Ingaba umqala wakho nawo unengxaki? Masithethe ngeengxaki zomqala!

Ngaba ngamanye amaxesha uziva ngathi unengxaki yokuginya xa usitya? Okanye ufumana imvakalelo yokutsha esifubeni sakho okanye uzive ngathi kukho into ebambeke emqaleni wakho? Ezi ayizozinto nje ezingaqhelekanga. Ezi zisenokuba ziimpawu zengxaki yomqala wakho, oko kukuthi, umbhobho wakho wokutya. Namhlanje, siza kuthetha ngezi ngxaki zomqala. Ungakhathazeki, kubaluleke kakhulu ukuqaphela oku.

Yintoni 'umphimbo'? Zivela njani izifo zomqala?

Ngamafutshane, i-esophagus yityhubhu eyenziwe ngemisipha ethwala ukutya emlonyeni wethu ukuya esiswini. Ifana nombhobho wamanzi, kodwa iyinkimbinkimbi ngakumbi. Xa lo mbhobho wokutya ungasebenzi kakuhle, okanye xa uneengxaki ezithile, siwubiza ngokuba sisifo somqala. Ubunzima bokuginya ukutya, okanye oko oogqirha bakubiza ngokuba yi-Dysphagia , yenye yezona zinto ziphambili ezinokwenzeka ngenxa yezi zifo.

Eyona meko ixhaphakileyo kwezi sisifo se-gastroesophageal reflux (GERD). Oku kwenzeka xa i-asidi yesisu, okanye i-asidi, ibuyela kwi-esophagus, ibangela ukurhawuzelelwa kunye nokudumba kolwelo oluthambileyo lwe-esophagus.

Ziziphi iintlobo eziphambili zezifo ezenzeka emqaleni?

Kukho iintlobo ngeentlobo zezifo ezinokubakho emqaleni. Makhe sijonge ezimbalwa zazo.

• I-GERD (Isifo se-Gastroesophageal Reflux): Le yinto endiyikhankanyileyo ngaphambili, esi sifo sixhaphakileyo. Kwicala elisezantsi le-esophagus, kukho umsipha ofana nevalvu obizwa ngokuba yi-Lower Esophageal Sphincter . Xa lo msipha ungavali kakuhle, i-asidi yesisu kunye nokutya kuyabuya. Cinga ngayo njengebhotile engenasiciko esiqinileyo kwaye umxholo uyaphuma.

• I-Achalasia: Oku kwenzeka xa umsipha we-sphincter esezantsi esophageal endikhankanyileyo ngaphambili ungavuli kakuhle, okanye ungaphumli. Oku kuthintela ukutya ukuba kungangeni esiswini. Ezinye iingcali zikholelwa ukuba esi sisifo esibangelwa kukuzikhusela komzimba . Oku kuthetha ukuba inkqubo yomzimba wethu yokuzikhusela ihlasela iiseli zethu. Nangona kunjalo, unobangela awukafunyanwa. Oku kusenokuba kungenxa yomonakalo kwimithambo-luvo elawula izihlunu ze-esophagus.

• I-Barrett's Esophagus: Le yimeko embi kakhulu. Xa i-GERD inganyangwa ixesha elide , ulwelo lwe-esophagus esezantsi luqala ukufana nolwelo lwesisu. Iiseli apho ziqala ukufana neeseli ezisemathunjini. Olu tshintsho lwenzeka apho ulwelo kunye nesisu kudibana khona. Le meko yonyusa umngcipheko womhlaza wolwelo .

• I-Eosinophilic Esophagitis: Sinohlobo lweeseli ezimhlophe zegazi ezibizwa ngokuba zii-eosinophils egazini lethu. Xa ezi seli ziqokelelana kakhulu kwi-esophagus, ulwelo lwe-esophagus lunokudumba, okanye luvuvuke. Oogqirha babiza okuIkwabizwa ngokuba yi -esophagitis , le meko ixhaphake kakhulu kubantu abane-allergies ezininzi.

• Umhlaza wesisu: Kukho iintlobo ezimbini eziphambili zomhlaza wesisu: i-Squamous cell carcinoma kunye ne -Adenocarcinoma . Ukutshaya, unyango lwemitha, kunye nosulelo lwe-HPV ngokubanzi kunxulunyaniswa nomngcipheko okhulayo we- squamous cell carcinoma . Ukutshaya kunye ne-acid reflux kunxulunyaniswa nomngcipheko okhulayo we- adenocarcinoma .

• I-Esophageal Diverticulum: Le yi-protrusion encinci efana nengxowa evela kwindawo ebuthathaka kwi-esophagus. Abantu abane -achalasia banamathuba amaninzi okufumana olu hlobo lwe-diverticula.

• Ukuqaqamba komlomo: Oku kukuxinana kwemisipha ekwi-esophagus ngequbuliso, okungenanjongo . Le yimeko ebuhlungu kakhulu nengaqhelekanga. Oku kuthintela ukutya ukuba kungangeni esiswini.

• Ukuxinana komlomo: Kulapho umphimbo uba mxinwa kakhulu, nto leyo eyenza kube nzima ukuba ukutya kunye nolwelo kudlulele esiswini.

• I-Hiatal Hernias: Oku kwenzeka xa inxalenye ephezulu yesisu ityhala phezulu ngemingxuma ekwi-diaphragm iye kungena esifubeni. Le meko inokunyusa i-acid reflux.

Ziziphi izinto ezibangela umngcipheko wokufumana izifo zomqala?

Ezinye izinto ziyandisa umngcipheko wokufumana izifo zale nxalenye yomzimba. Makhe sijonge ukuba zeziphi:

• Ukusetyenziswa kotywala.
• Ukutyeba kakhulu ngenxa yokutyeba kakhulu okanye ukukhulelwa.
• Amanye amayeza , umzekelo, amanye amayeza okubulala iintsholongwane , amayeza okudakumba, kunye namayeza okunciphisa iintlungu .
• Ukuba ukhe wanyangwa ngemisebe entanyeni okanye esifubeni sakho .
• Ukutshaya , kunye nokuphefumla umsi xa abanye betshaya (umsi osetyenziswa ngabanye).

Ngaba nawe unazo ezi mpawu?

Iimpawu zingahluka ngokuxhomekeke kuhlobo losulelo lomphimbo. Ungahlangabezana nezinto ezifana nezi:

• Intlungu yesisu, intlungu yesifuba, okanye intlungu yomqolo.
• Ukukhohlela okungapheliyo okanye umphimbo obuhlungu.
• Ubunzima bokuginya ukutya okanye ukuziva ukutya kubambeke emqaleni.
• Isitshiso sentliziyo - imvakalelo yokutsha esifubeni.
• Ukurhawuzelela okanye ukuphefumla xa uphefumla.
• Ukungagayi kakuhle kokutya - Oku kuthetha ukuziva intlungu esiswini.
• Ukubuyela okanye ukuhlanza ukutya okanye i-asidi yesisu ebuyela emqaleni.
• Ukuba mncane ngaphandle kwesizathu.

Kubalulekile: Ukuba uqhubeka nokuba nenye okanye ngaphezulu kwezi mpawu, qiniseka ukuba ufuna ingcebiso kagqirha. Okukhona isifo siqatshelwa ngokukhawuleza, kokukhona kulula ukunyanga.

Indlela yokuxilonga ngokuchanekileyo ezi zifo?

Ugqirha wakho uza kuqala akubuze ngeempawu zakho aze enze uvavanyo lomzimba. Basenokuwuva nomphimbo wakho xa uginya.

Ezi zilingo zilandelayo zenziwa ukuze kufunyaniswe izifo ze-larynx:

• I-Upper Endoscopy: Oku kuquka ukufaka ityhubhu ende nebhityileyo (scope) ngomlomo wakho ukuze uhlole inxalenye ephezulu yenkqubo yakho yokugaya ukutya. Ngexesha lale nkqubo, ugqirha wakho unokuthatha iisampuli zezicubu (ii-biopsy) ukuze ajonge ukudumba, iiseli zomhlaza, okanye ezinye izifo.
• I-X-reyi yenkqubo yokugaya ukutya (iBarium Swallow): Kule nto, kuselwa ulwelo olubizwa ngokuba yi-barium kwaye kuthathwa imifanekiso ye-X-reyi njengoko luhamba kwi-esophagus nakwinkqubo yokugaya ukutya.
• I-Esophageal Manometry: Olu vavanyo lulinganisa indlela ezisebenza kakuhle ngayo izihlunu kwi-esophagus yakho nakwi-sphincter esezantsi ye-esophageal xa uginya ulwelo.
• Uvavanyo lwe-pH yesisu: Olu vavanyo lulinganisa ubungakanani be-asidi yesisu (inqanaba le-pH) kwi-esophagus.

Zithini iindlela zonyango zoku?

Iindlela zonyango ziyahluka ngokuxhomekeke kwimeko. Nazi ezinye zazo:

• Amayeza anjenge -antacids , i-proton pump inhibitors (PPIs), kunye ne-histamine receptor blockers (H2) anikwa ukunciphisa i-asidi yesisu.
• Inkqubo ebizwa ngokuba yi -endoscopic dilation isetyenziselwa ukwandisa umphimbo oxineneyo okanye ukukhulula izihlunu ezixineneyo.
• I-Botulinum toxin (Botox®) ifakwa ukuze kuthintelwe ukushwabana okungaqhelekanga kwemisipha kwi-sphincter ye-esophageal okanye ukuze kuphumzwe imisipha exinayo.
• Utyando olubizwa ngokuba yi-esophagectomy lwenziwa ukuze kususwe inxalenye okanye yonke i-esophagus enesifo.
• Ukunyanga iimeko ezifana ne -GERD okanye i-hiatal hernia , kwenziwa utyando lwe-laparoscopic antireflux (i-Nissen Fundoplication) ukuze komelezwe i-sphincter esezantsi kwesophagus.
• Iimeko ezifana ne -achalasia kunye nokuqaqamba komlomo zinyangwa nge- Heller Myotomy kunye ne-Peroral Endoscopic Myotomy (POEM) .

Yintoni esifanele siyenze ukuze sihlale sikhuselekile kwizifo zomqala? (Ukuthintela)

(GERD) , oko kuthetha ukuba i-acid reflux, inokukhokelela kwezinye izifo ezinzulu zomqala ukuba azinyangwa ngokufanelekileyo. Ngoko ke, (GERD)Kwaye ungenza ezi zinto ukuthintela okanye ukunciphisa iingxaki nge-esophagus yakho:

• Kuphephe ukutya ebusuku kakhulu. Linda ubuncinane iiyure ezintathu emva kokutya ngaphambi kokuba ulale.
• Nciphisa ukutya okuneziqholo, okunamafutha, okusekwe kwitumato okanye kwi-citrus, kunye ne-caffeine kunye neziselo ezine-carbonated.
• Yitya izidlo ezincinci ezimbalwa ngemini. Yitya kancinci xa usitya. Yeka ukutya iiyure ezimbalwa ngaphambi kokuba ulale.
• Nciphisa utywala obuselayo. Ukuba uyatshaya, fumana uncedo lokuyeka.
• Xa ulele, gcina intloko yebhedi iphakanyisiwe okanye ulale intloko yakho iphakanyisiwe ngomqamelo.
• Hlala usempilweni kwaye ugcine ubunzima bakho busempilweni.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Ukuba azinyangwa ngokufanelekileyo, ezinye izifo zomqala, ezifana ne -GERD kunye ne-achalasia, zinokunyusa umngcipheko womhlaza womqala .

Ukurhawuzelela ngamanye amaxesha kunokubangela ukuba ukutya kuhambe nge -trachea kuye emiphungeni. Oku kubizwa ngokuba yi-aspiration . Oku kunokubangela i-pneumonia kunye nosulelo lwemiphunga. Ubunzima bokuginya bunokunyusa umngcipheko wokungondleki kakuhle kunye nokuphelelwa ngamanzi emzimbeni .

Liyintoni ikamva labo banezi zifo? (Imbono)

Uninzi lwabantu abaneengxaki zomqala banokuzilawula iimpawu zabo ngamayeza athengiswa ngaphandle kwemvume kagqirha okanye amayeza kagqirha. Nangona kunjalo, ezinye iimeko, ezinje ngomhlaza womqala okanye i-achalasia, zinokufuna utyando. Kunye nonyango, ungazilawula iimpawu zakho ngokwenza utshintsho kwindlela otya ngayo nendlela ophila ngayo .

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Kungcono ukubuza ugqirha wakho le mibuzo:

• Luhlobo luni lwe-gonorrhea endinalo?
• Kutheni ndifumene olu gciwane lomphimbo?
• Yeyiphi indlela engcono yonyango lolu hlobo lwesifo somqala?
• Zithini iingozi kunye neziphumo ebezingalindelekanga zonyango?
• Ngaba ndisemngciphekweni wokufumana ezinye izifo ezithathelwana ngesondo?
• Zeziphi iinguqu zokutya okanye zendlela yokuphila ekufuneka ndizenze ukuze ndikhusele impilo yam?
• Ngaba kufuneka ndixhalabele iingxaki?

Umyalezo Wokugqibela Wokuya Ekhaya

Izifo zomqala zinokubangela ukungakhululeki kunye nentlungu. Eyona meko ixhaphakileyo yiGERD, ebangela isitshiso sentliziyo. Ukuba ayinyangwa, iGERD kunye nezinye izifo zomqala zingakhokelela kumhlaza womqala.Ngoko ke, ukuba uneempawu, funa ingcebiso kagqirha ngokukhawuleza. Amaxesha amaninzi, iimpawu zinokulawulwa ngamayeza. Iimeko ezinzulu ngakumbi ezifana nomhlaza kunye ne-achalasia zinokufuna utyando. Ugqirha wakho unokukunceda ukunciphisa umngcipheko wezi ngxaki kunye neengxaki ezinzulu ngokwenza utshintsho olufanelekileyo kwindlela otya ngayo kunye nendlela ophila ngayo . Ukunyamekela oku kubaluleke kakhulu ukuze uhlale usempilweni!

Umlomo obuhlungu, i-GERD, i-acid reflux, ubunzima bokuginya, ukudumba kwesifuba, umhlaza womqala, inkqubo yokugaya ukutya