Mayelana nokungasebenzi kahle kweCord Vord

-Delile

• Izimpawu ze-VCD
• Ukuhlonza i-VCD
• Izivivinyo
• I-Spirometry
• I-Laryngoscopy
• Ukuhlolwa komsebenzi wePulmonary
• Izimbangela ze-VCD
• Ukwelashwa kwe-VCD
• Ukwelashwa kwesikhashana kweziqephu ezinzima
• Ukwelashwa kwesikhathi eside
• Ezinye izinto okufanele uzicabangele
• VCD noma enye into?
• Ukuthatha - nethiphu lokugcina

I-Vocal cord dysfunction (VCD) kulapho izintambo zakho zezwi zingasebenzi kahle futhi zivala lapho uhogela. Lokhu kunciphisa isikhala esitholakalayo somoya ongena nophuma lapho uphefumula.

Kutholakale kubantu bayo yonke iminyaka, kepha imvamisa kuyabonakala kubantu abaneminyaka yobudala. Kwenzeka kaningi kwabesifazane kunakubesilisa.

Elinye igama lalesi simo ukunyakaza kwentambo ephikisayo. Ngoba izwakala futhi izwakala ifana nesifuba somoya, ingabizwa nangokuthi "i-vocal cord asthma."

Ungaba nazo zombili i-VCD futhi isifuba somoya.

Izimpawu ze-VCD

Uma isiqephu esibucayi simnene, ungahle ungabi nazimpawu.

Uma unezimpawu, iningi lazo lidalwa umoya ohogelwayo ohamba endaweni encane kunokujwayelekile. Ziza ngokuzumayo futhi zingalingisa ukuhlaselwa yisifuba somoya.

Izimpawu zokungasebenzi kahle kwentambo yezwi zifaka:

• ukuphelelwa umoya
• ukuzwa ukuthi uminyaniswa, okubizwa nangokuthi ukulamba komoya
• ukuphefumula, ikakhulukazi ngesikhathi sokuphefumula
• i-stridor, okuwumsindo ophezulu ngesikhathi sokuhogela
• ukukhwehlela okungapheli
• ukukhishwa komphimbo okungapheli
• ukuqina komphimbo noma umuzwa wokuminyaniswa
• ukuduma noma izwi elibuthakathaka
• ukuqina kwesifuba noma ubuhlungu besifuba

Lezi zimpawu zingethusa, ikakhulukazi lapho zivela kungazelelwe. Abanye abantu bazizwa bekhathazekile, betatazela, futhi besaba lapho bebathola. Lokhu kungenza kube nzima nakakhulu kuwe ukuphefumula.

Kumuntu one-asthma, izimpawu ezifanayo zingasho ukuthi bahlaselwa kanzima okungasongela impilo futhi kudinga ukwelashwa ngokushesha. Umehluko owodwa obalulekile phakathi kwabo ukuthi ukuvunguza kuzwakala lapho uphefumula nge-asthma, kepha kuyezwakala uma uhogela i-VCD.

Ukuhlonza i-VCD

Udokotela wakho uzokubuza imibuzo mayelana nezimpawu zakho nezimbangela zeziqephu zakho zokuphefumula okunzima. Eminye imibuzo ingasiza udokotela wakho ukuthi anqume ukuthi une-VCD noma i-asthma. Bangakubuza:

• ukuchaza izimpawu zakho ngqo: I-VCD ibanga amasondo ngenkathi uphefumula, isifuba somoya sibangela amasondo ngenkathi uphefumula
• kwenzeka ziphi isikhathi sosuku: I-VCD ayenzeki uma ulele, ukuhlaselwa yisifo somoya kungaba khona
• uma kukhona okwenza izimpawu zakho zibe ngcono noma zibe zimbi kakhulu: ama-inhalers angadala ukuhlaselwa kwe-VCD noma akwenze kubi kakhulu, imvamisa enza izimpawu zesifuba somoya zibe ngcono
• uma udokotela ekuqinisekisile ukutholakala kwe-VCD ngokubheka izintambo zakho zezwi

Kungaba nzima ukuhlukanisa i-VCD ne-asthma. Ucwaningo lukhombisa ukuthi abantu abane-VCD abatholakali kahle njengabanesifuba somoya.

Udokotela wakho angabona uma ubamba umphimbo wakho noma ukhomba kuwo lapho uchaza izimpawu zakho. Abantu abane-VCD bavame ukwenza lokhu ngokungazi.

Izivivinyo

Kukhona ezinye izivivinyo udokotela wakho angazisebenzisa ukuthola i-VCD. Ukuze kube wusizo, izivivinyo kufanele zenziwe ngenkathi unesiqephu. Ngaphandle kwalokho, ukuhlolwa kuvame ukujwayelekile.

I-Spirometry

I-spirometer yithuluzi elilinganisa ukuthi ungakanani umoya ophefumula kuwo bese uwukhipha. Ibuye ilinganise nokuthi umoya ushesha kangakanani. Ngesikhathi sesiqephu se-VCD, sizobonisa inani eliphansi lomoya ongena kunokujwayelekile ngoba uvinjelwe izintambo zakho zezwi.

I-Laryngoscopy

I-laryngoscope yishubhu eliguquguqukayo elinekhamera enamathiselwe. Ifakwa ngamakhala akho ku-larynx yakho ukuze udokotela wakho abone imisipha yakho yezwi. Uma uthatha umoya, kufanele zivuleke. Uma une-VCD, zizovalwa.

Ukuhlolwa komsebenzi wePulmonary

Ukuhlolwa komsebenzi wePulmonary kunikeza isithombe esiphelele sendlela osebenza ngayo umgudu wokuphefumula.

Ngokuthola i-VCD, izingxenye ezibaluleke kakhulu yizinga lakho le-oxygen kanye nephethini nenani lokuhamba komoya lapho uhogela. Uma une-VCD, izinga lakho le-oxygen kufanele lihlale lijwayelekile ngesikhathi sokuhlaselwa. Ezifweni zamaphaphu njenge-asthma, kuvame ukuba ngaphansi kunokujwayelekile.

Izimbangela ze-VCD

Odokotela bayazi ukuthi nge-VCD izintambo zakho zezwi ziphendula ngokungajwayelekile kwizimbangela ezahlukahlukene. Kodwa abanaso isiqiniseko sokuthi kungani abanye abantu bephendula ngale ndlela.

Kunezimbangela ezaziwayo ezingadala ukuhlaselwa kwe-VCD. Zingaba yisikhuthazo somzimba noma izimo zempilo yengqondo.

• isifo se-laryngopharyngeal reflux (i-LPRD), lapho i-asidi yesisu igelezela emuva iye phezulu larynx yakho
• isifo se-reflux se-gastroesophageal (GERD), lapho i-asidi yesisu igeleza ibuyele emuva esiswini sakho
• i-postnasal drip
• ukuzivocavoca noma ukuzikhandla
• ukuphefumula izinto ezicasulayo ezifana nentuthu enobuthi, intuthu kagwayi, nephunga elinamandla
• imizwa enamandla
• ukucindezeleka noma ukukhathazeka, ikakhulukazi ezimweni zomphakathi
• ukucindezeleka okukhulu

Ukwelashwa kwe-VCD

Ukwelashwa kwesikhashana kweziqephu ezinzima

Kungabukeka futhi kuzwakale njengako, kepha iziqephu ezinzima ezinzima ngeke ziholele ekwehlulekeni kokuphefumula njenge-asthma.

Kodwa-ke, azikhululekile futhi zingakwenza wesabe futhi ukhathazeke, okungagcina isiqephu siqhubeka. Kunezindlela zokwelashwa ezingasiza ukumisa isiqephu esinzima ngokwenza kube lula ukuphefumula noma ukwehlisa ukukhathazeka kwakho.

• Ukucindezela okuqhubekayo okuhamba emoyeni (CPAP). I-compressor ye-CPAP ishaya ukuqhuma komoya ngezikhathi ezithile ngesifihla-buso esigqokwe ebusweni bakho. Ukucindezela okuvela emoyeni kusiza ukugcina imisipha yakho yezwi ivulekile okwenza kube lula ukuphefumula.
• I-Heliox. Le ngxube ye-80% helium ne-20% oxygen inganciphisa ukukhathazeka kwakho ngesikhathi sesiqephu esibi. Incane kakhulu kune-oxygen yodwa, ngakho-ke idlula ezintanjeni zakho zezwi nopayipi lomoya ngokushelela kakhudlwana. Ukuhamba komoya kungenasiyaluyalu okuncane, kuba lula ukuphefumula nomsindo omncane owenzayo ukuphefumula kwakho. Lapho ukuphefumula kwakho kuba lula futhi kuthule, uyeka ukukhathazeka.
• Imithi yokulwa nokukhathazeka. Kanye nokuqinisekiswa, i-benzodiazepines efana ne-alprazolam (i-Xanax) ne-diazepam (i-Valium) ingakwenza ungakhathazeki kangako, okungasiza ukuqeda isiqephu. Le mithi ingaba umlutha, ngakho-ke akufanele isetshenziswe ngaphezu kwezinsuku ezimbalwa noma njengokwelashwa kwesikhathi eside kwe-VCD.

Ukwelashwa kwesikhathi eside

Izimbangela ezivikelekayo kufanele zisuswe lapho kungenzeka. Ezinye izindlela zokwelapha zifaka:

• i-proton pump inhibitors, efana ne-omeprazole (Prilosec) ne-esomeprazole (Nexium) evimba ukukhiqizwa kwe-asidi esiswini, okusiza ukumisa i-GERD ne-LPRD
• ama-antihistamine asesitayeleni asiza ukumisa ukudonswa kwangemva kokubeletha
• ukugwema izinto ezicasulayo ekhaya nasemsebenzini, kufaka phakathi ukubhema nentuthu kagwayi
• ukufuna ukwelashwa ngezimo ezingaphansi kokucindezeleka, ingcindezi nokukhathazeka
• gcina noma yikuphi ukuxilongwa kwesifuba somoya kulawulwa kahle

Ukwelashwa kwenkulumo kuyisisekelo sokuphathwa kwesikhathi eside. Uchwepheshe uzokufundisa ngesimo sakho futhi angakusiza wehlise inani leziqephu ze-VCD futhi uphathe izimpawu zakho ngokunikeza amasu amaningi. Lokhu kufaka phakathi:

• izindlela zokuphefumula ezikhululekile
• izindlela zokuphumula imisipha yomphimbo wakho
• ukuqeqeshwa ngezwi
• amasu okucindezela izindlela zokuziphatha ezicasula umphimbo wakho njengokukhwehlela nokuhlanza umphimbo

Enye indlela yokuphefumula ibizwa ngokuthi “ukukhulula ngokushesha.” Uphefumula ngezindebe ezilandelwe futhi usebenzise izicubu zakho zesisu ukusiza ukuhambisa umoya. Lokhu kubangela ukuthi izintambo zakho zezwi zikhululeke ngokushesha.

Ezinye izinto okufanele uzicabangele

Izikhiye zokuphatha i-VCD ukufunda ukukhulula imisipha ebhokisini lakho lezwi nokuphatha ukucindezeleka.

Kufanele usebenzise amasu okuphefumula afundiswa ngumelaphi wakho wokukhuluma kaningana ngosuku, noma ngabe awunazo izimpawu. Lokhu kuzobavumela ukuthi baphumelele uma kwenzeka isiqephu esibi.

Izimo ezinjengokukhathazeka, ukudangala, kanye nengcindezi ziyaziwa ukuthi zidlala indima enkulu ekuvuseleleni iziqephu ezinzima ze-VCD. Ukufunda ukulawula lezi nokukhulula ukucindezeleka kunganciphisa kakhulu inani leziqephu onazo. Izindlela zokwenza lokhu zifaka:

• ukuqonda i-VCD kuyisimo esibi futhi iziqephu ezinzima zivame ukuma zodwa
• ukufuna usizo kumelaphi noma isazi sokusebenza kwengqondo
• ukuzijayeza i-yoga noma ukuzindla ukukusiza uphumule
• ukuzama i-hypnosis noma i-biofeedback ukuphumula nokunciphisa ukucindezeleka

VCD noma enye into?

Abantu abaningi abane-VCD baqale batholwe ukuthi bane-asthma. Kubaluleke kakhulu ukuthi lezi zimo ezimbili zitholakale kahle ngoba ziphathwa ngendlela ehluke kakhulu.

Ukunikeza imithi yesifuba somoya njenge-inhalers kumuntu one-VCD ngeke kubasize futhi kwesinye isikhathi kungadala isiqephu.

Ukusebenzisa izindlela zokwelapha ukukhuluma ukwelapha umuntu onesifo somoya ngeke kuvule imigwaqo yomoya ngaphakathi kwamaphaphu abo futhi kungaba yingozi ekuhlaselweni yisifuba somoya okuyingozi.

Uma une-VCD ne-asthma, kungaba nzima ukusho ukuthi yini ebangela izimpawu zakho.

Omunye umkhondo ukuthi imishanguzo efana nama-inhalers wokutakula asetshenziselwa ukwelapha ukuhlaselwa yisifuba somoya ngeke isize uma i-VCD ibangela izimpawu zakho. Kodwa-ke, kwesinye isikhathi ama-inhalers wokutakula awasebenzeli ukuhlaselwa yisifuba somoya futhi.

Uma kukhona umbuzo wokuthi ungahle uhlaselwe yisifuba somoya, funa usizo lwezokwelapha ngokushesha.

Ngokuvamile, i-VCD ididekile nezinye izinhlobo zokuvinjelwa komoya kubandakanya:

• into yangaphandle ku-airway yakho noma i-esophagus
• ukuvuvukala komoya okuvela ku-angioedema yefa
• ukulimala ekubekeni ithubhu lokuphefumula
• izifo ezibanga ukuvuvukala komphimbo, njenge-epiglottitis kanye ne-peritonsillar abscess
• ukuqhuma kwezintambo zakho zezwi
• ukulimala kwenzwa yezintambo zakho zezwi ngesikhathi sokuhlinzwa

Ukuthatha - nethiphu lokugcina

I-VCD ivame ukuxilongwa njenge-asthma. Uma unezimpawu ocabanga ukuthi zingaba yi-VCD noma i-asthma, bheka udokotela wakho ukuze akuhlole. Ukuxilongwa okulungile kubalulekile ukwazi ukuthi ukwelashwa kwakho kufanele kube yini.

Isiqephu esibi se-VCD singesabisa ngoba kuyezwakala futhi kuzwakala sengathi awukwazi ukuphefumula. Into engcono kakhulu ongayenza ukulungiselela ngokufunda izindlela zokuphumuza izintambo zakho zokukhuluma, umzimba, nengqondo. Ukusebenzisa lezi zindlela kunganciphisa inani leziqephu onazo futhi kusize ukuziyeka.