Thâwk lakah harsatna i nei nghal em? Vocal Cord Dysfunction / Inducible Laryngeal Obstruction chungchang hi i zir dawn nia!

A chang chuan i rilru a buai nghal a, thawk i la thei lo ang maiin i inhria em? Hetiang hi i tawng lai te, exercise i tih lai te, a nih loh leh i ngawi reng lai te pawhin i tawng tawh ngei ang. A hlauhawm deuh thei a, mahse vawiin hian hetiang thil thleng thei dinhmun kan sawi dawn a ni. Hei hi Vocal Cord Dysfunction (VCD) an ti a, a then chuan Inducible Laryngeal Obstruction (ILO) an ti bawk.

Vocal cord dysfunction (VCD/ILO) tih hi eng nge ni?

A awlsam zawngin, hei hi i vocal cords , a nih loh leh i rilru chhunga i aw control tu, larynx (voice box) tia koh, a hnathawh that loh lai a ni. Ngaihtuah teh, kan thawk chhuah dan pangngaiah chuan kan vocal cords te hi kan lung chhunga boruak luh tir turin a inhawng tur a ni. Mahse he VCD an tih dinhmunah hian i thawk chhuah hian i vocal cord te chu khar a tum a, a dik zawk chuan a hun dik takah a khar thin. Chu chuan thawk a harsat phah a ni lawm ni?

Hei hi kan vocal cords chungchang tlem tal i hriat chuan hriatthiam a awlsam zawk. Hengte hi kan larynx chhunga muscular tissue pahnih an ni. Kan kawr chhunga kawngkhar te tak te pahnih ang maiin an che thin.

• Kan thawk chhuah hian: heng kawngkhar pahnih hi a inhawng a, chu chuan boruak chu engmah tibuai lovin lung chhungah a lut thei a ni.
• Kan thusawi hian: Heng kawngkhar pahnih hi an inzawm khawm a, a laiah an inhmu a, an vibrate thin. Chu vibration chuan kan aw a siam chhuak a ni. Chutiang bawkin, thil kan ei emaw, kan kawr kan tihfai emaw, kan khuh emaw hian heng vocal cords te hi an inzawm khawm a, an hnaih a, chu thil chu thlipui chhungah a lut lo.

Chuvangin, VCD vei chunga thil thleng chu thawk chhuah an tum hian vocal cords te chu an inhawng tur hunah a khar dik lo a ni. Chuvang chuan thawk harsa leh choking ang chi thil a thleng thin. Mi thenkhat tan chuan hetiang hi a thleng fo thei a, nasa takin a thleng thei bawk. Chutih lai chuan thawk harsa tak ang maiin a lang.

Hetiang natna lan chhuah dan hi engte nge ni?

Vocal cord dysfunction (VCD) i neih chuan i rilruah lump ( pharynx -a lump awm hriatna ) emaw, i rilruah tightness emaw i nei thei. Symptom dang tlemte a awm a, hengte hi i hriat chian em tih en rawh:

• Thâwk harsa: Hei hi a lan chhuahna ber leh a tam zawkah chuan hlauhawm ber a ni. I thawk hah ang maiin a lang a, i rilruah i thawk thei lo ang maiin a lang.
• Constantly feeling like clearing your throat , i rilruah thil a awm ang maiin.
• Luak chhuak emaw, lu hah (lightheadedness) emaw tih hriat.
• I rilru a buai emaw, i rilru a hah emaw tih hriatna.
• I thawk chhuah hian i rilru atang hian thawm a lo chhuak thin (stridor emaw inhalation-a thawk ri ri emaw). Whooshing sound ang maiin a ri thei.
• I kut leh keah tingling sensation a awm.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hei hi eng thil nge a thlen tak tak tih hi mithiamte chuan an la hre chiang lo . Mahse, chhan pakhat aia tam a awm thei niin an ngai. He dinhmun tichhuak thei, emaw, a bul tan thei, a tichhe thei thilte hi chi hrang hrangah then theih a ni:

• Exercise-induced laryngeal obstruction (EILO): Hei hi a hming ang bawkin exercise laia lo awm thin a ni. A bik takin infiammi naupangte zingah a awm fo thin . Entîr nân, sikul infiamna i khelh lai te, i tlan lai te, a nih loh leh i zuang lai te, rang takin thawk harsa i tih hi han mitthla teh.
• Damdawi lam thil dang: Damdawi lam thil thenkhatah pawh VCD vei theihna a tipung thei bawk. Entir nan:
• Asthma natna a ni
• Gastroesophageal Reflux Disease (GERD) (Acid reflux, heartburn kan ti a, chu chu a ni)
• Upper respiratory infection (e.g., khawsik, rilru natna) .
• Rilru hriselna dinhmun: Rilru lam harsatna thenkhat chuan VCD a ti na zual thei bawk. Hengte avanga stress leh lungkhamna ang chi thilte hian vocal cords hnathawh a tichhe thei a ni. Entir nan:
• Generalized Anxiety Disorder a ni a, a rilru a hah hle
• Clinical Depression a ni
• Obsessive-Compulsive Personality Disorder (OCPD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a.
• Post-Traumatic Stress Disorder (PTSD) avanga harsatna awm thei hi a ni.
• I thawk chhuah thin irritants: A châng chuan hei hi kan inhnim chhuah thil vang a ni thei. Chungte chu kan vocal cords tan ‘trigger’, a nih loh leh stimulus a ni thei. Entirna tlemte chu hetiang hi a ni:
• Thli lum tak, vawt tak.
• Gas tha lo tak tak, ammonia emaw bleach emaw ang chi te.
• In leh bathroom tihfai nana chemical tihfai.
• Rim na tak emaw, rimtui emaw, rimtui meikhu.
• Meikhu, chu chu cigarette meikhu chauh ni lovin, thingpui lumna atanga meikhu, lirthei exhaust, leh kangmei chi dangte pawh a ni.

Engtin nge doctor-te hian he natna hi an hriat theih?

Dik tak chuan he natna hi doctor-te tan chuan hriat nghal a harsa deuh thei a, a chhan chu a natna lan chhuah dan hi thawkna lam natna dang, asthma ang chi nen a inang thei a ni. Zirna thenkhatah chuan doctor-te chuan vocal cord dysfunction (VCD) hi Asthma emaw croup (naupang naupangte vei thei thawkna lam natna) emaw tiin an ngai sual thin tih hmuhchhuah a ni.

Chuvangin, hei hi chiang taka hriat tur chuan doctor chuan heng thilte hi a ti tlangpui ang:

1. Taksa enfiahna neih a ni.

2. I medical history kimchang (natna hmasa te, damdawi i ei tawh te, i chhungte zingah tu emaw pawhin hetiang dinhmun hi an nei tawh em tih te, etc.) zawt rawh.

3. Hetiang thawk hahna a lo thlen hmaa i thil tih emaw, i exposure emaw te zawt la (e.g., exercise i ti em? rimtui engemaw tak i tawk em?).

Chu bakah, heng test te hi tih theih a ni bawk:

• Laryngoscopy: Hei hi test pawimawh ber a ni fo. Hei hian doctor chuan i hnar emaw, i rilru emaw-ah tube te tak te, flexible takah camera te tak te dahin i vocal cords a en a ni. Lungngai suh, hetiang an tih lai hian i hlim theih nan an enkawl ang che (i rilru ti na turin damdawi tlem an pe mai thei che). Hei hian i thawk leh i thusawi huna i vocal cords inhawng leh khar dan an hmu thei ang. A châng chuan doctor-in i rilru a en laiin VCD tichhuak thei thil an ti thei bawk (entir nan, rimtui engemaw rim hriat emaw, thawk rang deuh deuh emaw an ti thei bawk). Hei hi provocation test an ti a . Hei hian thawk harsa i tih hunah i vocal cords-a thil thleng dik tak chu an hmu thei ang.
• Pulmonary function test leh spirometry: Heng test-ah hian spirometer an tih hmanruaah thawk chhuak leh chhuak turin an ti che a ni. Hei hian boruak i thawk chhuah leh i chhuah theih zat a teh a, i thawk chhuah chak dan a teh bawk. I doctor chuan he test hi a ti ang a, natna dang, asthma ang chi a awm loh nan. A châng chuan, he test aṭanga flow-volume loop (flow-volume loop) inthlak danglamna hian VCD i nei tih a tilang thei. Mahse hriat reng tur pawimawh tak chu heng lung function test ringawt hian VCD i nei em tih chiang takin a hre thei lo. Kaihruaitu chauh an ni.

Hei hi eng enkawlna nge ni?

I dinhmun a zirin enkawlna kawng hrang hrang a awm thei a, chutah chuan i thawk hah lutuk chhan, a lo awm fo dan, leh i natna lan chhuah dan (mild, moderate, or severe) te pawh a tel. Vocal cord dysfunction (VCD) enkawlna hman tlanglawn tak takte chu:

• Respiratory retraining therapy: Hei hi enkawlna pawimawh ber leh tangkai ber a ni . Speech-language pathologist thiam bikte chuan thawk dan exercise an zirtir che a. Heng exercise te hian VCD i neih hunah i thawk dan control nan a pui thin. I vocal cords relax dan leh i thawk dan thlak danglam dan an zirtir che a ni. Entir nan:
• Pursed lip breathing: Pursed lips hmanga thawk chhuah, whistle ang maia thawk. Hei hian boruak kawng hawn reng turin a pui thin.
• Diaphragmatic breathing: Belly breathing kan ti a, chu chu thawk thuk, muang taka thawk a ni.

A châng chuan, he thawkna therapy hi session tlemte chauh hian natna lan chhuahna chu nasa takin a tihziaawm thei a ni. I zir dik chuan nangmah ngeiin he dinhmun hi i thunun thei ang.

• Trigger condition enkawl: Entirnan, GERD (gastroesophageal reflux disease) ang chi chronic condition i neih chuan uluk taka enkawl a pawimawh. Stomach acid hian i vocal cords te chu a ti hring leh sensitive zawk thei a, chu chu i rilru chhunga a rawn chho leh chuan a ti sensitive zawk thei a ni. Doctor-te chuan khawsik leh VCD symptoms thlen thei natna dang control leh enkawl an rawt bawk. Stress emaw, lungkhamna emaw hi a thlentu a nih chuan, chutiang mite tan chuan counseling emaw, enkawlna emaw zawn a pawimawh bawk.

He natna hi a dam kim thei ang em?

Ni lo, hei hi damdawi a la awm lo . Mahse, lungngai suh. Manageable condition a ni. Doctor-te chuan i vocal cord dysfunction (VCD) thlentu trigger zawng turin an pui thei che a ni. I thawk hah lutuk tihreh nan enkawlna tur, a bik takin thawk chhuahna exercise te pawh an rawt thei bawk. Tichuan thawk hah lova nun pangngaiin i nung thei tawh ang.

Engtin nge hetiang thil hi a lo thlen loh theih ang?

He thawk harsatna lo thleng tur tihziaawmna awmchhun chu i thawk harsatna thlentu leh awm dante pumpelh leh thunun hi a ni.

• Ngaihtuah teh, i hnathawhna hmuna chemical engemaw i hman hunah heng chhinchhiahnate hi i nei dawn tih i hriat chuan, chu hlauhawmna chu thawkna venna hmanrua hmangin i tihziaawm thei ang.
• Hriak rimtui leh meikhu ang chi thilte hi i tan a tha lo tih i hriat chuan inthiarfihlim tum ang che.
• GERD ang chi natna i neih chuan ei leh in leh damdawi dik tak ei thin ang che.
• Exercise i tih laiin hetiang hi a thleng a nih chuan exercise tan hmaa in lum leh exercise zawh hnua tihlum ang chi thilte hian a pui thei a ni. Tin, i doctor nen eng exercise nge i tan a tha tih sawipui bawk ang che.

He vocal cord dysfunction hi nunna atana hlauhawm tak a ni em?

Dik tak chuan, he VCD dinhmun hi a lo awm hian , nunna atana hlauhawm tak niin a lang thei. Thil hlauhawm leh buaithlak tak a ni. Mahse a takah chuan nunna atana hlauhawm tak a ni lo. A chhan chu vocal cord te chu a khar vek tawh a, thawk i la thei lo a, khawiah mah i kal dawn lo. Amaherawhchu, thaw hahdam harsa tak i neih chuan, hreh lova emergency department-ah i kal tur a ni. Chuta test an tih chuan i taksain oxygen a mamawh zat a hmu tih a lang fo ang, i hriat loh pawhin.

Pawimawh:Thâwk harsatna nasa tak i neih chuan VCD nge thil dang tih chu nangmah ngeiin hriat a harsa thei. Tin, natna khirh zawk, asthma ang chi pawh a ni thei bawk. Chuvangin damdawi lam thurawn la nghal mai hi a finthlak hle ang.

Engtin nge ka in enkawl ang?

He vocal cord dysfunction (ILO/VCD) hi doctor thiam tak tak (ENT specialist, speech therapist) team nen sawiho hi i tan a pawimawh hle . Tichuan i chunga thil thleng leh hetiang thawk harsatna (thâwk lakna exercise ang chi) i neih hunah eng nge i tih tur tih chu i hrethiam zawk thei ang. Nangmah mimal tana siam tur management plan an siam ang.

Engtikah nge ka doctor ka hmuh ang?

Thâwk lak dan dik tak i tih tawh a, a hnuaia awm (GERD ang chi) i enkawl tawh a, he natna thlentu thilte i pumpelh a, mahse symptom i la nei a nih chuan doctor hmu ngei ang che. I enkawlna chu tihdanglam a ngai mai thei a, test tam zawk neih a ngai mai thei bawk.

Eng thil vang pawha thawk hah lo reh lo i neih chuan, i rilru natnain a zui a nih chuan, i hmui a sen a nih chuan, emaw, i hriatna hloh ang maia i hriat chuan, 1990 Suwaseriya Ambulance Service call nghal la, damdawi in emergency department hnai ber pan rawh.

Kan sawiho tawh atanga hriat reng tur (Take-Home Message) .

Thâwk harsa kan tih hun kan nei vek a. Ngaihtuah teh, exercise i tih nasat lai te, bus-a i tlan lai te, a nih loh leh thil lungkhamthlak tak a thlen lai te. Mahse vocal cord dysfunction (VCD), emaw inducible laryngeal obstruction (ILO) i neih chuan chhan hriat lohvin thawk harsatna i nei thei.

VCD hi nunna atana hlauhawm lo mah se, thil lungchhiatthlak tak leh hlauhawm tak a ni thei. Chuvangin ngaihthah hi a tha lo. Doctor-te chuan he natna hi an tidam kim thei lo nain, a thlentu chu eng nge ni tih hriat tumin an pui thei che a ni. Enkawl dan tur an zirtir thei bawk che a, a bik takin thawk lak dan tur an zirtir thei bawk a, chu chuan a lo thlen hunah i thawk hah lutuk chu i thunun thei a ni. Chuvangin heng symptoms te hi i neih chuan hlau lo emaw, mualpho lo emaw, damdawi lam thurawn zawng a tha ber. Hetiang dinhmun nen hian hlawhtling taka nunpui thei tur che leh kaihruai thei tur mi an awm.

` Vocal Cord Dysfunction, Inducible Laryngeal Obstruction, Thâwk harsa, Throat congestion, Larynx, Laryngoscopy