Iyi syndrome inokonzera zviratidzo zve-asthma-like
Chinoti Cord Dysfunction (VCD) chirwere chinokonzera zviratidzo zvechirwere-soro semugumisiro wokuvhara kusina kukodzera kwetambo dzezwi. Zviratidzo zvinogona kusanganisira kufamba, kufema kufema, uye chifu kana mitsipa yakasimba. VCD inogona kunyanya kutevedzera asthma kuti iyi chirwere chinonziwo chironga chemazwi.
Mishonga yeAphma haina simba paVCD, kunyange zvakadaro.
Dzimwe nguva vanhu vasina kuongororwa uye vane zviratidzo vanoenda kunzvimbo yekukurumidzira uye vanobatwa sevanenge vane asthma (vanogona kupiwa muromo corticosteroids , somuenzaniso) asi havawani chero zororo rinoratidza. Tsvaga zvakawanda pamusoro pekuti VCD inorapwa sei uye inobatwa zvakanaka.
Chirongwa cheVCD
Kazhinji, tambo dzezwi, dzinogara pamusoro pemhepo panzwi rebhokisi (larynx), dzasununguka kuti mweya uende mberi kana iwe ukatora mweya wakafema. Zvadaro, tambo dzezwi dzinoswedera pedyo nekudengenyeka pamusoro pemugwagwa kuti uite inzwi paunenge uchitaura. Mune vanhu vane VCD, tambo dzezwi dzinoswedera pedyo nemugwagwa usingatauriki nekuputika, zvichiita kuti zviome zvikuru kupema. Kunyange zvazvo izvi zvisinganzwisisiki, pane imwe nzvimbo duku kumucheto kwemigwagwa isina simba, kuitira kuti munhu ari kuwana oxygen yakakwana panguva yekurwisa.
Kazhinji, apo VCD inowanzoitika, munhu anocherechedza kuitika kamwe kamwe kwezviratidzo zvakakomba sekunetseka kufema, kuputika, kana saridhi (rwiyo rukuru-ruka) paunenge uchinyunyuta.
Munhu wacho angangodaro asingakwanisi kutaura kana kuti achataura chete nezwi rinoputika . Nyaya yehuputi inhalers haibatsiri mumamiriro ezvinhu aya; munhu wacho angawana kuti kugara pasi uye kutora zvishoma, kufema kwakadzika zvishoma nezvishoma zvinogadzirisa zviratidzo mumaminitsi akawanda.
Kuwana Kuongororwa
Zviratidzo zvekuongororwa zvinosanganisira munhu uyo akaonekwa kuti ane chirwere chakanyanya, asi haana kutambira zvakanaka kune mishonga yemapirma.
Munhu wacho angave akave nemukana wekutsvaga mukana wekutsvaga, hospitalizations, uye kunyange endotracheal intubations semugumisiro wezviratidzo. Kunyangwe zvakadaro, chirwere chinoramba chichioma kuva chekugadzirisa.
Pane imwe nguva VCD inofungidzirwa, pulmonary function test ( spirometry ) inogona kuratidza uchapupu hweVCD. Chidzidzo chakanaka ndechokuti chiremba aone zvakananga kufamba kwemashoko ezwi achishandisa endoscope yemumvuri. Nasal endoscopy inosanganisira kamera kadiki pakuguma kwepurasitiki yakareba, yakaonda yepurasitiki inoiswa mumhino uye pasi pasi.
Kuti VCD iongororwe, spirometry kana nasal endoscopy inofanira kuitika panguva iyo munhu ane zviratidzo; Zvimwe, kuongororwa kweVCD kunogona kuitwa kuburikidza nezviratidzo izvo murwere anotaura.
Zvinowanzokonzera
Chikonzero cheVCD hachina kuzivikanwa kana kunzwisisa. Dzimwe nyanzvi dzinofunga kuti mamiriro acho akabatana nekunetseka uye kushungurudzika uye angave ari chiratidzo chepfungwa yepfungwa. Munguva pfupi yapfuura, VCD yakave yakarondedzerwa kune chirwere chegastroesophageal reflux ( GERD ) uye maruva emvura.
Zvinokonzera VCD
VCD inoita seyakakonzerwa nenzira dzakasiyana-siyana. Kune vamwe, kurovedza muviri ndiyo chete inokonzera, uye chiyero chekuita basa chinokonzera dambudziko rinogona kuvimba nomunhu wacho. Kune vamwe, kushungurudzika nekuzvidya mwoyo-kazhinji panguva yekuungana kwevanhu-inowanzokonzera.
Vamwe vanhu vane VCD yavo yakakonzerwa nehasha, dzakadai seGERD, kana kuti inhalation yezvinokanganisa zvakasiyana-siyana zvepakati pezvakatipoteredza zvakadai sekunhuhwirira kwakasimba kana zvinonhuwira.
Available Treatments
Kune nzira dzakawanda dzokurapa dzevanhu vane VCD. Izvi zvinosanganisira:
- Kutaura kwekutaura
- Kuporesa maitiro
- Relaxation techniques
- Biofeedback
- Hypnotherapy
- Kupindira kwemashoko ezwi neukisi yebhodulism ( Botox )
- Kurapa kweGERD
- Tracheostomy
- Atrovent (ipratropium bromide) inhalers kudzivirira kudzidzira-kunokonzerwa neVCD
Vanenge 25 muzana yevanhu vane VCD vanogonawo kuva nehutachiona chechokwadi, saka mune dzimwe nguva, mishonga yeAsthma ingadawo kushandiswa.
Kusvikira Rini Vanhu VCD VCD
Mune rumwe ruzivo, vanenge vanhu vose vane VCD vakatevera vaine zviratidzo zvishoma kudarika makore mashanu-uye vazhinji vakange vane zviratidzo zvisingasviki mwedzi mitanhatu. Saka VCD haisi iyo mamiriro ezvinhu achagara newe paupenyu.
> Kwakabva:
> Park DP, Ayres JG, McLeod DT, Mansur AH. Nhengo Yakashata Kusagadzikana Kutaridzwa neTrans-Term Tracheostomy: 2 Case Studies. Ann Allergy Chirwere Immunol. 2007; 98: 591-4.