Ingabe unenkinga yokuphefumula ngokuzumayo? Ake sifunde ngokungasebenzi kahle kwe-Vocal Cord / Inducible Laryngeal Obstruction!

Ingabe ngezinye izikhathi uzizwa sengathi uminza ngokuzumayo futhi awukwazi ukuphefumula? Cishe uke wabhekana nalokhu ngenkathi ukhuluma, uvivinya umzimba, noma uthule nje. Nakuba kungaba yinto eyesabekayo, namuhla sizokhuluma ngesimo esingabangela lokhu. Lokhu kubizwa ngokuthi i-Vocal Cord Dysfunction (VCD) , ngezinye izikhathi okubizwa ngokuthi i-Inducible Laryngeal Obstruction (ILO) .

Kuyini ukungasebenzi kahle kwe-vocal cord (VCD/ILO)?

Kalula nje, lokhu kwenzeka lapho izintambo zakho zezwi , noma ingxenye yomphimbo wakho elawula izwi lakho, ebizwa ngokuthi i-larynx (ibhokisi lezwi), ingasebenzi kahle. Cabanga ngakho, uma sivame ukuphefumula, izintambo zethu zezwi kufanele zivuleke ukuze kuvunyelwe umoya ungene emaphashini ethu. Kodwa kulesi simo esibizwa ngokuthi i-VCD, uma uphefumula, izintambo zakho zezwi zizama ukuvala, noma kunalokho, zivala ngesikhathi esingafanele. Lokho kwenza kube nzima ukuphefumula, akunjalo?

Lokhu kulula ukukuqonda uma ufunda okwengeziwe ngemisipha yethu yezwi. Lezi yizicubu ezimbili zemisipha ngaphakathi kwe-larynx yethu. Zisebenza njengeminyango emibili emincane emphinjeni wethu.

• Uma siphefumula: le minyango emibili iyavuleka, ivumela umoya ukuthi udlulele emaphashini ngaphandle kwesithiyo.
• Uma sikhuluma: Le minyango emibili iyahlangana, ihlangane phakathi, bese idlidliza. Lokho kudlidliza yikho okukhiqiza izwi lethu. Ngokufanayo, uma sigwinya okuthile, sihlanza umphimbo wethu, noma sikhwehlela, le misipha yezwi iyahlangana futhi ivaleke ukuze kuvinjelwe lezo zinto ukuthi zingangeni embhobho womoya.

Ngakho-ke, okwenzekayo kumuntu one-VCD ukuthi uma ezama ukuphefumula, izintambo zezwi zivaleka kabi ngesikhathi okufanele zivuleke ngaso. Yingakho kwenzeka izinto ezifana nobunzima bokuphefumula nokuminyana. Kwabanye abantu, lokhu kungenzeka njalo futhi kube kubi kakhulu. Ngaleso sikhathi, kuzwakala sengathi kunzima kakhulu ukuphefumula.

Ziyini izimpawu zalesi simo?

Uma une-vocal cord dysfunction (VCD), ungase uzwe iqhubu emphinjeni wakho (umuzwa weqhubu emphinjeni ) noma ukuqina emphinjeni wakho. Kunezinye izimpawu ezimbalwa, bheka ukuthi lezi zizwakala zijwayelekile yini kuwe:

• Ubunzima bokuphefumula: Lolu uphawu oluyinhloko futhi oluvame ukwesabisa kakhulu. Kuzwakala sengathi uyacinana, sengathi awukwazi ukuphefumula emphinjeni wakho.
• Ngihlala ngizizwa sengathi ngihlanza umphimbo , sengathi kukhona okubhajwe emphinjeni.
• Ukuzizwa unesizungu noma unekhanda elibuthakathaka (ukuzizwa unekhanda elibuthakathaka).
• Umuzwa wokuthi uyaminza noma uyacinana.
• Umsindo uvela emphinjeni uma uphefumula (i-stridor noma ukuphefumula okunomsindo lapho uphefumula). Kungase kuzwakale njengomsindo wokukloloda.
• Ukuzwa ukuqaqamba ezandleni nasezinyaweni zakho.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Ochwepheshe abakaqiniseki ukuthi yini ngempela ebangela lokhu. Kodwa bakholelwa ukuthi kungase kube nezimbangela ezingaphezu kweyodwa. Izinto ezingase zibangele, noma ziqale, noma zibe zimbi kakhulu lesi simo zingahlukaniswa ngezigaba eziningana:

• Ukuvinjelwa kwe-laryngeal okubangelwa ukuzivocavoca (i-EILO): Lokhu, njengoba igama lisho, yisimo esenzeka ngesikhathi sokuzivocavoca. Kuvamile kakhulu phakathi kwabadlali abasebasha . Cabanga, isibonelo, uma udlala imidlalo yesikole, ugijima, noma ugxuma, ngokuzumayo uthola kunzima ukuphefumula.
• Ezinye izimo zezokwelapha: Ezinye izimo zezokwelapha zingandisa nengozi ye-VCD. Isibonelo:
• Isifuba somoya
• Isifo Sokuqaqamba Kwesisu Esibangelwa Yi-Gastroesophageal Reflux (GERD) (Sisibiza ngokuthi i-acid reflux, isilungulela, yilokho okuyikho)
• Izifo zokuphefumula eziphezulu (isib., umkhuhlane, izifo zomphimbo)
• Izimo zempilo yengqondo: Ezinye izimo zempilo yengqondo zingase zibe zimbi kakhulu i-VCD. Izinto ezifana nokucindezeleka nokukhathazeka okubangelwa yilokhu zingathinta ukusebenza kwezintambo zezwi. Isibonelo:
• Isifo Sokukhathazeka Esijwayelekile
• Ukucindezeleka Kwezokwelapha
• Isifo Sobuntu Esibangelwa Ukucindezeleka Okungapheli (OCPD)
• Isifo Sokucindezeleka Ngemva Kokuhlukumezeka (PTSD)
• Izinto ezicasulayo oziphefumulayo: Ngezinye izikhathi lokhu kungabangelwa izinto esiziphefumulayo. Lokhu kungaba 'yisisusa', noma isikhuthazo, sezintambo zethu zezwi. Nazi izibonelo ezimbalwa:
• Umoya obandayo kakhulu, owomile.
• Amagesi anobuthi, njenge-ammonia noma i-bleach.
• Amakhemikhali okuhlanza izindlu nezindlu zangasese.
• Iphunga elinamandla noma amakha, intuthu yempepho.
• Intuthu, okungukuthi, hhayi intuthu kagwayi kuphela, kodwa futhi nentuthu evela ezitofini zokhuni, emsipheni wemoto, kanye nezinye izinhlobo zokusha.

Odokotela bakuthola kanjani lokhu?

Eqinisweni, lesi simo singaba nzima kancane kodokotela ukusithola ngokushesha, ngoba izimpawu zingafana nezinye izifo zokuphefumula, njenge-asthma. Ezinye izifundo zibonise ukuthi odokotela ngezinye izikhathi baphambanisa ukungasebenzi kahle kwe-vocal cord (VCD) ne -asthma noma i-croup (isifo sokuphefumula esithinta izingane ezincane).

Ngakho-ke, ukuze azi lokhu ngqo, udokotela uvame ukwenza lezi zinto:

1. Kuhlolwa umzimba .

2. Buza ngomlando wakho wezokwelapha ophelele (izifo zangaphambilini, imithi oyiphuzayo, ukuthi kukhona yini emndenini wakho oke waba nezimo ezifanayo, njll.).

3. Buza ngemisebenzi noma ukuchayeka owake wabhekana nakho ngaphambi kokuba kube nalokhu kuphelelwa umoya (isib., ingabe wake wavivinya umzimba? Ingabe wake wachayeka ephunga elithile?).

Ngaphezu kwalokho, lezi zivivinyo zingenziwa futhi:

• I-Laryngoscopy: Lokhu kuvame ukuba ukuhlolwa okubaluleke kakhulu. Lokhu kuhilela udokotela ukufaka ikhamera encane epayipini elincane, eliguquguqukayo ekhaleni lakho noma emphinjeni ukuze abheke izintambo zakho zezwi. Ungakhathazeki, bazoqinisekisa ukuthi ukhululekile ngenkathi benza lokhu (bangase bakunike umuthi omncane wokuthulisa umphimbo wakho). Lokhu kuzobavumela ukuthi babone ukuthi izintambo zakho zezwi zivuleka futhi zivaleke kanjani uma uphefumula futhi ukhuluma. Ngezinye izikhathi, ngenkathi udokotela ebheka umphimbo wakho, bangase benze okuthile okungavusa i-VCD (isibonelo, bangase bakucele ukuthi uzwe iphunga elithile noma uphefumule ngokushesha). Lokhu kubizwa ngokuthi ukuhlolwa kokucasula . Lokhu kuzobavumela ukuthi babone ukuthi kwenzekani ezintanjeni zakho zezwi uma unenkinga yokuphefumula.
• Ukuhlolwa kokusebenza kwamaphaphu kanye ne-spirometry: Kulezi zivivinyo, ucelwa ukuthi uphefumulele ngaphakathi nangaphandle kudivayisi ebizwa ngokuthi i-spirometer . Lokhu kulinganisa ukuthi ungawuphefumula futhi uwukhiphe umoya ongakanani, nokuthi ungawukhipha ngokushesha kangakanani. Udokotela wakho uzokwenza lokhu kuhlolwa ukuze akhiphe ezinye izimo, njenge-asthma. Ngezinye izikhathi, izinguquko ku-flow-volume loop (i-flow-volume loop) kulolu vivinyo zingasikisela ukuthi une-VCD. Kodwa into ebalulekile okufanele uyikhumbule ukuthi lezi zivivinyo zokusebenza kwamaphaphu zodwa azikwazi ukutshela ngokuqinisekile ukuthi une-VCD. Ziyisiqondiso nje.

Yiziphi izindlela zokwelapha lokhu?

Izinketho zokwelapha zingahluka kuye ngesimo sakho, okuhlanganisa izinto ezibangela ukuphelelwa umoya, ukuthi kwenzeka kangaki, nokuthi izimpawu zakho zimbi kangakanani (ezincane, eziphakathi nendawo, noma ezinzima). Ukwelashwa okuvamile kokungasebenzi kahle kwe-vocal cord (VCD) kufaka phakathi:

• Ukwelashwa kokuqeqeshwa kabusha kokuphefumula: Lokhu kuyindlela yokwelapha ebaluleke kakhulu futhi ephumelelayo . Odokotela bezifo zolimi lokukhuluma abaqeqeshwe ngokukhethekile bakufundisa izivivinyo zokuphefumula. Lezi zivivinyo zikusiza ukulawula ukuphefumula kwakho uma une-VCD. Zikufundisa ukuthi ungayikhulula kanjani imisipha yakho yezwi futhi ushintshe indlela ophefumula ngayo. Isibonelo:
• Ukuphefumula kwezindebe ezicindezelwe: Ukuphefumula ngezindebe ezicindezelwe, njengokungathi ushaya ikhwela. Lokhu kusiza ukugcina imigudu yokuphefumula ivulekile.
• Ukuphefumula nge-diaphragmatic: Sikubiza ngokuthi ukuphefumula esiswini, okuwukuphefumula okujulile nokuzolile.

Ngezinye izikhathi, izikhathi ezimbalwa nje zalolu hlobo lokwelapha ngokuphefumula zinganciphisa kakhulu izimpawu. Uma ukulufunda kahle, ungalawula lesi simo wena ngokwakho.

• Ukwelapha izimo ezibangela ukuvuvukala: Isibonelo, uma unesifo esingamahlalakhona njenge -GERD (isifo se-gastroesophageal reflux) , kubalulekile ukusiphatha kahle. I-asidi yesisu ingenza izintambo zakho zezwi zivuvuke futhi zibe bucayi uma zibuyela emphinjeni wakho. Odokotela batusa futhi ukulawula nokwelapha umkhuhlane nezinye izifo ezingabangela izimpawu ze-VCD. Uma ukucindezeleka noma ukukhathazeka kuyizinto ezibangela lokhu, kubalulekile futhi ukufuna ukwelulekwa noma ukwelashwa kwalezo zinkinga.

Ingabe lesi simo singalapheka ngokuphelele?

Cha, alikho ikhambi lalokhu okwamanje . Kodwa ungakhathazeki. Kuyisimo esilawulekayo. Odokotela bangakusiza ukuthola izinto ezibangela ukungasebenzi kahle kwe-vocal cord yakho (VCD). Bangancoma nokwelashwa, ikakhulukazi izivivinyo zokuphefumula, ukuze kukusize ulawule ukuphelelwa kwakho umoya. Ngemuva kwalokho ungaphila impilo ejwayelekile ngaphandle kokuzizwa uphelelwe umoya.

Lokhu kungavinjelwa kanjani ukuthi kungenzeki?

Ukuphela kwendlela yokunciphisa ukwenzeka kwalokhu bunzima bokuphefumula ukugwema nokulawula izimbangela nezimo ezibangela ubunzima bakho bokuphefumula.

• Cabanga nje, uma wazi ukuthi uzoba nalezi zimpawu uma ubhekene nekhemikhali ethile emsebenzini wakho, unganciphisa leyo ngozi ngokusebenzisa izinto zokuzivikela zokuphefumula.
• Uma wazi ukuthi izinto ezifana nama-perfume anamandla kanye nentuthu zimbi kuwe, zama ukuzigwema.
• Uma unesifo esifana ne-GERD, thatha ukudla okufanele kanye nemithi.
• Uma lokhu kwenzeka ngesikhathi uzivocavoca, izinto ezifana nokuzifudumeza ngaphambi kokuqala kanye nokuphola ngemva kokuzivocavoca zingasiza. Futhi, khuluma nodokotela wakho ngokuthi yikuphi ukuzivocavoca okufanele.

Ingabe lokhu kungasebenzi kahle kwe-vocal cord kusongela impilo?

Eqinisweni, uma lesi simo se-VCD senzeka , singase sizwakale sisongela ukuphila. Kuyinto eyesabekayo kakhulu futhi ephazamisayo. Kodwa empeleni akuyona inkinga esongela ukuphila. Ngenxa yokuthi izintambo zezwi zivalekile ngokuphelele futhi awukwazi ukuphefumula, ngeke uye ndawo. Kodwa-ke, uma unenkinga enkulu yokuphefumula, kufanele uye emnyangweni wezimo eziphuthumayo ngaphandle kokungabaza. Ukuhlolwa okwenziwa lapho kuvame ukukhombisa ukuthi umzimba wakho uthola inani lomoya-mpilo olidingayo, noma ngabe awukwazi.

Okubalulekile:Uma unenkinga enkulu yokuphefumula, kungaba nzima ukuzitshela ukuthi yi-VCD noma okunye. Kungaba futhi yisimo esibi kakhulu, njenge-asthma. Ngakho-ke kuwukuhlakanipha ukufuna iseluleko sezokwelapha ngokushesha.

Ngizinakekela kanjani?

Kubaluleke kakhulu ukuthi uxoxe ngalokhu kungasebenzi kahle kwe-vocal cord (ILO/VCD) nethimba lodokotela abanolwazi (uchwepheshe we-ENT, uchwepheshe wezokukhuluma). Khona-ke ungaqonda kangcono ukuthi kwenzekani kuwe nokuthi yini okufanele uyenze uma unobunzima bokuphefumula obunjalo (njengokuzivocavoca ukuphefumula). Bazokwakha uhlelo lokuphatha oluqondene nawe mathupha.

Kufanele ngimbone nini udokotela wami?

Uma wenze izivivinyo zokuphefumula ngendlela efanele, waphatha noma yiziphi izimo ezingaphansi (njenge-GERD), futhi wagwema izinto ezibangela lesi simo, kodwa usenezimpawu, qiniseka ukuthi ubona udokotela wakho. Ukwelashwa kwakho kungadinga ukushintshwa noma kungadingeka ukuhlolwa okwengeziwe.

Uma uphefumula kanzima kodwa ungaphefumuli ngenxa yanoma yisiphi isizathu, uma kuhambisana nobuhlungu besifuba, uma izindebe zakho ziphenduka zibe luhlaza okwesibhakabhaka, noma uma uzizwa sengathi ulahlekelwa ingqondo, shayela ngokushesha i-Suwaseriya Ambulance Service ka-1990 noma uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze.

Yini okufanele uyikhumbule kulokho esixoxe ngakho (Umyalezo Wokuya Ekhaya)

Sonke sinezikhathi lapho sikuthola kunzima ukuphefumula. Cabanga ngakho, lapho uzivocavoca kanzima, ugijima ngebhasi, noma lapho kwenzeka okuthile okucindezelayo. Kodwa uma une-vocal cord dysfunction (VCD), noma inducible laryngeal obstruction (ILO), ungase ube nenkinga yokuphefumula ngaphandle kwesizathu esibonakalayo.

Nakuba i-VCD ingasongeli impilo, ingaba yinto ekhathazayo kakhulu futhi eyesabekayo. Ngakho-ke, akukhuthazwa ukuyishaya indiva. Nakuba odokotela bengenakuyelapha ngokuphelele le nkinga, bangakusiza ukuthola ukuthi yiziphi izimbangela. Bangakufundisa nezindlela zokwelapha, ikakhulukazi izivivinyo zokuphefumula, ezingakusiza ukulawula ukuphelelwa umoya kwakho uma kwenzeka. Ngakho-ke, uma unalezi zimpawu, kungcono ungesabi noma ungabi namahloni bese ucela iseluleko sezokwelapha. Kukhona abantu abangakusiza futhi bakuqondise ukuze uphile ngempumelelo nalesi simo.

Ukungasebenzi Kahle Kwentambo Yezwi , Ukuvaleka Kwe-Laryngeal Okungavuki, Ubunzima Bokuphefumula, Ukuminyana Komphimbo, I-Larynx, I-Laryngoscopy