Ese ijwi ryawe ryatangiye gushotora? Ibi bishobora kuba biterwa na Reinke's Edema!

Ese muri iyi minsi wabonye impinduka mu ijwi ryawe, ijwi rituje? Wenda umuhogo wawe wumva unaniwe iyo uvuga, cyangwa ijwi ryawe rikuremera gato? Icyo gihe ni ikintu gishobora kuba ingenzi kuri wewe. Ni ngombwa cyane kumenya iki kibazo, kuko hari ingeso zimwe na zimwe zishobora kukitera.

Indwara ya Reinke ni iki?

Muri make, Reinke's Edema ni ukubyimba kw'amajwi yawe, ibice bibiri by'umuhogo wawe bihinda iyo uvuga. Hari n'abantu babyita 'Polypoid Corditis'. Mu by'ukuri, uku kubyimba kubaho iyo agahu kari hejuru y'amajwi yuzuye ubwoko bw'amazi. Bikunze kugaragara ku bantu banywa itabi igihe kirekire . Ariko, bishobora no guterwa no gukomeza kubyimba aside yo mu gifu (acid reflux) cyangwa gukoresha ijwi buri gihe mu buryo bwangiza ijwi, ni ukuvuga gushyira imbaraga mu ijwi (vocal trauma) .

Uku kubyimba k'umutsi w'ijwi si indwara iteje akaga nka kanseri, bivuze ko ari indwara 'itagira ingaruka nziza' . Ariko, bigaragaza ko imitsi y'ijwi yawe yangiritse. Uku kubyimba gushobora kugaragara ku ruhande rumwe rw'umuhogo cyangwa ku mpande zombi. Ibi bishobora gutuma ijwi riva cyane, kandi rimwe na rimwe ijwi rishobora kuba rinini cyane. Mu bihe bikomeye, uku kubyimba gushobora no kuziba inzira z'ubuhumekero, bigatera kugorwa no guhumeka .

Ubusanzwe indwara ya Reinke yo kwishima ntabwo iba ikomeye cyane, kandi si ko buri gihe isaba kuvurwa. Ariko, ni ngombwa kwibuka ko impinduka mu ijwi ryawe zishobora kudahinduka hatabayeho kureka kunywa itabi cyangwa kubagwa . Niba ufite impinduka zidashimishije mu ijwi ryawe, gana muganga w’amaso. Bashobora kugufasha.

Iki kibazo gikunze kugaragara gute?

Kubyimba kwa Reinke mu by’ukuri ni indwara idakunze kugaragara cyane . Ifata munsi ya 1% by’abaturage muri rusange. Ikunze kugaragara cyane cyane ku bantu barengeje imyaka 50 n’abanywa itabi.

Ubushakashatsi bwerekana ko abagore bafite amahirwe menshi yo kurwara indwara ya Reinke's edema. Ariko impamvu y'ibi ishobora kuba ari uko abagore bashobora kubona ibimenyetso by'ijwi ryimbitse. Kubera ko umuntu ufite ijwi ryimbitse ashobora kutabona impinduka ntoya nk'izo. Icyo gihe ntibashaka ubuvuzi.

Ibimenyetso ni ibihe?

Ibimenyetso by'indwara yo kubyimba kwa Reinke birimo:

• Impinduka mu bwiza bw'ijwi cyangwa ijwi.
• Ijwi rigenda ryiyongera buhoro buhoro.
• Ijwi rituje cyangwa rinini.

Abantu bafite ikibazo cyo kubyimba kwa Reinke bakunze kumva bananiwe kurusha uko bisanzwe iyo bakoresha ijwi ryabo. Ijwi rishobora kumva rinaniwe cyane kandi riremereye.

Ibimenyetso bidakunze kugaragara

Ibi ntibikunze kugaragara gake cyane:

• Kugorwa no kuvuga buhoro buhoro.
• Kumva utameze neza cyangwa ubabara iyo uvuga cyangwa uririmba.
• Kudashobora kuvuga cyangwa kuririmba cyane.
• Kubabara ijosi cyangwa kugorama.
• Kugorwa no guhumeka (Dyspnea).
• Urusaku iyo uhumeka (Stridor).

Ni iki gitera kubyimba kwa Reinke?

Impamvu nyamukuru itera uku kubyimba kw'imitsi y'ijwi ni ukunywa itabi igihe kirekire . Iyo ni yo mpamvu ya mbere itera.

Izindi mpamvu zishobora kwitwa:

• Kugaruka kwa aside mu mubiri (GERD/Aside Reflux).
• Kugaruka kwa aside mu maraso (Laryngopharyngeal Reflux - LPR).
• Kumara igihe kirekire uhuye n'ibintu nk'ibinyabutabire.
• Gukoresha ijwi cyane cyangwa kwangiza imitsi y'ijwi (urugero, kuvuga cyane, kuririmba, cyangwa ikindi kintu cyose kibangamira imitsi y'ijwi). Tekereza nawe, hari abarimu, abarimu, cyangwa abantu bahora basakuza. Bashobora kandi kuba bari mu kaga. Umuturanyi wacu, Nimal, akora mu iduka ricuruza induru umunsi wose, kandi hejuru y'ibyo, hari n'igihe aba afite itabi mu kanwa. Aherutse kandi kugira ijwi rituje.

Abaganga babibona bate?

Iyo ugiye kwa muganga w’amaso, abanza gusuzuma umutwe wawe n’ijosi ryawe. Hanyuma azakora ikizamini cyitwa laryngoscopy kugira ngo arebe neza imitsi y’ijwi ryawe. Muri iki kizamini, muganga azibanda cyane kuri ibi bikurikira:

• Indege.
• Umunwa.
• Umuhogo.
• Indwara ya tiroyide.

Mu gihe cyo gusura kwawe, muganga wawe azakusanya amakuru arambuye ku bimenyetso byawe n'amateka y'ubuzima bwawe. Ushobora kubazwa ibibazo nk'ibi:

• Ni ryari wabonye impinduka mu ijwi ryawe bwa mbere?
• Ni ibihe bimenyetso bindi ufite?
• Ni gute ibi bimenyetso bigira ingaruka ku buzima bwawe bwa buri munsi?
• Ni izihe ndwara ufite cyangwa wigeze ugira mbere?
• Unywa itabi? Niba ari byo, unywa itabi ringana iki?
• Ese unywa inzoga? Niba ari byo, ni zingahe?
• Ese wigeze ufatwa n'aside yo mu gifu?
• Ni iyihe miti ukoresha?
• Ese wigeze ubaga?
• Ese wigeze uhabwa ubuvuzi bushingiye ku maraso?

Ibizamini byakozwe

Laryngoscopy yemerera muganga kureba neza imitsi y'ijwi ryawe.Ikizamini kirakoreshwa. Niba ufite Reinke's edema, ushobora kubona ahantu habyimbye cyangwa ibimera bisa na polyp ku mitsi y'ijwi ryawe bisa n'imizabibu mito cyangwa utubumbe tw'amazi.

Nanone, hazakorwa isesengura ry'ijwi kugira ngo hasuzumwe imiterere itandukanye y'ijwi ryawe, nko gupima ijwi, ubwiza bwaryo, n'ingano y'umwuka uhumeka. Muri iri sesengura, bazasuzuma aho ijwi ryawe rihagarara maze bagusabe kuvugana na mikoro, mu gihe ijwi ryawe rifatwa amajwi.

Mu ndwara ya Reinke, imitsi y'ijwi ishobora kubyimba nk'amabara abiri yuzuye amazi. Tekereza, ni byo bituma ijwi rirushaho gukara.

Ivurwa ite?

Intego nyamukuru yo kuvura indwara ya Reinke ni ukugarura cyangwa kunoza imikorere y'ijwi . Ubuvuzi buterwa n'icyateye iyi ndwara. Ubusanzwe abaganga batangirana n'ubuvuzi butarimo kubaga, nko kureka kunywa itabi.

Ubuvuzi butarimo kubagwa

Kugira ngo ukize indwara ya Reinke, ugomba kubanza kuvura impamvu . Kugira ngo ubigereho, muganga wawe ashobora kukugira inama ikurikira:

• Kureka kunywa itabi: Niba uri umunywi w'itabi, intambwe ya mbere ni ukureka. Mu bihe bimwe na bimwe byoroheje, ibi byonyine bishobora kugabanya kubyimba kw'imitsi y'ijwi ryawe.
• Imiti ya GERD na LPR: Niba ufite aside yo mu gifu, muganga wawe ashobora kukwandikira imiti nka H2 blockers cyangwa proton pump inhibitors. Bashobora kandi kukugira inama yo guhindura imirire kugira ngo bagabanye aside.
• Ubuvuzi bw'Ijwi: Ubuvuzi bw'imvugo, bukorwa n'inzobere mu by'indwara z'imvugo (SLP), bushobora gufasha kongera imikorere y'imitsi y'ijwi no kuyifasha gukira. Abaganga bakoresha ubu buvuzi hamwe n'ubuvuzi butari ubwo kubaga n'ubwo kubaga.

Ubuvuzi bwo kubaga

Niba uburyo bwo kuvura butari ubwo kubaga budatuma ibimenyetso byawe birushaho kuba byiza, muganga wawe azakubwira intambwe zikurikiraho. Izi ntambwe zishobora kuba zirimo:

• Microlaryngoscopy: Umuganga ubaga akoresha ibikoresho byiza cyane kugira ngo akureho ingirangingo zibyimbye mu gihe areba imitsi y'ijwi ryawe akoresheje mikorosikopi.
• Ubuvuzi bwa Laser: Umuganga ubaga akoresha ingufu z'urumuri rwa laser kugira ngo akureho cyangwa agabanye ingano y'imitsi y'ijwi.

Nyuma yo kubagwa, ni ngombwa cyane kwirinda ibintu byateye Reinke kubyimba . Byaba ari ugukomeza kunywa itabi cyangwa kutavura aside yo mu gifu, kubyimba gushobora kugaruka nyuma yo kubagwa - rimwe na rimwe ndetse no mu byumweru bike!

Bifata igihe kingana iki kugira ngo umuntu akire?

Nyuma y'uko Reinke abazwe kubera kubyimba,Bifata ibyumweru bine kugeza kuri bitandatu kugira ngo uruhuke neza. Muganga wawe ashobora kandi kukugira inama yo kuruhuka mu ijwi ryose mu minsi itanu kugeza kuri irindwi. Ibi bizaha imitsi y'ijwi ryawe umwanya wo gukira mbere yuko wongera kuyikoresha.

Ni iki twatekereza kuri iki kibazo? (Icyizere)

Abantu bafite indwara ya Reinke edema bashobora kwitega gukira neza . Nubwo kubyimba umugozi w'ijwi bishobora gutera ibimenyetso bibi, akenshi ntabwo ari bibi . Kandi iyo wirinze ibintu bishobora gutera ibyago, iyo ndwara ntabwo ishobora kongera kugaruka.

Ese indwara ya Reinke yo kwishima ishobora kwirindwa?

Yego, akenshi, kubyimba kwa Reinke bishobora kwirindwa wirinde ibintu bishobora gutera ibyago . Niba unywa itabi, kurireka bishobora kugabanya cyane ibyago byo kubyimba ijwi . Niba ufite ibimenyetso byo kubyimba aside, vugana na muganga wawe ku miti ishobora kugufasha. Niba ukoresha ijwi ryawe kenshi, fata ingamba zo kwirinda kurikoresha cyane. Urugero, niba uri umuririmbyi, umwarimu, cyangwa umuntu ukora umwuga usaba kuvuga kenshi, ushobora kugabanya ibyago byawe ufata ikiruhuko no kunywa amazi menshi.

Ni ryari ukwiye kujya kwa muganga?

Hari igihe kubyimba k'imitsi yo mu bwoko bwa Reinke bishobora kugabanya inzira z'ubuhumekero no kugorana guhumeka . Niba ubonye kimwe muri ibi bimenyetso, bwira muganga wawe ako kanya . Niba ubonye impinduka mu ijwi ryawe zimara ibyumweru birenga bine, ugomba kubonana n'inzobere mu matwi, amazuru, no mu muhogo (otolaryngologist) ushobora gusuzuma imitsi yawe y'ijwi mu buryo butaziguye.

Kubyimba kw'imitsi y'ijwi ubusanzwe ntabwo bigira ingaruka zikomeye ku buzima bwawe. Ariko, bishobora guteza impinduka zikomeye mu ijwi ryawe. Bishobora gutera isoni no gutera isoni kuri bamwe. Kubagwa bishobora gufasha. Ariko, kugira ngo wirinde ko ibimenyetso bigaruka, ugomba kwirinda ibintu bishobora gutera ibyago nko kunywa itabi no gukoresha ijwi ryawe cyane. Baza muganga wawe uburyo bwo kuvura.

Ingingo ngufi zo kwibuka

Sawa, rero, uhereye ku byo twavuze kuri Reinke's Edema, ibuka ibi bintu:

• Impamvu nyamukuru ni ukunywa itabi: Iyi akenshi ni yo mpamvu nyamukuru.
• Ijwi rituje ni ikintu cy'ingenzi: ijwi rishobora no kuba rinini.
• Si kanseri: ahubwo igaragaza kwangirika kw'imitsi y'ijwi.
• Kureka kunywa itabi ni ingenzi cyane: Ibi ni ingenzi cyane kugira ngo ubuvuzi bugire icyo bugeraho.
• Shaka inama kwa muganga: Niba ijwi rikomeje guhinduka, menya neza ko wagiye kwa muganga.
• Ishobora kwirindwa: Ibi bishobora kwirindwa wirinda kunywa itabi kandi ukirinda ijwi ryawe.

Rero, fata neza ijwi ryawe. Kuko naryo ni kimwe mu bigize ubuzima bwawe! Urabyumva?

Kubyimba kwa Reinke, guhindura ijwi, ijwi rituje, kubyimba kw'imitsi y'ijwi, kunywa itabi, kubabara mu muhogo