Ngaba ilizwi lakho litsho ngelizwi eliphantsi? Oku kusenokuba kungenxa ye-Reinke's Edema!

Ngaba nawe ukhe waphawula utshintsho kwilizwi lakho kule mihla, ukurhawuzelela? Mhlawumbi umphimbo wakho uziva udiniwe xa uthetha, okanye ilizwi lakho livakala linzima kancinci? Ngoko ke le yinto enokuba yinto ebalulekileyo kuwe. Kubaluleke kakhulu ukuqaphela le meko, kuba eminye imikhwa inokubangela oku.

Yintoni i-Reinke's Edema?

Ngamafutshane, iReinke's Edema kukudumba kwemithambo yakho yelizwi , iindawo ezimbini zomqala wakho ezingcangcazelayo xa uthetha. Abanye abantu babiza ngokuba yi-'Polypoid Corditis'. Ngokuchanekileyo, oku kudumba kwenzeka xa i-membrane ephezu kwemithambo yelizwi izaliswe lulwelo. Ixhaphake kakhulu kubantu ababhema ixesha elide . Nangona kunjalo, inokubangelwa kukungaphumli kwe-acid esiswini (acid reflux) okanye kukusetyenziswa rhoqo kwelizwi ngendlela elonakalisayo, oko kukuthi, ukubeka uxinzelelo olungeyomfuneko kwilizwi (i-vocal trauma) .

Oku kudumba kwe-vocal cord akuyongozi njengomhlaza, oko kuthetha ukuba yimeko 'engentle' . Nangona kunjalo, kubonisa ukuba i-vocal cord yakho yonakele. Oku kudumba kunokubakho kwelinye icala lomqala okanye kumacala omabini. Oku kunokubangela ukuba ilizwi libe rhabaxa, kwaye ngamanye amaxesha ilizwi linokuba nzulu kakhulu. Kwiimeko ezinzima, oku kudumba kunokuthintela neendlela zomoya, okubangela ubunzima bokuphefumla .

I-Reinke's edema ayisoloko imbi kangako, kwaye ayisoloko ifuna unyango. Nangona kunjalo, kubalulekile ukukhumbula ukuba utshintsho lwelizwi lakho lusenokungaphucuki ngaphandle kokuyeka ukutshaya okanye utyando . Ukuba unenguqu engathandekiyo kwilizwi lakho, bonana nogqirha wezifo zamehlo. Banokukunceda.

Ixhaphake kangakanani le meko?

I-Reinke's edema yimeko engaqhelekanga kakhulu . Ichaphazela ngaphantsi kwe-1% yabantu ngokubanzi. Ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-50 kunye nabantu abatshayayo.

Uphando lubonisa ukuba abafazi banamathuba amaninzi okufumana i-Reinke's edema. Kodwa isizathu soku sisenokuba kukuba abafazi banamathuba amaninzi okuphawula iimpawu zelizwi elinzulu. Kuba umntu onelizwi elinzulu ngokwemvelo usenokungaluboni utshintsho oluncinci kangaka. Emva koko abafuni unyango.

Zithini iimpawu?

Iimpawu ze-edema kaReinke ziquka:

• Utshintsho kumgangatho welizwi okanye kwisandi.
• Ilizwi liya lisiba nzulu kancinci kancinci.
• Ilizwi elirhabaxa okanye elinobunzima.

Abantu abane-Reinke's edema badla ngokuziva bediniwe ngaphezu kwesiqhelo xa besebenzisa ilizwi labo. Ilizwi linokuvakala lidiniwe kakhulu kwaye linzima.

Iimpawu ezingaqhelekanga kakhulu

Ezi zibonwa kancinci kancinci:

• Ubunzima bokuthetha kancinci.
• Ukuva ubuhlungu okanye intlungu xa uthetha okanye ucula.
• Ukungakwazi ukuthetha okanye ukucula ngokuvakalayo.
• Intlungu okanye ukuqina kwentamo.
• Ubunzima bokuphefumla (i-Dyspnea).
• Ingxolo xa uphefumla (iStridor).

Yintoni ebangela i-edema kaReinke?

Eyona nto ibangela ukudumba kwemithambo yelizwi kukutshaya ixesha elide . Leyo yeyona nto ibangela oku.

Ezinye izizathu zingabizwa ngokuba:

• I-asidi reflux (i-GERD/i-Acid Reflux).
• I-asidi ebuyela kwi-larynx (i-Laryngopharyngeal Reflux - LPR).
• Ukuchanabeka ixesha elide kwizinto ezifana neekhemikhali.
• Ukusebenzisa kakhulu ilizwi okanye umonakalo kwiintambo zelizwi (umz., ukuthetha kakhulu, ukucula, okanye nantoni na ecinezela iintambo zelizwi). Cinga ngako, kukho ootitshala, abahlohli, okanye abantu abasoloko bekhwaza. Basenokuba sengozini. Ummelwane wethu, uNimal, usebenza kwivenkile ekhwaza imini yonke, kwaye ngaphezu koko, kukho amaxesha apho ede abe necuba emlonyeni wakhe. Kutshanje ukhe waba nelizwi elirhabaxa kancinci.

Oogqirha bayibona njani le nto?

Xa ubona i-otolaryngologist, baya kuqala bahlole intloko yakho nentamo yakho. Emva koko baya kwenza uvavanyo olubizwa ngokuba yi-laryngoscopy ukujonga ngqo ii-vocal cords zakho. Ngexesha lovavanyo, ugqirha uya kuqwalasela ngokukodwa oku:

• Iinqwelomoya.
• Umlomo.
• Umqala.
• Indlala yegilo.

Ngexesha lotyelelo lwakho, ugqirha wakho uza kuqokelela ulwazi oluthe kratya malunga neempawu zakho kunye nembali yakho yezonyango. Ungabuzwa imibuzo efana nale:

• Uqale nini ukuqaphela utshintsho kwilizwi lakho?
• Ziziphi ezinye iimpawu onazo?
• Ezi mpawu zichaphazela njani ubomi bakho bemihla ngemihla?
• Zeziphi iimeko zempilo onazo okanye owakha wanazo ngaphambili?
• Uyatshaya? Ukuba kunjalo, utshaya kangakanani?
• Ingaba usela utywala? Ukuba kunjalo, bungakanani?
• Ngaba wakha wafunyaniswa une-asidi yesisu?
• Ngawaphi amayeza owasebenzisayo?
• Ngaba wakha watyandwa?
• Ngaba wakha wafumana unyango lwe-radiation?

Uvavanyo olwenziweyo

I-Laryngoscopy ivumela ugqirha ukuba ajonge ngqo kwiintambo zakho zelizwi.Uvavanyo luyasetyenziswa. Ukuba une-Reinke's edema, ungabona iindawo ezidumbileyo kunye/okanye ukukhula okufana ne-polyp kwiintambo zakho zelizwi ezibonakala ngathi ziidiliya ezincinci okanye iibhaluni zamanzi.

Kwakhona, kuya kwenziwa uhlalutyo lwelizwi ukuvavanya iimpawu ezahlukeneyo zelizwi lakho, ezifana nesandi, umgangatho, kunye nomthamo womoya. Ngexesha lohlalutyo, baya kuhlola i-larynx yakho baze bakucele ukuba uthethe kwi-microphone, ngelixa ilizwi lakho lirekhodwa.

Kwisifo sikaReinke, imithambo yelizwi inokuvuvukala njengeebhaluni ezimbini ezizaliswe ngamanzi. Khawuthelekelele, yiloo nto ibangela ukuba ilizwi libe rhabaxa.

Iphathwa njani?

Injongo ephambili yokunyanga i-edema kaReinke kukubuyisela okanye ukuphucula ukusebenza kwelizwi . Unyango luxhomekeke kwisizathu se-edema. Oogqirha badla ngokuqala ngonyango olungenalo utyando, njengokuyeka ukutshaya.

Unyango olungelulo utyando

Ukuze uphelise i-Reinke's edema, kufuneka uqale unyange unobangela . Ukuze wenze oku, ugqirha wakho unokucebisa oku kulandelayo:

• Ukuyeka ukutshaya: Ukuba ungumntu otshayayo, inyathelo lokuqala kukuyeka. Kwezinye iimeko ezingephi, oku kukodwa kunokunciphisa ukudumba kwemithambo yakho yelizwi.
• Amayeza e-GERD kunye ne-LPR: Ukuba une-asidi yesisu, ugqirha wakho unokukunika amayeza anjenge-H2 blockers okanye i-proton pump inhibitors. Banokucebisa notshintsho kwindlela yokutya ukuze kuncitshiswe ukuveliswa kwe-asidi.
• Unyango lweLizwi: Unyango lwentetho, olwenziwa yiNgcali yezifo zolwimi lwentetho (SLP), lunokunceda ekuqiniseni ukusebenza kwemithambo yelizwi kwaye luncede ukuba iphiliswe. Oogqirha basebenzisa olu nyango kunye nonyango olungelulo utyando kunye nonyango olungelulo utyando.

Unyango lotyando

Ukuba unyango olungelulo utyando aluziphuculi iimpawu zakho, ugqirha wakho uya kuthetha nawe ngamanyathelo alandelayo. La manyathelo angabandakanya:

• I-Microlaryngoscopy: Ugqirha usebenzisa izixhobo ezithambileyo kakhulu ukususa izicwili ezidumbileyo ngelixa ejonga iintambo zakho zelizwi nge-microscope.
• Unyango lweLaser: Ugqirha usebenzisa amandla okukhanya ngelaser ukususa okanye ukunciphisa ubukhulu beentambo zelizwi.

Emva kotyando, kubaluleke kakhulu ukuhlala kude nezinto ezibangele ukudumba kweReinke kwasekuqaleni . Nokuba uyaqhubeka nokutshaya okanye awuyinyangi i-asidi yesisu, ukudumba kunokubuya emva kotyando - ngamanye amaxesha nakwiiveki ezimbalwa!

Kuthatha ixesha elingakanani ukuphiliswa?

Emva kokuba uReinke enziwe utyando ngenxa yokudumba,Kuthatha malunga neeveki ezine ukuya kwezintandathu ukuphiliswa ngokupheleleyo. Ugqirha wakho unokucebisa nokuphumla ngokupheleleyo kwelizwi kangangeentsuku ezintlanu ukuya kwezisixhenxe. Oku kuya kunika ixesha lokuba iintambo zakho zelizwi ziphiliswe ngaphambi kokuba uzisebenzise kwakhona.

Singacinga ntoni ngale meko? (Imbono)

Abantu abane-Reinke's edema banokulindela ukuba baphile kakuhle . Nangona ukudumba kwe-vocal cord kunokubangela iimpawu ezingathandekiyo, akusoloko kuyingozi . Kwaye ukuba uyaziphepha izinto ezinobungozi, imeko ayinakwenzeka ukuba iphinde ivele.

Ngaba i-edema kaReinke ingathintelwa?

Ewe, uninzi lwexesha, ukudumba kukaReinke kunokuthintelwa ngokuphepha izinto ezinobungozi . Ukuba uyatshaya, ukuyeka ukutshaya kunokunciphisa kakhulu umngcipheko wokudumba kwelizwi . Ukuba uneempawu ze-acid reflux, thetha nogqirha wakho malunga namayeza anokunceda. Ukuba usebenzisa ilizwi lakho rhoqo, thabatha amanyathelo okuphepha ukulisebenzisa kakhulu. Umzekelo, ukuba ungumculi, utitshala, okanye umntu osebenza kumsebenzi ofuna ukuba uthethe rhoqo, unganciphisa umngcipheko wakho ngokuthatha ikhefu nokusela amanzi amaninzi.

Ufanele uye nini kugqirha?

Ngamanye amaxesha, ukudumba kweetoni zeReinke kunokubangela ukuba indlela yakho yomoya ingasebenzi kakuhle kwaye kube nzima ukuphefumla . Ukuba ubona naziphi na ezi mpawu, xelela ugqirha wakho ngoko nangoko . Ukuba ubona naluphi na utshintsho kwilizwi lakho oluhlala iiveki ezingaphezu kwezine, kuya kufuneka ubone ingcali yendlebe, impumlo, kunye nomqala (otolaryngologist) enokuhlolisisa iintambo zakho zelizwi ngqo.

Ukudumba kwemithambo yelizwi akudli ngokuba nefuthe elikhulu kwimpilo yakho. Nangona kunjalo, kunokubangela utshintsho olukhulu kwilizwi lakho. Kunokuba yintloni kwaye kube yintloni kwabanye abantu. Utyando lunokunceda. Nangona kunjalo, ukuthintela iimpawu ukuba zingaphindi zivele, ngokuqinisekileyo kufuneka uziphephe izinto ezinobungozi ezifana nokutshaya nokusebenzisa kakhulu ilizwi lakho. Buza ugqirha wakho malunga neendlela onokukhetha kuzo unyango.

Amanqaku amafutshane ekufuneka uwakhumbule

Kulungile, ngoko ke, ngokwezinto esithethe ngazo malunga neReinke's Edema, khumbula ezi zinto:

• Unobangela oyintloko kukutshaya: Le yimbangela edla ngokuba yiyo.
• Ilizwi elirhabaxa luphawu oluphambili: ilizwi lisenokuba nzulu.
• Ayingomhlaza: kodwa ibonisa umonakalo kwiintambo zelizwi.
• Ukuyeka ukutshaya kubalulekile: Oku kubaluleke kakhulu ukuze unyango luphumelele.
• Funa ingcebiso kagqirha: Ukuba ilizwi lakho litshintsha rhoqo, qiniseka ukuba ubona ugqirha.
• Oku kuthintelwa: Oku kungathintelwa ngokuphepha ukutshaya nokukhusela ilizwi lakho.

Ngoko ke, lumkele ilizwi lakho. Kuba likwayinxalenye yempilo yakho! Uyaqonda?

Ukudumba kukaReinke , ukutshintsha kwelizwi, ilizwi elirhabaxa, ukudumba kwelizwi, ukutshaya, umphimbo obuhlungu