Ludlow Siobhan, Daly Rachel, Elsey Lynn, Hope Helen, Sheehan Reyenna, Fowler Stephen J
Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Division of Psychology and Mental Health, Medical Education, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Breathe (Sheff). 2023 Sep;19(3):230088. doi: 10.1183/20734735.0088-2023. Epub 2023 Oct 10.
We provide an overview of the assessment and management of inducible laryngeal obstruction and breathing pattern disorder. We highlight the multidisciplinary team members involved and their essential roles within a complex breathlessness service. We discuss treatments initiated by physiotherapy and speech and language therapy, the importance of joint working, and discuss the high incidence of comorbidities and the association with other respiratory disorders.
Inducible laryngeal obstruction and breathing pattern disorder are common causes of breathlessness.Inducible laryngeal obstruction is an inappropriate, transient, reversible narrowing of the laryngeal area that causes breathlessness and laryngeal symptoms.Breathing pattern disorder is an alteration in the normal biomechanical patterns of breathing that results in intermittent or chronic symptoms, which may be respiratory and/or non-respiratory.People with inducible laryngeal obstruction or breathing pattern disorder often have other comorbidities that will also need addressing.Multidisciplinary assessment and treatment is essential for comprehensive workup and holistic care.Timely assessment and diagnosis can prevent unnecessary medication use and hospital admissions and facilitate effective management of the condition using reassurance, advice, education, breathing retraining and vocal exercises.
我们概述了可诱导性喉梗阻和呼吸模式障碍的评估与管理。我们强调了多学科团队成员及其在复杂的呼吸困难服务中的重要作用。我们讨论了物理治疗、言语和语言治疗所开展的治疗、联合工作的重要性,并讨论了合并症的高发病率以及与其他呼吸系统疾病的关联。
可诱导性喉梗阻和呼吸模式障碍是呼吸困难的常见原因。可诱导性喉梗阻是喉部区域不适当的、短暂的、可逆性狭窄,会导致呼吸困难和喉部症状。呼吸模式障碍是正常呼吸生物力学模式的改变,会导致间歇性或慢性症状,这些症状可能是呼吸系统和/或非呼吸系统的。患有可诱导性喉梗阻或呼吸模式障碍的人通常还有其他合并症,也需要加以处理。多学科评估和治疗对于全面检查和整体护理至关重要。及时评估和诊断可防止不必要的药物使用和住院,并通过安慰、建议、教育、呼吸再训练和发声练习促进对病情的有效管理。