Ukukhubazeka kwe-COPD ne-Vocal Chord yizizathu ezivamile zokugwinya
Uma ubona isifo esifubeni, ufuna ukuqinisekisa ukuthi uthola kahle. Izifo eziningana, zombili ezivamile futhi ezingavamile kakhulu, zingabangela isondo.
Izifo ezimbili ezivamile ezingase zibonakale njenge-asthma - ngoba zingabangela ukuvuthisa - yi-COPD kanye nokusebenza komzimba okungavamile. Baxoxwa ngokuningiliziwe ngezansi. Funda kabanzi mayelana nezinye, izimbangela ezingavamile zokuvutha .
Okokuqala, nakuba kunezinhlobo eziningi ze-asthma, zonke zixhunyaniswe kwezinye noma zonke izimpawu zakudala zesifo sofuba :
Izifo Eziphuthumayo Zokuvimbela Izifo (COPD)
Njenge-asthma, i-COPD ikhiqiza izimpawu zokuphefumula, ukukhwehlela, ukukhwehlela kwesisu nokuqina kwesifuba . Noma kunjalo, kunamanani ahlukene:
- Ubudala: Nakuba i-asthma ingatholakala kubantu asebekhulile kanye neziguli zingaba ne-asthma ne-COPD, i-COPD ivame kakhulu kubantu ababhema asebekhulile noma ababhemayo ngaphambili. I-asthma ivame kakhulu kuziguli ezincane.
- Ukuqala kwesibonakaliso nokuhlukahluka: Nakuba iziguli ze-asthma zivame ukuzizwa kahle ngesikhathi esisezingeni eliyisisekelo futhi zithuthukise izimpawu ngokushesha ngemva kokuvezwa kwezimbangela ezinjengothuli, iziguli ze-COPD azikwazi ukushintshashintsha usuku nosuku ezimpawu zabo zokuqala futhi izimpawu zabo zikhula kancane kancane eminyakeni edlule. Iziguli ze-asthma zizobuyela ezijwayelekile futhi zibe nezikhathi eziphawulekayo uma zingenasifo. Iziguli ze-asthma zivame ukuba nezibonakaliso zokwelapha nobufakazi besifo esibhekene nesifo esibonakalayo ngezinga eliphakeme le-eosinophil noma elinye iseli eligulayo. Ku-COPD awuvame ukubona ingxenye yokwelapha.
- Izimpawu zokuzivocavoca : Ngenkathi i-asthma esetshenziselwa ukuzivocavoca noma izimpawu zokuvuthwa kwe-bronchoconstriction ngokuvamile ziqala imizuzu emihlanu emva kokuqala kokuzivocavoca kanye nokuphakama phakathi kwemizuzu engu-20 (noma ungabeka ukuzivivinya noma ungayeki) lezi zimpawu zingase zinciphise ngaphambi kokunakekelwa ngemithi efana I-Albuterol noma ukwelashwa okunomthelela okwedlulele kwe-asthma.
Izimpawu zokuzivivinya ku-COPD ngokuvamile zihlobene nomonakalo owenziwe emaphashini ngokuhamba kwesikhathi futhi ukuthuthukiswa okuphelile kwe-oxygenation ehle egazini ngokuzivocavoca. Izimpawu azivame ukwehla ngaphambi kokwelapha ngemithi.
- Ukuhlolwa Kwemisebenzi Yamapulmonary: Ngenkathi zombili izifo zihlotshaniswa nokunciphisa ukugeleza komoya emaphashini (FEV1) nge spirometry, ukuvinjelwa okuhlobene neCOPD akusho ukushintshanisa ne- bronchodilator efana ne-Albuterol, njengoba kwenza nge-asthma.
- Ukuhlolwa kwe-X-Ray: Nakuba kokubili i-asthma ne-COPD ingabonisa amaphaphu anwetshiwe kakhulu esifubeni x-ray, iziguli ze-COPD zivame ukuzibandakanya nezinguquko ezinzima ezingahlotshaniswa ne-asthma.
- Izimbangela. Isizathu esiqondile sokuphefumula kwesifo se-asthma asiyazi. Kukhona isici sezakhi zofuzo nesiguli okungenzeka sibe nesifuba uma umzali noma umntakwethu enesifo. I-COPD, ngakolunye uhlangothi, ivame ukubangelwa njalo noma ehlobene kakhulu nomlando wokubhema. Ukungcola, amakhemikhali kanye nomusi womuntu oyisimanga kungenzeka ezinye izimbangela, kodwa lokhu ngokuvamile akubheki ama-5% ama-COPD amacala.
- Ukwelapha. Ezinye zezokwelapha ze-COPD ne-asthma zifanayo. Kuzo zombili izimo, ama-bronchodilators afana ne-albuterol akhipha ezinye zezibonakaliso ezinzima zesifo. I-steroids engabhalisiwe iyasetshenziswa njengendlela yokwelashwa okungapheli kuzo zombili izimo. Kukhona umehluko, noma kunjalo. E-asthma, enye yezokwelapha eziyinhloko ukugwema i-trigger njenge-pollen noma izidakamizwa zothuli. Ngaphandle kokugwema ukubhema ugwayi, ukugwema i-trigger ethile akunciphisi kakhulu izimpawu ze-COPD. Emagcini e-COPD ayeka ukubhema azohlinzeka ngenzuzo enkulu. Uma i-COPD inzima kakhulu kune-oksijeni ingasetshenziswa njengokwelashwa okungapheli, okungavamile ukwenza ngesifo se-asthma.
- Isibikezelo. Nakuba kungekho ukwelashwa kwesifo, i-COPD ivame ukuqhubekela phambili futhi ikhula kakhulu ngokuhamba kwesikhathi. Emaphaphini a-COPD awonakele abuyele evamile. Nge-asthma, ngakolunye uhlangothi, i-asthma ingalawulwa kanti ezinye izingane zivame ukukhula kuzo.
Ukungasebenzi kwe-Vocal Chord
Ukukhubazeka okwenziwe ngama-vocal, noma okubhekiswe kakhulu ngokuthi "ukungasebenzi kahle kwe-laryngeal", kuyisidingo esivamile sofuba lwe-asthma. Ukugubha imiphumela ngokuvala okungenhloso ngokweqile kwezingoma zezwi ngesikhathi sokuphefumula.
Yiziphi Ukuhluka Nezimpawu?
Ngokungafani ne-asthma, iziguli zivame ukuzizwa sengathi ukuhamba kwesondo kuvela emqaleni.
Izimpawu ziyahlukahluka kakhulu, njenge-asthma, ezinye iziguli ezinezimpawu ezincane ngenkathi ezinye iziguli zidinga ukuvakashela ekamelweni eliphuthumayo ngisho nokuzizwa. Ungase ube nokusebenza okungahambi kahle komzimba uma uhlaselwe kabi nge-asthma ngaphandle kwempawu zokungajwayelekile ngesikhathi sokuhlolwa komsebenzi wamaphalenda.
Ukwengeza, abantu abane-vocal dysfunction ayinaso ukuhlola okusebenzayo kwe-pulmonary function . Njengoba kulindeleke, i- spirometry ibonisa ukuthi ukuvimbela kungaphandle kwemaphaphu.
Ubani othola ukungasebenzi kwe-Vocal Chord?
Ukukhubazeka okwenziwe ngamazwi okuvame kuvame kakhulu phakathi kweziguli ezinokukhathazeka nokucindezeleka futhi kuye kwacatshangwa njengenguquko yokuguqulwa. Ukukhubazeka kwamagama angama-vocal kuvamile kakhulu kumantombazane nabesifazane besifazane.
Amantombazane asezinsana: Phakathi kwamantombazane asetsheni, izimpawu zenzeka ngokujwayelekile kubagijimi, cishe njalo ngokuqina okukhulu kokuzivocavoca nangesikhathi sokuncintisana. Ngaphezu kwalokho, lamantombazane athambekele ekufundeni okusezingeni eliphezulu.
Abesifazane abakhulile: Elinye iqembu elijwayelekile elibonakala liveza izimpawu abesifazane besifazane abaneminyaka emibili abanomlando wokugula ngengqondo noma ukuhlukunyezwa okukhulu kwengqondo. Ngokuthakazelisayo, izinombolo ezikhudlwana zabantu abathuthukisa ukukhubazeka kwamagama angamazwi ziqashwe ensimini ehlobene nempilo.
Ukungasebenzi kahle kwe-chooc is aphethwe ngokutheleleka kokukhuluma. Nakuba kubalulekile ukuyeka noma yimiphi imithi engadingekile, lokhu kudinga kwenziwe kancane kancane ngokubonisana nodokotela wakho.
Thola izimpendulo ezengeziwe
Iqembu lethu le-Facebook elizimele likuvumela ukuba uhlanganyele nami nabanye abane-asthma noma abazali be-asthmatics. Awukwazi ukubuza kuphela imibuzo, uxhumane nabanye abazali noma amalungu anesifo sofuba, thola ulwazi oluwusizo futhi uqaphele ukuthi awodwa ekusebenzelaneni ne-asthma, kodwa ungasiza abanye ngohambo lwabo lwe-asthma.
Imithombo:
Tilles, uStephen. Ukuqhathaniswa okuhlukile kwe-Asthma. Imitholampilo Yezokwelapha eNyakatho Melika. I-Vol. 90 (2006): 61-76.