Ukuhogela kwezwi enganeni

Kuyini ukuhosha

Ukuhosha ezinganeni kuvame kakhulu njengophawu lwemikhuhlane, ehambisana nomphimbo obuhlungu nokukhwehlela.

Iqiniso liwukuthi i-larynx yezingane iqukethe inani elikhulu le-fiber exekethile ngaphansi kwe-vocal folds, ngakho ulwelwesi lwamafinyila luyavuvukala, i-glottis inciphe, futhi ukugoqa kwezwi ngokwawo kuyancipha kakhulu. Ngakho-ke, izwi lengane liyashintsha - liyasho, liphansi, lihoshozela futhi lishaye ikhwela.

Izimbangela zokuhoxisa ezinganeni

Ukuhosha ezinganeni kungaba nezimbangela eziningana. Cabangela okuvame kakhulu.

igciwane

I-SARS enekhala eligijima kanye nokukhwehlela kungaholela ekuvuvukeni kwe-pharynx ne-larynx. Lokhu futhi kuthinta isimo sezintambo zezwi, ngakho izwi liba nomsindo.

- Lokhu kungase kube ukubonakaliswa kokuqala kwenkinga enzima kangaka yokutheleleka ngegciwane njenge-croup yamanga. Ikhula ezinganeni zasenkulisa, lapho ukuvuvukala kwe-subglottic space ye-larynx kungaholela ebunzimeni obukhulu bokuphefumula ngisho ne-asphyxia. Lesi simo sidinga usizo lwezempilo oluphuthumayo. Kungakho odokotela bezingane beluleka ngokuqinile ngokumelene nokwelapha ngisho nomkhuhlane “ongeyona ingozi” ezinganeni ngokwawo kanye nokubonana nodokotela, kuchaza i-otorhinolaryngologist uSofia Senderovich.

Ukungezwani komzimba

Ngezinye izikhathi izwi elizwakalayo enganeni lingabonisa ukusabela okweqile, lapho kufanele uqaphele, ngoba i-edema ye-laryngeal kanye ne-asphyxia ingase ithuthuke. Ezimweni ezinjalo, udinga ukushayela i-ambulensi ngokushesha.

Into yangaphandle emphinjeni

Ngokuvamile, izingane, ikakhulukazi ezincane, lapho zidlala, zinambitha izinto ezincane - zifaka ubuhlalu obuncane, amabhola, izinhlamvu zemali emilonyeni noma emakhaleni, bese ziphefumula noma zigwinye. Into ingase ibhajwe endleleni yomoya, umzali angase angayiboni, futhi ingane ingase ichaze ukuthi kwenzekeni. Ngakho-ke, uma ingane encane ngokuzumayo inezwi elihlabayo, kufanele uyidlale ngokuphepha futhi ubize i-ambulensi noma ubone udokotela.

Ukuzikhandla ngokweqile kwezintambo zezwi

Izintambo zezwi zezingane zintekenteke kakhulu, ngakho lapho zikhala noma ziklabalasa isikhathi eside, izwi lingase lihoshoze.

Ama-neoplasms ku-larynx 

Izimila ezihlukahlukene nama-papillomas, ngisho nosayizi omncane, zingaholela ekushintsheni kwezwi. Ukukhula, ama-neoplasms angakhama ama-vocal folds, okuholela ekuhosheni.

Izinguquko zeminyaka

Lokhu kushiwo ikakhulukazi kubafana eminyakeni yobudala, lapho izinguquko kusizinda se-hormonal ziholela "ekuphukeni" kwezwi. Ngokuvamile lesi sigameko sihamba sodwa, kodwa uma "ukuhoxiswa" kungahambi isikhathi eside, bonisa ingane kudokotela we-ENT.

Izimpawu ze-hoarseness ezinganeni

Ngokukhula kwezifo zezitho ze-ENT, ukuhogela kwezwi kukhula kancane kancane, ngezintambo zezwi eziphukile, ukungezwani komzimba noma umzimba wangaphandle, izimpawu zivela ngokushesha futhi zingase zihambisane nokukhwehlela okuqinile kwe-paroxysmal, ukuntuleka komoya, i-cyanosis. isikhumba.

Ngomkhuhlane noma umoya owomile kakhulu ekamelweni, ngaphezu kwe-hoarseness, ingane ingase ikhononde ngokoma nomphimbo obuhlungu.

- Nge-stenosing laryngotracheitis (i-croup yamanga), i-hoarseness yezwi ihambisana nokukhwehlela okukhonkothayo, - i-otorhinolaryngologist icacisa.

Ukwelashwa kwe-hoarseness ezinganeni

Ukuzilapha kuhlale kuyingozi, ngisho nange-hoarseness, udinga ukukhombisa ingane kudokotela ukuze akhiphe izimo ezisongela ukuphila. Udokotela kuphela ongakhetha ukwelashwa okufanele okuzosiza ngokushesha ukuxazulula inkinga.

Diagnostics

- Ukuthola izimbangela zokuhoxisa enganeni, udokotela uhlola izikhalazo, i-anamnesis, uhlola imvamisa yokuphefumula, izimpawu zokwehluleka ukuphefumula. Indlela eyinhloko yokuxilongwa kwezinsimbi ukuhlolwa kwe-endolaryngoscopy ye-larynx kusetshenziswa ama-endoscopes aguquguqukayo noma aqinile. Ucwaningo lukuvumela ukuthi unqume uhlobo lwenqubo ye-pathological, indawo yayo, izinga, izinga kanye nezinga lokunciphisa i-lumen yomoya, kuchaza i-otorhinolaryngologist uSofya Senderovich.

Ukwelashwa kwesimanje

Ukwelashwa kwe-hoarseness enganeni ngokuqondile kuncike kumbangela yayo. Isibonelo, nge-SARS, i-laryngitis, i-pharyngitis nezinye izifo ze-nasopharynx, ezinye izidakamizwa ezithile ezithinta izintambo zezwi azinqunyiwe. Isifo esiwumsuka siyalashwa, futhi ukuhoshozela njengophawu kuyaphela ngokwakho. Okuwukuphela kwento udokotela angayeluleka ngayo ukuze anciphise izimpawu ukunikeza ingane uketshezi olufudumele olufudumele ngangokunokwenzeka, ukuqapha izinga lokushisa nomswakama efulethini, ukunikeza ama-gargles, ama-resorption agents wendawo.

- Nge-croup yamanga, ukwelashwa kwenziwa esibhedlela, - uSofya Senderovich ucacisa.

Uma i-hoarseness ibangelwa ukungezwani komzimba, udokotela uzonikeza ama-antihistamines. Uma kusolwa ukutheleleka kwebhaktheriya, udokotela uzoqala ngokuthatha i-swab emphinjeni, ahlonze i-agent causative yesifo, bese ebeka ukwelashwa futhi, uma kunesidingo, ama-antibiotics.

Uma ukuguqulwa kwezwi kubangelwa ukuhlukumezeka noma ukucindezeleka ngokweqile kwezintambo zezwi, khona-ke indlela eyinhloko yokwelapha lapha ukuphumula kwezwi, ukuze ungacindezeli izintambo futhi. Asikho isidingo sokukhulumela phezulu, thula noma ukhulume ngokuhleba. Futhi, udokotela angakwazi ukunikeza amalungiselelo endawo okuphefumula kanye nokuphefumula okukhethekile kwezokwelapha - lokhu kukhulula ukukhukhumeza, kusiza ukuvula i-glottis, ukubuyisela ukuphefumula kanye nezwi.

– Zama njalo ukuqinisekisa ukuthi igumbi lapho ingane elala khona linomoya ohlanzekile, opholile, oswakeme (cishe u-18 – 20 ° C), ochwepheshe bayeluleka.

Ukuvimbela i-hoarseness ezinganeni ekhaya

Ukuvimbela okubaluleke kakhulu kwe-hoarseness enganeni ukuvimbela imikhuhlane. Ngesikhathi sezulu esibandayo nasebusika, udinga ukugoqa umphimbo wakho ngesikhafu, zama ukuphefumula ngekhala lakho, hhayi ngomlomo wakho, ugqoke ukufudumala, qiniseka ukuthi izinyawo zakho zifudumele. Futhi, qiniseka ukuthi ingane ayiwuthandi u-ayisikhilimu neziphuzo ezibandayo, ikakhulukazi uma zengezwe iqhwa.

Uma, noma kunjalo, ingane igula, udinga ukumbonisa udokotela ngokushesha ngangokunokwenzeka futhi uqale ukwelashwa, ukunaka ngokukhethekile emphinjeni - sebenzisa ama-lozenges noma ama-lozenges, ama-sprays, ama-rinses. Futhi, ngezinkinga zomphimbo, kungcono ukuba ingane izame ukukhuluma kancane ukuze ingacindezeli izintambo zezwi futhi, noma okungenani ikhulume ngokuhleba.

Futhi, ukuze ungacasuli umphimbo, kuyadingeka ukunciphisa ngangokunokwenzeka izinongo, ukudla okunosawoti kanye nokubhema, okuyinto, ngokuyisisekelo, akusizi ngalutho emathunjini ezingane. Ngaphezu kwalokho, ukuchayeka isikhathi eside emakamelweni abhemayo noma anothuli kufanele kugwenywe.

Imibuzo nezimpendulo ezidumile

Udokotela we-otorhinolaryngologist uSofia Senderovich uyaphendula.