Thâwk harsa i nei thut em? Vocal Cord Dysfunction (VCD) chungchang i zir dawn teh ang!

I thawk harsa nghal vat a, i rilru a khar ang maiin i inhria ngai em? Thâwk lak i tum chuan a khar ang maiin a lang a, a hlauhawm hle bawk. Mi tam tak chuan hetiang hun lai hian hei hi asthma niin an ngai. Mahse, asthma chu a inang reng reng lo. Vawiin hian natna lan chhuah dan inang, mahse asthma nen a danglam thu kan sawi dawn a ni. Chu chu Vocal Cord Dysfunction, a tawi zawngin VCD a ni.

A awlsam zawngin Vocal Cord Dysfunction (VCD) hi eng nge ni?

Hei hi hrethiam tur chuan kan vocal cord chungchang tlem han zir hmasa ila. Heng vocal cords te hi i rilruah a awm a, a bik takin larynx ah a awm a ni. Muscle band pahnih ang mai an ni.

Kawngkhar ang maiin han ngaihtuah teh. I thawk chhuah hian he gate (the vocal cords) hi a inhawng vek tur a ni , chutiang chuan boruak chu engmah tibuai lovin i lung chhungah a lut thei ang. I thusawi emaw, i khuh emaw, i rilru i tihthianghlim emaw hian he gate hi a khar thin. Heng band pahnih vibration hian i aw a siam a ni.

Tunah chuan Vocal Cord Dysfunction (VCD) tih natna nei chuan he thil kalphung kalh zawng hian a tawng ta a ni. Chu chu, i thawk chhuah huna inhawng tur vocal cord-te chu accident-in a khar emaw, a zim emaw tihna a ni . Thlawhna kawng a zim nghal chuan eng nge thleng tih han ngaihtuah teh? Chu chu VCD-ah chuan a thleng thin. Hei hian thawk a ti harsa hle. Mi thenkhat tan chuan he natna hi a thleng fo thei a, a na hle bawk.

VCD natna lan chhuahna langsar ber berte chu engte nge ni?

VCD vei chuan heng symptoms te hi a nei nghal mai thei. Hei hi thil hlauhawm tak a ni thei. Mahse heng symptoms te hi hriat chian a pawimawh hle.

Engvangin nge hetiang hi a lo awm? VCD awm chhan

Doctor-te hian VCD awm chhan dik tak hi an la hre lo. Mahse, he natna thlentu, a nih loh leh "trigger" thei thil engemaw zat an hmuchhuak a ni. Chungte chu chi hrang hrangah then theih a ni.

1. Exercise tih tur a ni

Mi thenkhat, a bik takin infiammi naupangte chuan exercise an neih lai emaw, exercise an neih zawhah emaw VCD an nei thei a ni . Hei hi ``Exercise-induced laryngeal obstruction (EILO)'' an ti a. Exercise hahthlak tak tak, tlan emaw, tui chawi emaw lai hian a awm tam zawk.

2. Damdawi lam thil dang

VCD hi natna dang i neih pawhin a tizual thei bawk.

• Asthma: Asthma leh VCD hi thil chi hrang hrang pahnih ni mahse, Asthma vei chuan VCD a vei tam zawk.
• Gastritis emaw gastroesophageal reflux disease (GERD): Pum acid hian vocal cord a ti hring a, a sensitive thei a, VCD a thlen thei a ni.
• Upper thawkna kawng natna: 1.1.Hetiang dinhmun hi khawsik leh rilru natna ang chi thil avanga vocal cords a lo hring chhuak vang a ni thei.

3. Rilru hriselna dinhmun

Stress leh lungkhamna hi VCD thlentu lian tak a ni thei.

• Generalized Anxiety Disorder: Lungngaihna leh hlauhna reng reng hian taksa ruhte a tikhauh thei. Chutiang bawkin kawr chhunga thau te pawh a nghet thei a, VCD a thlen thei bawk.
• Clinical Depression a ni
• Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.

4. Inhaled Irritants te a awm thin

Kan chhehvêla thil ṭhenkhat kan inhnim hian aw ruh (vocal cords) chu a tithinur thei a, rang takin a khar thei a ni.

• Thli lum leh vawt
• Leivut, meikhu (mosquito coil meikhu, cigarette meikhu) .
• Hriak rimtui tak tak, perfume leh air freshener te
• Chemical khauh tak tak bleach leh ammonia te
• Mi thenkhat chaw siam atanga lo chhuak thil rimtui (spice pathum emaw panga emaw) .

Engtin nge hei hi asthma ni lovin VCD a ni tih chiang taka i hriat theih ang?

Hei hi harsatna lian ber a ni. VCD natna lan chhuah dan hi asthma nen a inang em em a, a chang chuan doctor-te pawhin he natna pahnih hi an ti buai thei a ni. Chuvangin diagnosis dik tak neih a pawimawh hle. Chutiang a nih loh chuan i asthma enkawlna atang hian hahdamna i hmu lovang.

I doctor chuan he natna hi hriat theih nan test engemaw zat a ti thei ang.

• Laryngoscopy: Hei hi VCD hriat dan tha ber a ni. He test-ah hian tube te tak te, flexible tak, camera dahna chu i hnar kaltlangin leh i rilru hnuaiah dahin i vocal cords te chu direct-in an en a ni. Doctor chuan i vocal cords hnathawh dan a en laiin thawk la, i tawng dan pangngaiin a sawi ang che. A châng chuan, i vocal cords a khar em tih en nân trigger (rimtui na tak ang chi) i pe thei bawk. Hei hi provocation test an ti a .

• Pulmonary Function Tests (Spirometry): He test hian i lung hnathawh that dan a teh thin. Spirometer an tih hmanruaah boruak hip lut turin an ti che a ni. Asthma i neih chuan he test result hi a danglam thei. VCD vei lungah hian thil dik lo a awm tlangpui loh avangin he test hi a pangngai thei fo. Mahse, a chang chuan he test-a graph (`flow-volume loop`) pianzia hian VCD rinhlelhna a siam thei a ni.

VCD enkawl dan tur chu engte nge ni?

VCD enkawl hian i natna thlentu, eng chen nge a lo awm tih leh i natna lan chhuah dan a nasat dan te ngaihtuah a pawimawh hle.

Enkawl dan tlangpui pahnih a awm a, chungte chu:

1. Respiratory Retraining Therapy: Hemi kawngah hian speech-language pathologist a bik taka trained chuan a pui ang che. VCD i neih hunah chuan thawk dan tur thunun thei tur thawk dan exercise bik thenkhat zirtir i ni ang. Entir nan:

• Pursed Lip Breathing: Hnar atanga zawi zawiin thawk luh leh hmui atanga thawk chhuah zawi zawiin whistle ham ang maia thawk chhuah.
• Diaphragmatic Breathing: Pum atanga thawk chhuah dan practice. He technique hian rilru chhunga thau te chu a ti hahdam a, vocal cords te chu a inhawng leh thei bawk. Hetiang enkawlna hi session tlemte chauh i hman hnuah danglamna lian tak i nei ang.

2. Trigger Conditions enkawl dan: VCD awm chhan bulpui enkawl pawh a pawimawh hle.

• GERD (gastritis) i neih chuan i doctor-in a tih ang chiah khan damdawi hi i hmang tur a ni.
• If you have anxiety or stress , rilru lam doctor pan a, thurawn leh enkawlna dil a pawimawh hle.

Hemi chungchanga zawhna pawimawh tak tak thenkhat

He natna hi a dam kim thei ang em?

Ni lo, hei hi "damdawi" pakhat chauh a awm lo. Mahse, VCD awm chhan hriatchhuah leh enkawl a, thawk dan tur dik tak tih hian he natna hi a lo awm loh nan kawng thui tak i zawh thei a, a lo awm a nih chuan i thunun tha zawk thei bawk.

Vocal Cord Dysfunction hian Nunna a Hlauhawm Em?

Ni lo, hei hi i hriat tur pawimawh ber a ni. VCD hi hlauhawm tak a ni thei a, nunna atana hlauhawm thei mah se, nunna atana hlauhawm tak a ni lo . Thâwk harsatna nei ang maiin i inhriat pawhin i taksain a mamawh oxygen a hmu chho zel a ni.

Mahse, thawk hah lutuk hi ngaihthah ngai suh. Thâwk lama harsatna i neih chhunzawm chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh. Chuta test-na chuan oxygen i tlachham tak tak em tih a finfiah thei a ni.

Hetiang dinhmun lakah hian engtin nge ka inven theih ang?

VCD laka invenna tha ber chu a vei theihna tur thilte hriatchhuah a, chuta hlat taka awm hi a ni.

• Hei hi rimtui chak tak avanga lo awm a nih chuan chutiang thil hman loh tur a ni.
• Leivut awmna hmuna kal dawnin mask vuah thin ang che.
• Hetiang hi stress avanga thleng a nih chuan meditation leh yoga ang chi thil hmangin i rilru tihlum tum ang che.
• I doctor nen inbia la, he natna hi i tana tha tur enkawl dan tur ruahmanna siam rawh.