔ kɔntrol aw yu de blo. Fɔ ɛgzampul:
- Pursed Lip Breathing: Fɔ blo smɔl smɔl tru di nos ɛn pul briz sloslo tru di mɔt lɛk se yu de blo wisɛl.
- Dayafragmatik Briz: Fɔ praktis fɔ brith frɔm di bɛlɛ. dis tεknik de mek di mכsul dεm na di trot rilaks εn i de mek di vokal kכd dεm opin bak. Yu go fil big difrɛns afta jɔs sɔm tɛm fɔ dis tritmɛnt.
2. Trit Trig Kɔndishɔn: Fɔ trit di ɔndalayn kɔz fɔ VCD na impɔtant tin bak.
- If yu gɛt GERD (gastritis) , yu fɔ yuz di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu.
- If yu gɛt wɔri ɔr strɛs , i impɔtant fɔ go to dɔktɔ we de mɛn yu maynd fɔ advays ɛn tritmɛnt.
Sɔm pan di impɔtant kwɛstyɔn dɛn bɔt dis
Yu tink se dɛn go ebul fɔ mɛn dis sik kpatakpata?
Nɔ, no wan-sayz-fit-ɔl "kyu" nɔ de fɔ dis. Bɔt if yu no ɛn trit di tin dɛn we kin mek pɔsin gɛt VCD, ɛn praktis di rayt we fɔ blo, yu kin go fa fɔ mek dis sik nɔ apin, ɛn if i apin, yu go ebul fɔ kɔntrol am fayn fayn wan.
Yu tink se Vokal Kɔd we Nɔ De wok fayn kin mek pɔsin in layf pan denja?
Nɔ, dis na di tin we impɔtant pas ɔl we yu nid fɔ no. Pan ɔl we VCD kin mek pɔsin fred ɛn i kin mek pɔsin in layf de pan denja, i nɔto tin we kin mek pɔsin in layf de pan denja . Pan ɔl we yu kin fil lɛk se yu gɛt prɔblɛm fɔ blo, yu bɔdi de gɛt di ɔksijɛn we i nid.
Bɔt, nɔ ɛva ignore fɔ shɔt briz. If yu kɔntinyu fɔ gɛt prɔblɛm fɔ blo, go na di ɔspitul we de nia yu na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Di tɛst dɛn we dɛn kin du de kin kɔnfirm if yu rili nɔ gɛt ɔksijɛn ɔ yu nɔ gɛt am.
Aw a go protɛkt misɛf frɔm dis kayn tin?
Di bɛst we fɔ mek yu nɔ gɛt VCD na fɔ no di tin dɛn we de mek yu gɛt am ɛn nɔ de nia dɛn.
- If na strɔng sɛnt de mek dis apin, nɔ yuz dɛn kayn tin dɛn de.
- Wear mask we yu de go na ples dɛn we gɛt dɔti.
- If dis de apin bikɔs ɔf strɛs, tray fɔ mek yu maynd kol tru tin dɛm lɛk mɛditeishɔn ɛn yoga.
- Tɔk to yu dɔktɔ ɛn kam wit wan plan fɔ mɛn dis sik we go woke fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Vocal Cord Dysfunction (VCD) na wan sik we di vokal kɔd dɛn kin aksidɛntli lɔk ɔ smɔl we yu de blo. Dis nɔto asma.
- Di men sayn na we i kin at fɔ blo wantɛm wantɛm ɛn wan ‘whooping’ sawnd we de kɔmɔt na di trot.
- Ɛksesaiz, gastritis (GERD), strɛs ɛn wɔri, ɛn tin dɛn we de mek yu inhal (smok, sɛnt) kin mek dis sik bigin.
- Pan ɔl we dis na tin we kin mek pɔsin fred, VCD nɔto tin we kin mek pɔsin in layf de pan denja.
- Dis kכndyushכn kin kכntrol fayn fayn wan bay spεshal brith εksεsayz εn trit di כndalayn kכz fכ VCD.
- If yu gɛt sayn dɛn lɛk dis, mek shɔ se yu go to dɔktɔ ɛn gɛt di rayt diagnosis.
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