Kodi mwadzidzidzi mukuvutika kupuma? Tiyeni tiphunzire za vuto la Vocal Cord Dysfunction / Inducible Laryngeal Obstruction!

Kodi nthawi zina mumamva ngati mwadzidzidzi mukulephera kupuma? Mwina mwakumanapo ndi izi mukulankhula, kuchita masewera olimbitsa thupi, kapena kungokhala chete. Ngakhale zingakhale zoopsa pang'ono, lero tikambirana za vuto lomwe lingayambitse izi. Izi zimatchedwa Vocal Cord Dysfunction (VCD) , nthawi zina zimatchedwa Inducible Laryngeal Obstruction (ILO) .

Kodi vuto la mawu (VCD/ILO) ndi chiyani?

Mwachidule, izi zimachitika pamene ma vocal cords anu, kapena gawo la pakhosi panu lomwe limalamulira mawu anu, lotchedwa larynx (bokosi la mawu), silikugwira ntchito bwino. Taganizirani izi, tikamapuma nthawi zambiri, ma vocal cords athu ayenera kutseguka kuti mpweya ulowe m'mapapu athu. Koma mu mkhalidwe uwu wotchedwa VCD, mukapuma, ma vocal cords anu amayesa kutseka, kapena m'malo mwake, amatseka panthawi yolakwika. Zimenezo zimapangitsa kuti zikhale zovuta kupuma, eti?

Izi n'zosavuta kuzimvetsa ngati mutaphunzira zambiri zokhudza mawu athu. Izi ndi minofu iwiri yomwe ili mkati mwa kholingo lathu. Zimagwira ntchito ngati zitseko ziwiri zazing'ono pakhosi pathu.

• Tikamapuma: zitseko ziwirizi zimatseguka, zomwe zimathandiza kuti mpweya ulowe m'mapapo popanda chopinga chilichonse.
• Tikamalankhula: Zitseko ziwirizi zimalumikizana, zimakumana pakati, ndipo zimagwedezeka. Kugwedezeka kumeneko ndiko kumabweretsa mawu athu. Mofananamo, tikameza chinthu, kutsuka pakhosi pathu, kapena kutsokomola, mawu awa amalumikizana ndikutseka kuti zinthuzo zisalowe mu mphuno.

Choncho, chomwe chimachitikira munthu amene ali ndi VCD n’chakuti akamayesa kupuma, mawu amatseka molakwika panthawi yomwe ayenera kutsegulidwa. Ndicho chifukwa chake zinthu monga kupuma movutikira komanso kusanza zimachitika. Kwa anthu ena, izi zimatha kuchitika pafupipafupi komanso moopsa. Panthawiyo, zimakhala ngati kupuma kovuta kwambiri.

Kodi zizindikiro za vutoli ndi ziti?

Ngati muli ndi vuto la kusagwira bwino ntchito kwa mawu (VCD), mungamve ngati pali chotupa pakhosi panu (ngati pali chotupa pakhosi ) kapena ngati pali chotupa pakhosi panu. Pali zizindikiro zina zingapo, onani ngati izi zikumveka bwino kwa inu:

• Kuvuta kupuma: Ichi ndiye chizindikiro chachikulu komanso choopsa kwambiri. Zimakhala ngati mukupuma movutikira, ngati kuti simungathe kupuma pakhosi panu.
• Kumva ngati mukufuna kutsuka pakhosi nthawi zonse , ngati kuti chinachake chatsekedwa pakhosi panu.
• Kumva chizungulire kapena mutu wopepuka (mutu wopepuka).
• Kumva ngati mukudzimbidwa kapena kutsekeka.
• Phokoso limachokera pakhosi mukamapuma (stridor kapena kupuma mokweza pamene mukupuma). Lingamveke ngati phokoso lolira.
• Kumva kuwawa m'manja ndi m'mapazi.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Akatswiri sakudziwa bwino chomwe chimayambitsa izi. Koma amakhulupirira kuti pakhoza kukhala zifukwa zingapo. Zinthu zomwe zingayambitse, kapena kuyambitsa, kapena kuipitsa vutoli zitha kugawidwa m'magulu angapo:

• Kutsekeka kwa m'mero ​​komwe kumachitika chifukwa cha kuchita masewera olimbitsa thupi (EILO): Izi, monga momwe dzinalo likusonyezera, ndi vuto lomwe limachitika panthawi yochita masewera olimbitsa thupi. Limafala kwambiri pakati pa othamanga achinyamata . Mwachitsanzo, taganizirani, mukamasewera masewera a kusukulu, kuthamanga, kapena kulumpha, mwadzidzidzi mumavutika kupuma.
• Matenda ena: Matenda ena angayambitsenso chiopsezo cha VCD. Mwachitsanzo:
• Mphumu
• Matenda a Gastroesophageal Reflux Disease (GERD) (Timatcha kuti acid reflux, kutentha pamtima, ndicho chimene chili)
• Matenda opatsirana m'mapapo (monga chimfine, matenda a pakhosi)
• Matenda amisala: Matenda ena amisala amathanso kuipitsa VCD. Zinthu monga kupsinjika maganizo ndi nkhawa zomwe zimachitika chifukwa cha izi zimatha kusokoneza magwiridwe antchito a mawu. Mwachitsanzo:
• Matenda Odetsa Nkhawa Ofala
• Matenda a Kuvutika Maganizo
• Matenda a Obsessive-Compulsive Personality (OCPD)
• Matenda Ovutika Maganizo Pambuyo pa Zoopsa (PTSD)
• Zinthu zokwiyitsa zomwe mumapuma: Nthawi zina izi zimatha kuchitika chifukwa cha zinthu zomwe timapuma. Izi zitha kukhala 'choyambitsa', kapena cholimbikitsa, cha mawu athu. Nazi zitsanzo zingapo:
• Mphepo yozizira kwambiri komanso youma.
• Mpweya woipa, monga ammonia kapena bleach.
• Mankhwala oyeretsera nyumba ndi zimbudzi.
• Fungo lamphamvu kapena zonunkhira, utsi wa zofukiza.
• Utsi, kutanthauza kuti, si utsi wa ndudu wokha, komanso utsi wochokera ku zitofu zamatabwa, utsi wa galimoto, ndi mitundu ina ya moto.

Kodi madokotala amazindikira bwanji vutoli?

Ndipotu, vutoli likhoza kukhala lovuta pang'ono kuti madokotala alizindikire nthawi yomweyo, chifukwa zizindikiro zake zimatha kufanana ndi matenda ena opumira, monga mphumu. Kafukufuku wina wasonyeza kuti madokotala nthawi zina amalakwitsa vuto la kusagwira bwino ntchito kwa mawu (VCD) ndi mphumu kapena croup (matenda opumira omwe amakhudza ana aang'ono).

Choncho, kuti adziwe bwino izi, dokotala nthawi zambiri amachita zinthu izi:

1. Kuyezetsa thupi kumachitika.

2. Funsani za mbiri yanu yonse ya matenda (matenda omwe mudadwalapo kale, mankhwala omwe mumamwa, ngati pali aliyense m'banja mwanu amene adakumanapo ndi matenda ofanana, ndi zina zotero).

3. Funsani za zochita kapena zochitika zomwe mudakumana nazo musanayambe kupuma movutikira (monga, kodi mudachita masewera olimbitsa thupi? Kodi mudamva fungo linalake?).

Kuphatikiza apo, mayeso awa akhoza kuchitidwanso:

• Laryngoscopy: Iyi nthawi zambiri ndiyo mayeso ofunikira kwambiri. Izi zimaphatikizapo dokotala kuyika kamera kakang'ono pa chubu chopyapyala, chosinthasintha m'mphuno mwanu kapena pakhosi panu kuti ayang'ane ma vocal cords anu. Musadandaule, adzaonetsetsa kuti muli bwino akamachita izi (angakupatseni mankhwala pang'ono kuti pakhosi panu pakhale dzanzi). Izi zidzawathandiza kuona momwe ma vocal cords anu amatsegukira ndi kutseka mukapuma ndi kulankhula. Nthawi zina, pamene dokotala akuyang'ana pakhosi panu, angachitenso china chake chomwe chingayambitse VCD (mwachitsanzo, angakufunseni kuti mununkhize fungo linalake kapena kupuma mofulumira). Izi zimatchedwa mayeso oyambitsa . Izi zidzawathandiza kuona zomwe zimachitika ndi ma vocal cords anu mukavutika kupuma.
• Mayeso a ntchito ya m'mapapo ndi spirometry: Mu mayeso awa, mumapemphedwa kuti mupume mpweya wolowa ndi kutuluka mu chipangizo chotchedwa spirometer . Izi zimayesa kuchuluka kwa mpweya womwe mungapume ndi kutulutsa, komanso kuchuluka kwa mpweya womwe mungapume mofulumira. Dokotala wanu adzachita mayesowa kuti atsimikizire matenda ena, monga mphumu. Nthawi zina, kusintha kwa kayendedwe ka mpweya (kayendedwe ka mpweya wolowa ndi mpweya) kuchokera mu mayesowa kungasonyeze kuti muli ndi VCD. Koma chofunika kukumbukira ndichakuti mayeso a ntchito ya m'mapapo awa okha sangadziwe ngati muli ndi VCD. Ndi chitsogozo chabe.

Kodi mankhwala ochizira izi ndi otani?

Njira zochiritsira zingasiyane malinga ndi vuto lanu, kuphatikizapo zinthu zomwe zimayambitsa kupuma movutikira, kuchuluka kwa momwe zimachitikira, komanso kuchuluka kwa zizindikiro zanu (zochepa, zochepa, kapena zoopsa). Mankhwala ofala kwambiri a vuto la kusagwira bwino ntchito kwa mawu (VCD) ndi awa:

• Chithandizo chobwezeretsa kupuma: Ichi ndi chithandizo chofunikira kwambiri komanso chothandiza . Akatswiri odziwa bwino za kulankhula amakuphunzitsani masewera olimbitsa thupi opumira. Masewera olimbitsa thupi awa amakuthandizani kulamulira kupuma kwanu mukakhala ndi VCD. Amakuphunzitsani momwe mungamasulire mawu anu ndikusintha kachitidwe kanu kopumira. Mwachitsanzo:
• Kupuma ndi milomo yothina: Kutulutsa mpweya ndi milomo yothina, ngati kuti mukuimba mluzu. Izi zimathandiza kuti njira zopumira zikhale zotseguka.
• Kupuma mozungulira m'mimba: Timatcha kupuma m'mimba, komwe ndi kupuma mozama komanso modekha.

Nthawi zina, kupuma pang'ono kokha kungachepetse zizindikiro kwambiri. Ngati muphunzira bwino, mutha kuwongolera vutoli nokha.

• Kuchiza matenda oyambitsa matenda: Mwachitsanzo, ngati muli ndi matenda osatha monga GERD (gastroesophageal reflux disease) , ndikofunikira kuwachiza bwino. Asidi wa m'mimba angapangitse kuti mawu anu atupe komanso akhale omasuka akabwerera m'khosi mwanu. Madokotala amalangizanso kuwongolera ndi kuchiza chimfine ndi matenda ena omwe angayambitse zizindikiro za VCD. Ngati kupsinjika maganizo kapena nkhawa ndi zinthu zomwe zimayambitsa vutoli, ndikofunikiranso kufunafuna upangiri kapena chithandizo cha matendawa.

Kodi vutoli lingachiritsidwe kwathunthu?

Ayi, palibe mankhwala a izi pakadali pano . Koma musadandaule. Ndi vuto lomwe lingathe kuthetsedwa. Madokotala angakuthandizeni kupeza zomwe zimayambitsa vuto la mawu (VCD). Angakulimbikitseninso chithandizo, makamaka masewera olimbitsa thupi opumira, kuti akuthandizeni kuthana ndi vuto lanu lopuma movutikira. Kenako mutha kukhala moyo wabwinobwino popanda kumva kuti muli ndi vuto lopuma movutikira.

Kodi izi zingalepheretsedwe bwanji kuti zisachitike?

Njira yokhayo yochepetsera kuvutika kupuma kumeneku ndi kupewa ndikuwongolera zomwe zimayambitsa mavuto ndi zovuta zomwe zimapangitsa kuti muvutike kupuma.

• Tangoganizirani, ngati mukudziwa kuti mudzakhala ndi zizindikiro izi mukakumana ndi mankhwala enaake kuntchito kwanu, mutha kuchepetsa chiopsezocho pogwiritsa ntchito zida zodzitetezera.
• Ngati mukudziwa kuti zinthu monga mafuta onunkhira amphamvu ndi utsi ndi zoipa kwa inu, yesetsani kuzipewa.
• Ngati muli ndi vuto ngati la GERD, imwani zakudya zoyenera komanso mankhwala.
• Ngati izi zitachitika mukuchita masewera olimbitsa thupi, zinthu monga kutentha thupi musanayambe komanso kuziziritsa thupi mutatha kuchita masewera olimbitsa thupi zingathandize. Komanso, lankhulani ndi dokotala wanu za masewera olimbitsa thupi omwe ali oyenera kwa inu.

Kodi vuto la mawu limeneli likuika moyo pachiswe?

Ndipotu, vuto la VCD likachitika , limakhala loopsa kwambiri. Ndi vuto loopsa komanso losokoneza. Koma kwenikweni si vuto loopsa kwambiri. Chifukwa chakuti mawu amatsekeka kwathunthu ndipo simungathe kupuma, simudzapita kulikonse. Komabe, ngati mukuvutika kupuma kwambiri, muyenera kupita ku dipatimenti yothandiza anthu mwadzidzidzi. Mayeso omwe amachitika kumeneko nthawi zambiri amasonyeza kuti thupi lanu likupeza mpweya wofunikira, ngakhale simukudziwa.

Zofunika:Ngati mukuvutika kupuma kwambiri, zingakhale zovuta kudziwa nokha ngati ndi VCD kapena china chake. Ikhozanso kukhala vuto lalikulu, monga mphumu. Chifukwa chake ndi bwino kufunsa upangiri wa dokotala nthawi yomweyo.

Kodi ndimadzisamalira bwanji?

Ndikofunikira kwambiri kuti mukambirane za vuto la mawu (ILO/VCD) ndi gulu la madokotala omwe ali ndi luso (katswiri wa ENT, katswiri wolankhula). Kenako mutha kumvetsetsa bwino zomwe zikukuchitikirani komanso zomwe mungachite mukakhala ndi vuto la kupuma motere (monga masewera olimbitsa thupi opumira). Adzapanga dongosolo loyang'anira lomwe likugwirizana ndi inu nokha.

Ndiyenera kupita kwa dokotala liti?

Ngati mwachita masewera olimbitsa thupi opumira bwino, mwathetsa mavuto aliwonse omwe amabwera chifukwa cha matendawa (monga GERD), ndipo mwapewa zinthu zomwe zimayambitsa vutoli, koma muli ndi zizindikiro, onetsetsani kuti mwaonana ndi dokotala wanu. Chithandizo chanu chingafunike kusinthidwa kapena mayeso ena angafunike.

Ngati muli ndi vuto la kupuma lomwe silikuchepa pazifukwa zilizonse, ngati likugwirizana ndi kupweteka pachifuwa, ngati milomo yanu ikusintha kukhala yabuluu, kapena ngati mukumva ngati mukutaya chikumbumtima, imbani nthawi yomweyo ku Suwaseriya Ambulance Service ya 1990 kapena pitani ku dipatimenti yapafupi yothandiza anthu odwala mwadzidzidzi.

Zoyenera kukumbukira kuchokera pa zomwe takambirana (Uthenga Wopita Nawo Kunyumba)

Tonsefe nthawi zina timavutika kupuma. Taganizirani izi, mukamachita masewera olimbitsa thupi molimbika, mukuthamanga pa basi, kapena pamene chinachake chikukuvutitsani. Koma ngati muli ndi vuto la mawu (VCD), kapena vuto la m'mero ​​(ILO), mungakhale ndi vuto lopuma popanda chifukwa chomveka.

Ngakhale kuti VCD siiopseza moyo, ingakhale nkhani yovuta komanso yoopsa kwambiri. Chifukwa chake, sikoyenera kuinyalanyaza. Ngakhale madokotala sangathe kuchiza vutoli kwathunthu, angakuthandizeni kudziwa zomwe zimayambitsa vutoli. Angakuphunzitseninso njira zochizira, makamaka masewera olimbitsa thupi opumira, omwe angakuthandizeni kuwongolera kupuma kwanu kofooka mukakumana ndi vutoli. Chifukwa chake, ngati muli ndi zizindikirozi, ndibwino kuti musachite mantha kapena kuchita manyazi ndikupempha upangiri kwa dokotala. Pali anthu omwe angakuthandizeni ndikukutsogolerani kuti mukhale ndi moyo wabwino ndi vutoli.

Kulephera kugwira ntchito kwa chingwe cha mawu , Kutsekeka kwa m'mero ​​kosalekeza, Kuvutika kupuma, Kutsekeka kwa pakhosi, Kholingo, Laryngoscopy