Kodi mumamezanso chakudya ndi zakumwa mobisa? Tiyeni tikambirane za Kupuma Mosatekeseka!

Ndi zachilendo kusanza pang'ono tikamadya kapena kumwa. Koma kodi mukudziwa kuti nthawi zina zinthu monga chakudya ndi zakumwa zimatha kulowa m'njira zathu zopumira popanda kuzindikira kuti tikutsokomola kapena kusasangalala? Ndicho chimene timachitcha "kupuma chete." Ichi ndi chinthu choyenera kusamala nacho, makamaka kwa makolo a ana aang'ono.

Kodi Kupuma Mosatekeseka N'chiyani?

Mwachidule, "Silent Aspiration" ndi pamene mwangozi mumapumira chakudya, chakumwa, malovu, kapena asidi m'mimba mwanu (trachea). Kawirikawiri, tikameza, mitsempha ndi minofu mkamwa mwathu ndi pakhosi zimagwira ntchito limodzi kuti zikankhire chakudyacho m'mimba, osati m'mapapo. Pali kachidutswa kakang'ono pamwamba pa pakhosi pathu kotchedwa "Epiglottis". Tikamameza, chidutswachi chimatseka, kuphimba chidutswa cha mphepo. Choncho pamene mitsempha, minofu, ndi "Epiglottis" izi zikugwira ntchito bwino, chakudyacho chimapita m'mimba ndi mpweya kupita m'mapapo.

Koma munthu amene ali ndi vuto la "Silent Aspiration" satsokomola kapena kumva kuti zinthuzi zalowa mu mkodzo. Ndicho chifukwa chake mawu oti "chete" amawonjezeredwa. Mwanjira imeneyi, osati chakudya, chakumwa, ndi malovu okha, komanso kwa anthu ena, asidi m'mimba (asidi yomwe imakwera pakhosi pa matenda monga gastritis - "Acid Reflux") imatha kulowa mu mkodzo mwachinsinsi.

Kodi izi zimachita chiyani ndi thupi?

Chinthu chaching'ono chomwe chimakakamira mu mpweya sichingakhale vuto lalikulu. Nthawi zambiri, matupi athu amachikoka.

Koma ngati muli ndi "Silent Aspiration", simungadziwe kuti zikuchitika kapena kuti zimachitika kangati. Ngati mupitiliza kulowa madzi m'njira zanu zopumira motere, mutha kukhala ndi vuto lotchedwa "Aspiration Pneumonia", lomwe ndi matenda m'mapapu anu. Ngati simunalandire chithandizo choyenera, "Aspiration Pneumonia" ikhoza kukhala yoopsa kwambiri.

Kodi zizindikiro za kupuma movutikira ndi ziti?

Anthu omwe ali ndi "Silent Aspiration" sangasonyeze zizindikiro zilizonse. Komabe, ngati pali zizindikiro, zimatha kusiyana malinga ndi msinkhu wanu - kapena wa mwana wanu. Makanda aang'ono omwe ali ndi "Silent Aspiration" angasonyeze zizindikiro monga:

• Kuthamanga kwa mpweya kumawonjezeka kapena kupuma kwanu kumachepa pamene mukuyamwitsa.
• Nthawi zambiri mumadwala malungo pang'ono popanda chifukwa, kapena mumayamba matenda m'mapapo, makamaka m'mapapo.
• Sakonda kumwa mkaka, akutembenukira nkhope zawo kutali ndi botolo kapena mkaka wa m'mawere.
• Mukatha kumwa mkaka, mumamveka phokoso "lonyowa" m'mawu, ngati kuti muli ntchofu, kapena phokoso longa limenelo mukamalira.

Ana okalamba ndi akuluakulu akhoza kukhala ndi zizindikiro zotsatirazi ngati ali ndi "Silent Aspiration":

• Kuthamanga kwa mpweya kumawonjezeka mukamadya.
• Ndikumva ngati chinachake chandigwira pakhosi.
• Ana aang'ono amanena kuti sangadye ndipo amakana.
• Mphuno yanga imatsekeka ndikamaliza kudya, koma imatha pakapita nthawi.
• Pali phokoso logwedezeka popanda chifukwa, komanso phokoso likamapuma.
• Pambuyo podya, mawu amasintha ngati kuti pali ntchofu pakhosi.
• Matenda opatsirana m'mapapo monga bronchitis nthawi zambiri amapezeka.

Kodi n’chiyani chimayambitsa izi?

Pali zifukwa zambiri zomwe "Kupuma Mosakhazikika" kungachitikire. Nthawi zina zimatha kuchitika popanda chifukwa chomveka ndipo zimatha kuchitika mwangozi. Koma nthawi zambiri zimawonekera mwa anthu omwe ali ndi vuto lachipatala lomwe limasokoneza njira yomeza. Mwachitsanzo:

• Mlomo wosweka kapena pakamwa posweka.
• Kuvuta kumeza (Dysphagia) kapena kufooka kwa mawu.
• Matenda a Gastroesophageal Reflux (GERD). Anthu omwe ali ndi vutoli mosadziwa amatha kulola asidi m'mimba kulowa mu mkodzo.
• Matenda otchedwa ``Laryngomalacia``. Izi zimakhudza kholingo la mwana (bokosi la mawu), ndipo zingayambitse kuvutika kumeza ndikuwonjezera chiopsezo cha ``GERD``.
• Mavuto okhudzana ndi ubongo ndi dongosolo lamanjenje. Mwachitsanzo, matenda monga Cerebral Palsy, Multiple Sclerosis (MS), khunyu, kapena kuvulala kwa ubongo kapena sitiroko komwe kudachitikapo kale.
• Machubu oikidwa pakhosi chifukwa cha matenda ena. Mwachitsanzo, chubu cha nasogastric kapena chubu cha tracheostomy.

Ndani ali pachiwopsezo chachikulu chotenga izi?

Matendawa otchedwa ``Silent Aspiration'' angakhudze aliyense kuyambira makanda aang'ono mpaka okalamba. Koma tiyeni tiwone omwe ali pachiwopsezo chachikulu:

• Makanda aang'ono: Makanda sangakuuzeni kuti ali ndi pakhosi lopweteka kapena akuvutika kudya. Choncho n'zovuta kudziwa ngati ali ndi "Silent Aspiration". Komanso, popeza nthawi zambiri amadya zakudya zamadzimadzi, n'zosavuta kuti madzi azilowa m'mapapo kusiyana ndi zakudya zolimba.
• Anthu omwe ali ndi matenda osatha kapena olumala: Matenda ambiri, monga multiple sclerosis (MS) kapena khunyu, angakhudze luso lanu lomeza. Matendawa omwe amakhudza kumeza amawonjezera chiopsezo cha kupuma mwakachetechete.
• Anthu okalamba: Matenda monga matenda a dementia ndi sitiroko ndi ofala kwambiri mu ukalamba. Izi zingayambitse kusintha kwa kadyedwe kake ndipo zingakupangitseni kusadziwa kuti pali chinachake chomwe chakumangika pakhosi panu.

Kodi mumazindikira bwanji izi?

Pozindikira vuto la kupuma movutikira, chinthu choyamba chomwe dokotala wanu amachita nthawi zambiri ndikuwunika mphuno yanu, pakamwa, ndi mapapo ndikukambirana mbiri yanu yachipatala. Ngati mwana wanu ali ndi zizindikiro izi, dokotala wanu mwina angayambe ndi mayeso omwewo.

Ngati pakufunika kutero, dokotala angakupatseni mayeso ena kuti aone momwe mukumedzera. Inu kapena mwana wanu mungafunike mayeso monga awa:

• X-ray ya pachifuwa:Iyi ndi njira yoyesera yopanda ululu. Imajambula zithunzi za mapapo anu ndi pachifuwa. Imatha kuwona ngati pali chibayo m'mapapo anu ndikuwona zinthu zomwe zili pakhosi panu komanso m'njira yopumira.
• Kuyeza kwa Kumeza kwa Fiber-optic Endoscopic (FEES): Mu mayesowa, dokotala amaika chubu chopyapyala chokhala ndi kamera yolumikizidwa kudzera mu mphuno mwanu. Izi zimatha kuwona mkati mwa pakhosi panu mukamameza. Nthawi zina, mungapatsidwe madzi apadera kuti amwe kuti muwone bwino zomwe mukumeza.
• Laryngoscopy: Pa opaleshoniyi, dokotala amafufuza pakhosi panu ndi chubu chopyapyala chokhala ndi kamera.
• Mndandanda wa GI wapamwamba: Musanayambe X-ray iyi, mudzapatsidwa madzi (barium) kuti mumwe, omwe amaonekera pa X-ray. Izi zingathandize kupeza mavuto m'mimba omwe angayambitse matenda monga GERD.

Kodi izi zimachiritsidwa bwanji?

Pochiza "Silent Aspiration", choyamba kuchita ndikuchiza vuto lomwe linayambitsa vutoli. Mwachitsanzo:

• Ngati muli ndi GERD, dokotala wanu angakulembeni mankhwala oletsa asidi m'mimba kuti asakwere pakhosi panu.
• Ngati mwana wanu ali ndi vuto la kutulutsa madzi pang'ono pamene akuyamwitsa, dokotala wanu angakulangizeni kuti mugwire mwana wanu moyimirira pamene akuyamwitsa. Kuyimirira kumeneku kungathandize mwana wanu kumeza mkaka wa m'mawere kapena mkaka wa m'mawere mosavuta.
• Makanda omwe nthawi zambiri amalephera kuyamwa mkaka wa m'mawere kapena mkaka wa m'mawere angafunike kusinthidwa zakudya zokhala ndi zakudya zokhuthala. Ngati vutoli ndi lalikulu, angafunike kuyikidwa chubu chodyetsera kwakanthawi kudzera m'mphuno kapena m'mimba. Nthawi zambiri, madokotala amachotsa chubucho mwana akatha kumeza bwino.
• Munthu amene ali ndi milomo yosweka kapena pakamwa pake akhoza kumeza bwino akangokonzedwa ndi opaleshoni.

Pambuyo pochiza chifukwa chake, dokotala wanu angachite mayeso ena kuti aone ngati luso lanu lomeza lakula.

Kodi Kupuma Mosalekeza Kungathe Kupewedwa?

Palibe njira yodziwikiratu yopewera "Kutuluka Madzi Mosalekeza". Koma mutha kudzisunga nokha ndi mwana wanu wathanzi mwa kupita kwa dokotala nthawi zonse ndikukayezetsa. Ngati muli ndi kukayikira kulikonse pa thanzi lanu kapena thanzi la mwana wanu, lankhulani ndi dokotala wanu. Dokotala wanu alipo kuti apewe mavuto azaumoyo ndikupereka chithandizo pakafunika kutero.

Chofunika kwambiri ndikulankhula ndi dokotala ngati muli ndi kukayikira kulikonse, ngakhale pang'ono.

Kodi chimachitika ndi chiyani ndikakhala ndi (Silent Aspiration)?

Mwa makanda, "Silent Aspiration" imatha yokha akamakula. Komabe, ngati zizindikiro zanu kapena za mwana wanu zayamba chifukwa cha matenda enaake, choyamba ndikupeza chomwe chimayambitsa.

Ngati chifukwa cha matendawa chathandizidwa bwino, "Silent Aspiration" nthawi zambiri imatha kuchiritsidwa, ndipo mutha kukhala ndi moyo wathanzi. Funsani dokotala wanu ngati mukufuna kupita naye pafupipafupi kuti akaone momwe mulili.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mwana wanu ali ndi zizindikiro zotsamwitsa, kapena ngati mukuganiza kuti mwana wanu ali ndi "Silent Aspiration," pitani kwa dokotala wa mwana wanu nthawi yomweyo. Komanso, yang'anani kulemera kwa mwana wanu ndikupita kukayezetsa thanzi lake monga momwe dokotala wanu walangizira. Izi zingathandizenso kuonetsetsa kuti mwana wanu akupeza zakudya zomwe akufunikira.

Ngati muli ndi zizindikiro za GERD kapena mukuvutika kumeza, konzani nthawi yoti mukaone dokotala. Mukalandira mayeso oyenera ndikuchiza matenda anu, mutha kupewa kutulutsa madzi osatulutsa mpweya ndi mavuto ena.

Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) liti?

Funani thandizo lachipatala mwamsanga ngati mwana wanu ali ndi chimodzi mwa izi:

• Ngati khungu likhala labuluu.
• Ngati mukuvutika kupuma.
• Malungo opitirira madigiri 100.4 F (38 digiri C) ngati mwana ali ndi miyezi yosakwana itatu, kapena malungo opitirira madigiri 102.2 F (39 digiri C) ngati mwana ali pakati pa miyezi itatu ndi zaka zitatu.
• Ngati n'kovuta kudzuka kuchokera ku tulo.

Ngati muli ndi zizindikiro izi, funani chithandizo chadzidzidzi nthawi yomweyo:

• Ngati simungathe kumeza bwino.
• Ngati mukumva ngati mukuvutika kupuma kapena kupuma movutikira.
• Ngati muli ndi ululu pachifuwa.
• Ngati mukumva ngati chakudya kapena china chake chatsekeredwa pakhosi panu kapena pakhosi panu.

Kutulutsa mpweya mwakachetechete kungakhale chinthu choopsa, makamaka ngati kumakhudza mwana wanu. Koma nkhani yabwino ndi yakuti kutulutsa mpweya mwakachetechete kumatha kulamulidwa kapena kuchiritsidwa pochiza chomwe chimayambitsa vutoli. Pamene mitsempha ndi minofu ya mwana wanu ikukula ndikuphunzira kugwira ntchito limodzi, nthawi zina zimakhala bwino zokha. Kaya chifukwa chake ndi chiyani, dokotala wanu alipo kuti akuthandizeni kupeza mayeso ndi chithandizo chomwe mukufuna. Lankhulani naye za nkhawa zanu. Kenako, mutha kupanga dongosolo loti likuthandizeni inu ndi mwana wanu kukhala ndi moyo wathanzi.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mwamvetsetsa bwino zomwe takhala tikulankhula, "Silent Aspiration". Chofunika kwambiri ndikuonana ndi dokotala mwachangu ngati mukuganiza kuti inu kapena mwana wanu ali ndi zizindikirozi. Nthawi zina sizingakhale zovuta, koma ndi bwino kupita kwa dokotala m'malo moganiza kuti ndi choncho.

• Mukamayamwitsa mwana wanu, samalani ndi kupuma kwake ndi mawu ake.
• Ngati mumadwala malungo pafupipafupi kapena matenda opatsirana popuma, samalani ndi zimenezo.
• Ngati ndinu wamkulu, dziwani kuti vuto la kumeza ndi kusintha mukatha kudya.
• Kaya chifukwa chake ndi chiyani, pali mankhwala. Choncho musachite mantha.

Thanzi lanu ndi la banja lanu ndilofunika kwambiri, choncho ndikofunikira kwambiri kudziwa zinthu ngati izi.

Kutulutsa mpweya mwakachetechete , Kuvuta Kumeza, Chibayo, Thanzi la Ana, Mavuto Okhudza Kupuma, Kutulutsa mpweya m'Chakudya