Kuopsa

Hoarseness kumatanthauza kuvuta kupanga mawu poyesera kulankhula. Phokoso laphokoso limatha kukhala lofooka, lopumira, lopindika, kapena laphokoso, ndipo mamvekedwe kapena mamvekedwe amawu amatha kusintha.

Hoarseness nthawi zambiri imayamba chifukwa cha vuto la zingwe zamawu. Zingwe za mawu ndi gawo la mawu anu (larynx) omwe ali pakhosi. Mimbayo ikatupa kapena kutenga kachilombo, imafufuma. Izi zitha kubweretsa hoarseness.

Chomwe chimayambitsa kufooka ndi chimfine kapena matenda a sinus, omwe nthawi zambiri amangopita patokha pakadutsa milungu iwiri.

Choyipa koma chowopsa cha hoarseness chomwe sichitha m'masabata angapo ndi khansa yamawu amawu.

Kuopsa kungayambitsidwe ndi:

• Reflux yamchere (reflux ya gastroesophageal)
• Nthendayi
• Kupuma muzinthu zokhumudwitsa
• Khansa ya pakhosi kapena pakhosi
• Kutsokomola kosatha
• Chimfine kapena matenda opatsirana apamwamba
• Kusuta kwambiri kapena kumwa, makamaka limodzi
• Kugwiritsa ntchito mawu mopitirira muyeso kapena kuzunza mawu (monga kufuula kapena kuyimba), zomwe zingayambitse kutupa kapena kukula pazingwe zamawu

Zomwe zimayambitsa zochepa zimaphatikizapo:

• Kuvulala kapena kukwiya kuchokera ku chubu lopumira kapena bronchoscopy
• Kuwonongeka kwa mitsempha ndi minofu mozungulira bokosi lamawu (kuchokera kuvulala kapena opaleshoni)
• Chinthu chachilendo pam'mero ​​kapena trachea
• Kumeza madzi amadzimadzi ovuta
• Zosintha zam'mero ​​pakatha msinkhu
• Khansa ya chithokomiro kapena yamapapo
• Chithokomiro chosagwira ntchito
• Kusasunthika kwa chingwe chimodzi kapena zonse ziwiri

Hoarseness ikhoza kukhala yayifupi (yovuta) kapena yayitali (yanthawi yayitali). Kupuma ndi nthawi kumatha kukonza hoarseness. Hoarseness yomwe imapitilira kwamasabata kapena miyezi iyenera kuyang'aniridwa ndi othandizira azaumoyo.

Zinthu zomwe mungachite kunyumba kuti muthane ndi vutoli ndi monga:

• Lankhulani pokhapokha mukafunika mpaka kukosola kumatha.
• Imwani madzi ambiri kuti muthandizidwe kuti mpweya wanu ukhale wouma. (Gargling sikuthandiza.)
• Gwiritsani ntchito vaporizer kuwonjezera chinyezi mumlengalenga momwe mumapumira.
• Pewani zinthu zomwe zimasokoneza zingwe zamawu monga kunong'ona, kufuula, kulira, ndi kuyimba.
• Tengani mankhwala kuti muchepetse asidi wam'mimba ngati kuwuma kwachitika chifukwa cha matenda a reflux am'mimba (GERD).
• OGWIRITSA NTCHITO mankhwala opha tizilombo omwe amatha kuyanika zingwe zamawu.
• Ngati mumasuta, dulani, kapena siyani mpaka kusamba kumatha.

Itanani omwe akukuthandizani ngati:

• Mumavutika kupuma kapena kumeza.
• Hoarseness kumachitika ndikumeza, makamaka mwa mwana wamng'ono.
• Hoarseness kumachitika mwa mwana wosakwana miyezi itatu.
• Hoarseness yatenga nthawi yopitilira sabata imodzi mwa mwana, kapena milungu iwiri kapena itatu mwa wamkulu.

Wothandizirayo awunika pakhosi, m'khosi, ndi pakamwa ndikukufunsani mafunso okhudzana ndi zizindikilo zanu komanso mbiri yazachipatala. Izi zingaphatikizepo:

• Mwafika pati kutaya mawu (onse kapena pang'ono)?
• Kodi ndimavuto amtundu wanji omwe muli nawo (opangitsa kukokakoka, kupuma, kapena mawu omveka)?
• Kodi kusasamala kunayamba liti?
• Kodi kuuma kumabwera ndikumapita kapena kumawonjezeka pakapita nthawi?
• Kodi mwakhala mukufuula, kuyimba, kapena kugwiritsa ntchito mawu anu mopitirira muyeso, kapena kulira kwambiri (ngati mwana)?
• Kodi mwayamba mwakumana ndi utsi kapena zakumwa zoopsa?
• Kodi muli ndi chifuwa kapena positi m'mphuno?
• Kodi mudachitidwapo opaleshoni yapakhosi?
• Kodi mumasuta kapena mumamwa mowa?
• Kodi muli ndi zizindikiro zina monga kutentha thupi, kutsokomola, zilonda zapakhosi, kuvutika kumeza, kuwonda, kapena kutopa?

Mutha kukhala ndi mayeso amodzi kapena angapo otsatirawa:

• Laryngoscopy
• Chikhalidwe cha pakhosi
• Kufufuza pakhosi ndi galasi laling'ono
• X-ray ya khosi kapena CT scan
• Kuyezetsa magazi monga kuwerengera kwathunthu kwa magazi (CBC) kapena kusiyanasiyana kwamagazi

Kupsyinjika kwa mawu; Dysphonia; Kutaya mawu

• Kutupa kwa pakhosi

Choi SS, Zalzal GH. Mavuto amawu. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 203.

Mwala PW. Matenda am'mero. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 429.

Stachler RJ, Francis DO, Schwartz SR, ndi ena. Maupangiri Achipatala: Hoarseness (Dysphonia) (Sinthani). Otolaryngol Mutu Wam'mutu. 2018; 158 (1_suppl): S1-S42. PMID: 29494321 www.ncbi.nlm.nih.gov/pubmed/29494321.