Za Kulephera Kwa Vocal Cord

Zamkati

• Zizindikiro za VCD
• Kuzindikira VCD
• Mayeso
• Spirometry
• Laryngoscopy
• Mayeso a ntchito yamapapo
• Zomwe zimayambitsa VCD
• Mankhwala a VCD
• Kuchiza kwakanthawi kwakanthawi kochepa
• Chithandizo chanthawi yayitali
• Zinthu zina zofunika kuziganizira
• VCD kapena china?
• The takeaway - ndi nsonga yomaliza

Vuto la zingwe zamagetsi (VCD) ndipamene zingwe zamawu anu zimalephera kugwira bwino ntchito ndikutseka mukamayambitsa. Izi zimachepetsa malo oti mpweya uzilowera ndikutuluka mukamapuma.

Zapezeka mwa anthu amisinkhu yonse, koma nthawi zambiri zimawoneka m'mibadwo ya anthu. Zimachitika kawirikawiri kwa akazi kuposa amuna.

Dzina lina la vutoli ndimayendedwe amawu odabwitsa. Chifukwa imamveka ndikumveka ngati mphumu, amathanso kutchedwa "mphumu yamawu."

Mutha kukhala ndi VCD ndipo mphumu.

Zizindikiro za VCD

Ngati nkhani yovuta ndiyofatsa, mwina simungakhale ndi zizindikilo.

Mukakhala ndi zizindikilo, zambiri zimayambitsidwa ndi mpweya wopumira womwe umadutsa kudera laling'ono kuposa masiku onse. Amabwera mwadzidzidzi ndipo amatha kutsanzira matenda a mphumu.

Zizindikiro za kutsekeka kwa chingwe ndi mawu ndi awa:

• kupuma movutikira
• kumva kuti ukukanika, umatchedwanso mpweya wanjala
• kupuma, makamaka panthawi yopumira
• stridor, womwe ndi mawu okwera kwambiri panthawi yopumira
• kutsokomola kosatha
• kukonza pakhosi kosatha
• kukhazikika kwa pakhosi kapena kumva kutsamwa
• kufinya kapena mawu ofooka
• chifuwa kapena kupweteka pachifuwa

Zizindikirozi zimatha kukhala zowopsa, makamaka zikafika modzidzimutsa. Anthu ena amakhala ndi nkhawa, amanjenjemera, ndipo amawopa akawapeza. Izi zitha kukupangitsani kukhala kovuta kuti mupume.

Kwa munthu amene ali ndi mphumu, zizindikiro zofananazo zingatanthauze kuti ali ndi vuto lalikulu lomwe lingawononge moyo ndipo limafunikira chithandizo mwachangu. Kusiyanitsa kofunikira pakati pawo ndikuti kupuma kumamveka mukamatulutsa mphumu, koma imamveka mukamayatsa VCD.

Kuzindikira VCD

Dokotala wanu adzakufunsani mafunso okhudzana ndi zizindikilo zanu komanso zomwe zingayambitse magawo anu ovuta kupuma. Mafunso ena amatha kuthandiza dokotala kudziwa ngati muli ndi VCD kapena mphumu. Akhoza kukufunsani kuti:

• kufotokoza matupi anu enieni: VCD imayambitsa ma wheezes kwinaku ikupuma, mphumu imayambitsa magudumu pamene ikupuma
• nthawi yanji zomwe zochitikazo zimachitika: VCD sizimachitika mutagona, matenda a mphumu amatha
• ngati pali chilichonse chomwe chimapangitsa kuti zizindikilo zanu zizikhala bwino kapena zoyipa: ma inhalers amatha kuyambitsa VCD kapena kuwonjezerapo, nthawi zambiri amachititsa kuti zizindikiro za mphumu zizikhala bwino
• ngati dokotala watsimikizira kuti ali ndi VCD poyang'ana zingwe zanu zamawu

Kungakhale kovuta kusiyanitsa VCD ndi mphumu. Kafukufuku akuwonetsa kuti anthu omwe ali ndi VCD sazindikira kuti ali ndi mphumu.

Dokotala wanu amatha kuzindikira ngati mutagwira pakhosi panu kapena kuloza kofotokozera za matenda anu. Anthu omwe ali ndi VCD amakonda kuchita izi mosazindikira.

Mayeso

Pali mayeso ena omwe dokotala angagwiritse ntchito kuti apeze VCD. Kuti zikhale zothandiza, mayeserowa ayenera kuchitidwa mukamakhala ndi gawo. Kupanda kutero, mayeso nthawi zambiri amakhala abwinobwino.

Spirometry

Spirometer ndi chida chomwe chimayeza kuchuluka kwa mpweya womwe mumapumira ndikuutulutsa. Imafotokozanso momwe mpweya umayendera mwachangu. Panthawi ya VCD, iwonetsa mpweya wotsika womwe ukubwera kuposa masiku onse chifukwa umatsekedwa ndi zingwe zamawu anu.

Laryngoscopy

Laryngoscope ndi chubu chosinthika chokhala ndi kamera yolumikizidwa. Imaikidwa kudzera m'mphuno mwako m'kholingo kuti dokotala azitha kuwona zingwe zamawu. Mukamapuma, ayenera kukhala otseguka. Ngati muli ndi VCD, adzatsekedwa.

Mayeso a ntchito yamapapo

Kuyesedwa kwa ntchito yamapapo kumapereka chithunzi chathunthu cha momwe njira yanu yopumira imagwirira ntchito.

Kuti mupeze VCD, magawo ofunikira kwambiri ndi mulingo wanu wa oxygen ndi kapangidwe kake ndi kuchuluka kwa mpweya mukamatulutsa mpweya. Ngati muli ndi VCD, mpweya wanu wa oxygen uyenera kukhala wabwinobwino panthawi yomwe mukuukira. M'matenda am'mapapu monga mphumu, nthawi zambiri imakhala yotsika kuposa yachibadwa.

Zomwe zimayambitsa VCD

Madokotala amadziwa kuti ndi VCD zingwe zanu zamawu zimayankha modabwitsa pazoyambitsa zosiyanasiyana. Koma sakudziwa chifukwa chake anthu ena amayankha motere.

Pali zoyambitsa zomwe zingayambitse VCD. Amatha kukhala olimbikitsa thupi kapena thanzi lam'mutu.

• Matenda a reflux a Laryngopharyngeal (LPRD), pomwe asidi am'mimba amayenda chammbuyo kupita kumphako
• matenda a reflux a gastroesophageal (GERD), pomwe asidi m'mimba amayenda kubwerera m'mimba mwanu
• kukapanda kuleka pambuyo pake
• kuchita zolimbitsa thupi
• kupuma mu zotsekemera monga utsi wakupha, utsi wa fodya, ndi fungo lamphamvu
• kutengeka mwamphamvu
• kupsinjika kapena kuda nkhawa, makamaka m'malo amacheza
• kukhumudwa kwakukulu

Mankhwala a VCD

Kuchiza kwakanthawi kwakanthawi kochepa

Zitha kuwoneka ndikumverera, koma magawo owopsa sangapangitse kupuma kofanana ndi mphumu.

Komabe, samakhala omasuka ndipo amatha kukupangitsani kukhala amantha komanso kuda nkhawa, zomwe zimatha kupititsa gawolo. Pali mankhwala omwe angathandize kuyimitsa chochitika chovuta kupangitsa kuti kupuma kwanu kutonthoze kapena kuchepetsa nkhawa.

• Kupitirizabe kuthamanga kwa ndege (CPAP). Compressor ya CPAP imaphulitsa mpweya wopitilira mkati mwa chigoba chovala pankhope panu. Kupanikizika kochokera kumlengalenga kumathandiza kuti zingwe zamawu anu zizitseguka kuti zikhale zosavuta kupuma.
• Heliox. Kusakaniza kwa 80% helium ndi 20% ya oxygen kumatha kuchepetsa nkhawa yanu panthawi yovuta. Imakhala yocheperako kuposa mpweya wokha, motero imadutsa zingwe zanu zamawu komanso mapiko amphepo bwino. Mpweya ukakhala wosasinthasintha, kupuma kumakhala kosavuta komanso kupuma komwe kumapangitsa kuti phokoso likhale locheperako. Kupuma kwanu kukamakhala kosavuta komanso kachetechete, mumayamba kuda nkhawa.
• Mankhwala oletsa nkhawa. Kuphatikiza ndikulimbikitsidwa, benzodiazepines monga alprazolam (Xanax) ndi diazepam (Valium) zitha kukupangitsani kuti musamakhale ndi nkhawa, zomwe zingathandize kutha kwa gawo. Mankhwalawa amatha kukhala osokoneza bongo, chifukwa chake sayenera kugwiritsidwa ntchito kwa masiku opitilira ochepa kapena ngati chithandizo chanthawi yayitali cha VCD.

Chithandizo chanthawi yayitali

Zomwe zingapewere ziyenera kuchotsedwa ngati zingatheke. Mankhwala ena ndi awa:

• proton pump inhibitors, monga omeprazole (Prilosec) ndi esomeprazole (Nexium) amaletsa kupanga acid m'mimba, komwe kumathandiza kuyimitsa GERD ndi LPRD
• anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-antihistamine) omwe amachokeranso ku anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-counter
• kupewa zopsa mtima kunyumba ndi kuntchito, kuphatikizapo kusuta ndi utsi wa fodya
• kufunafuna chithandizo chamazovuta monga kukhumudwa, kupsinjika, ndi nkhawa
• onetsetsani kuti matenda aliwonse a mphumu alipo

Chithandizo chamalankhulidwe ndichofunikira kwambiri pakuwongolera kwanthawi yayitali. Wothandizira akuphunzitsani za matenda anu ndipo angakuthandizeni kuchepetsa kuchuluka kwa magawo a VCD ndikuwongolera zizindikilo zanu ndikukupatsani njira zingapo. Izi zikuphatikiza:

• njira zopumira momasuka
• njira zotsitsimutsa minofu yanu yapakhosi
• maphunziro amawu
• njira zothana ndi zikhalidwe zomwe zimakwiyitsa pakhosi panu monga kutsokomola ndi kutsuka pakhosi

Njira imodzi yopumira imatchedwa "kutulutsa msanga." Mumapuma kudzera m'milomo yolondola ndikugwiritsa ntchito minofu yanu yam'mimba kuti muthandize kusuntha mpweya. Izi zimapangitsa kuti zingwe zamawu zizimasuka.

Zinthu zina zofunika kuziganizira

Zowonjezera pakuwongolera VCD ndikuphunzira kupumula minofu m'bokosi lamawu ndikuthana ndi kupsinjika.

Muyenera kugwiritsa ntchito njira zopumira zomwe aphunzitsi anu amalankhula kangapo patsiku, ngakhale mulibe zizindikilo. Izi ziwathandiza kuti azigwira bwino ntchito pakagwa zoopsa.

Zinthu monga kuda nkhawa, kukhumudwa, komanso kupsinjika zimadziwika kuti zimathandizira kwambiri poyambitsa magawo oopsa a VCD. Kuphunzira kuwongolera izi ndikuchepetsa kupsinjika kumatha kuchepetsa kwambiri magawo omwe muli nawo. Njira zochitira izi ndi izi:

• kumvetsetsa VCD ndichinthu chabwinobwino ndipo zochitika zoopsa nthawi zambiri zimayima zokha
• kufunafuna thandizo kwa wothandizira kapena wama psychologist
• kuyeseza kapena kusinkhasinkha kuti zikuthandizeni kupumula
• kuyesa hypnosis kapena biofeedback kupumula komanso kuchepetsa nkhawa

VCD kapena china?

Anthu ambiri omwe ali ndi VCD amapezeka kuti ali ndi mphumu. Ndikofunika kwambiri kuti zikhalidwe ziwirizi zipezeke bwino chifukwa amathandizidwa mosiyanasiyana.

Kupereka mankhwala a mphumu monga inhalers kwa munthu yemwe ali ndi VCD sikungawathandize ndipo nthawi zina kumatha kuyambitsa zochitika.

Kugwiritsa ntchito njira zothandiza pakulankhula kuti muchiritse munthu yemwe ali ndi mphumu sikungatsegule njira zamkati mwa mapapu awo ndipo zitha kukhala zowopsa pakuwopsa kwa mphumu.

Ngati muli ndi VCD ndi mphumu, zingakhale zovuta kudziwa zomwe zimayambitsa matenda anu.

Chidziwitso chimodzi ndi chakuti mankhwala monga opulumutsa inhalers omwe amagwiritsidwa ntchito pochiza matenda a mphumu sangakuthandizeni ngati VCD ikuyambitsa matenda anu. Komabe, nthawi zina opulumutsa opuma samagwiranso ntchito yovuta ya asthma mwina.

Ngati pali funso lililonse loti mwina mukudwala mphumu, pitani kuchipatala mwachangu.

Nthawi zambiri, VCD imasokonezedwa ndi mitundu ina yolepheretsa kuyenda kwa ndege kuphatikiza:

• chinthu chachilendo panjira yanu kapena pakhosi
• Kutupa kwa ndege kuchokera ku cholowa cha angioedema
• kuvulala chifukwa chokhazikitsira chubu chopumira
• Matenda omwe amayamba kutupa pakhosi, monga epiglottitis ndi peritonsillar abscess
• kuphipha kwa zingwe zamawu ako
• kuvulaza mitsempha ku zingwe zamawu zanu panthawi yochita opaleshoni

The takeaway - ndi nsonga yomaliza

VCD nthawi zambiri imadziwika kuti ndi mphumu. Ngati muli ndi zizindikiro zomwe mukuganiza kuti akhoza kukhala VCD kapena mphumu, onani dokotala kuti akuwunikeni. Kuzindikira koyenera ndikofunikira kuti mudziwe momwe mankhwala anu ayenera kukhalira.

Chochitika chovuta cha VCD chitha kukhala chowopsa chifukwa chimamveka ndikumveka ngati sungapume. Chinthu chabwino kwambiri choti muchite ndikukonzekera pophunzira njira zotsitsimutsa zingwe zanu, thupi lanu, ndi malingaliro anu. Kugwiritsa ntchito njirazi kumachepetsa magawo omwe muli nawo ndikuwathandiza kuwaletsa.