Ngaba nawe unengxaki yokuginya ukutya? Mhlawumbi awazi ngale nto kuthiwa "yi-esophageal web"! Makhe sithethe ngayo!

Ngaba wakha waziva ngathi kukho into ebambeke emqaleni wakho xa usitya okanye usela into ethile, okanye ukuba kunzima ukuyiginya? Ngamanye amaxesha asiyihoyi kangako, kodwa ukuba iyaqhubeka, yinto ekufuneka iphandwe. Esinye sezizathu zokuba kube nzima kangaka ukuginya isenokuba yimeko esiza kuthetha ngayo ebizwa ngokuba yi-"Esophageal Web". Ungakhathazeki, oku akuyongozi, kodwa kubaluleke kakhulu ukuqaphela.

Yintoni le ntambo yomqala?

Ngamafutshane, umphimbo wakho, umbhobho apho ukutya kudlula khona uye esiswini xa siginya, une -membrane encinci eyakha ngaphakathi kwenxalenye ephezulu yayo ebizwa ngokuba yi-"Esophageal Web." Ukuze kube yinyani, yi-membrane encinci efana ne-spider's web.

Abantu abaninzi banalo olu hlobo lwe-membrane, kodwa abazi nokuba lunjalo. Kuba alusoloko lubangela naziphi na iimpawu . Nangona kunjalo, kwezinye iimeko ezinzima, olu hlobo lwe-membrane lunokuwuvala kancinci okanye ngokupheleleyo umphimbo wakho. Kulapho kuba nzima ukuginya .

Uninzi lwabantu lune-membrane enye kuphela enjalo. Nangona kunjalo, kunokwenzeka ukuba kubekho ezingaphezulu kwenye. Kwanasemva konyango, kukho ithuba elinqabileyo lokuba le meko ingaphinda ivele, kodwa ayiqhelekanga kakhulu.

Le meko, ebizwa ngokuba yi-"Esophageal Web," ibonakala kakhulu kubantu abane -anemia enzima nenganyangwanga yokunqongophala kwesinyithi. Inokwenzeka nakubantu abane-"Plummer-Vinson syndrome." Le syndrome ineempawu ezintathu eziphambili: i-anemia yokunqongophala kwesinyithi, ubunzima bokuginya (ekwabizwa ngokuba yi-"dysphagia," oogqirha bayibiza njalo), kunye ne-web, okanye i-membrane.

Ixhaphake kangakanani le meko?

Kunzima ukutsho ngqo ukuba bangaphi abantu abanale ngxaki. Kuba, njengoko bekutshiwo ngaphambili, uninzi lwexesha akukho zimpawu. Oogqirha badla ngokuyifumana le ngxaki xa besenza uvavanyo ngesinye isizathu.

Nangona kunjalo, kufunyenwe ukuba phakathi kwe-5% kunye ne-15% yabantu abaya kugqirha ngenxa yobunzima bokuginya (i-dysphagia) banale ``(Esophageal Web)''.

Yintoni umahluko phakathi kwentambo yomqala kunye nendandatho yomqala?

Enye imeko efana nale `(Esophageal Web)` yi `(Esophageal Ring)`. Usenokuba ukhe weva nge `(Schatzki rings)`. Zombini ezi zinto zibangela ukuba umphimbo wakho unciphe kwaye kube nzima ukuwuginya. Kodwa umahluko omkhulu phakathi kwezi zimbini kukuba zakheka phi.

• (I-Esophageal Web): Ezi zenzeka kwinxalenye ephezulu yomqala.
• (Iringi yoMqala): Ezi zenzeka kwinxalenye esezantsi yomqala.

Zombini i-web kunye ne-ring ziintlobo ze-esophageal strictures. Abanye abantu bazalwa bene-esophageal webs kunye ne-rings. Nangona kunjalo, zihlala zikhula kamva ebomini ngenxa yezinye iimeko. Uninzi lwexesha, aziyongxaki. Nangona kunjalo, ukuba unentlungu xa uginya, unyango lunokunceda.

Zithini iimpawu?

Njengoko bekutshiwo ngaphambili, uninzi lwabantu abaneentambo zomqala abanazo iimpawu . Ukuba awunazo iimpawu, mhlawumbi awudingi nyango.

Kodwa ukuba iimpawu ziyenzeka, uphawu oluphambili kukuba kunzima ukuginya ukutya kunye nezinto ezilulwelo . Ngamanye amaxesha ukutya kunokunamathela emqaleni. Xa oku kusenzeka, ungaziva iintlungu okanye uzive ngathi kukho into enamathele emqaleni. Khawuthelekelele, xa uza kutya ipleyiti emnandi yerayisi, ngequbuliso uzive ngathi iqhekeza lokutya linamathele emqaleni, kwaye namanzi okusela awayi kuphela. Oko kunokuba ngamava anjalo.

Ukuba une-membrane enxulunyaniswa ne-"Plummer-Vinson syndrome," unokufumana iimpawu ezifana nolwimi olubuhlungu kunye nokuqhekeka kwiikona zomlomo wakho .

Zithini izizathu zoku?

Iingcali azikayazi kakuhle into ebangela iintambo zomqala. Ukuba wazalwa unale meko, isenokuba ibangelwa kukutshintsha kwendlela owakheka ngayo umqala wakho ngexesha lobomi bomntwana ongekazalwa. Ukuba uyakhula kamva ebomini, isenokuba yimpembelelo yesinye isifo.

Ngubani osengozini enkulu? (Izinto ezibangela umngcipheko kwi-Esophageal Web Risk)

Le meko ibizwa ngokuba yi-"Esophageal Web" ibonakala kakhulu kubantu abanezi meko zilandelayo zonyango:

• Izifo ze-thyroid ezizikhusela ngokwazo emzimbeni (umz. `(Hashimoto's thyroiditis)`, `(Graves' disease)`)
• Izifo ezibangela amadyungudyungu kulusu (umz. i-pemphigus)
• Isifo seCeliac (oku kubangelwa kukunganyamezelani neprotein gluten)
• I-acid reflux yexesha elide, yimeko eyenzeka xa i-gastritis iba nzima (GERD - Gastroesophageal Reflux Disease)
• Isifo se-graft vs. host (oku kubonakala rhoqo emva kokufakelwa amalungu omzimba)
• I-anemia yokunqongophala kwe-iron
• I-Psoriasis
• Irheumatoid arthritis

Akuyena wonke umntu onesi sifo oza kuba neentsiba zomqala, kodwa umngcipheko uphezulu kancinci.

Uyibona njani le nto?

Oogqirha basebenzisa olu vavanyo ukuxilonga i-esophageal web:

• I-Esophagram (okanye iBarium Swallow Test): Olu luvavanyo lwe-X-ray. Unikwa isisombululo esibizwa ngokuba yi-barium ukuze usisele, kwaye kuthathwa ividiyo ye-X-ray njengoko usiginya. Oku kuvumela ugqirha ukuba abone ukuba kukho i-esophageal web okanye olunye uhlobo lokuncitshiswa kwi-esophagus yakho.
• I-Endoscopy Ephezulu:Kule meko, ugqirha ufaka ityhubhu encinci neguquguqukayo (i-endoscope) ngomlomo wakho aze ahlole ingaphakathi le-esophagus yakho. Le tyhubhu inekhamera ekupheleni, ukuze ugqirha abone ngokucacileyo ukuba kukho "i-esophageal web".

Iphathwa njani?

Kwiimeko ezininzi, i-web inokuphela xa imeko eyibangelayo inyangwa . Oogqirha basebenzisa indibaniselwano yamayeza, unyango lwaseofisini, kunye notyando. Isicwangciso sonyango senzelwe iimfuno zakho.

Amayeza

Umzekelo, ukuba une-anemia yokunqongophala kwe-iron, kunokufuneka unikwe iipilisi ze-iron okanye i-iron-containing infusions . Ukuba une-GERD (acid reflux), kunokufuneka unikwe amayeza anjenge-H2 blockers okanye i-proton pump inhibitors (PPIs).

Olu nyango lunokutshintsha ulwakhiwo lwe-esophagus yakho kwaye lunciphise iimpawu.

Unyango ekliniki

Ukuba amayeza ewodwa awasebenzi, ugqirha wakho unokucebisa inkqubo ebizwa ngokuba yi -esophageal dilation . Oku kwenziwa ngexesha le-endoscopy ephezulu. Ugqirha usebenzisa ibhaluni yotyando okanye uthotho lwee-dilators zotyando ukuze olule inxalenye encinci ye-esophagus. Oku kususa i-membrane, enokubangela ubunzima bokuginya.

Utyando

Uninzi lwabantu abaneentambo zomqala abadingi kutyando . Nangona kunjalo, ukuba unesifo esibi seentambo zomqala, inkqubo ebizwa ngokuba yi-electrocauterization ingasetyenziselwa ukususa izicubu ezichaphazelekayo. Oku kuquka ukusebenzisa ubushushu ukusika intambo.

Kuza kwenzeka ntoni emva konyango? (Imbono)

Ngonyango, le meko inokunyamezeleka kakuhle . Kwabaninzi, iimpawu ziyaphela emva kokuvulwa komqala. Nangona kunjalo, njengoko bekutshiwo ngaphambili, kwiimeko ezinzima, abanye abantu banokuphinda babe nale meko, kwaye banokufuna unyango lokuvulwa kwakhona. Nangona kunjalo, oku kunqabile kakhulu .

Ngaba oku kungathintelwa ukuba kwenzeke?

Akukho ndlela ichanekileyo yokuthintela uphuhliso lwee-esophageal webs. Nangona kunjalo, ukulawula iimeko ezinxulumene noko, ezifana ne-iron-deficiency anemia kunye ne-acid reflux (GERD), kunokunceda ukunciphisa umngcipheko wokuphuhliswa kwazo.

Ufanele uye nini kugqirha?

Ukuba uneempawu ezikwenza kube nzima ukuginya, xelela ugqirha wakho. Emva koko banokufumanisa unobangela baze bakucebise ngonyango olufanelekileyo. Musa ukuyityeshela kuba yingxaki encinci, kuba kulula ukuyinyanga ukuba ibonwe kwangethuba.

Yeyiphi imibuzo onokuyibuza ugqirha?

Ukuba ufunyaniswe une-esophageal web, ungabuza ugqirha wakho imibuzo efana nale:

• Ngaba ndifuna unyango?
• Luhlobo luni lonyango olucetyiswayo?
• Ngaba ndinazo naziphi na ezinye iimeko zempilo ezifihlakeleyo ezinxulumene nale `(Esophageal Web)`?
• Ngaba kuya kufuneka ndiqhubeke ndisela amayeza?
• Ndingenza ntoni ukunciphisa iimpawu zam?

Khumbula, ukuginya akufuneki kube buhlungu okanye kube nzima. Ukuba kunjalo, kungaba luphawu lokuba kukho into engalunganga.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuginya ukutya akufanele kube buhlungu okanye kungakukhathazi. Ukuba uziva ngaloo ndlela, lixesha lokuba uhlolwe into ethile. Le meko ibizwa ngokuba yi-esophageal web ayisoloko iyingozi . Nangona kunjalo, ukuba uhlangabezana neempawu, kungcono ukuthetha nogqirha. Angafumanisa unobangela oyintloko aze akunike isicwangciso sonyango esifanelekileyo. Ngoko ke, khathalela umzimba wakho, kuba impilo yeyona nto ibalulekileyo!

Ulwelwesi lwesisu , ubunzima bokuginya, isifo se-esophagitis, isifo sePlummer-Vinson, ukungabikho kwesinyithi, i-endoscopy, uphando lwe-barium