Ngaba kunzima ukuginya? Ingaba inamathele emqaleni wakho? Le isenokuba yiAchalasia!

Xa usitya, ngaba ukhe uzive ngathi amanzi owaselayo awangeni emqaleni wakho? Kuvakala ngathi kukho into ebambeke emqaleni wakho... Mhlawumbi ukutya kubuyela emqaleni wakho. Oku akusiyonto nje, kunokuba luphawu lwesifo esibizwa ngokuba yiAchalasia . Nangona abantu abaninzi becinga ukuba oku kuqhelekile, kubaluleke kakhulu ukukwazi oku. Ngoko masithethe ngako namhlanje.

Ngamafutshane, yintoni iAchalasia?

Cinga ngale nto, xa sisitya, ukutya kufuneka kusuke emlonyeni wethu kuye esiswini, akunjalo? Olu hambo lwenzeka ngetyhubhu ebizwa ngokuba yi-esophagus. Ukuze le nkqubo yenzeke ngokufanelekileyo, kufuneka kwenzeke izinto ezimbini.

1. Umqala kufuneka ufinyeze kwaye utyhale ukutya phantsi, njengokucinezela ityhubhu ye-toothpaste.

2. Ivalvu encinci (i-muscle flap) ekupheleni komqala, apho ukutya kungena khona esiswini, kufuneka ivulwe.

Ngoku, ukuba une-achalasia, zombini ezi nkqubo azisebenzi kakuhle. I-esophagus ayinakutyhala ukutya phantsi, kwaye loo valve ayivuli kakuhle. Kwenzeka ntoni emva koko? Ukutya kunamathela kwinxalenye esezantsi ye-esophagus. Kufana nomsele ovalekileyo kwisinki. Ekugqibeleni, oku kutya kunamathelayo kuqala ukubuyela phezulu emqaleni.

Le yimeko engaqhelekanga kakhulu. Ichaphazela malunga nomntu omnye kwisigidi. Kodwa ayiveli ngequbuliso, ikhula kancinci kancinci ngokuhamba kweminyaka. Abanye abantu baphila iminyaka bengenazo iimpawu. Nangona ingenakunyangwa ngokupheleleyo, ngonyango olufanelekileyo , ungaphila ubomi obuqhelekileyo.

Zithini izizathu ze-Achalasia?

Unobangela ochanekileyo woku awukafunyanwa okwangoku, kodwa kukho izinto ezimbalwa oogqirha abacinga ukuba zinokwenzeka.

• Izizathu zofuzo: Oku kuthetha ukuba zinokufunyanwa njengelifa.
• Iingxaki zokuzikhusela komzimba: Kulapho inkqubo yomzimba yokuzikhusela, ekhusela imizimba yethu, ihlasela iiseli zethu zemithambo-luvo.
• Usulelo lwentsholongwane: Ezinye izifo zentsholongwane kucingelwa ukuba zonakalisa imithambo-luvo esemqaleni.
• Ukonakala kwemithambo-luvo: Ukutshatyalaliswa kancinci kancinci kwemithambo-luvo elawula izihlunu zomqala.

Le meko inokuchaphazela nabani na. Ichaphazela amadoda nabafazi ngokulinganayo. Kodwa ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-25 ukuya kwengama-60 ubudala. Ingachaphazela nabantwana. Ikwabonakala nakubantu abane-Down syndrome.

Ngaba kukho iintlobo ze-Achalasia?

Ewe, i-Achalasia yahlulwe yaba ziintlobo ezintathu eziphambili. Ngokuxhomekeke kuhlobo onalo, iimpawu kunye nonyango zinokwahluka.

Ziziphi iimpawu eziphambili zoku?

Uphawu oluphambili noluqhelekileyo lwe-achalasia kubunzima bokuginya ulwelo kunye nezinto eziqinileyo . Ukutya kunokunamathela emqaleni, okubangela ukuba umphimbo uvuvuke okanye ukhule.

Ukongeza, ezi mpawu zinokubonwa:

• Intlungu yesifuba emva kokutya.
• Ukutya kubuyela phezulu emqaleni.
• Isitshiso sentliziyo kunye nokungagaywa kakuhle kokutya.
• Ukunciphisa umzimba ngaphandle kwesizathu.
• Ukukhwehlela ebusuku.
• Ukuhlanza.
• Ukutya okanye ulwelo olungena emiphungeni lunokubangela i-pneumonia.
• Ukuminxeka.
• Ukuqunjelwa okanye ubunzima bokuphuma ebhedini.

Uyifumana njani le nto, Gqirha?

Ngenxa yokuba iimpawu ze-achalasia zifana kakhulu nezinye iimeko zesisu, ezifana ne-GERD (Gastroesophageal Reflux Disease), ugqirha wakho unokunyanga loo nto kuqala. Nangona kunjalo, ukuba ezi aziphucuki, olu vavanyo lunokwenziwa ukujonga i-achalasia.

• I-Manometry: Olu lolona vavanyo lubalaseleyo lokuqinisekisa imeko. Apha, kufakwa umbhobho omncinci ngempumlo yakho esiswini sakho kwaye ugqirha ulinganisa amandla emisipha esemqaleni wakho kunye nomsebenzi wevalvu esezantsi xa uginya ulwelo.
• I-Upper Endoscopy: Ityhubhu enekhamera, ebizwa ngokuba yi-endoscope, ifakwa ngomlomo wakho kwaye ingaphakathi lomqala wakho nesisu liyahlolwa. Isetyenziselwa ukujonga iingxaki kunye nokuncitshiswa, kwaye i-biopsy inokuthathwa ukuba kuyimfuneko.
• Ukugwinya kweBarium: Oku kukwabizwa ngokuba yi-Esophagogram. Apha, unikwa ulwelo olukhethekileyo olubizwa ngokuba yi-barium ukuze ulusele kwaye kuthathwa i-X-ray. Olu lwelo lwenza umphimbo ubonakale ngokucacileyo kwi-X-ray. Oku kwenza kube lula ukubona ukuba kukho na ukuxinana kuwo.
• Uvavanyo lwe-pH: Oku kulinganisa i-asidi kwi-esophagus yakho. Oku kunokunceda ekuqinisekiseni ukuba unezinye izifo, ezifana ne-GERD.

Zithini iindlela zonyango?

Injongo ephambili yonyango kukukhulula nokwandisa izihlunu eziqinileyo kwinxalenye esezantsi yomqala, ukuvumela ukutya kunye nolwelo ukuba kudlule lula esiswini. Ugqirha wakho uya kugqiba ngolona nyango lufanelekileyo kuwe ngokusekwe kwiminyaka yakho, iimpawu kunye nezinye iimeko zempilo.

Utyando

Unyango olusebenzayo lwe-achalasia lutyando. Uninzi lwabantu lufumana ukuchacha ixesha elide emva kotyando.

• Utyando lweHeller Myotomy: Olu lolona tyando luqhelekileyo. Ludla ngokwenziwa nge-laparoscopically, oko kuthetha ukuba lwenziwa ngokusikwa okuncinci esiswini nangoncedo lwekhamera. Apha, ugqirha usika aze akhulule umaleko wemisipha eqinileyo ezantsi kwe-esophagus.
• I-Peroral Endoscopic Myotomy (POEM): Le yindlela entsha yotyando. Akukho zisikwe ngaphandle. I-endoscope ifakwa ngomlomo, kufakwe isisikwe esincinci kulwelo lwe-esophagus, kwaye isihlunu esiqinileyo siyasikwa.

Zombini ezi ndlela zotyando ziphumelele, kodwa abanye abantu banokufumana i-acid reflux emva koko.

Unyango olungelulo utyando

Asinguye wonke umntu ofuna utyando. Ezi ndlela zinokunceda, kodwa azisisisombululo esihlala sihleli njengotyando. Kusenokufuneka ukwenze oku izihlandlo ezininzi.

• Inaliti yeBotox: Ngexesha le-endoscopy, inaliti yeBotox (botulinum toxin) inikwa izihlunu eziqinileyo. Oku kukhulula izihlunu okwethutyana.
• Ukwanda kwe-Pneumatic:Kusetyenziswa i-endoscope, ibhaluni ithunyelwa kwindawo encitshisiweyo ye-esophagus, kwaye ngokuyifutha, izihlunu ziyanwebeka kwaye zikhule.
• Amayeza: Amayeza anjenge-nitrate kunye ne-calcium channel blockers anokunceda ukuthomalalisa izihlunu eziqinileyo. Nangona kunjalo, ezi zinokubangela iziphumo ebezingalindelekanga, ngoko ke mazisetyenziswe kuphela njengoko ugqirha wakho eyalele.

Ezi zinto zinokunceda xa uhlala ne-Achalasia

Akukho kutya kuthile kwesi sifo. Kodwa uza kuqonda ukuba zeziphi ukutya ezityiwa lula nezinzima. Kukwangumbono omhle ukubhala ngako encwadini. Kubaluleke kakhulu ukuba uqaphele indlela kunye nexesha otya ngalo.

• Hlafuna ukutya kakuhle uze ukutye kube ziingceba ezincinci .
• Yitya uhleli ngqo . Oku kuya kunceda ukutya kwehle lula ngoncedo lomxhuzulane.
• Musa ukutya ukutya okuqinileyo xa sele usondele ixesha lokulala .
• Ukutya neziselo ezishushu kakhulu okanye ezibandayo kakhulu zinokubangela ukuqaqamba kwemisipha kwabanye abantu.
• Sela amanzi amaninzi ngelixa usitya.
• Abanye abantu bathi ukusela iziselo ezine-carbonated kunceda ekutsaleni ukutya.

Ukuba imeko yakho imbi kakhulu, kusenokuba ngumbono olungileyo ukutshintshela ekutyeni okumanzi okwethutyana. Kodwa ukuba kunjalo, thetha nogqirha wakho ukuqinisekisa ukuba ufumana isondlo osidingayo. Ukuba uncipha kakhulu emzimbeni, xelela ugqirha wakho, kuba oko kunokuba luphawu lokungondleki kakuhle.