Matendawa amachititsa kuti zizindikiro zokhudzana ndi mphumu
Kuvuta Kuthana ndi Vocal (VCD) ndi matenda omwe amayambitsa zizindikiro za mphumu chifukwa cha kutsekedwa kosadziwika kwa zingwe zamagetsi. Zizindikiro zingaphatikizepo kupuma, kupuma pang'ono, ndi chifuwa kapena zolimba. VCD ikhoza kufanana kwambiri ndi mphumu kuti matendawa amatchedwanso "asthma".
Mankhwala a mphumu alibe mphamvu pa VCD.
Nthawi zina anthu omwe alibe matenda komanso omwe ali ndi zizindikiro amatha kupita kuchipatala ndipo amachizidwa ngati ali ndi mphumu (akhoza kupatsidwa oral corticosteroids , mwachitsanzo) koma osalandira chithandizo chilichonse cha chizindikiro. Pezani zambiri zokhudza momwe VCD imapezera komanso imachiritsidwa bwino.
Zachidule za VCD
Kawirikawiri, zingwe zamagetsi, zomwe zimakhala pamsewu pa liwu la mawu (larynx), lotseguka kuti mpweya uzidutsa pamene mutenga mpweya. Kenaka, zingwe zamagetsi zimayandikira ndikugwedezeka pamsewu kuti mupange phokoso pamene mukuyankhula. Kwa anthu omwe ali ndi VCD, mitsempha ya voliyumu imayandikira pafupi ndi msewu wodutsa mumadzimadzi mosavuta ndi kupuma, zomwe zimapangitsa kuti zikhale zovuta kupuma. Ngakhale kuti izi zikumveka zoopsa, nthawi zambiri pamakhala malo am'mbali kumbuyo kwa msewu wosasunthika, kotero kuti munthuyo akupeza oxygen yokwanira panthawi yomwe akuvutitsidwa.
Kawirikawiri, pamene VCD imachitika, munthu amadziwa kuti zizindikiro zazikuluzikulu zimayamba mwadzidzidzi monga vuto lopuma, kutsekemera, kapena phokoso.
Mwinamwake munthuyo sangathe kuyankhula kapena kulankhula kokha ndi mawu ojambulidwa . Nthenda ya mphumu inhalers siingathandize pa izi; munthuyo angapeze kuti kukhala pansi ndikupita pang'onopang'ono, kupuma kwakukulu pang'onopang'ono kumatsimikizira zizindikiro maminiti ambiri.
Kupeza Kuzindikira
Zizindikiro za matendawa zimaphatikizapo munthu yemwe watulukira kuti ali ndi mphumu yovuta, koma sanayankhe bwino mankhwala omwe ali ndi mphumu.
Mwinamwake munthuyo adakhala ndi maulendo ambiri amodzidzidzimutsa, chipatala, komanso ngakhale kumapeto kwake chifukwa cha zizindikiro. Ngakhale zili choncho, mphumu ikupitirizabe kukhala yovuta kulamulira.
Pomwe akuganiza kuti VCD imayesedwa, kupimidwa kwa pulmonary ( spirometry ) kungasonyeze umboni wa VCD. Mayeso abwino kwambiri ndi dokotala kuti awone molunjika kayendedwe ka zingwe zamagetsi pogwiritsira ntchito phokoso lakum'mimba. Phokoso lokhala ndi phokoso lopangidwa ndi phokoso limaphatikizapo kamera kakang'ono pamapeto a chubu lalitali lakuda la pulasitiki lomwe limalowetsedwa m'mphuno ndi pansi pammero.
Kuti VCD ipeze, spirometry kapena nasal endoscopy imafunika kuchitidwa panthawi imene munthu ali ndi zizindikiro; Mwinanso, matenda a VCD angapangidwe malinga ndi zizindikiro zomwe wodwalayo amafotokoza.
Zomwe Zimayambitsa
Chifukwa cha VCD sichidziwika bwino kapena kumveka bwino. Akatswiri ena amaganiza kuti vutoli limayenderana ndi kupanikizika ndi nkhawa ndipo mwina lingakhale chizindikiro cha matenda a maganizo. Posachedwapa, VCD imatchulidwanso kuti matenda a reflux amachititsa kuti matendawa asapitirire .
Zimayambitsa VCD
VCD imawoneka m'njira zosiyanasiyana. Kwa ena, kuchita masewera olimbitsa thupi ndiko kokhakokha, ndipo kuchuluka kwa masewera olimbitsa thupi omwe amachititsa vuto kumadalira munthu payekha. Kwa ena, kupsinjika maganizo ndi nkhawa-nthawi zambiri pamisonkhano-zimakhala zofala.
Anthu ena ali ndi VCD yawo yomwe imayambitsidwa ndi irritants, monga GERD, kapena inhalation ya zovuta zosiyanasiyana zachilengedwe monga zonunkhira bwino kapena zonunkhira.
Zochiritsidwa Zilipo
Pali njira zambiri zothandizira anthu omwe ali ndi VCD. Izi zikuphatikizapo:
- Thandizo la kulankhula
- Zochita zopuma
- Njira zotsegula
- Biofeedback
- Hypnotherapy
- Kupweteka kwa zingwe zamagetsi ndi poizoni ya botulism ( Botox )
- Chithandizo cha GERD
- Tracheostomy
- Atrovent (ipratropium bromide) inhalers pofuna kupewa VCD yopangira masewera olimbitsa thupi
Pafupifupi 25 peresenti ya anthu omwe ali ndi VCD angakhalenso ndi mphumu yeniyeni, kotero nthawi zina, mankhwala a mphumu angathenso kugwiritsidwa ntchito.
Anthu Ataliatali Bwanji VCD
Phunziro limodzi, pafupifupi anthu onse omwe ali ndi VCD amene adatsatiridwa anali ndi zizindikiro zosakwana zaka zisanu-ndipo ambiri anali ndi zizindikiro zosapitirira miyezi isanu ndi umodzi. Choncho VCD sizomwe zimakhala ndi moyo wanu.
> Chitsime:
> Park DP, Ayres JG, McLeod DT, Mansur AH. Kusokonezeka kwa Chingwe Chosavuta Kuchitidwa ndi Tracheostomy Yakale: 2 Maphunziro a Mutu. Ann Zozizira Nthenda Immunol. 2007; 98: 591-4.