Le syndrome ibangela iimpawu ezinjenge-asthma
Intambo ye-Vocal Ukungasebenzi (i-VCD) isifo esenza ukuba iimpawu ezinjenge-asthma zibangelwa ukuvalwa okungavumelekanga kweentambo zamagama. Iimpawu zingabandakanya ukuhamba, ukuphefumula, kunye nesifuba okanye intamo. I-VCD ingakwazi ukulinganisa i-asthma ngokukhawuleza ukuba le syndrome ibizwa ngokuba yi-vocal cord asthma.
Iimvumi ze-asthma azichaphazeli kwiVCD, nangona kunjalo.
Ngamanye amaxesha abantu abangenayo i-diagnostic kwaye bafumana iimpawu baya kwigumbi lexakeka kwaye baphathwa njengokuba bane-asthma ( banganikwa i-corticosteroids yomlomo , umzekelo) kodwa abafumani nayiphi na impawu yokunceda. Fumana okunye malunga nendlela iVCD ifunyaniswa ngayo kwaye iphathwa kakuhle.
Ingqwalaselo yeVCD
Ngokuqhelekileyo, intambo yezwi, ehleli ngaphaya kwendlela yebhokisi yezwi (larynx), vula ukuvumela ukuba umoya uqhubeke xa ususa umoya. Emva koko, iintambo zamagama zivale kwaye ziduduza kwi-airway ukuze zenze isandi xa uthetha. Kubantu abane-VCD, iintambo zezwi zivaliwe ngokuhamba ngomoya ngokungabandakanyeki kunye ne-inhalation, okwenza kube nzima kakhulu ukuphefumula. Nangona oku kuvakala ukuba kuyingozi, kukho indawo encinci kwinqanaba le-airway elingathintekiyo, ngokokuba loo mntu ufumana oksijini okwaneleyo ngexesha lokuhlaselwa.
Ngokuqhelekileyo, xa i-VCD ivela, umntu uya kuqaphela ukuqala ngokukhawuleza kweempawu ezinzima njengengxaki yokuphefumula, ukuvutha, okanye isiteji (ingxolo ephezulu) xa uvula.
Umntu mhlawumbi akanakukwazi ukuthetha okanye uthetha kuphela ngezwi eligqithisayo . I-asthma inhalers ayincede kule meko; umntu unokufumanisa ukuba uhleli phantsi kwaye uthatha ixesha elincinci, ukuphefumula ngokuthe ngcembe kugqiba kweminye imizuzu impawu.
Ukufumana iSifo
Iimpawu zokuxilongwa ziquka umntu ofunyanwe ukuba unesifo esibuhlungu besifo se-asthma, kodwa akaphendulanga kakuhle kumachiza e-asthma.
Umntu usenokuba nokuvakatyelelwa kwamagumbi amaninzi, ukuvakathalaliswa kwezibhedlele, kunye nezidumbu zokugqibela ngenxa yempawu. Nangona kunjalo, i-asthma iyaqhubeka kunzima ukulawula.
Emva kokuba i-VCD ikhunjulwa, ukuhlolwa komsebenzi we-pulmonary ( spirometry ) kunokubonisa ubungqina beVCD. Uvavanyo olona lungcono kukuba ugqirha ukuba abone ngokuthe ngqo ukuhamba kweentambo zezwi usebenzisa i-endoscope yomzimba. I-endoscopy ye-nasal ibandakanya ikhamera encinane ekupheleni kwiphubhu yeplastiki emide, engxobanqwanga efakwe kwimpumlo kwaye iphantsi komqala.
Ukuze iVCD ifunyaniswe, i-spirometry okanye i-endoscopy yamasongo kufuneka iyenziwe ngexesha umntu ebonakala eneempawu; Ngenye indlela, ukuxilongwa kweVCD kungenziwa ngokusekelwe kwiimpawu ezichazwa ngumguli.
Izizathu eziqhelekileyo
Isizathu seVCD asikwazi ngokupheleleyo okanye siyaqonda. Ezinye iingcali zicinga ukuba imeko ihambelana nokuxinzezeleka kunye nokuxhalabisa kwaye ingaba yintoni impawu yesifo sengqondo. Kungekudala, iVCD nayo ibangelwe kwi-reflux isifo se-gastroesophageal ( GERD ) kunye nama-laryngeal spasms.
Abaqhubi beVCD
I-VCD ibonakala ibangelwa ngeendlela ezahlukeneyo. Kweminye, umzenzelo ngowona kuphela, kwaye umlinganiselo wokuzilolonga obangela ingxaki inokuxhomekeka kumntu ngamnye. Kwabanye, uxinzelelo kunye nokuxhalaba-ngokuqhelekileyo ngexesha leemibutho zentlalo-luyinto eqhelekileyo.
Abanye abantu baneVCD yabo ebangelwa yimisindo, efana ne-GERD, okanye inhalation of various irritants ezifana neengqumbo ezinamandla okanye iziqholo.
Ufumane unyango
Kukho iindlela ezininzi zokonyango kubantu abaneVCD. Ezi ziquka:
- Unyango lo kuthetha
- Ukuphefumula
- Iindlela zokuphucula
- Biofeedback
- Hypnotherapy
- Ukungena kweentambo zezwi kunye ne-botulism toxin ( iBotox )
- Unyango lweGERD
- Tracheostomy
- I-Atrovent (ipratropium bromide) i-inhalers ukukhusela i-VCD eyenziwa ngumzimba
Ubungaphantsi kwama-25 ekhulwini abantu abane-VCD banokuba ne-asthma yangempela, ngoko ngamanye amaxesha, amayeza e-asthma asenokufuneka asetyenziswe.
Kude kangakanani abantu abaneVCD
Kwisifundo esithile, phantse bonke abantu abaneVCD ababelandelwe babenempawu zingaphantsi kweminyaka emihlanu-kwaye abaninzi banempawu ezingekho ngaphezu kweenyanga ezintandathu. Ngoko i-VCD ayikho imeko ehlala kunye nawe ebomini.
> Umthombo:
> Park DP, Ayres JG, McLeod DT, Mansur AH. Intambo yokuHluleka kweNtambo Ejongene neTracheostomy yexesha elide: 2 Izifundo zeeNkalo. Ann Annistry Asthma Immunol. 2007; 98: 591-4.