IimpawuJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 8 min

Ngaba nawe ukhe uzive iintlungu zesifuba kunye nokuxinana xa uginya? Makhe sithethe ngokuqaqamba komlomo!

Creator: Dr. Priya Sammani
Published: 2026-07-15T22:42:50.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Ngaba ngamanye amaxesha uziva uxinezelekile okanye uneentlungu esifubeni sakho xa uginya ukutya okuncinci okanye usela amanzi? Kuvakala ngathi ukutya kunamathele emqaleni wakho, okanye ngathi kukho umntu okucinezela esifubeni. Le yimeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yi-esophageal spasms . Nangona oku kuyoyikisa kancinci, kunokuchaza izinto ezininzi xa sisazi ngakumbi ngayo.

Yintoni le nto ibangela ukuxinana kwezihlunu zempundu?

Ngamafutshane, xa uginya ukutya okanye isiselo, kukho inxalenye efana nombhobho esusa emlonyeni wakho ukuya esiswini sakho. Siyibiza ngokuba yi-esophagus . Iindonga zale esophagus zenziwe zimisipha. Xa uginya into ethile, ezi misipha ziyafinyela kwaye ziphumle rhoqo ukusuka phezulu ukuya ezantsi, zityhala ukutya okanye isiselo esiswini. Njengegagasi. Siyibiza le nkqubo ngokuthi ``(Peristalsis)``` . Nangona kunjalo, kumntu one-``(Esophageal Spasms)``, kukho ingxaki encinci ngendlela ezifinyela ngayo ezi misipha kwi-esophagus. Nokuba izihlunu ziyafinyela ngequbuliso nangamandla, okanye ziyafinyela ngendlela engaqhelekanga nengalawulekiyo. Emva koko ukutya okanye isiselo kuba nobunzima bokwehla ngokufanelekileyo. Ngamanye amaxesha izinto eziginyiweyo zinokubuyela phezulu emqaleni. Kwakhona, oku kunokubangela iintlungu esifubeni.

Ngaba kukho iintlobo ezahlukeneyo zezi?

Ewe, kukho iintlobo ezimbini eziphambili: 1. I-Distal Esophageal Spasm: Kulapho izihlunu ezikwinxalenye esezantsi ye-esophagus zifinyela ngendlela engacwangciswanga, engalungelelananga. Yiyo loo nto i-regurgitation ixhaphake kakhulu. 2. I-Hypercontractile Esophagus: Oku ngamanye amaxesha kubizwa ngokuba yi-Nutcracker Esophagus okanye i-Jackhammer Esophagus. Kulapho izihlunu ezikwi-esophagus zifinyela ngamandla nangokukhawuleza . Oku kunokubangela iintlungu eziqatha esifubeni, ingakumbi xa ziginya. Abanye abantu banokuziva ngathi bacinezela isifuba sabo.

Ixhaphake kangakanani le meko?

Enyanisweni, le meko ibizwa ngokuba yi-`(Esophageal Spasms)` ayiqhelekanga kangako . Ngokomzekelo, ngokutsho koogqirha, uhlobo olubizwa ngokuba yi-`Distal Esophageal Spasm` luvela kumntu omnye kwikhulu lamawaka ngonyaka. Ngoko ke ungakhathazeki ngayo ngokungeyomfuneko.

Zithini iimpawu zoku?

Iimpawu ezimbini eziphambili neziqhelekileyo zale meko kubunzima bokuginya (i-dysphagia) kunye neentlungu zesifuba ezingezizo ezentliziyo . Nangona kunjalo, ayinguye wonke umntu oza kuba nazo ezi mpawu. Kwezinye iimeko, iintlungu zesifuba ezibangelwa kukuxinana kwemisipha zinokuvakala njengentlungu yokuhlaselwa yintliziyo .

Kubalulekile: Ukuba ufumana intlungu yesifuba enzima nengachazekiyo ehlala imizuzu engaphezu kwemihlanu, nceda ufune uncedo lwezonyango ngoko nangoko. Kubaluleke kakhulu ukufumanisa ukuba ingaba sisifo sentliziyo okanye akunjalo.

Ezi mpawu zinokuba buthathaka kakhulu kwabanye abantu, kwaye zibe nzima ngakumbi kwabanye. Ngamanye amaxesha ziqala ngamaxesha athile, njengasemva kokutya. Nangona kunjalo, ngamanye amaxesha zinokuvela ngequbuliso ngaphandle kwesizathu. Nje ukuba ezi ntlungu ziqale, zinokuthatha imizuzu embalwa ukuya ngaphezulu kweyure.

Injani intlungu yesifuba?

Ukuba une-spasms yomqala, iintlungu zesifuba sakho zingavakala ngolu hlobo:

Usenokuziva ucinezelekile, uxinezelekile, okanye ubunzima phakathi kwesifuba sakho, ngakumbi emva kwesifuba (sternum).
Abanye abantu banokuziva ngathi banesitshiso sentliziyo , nto leyo ethetha ukuba baziva betshisa esifubeni .
Intlungu isenokuba kwicala lasekunene, ekhohlo, okanye embindini wesifuba, ize isasazeke entanyeni, engalweni yasekhohlo, okanye emqolo .

Kuvakala njani ukuba kunzima ukuginya (iDysphagia)?

Ngolu hlobo lokungakhululeki, unokufumana oku kulandelayo:

Kuvakala ngathi kukho into ebambeke emqaleni wakho .
Ukuziva ngathi ukutya kuzama ukubuya emqaleni .

Kutheni oku kusenzeka? Zithini izizathu?

Oogqirha abakayazi kakuhle into ebangela oku. Nangona kunjalo, abanye bakholelwa ukuba kubangelwa yimithambo-luvo engasebenzi kakuhle kwimithambo-luvo elawula izihlunu kwi-esophagus. Kwezinye iimeko, le mithambo-luvo engasebenzi kakuhle inokunxulunyaniswa ne-asidi eninzi kwi-esophagus. Abantu abaninzi abane -spasms ye-esophagus banesifo se-gastroesophageal reflux disease (GERD) . Esi simo sibangela ukuba i-asidi yesisu ibuyele kwi-esophagus. Kucingelwa ukuba le asidi inokonakalisa imithambo-luvo kwi-esophagus. Uphando lwakutshanje lufumanise ukuba abantu abasebenzisa ii-opioids kangangeenyanga ezingaphezu kwezintathu banamathuba amaninzi okufumana i-spasms ye-esophagus. Nangona kunjalo, kufuneka uphando oluthe kratya ukuze kuchongwe unobangela ochanekileyo kunye nezinto ezinobungozi.

Zithini izinto ezibangela le meko?

Abanye abantu bafumanisa ukuba iimpawu zokuqaqamba komlomo zibangelwa okanye zisiba mandundu ngenxa yezinto ezithile. Umzekelo:

Emva kokutya ukutya okanye isiselo esishushu kakhulu okanye esibandayo kakhulu .
Ngaphambi, ngexesha, okanye emva kwexesha loxinzelelo olukhulu okanye ixhala .
Ngelixa ndizilolonga .

Nangona kunjalo, ezi ntlungu zinokwenzeka nangaliphi na ixesha.

Oogqirha bayibona njani le nto?

Ugqirha wakho uza kuqala akuhlole aze amamele ngononophelo iimpawu zakho. Ukuba unentlungu esifubeni,Usenokucelwa ukuba wenze iimvavanyo ezifana ne-electrocardiogram (EKG) ukujonga isifo sentliziyo. Wakuba ugqibile ukuba isifo sentliziyo asinaso, uza kucelwa ukuba wenze iimvavanyo ukuze uqwalasele ezinye iimeko eziqhelekileyo ezinokubangela iimpawu zakho. Ezi zinokubandakanya:
Uvavanyo oluqhelekileyo
I-Upper Endoscopy: Oku kubandakanya ugqirha ukufaka ityhubhu encinci (ebizwa ngokuba yi-endoscope) kwi-esophagus yakho. Le tube inokukhanya okuncinci kunye nekhamera kwelinye icala. Oku kuvumela ugqirha ukuba abone ngaphakathi kwi-esophagus yakho. Oku kunokunceda ukujonga naluphi na utshintsho kwisakhiwo olunokubangela intlungu esifubeni sakho okanye ubunzima bokuginya.
I-Barium swallow (`Esophagram` okanye `Barium Swallow`): Kolu vavanyo, usela ulwelo olunento ebizwa ngokuba yi-barium. Emva koko ugqirha uthatha imifanekiso ye-X-ray ye-barium ehamba phantsi kwe-esophagus yakho. Oku kunokunceda ekususeni ezinye izizathu, ezinje ngokuncitshiswa kwe-esophagus (`stricture`).
Uvavanyo olukhethekileyo lokufumanisa ukuqaqamba kwemisipha
I-Esophageal Manometry: Olu luvavanyo olusemgangathweni oluphezulu lokufumanisa ukuqaqamba komlomo. Lulinganisa amaza oxinzelelo ayenzeka ngaphakathi komlomo xa uginya. Ukuba unemisipha emininzi engaqhelekanga kwinxalenye esezantsi yomlomo ngaxeshanye, luphawu lwale meko.
I-Functional Lumen Imaging Probe (FLIP): Olu luvavanyo olutsha olunokubonelela ngolwazi malunga nokuhamba kwe-anus kunye nendlela udonga lwe-anus olusabela ngayo kutshintsho loxinzelelo.
Ziziphi ezinye iimeko ezineempawu ezifanayo?
I-Esophageal Spasms inokuba nzima ukuyifumanisa, njengoko kukho ezinye iimeko ezininzi ezinokubangela iimpawu eziphambili zentlungu yesifuba kunye nobunzima bokuginya . Emva kokuqinisekisa ukuba ingxaki yakho ayibangelwa yimeko yentliziyo, ugqirha wakho uya kuzisusa ezinye iimeko eziqhelekileyo zokugaya ukutya ezinokubangela iimpawu ezifanayo. Ezi zinokubandakanya:
`( GERD )` (Oku kunokwenzeka kunye `( Ukuqaqamba koMqala)`).
Ukuqina komlomo wesibeleko.
I-hernia ye-hiatal.
Zithini iindlela zonyango zoku?
Injongo ephambili yonyango lwe-esophageal spasms kukukhulula izihlunu kwi-esophagus nokunciphisa iimpawu zakho.Nangona kunjalo, ukuba awunazo iimpawu ezibangelwa kukuqaqamba kwemisipha, usenokungadingi unyango. Ugqirha wakho unokucebisa olunye okanye ngaphezulu kwezi ndlela zonyango zilandelayo:
Amayeza asekhaya: Uphando lubonise ukuba ioyile yepeppermint inokunceda ukuphumza izihlunu ezikwi-anus. Ukusela amaconsi ambalwa eoyile yepeppermint emanzini kunokunceda ekunciphiseni iimpawu ezincinci. Kwakhona, ukuchonga izinto ezibangela ukuba uzive udiniwe kunokunceda ukuthintela ukudumba kwixesha elizayo.
Amayeza:
Ukusela ii -calcium channel blockers (uhlobo lwamayeza asetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu) ngaphambi kokutya kunceda abantu abaninzi baginye lula.
IiNitrates zinceda ekunciphiseni iintlungu zesifuba .
Ii-tricyclic antidepressants zinokuhlasela imithambo-luvo eyonakeleyo endlebeni kwaye zinciphise iintlungu.
Iinaliti zeBotulinum toxin ( Botox ®): Iinaliti zeBotox® zinokukhubaza okwethutyana izihlunu ezikwi-anus kwaye ziyeke ukushwabana. Ugqirha wakho unokucebisa oku ukuba ezinye iindlela zonyango azincedanga. Iziphumo zolu nyango zihlala malunga neenyanga ezintandathu.
Utyando : Ukuba iimpawu zakho zinzima kwaye ezinye iindlela zonyango azincedanga, ugqirha wakho unokucebisa utyando olubizwa ngokuba yi-myotomy . Kwi-myotomy, ugqirha wakho wenza isilonda esisecaleni kwemisipha esezantsi kwe-esophagus yakho. Olu silonda luyayicima ngokupheleleyo imisipha. Oku kuyayekisa ukushwabana okungaqhelekanga. Ngenxa yokuba imisipha ekwi-esophagus yakho ayisasetyenziswa, amandla adonsela phantsi avumela ukutya nokusela ukuba kuhambe kwi-esophagus yakho.
Abantu abaninzi abaneentlungu zomqala kunye ne-GERD bafumana isiqabu kuzo zombini ezi mpawu xa bethatha amayeza abizwa ngokuba yi-proton pump inhibitors (PPIs) . La mayeza asebenza ngokunciphisa ukuveliswa kwe-asidi yesisu. Iintlungu zomqala ezibangelwa zii-opioid zihlala ziphela emva kokuba uyekile ukusebenzisa amayeza.
Ngaba oku kungathintelwa?
Ngelishwa, akunakwenzeka ukuthintela ngokupheleleyo le meko ukuba ingenzeki. Nangona kunjalo, unokunceda ngokuchonga nokuphepha izinto ezenza iimpawu zakho zibe mandundu (umzekelo, ukutya okuthile kunye neziselo).Oku kunokunceda ukuthintela ukuqaqamba kwemisipha ukuba kungaqali okanye kube mandundu.
Ingaba le yimeko eyingozi?
Ukuxinana komlomo ngamanye amaxesha kunokubangela iintlungu esifubeni kunye nobunzima bokuginya. Nangona kunjalo, oogqirha abacingi ukuba le meko iyingozi enkulu kwimpilo yakho . Ubunzima bokuginya bunokukwenza uzive ngathi uyakrwitshwa, kodwa ukuxinana komlomo akusongeli ubomi . Ngokwesiqhelo akukuthinteli ekufumaneni izondlo ozifunayo. Ukuxinana komlomo akunyusi umngcipheko wokuba nomhlaza womlomo okanye ezinye iimeko ezinzulu ezichaphazela umqala.
Kuza kwenzeka ntoni emva konyango? (Imbono)
Uqikelelo lwe-Esophageal Spasms luyahluka ngokuxhomekeke kubukhali beempawu zakho. Uninzi lwabantu luneempawu ezibuthathaka kuphela. Unyango lunokuphucula kakhulu iimpawu ze-Esophageal Spasms. Ugqirha wakho uza kukujonga rhoqo ukuqinisekisa ukuba amayeza owaselayo ayasebenza. Ukuba utyando, kuya kucwangciswa amadinga okulandela ukuqinisekisa ukuba uyachacha kakuhle.
Ufanele uye nini ngokuqinisekileyo kugqirha?
Ukuqaqamba komlomo wesibeleko ngamanye amaxesha kunokubangela iimpawu ezifana nezo zokuhlaselwa yintliziyo. Ukuhlaselwa yintliziyo kunokuba yingozi ebomini ukuba akunyangelwanga ngoko nangoko. Ngoko ke, ukuba ufumana naziphi na kwezi mpawu , fowunela u-911 okanye ufune uncedo lwezonyango ngokukhawuleza:
Ukuba unemvakalelo enzima neqinileyo esifubeni sakho ehlala ixesha elingaphezu kwemizuzu emihlanu.
Ukuba unentlungu kwenye indawo esifubeni, umzekelo egxalabeni, engalweni, okanye entanyeni .
Ukuba unengxaki yokuphefumla (ukuphelelwa ngamandla) .
Ukuba ufumana ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo (ukubetha kwentliziyo okukhawulezayo) .
Ukuba uziva unesizungu, ubuthathaka, okanye ubuthathaka (njengokungathi uza kuphelelwa ngamandla) .
Ukuba ubila kancinci .
Ukuba unesicaphucaphu okanye uhlanza .
Iintlungu zesifuba kunye nobunzima bokuginya zidla ngokuba ziimpawu zengxaki eqhelekileyo. Nangona kunjalo, ngamanye amaxesha zinokuba luphawu lwemeko embi kakhulu, njengomhlaza. Ke ngoko, ukuba unale mpawu kangangeeveki ezingaphezu kwezimbini, soloko ubona ugqirha ukuze akuhlole.
Yeyiphi imibuzo omele uyibuze ugqirha?
Ungabuza ugqirha imibuzo efana nale:
Yintoni enokubangela ukuba kubekho ezi ntlungu zemisipha?
Ndingazichonga njani izinto ezibangela iimpawu zam?
Luhlobo luni lonyango olundicebisayo?
Zithini iziphumo ebezingalindelekanga ezinokubakho ngenxa yezo ndlela zonyango?
Ndiza kufuna unyango kunye nokubekwa esweni ixesha elingakanani?
Ukuba ayinyangwa, ukuqaqamba komlomo okuphakathi ukuya kokukhulu kunokuba nefuthe elibi kumgangatho wobomi bakho. Kwanezinto ozithandayo, njengokutya, kunokuba nzima ukuzenza ngenxa yezi mpawu. Intlungu yexesha elide inokukwenza uhlale kude nezinto ozithandayo, okanye ikwenze udandatheke.
Ngoko ke, ukuba uneentlungu esifubeni , ubunzima bokuginya, okanye ezinye iimpawu zokuqaqamba komphimbo , bona ugqirha ukuze uxoxe ngeendlela zonyango. Soloko ufuna uncedo lwezonyango ngokukhawuleza ukuba uneentlungu esifubeni ezingachazekiyo.
Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule
Kulungile, ngoko ke sithethe kakhulu nge-`(Esophageal Spasms)`. Khumbula, le ayisiyongxaki ixhaphakileyo. Nangona kunjalo, ukuba uhlala uziva into efana nokuvaleka xa uginya ukutya, njengentlungu yesifuba, ungayityesheli. Ingakumbi kuba intlungu yesifuba inokufana neempawu zokuhlaselwa yintliziyo, ngoko ke lumka ngayo. Kukho unyango olufanelekileyo loku. Ugqirha wakho uya kukunceda ufumane unobangela ochanekileyo weempawu zakho kwaye ukhethe unyango olufanelekileyo. Ungakhathazeki, ngonyango olufanelekileyo, le meko inokulawulwa kakuhle. Kubaluleke kakhulu ukugcina umgangatho wobomi bakho.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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IimpawuJulayi 16, 2026
Ngaba nawe ukhe uzive iintlungu zesifuba kunye nokuxinana xa uginya? Makhe sithethe ngokuqaqamba komlomo!
Dr. Priya SammaniMedical Verification
⏱ 8 min read
📋Table of Contents
1. Yintoni le nto ibangela ukuxinana kwezihlunu zempundu?
2. Ngaba kukho iintlobo ezahlukeneyo zezi?
3. Ixhaphake kangakanani le meko?
4. Zithini iimpawu zoku?
5. Injani intlungu yesifuba?
6. Kuvakala njani ukuba kunzima ukuginya (iDysphagia)?
7. Kutheni oku kusenzeka? Zithini izizathu?
8. Zithini izinto ezibangela le meko?
9. Oogqirha bayibona njani le nto?
10. Uvavanyo oluqhelekileyo
11. Uvavanyo olukhethekileyo lokufumanisa ukuqaqamba kwemisipha
12. Ziziphi ezinye iimeko ezineempawu ezifanayo?
13. Zithini iindlela zonyango zoku?
14. Ngaba oku kungathintelwa?
15. Ingaba le yimeko eyingozi?
16. Kuza kwenzeka ntoni emva konyango? (Imbono)
17. Ufanele uye nini ngokuqinisekileyo kugqirha?
18. Yeyiphi imibuzo omele uyibuze ugqirha?
19. Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule
Ngaba ngamanye amaxesha uziva uxinezelekile okanye uneentlungu esifubeni sakho xa uginya ukutya okuncinci okanye usela amanzi? Kuvakala ngathi ukutya kunamathele emqaleni wakho, okanye ngathi kukho umntu okucinezela esifubeni. Le yimeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yi-esophageal spasms . Nangona oku kuyoyikisa kancinci, kunokuchaza izinto ezininzi xa sisazi ngakumbi ngayo.
Yintoni le nto ibangela ukuxinana kwezihlunu zempundu?
Ngamafutshane, xa uginya ukutya okanye isiselo, kukho inxalenye efana nombhobho esusa emlonyeni wakho ukuya esiswini sakho. Siyibiza ngokuba yi-esophagus . Iindonga zale esophagus zenziwe zimisipha. Xa uginya into ethile, ezi misipha ziyafinyela kwaye ziphumle rhoqo ukusuka phezulu ukuya ezantsi, zityhala ukutya okanye isiselo esiswini. Njengegagasi. Siyibiza le nkqubo ngokuthi ``(Peristalsis)``` . Nangona kunjalo, kumntu one-``(Esophageal Spasms)``, kukho ingxaki encinci ngendlela ezifinyela ngayo ezi misipha kwi-esophagus. Nokuba izihlunu ziyafinyela ngequbuliso nangamandla, okanye ziyafinyela ngendlela engaqhelekanga nengalawulekiyo. Emva koko ukutya okanye isiselo kuba nobunzima bokwehla ngokufanelekileyo. Ngamanye amaxesha izinto eziginyiweyo zinokubuyela phezulu emqaleni. Kwakhona, oku kunokubangela iintlungu esifubeni.
Ngaba kukho iintlobo ezahlukeneyo zezi?
Ewe, kukho iintlobo ezimbini eziphambili: 1. I-Distal Esophageal Spasm: Kulapho izihlunu ezikwinxalenye esezantsi ye-esophagus zifinyela ngendlela engacwangciswanga, engalungelelananga. Yiyo loo nto i-regurgitation ixhaphake kakhulu. 2. I-Hypercontractile Esophagus: Oku ngamanye amaxesha kubizwa ngokuba yi-Nutcracker Esophagus okanye i-Jackhammer Esophagus. Kulapho izihlunu ezikwi-esophagus zifinyela ngamandla nangokukhawuleza . Oku kunokubangela iintlungu eziqatha esifubeni, ingakumbi xa ziginya. Abanye abantu banokuziva ngathi bacinezela isifuba sabo.
Ixhaphake kangakanani le meko?
Enyanisweni, le meko ibizwa ngokuba yi-`(Esophageal Spasms)` ayiqhelekanga kangako . Ngokomzekelo, ngokutsho koogqirha, uhlobo olubizwa ngokuba yi-`Distal Esophageal Spasm` luvela kumntu omnye kwikhulu lamawaka ngonyaka. Ngoko ke ungakhathazeki ngayo ngokungeyomfuneko.
Zithini iimpawu zoku?
Iimpawu ezimbini eziphambili neziqhelekileyo zale meko kubunzima bokuginya (i-dysphagia) kunye neentlungu zesifuba ezingezizo ezentliziyo . Nangona kunjalo, ayinguye wonke umntu oza kuba nazo ezi mpawu. Kwezinye iimeko, iintlungu zesifuba ezibangelwa kukuxinana kwemisipha zinokuvakala njengentlungu yokuhlaselwa yintliziyo .
Kubalulekile: Ukuba ufumana intlungu yesifuba enzima nengachazekiyo ehlala imizuzu engaphezu kwemihlanu, nceda ufune uncedo lwezonyango ngoko nangoko. Kubaluleke kakhulu ukufumanisa ukuba ingaba sisifo sentliziyo okanye akunjalo.
Ezi mpawu zinokuba buthathaka kakhulu kwabanye abantu, kwaye zibe nzima ngakumbi kwabanye. Ngamanye amaxesha ziqala ngamaxesha athile, njengasemva kokutya. Nangona kunjalo, ngamanye amaxesha zinokuvela ngequbuliso ngaphandle kwesizathu. Nje ukuba ezi ntlungu ziqale, zinokuthatha imizuzu embalwa ukuya ngaphezulu kweyure.
Injani intlungu yesifuba?
Ukuba une-spasms yomqala, iintlungu zesifuba sakho zingavakala ngolu hlobo:
Usenokuziva ucinezelekile, uxinezelekile, okanye ubunzima phakathi kwesifuba sakho, ngakumbi emva kwesifuba (sternum).
Abanye abantu banokuziva ngathi banesitshiso sentliziyo , nto leyo ethetha ukuba baziva betshisa esifubeni .
Intlungu isenokuba kwicala lasekunene, ekhohlo, okanye embindini wesifuba, ize isasazeke entanyeni, engalweni yasekhohlo, okanye emqolo .
Kuvakala njani ukuba kunzima ukuginya (iDysphagia)?
Ngolu hlobo lokungakhululeki, unokufumana oku kulandelayo:
Kuvakala ngathi kukho into ebambeke emqaleni wakho .
Ukuziva ngathi ukutya kuzama ukubuya emqaleni .
Kutheni oku kusenzeka? Zithini izizathu?
Oogqirha abakayazi kakuhle into ebangela oku. Nangona kunjalo, abanye bakholelwa ukuba kubangelwa yimithambo-luvo engasebenzi kakuhle kwimithambo-luvo elawula izihlunu kwi-esophagus. Kwezinye iimeko, le mithambo-luvo engasebenzi kakuhle inokunxulunyaniswa ne-asidi eninzi kwi-esophagus. Abantu abaninzi abane -spasms ye-esophagus banesifo se-gastroesophageal reflux disease (GERD) . Esi simo sibangela ukuba i-asidi yesisu ibuyele kwi-esophagus. Kucingelwa ukuba le asidi inokonakalisa imithambo-luvo kwi-esophagus. Uphando lwakutshanje lufumanise ukuba abantu abasebenzisa ii-opioids kangangeenyanga ezingaphezu kwezintathu banamathuba amaninzi okufumana i-spasms ye-esophagus. Nangona kunjalo, kufuneka uphando oluthe kratya ukuze kuchongwe unobangela ochanekileyo kunye nezinto ezinobungozi.
Zithini izinto ezibangela le meko?
Abanye abantu bafumanisa ukuba iimpawu zokuqaqamba komlomo zibangelwa okanye zisiba mandundu ngenxa yezinto ezithile. Umzekelo:
Emva kokutya ukutya okanye isiselo esishushu kakhulu okanye esibandayo kakhulu .
Ngaphambi, ngexesha, okanye emva kwexesha loxinzelelo olukhulu okanye ixhala .
Ngelixa ndizilolonga .
Nangona kunjalo, ezi ntlungu zinokwenzeka nangaliphi na ixesha.
Oogqirha bayibona njani le nto?
Ugqirha wakho uza kuqala akuhlole aze amamele ngononophelo iimpawu zakho. Ukuba unentlungu esifubeni,Usenokucelwa ukuba wenze iimvavanyo ezifana ne-electrocardiogram (EKG) ukujonga isifo sentliziyo. Wakuba ugqibile ukuba isifo sentliziyo asinaso, uza kucelwa ukuba wenze iimvavanyo ukuze uqwalasele ezinye iimeko eziqhelekileyo ezinokubangela iimpawu zakho. Ezi zinokubandakanya:
Uvavanyo oluqhelekileyo
I-Upper Endoscopy: Oku kubandakanya ugqirha ukufaka ityhubhu encinci (ebizwa ngokuba yi-endoscope) kwi-esophagus yakho. Le tube inokukhanya okuncinci kunye nekhamera kwelinye icala. Oku kuvumela ugqirha ukuba abone ngaphakathi kwi-esophagus yakho. Oku kunokunceda ukujonga naluphi na utshintsho kwisakhiwo olunokubangela intlungu esifubeni sakho okanye ubunzima bokuginya.
I-Barium swallow (`Esophagram` okanye `Barium Swallow`): Kolu vavanyo, usela ulwelo olunento ebizwa ngokuba yi-barium. Emva koko ugqirha uthatha imifanekiso ye-X-ray ye-barium ehamba phantsi kwe-esophagus yakho. Oku kunokunceda ekususeni ezinye izizathu, ezinje ngokuncitshiswa kwe-esophagus (`stricture`).
Uvavanyo olukhethekileyo lokufumanisa ukuqaqamba kwemisipha
I-Esophageal Manometry: Olu luvavanyo olusemgangathweni oluphezulu lokufumanisa ukuqaqamba komlomo. Lulinganisa amaza oxinzelelo ayenzeka ngaphakathi komlomo xa uginya. Ukuba unemisipha emininzi engaqhelekanga kwinxalenye esezantsi yomlomo ngaxeshanye, luphawu lwale meko.
I-Functional Lumen Imaging Probe (FLIP): Olu luvavanyo olutsha olunokubonelela ngolwazi malunga nokuhamba kwe-anus kunye nendlela udonga lwe-anus olusabela ngayo kutshintsho loxinzelelo.
Ziziphi ezinye iimeko ezineempawu ezifanayo?
I-Esophageal Spasms inokuba nzima ukuyifumanisa, njengoko kukho ezinye iimeko ezininzi ezinokubangela iimpawu eziphambili zentlungu yesifuba kunye nobunzima bokuginya . Emva kokuqinisekisa ukuba ingxaki yakho ayibangelwa yimeko yentliziyo, ugqirha wakho uya kuzisusa ezinye iimeko eziqhelekileyo zokugaya ukutya ezinokubangela iimpawu ezifanayo. Ezi zinokubandakanya:
`( GERD )` (Oku kunokwenzeka kunye `( Ukuqaqamba koMqala)`).
Ukuqina komlomo wesibeleko.
I-hernia ye-hiatal.
Zithini iindlela zonyango zoku?
Injongo ephambili yonyango lwe-esophageal spasms kukukhulula izihlunu kwi-esophagus nokunciphisa iimpawu zakho.Nangona kunjalo, ukuba awunazo iimpawu ezibangelwa kukuqaqamba kwemisipha, usenokungadingi unyango. Ugqirha wakho unokucebisa olunye okanye ngaphezulu kwezi ndlela zonyango zilandelayo:
Amayeza asekhaya: Uphando lubonise ukuba ioyile yepeppermint inokunceda ukuphumza izihlunu ezikwi-anus. Ukusela amaconsi ambalwa eoyile yepeppermint emanzini kunokunceda ekunciphiseni iimpawu ezincinci. Kwakhona, ukuchonga izinto ezibangela ukuba uzive udiniwe kunokunceda ukuthintela ukudumba kwixesha elizayo.
Amayeza:
Ukusela ii -calcium channel blockers (uhlobo lwamayeza asetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu) ngaphambi kokutya kunceda abantu abaninzi baginye lula.
IiNitrates zinceda ekunciphiseni iintlungu zesifuba .
Ii-tricyclic antidepressants zinokuhlasela imithambo-luvo eyonakeleyo endlebeni kwaye zinciphise iintlungu.
Iinaliti zeBotulinum toxin ( Botox ®): Iinaliti zeBotox® zinokukhubaza okwethutyana izihlunu ezikwi-anus kwaye ziyeke ukushwabana. Ugqirha wakho unokucebisa oku ukuba ezinye iindlela zonyango azincedanga. Iziphumo zolu nyango zihlala malunga neenyanga ezintandathu.
Utyando : Ukuba iimpawu zakho zinzima kwaye ezinye iindlela zonyango azincedanga, ugqirha wakho unokucebisa utyando olubizwa ngokuba yi-myotomy . Kwi-myotomy, ugqirha wakho wenza isilonda esisecaleni kwemisipha esezantsi kwe-esophagus yakho. Olu silonda luyayicima ngokupheleleyo imisipha. Oku kuyayekisa ukushwabana okungaqhelekanga. Ngenxa yokuba imisipha ekwi-esophagus yakho ayisasetyenziswa, amandla adonsela phantsi avumela ukutya nokusela ukuba kuhambe kwi-esophagus yakho.
Abantu abaninzi abaneentlungu zomqala kunye ne-GERD bafumana isiqabu kuzo zombini ezi mpawu xa bethatha amayeza abizwa ngokuba yi-proton pump inhibitors (PPIs) . La mayeza asebenza ngokunciphisa ukuveliswa kwe-asidi yesisu. Iintlungu zomqala ezibangelwa zii-opioid zihlala ziphela emva kokuba uyekile ukusebenzisa amayeza.
Ngaba oku kungathintelwa?
Ngelishwa, akunakwenzeka ukuthintela ngokupheleleyo le meko ukuba ingenzeki. Nangona kunjalo, unokunceda ngokuchonga nokuphepha izinto ezenza iimpawu zakho zibe mandundu (umzekelo, ukutya okuthile kunye neziselo).Oku kunokunceda ukuthintela ukuqaqamba kwemisipha ukuba kungaqali okanye kube mandundu.
Ingaba le yimeko eyingozi?
Ukuxinana komlomo ngamanye amaxesha kunokubangela iintlungu esifubeni kunye nobunzima bokuginya. Nangona kunjalo, oogqirha abacingi ukuba le meko iyingozi enkulu kwimpilo yakho . Ubunzima bokuginya bunokukwenza uzive ngathi uyakrwitshwa, kodwa ukuxinana komlomo akusongeli ubomi . Ngokwesiqhelo akukuthinteli ekufumaneni izondlo ozifunayo. Ukuxinana komlomo akunyusi umngcipheko wokuba nomhlaza womlomo okanye ezinye iimeko ezinzulu ezichaphazela umqala.
Kuza kwenzeka ntoni emva konyango? (Imbono)
Uqikelelo lwe-Esophageal Spasms luyahluka ngokuxhomekeke kubukhali beempawu zakho. Uninzi lwabantu luneempawu ezibuthathaka kuphela. Unyango lunokuphucula kakhulu iimpawu ze-Esophageal Spasms. Ugqirha wakho uza kukujonga rhoqo ukuqinisekisa ukuba amayeza owaselayo ayasebenza. Ukuba utyando, kuya kucwangciswa amadinga okulandela ukuqinisekisa ukuba uyachacha kakuhle.
Ufanele uye nini ngokuqinisekileyo kugqirha?
Ukuqaqamba komlomo wesibeleko ngamanye amaxesha kunokubangela iimpawu ezifana nezo zokuhlaselwa yintliziyo. Ukuhlaselwa yintliziyo kunokuba yingozi ebomini ukuba akunyangelwanga ngoko nangoko. Ngoko ke, ukuba ufumana naziphi na kwezi mpawu , fowunela u-911 okanye ufune uncedo lwezonyango ngokukhawuleza:
Ukuba unemvakalelo enzima neqinileyo esifubeni sakho ehlala ixesha elingaphezu kwemizuzu emihlanu.
Ukuba unentlungu kwenye indawo esifubeni, umzekelo egxalabeni, engalweni, okanye entanyeni .
Ukuba unengxaki yokuphefumla (ukuphelelwa ngamandla) .
Ukuba ufumana ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo (ukubetha kwentliziyo okukhawulezayo) .
Ukuba uziva unesizungu, ubuthathaka, okanye ubuthathaka (njengokungathi uza kuphelelwa ngamandla) .
Ukuba ubila kancinci .
Ukuba unesicaphucaphu okanye uhlanza .
Iintlungu zesifuba kunye nobunzima bokuginya zidla ngokuba ziimpawu zengxaki eqhelekileyo. Nangona kunjalo, ngamanye amaxesha zinokuba luphawu lwemeko embi kakhulu, njengomhlaza. Ke ngoko, ukuba unale mpawu kangangeeveki ezingaphezu kwezimbini, soloko ubona ugqirha ukuze akuhlole.
Yeyiphi imibuzo omele uyibuze ugqirha?
Ungabuza ugqirha imibuzo efana nale:
Yintoni enokubangela ukuba kubekho ezi ntlungu zemisipha?
Ndingazichonga njani izinto ezibangela iimpawu zam?
Luhlobo luni lonyango olundicebisayo?
Zithini iziphumo ebezingalindelekanga ezinokubakho ngenxa yezo ndlela zonyango?
Ndiza kufuna unyango kunye nokubekwa esweni ixesha elingakanani?
Ukuba ayinyangwa, ukuqaqamba komlomo okuphakathi ukuya kokukhulu kunokuba nefuthe elibi kumgangatho wobomi bakho. Kwanezinto ozithandayo, njengokutya, kunokuba nzima ukuzenza ngenxa yezi mpawu. Intlungu yexesha elide inokukwenza uhlale kude nezinto ozithandayo, okanye ikwenze udandatheke.
Ngoko ke, ukuba uneentlungu esifubeni , ubunzima bokuginya, okanye ezinye iimpawu zokuqaqamba komphimbo , bona ugqirha ukuze uxoxe ngeendlela zonyango. Soloko ufuna uncedo lwezonyango ngokukhawuleza ukuba uneentlungu esifubeni ezingachazekiyo.
Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule
Kulungile, ngoko ke sithethe kakhulu nge-`(Esophageal Spasms)`. Khumbula, le ayisiyongxaki ixhaphakileyo. Nangona kunjalo, ukuba uhlala uziva into efana nokuvaleka xa uginya ukutya, njengentlungu yesifuba, ungayityesheli. Ingakumbi kuba intlungu yesifuba inokufana neempawu zokuhlaselwa yintliziyo, ngoko ke lumka ngayo. Kukho unyango olufanelekileyo loku. Ugqirha wakho uya kukunceda ufumane unobangela ochanekileyo weempawu zakho kwaye ukhethe unyango olufanelekileyo. Ungakhathazeki, ngonyango olufanelekileyo, le meko inokulawulwa kakuhle. Kubaluleke kakhulu ukugcina umgangatho wobomi bakho.
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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