Ingabe izwi lakho selishile? Lokhu kungenzeka ukuthi kungenxa ye-Reinke's Edema!

Uke waphawula yini noshintsho ezwini lakho kulezi zinsuku, ukushoshozela? Mhlawumbe umphimbo wakho uzizwa ukhathele uma ukhuluma, noma izwi lakho lizwakala linzima kancane? Lokhu kungaba yinto ebalulekile kuwe. Kubaluleke kakhulu ukuqaphela lesi simo, ngoba eminye imikhuba ingabangela lokhu.

Kuyini i-Reinke's Edema?

Kalula nje, i-Reinke's Edema ukuvuvukala kwama -vocal folds akho, izingxenye ezimbili zomphimbo wakho ezivevezela uma ukhuluma. Abanye abantu bakubiza nangokuthi 'i-Polypoid Corditis'. Ukuze kube sobala, lokhu kuvuvukala kwenzeka lapho ulwelwesi oluphezu kwama-vocal folds lugcwele uhlobo oluthile loketshezi. Kuvame ukubonwa kubantu ababhema isikhathi eside . Kodwa-ke, kungabangelwa futhi yi-acid reflux yesisu eqhubekayo (i-acid reflux) noma ukusetshenziswa okuqhubekayo kwezwi ngendlela elimazayo, okungukuthi, ukufaka ukucindezeleka okungadingekile ezwini (ukuhlukumezeka kwezwi) .

Lokhu kuvuvukala kwe-vocal cord akuyona inkinga eyingozi njengomdlavuza, okusho ukuthi kuyisimo 'esingesihle' . Kodwa-ke, kubonisa ukuthi i-vocal cord yakho yonakele. Lokhu kuvuvukala kungenzeka ohlangothini olulodwa lomphimbo noma kuzo zombili izinhlangothi. Lokhu kungabangela ukuthi izwi lihoshe, futhi ngezinye izikhathi izwi lingajula kakhulu. Ezimweni ezimbi kakhulu, lokhu kuvuvukala kungavimba ngisho nemigudu yokuphefumula, kubangele ubunzima bokuphefumula .

I-edema kaReinke ivame ukuba yinto engathí sina, futhi ayidingi ukwelashwa njalo. Kodwa-ke, kubalulekile ukukhumbula ukuthi ukushintsha kwezwi lakho kungase kungathuthuki ngaphandle kokuyeka ukubhema noma ukuhlinzwa . Uma unezinguquko ezingathandeki ezwini lakho, bheka udokotela wezifo zamehlo. Bangakusiza.

Sivame kangakanani lesi simo?

I-Reinke's edema empeleni iyisimo esingavamile kakhulu . Sithinta abantu abangaphansi kuka-1% jikelele. Sivame kakhulu kubantu abangaphezu kweminyaka engu-50 kanye nababhemayo.

Ucwaningo lusikisela ukuthi abesifazane banamathuba amaningi okuthola i-edema kaReinke. Kodwa isizathu salokhu kungaba ukuthi abesifazane banamathuba amaningi okubona izimpawu zezwi elijulayo. Ngoba umuntu onezwi elijulayo ngokwemvelo angase angaluboni ushintsho oluncane kangaka. Khona-ke abafuni ukwelashwa.

Ziyini izimpawu?

Izimpawu ze-edema kaReinke zifaka:

• Izinguquko zekhwalithi yezwi noma ivolumu.
• Izwi liyajula kancane kancane.
• Izwi elizwakala lihoshozela noma elinesisindo.

Abantu abane-edema kaReinke bavame ukuzizwa bekhathele kakhulu kunokujwayelekile lapho besebenzisa izwi labo. Izwi lingazizwa likhathele kakhulu futhi linzima.

Izimpawu ezingavamile

Lokhu kubonakala kancane kancane:

• Ubunzima bokukhuluma kancane.
• Ukuzwa ukungakhululeki noma ubuhlungu lapho ukhuluma noma uhlabelela.
• Ukungakwazi ukukhuluma noma ukucula kakhulu.
• Ubuhlungu noma ukuqina kwentamo.
• Ubunzima bokuphefumula (i-Dyspnea).
• Umsindo lapho uphefumula (Stridor).

Yini ebangela i-edema kaReinke?

Imbangela eyinhloko yalokhu kuvuvukala kwemisipha yezwi ukubhema isikhathi eside . Yileso sizathu esikhulu.

Ezinye izizathu zingabizwa ngokuthi:

• Ukubuyela emuva kwe-asidi (GERD/Ukubuyela emuva kwe-asidi).
• Ukubuyela kwe-asidi ku-larynx (i-Laryngopharyngeal Reflux - LPR).
• Ukuchayeka isikhathi eside ezintweni ezifana namakhemikhali.
• Ukusebenzisa izwi ngokweqile noma ukulimala kwemisipha yezwi (isib. ukukhuluma ngokweqile, ukucula, noma yini ecindezela imisipha yezwi). Cabanga ngakho, kukhona othisha, othisha, noma abantu abamemeza njalo. Bangase babe sengozini. Umakhelwane wethu, uNimal, usebenza esitolo esimemeza usuku lonke, futhi ngaphezu kwalokho, kunezikhathi lapho ephethe ngisho nogwayi emlonyeni wakhe. Muva nje futhi usanda kuba nokushoshozela okuncane ezwini lakhe.

Odokotela bakuthola kanjani lokhu?

Uma ubona udokotela we-otolaryngologist, uzoqala ahlole indawo yekhanda nentamo yakho. Ngemuva kwalokho azokwenza ukuhlolwa okubizwa ngokuthi i-laryngoscopy ukuze abheke ngqo izintambo zakho zezwi. Phakathi nalokhu kuhlolwa, udokotela uzonaka kakhulu:

• Izindiza.
• Umlomo.
• Umphimbo.
• Indlala yegilo.

Ngesikhathi sokuvakasha kwakho, udokotela wakho uzoqoqa ulwazi olwengeziwe mayelana nezimpawu zakho kanye nomlando wezokwelapha. Ungase ubuzwe imibuzo efana nale:

• Uqale nini ukubona ushintsho ezwini lakho?
• Yiziphi ezinye izimpawu onazo?
• Lezi zimpawu zikuthinta kanjani impilo yakho yansuku zonke?
• Yiziphi izimo zempilo onazo noma oke waba nazo ngaphambili?
• Uyabhema? Uma kunjalo, ubhema kangakanani?
• Uyaphuza utshwala? Uma kunjalo, bungakanani?
• Wake watholakala une-asidi esiswini?
• Yimiphi imithi oyisebenzisayo?
• Wake wahlinzwa?
• Wake waphathwa ngemisebe?

Ukuhlolwa okwenziwe

I-Laryngoscopy ivumela udokotela ukuthi abheke ngqo izintambo zakho zezwi.Kusetshenziswa ukuhlolwa. Uma une-edema kaReinke, ungase ubone izindawo ezivuvukele kanye/noma ukukhula okufana ne-polyp ezintanjeni zakho zezwi okufana namagilebhisi amancane noma amabhaluni amanzi.

Futhi, kuzokwenziwa ukuhlaziywa kwezwi ukuze kuhlolwe izici ezahlukahlukene zezwi lakho, njengokuzwakala kwephimbo, ikhwalithi, kanye nomthamo wokuphefumula. Phakathi nalokhu kuhlaziywa, bazohlola i-larynx yakho futhi bakucele ukuthi ukhulume kumakrofoni, kuyilapho izwi lakho liqoshwa.

Esifweni sikaReinke, izintambo zezwi zingavuvukala njengamabhaluni amabili agcwele amanzi. Cabanga nje, yilokho okubangela ukuba izwi lihoshe.

Iphathwa kanjani?

Umgomo oyinhloko wokwelapha i-edema kaReinke ukubuyisela noma ukuthuthukisa ukusebenza kwezwi . Ukwelashwa kuncike embangela ye-edema. Odokotela bavame ukuqala ngemithi yokwelapha engeyona eyokuhlinzwa, njengokuyeka ukubhema.

Ukwelashwa ngaphandle kokuhlinzwa

Ukuze ususe i-edema kaReinke, udinga kuqala ukwelapha imbangela . Ukuze wenze lokhu, udokotela wakho angase akuncome okulandelayo:

• Ukuyeka ukubhema: Uma ubhema, isinyathelo sokuqala ukuyeka. Kwezinye izimo ezincane, lokhu kukodwa kunganciphisa ukuvuvukala kwemisipha yezwi lakho.
• Imithi ye-GERD kanye ne-LPR: Uma une-asidi esiswini, udokotela wakho angase akunike imithi efana nama-H2 blockers noma ama-proton pump inhibitors. Bangase futhi batuse ukushintsha kokudla ukuze banciphise ukukhiqizwa kwe-asidi.
• Ukwelashwa Ngezwi: Ukwelashwa ngenkulumo, okwenziwa yi-SLP, kungasiza ekuqiniseni ukusebenza kwezintambo zezwi futhi kuzisize zelapheke. Odokotela basebenzisa lokhu kwelashwa kanye nokwelashwa okungekona ukuhlinzwa kanye nokuhlinzwa.

Ukwelashwa ngokuhlinzwa

Uma ukwelashwa okungewona ukuhlinzwa kungazithuthukisi izimpawu zakho, udokotela wakho uzokhuluma nawe ngezinyathelo ezilandelayo. Lezi zingafaka:

• I-Microlaryngoscopy: Udokotela ohlinzayo usebenzisa amathuluzi amahle kakhulu ukususa izicubu ezivuvukile ngenkathi ebheka izintambo zakho zezwi nge-microscope.
• Ukwelashwa Nge-Laser: Udokotela ohlinzayo usebenzisa amandla okukhanya nge-laser ukususa noma ukunciphisa usayizi wezintambo zezwi.

Ngemva kokuhlinzwa, kubaluleke kakhulu ukugwema izinto ezibangele ukuvuvukala kweReinke kwasekuqaleni . Kungakhathaliseki ukuthi uyaqhubeka nokubhema noma ungelaphi i-asidi yesisu, ukuvuvukala kungabuya ngemva kokuhlinzwa - ngezinye izikhathi ngisho naphakathi kwamasonto ambalwa!

Kuthatha isikhathi esingakanani ukuphulukiswa?

Ngemva kokuba uReinke ehlinzwe ngenxa yokuvuvukala,Kuthatha cishe amasonto amane kuya kwayisithupha ukuphulukiswa ngokuphelele. Udokotela wakho angase futhi akuncome ukuphumula okuphelele kwezwi izinsuku ezinhlanu kuya kweziyisikhombisa. Lokhu kuzonikeza izintambo zakho zezwi isikhathi sokuphulukiswa ngaphambi kokuba uzisebenzise futhi.

Yini esingayicabanga ngalesi simo? (I-Outlook)

Abantu abane-edema kaReinke bavame ukulindela ukululama okuhle . Nakuba ukuvuvukala kwe-vocal cord kungabangela izimpawu ezingathandeki, ngokuvamile akulona ingozi . Futhi uma ugwema izici eziyingozi, lesi simo asivamile ukuphinda sibuye.

Ingabe i-edema kaReinke ingavinjelwa?

Yebo, isikhathi esiningi, ukuvuvukala kukaReinke kungavinjelwa ngokugwema izici eziyingozi . Uma ubhema, ukuyeka ukubhema kunganciphisa kakhulu ingozi yakho yokuvuvukala kwe-vocal cord . Uma unezimpawu ze-acid reflux, khuluma nodokotela wakho ngemithi engasiza. Uma usebenzisa izwi lakho njalo, thatha izinyathelo zokugwema ukulisebenzisa ngokweqile. Isibonelo, uma ungumculi, uthisha, noma umuntu osebenza emsebenzini odinga ukuthi ukhulume njalo, unganciphisa ingozi yakho ngokuthatha ikhefu nokuphuza amanzi amaningi.

Kufanele ubonane nini nodokotela?

Ngezinye izikhathi, ukuvuvukala kwama-tonsils e-Reinke kunganciphisa indlela yakho yokuphefumula futhi kwenze kube nzima ukuphefumula . Uma ubona noma yiziphi zalezi zimpawu, tshela udokotela wakho ngokushesha . Uma ubona noma yiziphi izinguquko ezwini lakho ezihlala isikhathi esingaphezu kwamasonto amane, kufanele ubonane nochwepheshe wezindlebe, impumulo, nomphimbo (otolaryngologist) ongahlola izintambo zakho zezwi ngqo.

Ukuvuvukala kwezintambo zezwi ngokuvamile akubangeli mthelela omkhulu empilweni yakho. Kodwa-ke, kungabangela izinguquko ezinkulu ezwini lakho. Kungaba namahloni futhi kube namahloni kwabanye abantu. Ukuhlinzwa kungasiza. Kodwa-ke, ukuze uvimbele izimpawu ukuthi zingaphinde zivele, kufanele nakanjani ugweme izinto eziyingozi njengokubhema nokusebenzisa izwi lakho ngokweqile. Buza udokotela wakho ngezinketho zakho zokwelapha.

Amaphuzu amafushane okufanele uwakhumbule

Kulungile, ngakho-ke, kulokho esikhulume ngakho nge-Reinke's Edema, khumbula lezi zinto:

• Imbangela eyinhloko ukubhema: Lokhu ngokuvamile kuyimbangela eyinhloko.
• Izwi elihoshozelayo liyisici esibalulekile: izwi lingase lijule futhi.
• Akuyona umdlavuza: kodwa ukhombisa umonakalo ezintanjeni zezwi.
• Ukuyeka ukubhema kubalulekile: Lokhu kubaluleke kakhulu ukuze ukwelashwa kuphumelele.
• Funa iseluleko sezokwelapha: Uma ukushintsha kwezwi kuqhubeka, qiniseka ukuthi ubona udokotela.
• Okungavinjelwa: Lokhu kungagwenywa ngokugwema ukubhema nokuvikela izwi lakho.

Ngakho-ke, nakekela izwi lakho. Ngoba nalo liyingxenye yempilo yakho! Uyaqonda?

Ukuvuvukala kukaReinke , ukushintsha kwezwi, izwi elihoshozelayo, ukuvuvukala kwentambo yezwi, ukubhema, umphimbo obuhlungu