Ukungahambi kahle

I-Hoarseness isho ubunzima bokwenza imisindo lapho izama ukukhuluma. Imisindo yezwi ingahle ibe buthakathaka, iphefumule, iklwebhe, noma ishonqe, futhi iphimbo noma ikhwalithi yezwi ingashintsha.

Ukuhwarha kuvame ukubangelwa inkinga yezintambo zezwi. Izintambo zezwi ziyingxenye yebhokisi lakho lezwi (umphimbo) elisemphinjeni. Lapho imisipha yezwi ivuvukala noma itheleleka, iyavuvukala. Lokhu kungadala ukushesha.

Isizathu esivame kakhulu sokuhaqeka yisifo esibandayo noma sesinus, esivame ukuzihambela sodwa kungakapheli amasonto amabili.

Imbangela engandile kodwa ebucayi yokuhaha okungapheli emasontweni ambalwa umdlavuza webhokisi lezwi.

Ukuthukuthela kungabangelwa:

• I-acid reflux (i-reflux yegastroesophageal)
• Ukungezwani komzimba
• Ukuphefumula ezintweni ezicasulayo
• Umdlavuza womphimbo noma umphimbo
• Ukukhwehlela okungapheli
• Imikhuhlane noma izifo eziphezulu zokuphefumula
• Ukubhema kakhulu noma ukuphuza, ikakhulukazi ndawonye
• Ukusetshenziswa ngokweqile noma ukuhlukunyezwa kwezwi (njengokumemeza noma ukucula), okungadala ukuvuvukala noma ukukhula kwizintambo zezwi

Izimbangela ezingavamile kakhulu zifaka:

• Ukulimala noma ukucasuka okuvela kubhubhu lokuphefumula noma i-bronchoscopy
• Ukulimala kwezinzwa nemisipha ezungeze ibhokisi lezwi (kusuka ekuhlukumezeni noma ekuhlinzweni)
• Into yangaphandle e-esophagus noma trachea
• Ukugwinya uketshezi olunamandla lwamakhemikhali
• Izinguquko ku-larynx ngesikhathi sokuthomba
• Umdlavuza wegilo noma wamaphaphu
• Indlala yegilo engasebenzi
• Ukunganyakazi kwentambo eyodwa noma zombili

I-hoarseness ingaba yesikhashana (acute) noma yesikhathi eside (chronic). Ukuphumula nesikhathi kungathuthukisa ukushuba. Ukubola okuqhubeka amasonto noma izinyanga kufanele kuhlolwe ngumhlinzeki wezokunakekelwa kwempilo.

Izinto ongazenza ekhaya ukusiza ukukhulula inkinga zifaka:

• Khuluma kuphela lapho udinga ukukhuluma kuze kube yilapho ukudinwa kuhamba.
• Phuza uketshezi oluningi ukusiza ukugcina izindlela zakho zomoya zimanzi. (Ukugquma akusizi.)
• Sebenzisa i-vaporizer ukwengeza umswakama emoyeni owuphefumulayo.
• Gwema izenzo eziqinisa izintambo zezwi njengokuhleba, ukumemeza, ukukhala, nokucula.
• Thatha imishanguzo yokwehlisa i-asidi esiswini uma ukushaqeka kungenxa yesifo se-reflux se-gastroesophageal (GERD).
• UNGAYisebenzisi ama-decongestant angomisa imicu yezwi.
• Uma ubhema, sika, noma uyeke okungenani kuze kudambe ukusabalala.

Shayela umhlinzeki wakho uma:

• Unenkinga yokuphefumula noma ukugwinya.
• Ukuduma kwenhliziyo kwenzeka ngokumunca amathe, ikakhulukazi enganeni encane.
• Ukuhwarha kwenzeka enganeni engaphansi kwezinyanga ezintathu ubudala.
• I-hoarseness ihlale isikhathi esingaphezu kwesonto elilodwa enganeni, noma amasonto amabili kuya kwamathathu kumuntu omdala.

Umhlinzeki uzohlola umphimbo wakho, intamo, nomlomo bese ekubuza imibuzo ethile mayelana nezimpawu zakho nomlando wezokwelapha. Lokhu kungafaka:

• Ulahlekelwe yizwi kangakanani (konke noma ingxenye)?
• Ngabe unaziphi izinkinga zezwi onazo (okwenza imisindo eklabalasayo, ephefumulayo, noma ekhuni)?
• Kwaqala nini ukudinwa?
• Ngabe ukushaqeka kuyafika kudlule noma kube kubi ngokuhamba kwesikhathi?
• Ngabe ubumemeza, ucula, noma usebenzise izwi lakho ngokweqile, noma ukhala kakhulu (uma uyingane)?
• Ingabe uke wachayeka emufutheni onamandla noma oketshezi?
• Unayo i-allergies noma i-post nasal drip?
• Wake wahlinzwa umphimbo?
• Uyabhema noma uyaphuza?
• Ingabe unezinye izimpawu ezinjengomkhuhlane, ukukhwehlela, umphimbo obuhlungu, ubunzima bokugwinya, ukwehlisa isisindo somzimba, noma ukukhathala?

Ungaba nohlolo olulodwa noma eziningi ezilandelayo:

• I-Laryngoscopy
• Isiko lomqala
• Ukuhlolwa komqala ngesibuko esincane
• Ama-X-ray entanyeni noma e-CT scan
• Ukuhlolwa kwegazi okufana nokubalwa kwegazi okuphelele (CBC) noma umehluko wegazi

Uhlobo lwezwi; IDysphonia; Ukulahleka kwezwi

• Ukwakheka komphimbo

UChoi SS, uZalzal GH. Ukuphazamiseka kwezwi. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 203.

I-Flint PW. Ukuphazamiseka komphimbo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 429.

UStachler RJ, uFrancis DO, uSchwartz SR, et al. Umhlahlandlela Wokuzivocavoca Komtholampilo: I-Hoarseness (iDysphonia) (Isibuyekezo). I-Otolaryngol Head Neck Surg. I-2018; 158 (1_suppl): S1-S42. I-PMID: 29494321 www.ncbi.nlm.nih.gov/pubmed/29494321.