Ese wigeze wibaza uburyo ijwi ryawe rikugeraho? Iri jwi rituruka he iyo dutaka, turirimba, cyangwa tuvugana buhoro n'inshuti? Kandi se uwo mwuka ugera mu bihaha gute iyo duhumeka? Hari urugingo ruto ariko rufite akamaro cyane mu ijosi ryacu rushinzwe ibi byose. Uyu munsi turimo kuvuga ku gahu, ari na ko kari mu ntwari z'uburyo bwacu bwo guhumeka.
Indabyo zo mu nda ni iki? Iherereye he?
Mu magambo make, larynx ni kimwe mu bigize uburyo bwacu bwo guhumeka. Imeze nk'umuyoboro w'ubuhumekero. Ifite uburebure bwa santimetero 4-5 n'ubugari. Ni yo ituma umwuka unyura mu muhogo wawe (mu kibuno) unyuze mu muhogo wawe (mu muhogo) ukagera mu bihaha byawe. Si ibyo gusa, ahubwo ni na larynx igufasha kuvuga amajwi no kuvuga. Niyo mpamvu yitwa kandi 'agasanduku k'ijwi' nkuko twese tubizi.
Ijosi ryawe riri hagati mu ijosi ryawe, hejuru gato y'umuhogo wawe n'umuyoboro w'amaraso. Ariko igitangaje ni uko aho riherereye hahinduka gato mu buzima bwacu bwose. Tekereza, kuva tuvuka kugeza ku myaka ibiri, ijosi riba riri hejuru gato mu ijosi ryawe. Uko igihe kigenda gihita, rigenda rimanuka buhoro buhoro rigahagarara hagati mu ijosi ryawe.
Ibice by'umuhogo n'imikorere yabyo
Indwara yacu yo mu nda igabanyijemo ibice bitatu by'ingenzi:
- Igice cyo hejuru (supraglottis)
- Igice cyo hagati (glottis)
- Igice cyo hasi (subglottis)
Ibi bice bitatu birimo ibintu bitandukanye nka karitsiye, imitsi, imitsi n'uturemangingo. Ariko, imitsi y'ijwi, ari yo ikenewe cyane ku ijwi ryacu, iherereye gusa mu gice cyo hagati, cyitwa glottis.
- Cartilage: Nk'uko inkuta z'inzu ziyiha ishusho n'imiterere, ni nako agace k'imikaya gahabwa ishusho n'imbaraga byako na cartilage.
- Imitsi: Iyi mitsi ifasha cyane mu kwimura umwotsi iyo turimo kumira ibiryo, ikadufasha guhumeka no gutanga ijwi.
- Imitsi: Imitsi ihuza imitsi kandi igahuza imitsi yo mu bwonko n'inyubako ziyikikije nka hyoid igufwa na trachea.
- Uturemangingo: Ibi bifasha kugumana agahu gakomeye mu mwanya wako.
Ni izihe ndwara n'ibibazo bigira ingaruka ku maraso?
Kuva ku ndwara zikomeye nka kanseri kugeza ku gukoresha ijwi ryawe cyane, hari ibintu byinshi bishobora kugira ingaruka ku maraso yacu. Reka turebe zimwe mu ndwara zikunze kugaragara.
| Imiterere | Mu magambo make ... |
|---|---|
| Laryngitis ikabije | Indwara y'igihe gito iterwa no kunanirwa kw'imitsi y'ijwi bitewe n'ubwandu cyangwa gukoresha ijwi cyane, nko gusakuza. |
| Laryngitis idakira | Laryngitis imara ibyumweru birenga bitatu. Ibi bishobora guterwa no kunywa itabi, allergie, no kurwara aside reflux. |
| Kanseri yo mu mara | Ukwiyongera kw'uturemangingo twa kanseri mu gice icyo ari cyo cyose cy'umuhogo. |
| Ihungabana cyangwa Ikomere | Indwara y'umuhogo ishobora kwangirika iyo umuntu avuze, ataka cyangwa aririmba igihe kirekire. Ishobora kandi gukomeretswa no gukubitwa mu ijosi. |
| Kudakora neza kw'imitsi y'ijwi | Imitsi y'ijwi ishobora kudakora neza, nko gufunga nabi iyo umuntu ahumeka. |
| Ibisebe by'umugozi w'ijwi | Gukoresha ijwi cyane bishobora gutera utubyimba tutari kanseri, polyps, cyangwa utubyimba twuzuye amazi ku mitsi y'ijwi. |
| Ubumuga bw'umutsi w'ijwi | Umugozi umwe cyangwa yombi utuma ijwi ritagenda neza. |
Ni ibihe bimenyetso bisanzwe by'ibi bibazo?
Hariho ibimenyetso byinshi bikunze kugaragara iyo hari ikibazo ku muhogo.
- Kubabara mu muhogo cyangwa inkorora
- Ihindagurika ry'ijwi, cyane cyane ijwi rituje
- Kumva ububabare cyangwa ubundi buryo bwo kubabara iyo uri kumira ikintu
Icy'ingenzi cyane: Niba ufite ibi bimenyetso mu gihe kirenze ibyumweru bibiri, nyamuneka reba muganga wawe vuba. Ni ingenzi cyane.
Ibizamini byo gusuzuma ibibazo byo mu maraso
Bitewe n'ibimenyetso byawe, muganga wawe ashobora gutegeka ibipimo bitandukanye. Dore bimwe muri byo.
| Ikizamini | Ibi bikora iki? |
|---|---|
| Gupima umuhogo/gupima amaraso | Gusuzuma indwara zandura. |
| Ibizamini byo gushushanya | Kubona amashusho arambuye y'imikaya n'uturemangingo tubikikije binyuze mu bizamini nka MRI, CT scan, cyangwa PET scan. |
| Videwostroboscopy | Gusuzuma uburyo imitsi y'ijwi ikora iyo irimo gutigita hakoreshejwe kamera yihariye. |
| Gupima imitsi yo mu bwonko (laryngoscopy) | Gusuzuma larynx ukoresheje umuyoboro muto ufite kamera ntoya mu muhogo. |
| Isuzuma ry'ibinyabuzima | Gufata agace gato k'urugingo mu gace gakekwaho ikibazo no kugasuzuma hifashishijwe mikorosikopi kugira ngo wemeze niba hari uturemangingo twa kanseri. |
Ni ubuhe buryo bwo kuvura indwara zo mu ruhu?
Uburyo bwo kuvura buratandukanye bitewe n'ikibazo. Dore ibisobanuro byoroshye.
| Indwara | Uburyo bwo kuvura |
|---|---|
| Laryngitis | |
| Ku ndwara zandurira mu mubiri | Antibiyotike cyangwa imiti irwanya udukoko. |
| Kanseri yo mu mara | |
| Ku bijyanye na kanseri | Ubuvuzi bushingiye ku mirasire, imiti ivura indwara ziterwa n'imitsi, ubutabazi bw'umubiri, uburyo bwo kuvura hifashishijwe ikoranabuhanga, cyangwa uburyo bwo gukata imitsi. |
| Kudakora neza kw'imitsi y'ijwi | |
| Kugira ngo wongere imikorere | Imyitozo ngororamubiri yo guhumeka, kuvurwa mu mivugire, imyuka ya Heliox. Mu bihe bimwe na bimwe bikomeye, tracheostomy ishobora kuba ngombwa. |
| Ibisebe by'umugozi w'ijwi | |
| Kugira ngo bakureho ibibyimba no kubikumira ngo bitagaruka | Ubuvuzi bw'ijwi, guhindura imibereho, cyangwa kubagwa. |
| Ubumuga bw'umutsi w'ijwi | |
| Kugira ngo wongere ijwi n'umwuka uhumeke | Ubuvuzi bw'amajwi, gutera imitsi mu mitsi y'ijwi, kubagwa kugira ngo umuntu ashyiremo agashinge mu maraso, cyangwa gupima tracheostomy iyo habayeho ikibazo cyo guhumeka. |
Nakora iki kugira ngo amenyo yanjye akomeze kugira ubuzima bwiza?
Hari ibintu byinshi byoroshye ushobora gukora kugira ngo wite ku ijwi ryawe no ku nda yawe.
- Gabanya ibyago byo kurwara kanseri: Irinde burundu ibikomoka ku itabi n'itabi. Gabanya inzoga unywa. Ibi ni byo bintu by'ingenzi bishobora gutera kanseri yo mu mara.
- Gabanya ibyago byo kurwara laryngitis: Karaba intoki zawe kenshi kugira ngo wirinde indwara zo mu myanya y'ubuhumekero, wirinde abarwayi, kandi unywe amazi menshi kugira ngo wirinde ko umuhogo wumuka.
- Rinda imitsi y'ijwi ryawe: Ntugakore kugabanya ijwi ryawe. Irinde gusakuza cyangwa kuvuga igihe kirekire. Imiti imwe n'imwe itera ibicurane n'ubwivumbure ishobora kumisha imitsi y'ijwi ryawe. Rero witondere niba ukoresha iyo miti. Ariko ibuka ko niba ari umuti wanditswe na muganga wawe, ugomba kumubaza mbere yo kuwuhagarika.
Ese birashoboka kuvuga udafite agahu k'umuhogo?
Yego, birashoboka. Ariko bisaba kwiga uburyo bushya. Urugero, bamwe mu bantu bakorewe isuku yo mu muhogo bakoresha igikoresho cy’ubukorano cyitwa electrolarynx. Kibakanda ku muhogo kugira ngo kibafashe kuvuga neza.
Hanyuma, agahu k'imikaya ni igice gitangaje cy'uburyo bwacu bwo guhumeka bukora buri gihe. Tugomba kubishimira igihe cyose tuvuga, turirimba, kandi dutaka. Bidufasha kandi guhumeka bikarinda ibiryo n'ibinyobwa kwinjira mu bihaha byacu. Rero, fata neza 'agasanduku k'ijwi' kawe k'agaciro kugira ngo ugabanye ibyago byo kwandura, kanseri, no kunanirwa k'ijwi.
Ubutumwa bwo kujyana mu rugo
- Agahu k'imitsi ni urugingo rw'ingenzi rukenewe haba mu guhumeka no mu kuvuga.
- Niba ibimenyetso nko gushwanyagurika cyangwa kugorwa no kumira bikomeje mu gihe kirenga ibyumweru bibiri, ni ngombwa gushaka inama kwa muganga byihutirwa.
- Kunywa itabi no kunywa inzoga nyinshi ni ibintu bikomeye bishobora gutera kanseri y'imihogo. Ushobora kurinda imihogo yawe ubyirinda.
- Irinde gukoresha ijwi ryawe cyane kandi unywe amazi menshi kugira ngo ugire amazi meza. Ibi bizagufasha kugumana imitsi y'ijwi ryawe imeze neza.
- Buri gihe banza uganire na muganga wawe ku bimenyetso byose by'igihe kirekire.
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