Ngaba wakha wakufumanisa kunzima ukuphefumla ngequbuliso, uziva ngathi umphimbo wakho uyavaleka? Xa uzama ukuphefumla, kuvakala ngathi kuyavaleka, kwaye kuyoyikisa. Abantu abaninzi bacinga ukuba esi sisifo sesifuba ngexesha elinje. Kodwa asisoloko sisifo sesifuba esifanayo. Namhlanje siza kuthetha ngemeko eneempawu ezifanayo, kodwa eyahlukileyo kwisifo sesifuba. Oko yiVocal Cord Dysfunction, okanye iVCD ngamafutshane.
Ngamafutshane, yintoni iVocal Cord Dysfunction (VCD)?
Ukuze sikuqonde oku, masiqale sifunde kancinci ngee-vocal cords zethu. Ezi-vocal cords zifumaneka emqaleni wakho, ngakumbi kwi-larynx. Zifana nee-bands ezimbini zemisipha.
Cinga ngayo njengesango. Xa uphefumla, eli sango (iintambo zelizwi) kufuneka livuleke ngokupheleleyo , ukuze umoya ungene emiphungeni yakho ngaphandle kokuphazanyiswa. Xa uthetha, ukhohlela, okanye uvula umqala wakho, eli sango liyavalwa. Ukungcangcazela kwala maqela mabini kunye kudala ilizwi lakho.
Ngoku, umntu onesifo esibizwa ngokuba yiVocal Cord Dysfunction (VCD) ufumana okwahlukileyo kwale nkqubo. Oko kukuthi, ii-vocal cords, ezimele zivuleke xa uphefumla, zivaleke ngengozi okanye zinciphe . Khawucinge ukuba kwenzeka ntoni xa indlela yomoya incipha ngequbuliso? Yiloo nto eyenzekayo kwi-VCD. Oku kwenza kube nzima kakhulu ukuphefumla. Kwabanye, le meko inokwenzeka rhoqo kwaye imbi kakhulu.
Into ebalulekileyo kukuba oku kwahlukile ngokupheleleyo kwi-asthma. Kwi-asthma, ingxaki kukuncitshiswa kweendlela zomoya ezincinci emiphungeni. Kodwa kwi-VCD, ingxaki isemqaleni, oko kukuthi, kwiintambo zelizwi.
Ziziphi iimpawu eziqhelekileyo ze-VCD?
Umntu one-VCD usenokuba nezi mpawu ngequbuliso. Oku kunokuba ngamava othusayo. Kodwa kubaluleke kakhulu ukuzazi ezi mpawu.
| Uphawu | Ingcaciso elula |
|---|---|
| Ubunzima bokuphefumla | Olu lolona phawu luphambili. Kunzima ukuphefumla kunokukhupha umoya. Kuvakala ngathi uyafuthanisela. |
| Ukuziva uxinezelekile okanye into ebambeke emqaleni | Usenokuziva ngathi kukho iqhuma emqaleni wakho, okanye ngathi kukho umntu okucinezelayo emqaleni. |
| Isandi 'sokukhwaza' xa uphefumla (Stridor) | Xa uphefumla, wenza isandi esikhulu esithi 'hee...' emqaleni wakho. Esi sahlukile kwisandi 'sokuphefumla' osivayo ngexesha le-asthma. |
| Ukufuna rhoqo ukucoca umqala wakho | Ndivakalelwa kukuba kukho into ebambeke emqaleni wam, ngoko ke ndihlala ndiziva ndifuna ukukhuhla umphimbo ukuze ndiyikhuphe. |
| Isiyezi | Ungaziva unesiyezi ukuba amanqanaba akho eoksijini ehla kancinci kuba ungakwazi ukuphefumla kakuhle. |
| Ukungabi nangqondo kwamalungu | Ngamanye amaxesha, iminwe neenzwane zinokuvakala ngathi azinamsebenzi ngenxa yotshintsho kwindlela yokuphefumla. |
Kutheni oku kusenzeka? Izizathu ze-VCD
Oogqirha abakayazi eyona nto ibangela i-VCD. Kodwa bachonge izinto ezininzi ezinokubangela, okanye "ezibangela" le meko. Ezi zinokwahlulwa zibe ziindidi ezininzi eziphambili.
1. Ukuzilolonga
Abanye abantu, ingakumbi abadlali abaselula, banokuba ne-VCD ngexesha okanye emva kokuzilolonga . Oku kubizwa ngokuba yi-"Exercise-induced laryngeal obstruction (EILO)". Kunokwenzeka kakhulu ukuba kwenzeke xa uzilolonga nzima, njengokubaleka okanye ukudada.
2. Ezinye iimeko zonyango
I-VCD inokwenziwa mandundu nazizinye izifo onazo.
- Isifuba somoya: Nangona isifuba somoya kunye ne-VCD zizinto ezimbini ezahlukeneyo, umntu onesifuba somoya unamathuba amaninzi okufumana i-VCD.
- Isifo seGastritis okanye isifo se-gastroesophageal reflux (GERD): I-asidi yesisu inokubangela ukuba ii-vocal cords zidumbe kwaye zibe nobuthathaka, nto leyo ebangela i-VCD.
- Usulelo lwendlela yokuphefumla ephezulu:Le meko inokubangelwa kukudumba kwemithambo yelizwi ngenxa yezinto ezifana nomkhuhlane kunye nosulelo lomphimbo.
3. Iimeko zeMpilo Yengqondo
Uxinzelelo kunye nexhala zinokuba yimbangela ephambili ye-VCD.
- Ingxaki Yokuxhalaba Okuqhelekileyo: Ukukhathazeka rhoqo kunye noloyiko kunokubangela ukuba izihlunu zomzimba ziqine. Ngokufanayo, izihlunu zomqala zinokuqina, nto leyo ebangela i-VCD.
- Uxinzelelo lwezonyango
- Ingxaki yoxinzelelo emva kwengozi (PTSD)
4. Izinto ezibangela ukurhawuzelelwa
Ukuphefumla izinto ezithile kwindawo esikuyo kunokwenza ukuba iintambo zelizwi zivaleke ngequbuliso.
- Umoya obandayo, owomileyo
- Uthuli, umsi (umsi ojikelezileyo wengcongconi, umsi wecuba)
- Ivumba elinamandla njengeevumba kunye neziqholo zomoya
- Iikhemikhali ezinobungozi ezifana ne-bleach kunye ne-ammonia
- Iziqholo ezivela ekuphekeni ukutya kwabanye abantu (iziqholo ezintathu okanye ezintlanu)
Ungazi njani ngokuqinisekileyo ukuba oku akusiyo isifuba, kodwa yi-VCD?
Lo ngowona mceli mngeni mkhulu. Ngenxa yokuba iimpawu ze-VCD zifana kakhulu ne-asthma, ngamanye amaxesha noogqirha banokubhidanisa ezi meko zimbini. Ke ngoko, kubaluleke kakhulu ukufumana uxilongo oluchanekileyo. Ngaphandle koko, awuyi kufumana impumuzo kunyango lwakho lwe-asthma.
Ugqirha wakho unokwenza iimvavanyo ezininzi ukuze afumanise esi sifo.
- I-Laryngoscopy: Le yeyona ndlela ilungileyo yokuxilonga i-VCD. Kolu vavanyo, ityhubhu encinci kakhulu, eguquguqukayo enekhamera eqhotyoshelweyo ifakwa ngempumlo yakho nasezantsi emqaleni wakho ukuze ijonge ngqo kwiintambo zakho zelizwi. Ugqirha uya kukucela ukuba uphefumle kwaye uthethe ngokuqhelekileyo ngelixa ujonge indlela ezisebenza ngayo iintambo zakho zelizwi. Ngamanye amaxesha, unokunikwa into yokubangela ukuba iintambo zakho zelizwi zivale. Oku kubizwa ngokuba luvavanyo lokucaphukisa .
- Uvavanyo Lokusebenza Kwemiphunga (i-Spirometry): Olu vavanyo lulinganisa indlela esebenza ngayo imiphunga yakho. Ucelwa ukuba uvuthele umoya kwisixhobo esibizwa ngokuba yi-spirometer. Ukuba une-asthma, iziphumo zolu vavanyo zinokwahluka. Ekubeni kungekho nto ingalunganga ngemiphunga yomntu one-VCD, olu vavanyo ludla ngokuba loluqhelekileyo. Nangona kunjalo, ngamanye amaxesha imo yegrafu (`flow-volume loop`) kolu vavanyo inokubangela ukurhanelwa kwe-VCD.
Ziziphi iindlela zonyango ze-VCD?
Xa unyanga i-VCD, kubalulekile ukuqwalasela ukuba yintoni ebangela imeko yakho, ukuba iyenzeka kangaphi, kunye nokuba iimpawu zakho zinzima kangakanani.
Eyona nto ingcono kukuba, i-VCD yimeko enokulawulwa kakhulu ngonyango olufanelekileyo kunye noqeqesho.
Kukho iindlela ezimbini eziphambili zonyango:
1. Unyango LokuQeqesha Ngokuphefumla: Ingcali yezifo zolwimi lokuthetha eqeqeshwe ngokukodwa iya kukunceda ngale nto. Xa une-VCD, uya kufundiswa ezinye iindlela zokuzilolonga zokuphefumla eziya kukunceda ulawule ukuphefumla kwakho. Umzekelo:
- Ukuphefumla ngeMilo ePrised: Ukuphefumla kancinci ngempumlo nokuphefumla kancinci ngomlomo ngokungathi uvuthela impempe.
- Ukuphefumla nge-Diaphragmatic: Ukuziqhelanisa nokuphefumla esiswini. Le ndlela ikhulula izihlunu emqaleni kwaye ivumela iintambo zelizwi ukuba zivuleke kwakhona. Uza kuziva umahluko omkhulu emva kweeseshoni ezimbalwa zolu nyango.
2. Ukunyanga Iimeko Ezibangela Ingxaki: Ukunyanga unobangela we-VCD kubaluleke kakhulu.
- Ukuba une -GERD (gastritis) , kufuneka usebenzise amayeza njengoko ugqirha wakho ekuyalele.
- Ukuba unexhala okanye uxinezelekile , kubalulekile ukubona ugqirha wengqondo ukuze akunike iingcebiso kunye nonyango.
Eminye yemibuzo ebaluleke kakhulu malunga noku
Ngaba le meko inganyangeka ngokupheleleyo?
Hayi, akukho "nyango" lufanelekileyo kulo lonke olu. Nangona kunjalo, ngokuchonga nokunyanga izizathu ze-VCD, kunye nokuziqhelanisa nokuphefumla ngokufanelekileyo, ungenza lukhulu ekuthinteleni le meko ukuba ingenzeki, kwaye ukuba iyenzeka, ungayilawula ngcono.
Ngaba Ukungasebenzi Kakuhle Kweentambo Zelizwi Kubeka Ubomi Esichengeni?
Hayi. Le yeyona nto ibalulekileyo ekufuneka uyazi. Nangona i-VCD inokuba yoyikeka kwaye inokuba yingozi ebomini, ayisiyongxaki esongela ubomi . Nangona ungaziva ngathi unengxaki yokuphefumla, umzimba wakho ufumana ioksijini oyifunayo.
Nangona kunjalo, ungaze uyityeshele ingxaki yokuphefumla. Ukuba uqhubeka unengxaki yokuphefumla, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Uvavanyo olufumaneka apho lunokuqinisekisa ukuba awunayo ioksijini okanye akunjalo.
Ndingazikhusela njani kule meko?
Eyona ndlela ilungileyo yokuthintela i-VCD kukuchonga izinto ezikwenza ube sesichengeni sokuyifumana kwaye uhlale kude nayo.
- Ukuba oku kubangelwa zivumba elinamandla, kuphephe ukusebenzisa ezo zinto.
- Nxiba imaski xa usiya kwiindawo ezinothuli.
- Ukuba oku kwenzeka ngenxa yoxinzelelo, zama ukuzola ingqondo yakho ngezinto ezifana nokucamngca kunye neyoga.
- Thetha nogqirha wakho uze necebo lokulawula le meko elikulungeleyo.
Umyalezo Wokuya Ekhaya
- Ukungasebenzi kakuhle kweNtambo yelizwi (i-VCD) yimeko apho iintambo zelizwi zivala okanye zinciphe ngengozi xa uphefumla. Oku akusiso isifo sesifuba.
- Uphawu oluphambili kukufumana ubunzima bokuphefumla ngequbuliso kunye nesandi 'sokubhomboloza' esiphuma emqaleni.
- Ukuzilolonga, isifo sesisu (i-GERD), uxinzelelo kunye nokuxhalaba, kunye nezinto ezibangela ukurhawuzelelwa (umsi, iziqholo) zinokuba negalelo ekuphuhlisweni kwesi sifo.
- Nangona eli liva eloyikisayo, i-VCD ayisosigulo esisongela ubomi.
- Le meko ingalawulwa kakuhle ngokuzilolonga okukhethekileyo kokuphefumla kunye nokunyanga unobangela we-VCD.
- Ukuba uneempawu ezinje, qiniseka ukuba ubona ugqirha kwaye ufumane ukuxilongwa okufanelekileyo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment