Ngaba ngequbuliso unengxaki yokuphefumla? Masifunde ngeVocal Cord Dysfunction / Inducible Laryngeal Obstruction!

Ngaba ngamanye amaxesha uziva ngathi ngequbuliso ukrwitshwa kwaye awukwazi ukuphefumla? Mhlawumbi ukhe wakuva oku ngelixa uthetha, uzilolonga, okanye uthule nje. Nangona kunokuba yinto eyoyikisayo, namhlanje siza kuthetha ngemeko enokubangela oku. Oku kubizwa ngokuba yiVocal Cord Dysfunction (VCD) , ngamanye amaxesha kuthiwa yi -Inducible Laryngeal Obstruction (ILO) .

Yintoni ukungasebenzi kakuhle kwemithambo yelizwi (i-VCD/ILO)?

Ngamafutshane, oku kwenzeka xa iintambo zakho zelizwi , okanye inxalenye yomqala wakho elawula ilizwi lakho, ebizwa ngokuba yi-larynx (ibhokisi yelizwi), ingasebenzi kakuhle. Cinga ngako, xa sihlala siphefumla, iintambo zethu zelizwi kufuneka zivuleke ukuze umoya ungene emiphungeni yethu. Kodwa kule meko ibizwa ngokuba yi-VCD, xa uphefumla, iintambo zakho zelizwi zizama ukuvala, okanye endaweni yoko, zivala ngexesha elingafanelekanga. Oko kwenza kube nzima ukuphefumla, akunjalo?

Kulula ukuyiqonda le nto ukuba ufunda okungakumbi ngee-vocal cords zethu. Ezi zizicubu ezimbini zemisipha ngaphakathi kwi-larynx yethu. Zisebenza njengeengcango ezimbini ezincinci emqaleni wethu.

• Xa siphefumla: ezi ngcango zimbini ziyavuleka, zivumela umoya ukuba ungene emiphungeni ngaphandle kokuphazamiseka.
• Xa sithetha: Ezi ngcango zimbini ziyadibana, zihlangane phakathi, zize zingcangcazele. Oko kungcangcazela kuko okuvelisa ilizwi lethu. Ngokufanayo, xa siginya into ethile, sivula umphimbo, okanye sikhwehlela, ezi ntambo zelizwi ziyadibana kwaye zivale ukuthintela ezo zinto ukuba zingangeni kumphimbo womoya.

Ngoko ke, okwenzekayo kumntu one-VCD kukuba xa ezama ukuphefumla, iintambo zelizwi zivaleka ngendlela engafanelekanga ngexesha ekufuneka zivulwe ngalo. Yiyo loo nto izinto ezinje ngobunzima bokuphefumla nokukrwitshwa zisenzeka. Kwabanye abantu, oku kunokwenzeka rhoqo kwaye kubuhlungu kakhulu. Ngelo xesha, kuvakala ngathi kunzima kakhulu ukuphefumla.

Zithini iimpawu zale meko?

Ukuba une-vocal cord dysfunction (VCD), ungaziva iqhuma emqaleni wakho (imvakalelo yeqhuma epharynx ) okanye ukuxinana emqaleni wakho. Kukho ezinye iimpawu ezimbalwa, khangela ukuba ezi zivakala ziqhelekile na kuwe:

• Ubunzima bokuphefumla: Olu lolona phawu luphambili noludla ngokuba lolona loyikisayo. Kuvakala ngathi uyafuthaniseka, ngathi awukwazi ukuphefumla emqaleni wakho.
• Ndihlala ndiziva ngathi ndikhupha umqala , ngokungathi kukho into ebambeke emqaleni.
• Ukuziva unesizungu okanye unentloko ekhaphukhaphu (unentloko ekhaphukhaphu).
• Uvakalelo lokuba uyakrwitshwa okanye uyafuthanisela.
• Isandi sivela emqaleni xa uphefumla (i-stridor okanye ukuphefumla okunomsindo xa uphefumla). Sisenokuvakala ngathi sisandi sokubhomboloza.
• Imvakalelo yokurhawuzelela ezandleni nasezinyaweni zakho.

Kutheni oku kusenzeka? Zithini izizathu?

Iingcali azikaqiniseki ukuba yintoni kanye kanye ebangela oku. Kodwa zikholelwa ukuba kunokubakho izizathu ezingaphezu kwesinye. Izinto ezinokubangela, okanye eziqala, okanye eziya kuba mandundu le meko zinokwahlulwa zibe ziindidi ezahlukeneyo:

• Ukuthintelwa kwe-laryngeal okubangelwa kukuzilolonga (i-EILO): Le yimeko, njengoko igama lisitsho, eyenzeka ngexesha lokuzilolonga. Ixhaphake kakhulu phakathi kwabadlali abancinci . Khawuthelekelele, umzekelo, xa udlala imidlalo yesikolo, ubaleka, okanye utsiba, ngequbuliso ufumana kunzima ukuphefumla.
• Ezinye iimeko zonyango: Ezinye iimeko zonyango zinokunyusa umngcipheko we-VCD. Umzekelo:
• Isifuba
• Isifo seGastroesophageal Reflux (GERD) (Sisibiza ngokuba yi-acid reflux, isitshiso sentliziyo, yiloo nto siyiyo)
• Izifo zokuphefumla eziphezulu (umz., umkhuhlane, izifo zomqala)
• Iimeko zempilo yengqondo: Ezinye iimeko zempilo yengqondo nazo zingenza i-VCD ibe mandundu. Izinto ezinje ngoxinzelelo kunye nokuxhalaba okubangelwa zezi zinto zinokuchaphazela ukusebenza kwemithambo yelizwi. Umzekelo:
• Ingxaki yokuxhalaba ngokubanzi
• Uxinzelelo lwezonyango
• Ingxaki yoBuntu obuQhelekileyo (OCPD)
• Ingxaki Yoxinzelelo Emva Kwengozi (PTSD)
• Izinto ezikucaphukisayo oziphefumlayo: Ngamanye amaxesha oku kunokubangelwa zizinto esiziphefumlayo. Ezi zinokuba 'zizinto ezibangela umsindo', okanye isikhuthazo, kwiintambo zethu zelizwi. Nazi imizekelo embalwa:
• Umoya obandayo kakhulu, owomileyo.
• Iigesi ezinobuthi, ezifana ne-ammonia okanye i-bleach.
• Iikhemikhali zokucoca izindlu kunye namagumbi okuhlambela.
• Ivumba elinamandla okanye iziqholo, umsi wesiqhumiso.
• Umsi, oko kukuthi, kungekuphela nje komsi wecuba, kodwa nomsi ovela kwizitovu zeenkuni, umsi womoya ophuma kwimoto, kunye nezinye iintlobo zokutsha.

Oogqirha bayixilonga njani le meko?

Enyanisweni, le meko inokuba nzima kancinci koogqirha ukuyixilonga kwangoko, kuba iimpawu zinokufana nezinye izifo zokuphefumla, ezifana ne-asthma. Ezinye izifundo zibonise ukuba oogqirha ngamanye amaxesha baphosisa ukungasebenzi kakuhle kwe-vocal cord (VCD) njenge -asthma okanye i-croup (isifo sokuphefumla esichaphazela abantwana abancinci).

Ngoko ke, ukuze ukwazi oku ngokuchanekileyo, ugqirha uhlala esenza ezi zinto zilandelayo:

1. Kuyenziwa uvavanyo lomzimba .

2. Buza ngembali yakho epheleleyo yezonyango (izifo zangaphambili, amayeza owasebenzisayo, nokuba kukho nabani na kusapho lwakho okhe waba neemeko ezifanayo, njl.njl.).

3. Buza ngemisebenzi okanye izinto oye waziveza kuzo ngaphambi kokuba kubekho oku kuphefumla kancinci (umz., ngaba ubuzilolonga? Ngaba ubuvezwa livumba elithile?).

Ukongeza, ezi mvavanyo zinokwenziwa:

• I-Laryngoscopy: Olu luvavanyo olubaluleke kakhulu. Oku kuquka ugqirha ukufaka ikhamera encinci kwityhubhu encinci, eguquguqukayo empumlweni okanye emqaleni wakho ukuze ajonge ii-vocal cords zakho. Ungakhathazeki, baya kuqinisekisa ukuba ukhululekile ngelixa besenza oku (banokukunika iyeza elincinci lokuthomalalisa umphimbo wakho). Oku kuya kubavumela ukuba babone indlela ii-vocal cords zakho ezivuleka kwaye zivaleka ngayo xa uphefumla kwaye uthetha. Ngamanye amaxesha, ngelixa ugqirha ejonge umphimbo wakho, banokwenza into enokubangela i-VCD (umzekelo, banokukucela ukuba unuke ivumba elithile okanye uphefumle kancinci). Oku kubizwa ngokuba luvavanyo lokucaphukisa . Oku kuya kubavumela ukuba babone kanye ukuba kwenzeka ntoni kwii-vocal cords zakho xa unengxaki yokuphefumla.
• Uvavanyo lomsebenzi wemiphunga kunye ne-spirometry: Kwezi vavanyo, ucelwa ukuba uphefumlele ngaphakathi nangaphandle kwisixhobo esibizwa ngokuba yi-spirometer . Oku kulinganisa ukuba ungakanani umoya onokuwuphefumlela nowukhuphayo, kunye nokuba ungawukhupha ngokukhawuleza kangakanani. Ugqirha wakho uya kwenza olu vavanyo ukuze ahlule ezinye iimeko, ezifana ne-asthma. Ngamanye amaxesha, utshintsho kwi-flow-volume loop (flow-volume loop) kolu vavanyo lunokubonisa ukuba une-VCD. Kodwa into ebalulekileyo ekufuneka uyikhumbule kukuba ezi vavanyo zomsebenzi wemiphunga zodwa azinakuxelela ngokuqinisekileyo ukuba unayo i-VCD. Zisisikhokelo nje.

Zithini iindlela zonyango zoku?

Iindlela zonyango zinokwahluka ngokuxhomekeke kwimeko yakho, kuquka izinto ezibangela ukuba uphefumle kancinci, ukuba kwenzeka kangaphi, kunye nokuba iimpawu zakho zinzima kangakanani (ezincinci, eziphakathi, okanye ezinzima). Unyango oluqhelekileyo lokungasebenzi kakuhle kwe-vocal cord (VCD) luquka:

• Unyango loqeqesho lokuphefumla kwakhona: Olu lolona nyango lubalulekileyo nolusebenzayo . Iingcali zezifo zolwimi lokuthetha eziqeqeshwe ngokukodwa zikufundisa umthambo wokuphefumla. Olu qheliselo lukunceda ukulawula ukuphefumla kwakho xa une-VCD. Zikufundisa indlela yokukhulula iintambo zakho zelizwi kunye nokutshintsha indlela yakho yokuphefumla. Umzekelo:
• Ukuphefumla ngemilebe etyhaliweyo: Ukukhupha umoya ngemilebe etyhaliweyo, ngokungathi ubetha umlozi. Oku kunceda ukugcina imigudu yomoya ivulekile.
• Ukuphefumla nge-diaphragmatic: Sithi kukuphefumla ngesisu, oko kuthetha ukuphefumla nzulu nangokuzolileyo.

Ngamanye amaxesha, iiseshoni ezimbalwa nje zolu nyango lokuphefumla zinokunciphisa kakhulu iimpawu. Ukuba uyifunda kakuhle, ungayilawula le meko ngokwakho.

• Ukunyanga iimeko ezibangela isifo: Umzekelo, ukuba unesifo esinganyangekiyo esifana ne -GERD (gastroesophageal reflux disease) , kubalulekile ukusinyanga ngokufanelekileyo. I-asidi yesisu ingenza ii-vocal cords zakho zidumbe kwaye zibe novelwano ngakumbi xa zibuyela emqaleni wakho. Oogqirha bakwacebisa ukulawula nokunyanga umkhuhlane kunye nezinye izifo ezinokubangela iimpawu ze-VCD. Ukuba uxinzelelo okanye ixhala zizinto ezibangela eso sifo, kubalulekile ukufuna iingcebiso okanye unyango lwazo.

Ngaba le meko inganyangeka ngokupheleleyo?

Hayi, akukho nyango loku okwangoku . Kodwa ungakhathazeki. Yimeko elawulekayo. Oogqirha banokukunceda ufumane izinto ezibangela ukungasebenzi kakuhle kwe-vocal cord yakho (VCD). Banokucebisa nonyango, ngakumbi umthambo wokuphefumla, ukukunceda ulawule ukuphefumla kwakho okufutshane. Emva koko ungaphila ubomi obuqhelekileyo ngaphandle kokuvakalelwa kukuba uphelelwe ngumphefumlo.

Oku kungathintelwa njani ukuba kungenzeki?

Eyona ndlela yokunciphisa ukwenzeka kobu bunzima bokuphefumla kukuphepha nokulawula izizathu kunye neemeko ezibangela ubunzima bokuphefumla.

• Khawucinge nje, ukuba uyazi ukuba uza kuba nezi mpawu xa udibana nekhemikhali ethile emsebenzini wakho, ungayinciphisa loo mngcipheko ngokusebenzisa izixhobo zokuphefumla ezikhuselayo.
• Ukuba uyazi ukuba izinto ezifana neziqholo ezinamandla kunye nomsi zimbi kuwe, zama ukuziphepha.
• Ukuba unesifo esifana neGERD, thatha ukutya okufanelekileyo kunye namayeza.
• Ukuba oku kuyenzeka ngelixa usenza umthambo, izinto ezinje ngokuzifudumeza ngaphambi kokuba uqale kunye nokuphola emva komthambo zinokunceda. Kwakhona, thetha nogqirha wakho malunga nokuba zeziphi imithambo ezikulungeleyo.

Ngaba le ngxaki yokungasebenzi kakuhle kwezwi ibeka ubomi esichengeni?

Enyanisweni, xa le meko ye-VCD isenzeka , ingavakala ngathi isongela ubomi. Yinto eyoyikisayo nephazamisayo. Kodwa ayisiyongxaki esongela ubomi. Ngenxa yokuba iintambo zelizwi zivalekile ngokupheleleyo kwaye awukwazi ukuphefumla, awuyi kuya ndawo. Nangona kunjalo, ukuba unengxaki yokuphefumla, kufuneka uye kwicandelo likaxakeka ngaphandle kokuthandabuza. Uvavanyo olwenziwe apho luya kubonisa ukuba umzimba wakho ufumana umlinganiselo weoksijini owufunayo, nokuba awuyazi loo nto.

Kubalulekile:Ukuba unengxaki enkulu yokuphefumla, kunokuba nzima ukuzibona ukuba yi-VCD okanye enye into. Isenokuba yimeko enzulu ngakumbi, efana ne-asthma. Ngoko ke bubulumko ukufuna ingcebiso kagqirha ngokukhawuleza.

Ndingazinyamekela njani?

Kubaluleke kakhulu ukuba uxoxe ngale ngxaki yokungasebenzi kakuhle kwesandi (ILO/VCD) neqela loogqirha abanolwazi (ingcali ye-ENT, ingcali yokuthetha). Emva koko ungayiqonda ngcono into eyenzekayo kuwe nento omawuyenze xa unolu hlobo lobunzima bokuphefumla (njengokuzilolonga ngokuphefumla). Baza kwenza isicwangciso solawulo esilungiselelwe wena ngokobuqu.

Ndifanele ndimbone nini ugqirha wam?

Ukuba wenze umthambo wokuphefumla ngokuchanekileyo, walawula naziphi na iimeko ezingaphantsi (ezifana neGERD), kwaye waziphepha izinto ezibangela le meko, kodwa usenazo iimpawu, qiniseka ukuba ubona ugqirha wakho. Unyango lwakho lunokufuneka lutshintshwe okanye kusenokufuneka uvavanyo olungaphezulu.

Ukuba uphelelwa ngumphefumlo ngenxa yesizathu esithile, ukuba uhamba nentlungu yesifuba, ukuba imilebe yakho ijika ibe luhlaza okwesibhakabhaka, okanye ukuba uziva ngathi ulahlekelwa zingqondo, fowunela i-Suwaseriya Ambulance Service ngoko nangoko okanye uye kwicandelo elikufutshane lesibhedlele.

Yintoni ekufuneka uyikhumbule koko sikuthethileyo (Umyalezo Wokubuyela Ekhaya)

Sonke sikhe sibe nexesha apho kunzima ukuphefumla. Cinga ngako, xa uzilolonga nzima, ubaleka ibhasi, okanye xa kukho into ebangela uxinzelelo. Kodwa ukuba une-vocal cord dysfunction (VCD), okanye inducible laryngeal obstruction (ILO), unokuba nengxaki yokuphefumla ngaphandle kwesizathu esicacileyo.

Nangona i-VCD ingasongeli ubomi, inokuba ngamava abangela uxinzelelo noloyiko. Ngenxa yoko, akucetyiswa ukuba ungayinaki. Nangona oogqirha bengenakuyinyanga ngokupheleleyo le meko, banokukunceda ufumane ukuba zeziphi izinto ezibangela le meko. Banokukufundisa neendlela zonyango, ingakumbi umthambo wokuphefumla, ezinokukunceda ulawule ukuphefumla kwakho xa kusenzeka. Ke ngoko, ukuba unezi mpawu, kungcono ungoyiki okanye uzive uneentloni kwaye ufune iingcebiso zonyango. Kukho abantu abanokukunceda kwaye bakukhokele ukuze uphile ngempumelelo nale meko.

Ukungasebenzi kakuhle kweNtambo yelizwi , Ukuvaleka kweLaryngeal okungashukumiyo, Ubunzima bokuphefumla, Ukuxinana komphimbo, ILarynx, ILaryngoscopy