Ngaba uyakrwitshwa xa uginya ukutya? Masifunde ngokungakwazi ukuhamba komqala!

Ngaba wakha waziva ngathi unesiqwenga serayisi okanye into ebambeke emqaleni wakho ngelixa usitya? Okanye ngaba ukufumanisa kunzima ukuginya ukutya, ngathi kukho into ebambeke esifubeni sakho? Ngamanye amaxesha ezi zizinto nje ezingaqhelekanga, kodwa ukuba uhlala unengxaki enjalo, kusenokuba kungenxa yokungasebenzi kakuhle komphunga wethu, oko kukuthi, umbhobho wokutya (Esophageal Dysmotility) . Makhe sithethe ngale nto ngeenkcukacha ezithe vetshe namhlanje, kulungile?

Yintoni i-Esophageal Dysmotility?

Ngamafutshane, i-esophageal dysmotility ibhekisa kwiimeko ezahlukeneyo apho i-esophagus yethu, ityhubhu ethwala ukutya ukusuka emlonyeni ukuya esiswini, ingakwazi ukuhambisa ukutya kunye nolwelo ngendlela efanelekileyo. Yicinge njengendlela eya kwicala elinye. Ukutya kunye neziselo kufuneka zihambe ukusuka emqaleni ukuya esiswini.

Oku kwenzeka rhoqo:

1. Okokuqala, isihlunu esingaphezulu kwesisu sakho (sisithi yi -Upper Esophageal Sphincter ) siyavuleka ukuze kungene ukutya kunye nolwelo emqaleni wakho. Kufana nokuvuleka kwesango.

2. Okulandelayo, izihlunu ezikumphimbo ziyafinyela zize ziphumle ngendlela enesingqi, zityhala ukutya phantsi. Oku kuhamba njengegagasi.

3. Ekugqibeleni, kwisiphelo esisezantsi se-esophagus, apho ukutya kungena khona esiswini, esinye isihlunu (esisibiza ngokuba yi -Lower Esophageal Sphincter) siyavula size sivumele ukutya kunye nolwelo ukuba lungene esiswini.

Ngoku, ndaweni ithile kule nkqubo, ukuba ezi zihlunu azisebenzi kakuhle, kulapho ukutya kuqala ukunamathela khona kube nzima ukuginya. Yiloo nto siyibiza ngokuba yi-esophageal dysmotility.

Zithini iimpawu zale meko?

Xa uneengxaki zokunyakaza kwe-esophageal, unokufumana iimpawu ezifana nezi:

• Ubunzima bokuginya (Dysphagia): Olu luphawu oluphambili. Luvakalelo lokuba ukutya kunamathele emqaleni okanye esifubeni. Abanye abantu banokuba nobunzima bokuginya kungekuphela nje ukutya okuqinileyo kodwa nolwelo.
• Intlungu yesifuba emva kokutya: Le ntlungu ngamanye amaxesha ingavakala ngathi kukuhlaselwa yintliziyo, yiyo loo nto kubalulekile ukufumanisa ukuba yintoni kanye kanye.
• Isitshiso sentliziyo: Olu bushushu lunokwenzeka xa i-asidi yesisu ingena kwi-esophagus. Nangona kunjalo, ikwaluphawu lwesifo se-gastroesophageal reflux (GERD).

Ukongeza koku, abanye abantu banokubona izinto ezifana nokutya kubuyela emqaleni, ukwehla kobunzima, kunye nokukhohlela.

Zithini izizathu zokungasebenzi kakuhle kwe-erectile?

Kukho izinto ezininzi ezinokubangela le meko. Ezinye zezona zinto ziphambili ezichaphazela kuphela umqala, ngelixa ezinye zezinye iimeko ezichaphazela umzimba wonke.

Izizathu eziphambili (ezichaphazela kuphela umphimbo)

Ezona zizathu ziphambili zibonwayo zezi:

• I-Achalasia:Okwenzekayo kukuba i-lower esophageal sphincter (LES) yakho, i-ring of muscle ekupheleni kwe-esophagus yakho apho ingena khona esiswini sakho, ayiphumli kakuhle. Cinga ngayo ngathi ucango olusezantsi kwe-esophagus yakho aluvuli kakuhle. Oku kubangela ukuba ukutya namanzi kubuyele kwi-esophagus yakho.
• I-Eosinophilic Esophagitis: Kule meko, uhlobo oluthile lweeseli ezimhlophe zegazi ezibizwa ngokuba zii-eosinophils ziqokelelana eludongeni lwe-esophagus, nto leyo ebangela ukuba i-allergy ivele, nto leyo ebangela ukuba ingaphakathi le-esophagus lidumbe kwaye linciphe, nto leyo eyenza kube nzima ukuba ukutya kudlule.
• Ukuqaqamba komlomo: Kule meko, izihlunu ezikwi-esophagus ziyaqhobosheka ngokungazikhetheli, ngokukhawuleza kakhulu, okanye ngokungangqalanga. Njengeqhekeza lenyama kwi-esophagus, iyaqhobosheka rhoqo, ngaphandle komyalelo. Emva koko ukutya kuzama ukubuya phezulu endaweni yokuhla.

Izizathu zesibini (ezibangelwa zizifo ezichaphazela umzimba wonke)

Ngamanye amaxesha, ezinye iimeko zonyango zinokubangela ukuphazamiseka komsebenzi we-erectile.

• Isifo sikaChagas: Olu luhlobo losulelo olungapheliyo olubangelwa kukulunywa sisilwanyana esifana ne-triatomine (ukuqabulana). Olu sulelo lunokuchaphazela nomqala, nto leyo ebangela ubunzima bokuginya.
• Isifo Somqala: Isifo Somqala sisifo esibangelwa kukuzikhusela komzimba. Oku kuthetha ukuba inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo. Kule meko, izicubu ezixineneyo ngokungaqhelekanga ziyaqokelelana emzimbeni. Xa olu hlobo lwezicubu ezixineneyo luqokelelana emqaleni, kuba nzima ukuba ukutya kudlule.

Ukongeza koku, ithumba elinomhlaza kwi-esophagus linokubangela ukuvaleka kwe-esophagus kwaye kube nzima ukuginya.

Zithini iingxaki zale meko?

Enye yeengxaki eziphambili ezinokubakho ngenxa yeengxaki zokunyakaza komlomo yi -aspiration pneumonia kunye nezinye izifo zemiphunga. Khawucinge nje, kwenzeka ntoni ukuba ukutya kunamathele kwi-esophagus kuhamba ngendlela engalunganga, oko kukuthi, kungene kwi-windpipe yakho (trachea), kwaye ukusuka apho kungene emiphungeni yakho? Kulapho ke iimeko ezinzima ezifana ne-pneumonia zinokuvela khona. Kwakhona, izinto ezinje ngokunqongophala kwesondlo kunye nokunciphisa umzimba zinokwenzeka.

Oogqirha bayixilonga njani le meko?

Ukuba unale mpawu, kufuneka uqale ubonane nogqirha. Uza kukubuza ngeempawu zakho aze akuhlole ngokwasemzimbeni. Emva koko, ukuba kuyimfuneko, baza kukuthumela kwi -gastroenterologist .

Ezi ngcali ziqeqeshwe ngokukodwa ukuxilonga nokunyanga izifo zenkqubo yokugaya ukutya, kuquka umqala. Zingenza uvavanyo olwahlukeneyo ukuze zibone indlela ukutya neziselo ezihamba ngayo kumqala wakho. Ezinye zazo ziquka:

• Ukugwinya kweBarium / I-Esophagram: Kolu vavanyo, unikwa ulwelo olukhethekileyo olubizwa ngokuba yi-barium ukuze ulusele, kwaye kuthathwa i-X-ray njengoko ludlula kwi-esophagus yakho. Oku kukuvumela ukuba ubone imo ye-esophagus yakho kunye nokuba kukho na ukuvaleka.
• Uvavanyo lwe-EndoFLIP:Olu vavanyo lulinganisa ubungakanani bangaphakathi be-scrotum kunye nendlela esebenza ngayo imisipha ekwi-scrotum.
• I-Esophageal Manometry: Njenge-endoflip, olu luvavanyo olulinganisa ukuba izihlunu ezikwi-esophagus ziyancipha, ziphumle, kwaye zityhala ukutya phantsi.
• I-Upper Endoscopy: Oku kuquka ukufaka ityhubhu encinci, eguquguqukayo (i-endoscope) enekhamera encinci kunye nokukhanya ngomlomo ukuze kuhlolwe umphimbo, isisu, kunye nenxalenye yokuqala yamathumbu amancinci. Oku kuvumela ugqirha ukuba ajonge ngqo ngaphakathi komphimbo ukuba kukho naziphi na izilonda, ukudumba, okanye ukuncitshiswa. Ukuba kuyimfuneko, isampuli encinci yezicubu (i-biopsy) ingathathwa ukuze ihlolwe.

Izifo zokunyakaza komlomo zinyangwa njani?

Unyango luxhomekeke kwisizathu semeko yakho. Ukuba kungenxa yesizathu esiyintloko, unganyangwa ngonyango olunye okanye ngaphezulu kwezi zilandelayo:

• Amayeza: Amayeza aphumza izihlunu zomqala okanye anciphise ukudumba.
• Iindlela ezingezizo ezotyando: Umzekelo , ukukhulisa umphimbo . Kule meko, ngexesha le-endoscopy, kusetyenziswa isixhobo esikhethekileyo ukwandisa iindawo ezinciphileyo zomphimbo. Oku kwenza kube lula ukuginya ukutya.
• Utyando Olungena Ngomdla: Umzekelo, utyando olufana neHeller Myotomy okanye iPeroral Endoscopic Myotomy (POEM) lusebenza ngokukhulula izihlunu kwi-esophagus, okwenza kube lula ukuba ukutya kudlule kwi-esophagus.

Ukuba kungenxa yesizathu sesibini, into ephambili ekufuneka yenziwe kukunyangelwa isifo esisisiseko.

Yintoni esinokuyilindela kule meko?

Kwiimeko ezininzi, i-achalasia, imeko echaphazela kuphela umqala, inokunyangeka ngempumelelo. Amayeza, iindlela ezingezizo zotyando, kunye notyando zinokwenza kube lula kakhulu ukuba ukutya nokusela kudlulele esiswini ukusuka kumqala.

Kodwa, into enye ekufuneka uyikhumbule kukuba imeko yabantu bonke ayifani. Kungcono ukuthetha nogqirha wakho ukuze uqonde imeko yakho kunye noko ukulindeleyo.

Ndingazinyamekela njani? Ngaba kufuneka nditshintshe indlela enditya ngayo?

Ewe, ukwenza utshintsho oluncinci kwindlela otya ngayo kunokunceda ekunciphiseni ezinye zezi ngxaki.

• Ukutya Ngengqondo: Yitya kancinci uze uhlafune ukutya kwakho kakuhle. Linda umzuzwana emva kokuginya omnye umlomo ngaphambi kokuba uthathe omnye. Musa ukubukela iTV okanye ukusebenzisa ifowuni yakho ngelixa usitya. Nika ingqalelo ekutyeni kwakho.
• Hlala uthe nkqo ngelixa usitya: Musa ukutya ulele ebhedini okanye uxhomekeke kwisofa. Yitya uhleli uthe nkqo esitulweni. Oku kuya kunceda amandla adonsela phantsi ekushukumiseni ukutya.
• Sela amanzi kancinci kancinci:Sela ithamo elinye okanye amabini amanzi rhoqo emva kokutya okumbalwa. Oku kuya kumanzisa ukutya kwaye kube lula ukukuginya. Kukwakunceda ukuba utye kancinci.

Zeziphi izinto endingafanele ndizitye?

Ngokubanzi, kungcono ukunciphisa okanye ukuphepha ukutya okufana noku:

• Ukutya okunzima ukukuhlafuna nokuthatha ixesha ukukugaya: Umzekelo, imifuno eqinileyo, inyama enamafutha, eneentambo.
• Ukutya okunokunamathela emqaleni: Umzekelo, abanye abantu banokuba nobunzima bokuginya izonka ezithambileyo ezenziwe ngomgubo, irayisi emhlophe (ingakumbi ezinamathelayo), kunye nepasta. Xa uzitya, ziqhekeze zibe ziingceba ezincinci, uzihlafune kakuhle, uze uzitye ngamanzi.

Ezi zizikhokelo nje eziqhelekileyo. Kuya kufuneka uzame kancinci ukuze ubone ukuba zeziphi ukutya ezinzima kunye nezo zilula kuwe. Ungacela iingcebiso kwingcali yesondlo ukuba kuyimfuneko.

Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Ukuba iimpawu zakho aziphucuki emva kokuqala unyango, okanye ukuba zibonakala zisiba mandundu, qiniseka ukuba ubona ugqirha wakho kwakhona.

Kunokubakho amaxesha apho ungafuni nokutya ngenxa yokungahambi kakuhle komphimbo wakho. Usenokuziva usoyika, "Ngaba isidlo esilandelayo siza kuba nzima kakhulu?" Ngamanye amaxesha, njengokutya okubambeke kumphimbo wakho, usenokuziva ngathi, "Ngaba akukho sisombululo sale nto? Ngaba kuya kufuneka ndiphile ngolu hlobo?"

Kodwa khumbula, kukho unyango olunokunceda kwezi meko. Ukuba unengxaki yokuginya okanye iintlungu zesifuba emva kokutya, thetha nogqirha wakho ngaloo nto. Ukuba uvavanyo lubonisa ukuba unesifo sokuhamba komqala, ugqirha wakho uya kukunika unyango olufanelekileyo kuwe.

Okokugqibela, umyalezo oya ekhaya:

• Ubunzima bokuginya ukutya kunye nentlungu yesifuba emva kokutya asizozinto ekufuneka zithathwe lula.
• Ezi zisenokuba ziimpawu zokungasebenzi kakuhle komgudu womqala .
• Kunokubakho izizathu ezininzi zoku, ngoko ke kubaluleke kakhulu ukufumana uxilongo oluchanekileyo.
• Ungakhathazeki, kukho unyango lwezi meko. Thetha nogqirha wakho uze wenze isicwangciso sonyango esilungele wena.
• Unokufumana isiqabu ngokwenza utshintsho oluncinci kwindlela otya ngayo.

Ukuba uneminye imibuzo malunga noku, ungathandabuzi ukubuza ugqirha wakho. Hlala usempilweni!

Umphimbo , Ubunzima bokuginya, Ukungasebenzi kakuhle komphimbo, Iintlungu zesifuba, Inkqubo yokugaya ukutya, i-Achalasia, i-Endoscopy