Wake wakuthola kunzima ukuphefumula ngokuzumayo, uzizwa sengathi umphimbo wakho uyavaleka? Uma uzama ukuphefumula, kuzwakala sengathi kuyavaleka, futhi kuyesabeka. Abantu abaningi bacabanga ukuthi lesi yisifuba somoya ngesikhathi esinjengalesi. Kodwa akusiyo njalo isifuba somoya esifanayo. Namuhla sizokhuluma ngesimo esinezimpawu ezifanayo, kodwa esihlukile kwisifuba somoya. Lokho yi-Vocal Cord Dysfunction, noma i-VCD ngamafuphi.
Kalula nje, kuyini ukungasebenzi kahle kwe-Vocal Cord (VCD)?
Ukuze siqonde lokhu, ake siqale sifunde kancane ngezintambo zethu zezwi. Lezi zintambo zezwi zitholakala emphinjeni wakho, ikakhulukazi elakeni. Zifana nemisipha emibili.
Cabanga ngakho njengesango. Uma uphefumula, leli sango (izintambo zezwi) kufanele livuleke ngokuphelele , ukuze umoya ungene emaphashini akho ngaphandle kokuvinjelwa. Uma ukhuluma, ukhwehlela, noma usula umphimbo wakho, leli sango liyavaleka. Ukudlidliza kwalezi zibopho ezimbili ndawonye kudala izwi lakho.
Manje, umuntu onesifo esibizwa ngokuthi i-Vocal Cord Dysfunction (VCD) ubhekana nokuphambene nale nqubo. Okusho ukuthi, izintambo zezwi, okumele zivuleke uma uphefumula, zivaleke ngengozi noma zinciphe . Cabanga ukuthi kwenzekani lapho indlela yokuphefumula incipha ngokuzumayo? Yilokho okwenzekayo nge-VCD. Lokhu kwenza kube nzima kakhulu ukuphefumula. Kwabanye, lesi simo singavela njalo futhi sibe sibi kakhulu.
Into ebalulekile ukuthi lokhu kuhluke ngokuphelele ku-asthma. Ku-asthma, inkinga ukuncipha kwemigudu yomoya emincane emaphashini. Kodwa ku-VCD, inkinga isemphinjeni, okungukuthi, ezintanjeni zezwi.
Yiziphi izimpawu ezivame kakhulu ze-VCD?
Umuntu one-VCD angase abe nalezi zimpawu ngokuzumayo. Lokhu kungaba yinto eyesabekayo. Kodwa kubaluleke kakhulu ukuqaphela lezi zimpawu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubunzima bokuphefumula | Lolu uphawu oluyinhloko. Kunzima ukuphefumula kunokuphefumula ngaphandle. Kuzwakala sengathi uyacinana. |
| Umuzwa wokuqina noma into ebambeke emphinjeni | Ungase uzizwe sengathi kukhona iqhubu emphinjeni wakho, noma sengathi othile ukucindezele umphimbo wakho. |
| Umsindo 'wokuklewula' lapho uphefumula (Stridor) | Uma uphefumula, wenza umsindo omkhulu othi 'hee...' emphinjeni wakho. Lokhu kuhlukile kumsindo 'wokuphefumula' owuzwa ngesikhathi se-asthma. |
| Isidingo esivamile sokuhlanza umphimbo wakho | Ngizizwa sengathi kukhona okubhajwe emphinjeni wami, ngakho-ke ngihlala ngizizwa sengathi ngikhipha umphimbo wami. |
| Isiyezi | Ungase uzizwe unesizungu uma amazinga akho omoya-mpilo ehla kancane ngoba awukwazi ukuphefumula kahle. |
| Ukuba ndikindiki emilenzeni | Ngezinye izikhathi, iminwe nezinzwane zingase zizwe zingakhululekile ngenxa yezinguquko ezindleleni zokuphefumula. |
Kungani lokhu kwenzeka? Izimbangela ze-VCD
Odokotela abakayazi imbangela eqondile ye-VCD. Kodwa sebethole izici eziningana ezingaba nomthelela, noma "ezibangela," lesi simo. Lezi zingahlukaniswa ngezigaba eziningana eziyinhloko.
1. Ukuzivocavoca
Abanye abantu, ikakhulukazi abadlali abasebasha, bangaba ne-VCD ngesikhathi noma ngemva kokuzivocavoca . Lokhu kubizwa ngokuthi "ukuvimbela i-laryngeal okubangelwa ukuzivocavoca (i-EILO)". Kungenzeka kakhulu ukuthi kwenzeke ngesikhathi sokuzivocavoca okunzima, njengokugijima noma ukubhukuda.
2. Ezinye izimo zezokwelapha
I-VCD ingabuye ibe yimbi kakhulu ngenxa yezinye izifo onazo.
- Isifuba somoya: Nakuba isifuba somoya kanye ne-VCD kuyizinto ezimbili ezihlukene, umuntu onesifuba somoya cishe unamathuba amaningi okuthola i-VCD.
- Isifo se-Gastritis noma i-gastroesophageal reflux (GERD): I-asidi yesisu ingabangela ukuthi izintambo zezwi zivuvuke futhi zizwele, okubangela i-VCD.
- Ukutheleleka kwepheshana lokuphefumula eliphezulu:Lesi simo singabangelwa ukuvuvukala kwemisipha yezwi ngenxa yezinto ezifana nomkhuhlane kanye nokutheleleka komphimbo.
3. Izimo Zempilo Yengqondo
Ukucindezeleka nokukhathazeka kungaba yimbangela enkulu ye-VCD.
- Isifo Sokukhathazeka Okujwayelekile: Ukukhathazeka njalo nokwesaba kungabangela ukuba imisipha emzimbeni iqine. Ngokufanayo, imisipha emphinjeni ingaqina, okubangela i-VCD.
- Ukucindezeleka Kwezokwelapha
- Isifo sokucindezeleka ngemva kokucindezeleka (PTSD)
4. Izinto Ezicasulayo Eziphefumulayo
Ukuphefumula izinto ezithile endaweni esikuyo kungenza imisipha yezwi izwakale futhi kubangele ukuthi ivaleke ngokuzumayo.
- Umoya obandayo, owomile
- Uthuli, intuthu (insi egoqekile yomiyane, intuthu kagwayi)
- Amaphunga anamandla njengephunga elimnandi kanye nezivuseleli zomoya
- Amakhemikhali ayingozi njenge-bleach ne-ammonia
- Izinongo ezivela ekuphekeni ukudla kwabanye abantu (izinongo ezintathu noma ezinhlanu)
Wazi kanjani ukuthi lokhu akuyona i-asthma, kodwa i-VCD?
Lena yinselele enkulu kunazo zonke. Ngenxa yokuthi izimpawu ze-VCD zifana kakhulu ne-asthma, ngezinye izikhathi ngisho nodokotela bangadida lezi zimo ezimbili. Ngakho-ke, kubaluleke kakhulu ukuthola ukuxilongwa okunembile. Ngaphandle kwalokho, ngeke uthole impumuzo ekwelashweni kwakho kwe-asthma.
Udokotela wakho angenza izivivinyo eziningana ukuze axilonge lesi simo.
- I-Laryngoscopy: Lena yindlela engcono kakhulu yokuxilonga i-VCD. Kulolu vivinyo, kufakwa ipayipi elincane kakhulu, eliguquguqukayo elinekhamera enamathiselwe ngekhala lakho naphansi komphimbo wakho ukuze libheke ngqo izintambo zakho zezwi. Udokotela uzokucela ukuthi uphefumule futhi ukhulume ngendlela evamile ngenkathi ebheka ukuthi izintambo zakho zezwi zisebenza kanjani. Ngezinye izikhathi, ungase unikezwe into yokubangela (njengephunga elinamandla) ukuze ubone ukuthi izintambo zakho zezwi ziyavaleka yini. Lokhu kubizwa ngokuthi ukuhlolwa kokuvusa imizwa .
- Ukuhlolwa Komsebenzi Wephaphu (i-Spirometry): Lokhu kuhlolwa kulinganisa ukuthi amaphaphu akho asebenza kahle kangakanani. Ucelwa ukuthi uphefumulele umoya kudivayisi ebizwa ngokuthi i-spirometer. Uma une-asthma, imiphumela yalokhu kuhlolwa ingase ihluke. Njengoba ngokuvamile kungekho lutho olungalungile ngamaphaphu omuntu one-VCD, lokhu kuhlolwa kungaba okuvamile. Kodwa-ke, ngezinye izikhathi ukuma kwegrafu (`i-flow-volume loop`) kulokhu kuhlolwa kungabangela ukusola kwe-VCD.
Yiziphi izindlela zokwelapha i-VCD?
Uma welapha i-VCD, kubalulekile ukucabangela ukuthi yini ebangela lesi simo sakho, ukuthi sivela kangaki, nokuthi izimpawu zakho zimbi kangakanani.
Ingxenye engcono kakhulu ukuthi, i-VCD yisimo esingalawulwa kakhulu ngokwelashwa nokuqeqeshwa okufanele.
Kunezindlela ezimbili eziyinhloko zokwelapha:
1. Ukwelashwa Kokuvuselela Ukuphefumula: Udokotela wezifo zolimi lokukhuluma oqeqeshwe ngokukhethekile uzokusiza ngalokhu. Uma une-VCD, uzofundiswa izivivinyo zokuphefumula ezikhethekile ezizokusiza ukulawula ukuphefumula kwakho. Isibonelo:
- Ukuphefumula Ngezindebe Ezicindezelwe: Ukuphefumula kancane ngekhala bese uphefumula kancane ngomlomo njengokungathi ushaya ikhwela.
- Ukuphefumula Nge-Diaphragmatic: Ukuzijwayeza ukuphefumula esiswini. Le ndlela ikhulula imisipha emphinjeni futhi ivumela izintambo zezwi ukuthi zivuleke futhi. Uzozwa umehluko omkhulu ngemva kwezikhathi ezimbalwa nje zalolu hlobo lokwelashwa.
2. Ukwelapha Izimo Ezibangela Isifo: Ukwelapha imbangela eyinhloko ye-VCD nakho kubaluleke kakhulu.
- Uma une -GERD (gastritis) , kufanele usebenzise umuthi njengoba nje udokotela wakho ekuyalele.
- Uma ukhathazekile noma ucindezelekile , kubalulekile ukubona udokotela wezifo zengqondo ukuze uthole iseluleko nokwelashwa.
Eminye yemibuzo ebaluleke kakhulu ngalokhu
Ingabe lesi simo singalapheka ngokuphelele?
Cha, ayikho "ikhambi" elilodwa elifanela wonke umuntu lalokhu. Kodwa-ke, ngokuhlonza nokwelapha izimbangela ze-VCD, kanye nokuzijwayeza ukuzivocavoca okufanele kokuphefumula, ungenza lukhulu ekuvimbeleni lesi simo ukuthi singenzeki, futhi uma sisenzeka, ungasilawula kangcono.
Ingabe Ukungasebenzi Kahle Kwezwi Kusongela Ukuphila?
Cha. Lena yinto ebaluleke kakhulu okudingeka uyazi. Nakuba i-VCD ingaba yesabisayo futhi ingaba yingozi empilweni, akuyona inkinga esongela impilo . Ngisho noma ungase uzizwe sengathi unenkinga yokuphefumula, umzimba wakho uthola umoya-mpilo owudingayo.
Kodwa-ke, ungalokothi ungakunaki ukuphelelwa umoya. Uma uqhubeka nokuba nenkinga yokuphefumula, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Ukuhlolwa lapho kungaqinisekisa ukuthi untula umoya-mpilo ngempela noma cha.
Ngingazivikela kanjani kulesi simo?
Indlela engcono kakhulu yokuvimbela i-VCD ukuhlonza izici ezikwenza uthambekele kuyo bese uzigwema.
- Uma lokhu kubangelwa amaphunga anamandla, gwema ukusebenzisa izinto ezinjalo.
- Gqoka imaski uma uya ezindaweni ezinothuli.
- Uma lokhu kwenzeka ngenxa yokucindezeleka, zama ukuzola ingqondo yakho ngezinto ezifana nokuzindla kanye ne-yoga.
- Khuluma nodokotela wakho bese uqhamuka nohlelo lokuphatha lesi simo oluzokusebenzela.
Umlayezo Wokuya Nawe Ekhaya
- Ukungasebenzi Kahle Kwentambo Yezwi (i-VCD) yisimo lapho izintambo zezwi zivaleka noma zincipha ngengozi uma uphefumula. Lokhu akusona isifuba somoya.
- Uphawu oluyinhloko ubunzima bokuphefumula ngokuzumayo kanye nomsindo 'wokuklewula' ovela emphinjeni.
- Ukuzivocavoca umzimba, i-gastritis (GERD), ukucindezeleka nokukhathazeka, kanye nezinto ezicasulayo eziphefumulayo (ukubhema, amakha) kungasiza ekuthuthukisweni kwalesi simo.
- Nakuba lokhu kuyinto eyesabekayo, i-VCD ayisona isimo esisongela ukuphila.
- Lesi simo singalawulwa kahle kakhulu ngokuzivocavoca okukhethekile kokuphefumula kanye nokwelapha imbangela eyinhloko ye-VCD.
- Uma unezimpawu ezinjengalezi, qiniseka ukuthi ubona udokotela bese uthola ukuxilongwa okufanele.
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