Kodi inunso mumavutika kumeza chakudya? Tiyeni tiphunzire za matenda a Plummer-Vinson?

Kodi zimakuvutani kumeza chakudya? Kapena nthawi zonse mumadzimva kutopa, kumva ulesi? Nthawi zina zinthuzi zimaoneka ngati zachilendo, koma pakhoza kukhala chifukwa china chomwe chimazipangitsa kukhala zovuta. Lero tikambirana za matenda osowa koma ofunika kwambiri. Umenewo ndi matenda a Plummer-Vinson.

Kodi matenda a Plummer-Vinson ndi chiyani?

Mwachidule, Plummer-Vinson syndrome (PVS) ndi vuto lomwe zizindikiro zitatu zofanana zimachitika pamodzi. Madokotala nthawi zina amatcha izi kuti "triad," zomwe zikutanthauza "kuphatikiza zitatu." Tiyeni tiwone zomwe matenda atatuwa ali:

1. Kusowa kwa ayoni m'thupi: Izi zimachitika thupi lanu likakhala kuti silikhala ndi ayoni yokwanira yopangira puloteni yotchedwa hemoglobin m'maselo ofiira a magazi. Mukudziwa, hemoglobin ndi yomwe imanyamula mpweya kupita ku selo iliyonse m'thupi lanu. Chifukwa chake, mukakhala kuti mulibe ayoni yokwanira, hemoglobin simapangidwa bwino, ndipo thupi lanu sililandira mpweya womwe limafunikira. Izi ndi zomwe zimayambitsa zizindikiro monga kutopa ndi kufiira.

2. Maukonde a m'mero: Apa ndi pamene minofu yopyapyala, yosakhala yachibadwa imapangika mkati mwa m'mero ​​wanu, kapena paipi ya chakudya. Taganizirani ngati ukonde wa kangaude womwe umapangika pa m'mero ​​wanu. Izi zimapangitsa kuti m'mero ​​muchepetseke ndikutsekeka. Izi zimapangitsa kuti chakudya chizivuta kudutsa.

3. Kuvuta kumeza (Dysphagia): Ili ndi dzina limene madokotala amapatsa vuto la kumeza chakudya ndi zakumwa chifukwa cha zilonda za m'mimba zomwe zatchulidwa pamwambapa. Anthu ena angavutike kumeza osati chakudya cholimba chokha komanso zakumwa.

Dzina limeneli limatchedwa ndi mayina ena. Limodzi ndi sideropenic dysphagia. Ndipo ku United Kingdom, ndiko kuti, ku England, limatchedwa Paterson-Brown Kelly syndrome.

Tsopano, nayi chinthu chomwe simuyenera kuopa. Anthu omwe ali ndi Plummer-Vinson syndrome (PVS) akuti ali ndi chiopsezo chachikulu chotenga khansa ya m'mero ​​kapena khansa ya hypopharyngeal mtsogolo. Komabe, ichi ndi chiopsezo chabe . Dokotala wanu adzakuyang'anirani nthawi zonse ndikukuyang'anirani ngati pakufunika kuti adziwe matenda aliwonse otere msanga.

Kodi zizindikiro za izi ndi ziti?

Chabwino, tsopano tiyeni tiwone zizindikiro zomwe munthu amene ali ndi matenda a Plummer-Vinson syndrome (PVS) amasonyeza. Zizindikirozi sizimachitika kwa aliyense mofanana, ndipo anthu ena akhoza kukhala ndi zizindikiro zina zokha.

• Kumva kutopa komanso kutopa nthawi zonse: Ichi ndi chizindikiro chachikulu cha kusowa kwa ayoni. Umamva kutopa ngakhale mutagwira ntchito zazing'ono ndipo umamva kugona tsiku lonse.
• Kuvuta kupuma (kulephera kupuma): Mungamve ngati mukulephera kupuma, osati poyenda pang'ono, kukwera masitepe, komanso nthawi zina ngakhale mutangoyima.
• Kuvuta kumeza chakudya:Ichi ndi chizindikiro chodziwika bwino cha matendawa. Makamaka akameza zakudya zolimba, monga mpunga, buledi, nyama ndi nsomba, pamakhala kutsekeka pakhosi ndi pachifuwa. Anthu ena amamwa madzi pang'ono kuti amedze chakudya. Ngakhale kuti poyamba zakudya zolimba zimakhala zovuta, pambuyo pake zimakhala zovuta kumeza zakumwa.
• Lilime limatupa, kutupa, ndi kufiira (glossitis): Lilime limakhala losalala, lofiira, ndipo nthawi zina lingamamve ngati likuyaka.
• Pakamwa pouma (xerostomia): Mkati mwa pakamwa mumakhala mouma nthawi zonse, ndipo mumakhala ndi kumverera kosowa malovu.
• Angular cheilitis: Makona a pakamwa amasweka, amafiira, komanso amaoneka ngati zilonda.
• Misomali imakhala yofooka komanso yosalala ngati supuni: Misomali imakhala yofooka kwambiri ndipo imasweka mosavuta. Nthawi zina misomali imamira pakati, ngati supuni (koilonychia).
• Kutupa kwa chithokomiro ndi ziphuphu (tizidutswa ta chithokomiro): Chithokomiro, chomwe chili kutsogolo kwa khosi, chimatha kukula ndikumveka ngati chotupa.
• Splenomegaly: Nkhumba ndi chiwalo chomwe chili kumtunda kumanzere kwa mimba yathu. Chingathenso kutupa mu mkhalidwe uwu, koma nthawi zambiri sichimayambitsa zizindikiro zazikulu.

Kodi chifukwa chake ndi chiyani?

Ndipotu, ofufuza sakudziwabe chomwe chimayambitsa matenda a Plummer-Vinson (PVS). Koma pali zinthu zingapo zomwe amaganiza komanso zomwe amakayikira:

• Kusowa kwa iron ndi chinthu chomwe chikukayikiridwa kwambiri: Anthu ambiri amaganiza kuti kusowa kwa iron kwa nthawi yayitali kumapangitsa kuti minofu ya m'mero ​​ifooke ndikupanga maukonde. Iron imafunika pa ma enzyme ambiri m'thupi lathu.
• Kusowa zakudya: Pali chikhulupiriro chakuti si chitsulo chokha, komanso mavitamini ndi michere ina ingakhudze izi.
• Matenda a Autoimmune: Mwina munamvapo za matenda monga rheumatoid arthritis ndi matenda a celiac. Awa ndi matenda a autoimmune omwe amachitika pamene chitetezo chathu chamthupi chikuukira maselo athu. Chifukwa chake, popeza anthu ena omwe ali ndi PVS nawonso ali ndi matendawa, madokotala amaganiza kuti mwina akugwirizana ndi chitetezo chamthupi.
• Mphamvu ya majini: Ena amakhulupirira kuti iyi ndi vuto la majini, zomwe zikutanthauza kuti ngati wina m'banjamo ali nalo, enanso akhoza kudwala nalo.

Koma izi zikadali malingaliro chabe. Kafukufuku wowonjezereka ukufunika kuti tidziwe chomwe chimayambitsa vutoli.

Ndani ali pachiwopsezo chachikulu chotenga izi?

Matenda a Plummer-Vinson (PVS) ndi matenda osowa kwambiri . Siakhudza aliyense. Komabe, malinga ndi ziwerengero, amapezeka kwambiri mwa akazi oyera. Nthawi zambiri amakhudza akazi azaka zapakati, azaka zapakati pa 40 ndi 70.Ichi ndi chifukwa chofala kwambiri. Komabe, kawirikawiri kwambiri, ndiko kuti, kawirikawiri kwambiri, zanenedwa kuti zimachitika mwa achinyamata komanso ngakhale mwa ana aang'ono.

Kale, ndiko kuti, kumayambiriro kwa zaka za m'ma 1900, matendawa anali ofala kwambiri m'maiko aku Scandinavia (monga Sweden, Norway). Komabe, pofika kumapeto kwa zaka za m'ma 1900, ndiko kuti, m'zaka makumi angapo zapitazi, sanapezeke kwambiri m'maiko amenewo. Chifukwa chachikulu cha izi chikuganiziridwa kuti ndi kusintha kwa zakudya zomwe anthu m'maiko amenewo anali nazo panthawiyo, makamaka kupezeka mosavuta kwa zakudya zokhala ndi chitsulo chochuluka.

Kodi mavuto omwe angakhalepo chifukwa cha PVS ndi ati?

Monga tanenera kale, anthu omwe ali ndi Plummer-Vinson syndrome (PVS) apezeka kuti ali ndi chiopsezo chachikulu chotenga khansa ya m'mero ​​ndi khansa ya hypopharyngeal, khansa yomwe ili m'munsi mwa mmero, yotchedwa hypopharynx, kuposa anthu omwe alibe PVS.

Koma musachite mantha ndi izi. Si aliyense amene ali ndi PVS amene adzadwala khansa. Ichi ndi chiopsezo chokha.

Popeza matendawa ndi osowa kwambiri, palibe kafukufuku wokwanira wosonyeza kuchuluka kwa anthu omwe ali ndi PVS omwe amadwala khansa.

Koma ngati muli ndi vutoli, dokotala wanu adzayesa kuzindikira khansa pachiyambi , chifukwa ndiye kuti pali mwayi waukulu wopeza chithandizo ndi kuchira. Ndicho chifukwa chake ndikofunikira kupita kukayezetsa nthawi zonse, monga momwe dokotala wanu akunenera.

Kodi matenda a Plummer-Vinson (PVS) amawapeza bwanji?

Ngati muli ndi zizindikiro zomwe tatchula pamwambapa, mukapita kukaonana ndi dokotala, adzakufunsani mafunso ndikukuyesani. Kenako, adzalamula kuti muyesedwe magazi ndi njira zina zapadera zojambulira kuti atsimikizire ngati muli ndi PVS.

• Kuyezetsa magazi: Izi makamaka zimasonyeza ngati pali vuto la kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa ayoni.
• Kuwerengera Magazi Konse (CBC): Izi zitha kuyang'ana zinthu zambiri monga maselo ofiira a m'magazi anu, maselo oyera a m'magazi, ndi kuchuluka kwa hemoglobin.
• Kupaka Magazi Pambali (PBS): Izi zimaphatikizapo kuyang'ana chitsanzo cha magazi pogwiritsa ntchito maikulosikopu kuti muwone mawonekedwe ndi kukula kwa maselo ofiira a magazi. Ngati kusowa kwa chitsulo, maselo ofiira a magazi akhoza kukhala ang'onoang'ono komanso otumbululuka (microcytic, hypochromic).
• Mayeso a chitsulo: Mayeso monga serum ferritin, serum iron, ndi TIBC (Total Iron Binding Capacity) angapereke lingaliro la kuchuluka kwa chitsulo m'thupi.

• Mayeso ojambulira: Izi zimafufuza maukonde a m'mero ​​ndi chomwe chimayambitsa dysphagia.
• Endoscopy Yapamwamba (OGD - Oesophago-Gastro-Duodenoscopy):Mu izi, chubu chokhala ndi kamera kakang'ono chimayikidwa kudzera pakamwa ndipo m'mero, m'mimba, ndipo gawo loyamba la matumbo ang'onoang'ono limafufuzidwa. Izi zimakupatsani mwayi wowona mwachindunji ngati maukonde alipo. Ngati pakufunika, chidutswa chaching'ono cha minofu (biopsy) chingatengedwe kuti chikafufuzidwe.
• Kumeza kwa Barium / Esophagram: Mu mayeso awa, mumamwa chinthu chotchedwa barium ndipo mumajambula zithunzi za X-ray. Barium imapangitsa kuti m'mero ​​muwonekere pa X-ray, zomwe zimakupatsani mwayi wowona madera omwe akukhuthala kapena kutsekeka.
• Videofluoroscopy: Iyi ndi njira yoyesera ya X-ray. Imajambula kanema wosonyeza mukumeza zakudya zosiyanasiyana. Izi zingakuthandizeni kuona momwe mukumeza komanso komwe vuto lili.

Nthawi zina dokotala angafunike kuchita mayeso ambiri kuti apeze chomwe chimayambitsa kusowa kwa chitsulo m'thupi. Mwachitsanzo, angayang'ane zilonda zam'mimba kapena kutuluka magazi m'matumbo.

Kodi izi zimachiritsidwa bwanji?

Pali zolinga ziwiri zazikulu pochiza matenda a Plummer-Vinson syndrome (PVS): Choyamba ndi kukonza kusowa kwa chitsulo m'thupi , ndipo china ndi kuthetsa vuto lomeza chakudya .

• Chithandizo cha kusowa kwa chitsulo:
• Chofunika kwambiri ndi kupatsa thupi lanu chitsulo chomwe chimafunikira. Mutha kumwa zowonjezera zachitsulo pa izi. Muyenera kumwa izi monga momwe dokotala wanu wanenera, kwa nthawi yonse yomwe mukufunikira.
• Kwa anthu ena, ngati mapiritsi achitsulo omwa sanamwedwe bwino, kapena ngati kusowa kwachitsulo kuli kwakukulu kwambiri, nthawi zina chitsulocho chimaperekedwa kudzera m'mitsempha (IV - Iron yolowetsedwa m'mitsempha).
• Ngati muli ndi vuto lina lomwe limayambitsa kusowa kwa chitsulo (monga kutuluka magazi ambiri kusamba, ma hemorrhoids, zilonda zam'mimba), muyenera kuchizanso vuto limenelo.

• Chithandizo cha vuto la kumeza movutikira (Dysphagia):
• Nthawi zambiri, kusowa kwa chitsulo kumeneku kukachiritsidwa, ndipo thupi likalandira chitsulo, maukonde a m'mero ​​amatha pafupifupi okha, ndipo vuto lomeza chakudya limachepa kwambiri.
• Tiyerekeze kuti chithandizo cha iron chokha sichikuchizani vuto lanu lomeza. Ngati ndi choncho, pali njira yokulitsa, kapena kutalikitsa, m'mero ​​wanu. Imatchedwa kukulitsa m'mero . Izi zimachitika panthawi ya endoscopy. Chipangizo chaching'ono chonga baluni chimayikidwa m'gawo lopapatiza la m'mero ​​ndipo mwina chimadzazidwa kapena kukulitsidwa kuti chiwonjezere m'mero. Imeneyi si opaleshoni yaikulu, koma njira yosavuta, yomwe nthawi zambiri imakhala yopanda ululu yomwe imaphatikizapo kusadula m'mero. Anthu ena angafunike kuchita izi kangapo.

Kodi chiyembekezo cha vutoli n'chiyani?

Ndipotu, munthu amene ali ndi matenda a Plummer-Vinson (PVS) angayembekezere zotsatira zabwino komanso kuchira .

Kwa anthu ambiri, kusowa kwa chitsulo m'thupi kukakonzedwa, zizindikiro za kuchepa kwa magazi m'thupi (monga kutopa ndi kupuma movutikira) zimachepa kwambiri. Komanso, vuto lomeza chakudya limachepa kwambiri.

Ngati vuto la kumeza silinathetsedwe ndi chithandizo cha iron chokha, chithandizo chokulitsa mkodzo chomwe chatchulidwa kale nthawi zambiri chimathandiza kuti vuto la kumeza likhale lovuta. Anthu ena angafunike kuchita chithandizo chokulitsa mkodzo kangapo. Koma ndi njira yosavuta komanso yotsika mtengo.

Dokotala wanu angafune kuchita opaleshoni yowunikira kuti aone ngati pali matenda monga khansa ya m'mero ​​kapena pakhosi panu. Koma kumbukirani kuti kukhala ndi PVS ndi chinthu chomwe chimayambitsa khansa. Kukhala ndi PVS sikutanthauza kuti mudzadwala khansa.

Lankhulani ndi dokotala wanu za momwe kukhala ndi PVS kumakhudzira chiopsezo chanu cha khansa, momwe mungasamalire mtsogolo, komanso kangati muyenera kuyezetsa.

Kodi matenda a Plummer-Vinson Syndrome (PVS) angapewedwe?

Madokotala sakudziwabe chomwe chimayambitsa matenda a Plummer-Vinson syndrome (PVS), kotero sizingatheke kunena motsimikiza ngati pali njira yeniyeni yopewera matendawa.

Komabe, kupewa kusowa kwa chitsulo ndi kuchiza mwamsanga ngati muli ndi vuto lomwe limayambitsa kusowa kwa chitsulo kungachepetse chiopsezo chanu chokhala ndi PVS.

Choncho, ndi bwino kuonetsetsa kuti mukupeza chitsulo chokwanira kuchokera ku zomwe mumadya ndi kumwa. Phatikizani zakudya zokhala ndi chitsulo chochuluka (monga nyama yofiira, nandolo, sipinachi, mphodza, soya) muzakudya zanu.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro za kuchepa kwa magazi m'thupi (monga kutopa kosalekeza, kupuma movutikira, khungu loyera), ndipo ngati zizindikirozo sizikutha patatha milungu iwiri, onetsetsani kuti mwaonana ndi dokotala.

Komanso, ngati mukumva ngati mukuvutika kumeza chakudya, makamaka ngati mukumva ngati mukulephera kudya chakudya cholimba , ndipo vutolo silikuchira, ndi bwino kuonana ndi dokotala kuti akupatseni upangiri m'malo mongonyalanyaza.

Kodi ndifunse dokotala chiyani?

Mukapita kukaonana ndi dokotala, mufunseni za nkhawa zanu ndi mantha anu. Mwachitsanzo, mungafunse mafunso monga:

• Kodi n’chiyani chingayambitse kuchepa kwa magazi m’thupi langa?
• Ndi mayeso ati omwe ndiyenera kuchita kuti ndidziwe ngati ndili ndi Plummer-Vinson syndrome (PVS)?
• Kodi mukundilangiza chithandizo chamtundu wanji?
• Kodi ndiyenera kuchitidwa opaleshoni yokulitsa mkodzo kuti ndikonze vuto langa la dysphagia? Kodi ndiyenera kuchitidwa kangati?
• Kodi ndiyenera kuda nkhawa ndi chiopsezo changa cha khansa mtsogolo? Kodi ndiyenera kuchita chiyani pa izi?

Ngati mukuganiza kuti muli ndi zizindikiro za matenda a Plummer-Vinson syndrome (PVS), pitani kuchipatala nthawi yomweyo. Simuyenera kukhala ndi kutopa kosasangalatsa komwe kumabwera chifukwa cha kuchepa kwa magazi m'thupi. Simuyeneranso kukhala ndi ululu womeza (dysphagia) womwe umapangitsa kudya kukhala ntchito yovuta. Nthawi zina yankho lake ndi losavuta ngati mapiritsi ochepa achitsulo. Ngati sichoncho, mutha kupeza mpumulo pokulitsa mmero wanu. Komabe, pali mankhwala omwe angakuthandizeni kumva bwino .

Pomaliza, zinthu zofunika kwambiri kukumbukira

Matenda a Plummer-Vinson (PVS) ndi matenda osowa kwambiri. Komabe, zizindikiro zake zazikulu ndi kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa ayoni, kuvutika kumeza (dysphagia), ndi zilonda zam'mimba . Ngati mukutopa nthawi zonse, kuvutika kumeza, kapena lilime lanu likumva kupweteka, ndikofunikira kuonana ndi dokotala m'malo mongoganizira kuti ndi chinthu chabwinobwino.

Pali mankhwala abwino a PVS. Nthawi zambiri, zizindikiro zambiri zimachepa akangokonza kusowa kwa chitsulo ndipo m'mero ​​umatambasulidwa ngati pakufunika kutero.

Ngakhale tikulankhula za chiopsezo cha khansa, kumbukirani kuti ndi chiopsezo chokha. Ngati mulankhula ndi dokotala wanu, mukalandira mayeso ofunikira, ndikulandira chithandizo choyenera, mutha kukhala ndi thanzi labwino. Choncho musaope chilichonse, ndipo ngati muli ndi vuto, funsani upangiri wa dokotala nthawi yomweyo. Thanzi lanu ndi lofunika kwambiri kwa inu!

Matenda a Plummer -Vinson, PVS, kusowa kwa iron, dysphagia, kuvutika kumeza, mitsempha ya m'mimba, kuchepa kwa magazi m'thupi