Ngaba wakha waziva ngathi kukho into ebambekayo emqaleni okanye esifubeni sakho xa usitya, usela amanzi amancinci, okanye uginya ipilisi? Ngaba uziva ngathi awukwazi ukuginya ukutya ngokulula njengangaphambili? Mhlawumbi ngokungazi uyakuphepha ukutya okufana nokutya okurhabaxa kunye nenyama. Ukuba nawe uziva ngolu hlobo, musa ukuyithatha njengento eqhelekileyo. Namhlanje siza kuthetha ngemeko yezonyango enokubangela oku. Oko kukuncitshiswa komqala, ngokwezonyango okubizwa ngokuba yi-Esophageal Stricture .
Yintoni i-Esophageal Stricture?
Kulungile, masiyiqonde le nto ngokulula. Uyazi, sinenxalenye efana nombhobho ethwala ukutya ukusuka emlonyeni wethu ukuya esiswini (esiswini). Oku sikubiza ngokuba yi-esophagus . Kufana nombhobho wamanzi. Igama elithi 'Stricture' lithetha nayiphi na ityhubhu, indlela, okanye umbhobho emzimbeni wethu onciphayo okanye ovalekileyo. Ngoko ke, i-Esophageal Stricture kuxa loo mbhobho uncipha ngokungaqhelekanga ngesizathu esithile.
Khawuthelekelele ukuba uthuli nomhlwa kwakheka ngaphakathi kombhobho wamanzi, nto leyo enciphisa umbhobho kancinci kancinci. Kwenzeka into efanayo nakwisisu sethu. Xa sincipha, sinciphisa indawo yokutya nokusela ukuze kudlule ngokulula. Yiyo loo nto sinengxaki yokuginya.
Olu xinaniso lunokwenzeka ngaphakathi kwi-esophagus okanye ngaphandle. Ulwelo oluthambileyo lwe-esophagus (olubizwa ngokuba yi-'mucosa') lunokudumba okanye lube namanxeba kwaye lube lukhuni. Xa oku kusenzeka, ulwelo alunwebeki xa siginya. Ngamanye amaxesha, into efana nethumba kwelinye ilungu elijikeleze i-esophagus inokubangela ukuba i-esophagus ivalwe ngale ndlela, nokuba kukho uxinzelelo oluvela ngaphandle. Uninzi lwexesha, le nkqubo yenzeka kancinci kakhulu, ngokuhamba kwexesha.
Ingaba le meko imbi kakhulu?
Ngoku usenokuba uzibuza ukuba ingaba le yinto enobungozi na. Enyanisweni, njengoogqirha, asiyithathi lula le meko. Kuba ichaphazela ngqo amandla akho okuginya ukutya, kwaye ukuba ayinyangwa, inokuba mandundu ngokuhamba kwexesha.
Eyona nto ingcono kukuba kwiimeko ezininzi, le meko inokunyangeka ngokupheleleyo ngokungenelela okulula, okuncinci kwezonyango. Nangona kunjalo, kwipesenti encinci kakhulu, oko kukuthi, kunqabile kakhulu, unobangela wokuvaleka usenokuba ngumhlaza. Leyo yimeko enzima. Yiyo loo nto sisithi ukuba unengxaki yokuginya, ungayityesheli kwaye ubone ugqirha wakho ngokukhawuleza.
Zithini iimpawu zoku? Uziva njani?
Uphawu lokuqala noluqhelekileyo kukunzima ukuginya.. Ungayilawula le nto ngokutya ukutya okuncinci ekuqaleni, ukuhlafuna kakuhle, uze ukuginye. Usenokuba uyakuphepha ukutya okuneziqholo nokurhabaxa (umzekelo, irayisi eqhotsiweyo, inyama). Kodwa njengoko umqala wakho uvaleka ngakumbi nangakumbi, ezi zinto azisayi kunceda. Usenokuziva ngathi kukho iqhuma emqaleni wakho, okanye ngathi izihlunu zomqala wakho azisebenzi kakuhle.
Khawucinge nje, iqhekeza lenkukhu obukade uyithanda ukuyitya, ngoku lenza umqala wakho uzive uqinile. Ngoko ke uyeke ukutya inkukhu. Ucinga ukuba kungenxa ye "gastritis." Kodwa isizathu sokwenyani sisenokuba yinto eyahlukileyo.
Ukongeza kolu phawu luphambili, ezinye iimpawu ezininzi zinokuvela.
| Uphawu | Icacisiwe ngokulula |
|---|---|
| Intlungu yesifuba engeyiyo eyentliziyo | Isifuba sam sibuhlungu, kodwa asikuko ukuba sinengxaki yentliziyo. Kungenxa yokuba sinengxaki emqaleni wam. |
| Ukukhohlela okanye ukukrwitshwa xa uginya ukutya | Usenokukhwehlela okanye ukrwitshwe ngequbuliso xa uginya ukutya. Oku kusenokuba kungenxa yokuba ukutya akwehlanga kakuhle. |
| Ukubuyela esibhedlele | Ukutya okuginyiweyo kubuyela phezulu emqaleni. Akufani nokuhlanza, kuvakala ngathi kuyaphuma. |
| Ukunciphisa umzimba ngokungeyomfuneko | Ngenxa yokuba utya kancinci, ubunzima bomzimba wakho buza kuqala ukwehla ungakhange uqaphele. |
Ziziphi izizathu eziphambili zoku?
Kukho izizathu ezininzi zokuba umqala ube mxinwa. Masiwahlule abe ngamacandelo amathathu aphambili.
1. I-Esophagitis engapheliyo
Le yeyona nto ixhaphakileyo . Yenzeka xa udonga lwangaphakathi lomqala luvuvukile ixesha elide. Kanye njengokuba inxeba eluswini lwethu lishiya isilonda njengoko liphola, kunjalo ke, xa umqala usenzakala rhoqo, kwakheka isilonda (esaziwa ngokuba yi-fibrosis). Esi silonda asinwebeki njengezicubu eziqhelekileyo, siyaqina. Yiyo loo nto umqala uncipha.
Eyona nto ibangela oku yi -chronic acid reflux . Uninzi lwethu luyibiza ngokuba yi- "gastritis." Ngamafutshane, kuxa i-asidi esesiswini iphuma ize ingene kwi-esophagus. Xa oku kusenzeka rhoqo, i-asidi iyatshisa ize yonakalise ulwelo oluthambileyo lwe-esophagus. Ekuhambeni kwexesha, ezi ngozi ziba ziingxwelerha kwaye zivale i-esophagus. Le yimbangela yamatyala angaphezu kwama- 75% .
Ukongeza, kukho ezinye izizathu ezininzi:
- I-Pill Esophagitis: Ezinye izithomalalisi zentlungu, ingakumbi ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) kunye ne-acetaminophen (i-paracetamol), zinokungena kwi-esophagus kwaye zonakalise i-lining xa zithathwa rhoqo, ingakumbi xa ziginywa ngamanzi amancinci.
- I-Esophagitis Esulelayo: Kubantu abaneenkqubo zomzimba ezibuthathaka (ezifana nezigulana ezine-HIV kunye nezigulana ezinomhlaza), ezinye iintsholongwane (HPV, HSV-1) kunye nefungi (Candida albicans) zinokubangela ukudumba komqala.
- I-Eosinophilic Esophagitis: Le yimeko engaqhelekanga ebangelwa yingxaki kwinkqubo yomzimba yokuzikhusela. Umzimba usabela ngokugqithisileyo kwizinto ezithile ezibangela i-allergens, nto leyo ebangela ukudumba okungapheliyo komqala. Oku kunokuqala ebuntwaneni.
2. Ukwenzakala okanye Ukulimala kwi-esophagus
Amanxeba kunye nokuvaleka kwawo kunokubakho ngenxa yokwenzakala kodonga lwangaphakathi lomqala. Oku kunokubakho njengesiphumo esingesihle seengozi okanye unyango.
- Ukufunxa i-Caustic: Ukusela ulwelo olufana ne-asidi, nokuba ngempazamo okanye ngenjongo yokuzibulala, kunokubangela ukutsha okukhulu kunye namanxeba emqaleni.
- Ukwenzakala Kubushushu: Ukuginya into eshushu kakhulu (umz., iti eshushu, ipapa eshushu) ngequbuliso kunokutshisa umphimbo.
- Unyango lomhlaza:Xa ufumana unyango lwemitha yomhlaza entanyeni okanye esifubeni, isiphumo esibi sonyango kukudumba kwe-esophagus (mucositis), okunokukhokelela kwi-esophageal strictures (RIES).
- Amayeza: Ngelixa umqala uvulekile, ukufaka ii-steroids kwindawo evalekileyo kunokunciphisa ukudumba nokuthintela ukuphinda kwenzeke.
- I-Endoscopic Strituroplasty: Kule nto, kudluliselwa isixhobo esikhethekileyo esifana nemela nge-endoscope, esinqumla izicubu zesilonda ezibangela ukuvaleka kwiindawo ezahlukeneyo, nto leyo eyandisa indawo.
- Ukukhupha i-stenting: Ityhubhu encinci efana ne-mesh (i-`stent`) ifakwa kwindawo evaliweyo ukuze ihlale ivulekile. Oku kufana ne-stent yomthambo ovaliweyo.
- Utyando: Oku kwenziwa rhoqo. Kwimeko yomhlaza kunye nokuvaleka okukhulu okungaphenduliyo kwezinye iindlela zonyango, utyando lokususa inxalenye eyonakeleyo ye-esophagus (`Esophagectomy`) lunokufuneka.
- Ukuba uziva kunzima ukuginya ukutya.
- Ukuba uhlala unesitshiso sentliziyo okanye uzive ngathi kukho iasidi enyukayo emqaleni wakho.
- Ukuba unciphisa umzimba ngaphandle kwesizathu esicacileyo.
- Ukuba iqhekeza lokutya linamathela ngokupheleleyo emqaleni.
- Ukuba awukwazi ukuginya ukutya okuqinileyo kwaphela.
- Ukuba ukutya kungena kwi-trachea xa kuginyiwe kwaye kubangela ubunzima bokuphefumla.
- Ukuba ufumana iintlungu eziqatha esifubeni.
- Ubunzima bokuginya abukho ngokuqhelekileyo . Luphawu. Ngoko ke musa ukulutyeshela.
- Eyona nto ibangela isitshiso sentliziyo yi-gastritis ende okanye i-acid reflux . Ukuba unesitshiso sentliziyo rhoqo, fumana unyango.
- Ukuxilongwa kwangoko kunye nonyango lwale meko kunokukhokelela ekuchacheni okuhle kakhulu. Ngoko ke ukuba uneempawu, ungoyiki ukubona ugqirha.
- Iingxaki ezininzi zinokunyangwa ngenkqubo elula ebizwa ngokuba yi-dilation.
- Ukuba ufumana ukukrwitshwa ngequbuliso okanye iintlungu eziqatha esifubeni, yiya kwiSebe leNgxamiseko (ETU) ngoko nangoko.
Kubaluleke kakhulu: Ukuba umntu utya into enobungozi ngolo hlobo, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Kwakhona, thatha isigulana usise kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngokukhawuleza.
3. Umhlaza
Oku kusenokuvakala kusoyikisa, kodwa kubalulekile ukwazi. Umhlaza womqala unokubangela olu hlobo lokuminxa. Nangona kunjalo, ngokungafaniyo nezinye izizathu, iimpawu zokuminxa ngenxa yomhlaza zibonakala ngokukhawuleza . Ukuba umntu obesitya kakuhle kangangeeveki ezimbalwa ufumana ubunzima bokuginya, kubaluleke kakhulu ukuba nexhala. Kukho iintlobo ezahlukeneyo zomhlaza womqala (i-Adenocarcinoma, i-Squamous cell carcinoma).
Yenziwa njani le nto yokuxilonga?
Ukuba unale mpawu, ugqirha wakho usenokukuthumela kwi-gastroenterologist. Uza kumamela ngononophelo iimpawu zakho aze akucebise ukuba wenze iimvavanyo ezininzi ukuqinisekisa imeko.
| Uvavanyo | Kwenzekani? |
|---|---|
| Uvavanyo lweBarium Swallow | Olu luvavanyo lwe-X-ray. Unikwa ulwelo olumhlophe olunetshokhwe olubizwa ngokuba yi-barium ukuba ulusele. Njengoko uluginya, kuthathwa ividiyo ye-X-ray ukuze kubonwe indlela olu lwelo oluhamba ngayo emqaleni wakho. Oku kunokubona ngokucacileyo ukuba kukho nakuphi na ukuvaleka okanye ukuncitshiswa naphi na. |
| Uvavanyo lwe-Upper Endoscopy / EGD | Olu lolona vavanyo luqhelekileyo noluchanekileyo lokufumanisa isifo. Unikwa i-sedative, kwaye ityhubhu encinci, eguquguqukayo (i-'endoscope') enekhamera encinci eqhotyoshelweyo ifakwa ngomlomo wakho ukuze ihlole umphimbo wakho, isisu, kunye nenxalenye yokuqala yamathumbu akho amancinci. Oku kuvumela ugqirha ukuba abone ingaphakathi lomphimbo wakho kwisikrini. Indawo evalekileyo, unobangela wayo, kunye nohlobo lokuvuvukala kunokubonwa. Ukuba kuyimfuneko, iqhekeza elincinci lethishu elivela kwindawo ekrokrisayo linokuthathwa lithunyelwe kwilebhu ukuze lihlolwe ('i-biopsy'). |
Iphathwa njani?
Injongo ephambili yokunyanga oku kukwandisa ummizo ovalekileyo kwakhona ukuze ukwazi ukuginya ukutya ngaphandle kobunzima.
Unyango oluphambili: Ukwanda komlomo
Olu lolona nyango luqhelekileyo. Ngamafutshane, lubandakanya ukwandisa kancinci kancinci ukuvaleka. Njenge-endoscopy, isixhobo esikhethekileyo (esifana ne-scope okanye isilinda) sifakwa kwi-esophagus ukuze sandise kancinci kancinci ukuvaleka. Oku akwenziwa konke ngaxeshanye, kodwa kwenziwa amaxesha amaninzi ngeveki. Njengoko ukuvaleka kusanda kancinci, ubunzima bakho bokuginya buya kuncipha kancinci kancinci. Olu nyango lusebenza kakhulu kwiibhloko ezilula.
Ezinye iindlela zonyango
Kwiingxaki ezithile ezintsonkothileyo, okanye kwiimeko ezingaphenduliyo kunyango lokwandiswa, ezinye iindlela zonyango zisenokufuneka zisetyenziswe.
Ufanele uye nini kugqirha?
Kubaluleke kakhulu ukuzazi ezi mpawu, kuba xa ziqatshelwa ngokukhawuleza, kokukhona kulula ukuzinyanga.
| Ixesha lokufuna ingcebiso kwezonyango | |
|---|---|
| Iimeko eziqhelekileyo xa kufuneka ubone ugqirha: | |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko! | |
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