Yu tink se i nɔ izi fɔ yu fɔ blo wantɛm wantɛm? Lɛ wi lan bɔt Vokal Kɔd Disfɔkshɔn / Inducible Laryngeal Obstruction!

Sɔntɛnde, yu kin fil lɛk se yu de chok wantɛm wantɛm ɛn yu nɔ ebul fɔ blo? Yu go mɔs dɔn ɛkspiriɛns dis we yu de tɔk, ɛksesaiz, ɔ jɔs de stil. Pan ɔl we i kin mek pɔsin fred smɔl, tide wi go tɔk bɔt wan kɔndishɔn we kin mek dis sik. Dɛn kɔl dis Vocal Cord Dysfunction (VCD) , sɔm tɛm dɛn kin kɔl am Inducible Laryngeal Obstruction (ILO) .

Wetin na di vokal kɔd disfɔkshɔn (VCD/ILO)?

Fɔ tɔk am simpul wan, dis na we yu vɔkal kɔd , ɔ di pat pan yu trot we de kɔntrol yu vɔys, we dɛn kɔl larynx (voys bɔks), nɔ de wok fayn. Tink bɔt am, we wi kin blo nɔmal wan, wi vɔkal kɔd fɔ opin fɔ mek briz go insay wi lɔng. Bɔt pan dis kɔndishɔn we dɛn kɔl VCD, we yu de blo, yu vɔkal kɔd dɛn kin tray fɔ lɔk, ɔ fɔ se, dɛn kin lɔk di rɔng tɛm. Dat kin mek i nɔ izi fɔ blo, nɔto so?

Dis kin izi fɔ ɔndastand if yu lan smɔl mɔ bɔt wi vɔkal kɔd. Dis na tu mכsul dεm we de insay wi larynx. Dɛn kin bi lɛk tu smɔl domɔt dɛn na wi trot.

• we wi de blo: dεn tu do dεm ya de opin, we de mek di briz pas insay di lכng dεm we nכ de ambɔg wi.
• We wi de tɔk: Dɛn tu domɔt ya kin kam togɛda, dɛn kin mit na di midul, ɛn dɛn kin shek shek. Na da vaybreshɔn de de mek wi vɔys. Semweso, we wi swɛla sɔntin, klia wi trot, ɔ kɔf, dɛn vɔkal kɔd ya kin kam togɛda ɛn kam nia fɔ mek dɛn tin dɛn de nɔ go insay di briz.

So, wetin kin apin to pɔsin we gɛt VCD na dat we dɛn tray fɔ blo, di vɔkal kɔd dɛn kin lɔk kɔrɛkt wan di tɛm we dɛn fɔ opin. Na dat mek tin dɛn lɛk fɔ at fɔ blo ɛn fɔ chok kin apin. Fɔ sɔm pipul dɛn, dis kin apin ɔltɛm ɛn bad bad wan. Da tɛm de, i kin fil lɛk se i rili at fɔ blo.

Wetin na di sayn dɛm fɔ dis sik?

If yu gɛt vocal cord dysfunction (VCD), yu kin fil lɛk se yu trot gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Sɔm ɔda sayn dɛn de, si if dɛn tin ya tan lɛk se yu sabi:

• I nɔ kin izi fɔ yu fɔ blo: Dis na di men sayn ɛn bɔku tɛm i kin mek yu fred pas ɔl. I kin fil lɛk se yu de swɛla, lɛk se yu nɔ ebul fɔ blo dɔŋ yu trot.
• Fɔ fil ɔltɛm lɛk fɔ klin yu trot , lɛk se sɔntin dɔn stɔp na yu trot.
• Fɔ fil diziz ɔ layt ed (layt ed).
• Wan tin we de mek yu fil se yu de chok ɔ yu de swɛla.
• Sawnd de kכmכt na di trot we yu de blo (stridor כ noys brith pan di inhalashכn). I kin tan lɛk se na sawnd we de mek pɔsin de ala lawd wan.
• Tingling sensation na yu an ɛn fut.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Masta sabi bukman dɛn nɔ shɔ yet wetin rili de mek dis apin. Bɔt dɛn biliv se sɔntɛm i nɔ pas wan rizin. Dɛn kin sheb tin dɛm wae kin mek dis sik, ɔr kin bigin, ɔr kin wɔs to sɔm kayn dɛm:

• Exercise-induced laryngeal obstruction (EILO): Dis na, as di nem sho, wan sik we kin apin we yu de du eksasaiz. I kin apin mɔ pan yɔŋ atlet dɛn . Fɔ ɛgzampul, imajin se we yu de ple skul spɔt, rɔn, ɔ jomp, i nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm.
• Ɔda mɛrɛsin dɛn: Sɔm mɛrɛsin kin mek bak di risk fɔ gɛt VCD. Fɔ ɛgzampul:
• Asma we gɛt asma
• Gastroesophageal Reflux Disease (GERD) (Wi kin kɔl am asid riflɔks, at bɔn, na dat i bi)
• Infεkshכn dεm we de na di כp rεspiretכri (e.g., kol, trot infεkshכn) .
• Mental hεlth kכndishכn: Sɔm mental hεlth kכndishכn kin mek VCD wɔs bak. Tin dɛm lɛk strɛs ɛn wɔri we dɛn tin ya kin mek kin afɛkt di we aw di vɔkal kɔd dɛn de wok. Fɔ ɛgzampul:
• Jɛnɛralized Anxiety Disɔda
• Klinik Dipreshɔn
• Obsesiv-Kɔmpulsiv Pɔsin Disɔda (OCPD) .
• Pɔst-Traumatik Strɛs Disɔda (PTSD) .
• Di tin dɛn we de mek yu vɛks we yu de blo: Sɔntɛnde, dis kin bi bikɔs ɔf tin dɛn we wi de blo. dis kin bi ‘trigger’, כ stimulus, fכ wi vokal kכd dεm. Na sɔm ɛgzampul dɛn ya:
• Briz we rili kol ɛn dray.
• Gas dɛn we gɛt pɔyzin, lɛk amonia ɔ blich.
• Klin kemikal fɔ klin os ɛn batrum.
• Strɔng smel ɔ sɛnt, insɛns smok.
• Smok, dat na, nɔto jɔs sigrɛt smok, bɔt i de smok bak frɔm wud stov, motoka ɛkzoz, ɛn ɔda kayn bɔn.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Infakt, dis sik kin tranga smɔl fɔ mek dɔktɔ dɛn no bɔt am wantɛm wantɛm, bikɔs di sayn dɛn kin tan lɛk ɔda sik dɛn we pɔsin kin gɛt we i de blo, lɛk asma. Sɔm stɔdi dɛn dɔn sho se sɔntɛnde dɔktɔ dɛn kin mistek kɔl vocal cord dysfunction (VCD) fɔ asma ɔ krup (wan sik we de ambɔg di we aw dɛn de blo we kin afɛkt yɔŋ pikin dɛn).

So, fɔ tɔk di kɔrɛkt tin, bɔku tɛm dɔktɔ go du dɛn tin ya:

1. Dɛn kin du wan ɛgzam pan pɔsin in bɔdi .

2. Aks bɔt yu kɔmplit mɛdikal histri (di sik dɛn we yu bin dɔn gɛt bifo, di mɛrɛsin dɛn we yu bin de tek, if ɛnibɔdi na yu famili dɔn gɛt di sem kayn sik, ɛn ɔda tin dɛn).

3. Aks bɔt di tin dɛn we yu bin de du ɔ di tin dɛn we yu bin de du bifo dis shɔt briz apin (e.g., yu bin de du ɛksɛsayz? Yu bin de pan wan patikyula smel?).

Apat frɔm dat, dɛn kin du dɛn tɛst ya bak:

• Laryngoscopy: Bɔku tɛm dis na di tɛst we impɔtant pas ɔl. Dis min se di dɔktɔ de put smɔl kamɛra pan wan tin we tan lɛk tiub we kin chenj na yu nos ɔ yu trot fɔ luk yu vɔkal kɔd dɛn. Nɔ wɔri, dɛn go mek shɔ se yu fil fayn we dɛn de du dis (dɛn kin gi yu smɔl mɛrɛsin fɔ mek yu trot nɔ gɛt bɛtɛ trɛnk). Dis go mek dɛn ebul fɔ si aw yu vɔkal kɔd dɛn de opin ɛn lɔk we yu de blo ɛn tɔk. Sɔntɛnde, we di dɔktɔ de luk yu trot, dɛn kin du sɔntin bak we kin mek yu gɛt VCD (fɔ ɛgzampul, dɛn kin aks yu fɔ smɛl wan patikyula sɛnt ɔ tek sɔm kwik briz). Dɛn kɔl dis tɛst fɔ provokeshɔn . Dis go mek dɛn ebul fɔ si di rayt tin we kin apin to yu vɔkal kɔd dɛn we i nɔ izi fɔ yu fɔ blo.
• Pulmonary function tests and spirometry: Insay dɛn tɛst ya, dɛn kin aks yu fɔ blo insay ɛn kɔmɔt insay wan tin we dɛn kɔl spirometer . Dis kin mɛzhɔ ɔmɔs briz yu kin blo ɛn pul, ɛn aw fast yu kin pul am. Yu dɔktɔ go du dis tɛst fɔ no ɔda tin dɛn lɛk asma. Sɔntɛnde, chenj dɛn na di flɔ-vɔlyum lɔp (flɔ-vɔlɔm lɔp) frɔm dis tɛst kin sho se yu gɛt VCD. Bɔt di impɔtant tin fɔ mɛmba na dat, dɛn tɛst ya we dɛn kin du fɔ mek yu lɔng nɔ ebul fɔ no fɔ tru if yu gɛt VCD. Dɛn na jɔs pɔsin we de gayd pipul dɛn.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan bay aw yu de fil, lɛk di tin dɛn we kin mek yu nɔ blo fayn, aw i kin apin ɔltɛm, ɛn aw yu sik kin tranga (smɔl, smɔl, ɔ bad bad wan). Di kɔmɔn tritmɛnt fɔ vokal kɔd disfɔkshɔn (VCD) na:

• Respiratory retraining therapy: Dis na di tritmɛnt we impɔtant pas ɔl ɛn we go wok fayn . Di wan dɛn we dɛn dɔn tren spɛshal wan bɔt aw fɔ tɔk ɛn langwej kin tich yu aw fɔ blo. Dɛn ɛgzampul ya kin ɛp yu fɔ kɔntrol aw yu de blo we yu gɛt VCD. Dɛn kin tich yu aw fɔ rilaks yu vɔkal kɔd ɛn chenj di we aw yu de blo. Fɔ ɛgzampul:
• Pursed lip breathing: Fɔ blo wit pursed lips, lɛk se yu de wispa. Dis kin ɛp fɔ mek di say dɛn we di briz de blo opin.
• Dayafragmatik brith: Wi kin kɔl am bɛlɛ brith, we na dip, kol brith.

Sɔntɛnde, jɔs sɔm tɛm fɔ dis tritmɛnt fɔ brith kin ridyus di sayn dɛm bad bad wan. If yu lan am fayn fayn wan, yu kin tek kɔntrol pan dis sik yusɛf.

• Fɔ trit trig kɔndishɔn: Fɔ ɛgzampul, if yu gɛt krɛse sik lɛk GERD (gastroesophageal reflux disease) , i impɔtant fɔ trit am fayn fayn wan. Asid na yu bɛlɛ kin mek yu vɔkal kɔd dɛn swel ɛn sɛnsitiv we i kam bak ɔp na yu trot. Dɔktɔ dɛn kin se bak fɔ kɔntrol ɛn trit kol ɛn ɔda infɛkshɔn dɛn we kin mek pɔsin gɛt VCD. If strɛs ɔ wɔri na tin dɛn we de mek yu gɛt prɔblɛm, i impɔtant bak fɔ go to advays ɔ tritmɛnt fɔ dɛn wan dɛn de.

Yu tink se dɛn go ebul fɔ mɛn dis sik kpatakpata?

Nɔ, no mɛrɛsin nɔ de yet fɔ dis . Bɔt nɔ wɔri. Na kɔndishɔn we pɔsin kin ebul fɔ kɔntrol. Dɔktɔ dɛn kin ɛp yu fɔ fɛn di tin dɛn we kin mek yu vɔkal kɔd nɔ wok fayn (VCD). Dɛn kin tɛl yu bak bɔt aw fɔ trit yu, mɔ fɔ du ɛksɛsayz fɔ blo, fɔ ɛp yu fɔ kɔntrol di shɔt we aw yu de blo. Dɔn yu kin liv nɔmal layf ɛn nɔ fil se yu nɔ gɛt bɛtɛ briz.

Aw dɛn go mek dis nɔ apin?

Di wangren we fɔ ridyus dis prɔblɛm fɔ blo na fɔ avɔyd ɛn kɔntrol di tin dɛn we kin mek yu nɔ ebul fɔ blo fayn ɛn di tin dɛn we kin mek yu nɔ ebul fɔ blo.

• Imajin, if yu no se yu go gɛt dɛn sik ya we yu gɛt sɔm kayn kemikal na yu wokples, yu kin ridyus da prɔblɛm de bay we yu yuz tin dɛn we go protɛkt yu fɔ blo.
• If yu no se tin dɛn lɛk strɔng sɛnt ɛn smok bad fɔ yu, tray fɔ de fa frɔm dɛn.
• If yu gɛt wan sik lɛk GERD, tek di rayt it ɛn mɛrɛsin.
• If dis kin apin we yu de du ɛksɛsayz, tin dɛn lɛk fɔ wam yusɛf bifo yu bigin ɛn fɔ kol afta yu dɔn du ɛksɛsayz kin ɛp. Dɔn bak, tɔk to yu dɔktɔ bɔt us ɛksesaiz dɛn we fayn fɔ yu.

Dis vokal kɔd we nɔ de wok fayn kin mek pɔsin in layf de pan denja?

Infakt, we dis VCD kכndyushכn de apin , i kin fil se i de pan denja fכ in layf. Na ɛkspiriɛns we rili de mek pɔsin fred ɛn we de mɔna pɔsin. Bɔt i nɔ rili bi tin we kin mek pɔsin in layf de pan denja. Bikɔs di vɔkal kɔd dɛn dɔn lɔk ɔl ɛn yu nɔ ebul fɔ blo, yu nɔ go go ɛnisay. Bɔt if i nɔ izi fɔ yu fɔ blo, yu fɔ go na di imejensi dipatmɛnt ɛn nɔ shem. Bɔku tɛm, di tɛst dɛn we dɛn go du de go sho se yu bɔdi de gɛt di ɔksijɛn we i nid, ilɛksɛf yu nɔ no am.

Impɔtant:If yu gɛt siriɔs prɔblɛm fɔ blo, i kin at fɔ no fɔ yusɛf if na VCD ɔ ɔda tin. I kin bi bak wan sik we rili siriɔs, lɛk asma. So i fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.

Aw a kin kia fɔ misɛf?

I rili impɔtant fɔ mek yu tɔk bɔt dis vokal kɔd disfɔkshɔn (ILO/VCD) wit wan tim fɔ dɔktɔ dɛn we gɛt ɛkspɛriɛns (wan spɛshal pɔsin we sabi bɔt ENT, pɔsin we sabi bɔt tɔk). Dɔn yu kin ɔndastand mɔ bɔt wetin de apin to yu ɛn wetin fɔ du we yu gɛt dis kayn prɔblɛm fɔ blo (lɛk fɔ du ɛksɛsayz fɔ blo). Dɛn go mek wan manejmɛnt plan we dɛn mek fɔ yusɛf.

Ustɛm a fɔ go to mi dɔktɔ?

If yu dɔn du di ɛgzampul dɛn fɔ blo kɔrɛkt wan, yu dɔn manej ɛni ɔndalayn kɔndishɔn (lɛk GERD), ɛn avɔyd di tin dɛn we de mek yu gɛt dis sik, bɔt yu stil gɛt di sayn dɛn, mek shɔ se yu go to yu dɔktɔ. Yu kin nid fɔ chenj yu tritmɛnt ɔr yu kin nid fɔ du mɔ tɛst.

If yu gɛt shɔt briz we nɔ de stɔp fɔ ɛni rizin, if i kam wit pen na yu chɛst, if yu lip dɛn tɔn blu, ɔ if yu fil lɛk se yu nɔ de no natin, kɔl di 1990 Suwaseriya Ambulans Savis wantɛm wantɛm ɔ go na di ɔspitul imejensi dipatmɛnt we de nia yu.

Wetin fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt (Take-Home Message) .

Wi ɔl kin gɛt tɛm dɛn we i nɔ kin izi fɔ wi fɔ blo. Tink bɔt dis, we yu de du ɛksasaiz tranga wan, we yu de rɔn fɔ go na bɔs, ɔ we sɔntin we de mek yu strɛs apin. Bɔt if yu gɛt vokal kɔd disfɔkshɔn (VCD), ɔ inducible laryngeal obstruction (ILO), yu kin gɛt prɔblɛm fɔ blo fɔ no rizin.

Pan ɔl we VCD nɔ kin mek pɔsin in layf de pan denja, i kin rili mek pɔsin in at pwɛl ɛn i kin mek pɔsin fred. So, i nɔ fayn fɔ lɛ wi nɔ pe atɛnshɔn to am. Pan ɔl we dɔktɔ dɛn nɔ kin ebul fɔ mɛn dis sik kpatakpata, dɛn kin ɛp yu fɔ no wetin kin mek yu gɛt dis sik. Dɛn kin tich yu bak aw fɔ trit yu, mɔ fɔ ɛksesaiz fɔ blo, we kin ɛp yu fɔ kɔntrol yu shɔt briz we i apin. So, if yu gɛt dɛn sik ya, i go fayn fɔ mek yu nɔ fred ɔ shem ɛn go to dɔktɔ. Pipul dɛn de wae kin ɛp yu ɛn gayd yu fɔ liv fayn fayn wan wit dis sik.

` Vokal Kɔd Disfכnkshכn, Inducible Laryngeal Obstruction, Difεlεns fכ brith, Trot kכnjεshכn, Larynx, Laryngoscopy