Malunga nokungasebenzi kakuhle kweCord Cord

Umxholo

• Iimpawu ze-VCD
• Ukuchonga i-VCD
• Uvavanyo
• Spirometry
• Iilaryngoscopy
• Uvavanyo lomsebenzi wePulmonary
• Izinto ezibangela i-VCD
• Unyango lwe-VCD
• Unyango lwexesha elifutshane lweziqendu ezibi
• Unyango lwexesha elide
• Ezinye izinto ekufuneka ziqwalaselwe
• VCD okanye enye into?
• Ukuthatha-kunye nengcebiso yokugqibela

Ukungasebenzi kakuhle kwentambo yeVocal (VCD) kuxa iintambo zakho zezwi ziphazamiseka kwaye zivala xa uphefumla. Oku kunciphisa indawo efumanekayo yokuba umoya ungene kwaye uphume xa uphefumla.

Kufunyenwe kubantu bayo yonke iminyaka, kodwa amaxesha amaninzi kubonakala kubantu abaneminyaka yobudala. Kwenzeka rhoqo kubafazi kunamadoda.

Elinye igama lale meko kukushukuma kwentambo yezwi ephikisayo. Kuba kuvakala kwaye kuvakala kakhulu njenge-asthma, kusenokubizwa ngokuba yi "vocal cord asthma".

Unokuba nazo zombini i-VCD kwaye umbefu.

Iimpawu ze-VCD

Ukuba isiqendu esibukhali sinobulali, awunakuba nazimpawu.

Xa uneempawu, uninzi lwazo lubangelwa ngumoya ophefumlelweyo ohamba kwindawo encinci kunesiqhelo. Ziza ngesiquphe kwaye zinokulingisa uhlaselo lwesifuba.

Iimpawu zokungasebenzi kakuhle kwentambo kubandakanya:

• ukuqhawukelwa ngumphefumlo
• uziva ukuba uyafunxa, ikwabizwa ngokuba yindlala yomoya
• ukuvutha, ngakumbi ngexesha lokuphefumula
• i-stridor, sisandi esiphakamileyo ngexesha lokuphefumla
• ukukhwehlela okungapheliyo
• ukucoca umqala ongapheliyo
• ukuqina komqala okanye ukuvava
• ukuduma okanye ilizwi elibuthathaka
• ukuqina kwesifuba okanye iintlungu zesifuba

Ezi mpawu zinokoyikisa, ngakumbi xa zisiza ngesiquphe. Abanye abantu baziva bexhalabile, benkwantya, kwaye besoyika xa bezifumana. Oku kunokwenza kube nzima ngakumbi ukuba uphefumle.

Kumntu one-asthma, iimpawu ezifanayo zinokuthetha ukuba banesifo esibi esinokubusongela ubomi kwaye sifuna unyango kwangoko. Umahluko obalulekileyo phakathi kwabo kukuba ukuvutha kuvakala xa uphefumla ngesifuba, kodwa kuvakala xa uphefumla nge-VCD.

Ukuchonga i-VCD

Ugqirha wakho uya kukubuza imibuzo malunga neempawu zakho kunye nezizathu ezinokubangela iziqendu zakho zokuphefumla nzima. Eminye imibuzo inokunceda ugqirha wakho ukuba abone ukuba unayo i-VCD okanye i-asthma. Banokubuza:

• Ukuchaza iimpawu zakho ngqo: I-VCD ibangela amavili ngelixa uphefumla, isifuba sibangela amavili ngelixa uphefumla
• leliphi ixesha losuku iziqendu zenzeka: I-VCD ayenzeki xa ulele, uhlaselo lwesifuba luyenzeka
• ukuba nantoni na yenza ukuba iimpawu zakho zibengcono okanye zibi nangakumbi: i-inhalers inokubangela uhlaselo lwe-VCD okanye iyenze ibe mandundu, ihlala yenza iimpawu zesifuba zibe ngcono
• ukuba ugqirha ukuqinisekisile ukuxilongwa kwe-VCD ngokujonga kwiintambo zakho zezwi

Kunokuba nzima ukwahlula i-VCD kunye nesifuba. Uphononongo lubonise abantu abane-VCD abachazwa gwenxa njenge-asthma.

Ugqirha wakho unokuqaphela ukuba ubambe umqala wakho okanye uyikhombe xa uchaza iimpawu zakho. Abantu abane-VCD bahlala bekwenza oku bengazi.

Uvavanyo

Kukho iimvavanyo ugqirha anokuzisebenzisa ukufumanisa i-VCD. Ukuze ube luncedo, iimvavanyo kufuneka zenziwe ngelixa unesiqendu. Ngaphandle koko, uvavanyo luqhelekile.

Spirometry

I-spirometer sisixhobo esilinganisela ukuba uphefumla umoya ongakanani na kwaye uwukhuphele ngaphandle. Ikwalinganisa ukukhawuleza komoya. Ngexesha lesiqendu se-VCD, siyakubonisa isixa esincinci somoya esiza kunesiqhelo kuba sithintelwe ziintambo zakho zezwi.

Iilaryngoscopy

I-laryngoscope yityhubhu eguqukayo enekhamera eqhotyoshelweyo. Ifakwa ngeempumlo kwi-larynx yakho ukuze ugqirha wakho akwazi ukubona iintambo zakho zezwi. Xa uthatha umoya, kufuneka zivuleke. Ukuba unayo i-VCD, iya kuvalwa.

Uvavanyo lomsebenzi wePulmonary

Uvavanyo lomsebenzi wePulmonary unika umfanekiso opheleleyo wendlela yokuphefumla kwakho esebenza ngayo.

Ukufumanisa i-VCD, ezona ndawo zibaluleke kakhulu kwinqanaba lakho leoksijini kunye nephethini kunye nenani lokuhamba komoya xa uphefumla. Ukuba unayo i-VCD, inqanaba lakho leoksijini kufuneka lihlale liqhelekileyo ngexesha lokuhlaselwa. Kwizifo zemiphunga ezifana nesifuba, ihlala iphantsi kuneqhelekileyo.

Izinto ezibangela i-VCD

Oogqirha bayazi ukuba nge-VCD iintambo zakho zezwi ziphendula ngendlela engaqhelekanga kwizinto ezahlukeneyo ezibangela. Kodwa abaqinisekanga ukuba kutheni abanye abantu bephendula ngale ndlela.

Kukho izinto ezaziwayo ezinokubangela uhlaselo lwe-VCD. Banokuba sisikhuthazo somzimba okanye iimeko zempilo yengqondo.

• Isifo se-laryngopharyngeal reflux (i-LPRD), apho isisu sesisu sihamba sibuyele umva siye kwi-larynx yakho
• isifo se-reflux se-gastroesophageal (GERD), apho isisu esiswini sihamba sibuyele emva esiswini sakho
• Idriphu yasemva kwexesha
• ukwenza umthambo
• ukuphefumla izinto ezingafunekiyo ezifana nomsi oyityhefu, umsi wecuba kunye namavumba abukhali
• iimvakalelo ezinamandla
• uxinzelelo okanye uxinzelelo, ngakumbi kwiimeko zentlalo
• uxinzelelo olunzulu

Unyango lwe-VCD

Unyango lwexesha elifutshane lweziqendu ezibi

Ingakhangeleka kwaye ive ngathi, kodwa iziqendu eziqatha aziyi kukhokelela ekusileleni kokuphefumla njenge-asthma.

Nangona kunjalo, abonwabanga kwaye banokwenza ukuba woyike kwaye ube nexhala, elinokuthi ligcine isiqendu siqhubeka. Kukho unyango olunokukunceda uyeke isiqendu esibi ngokwenza ukuba kube lula ukuphefumla okanye ukuthomalalisa uxinzelelo lwakho.

• Uxinzelelo oluqinisekileyo lokuhamba komoya (CPAP). Isiguquli se-CPAP sibetha ukugqabhuka komoya okwenzeka ngesigqumathelo esinxitywe ebusweni bakho. Uxinzelelo olusuka emoyeni lunceda ukugcina imiphimbo yakho ivulekile yenza kube lula ukuphefumla.
• Heliox. Lo mxube weepesenti ezingama-80 ze-helium kunye neepesenti ezingama-20 zeoksijini zinokunciphisa uxinzelelo lwakho ngexesha lesiqendu esibi. Incinci kakhulu kune-oksijini yodwa, ke iyadlula kwiintambo zakho zezwi kunye nombhobho womoya ngokutyibilikayo. Ukuhamba komoya okungazinzanga, kulula ukuphefumla kunye nengxolo encinci yokuphefumla kwakho. Xa ukuphefumla kwakho kuba lula kwaye kuthe cwaka, uye ungabi naxhala.
• Iyeza lokulwa noxinzelelo. Kunye nokuqinisekisa, i-benzodiazepines efana ne-alprazolam (Xanax) kunye ne-diazepam (Valium) zinokukwenza ungabi naxhala kakhulu, ezinokukunceda ukuphela kwesiqendu. La mayeza anokuba ngumlutha, ke akufuneki asetyenziswe ngaphezulu kweentsuku ezimbalwa okanye njengonyango lwexesha elide lwe-VCD.

Unyango lwexesha elide

Izinto ezinokuthintelwa kufuneka zisuswe xa kunokwenzeka. Olunye unyango lubandakanya:

• Iiproton pump inhibitors, ezinje nge-omeprazole (Prilosec) kunye ne-esomeprazole (Nexium) block imveliso ye-asidi esiswini, enceda ukumisa iGERD kunye ne-LPRD
• anti-anti-anti-anti-anti-anti-anti-anti-anti-anti
• ukunqanda izinto ezikucaphukisayo ekhaya nasemsebenzini, kubandakanya ukutshaya kunye nokutshaya okutshaya
• Ukufuna unyango lweemeko ezingaphantsi koxinzelelo, uxinzelelo kunye noxinzelelo
• gcina nasiphi na isifo se-asthma esilawulwa kakuhle

Unyango lwentetho yeyona nto iphambili kulawulo lwexesha elide. Umgqirha uya kukufundisa malunga nemeko yakho kwaye unokukunceda ukunciphisa inani leziqendu ze-VCD kwaye ulawule iimpawu zakho ngokukunika inani leendlela. Oku kubandakanya:

• iindlela zokuphefumla ezikhululekileyo
• iindlela zokuphumla izihlunu zomqala wakho
• uqeqesho lwezwi
• ubuchule bokucinezela isimilo esikucaphukisa umqala wakho njengokukhohlela nokucoca umqala

Enye indlela yokuphefumla ibizwa ngokuba “kukukhulula ngokukhawuleza.” Uphefumla ngemilebe esukelweyo kwaye usebenzise izihlunu zesisu ukunceda ukuhambisa umoya. Oku kubangela ukuba iintambo zakho zezwi zikhululeke ngokukhawuleza.

Ezinye izinto ekufuneka ziqwalaselwe

Izitshixo zokulawula i-VCD kukufunda ukukhulula izihlunu kwibhokisi yakho yelizwi kunye nokulawula uxinzelelo.

Kuya kufuneka usebenzise ubuchule bokuphefumla obufundiswa yingcali yezentetho izihlandlo ezininzi ngemini, nokuba awunazo iimpawu. Oku kuyabavumela ukuba basebenze kwimeko yesiganeko esibi.

Iimeko ezinje ngoxinzelelo, uxinzelelo noxinzelelo ziyaziwa ukuba zidlala indima enkulu ekuvuseleleni iziqendu zeVCD. Ukufunda ukulawula ezi kunye nokunciphisa uxinzelelo kunokunciphisa kakhulu inani leziqendu onazo. Iindlela zokwenza oku zibandakanya:

• Ukuqonda i-VCD yimeko enobungozi kwaye iziqendu ezibukhali zihlala zimisa ngokwazo
• ukufuna uncedo kwiphilisi okanye kwisayikholojisti
• ukuziqhelanisa neyoga okanye ukucamngca ukukunceda uphumle
• ukuzama i-hypnosis okanye i-biofeedback yokuphumla kunye nokunciphisa uxinzelelo

VCD okanye enye into?

Abantu abaninzi abane-VCD bafunyaniswa ukuba bane-asthma. Kubaluleke kakhulu ukuba ezi meko zimbini zichongwe ngokufanelekileyo kuba ziphathwa ngokwahlukileyo.

Ukunika amayeza esifuba afana ne-inhalers kumntu one-VCD ngekhe ubancede kwaye ngamanye amaxesha kunokubangela isiqephu.

Sebenzisa ubuchule bonyango lokuthetha ukunyanga umntu onesifuba akuyi kuvula umoya ngaphakathi kwimiphunga yabo kwaye kuya kuba yingozi kuhlaselo lwesifuba.

Ukuba unayo i-VCD kunye ne-asthma, kunokuba nzima ukuxelela ukuba yintoni ebangela iimpawu zakho.

Enye inqaku kukuba amayeza afana ne-inhalers yokuhlangula asetyenziselwa ukunyanga ukuhlaselwa sisifuba akunakunceda ukuba i-VCD ibangele iimpawu zakho. Nangona kunjalo, ngamanye amaxesha i-inhalers yokuhlangula ayisebenzi kuhlaselo olubi lwe-asthma nokuba.

Ukuba kukho nawuphi na umbuzo onokuthi uhlaselwe sisifo sombefu, funa uncedo lwezonyango kwangoko.

Ngaphantsi kaninzi, i-VCD ididekile kunye nezinye iintlobo zokuthintela ukuhamba komoya kubandakanya:

• into yelinye ilizwe kwindlela yakho yomoya okanye kwi-esophagus
• Ukuvuvukala komoya ovela kwilifa le-angioedema
• ukwenzakala ekubekeni ityhubhu yokuphefumla
• Usulelo olubangela ukudumba komqala, njenge-epiglottitis kunye nethumba le-peritonsillar
• Ukuphazamiseka kweentambo zakho zezwi
• ukwenzakala kwemithambo-luvo kwiintambo zakho zezwi ngexesha lotyando

Ukuthatha-kunye nengcebiso yokugqibela

I-VCD ihlala ichazwa gwenxa njenge-asthma. Ukuba unempawu ocinga ukuba yi-VCD okanye i-asthma, jonga ugqirha wakho ukuvavanya. Ukuxilongwa ngokuchanekileyo kubalulekile ukwazi ukuba unyango lwakho luba yintoni.

Isiqendu esibukhali se-VCD sinokoyikisa kuba siyaziva kwaye kuvakala ngathi awukwazi ukuphefumla. Into ebaluleke kakhulu ukuba uyenze kukulungiswa ngokufunda iindlela zokuphucula iintambo zakho zomzimba, umzimba kunye nengqondo. Ukusebenzisa ezi ndlela kunganciphisa inani leziqendu onazo kwaye uncede uyeke.