Ese hari impinduka mu ijwi ryawe? Ibi bishobora guterwa no gucika intege kw'ijwi!

Ese hari igihe wumva ijwi ryawe rituje cyane, cyangwa rihinduka iyo uvuga, nk'aho ufite ibicurane? Wenda wumva ubabara mu muhogo ndetse no nyuma yo kunywa amazi make, cyangwa ukumva uhumeka nabi iyo uvuga. Ibi si ibimenyetso by'ibicurane gusa, ahubwo wenda impamvu y'ibi ni indwara yitwa Vocal Cord Paralysis, tugiye kuvugaho uyu munsi. Ntugahangayike, reka tubiganireho mu buryo bworoshye.

Kurema kw'imitsi y'ijwi ni iki?

Muri make, kudakora neza kw'ijwi ni igihe umwe cyangwa yombi mu mitsi y'ijwi yo mu muhogo wawe ikora ijwi ryawe idakora neza. Tekereza ko ari imirya ya gitari. Ariko iherereye mu gasanduku gato mu muhogo wawe kitwa larynx . Larynx iherereye hejuru y'umuhogo wawe (trachea) .

Iyo duhumeka, iyi mitsi ibiri y'ijwi iratandukana, bigatuma umwuka winjira mu bihaha. Iyo tumira ibiryo cyangwa ibyo kunywa, iyi mitsi yombi irafungana cyane, cyangwa ibiryo cyangwa ibyo kunywa bishobora gufatirwa mu muhogo. Iyo tuvuga cyangwa turirimba, iyi mitsi y'ijwi iraterana ikazunguruka uko umwuka uva mu bihaha uzunguruka, bigatuma habaho ijwi.

Rero, ikiba mu mikorere mibi y'imitsi y'ijwi ni uko iyo imitsi igenzura iyi mitsi y'ijwi yangiritse , iyo mitsi ntifunguka cyangwa ngo ifunge neza. Icyo gihe bishobora kugorana kuvuga, kumira, ndetse rimwe na rimwe no guhumeka. Urabyumva?

Ni ubuhe bwoko bw'imikorere mibi y'ijwi?

Hari ubwoko bubiri ahanini:

1. Kurema umutwe w'ijwi ugororotse: Ibi bibaho iyo umutwe umwe gusa w'ijwi uhagaze. Iyo uruhande rumwe rudakora, hashobora kubaho impinduka mu ijwi, ndetse bamwe bashobora kugira ikibazo cyo kumira. Ariko, ubusanzwe nta kibazo gikomeye cyo guhumeka kibaho.

2. Kurema kw'imitsi y'ijwi: Aha, imitsi yombi y'ijwi irarema. Iyi ni indwara ikomeye. Kuko iyo imitsi yombi y'ijwi irema, ikunze guhagarara yegeranye. Hanyuma inzira y'ubuhumekero irafungana, bigatera guhumeka nabi cyane. Ibi bishobora gushyira ubuzima mu kaga.

Wibuke ko imikorere mibi y'impande zombi ari yo ikunze kugaragara cyane. Ni gake cyane ko imitsi yombi y'ijwi idakora neza. Ariko, ubwoko bwombi bushobora kugaragara mu myaka iyo ari yo yose.

Iki kibazo gishobora kuba gikomeye gute?

Mu ndwara yo kurwara indwara y’uruhu rw’inyuma, ibimenyetso bishobora kuva ku byoroheje kugeza ku bikomeye. Urugero, bamwe bashobora kugira ikibazo cyo kuvuga. Mu bihe bikomeye cyane, bashobora kugira ikibazo cyo guhumeka nabi mu gihe bavuga. Bashobora kandi gukorora no kubabara mu muhogo iyo barya cyangwa banywa.

Mu gihe imitsi y'ijwi idakora neza, imitsi y'ijwi irafatanya igafunga inzira y'ubuhumekero, bigatuma guhumeka bigorana cyane. Binatera ingorane zo kumira. Iyo ibiryo cyangwa ibinyobwa byinjiye mu nzira y'ubuhumekero bikinjira mu bihaha, indwara ishobora guterwa n'indwara yitwa aspiration pneumonia .

Niba ufite ikibazo cyo guhumeka cyangwa kumira, hita ubonana na muganga.

Ni ibihe bimenyetso by'imikorere mibi y'ijwi?

Ibimenyetso biterwa n'urugero rw'imikorere mibi y'ijwi n'uburyo imitsi y'ijwi ihagaze ugereranije.

Ibi ni ibimenyetso bisanzwe:

• Ijwi rihinduka nk'iry'umukara, rigacika intege, rigashwaragurika, cyangwa rikagwa nk'umuyaga .
• Impinduka mu ijwi.
• Impinduka mu bunini bw'ijwi.
• Kugorwa no guhumeka (Dyspnea) cyangwa kubura ijwi.
• Gukora urusaku mu gihe uhumeka (urugero, nk'ijwi ry'umuririmbyi).
• Kugorwa no kumira (Dysphagia).
• Kunanirwa gukuraho inkorora mu muhogo.
• Kubabara mu muhogo iyo ugerageza kumira.

Ijwi ripfuye rimeze rite?

Ushobora kutagira icyo wumva ukumva mu buryo butaziguye uturutse mu mitsi y'ijwi ryawe. Ahubwo, ushobora kumva ibimenyetso biterwa n'imikorere mibi y'imitsi y'ijwi ryawe. Ushobora kumva ufite umunaniro mwinshi n'umunaniro mwinshi iyo ugerageza kwinjiza umwuka mwinshi mu bihaha byawe cyangwa gutuma ijwi ryawe ryumvikana uko ubyifuza. Ushobora kumva umuhogo wawe urimo gufunga iyo ibiryo cyangwa ibinyobwa bifashe mu muhogo wawe. Hari abantu bumva umuhogo wabo uhora wuzuyemo amacandwe kandi ntibashobore kuyakuraho.

Ese birashoboka kuvuga ufite ikibazo cy'imikorere y'ijwi?

Abantu benshi barashobora kuvuga, ariko bisaba imbaraga nyinshi. Uzabona impinduka mu ijwi ryawe. Ushobora gushyuha cyane iyo uvuga. Iyo ikibazo gikomeye, ushobora no gutakaza ijwi ryawe burundu.

Ni izihe mpamvu zitera imikorere mibi y'ijwi?

Hari impamvu nyinshi zishobora gutuma imitsi igenzura urujya n'uruza rw'imitsi y'ijwi yangirika:

• Indwara z’ubudahangarwa bw’umubiri: Indwara zibangamira itumanaho hagati y’imitsi n’imitsi, urugero , Myasthenia Gravis (MG) .
• Indwara: Indwara nka Lyme, herpes, virusi ya Epstein-Barr, na COVID-19 zishobora gutera kubyimba no kwangiza imitsi igenzura imitsi y'ijwi.
• Gukomereka: Gukomereka mu ijosi, ku mutwe no mu gituza bishobora kwangiza imitsi.
• Indwara z'imitsi: Indwara zijyanye no kwangirika cyangwa kwangirika kw'imitsi, nka sclerosis nyinshi (MS) , indwara ya Parkinson , na stroke .
• Ibintu by'uburozi:Uburozi nka lead, mercure, na arsenic bushobora kwangiza imitsi.
• Kubagwa: Kubagwa umutwe n'ijosi, nko kubagwa tiroyide , kubagwa parathyroid, kubagwa umutima, no kubagwa uruti rw'umugongo rw'inkondo y'umura, bishobora kwangiza imitsi nk'ikibazo. Gukoresha umuyoboro w'umwuka mu gihe cyo kubagwa bishobora kandi kwangiza imitsi yo mu maraso.
• Ibibyimba: Ibibyimba bibi n'ibidakomeye bishobora gukanda imitsi yo mu maraso, bigatera kwangirika. Kanseri ya tiroyide n'udusimba twa tiroyide bishobora kwangiza iyi mitsi.

Hari igihe imikorere mibi y'ijwi ishobora kubaho nyuma y'indwara y'ibicurane cyangwa indwara zo mu myanya y'ubuhumekero yo hejuru. Abaganga bashobora kutabasha kubona impamvu runaka buri gihe. Ibihe nk'ibi byitwa idiopathic cyangwa post-viral vocal dysfunction.

Ni gute abaganga basuzuma imikorere y'imitsi y'ijwi?

Abaganga b'inzobere mu ndwara z'amaso, cyane cyane abaganga b'indwara zo mu bwonko, ni bo basuzuma kandi bakavura iyi ndwara. Ubwa mbere, bazakubaza ibimenyetso byawe n'amateka yawe y'uburwayi. Kugira ngo yemeze ko wanduye, muganga wawe ashobora gutumiza ibizamini nka:

• Ubushakashatsi ku mashusho: MRI cyangwa CT scans zishobora gufata amashusho arambuye y'ubwonko, umuhogo, imitsi y'ijwi, larynx, gland ya tiroyide, n'igituza. Ibi bishobora gufasha kumenya ibintu nk'ibibyimba bishobora kwangiza imitsi yo mu maraso. Ushobora kandi gusabwa gufata X-ray y'umuhogo wawe cyangwa igituza.
• Laryngoscopy: Ibi bituma abaganga bareba neza imitsi yo mu kanwa n'amajwi. Muganga ashyiramo umuyoboro muremure kandi muto witwa laryngoscope unyuze mu mazuru no mu muhogo. Uyu muyoboro woroshye ufite kamera ku iherezo ifata amafoto y'imitsi yo mu kanwa n'amajwi. Amashusho yerekanwa kuri ecran kugira ngo muganga ayirebe.
• Videostroboscopy: Ibi bituma abaganga babona uburyo imitsi y'ijwi ryawe ihinda n'uburyo yegeranye iyo uvuga. Ubu buryo busa na laryngoscopy. Akenshi, byombi bikorwa hamwe. Videostroboscopy ikoresha kamera yihariye kugira ngo yerekane uburyo imitsi y'ijwi ryawe igenda buhoro uko ukora amajwi. Ibi bifasha muganga kubona ikibazo icyo ari cyo cyose.
• Electromyography y'imitsi yo mu kanwa (LEMG):Iki kizamini gipima uburyo imitsi yo mu maraso igenzurwa n'imitsi. Ingufu z'amashanyarazi zituruka kuri iyo mitsi zirapimwa kandi zikanafatwa.
• Ibizamini by'amaraso: Niba muganga wawe akeka ko ikibazo cy'ijwi ryawe giterwa n'ubwandu cyangwa indwara y'umubiri udashobora kwiyubaka, azagutegeka ko upimwa amaraso.

Indwara y'imitsi yo mu ijwi ivurwa ite?

Ubuvuzi buterwa n'uburemere bw'imikorere mibi y'ijwi n'ibimenyetso by'indwara yawe. Iyo imikorere mibi yoroheje, ushobora gukenera kuvurwa mu ijwi kugira ngo wongere imikorere y'imitsi y'ijwi ryawe. Muri ubu buvuzi, ukora imyitozo yihariye ikomeza imitsi y'ijwi ryawe, ikakwigisha uburyo bwo kugenzura imitsi igufasha kuvuga, no kunoza uburyo uhumeka mu gihe uvuga.

Indwara ikomeye y'imitsi y'ijwi ishobora gusaba kubagwa.

Uburyo bwo kuvura ikibazo cy'imikorere y'urugingo rw'ijwi ku ruhande rumwe

Mu gihe uburwayi bw'ingingo imwe butera ikibazo, abaganga bakunze gutegereza kugeza igihe ikibazo gikemutse, bagasubika kubagwa mu gihe cy'umwaka umwe. Hari igihe imitsi y'ijwi ishobora gukomereka cyangwa gucika intege, kandi bigafata igihe kugira ngo ikire. Ibi bishobora gufata amezi menshi. Ubuvuzi bw'ijwi bukoresheje inzobere mu by'ururimi bushobora kugira akamaro cyane, bugafasha gukomeza ijwi niba ikibazo ari gito kugeza kiri hagati.

Umuganga w’indwara zo mu bwonko ashobora kukugira inama yo kubagwa cyangwa guterwa inshinge zo gupfunyika mu ijwi kugira ngo wongere imbogamizi mu ijwi, kumira no guhumeka. Harimo:

• Gutera urushinge rw'ijwi: Muganga atera urushinge rw'ijwi anyuze mu rushinge. Hari ubwoko butandukanye bw'urushinge rw'ijwi rutekanye. Uru rushinge rufunga icyuho kiri hagati y'urushinge rw'ijwi.
• Gutera impyiko mu gasanduku k'ijwi (kubaga Laryngeal framework): Muganga ashyiramo agace k'ijwi mu gasanduku k'ijwi. Inyinshi muri zo zikozwe muri silicone. Iyi framework ifata imitsi y'ijwi mu mwanya wayo kandi igafasha gufunga imitsi yombi y'ijwi. Muri ubu buryo harimo uburyo bwitwa medialization laryngoplasty (Thyroplasty) .
• Kubaga impyiko: Muganga afata umutsi uhuza n'indi mitsi yo mu ijosi ryawe akawuhuza n'umutsi uhindura imitsi y'ijwi ryawe. Ubu buryo ntibugira ingaruka ku yindi mitsi yo mu ijosi ryawe.

Uburyo bwo kuvura indwara y'imitsi y'ijwi yo ku ruhande rumwe

Abantu bafite imitsi yombi y'ijwi idakora neza bashobora kugira inzira z'ubuhumekero zifunganye cyane. Bashobora gukenera tracheostomy (umuyoboro wo guhumeka ushyirwa mu ijosi) kugira ngo bafungure inzira z'ubuhumekero kandi zibafashe guhumeka.

Muri ubu buryo bwo kubaga, umuganga agukata ijosi maze agashyiramo umuyoboro mu muhogo. Umuyoboro ufungura uburyo bwo guhumeka ukagufasha guhumeka. Hari igihe umuganga akoresha laser kugira ngo akureho igice cy'inyuma cy'umugozi umwe cyangwa yombi, bityo agatuma inzira yo guhumeka irushaho kwaguka. Niba ufite tracheostomy, ubundi buryo bushobora kugufasha guhumeka igihe kirekire ni tracheostomy idafite umuyoboro.

Ese umugozi w'ijwi udafite icyo uvuze ushobora kugarurwa?

Hari igihe imitsi y'ijwi ikira ubwayo. Ibi bishobora gufata amezi menshi. Hamwe no kuvurwa mu ijwi, guterwa inshinge z'ijwi, cyangwa guterwa implants, ijwi ryawe rishobora gukomera kandi abandi bakakumva neza iyo uvuga. Ushobora kandi gusanga kumira no guhumeka byawe bigenda neza iyo uvuwe. Baza muganga wawe ingano y'imikorere y'imitsi y'ijwi ryawe ushobora kongera kugaruka iyo uvuwe.

Ese imikorere mibi y'ijwi ishobora kwirindwa?

Kudakora neza kw'imitsi y'ijwi ntibishobora kwirindwa buri gihe. Vugana na muganga wawe niba ufite ikibazo cy'uburwayi gishobora kongera ibyago byawe. Bashobora kukugira inama yo kwisuzumisha buri gihe kugira ngo urebe imitsi y'ijwi ryawe. Ushobora kandi gukenera ubuvuzi bw'ijwi kugira ngo unoze imikorere y'imitsi y'ijwi ryawe.

Ni iki kizabaho ku bantu bafite ikibazo cyo kudakora neza kw'ijwi?

Indwara nyinshi z’imitsi y’ijwi zishobora gukira ubwazo uko igihe kigenda. Ubuvuzi bwo kuvuga ndetse n’inshinge zo kunyuzamo bishobora gufasha kunoza ibimenyetso mu gihe imitsi y’ijwi ikira. Niba imikorere mibi y’imitsi y’ijwi ihoraho, inshinge yo gufata umutsi w’ijwi ni yo nzira nziza yo kuvura. Ni gake cyane, iyo umutsi uvuye aho uherereye, muganga wawe ashobora gukenera kuwuhindura.

Iyo umuntu avuwe, abantu benshi bongera kugira ubushobozi bwo kuvuga no kumira nyuma yo kugira ikibazo cy’imitsi y’ijwi. Igipimo cyo gukira kizaterwa n’ibintu byinshi, harimo niba ikibazo kiri mu mitsi y’ijwi imwe cyangwa yombi, ndetse niba ari gito cyangwa gikomeye.

Ni ryari nkwiye kujya kwa muganga ku kibazo cy'imikorere y'imitsi y'ijwi?

Niba ufite ibimenyetso by'uko ijwi ryawe ritameze neza, vugana na muganga. Impinduka mu ijwi ryawe, gushwanyagurika mu buryo budasobanutse, urusaku rwo guhumeka iyo uhumeka, guhumeka nabi iyo uvuga, cyangwa gukorora no kubabara mu muhogo iyo urya cyangwa unywa si ibintu bidasanzwe. Kuvurwa hakiri kare bishobora gufasha gukumira ko indwara yawe irushaho kuba mbi. Hari ubwo uburyo bwo kuvura butari ubwandu, nko kuvura mu ijwi, bushobora kugufasha kwirinda kubagwa.

Ni ryari nkwiye kujya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ?

Niba ufite ikibazo cyo guhumeka cyangwa kumira, shaka ubufasha bwa muganga vuba. Kutabona umwuka uhagije ni ikimenyetso cy'uko imitsi y'ijwi idakora neza, ari na yo ndwara ikomeye cyane. Igihaha cyo guhumeka kibaho iyo ibiryo cyangwa ibinyobwa byinjira mu myanya y'ubuhumekero kuko imitsi y'ijwi idafunga neza.Irashobora kumera, kandi iyo itavuwe, ishobora kwica.

Ubutumwa bwo kujyana mu rugo

Niba ufite ibimenyetso nko guhinduka mu ijwi ryawe, gushyuha cyane, guhumeka bigoye mu gihe uvuga, kugorwa no kumira, cyangwa kongera kunywa ibiryo n'ibinyobwa kenshi, ntubyirengagize gusa. Ibi bishobora kuba ibimenyetso by'indwara yo gucika intege kw'ijwi .

Ikintu cy'ingenzi cyo kwibuka:

* Niba ufite ikibazo gikomeye cyo guhumeka cyangwa kumira, jya kwa muganga vuba.

* Niba ufite ibindi bimenyetso, hita ubonana n'inzobere mu matwi, amazuru n'umuhogo (ENTs) .

* Iyo iyi ndwara igaragaye kandi ikavurwa hakiri kare, akenshi ishobora gukemurwa neza, ndetse ishobora no gukira burundu.

Nta mpamvu yo kugira ubwoba, ariko ni ngombwa kumenya ibi bimenyetso. Vugana na muganga wawe maze uhabwe ibizamini n'ubuvuzi bikenewe.

Impinduka mu ijwi , imikorere mibi y'imitsi y'ijwi, ijwi rituje, ingorane zo kumira, imbogamizi zo guhumeka, Paradizo y'imitsi y'ijwi, Laryngoscopy, uburyo bwo kuvura ijwi