Le syndrome ibangela izimpawu ezinjenge-asthma
I-Vocal Cord Dysfunction (VCD) yisifo esenza izibonakaliso ezinjenge-asthma njengomphumela wokuvalwa okungavamile kwezingcingo zamagama. Izimpawu zingase zibandakanye isondo, ukuphefumula, nesifuba noma ukuqina kwentamo. I-VCD ingasilinganisa kakhulu i-asthma ukuthi le syndrome nayo ibizwe ngokuthi i-vocal cord asthma.
Imithi ye-asthma ayinamthelela ku-VCD, noma kunjalo.
Ngesinye isikhathi abantu abangenayo i-diagnostic futhi abanama-symptom baya ekamelweni eliphuthumayo futhi baphathwa njengokungathi bane-asthma (bangase banikezwe ngomlomo we-corticosteroids , isibonelo) kodwa abatholi noma yikuphi ukuphumula kwesibonakaliso. Thola kabanzi mayelana nokuthi i-VCD itholakale kanjani futhi iphathwa kahle.
Okubalulekile kwe-VCD
Ngokujwayelekile, izintambo zokukhuluma, ezihlala emoyeni ebhokisini lezwi (larynx), zivulekile ukuvumela umoya uhambe uma uthatha umoya ojulile. Khona-ke, izintambo zezwi ziseduze futhi zidlidliza phezu kwendiza ukuze wenze umsindo uma ukhuluma. Kubantu abane-VCD, izintambo zezwi zivalile ngaphezu komoya ongenazo ngokungahambisani nokuphuza, okwenze kube nzima kakhulu ukuphefumula. Ngenkathi lokhu kuzwakala kuyingozi, ngokuvamile kunendawo encane ngemuva komgwaqo ongathintekile, ukuze umuntu empeleni athole oksijini okwanele ngesikhathi sokuhlaselwa.
Ngokujwayelekile, uma i-VCD ivela, umuntu uzobona ukuqala okungazelelwe kwezimpawu ezinzima njengenkathazo yokuphefumula, ukuvuthwa, noma isiteji (umsindo ophezulu) uma uvula.
Lo muntu cishe ngeke akwazi ukukhuluma noma uzokhuluma kuphela ngezwi elizwakalayo. I-asthma inhalers ayisizi ngalesi simo; lowo muntu angathola ukuthi ukuhlala phansi nokuthatha kancane, ukuphefumula okujulile kuxazulula kancane kancane izimpawu emaminithini amaningi.
Ukuthola Ukuxilongwa
Izinkomba zokuxilongwa zibandakanya umuntu oye wathola ukuthi une-asthma enzima, kodwa akazange aphendule kahle emithini ejwayelekile yesifo se-asthma.
Lo muntu kungenzeka ukuthi wayenokuvakashelwa kwamakamelo amaningi okuphuthumayo, ukuvakasha esibhedlela, ngisho nokukhuluma okungapheli ngenxa yempawu . Noma kunjalo, i-asthma iyaqhubeka iba nzima ukulawula.
Uma sekusolakala ukuthi i-VCD, ukuhlolwa kwe-pulmonary function (i- spirometry ) kungabonisa ubufakazi be-VCD. Isivivinyo esihle kunazo zonke ngukuthi udokotela abone ngokuqondile ukuhamba kwezintambo zezwi ngokusebenzisa i-endoscope yomzimba. I-endoscopy ye-nasal ihilela ikhamera encane ekugcineni kwesikhumbi seplastiki esinde, esincane esifakwa emmpeni nasehla emqaleni.
Ukuze i-VCD itholakale, i-spirometry noma i-endoscopy yama-nasal kumele iyenze ngesikhathi umuntu empeleni enezimpawu; uma kungenjalo, ukuxilongwa kwe-VCD kungenziwa ngokusekelwe ezimpawu ezibhekene nesiguli.
Izimbangela ezivamile
Isizathu se-VCD asikwazi ngokugcwele noma sizwakala. Abanye ochwepheshe bacabanga ukuthi lesi simo sihlobene nokucindezeleka nokukhathazeka futhi kungase kube isibonakaliso senkinga yesifo sengqondo. Muva nje, i-VCD nayo yabizwa ngokuthi isifo se-reflux se-gastroesophageal ( GERD ) kanye nama-spyms ama-laryngeal.
Izihlungi ze-VCD
I-VCD ibonakala ibangelwa ngezindlela ezihlukahlukene. Kwabanye, ukuzivocavoca okuwukuphela kwendlela yokuzivocavoca, futhi inani lokuzivocavoca elibangela inkinga lingaxhomeke kulowo muntu. Kwabanye, ukucindezeleka nokukhathazeka-ngokuvamile phakathi nemibuthano yokuzijabulisa-kuyisimo esivamile.
Abanye abantu bane-VCD yabo eyabangelwa ama-irritants, njenge-GERD, noma ukuvuthwa kwezimo ezihlukahlukene zokungcolisa imvelo ezifana neziphunga eliqinile noma amakha.
Izindlela zokwelapha ezitholakalayo
Kunezinketho eziningi zokwelapha kubantu abane-VCD. Lokhu kufaka:
- Ukwelashwa kwenkulumo
- Ukuzivocavoca umzimba
- Amasu okuphumula
- I-Biofeedback
- Hypnotherapy
- Ukungena kwezingcingo zamagama nge-botulism toxin (i- Botox )
- Ukwelashwa kweGERD
- Tracheostomy
- I-Atrovent (ipratropium bromide) i-inhalers ukuvimbela i-VCD eyenziwa ngokuzivocavoca
Okungenani amaphesenti angu-25 abantu abane-VCD nabo bangaba nesifo se-asthma sangempela, ngakho-ke kwezinye izimo, imithi ye-asthma ingadingeka isetshenziswe.
Abantu Abade Kade Banayo I-VCD
Kwesinye isifundo, cishe bonke abantu abane-VCD ababelandelwa babe nezimpawu zingaphansi kweminyaka emihlanu-futhi abaningi babe nezibonakaliso ezingaphezu kwezinyanga eziyisithupha. Ngakho i-VCD akuyona neze isimo esizohlala nawe impilo.
> Umthombo:
> Park DP, Ayres JG, McLeod DT, iMansur AH. I-Vocal Cord Dysfunction Isetshenziswe Nge-Tracheostomy Yesikhathi Eside: 2 Ucwaningo lwe-Case. Ann Ukuzivocavoca Isifo Somoya Immunol. 2007; 98: 591-4.