Ngaba nawe uginya ukutya nokusela ngasese? Masithethe ngeSilent Aspiration!

Kuqhelekile ukuminxeka kancinci xa sisitya okanye sisela. Kodwa ubusazi na ukuba ngamanye amaxesha izinto ezifana nokutya neziselo zinokungena kwimibhobho yethu yomoya ngaphandle kokuba siqaphele ukukhwehlela okanye ukungakhululeki? Yiloo nto siyibiza ngokuba yi-"silent aspiration." Le yinto ekufuneka siyilumkele, ingakumbi kubazali babantwana abancinci.

Yintoni i-Silent Aspiration?

Ngamafutshane, "Umoya Othuleyo" kuxa uphefumlela ukutya, isiselo, amathe, okanye i-asidi yesisu ngempazamo kwi-windpipe yakho (trachea). Ngokwesiqhelo, xa siginya, imithambo-luvo kunye nemisipha emlonyeni nasemphinjeni wethu zisebenza kunye ukutyhala ukutya ngqo esiswini, endaweni yokuya kwi-windpipe. Kukho i-flap encinci phezulu emqaleni wethu ebizwa ngokuba yi-"Epiglottis". Xa siginya, le flap iyavaleka, igqume i-windpipe. Ngoko ke xa le mithambo-luvo, imisipha, kunye ne-"Epiglottis" zisebenza kakuhle, ukutya kungena esiswini kwaye umoya uye emiphungeni.

Kodwa umntu onomoya othi "Silent Aspiration" akakhohlisi okanye azive ngathi ezi zinto zingene kwi-windpipe. Yiyo loo nto igama elithi "silent" longezwa kuyo. Ngale ndlela, kungekuphela nje ukutya, isiselo, namathe, kodwa nakwabanye abantu, i-asidi yesisu (i-asidi enyukayo emphinjeni kwiimeko ezifana ne-gastritis - "i-Acid Reflux") inokungena ngasese kwi-windpipe.

Oku kwenza ntoni emzimbeni?

Into encinci ebanjwa rhoqo kwindlela yomoya isenokungabi yingxaki enkulu. Uninzi lwexesha, imizimba yethu iyayikhupha.

Kodwa ukuba une-"Silent Aspiration", usenokungazi ukuba iyenzeka okanye ukuba iyenzeka kangaphi. Ukuba uhlala ufumana ulwelo kwiindlela zakho zomoya ngolu hlobo, unokufumana imeko ebizwa ngokuba yi-"Aspiration Pneumonia", eyinto ebangela usulelo kwimiphunga yakho. Ukuba ayinyangwa kakuhle, i-"Aspiration Pneumonia" inokuba yingozi kakhulu.

Zithini iimpawu zokuphelelwa ngamandla okuphefumla?

Abantu abane-"Silent Aspiration" basenokungabonakalisi zimpawu. Nangona kunjalo, ukuba kukho iimpawu, zinokwahluka ngokuxhomekeke kubudala bakho - okanye bomntwana wakho. Iintsana ezincinci ezine-"Silent Aspiration" zingabonakalisa iimpawu ezifana nezi:

• Izinga lokuphefumla kwakho liyanyuka okanye uphefumla ngelixa uncancisa.
• Uhlala ufumana umkhuhlane omncinci ngaphandle kwesizathu, okanye ufumana usulelo kwinkqubo yokuphefumla, ingakumbi imiphunga.
• Abathandi ukusela ubisi, bejika ubuso babo busuke ebhotileni okanye kubisi lwebele.
• Emva kokusela ubisi, kubakho isandi "esimanzi" kwilizwi, ngokungathi kukho i-mucus kulo, okanye isandi esinjalo xa ulila.

Abantwana abadala kunye nabantu abadala banokufumana ezi mpawu zilandelayo ukuba bane-"Silent Aspiration":

• Izinga lokuphefumla liyanda xa usitya.
• Ndivakalelwa ngathi kukho into ebambeke emqaleni wam.
• Abantwana abancinci bathi abanakutya baze bala.
• Impumlo yam iyavaleka emva kokuba ndigqibile ukutya, kodwa iyaphela emva kwexesha elithile.
• Kukho isandi esirhabaxa ngaphandle kwesizathu, kunye nesandi xa uphefumla.
• Emva kokutya, ilizwi liyatshintsha ngokungathi kukho umhluzi emqaleni.
• Izifo zokuphefumla ezifana ne-bronchitis zihlala zisenzeka.

Yintoni ebangela oku?

Zininzi izizathu zokuba "umoya othuleyo" unokwenzeka. Ngamanye amaxesha ungenzeka ngaphandle kwesizathu esicacileyo kwaye ungenzeka ngengozi. Kodwa uninzi lweziganeko zibonakala kubantu abaneengxaki zempilo eziphazamisana nenkqubo yokuginya. Umzekelo:

• Imilebe eqhekekileyo okanye incakuba eqhekekileyo.
• Ubunzima bokuginya (i-Dysphagia) okanye ukukhubazeka kwesandi.
• Isifo seGastroesophageal Reflux (GERD). Abantu abanale meko banokuvumela i-asidi yesisu ukuba ingene kwi-windpipe bengazi.
• Imeko ebizwa ngokuba yi-"Laryngomalacia." Oku kuchaphazela i-larynx yomntwana (ibhokisi yelizwi), enokubangela ubunzima bokuginya kwaye yonyuse umngcipheko we-"GERD."
• Iingxaki ezinxulumene nengqondo kunye nenkqubo yemithambo-luvo. Umzekelo, iimeko ezifana neCerebral Palsy, iMultiple Sclerosis (MS), ukuxhuzula, okanye ukwenzakala kwengqondo okanye istroke ngaphambili.
• Iityhubhu ezifakwa emphinjeni ngenxa yezinye iimeko zempilo. Umzekelo, ityhubhu ye-nasogastric okanye ityhubhu ye-tracheostomy.

Ngubani osengozini enkulu yokuphuhlisa oku?

Le meko ibizwa ngokuba yi-"Silent Aspiration" inokuchaphazela nabani na, ukususela kwiintsana ezincinci ukuya kubantu abadala. Kodwa makhe sijonge ukuba ngoobani abasengozini enkulu:

• Iintsana ezincinci: Iintsana azinakukuxelela ukuba zinomphimbo obuhlungu okanye zinengxaki yokutya. Ngoko ke kunzima ukufumanisa ukuba zinomoya othi "Silent Aspiration". Kwakhona, kuba zihlala zisitya ukutya okumanzi, kulula ukuba ulwelo lungene kwindlela yomoya kunokutya okuqinileyo.
• Abantu abanezifo ezingapheliyo okanye abakhubazekileyo: Izifo ezininzi, ezifana ne-multiple sclerosis (MS) okanye i-epilepsy, zinokuchaphazela amandla akho okuginya. Ezi meko zempilo ezichaphazela ukuginya zonyusa umngcipheko wokufunxa uthuli.
• Abantu abadala: Iimeko ezifana ne-dementia kunye ne-stroke zixhaphakile ekwaluphaleni. Ezi zinokubangela utshintsho kwindlela yokuginya kwaye zingakwenza ungazi ukuba kukho into ebambekileyo emqaleni wakho.

Uyibona njani le nto?

Xa uxilonga i-silent aspiration, into yokuqala ugqirha wakho adla ngokuyenza kukuhlola impumlo yakho, umlomo, kunye nemiphunga uze uxoxe ngembali yakho yezonyango. Ukuba umntwana wakho unezi mpawu, ugqirha wakho usenokuqala ngovavanyo olufanayo.

Ukuba kuyimfuneko, ugqirha angayalela uvavanyo oluthile ukuze lujonge ngaphakathi emqaleni wakho kwaye lujonge indlela oginya ngayo. Wena okanye umntwana wakho kusenokufuneka nenziwe uvavanyo olufana nolu:

• I-X-ray yesifuba:Olu luvavanyo olungenabuhlungu. Luthatha imifanekiso yemiphunga yakho nesifuba sakho. Lunokujonga i-pneumonia emiphungeni yakho luze lujonge izinto ezikwimiphunga yakho nakwinkqubo yokuphefumla.
• Uvavanyo lwe-Endoscopic ye-Fiber-optic yokuGwinya (IIMALI): Kolu vavanyo, ugqirha ufaka ityhubhu encinci enekhamera enamathele empumlweni yakho. Oku kunokubona ngaphakathi emqaleni wakho njengoko uginya. Ngamanye amaxesha, unokunikwa ulwelo olukhethekileyo ukuze luncede ubone kakuhle into oyiginyayo.
• I-Laryngoscopy: Kule nkqubo, ugqirha ujonga umqala wakho ngetyhubhu encinci exhotyiswe ngekhamera.
• Uthotho lwe-Upper GI: Ngaphambi kwale X-ray, uza kunikwa ulwelo (i-barium) ukuze ulusele, oluvela kwi-X-ray. Oku kunokunceda ekufumaneni iingxaki kwinkqubo yokugaya ukutya ezinokubangela izifo ezifana ne-GERD.

Iphathwa njani le nto?

Xa unyanga i-"Silent Aspiration", into yokuqala omawuyenze kunyango lwemeko ebangela loo nto. Umzekelo:

• Ukuba une-GERD, ugqirha wakho unokukunika amayeza okuthintela i-asidi yesisu ukuba ingangeni emqaleni wakho.
• Ukuba umntwana wakho ufunxa kancinci xa encancisa, ugqirha wakho unokucebisa ukuba umbambe umntwana wakho ame nkqo ngelixa encancisa. Le ndlela ime nkqo inokunceda umntwana wakho agwinye ubisi lwebele okanye ubisi oluyifomyula ngokulula.
• Iintsana ezihlala zikrwitshwa lubisi lwebele okanye ubisi lwefomyula zinokufuna ukutya okutshintshiweyo okunokutya okujiyileyo. Ukuba imeko imbi kakhulu, kunokufuneka zifakelwe ityhubhu yokutyisa okwethutyana ngempumlo okanye esiswini. Ngokwesiqhelo, oogqirha bayayisusa ityhubhu xa umntwana ekwazi ukuginya kakuhle.
• Umntu onomlomo okanye inkalakahla eqhekekileyo angaginya ngendlela eqhelekileyo xa sele elungisiwe ngotyando.

Emva kokunyanga unobangela oyintloko, ugqirha wakho unokwenza olunye uvavanyo ukuze abone ukuba amandla akho okuginya aphucukile na.

Ngaba ukuphefumla okuthuleyo kunokuthintelwa?

Akukho ndlela icacileyo yokuthintela "ukuphefumla okuthuleyo". Kodwa ungazigcina wena nomntwana wakho niphilile ngokubona ugqirha wakho rhoqo kwaye nihlolwe. Ukuba unamathandabuzo malunga nempilo yakho okanye impilo yomntwana wakho, thetha nogqirha wakho. Ugqirha wakho ukhona ukuthintela iingxaki zempilo kwaye anikeze unyango xa kufuneka.

Eyona nto ibalulekileyo kukuthetha nogqirha ukuba unamathandabuzo, nokuba mancinci kangakanani na.

Kuza kwenzeka ntoni ukuba ndine (Silent Aspiration)?

Kwiintsana, i-"Silent Aspiration" isenokuphela yodwa njengoko zikhula. Nangona kunjalo, ukuba iimpawu zakho okanye zomntwana wakho zibangelwa yimeko ethile yempilo, inyathelo lokuqala kukufumanisa ukuba yintoni unobangela.

Ukuba unobangela unyangwa ngokufanelekileyo, "iSilent Aspiration" inokuphiliswa rhoqo, kwaye ungaphila ubomi obusempilweni. Buza ugqirha wakho ukuba ufuna ukumbona rhoqo ukuze ajonge imeko yakho.

Ndifanele ndimbone nini ugqirha?

Ukuba umntwana wakho uneempawu zokuminxeka, okanye ukuba ucinga ukuba umntwana wakho unokuba "neSilent Aspiration," bona ugqirha womntwana wakho ngoko nangoko. Kwakhona, jonga ubunzima bomntwana wakho kwaye uye kuhlolwa impilo yakhe njengoko ugqirha wakho ecebisile. Oku kunokunceda ukuqinisekisa ukuba umntwana wakho ufumana isondlo asidingayo.

Ukuba uneempawu zeGERD okanye ubunzima bokuginya, yenza idinga lokubonana nogqirha. Ngokufumana uvavanyo olufanelekileyo kunye nokunyanga iimeko zakho zempilo, unokuthintela ukuphefumla okuthuleyo kunye nezinye iingxaki.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Funa uncedo lwezonyango olungxamisekileyo ngoko nangoko ukuba umntwana wakho unenye yezi zinto zilandelayo:

• Ukuba ulusu lujika lube luhlaza okwesibhakabhaka.
• Ukuba unengxaki yokuphefumla.
• Umkhuhlane ongaphezulu kwe-100.4 degrees F (38 degrees C) ukuba umntwana ungaphantsi kweenyanga ezi-3 ubudala, okanye umkhuhlane ongaphezulu kwe-102.2 degrees F (39 degrees C) ukuba umntwana uphakathi kweenyanga ezi-3 neminyaka emi-3 ubudala.
• Ukuba kunzima ukuvuka ebuthongweni.

Ukuba unayo nayiphi na kwezi mpawu, funa unyango olungxamisekileyo ngokukhawuleza:

• Ukuba awukwazi ukuginya ngendlela eqhelekileyo.
• Ukuba uziva ngathi unengxaki yokuphefumla okanye ukufuthanisela umoya.
• Ukuba unentlungu esifubeni.
• Ukuba uziva ngathi ukutya okanye into ethile ibambeke emqaleni okanye kuqhoqhoqho.

Ukufunxa into ethile kungayinto eyoyikisayo, ingakumbi ukuba kuchaphazela umntwana wakho. Kodwa iindaba ezimnandi zezokuba ukufunxa into ethile kungalawulwa okanye kunyangwe ngokunyanga unobangela oyintloko. Njengoko imithambo-luvo kunye nezihlunu zomntwana wakho zikhula kwaye zifunda ukusebenzisana, ngamanye amaxesha kuya kuba ngcono ngokwazo. Nokuba yintoni na unobangela, ugqirha wakho ukhona ukukunceda ufumane uvavanyo kunye nonyango olufunekayo. Thetha naye malunga neenkxalabo zakho. Emva koko, ungenza isicwangciso sokukunceda wena nomntwana wakho niphile ubomi obusempilweni.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku uyaqonda ngcono into ebesithetha ngayo, "Umoya Othuleyo". Eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza ukuba ukrokrela ukuba wena okanye umntwana wakho unale mpawu. Ngamanye amaxesha isenokungabi yinto enzulu, kodwa bubulumko ukuya kugqirha endaweni yokucinga ukuba kunjalo.

• Xa uncancisa umntwana wakho, nikela ingqalelo kwindlela aphefumla ngayo nathetha ngayo.
• Ukuba usoloko unefiva okanye usulelo lokuphefumla, lumka nalo.
• Ukuba ungumntu omdala, qaphela ukuba kukho ubunzima bokuginya kunye notshintsho emva kokutya.
• Nokuba yintoni na imbangela, kukho unyango. Ngoko ke musa ukoyika.

Impilo yakho neyentsapho yakho yeyona nto ibalulekileyo, ngoko ke kubaluleke kakhulu ukuqaphela izinto ezinje.

Ukufutha Okuthuleyo, Ubunzima Bokuginya, Ukufutha I-Pneumonia, Impilo Yomntwana, Iingxaki Zokuphefumla, Ukufutha Ukutya