Ngaba nawe unengxaki yokuginya ukutya? Mhlawumbi kungenxa ye-'Schatzki Ring'!

Xa usitya, ingakumbi into eyomileyo njengesonka okanye iqhekeza lenyama elingahlafunwanga kakuhle, ngaba uziva ngathi umphimbo wakho uvalekile? Okanye uziva intlungu embindini wesifuba sakho? Ngamanye amaxesha ezi zinto zikwenza uzive ngathi awufuni kutya, akunjalo? Ukuba unezi ntlobo zokungakhululeki, unobangela unokuba yingxaki encinci kumqala wakho, oko kukuthi, umbhobho wakho wokutya. Namhlanje siza kuthetha ngemeko enjalo, ebizwa ngokuba yi-'Schatzki Ring'.

Yintoni le 'Schatzki Ring'? Masiyiqonde ngokulula, akunjalo?

Khawuthelekelele ukuba ezantsi kombhobho wakho wokutya (oogqirha bawubiza ngokuba yi-esophagus), apho ukutya kungena khona esiswini sakho, kukho indandatho encinci yezicubu ezongezelelweyo. Kufana nebhendi yerabha ngaphakathi kombhobho wakho wokutya. Loo ndandatho yongezelelweyo yezicubu ibizwa ngokuba yiSchatzki Ring . Ithiywe ngegama lengcali ye-radiologist eyayifumana okokuqala, uRichard Schatzki.

Ngoku kwenzeka ntoni ngenxa yale ring? Umphimbo uba mxinwa kancinci, oko kukuthi, uba mxinwa ngakumbi. Emva koko, xa uginya ukutya, kuba nzima ukuba ezo ziqwenga zokutya zidlulele esiswini. Ngamanye amaxesha, ukuba oku kuba mxinwa kangangokuba iziqwenga zokutya zinokunamathela apho zingadluli nasesiswini. Oku sikubiza ngokuba kubunzima bokuginya (dysphagia) .

Nangona kunjalo, ayinguye wonke umntu oneringi yeSchatzki oya kuba neempawu ezinkulu. Abanye abantu bafumanisa ukuba banayo ngengozi xa bevavanywa enye ingxaki. Ukuba awunangxaki enkulu yokuginya, usenokungadingi unyango.

Zithini iimpawu ze-'Schatzki Ring'? Jonga ukuba nawe unazo ezi

Uphawu oluphambili kubunzima bokuginya (i-dysphagia) esixoxe ngayo ngaphambili. Nangona kunjalo, kunokubakho ezinye iimpawu ezininzi:

• Ukuchaphazeleka kokutya: Emva nje kokuba uqalile ukutya, iqhekeza lokutya linokunamathela kwiringi yeSchatzki xa uzama ukuginya. Oku kunokwenza kube nzima ukuginya nethontsi lamanzi. Ngamanye amaxesha, unokufumana intlungu ebukhali okanye imvakalelo yokutsha xa uginya (odynophagia) . Ungazama ukukhupha iqhekeza lokutya elinamatheleyo emqaleni wakho, kwaye usenokuhlanza.
• Intlungu yesifuba engeyiyo eyentliziyo: Oku kunokuvakala ngathi kukho into ebambeke esifubeni. Abanye abantu banokuxhalaba kukuba kukuhlaselwa yintliziyo. Nangona kunjalo, oku akuyongxaki yentliziyo.

Uninzi lwexesha, ezi mpawu zibonakala emva kokutya izinto ezifana nesonka esidala okanye inyama engaphekwanga kakuhle. Ezi mpawu aziveli ngequbuliso, kodwa zikhula kancinci kancinci. Nangona le meko inokuqala nakuwuphi na ubudala, idla ngokubonakala emva kweminyaka engama-25. Khawuthelekelele indlela ekunzima ngayo xa uye epatini nabahlobo bakho uze ngequbuliso ube nobunzima bokuginya iqhekeza lenyama.

Kutheni le nto le 'Schatzki Ring' isenziwa? Zithini izizathu?

Isizathu esichanekileyo soku asikacaci. Isenokuba yimeko yokuzalwa , oko kuthetha ukuba uzalwe nayo.

Kodwa abaphandi bakholelwa ukuba ezinye izinto zinokudlala indima. Umzekelo, i-asidi yesisu ephuma iye kwi-esophagus icingelwa ukuba yeyona nto iphambili. Iingcali zikholelwa ukuba xa i-asidi yesisu okanye amayeza athile elimaza ngokuphindaphindiweyo inxalenye esezantsi ye-esophagus, izicubu ezongezelelweyo ziyakhula kuloo ndawo njengoko ukwenzakala kuphola. Cinga ngako njengesilonda esenzeka eluswini lwethu xa sifumana isilonda.

Kukho ezinye iimeko ezininzi ezinokubangela ukwakheka kwale `(isangqa seSchatzki):

• Isifo se-Gastroesophageal Reflux (GERD): Olu luhlobo olubi kakhulu lwe-gastritis, uninzi lwethu esilwaziyo. I-GERD yimeko apho i-asidi yesisu ihlala ibuyela kwi-esophagus. Le asidi inokonakalisa ulwelo lwe-esophagus.
• I-hernia yokuzala: Abanye abantu bacinga ukuba i-hernia yokuzala kunye neringi ye-Schatzki zizinto ezifanayo. Nangona kunjalo, azinjalo. Nangona kunjalo, kukho unxibelelwano phakathi kwezi zimbini. Abantu abaninzi abaneringi ye-Schatzki nabo bane-hernia yokuzala. Oku kulapho inxalenye ephezulu yesisu ityhala phezulu ngomngxuma omncinci kwi-diaphragm. Oku kuvumela ukuba umxholo wesisu, njenge-asidi, ungene ngokulula kwi-esophagus. Oku kunokonakalisa i-esophagus.

Oogqirha bayifumana njani iRingi yeSchatzki?

Ukuba unengxaki yokuginya, ugqirha wakho uza kuqala akuxilonge umzimba . Baza kukubuza ngeempawu zakho, ingakumbi ukutya okwenza ubunzima bakho bube mandundu. Ukuba baneenkxalabo, banokukuthumela kwi -gastroenterologist .

Loo ngcali ingenza ezi mvavanyo:

• I-Endoscopy: Oku kuquka ukufaka ityhubhu ende neguquguqukayo (ebizwa ngokuba yi-endoscope) enekhamera encinci kunye nokukhanya okufakwe emlonyeni kunye nokuhlola ingaphakathi le-esophagus. Oku kuvumela ukuba iringi yeSchatzki ibonakale ngokuthe ngqo.
• I-Barium esophagram: Oku ngamanye amaxesha kubizwa ngokuba luvavanyo lokugwinya lwe-barium . Kolu vavanyo, uginya ithebhulethi okanye ulwelo olwenziwe ngesisombululo esibizwa ngokuba yi-barium. Emva koko, ugqirha usebenzisa i-X-ray ye-fluoroscopic (imifanekiso ye-X-ray ehambayo) ukuze abukele ukutya kudlula kwi-esophagus yakho njengoko uyiginya. Oku kunokunika umbono wobungakanani beringi, okanye ukuba i-esophagus yakho incinci kangakanani.

Into ebalulekileyo kukuba njengoko esi sangqa sezicubu sikhula, indawo engaphakathi komphimbo wakho iya isiba ncinci. Kulapho kuba nzima khona ukuba ukutya kungene esiswini sakho.

Iphathwa njani iRing yeSchatzki?

Ingcali yakho yesisu inokwenza i- esophagogastroduodenoscopy (EGD) kunye nokuvulwa komqala . Ungakhathazeki, le yinkqubo ende, kodwa inkqubo ilula.

Okwenzekayo koku kukuba, kusetyenziswa i-"endoscope", oko kukuthi, ityhubhu enekhamera, ibhaluni encinci okanye i-dilator ithunyelwa kwi-esophagus. Emva koko, kwindawo ye-"Schatzki ring", le bhaluni okanye isixhobo siyavuthelwa, kwaye indawo encitshisiweyo iyandiswa. Kufana nokwenza ityhubhu encitshisiweyo ibe nkulu kancinci. Oku kutsala loo ring eyongezelelweyo yezicubu.

Ngaba unyango lunokubangela iziphumo ebezingalindelekanga?

Kunokubakho iziphumo ebezingalindelekanga ezincinci emva kwenkqubo yokwandisa umphimbo (EGD), kodwa ezi azisoloko zimbi kakhulu.

• Ukopha kancinci
• Isitshiso sentliziyo, njenge-gastritis
• Umqala obuhkungu

Kodwa kunqabile kakhulu , xa oku kwandiswa komqala, udonga lomqala lunokukrazuka kancinci (lukrazule umngxuma). Le yimeko enzima. Ke ngoko, ukuba ufumana naziphi na ezi mpawu zilandelayo emva konyango , kufuneka wazise ugqirha wakho ngoko nangoko :

• Ukuba ukwimeko apho ungakwazi ukuginya
• Ukuba unengxaki yokuphefumla
• Ukuba unentlungu eqatha esifubeni
• Ukuba uhlanza igazi

Ukuba kwenzeka into efana nale, ungalibazisi nakancinci, kulungile?

Yintoni onokuyilindela ukuba une-'Schatzki Ring'?

Ngokwesiqhelo, emva kokwanda komqala, ukutya okubambekayo ngenxa yendandatho yeSchatzki kuya kuyeka kakhulu. Uya kukwazi ukuginya ukutya ngokulula kwakhona.

Nangona kunjalo, kunokwenzeka ukuba le ringi 'ibuye'. Ukuba oko kuyenzeka, unokufuna ukubona ugqirha wakho kwakhona kwaye mhlawumbi ufumane olunye unyango. Ngoko ke kubalulekile ukuba uqaphele iimpawu.

Ndingazinyamekela njani? Ndingenza ntoni?

Ukuba unengxaki yokuginya ngenxa yeringi yeSchatzki, unokuba neengxaki ezingaphezulu, ingakumbi xa usitya izinto ezifana nesonka esomileyo okanye iziqwenga ezinkulu zenyama. Ugqirha wakho unokukucebisa ukuba ugxile ekutyeni okuthambileyo okwethutyana ngaphambi nasemva konyango.

• Imifuno ephekiweyo kakuhle kunye nerayisi
• Iintlobo zesuphu
• Iziqhamo ezithambileyo ezifana neebhanana kunye neepapaya
• Iyogathi, ubisi oluncitshisiweyo

Ezi zinto kulula ukuziginya. Xa usitya , hlafuna ukutya kwakho kakuhle, kuginye kancinci kancinci.Kubaluleke kakhulu ukuqhela. Musa ukuphuma uye kutya ungxamile.

Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Ukuba uziva ngathi iimpawu zakho ziyabuya, njengokukrwitshwa okanye iintlungu zesifuba, qiniseka ukuba ubona ugqirha wakho wesisu kwakhona. Usenokufuna ukwenza uvavanyo oluthe kratya ukuze abone ukuba iringi kaSchatzki iphinde yavela na.

Ngaba le 'Schatzki Ring' ayiphucuki ngokwayo?

Hayi, le ayisiyomeko eza kuba ngcono ngokwayo. Ukuze ulahle `(isangqa seSchatzki)`, kufuneka ufumane unyango. Nokuba unyango olunjalo, njengoko besitshilo ngaphambili, le meko inokuphinda ivele. Emva koko unyango luya kufuneka kwakhona.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukutya kudla ngokuba lixesha apho siphumla khona, sonwabele isidlo esimnandi, mhlawumbi sichithe ixesha nosapho. Kodwa ukuba une "ring yeSchatzki" emqaleni wakho, olo lonwabo lunokulahleka xa unengxaki yokuginya ukutya, kwaye nokutya kunokuba yintlungu.

Eyona nto ingcono onokuyenza ukuba unezi mpawu kukufuna iingcebiso zonyango ngaphandle kokuzityeshela.

Unyango lunokunciphisa kakhulu iimpawu zendandatho yeSchatzki. Ukuba uvavanyo luqinisekisa ukuba unale meko, thetha nogqirha wakho malunga nonyango olungcono kuwe. Uza kukuchazela ukhetho lwakho kunye noko unokukulindela kunyango. Ungakhathazeki, kukho unyango olusebenzayo koku!

Indandatho yeSchatzki , i-dysphagia, ubunzima bokuginya, i-esophagus, i-GERD, i-hiatal hernia, i-endoscopy, i-esophageal dilation