Ingabe ngezinye izikhathi uzizwa sengathi kukhona okubhajwe emphinjeni noma esifubeni sakho uma ugwinya ukudla noma uphuza amanzi? Ingabe ukuthola kunzima ukugwinya ukudla, noma uzwa ubuhlungu uma ugwinya? Lena inkinga abantu abaningi ababhekana nayo. Isizathu salokhu kungaba ukuthi umphimbo wakho, okungukuthi, ipayipi lakho lokudla, lincane kancane. Lokhu akuyona into okufanele inganakwa. Namuhla sizokhuluma ngokwelashwa okulula nokuphumelelayo kwale nkinga.
Kuyini Ukwanda Kwe-Esophageal?
Kalula nje, lena inqubo yezokwelapha eyelula/ekhulisa umphimbo wakho, ipayipi elithwala ukudla kusuka emlonyeni wakho liye esiswini sakho. Cabanga ngepayipi elithwala amanzi, futhi uma livalekile ndawana thize, kuba nzima kakhulu ukuthi amanzi adlule kulo, akunjalo? Yilokho okwenzekayo ngomphimbo oncishisiwe. Ngakho-ke, lokhu kwelashwa okwenziwayo ukwandisa kancane kancane indawo evalekile, okwenza kube lula ukuthi ukudla kudlulele esiswini ngaphandle kwesithiyo.
Nakuba abanye abantu bebiza lokhu ngokuthi 'ukuhlinzwa kwesifuba', lokho akulona iqiniso ngokuphelele. Lokhu kungenxa yokuthi okunwetshwayo lapha akuwona umphimbo, kodwa ingxenye yomhubhe engaphansi kwawo.
Yiziphi izimpawu ezidinga lokhu kwelashwa?
Uma unalezi zimpawu, udokotela wakho angakutshela ngalokhu kwelashwa:
- Ubunzima bokugwinya: Ukuzwa sengathi ukudla kuyabhajwa.
- Ukuzwa kokuthile okubambeke emphinjeni noma esifubeni: Ukuzwa okuqhubekayo njengokungathi inqwaba yokudla ibambeke.
- Ubuhlungu lapho ugwinya: Ukuzwa ubuhlungu njalo uma ugwinya ukudla noma isiphuzo.
- Ukubuyela emuva: Ukubuyela kokudla esiswini kuya emphinjeni noma emlonyeni.
Uma unesinye noma ngaphezulu salezi zimpawu, ungazinaki njengokungathi zivamile. Qiniseka ukuthi ukhuluma nodokotela ngakho.
Yiziphi izimo eziphathwa nge-Esophageal Dilation?
Lokhu kwelashwa kusetshenziselwa kakhulu ukwelapha izimo eziningana ezinciphisa umphimbo. Ake sibheke ukuthi ziyini.
| Isimo sezokwelapha | Kalula nje... |
|---|---|
| Ukuqina Komqala | Lena yimbangela evame kakhulu. Ukusha kwezicubu emhubheni ngenxa yesifo sohudo esihlala isikhathi eside (i-acid reflux) kubangela ukuthi leyo ngxenye inciphe. |
| I-Achalasia | Kulesi simo, i-sphincter engxenyeni engezansi yomhubhe ayivuli kahle, okuvimbela ukudla ukuthi kungangeni esiswini futhi kubangele ukuthi kubhajwe. |
| Izindandatho Zomqala | Lezi yizindandatho zezicubu ezibomvu ezakha ngaphakathi komphimbo. Lokhu futhi kubangela ukuthi umphimbo ube mncane. |
| I-Eosinophilic Esophagitis | Lesi yisimo esifana nokungezwani komzimba. Uhlobo lweseli elimhlophe legazi emzimbeni luqongelela emgudwini bese lubangela ukuvuvukala. Lokhu kungabangela nokuthi umgudwini uvaleke. |
Ngingalungiselela kanjani ngaphambi kokwelashwa?
Nakuba lokhu kungesiwo ukuhlinzwa okukhulu, kudingeka ukulungiselela okuncane.
- Khuluma nodokotela wakho: Udokotela wakho uzobuza ngomlando wakho wezokwelapha ophelele. Kubaluleke kakhulu ukwethembeka nganoma yimiphi imithi, amavithamini, i-Ayurvedic noma ezinye izithasiselo ozithathayo .
- Yiba nesisu esingenalutho: Udokotela wakho uzokutshela ukuthi kufanele ugweme ukudla noma ukuphuza amahora amangaki ngaphambi kokwelashwa. Isisu esingenalutho sibalulekile ukuze ukwelashwa kuphephe. Ngakho landela leyo miyalelo ngqo.
Kwenziwa kanjani ukwelashwa?
Empeleni lena inqubo elula kakhulu ethatha cishe imizuzu eyi-15 ukuqeda. Asikho isidingo sokukhathazeka.
1. Ukuba ndikindiki: Okokuqala, umphimbo wakho nendawo ezungeze umphimbo wakho kuzovandisiwe ukuze ungazizwa ungakhululekile. Ungase unikezwe nomuthi omncane wokudambisa ukuze uhlale uzolile.
2. Ukufakwa kwe-endoscope: Okulandelayo, udokotela wezifo zamathumbu uzofaka ithubhu elincane elifakwe ikhamera (i-endoscope) ngomlomo wakho bese ehlola umphimbo wakho.
3. Ukwandisa umphimbo: Yilapho umsebenzi wangempela wenziwa khona. Udokotela angasebenzisa enye yezindlela ezimbili.
- Ukwanda kwebhaluni:Idivayisi encane efana nebhaluni ifakwa endaweni evinjiwe bese ifuthwa umoya noma amanzi, okwenza indawo ikhule kancane kancane. Lena yindlela evame ukusetshenziswa kakhulu.
- Ukwanda kwe-Bougie: Ngezinye izikhathi, uma kunezithiyo eziningi, lokhu kwenziwa kusetshenziswa uchungechunge lwamapayipi epulasitiki amancane (ama-bougies) akhula kancane kancane ngobukhulu.
4. Ukuqedwa: Uma umphimbo usuvuleke waba usayizi ofunekayo, idivayisi isuswa ngokucophelela. Uzobe usubhekwa isikhashana futhi, ezimweni eziningi, uvunyelwe ukuya ekhaya ngalolo suku.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Izinzuzo
Inzuzo enkulu yalokhu ukuthi kunikeza impumuzo esheshayo ezinkingeni zokugwinya. Abanye abantu bangakwenza kanye. Abanye kungadingeka bakwenze futhi ngemva kwesikhashana. Kodwa ezimweni eziningi, ungahlala izinyanga, ngisho neminyaka, ngaphandle kwezinkinga. Lokhu kuyindlela yokwelapha ephephile kakhulu, engenangozi kakhulu. Le ndlela ingalapha ngempumelelo amacala angaphezu kuka-90% okuqina komphimbo .
Izingozi
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinkinga ezithile ezingavamile kakhulu ezingaba khona.
- Ukopha ngokweqile
- Ukubhoboka kwe-esophagus
- Ukusabela emithini esetshenziselwa ukubulala izinzwa
Kodwa khumbula, lezi azivamile kakhulu futhi ithimba lakho lezokwelapha likulungele ngokugcwele ukubhekana nesimo esinjalo.
Kuthatha isikhathi esingakanani ukuphulukiswa? Futhi kufanele ngenzeni ngemva kwalokho?
Iningi labantu lingaqhubeka nemisebenzi yalo evamile ngosuku olulandelayo ngemuva kokwelashwa. Kodwa-ke, ungase uzwe ubuhlungu bomphimbo, ubuhlungu, noma ukungakhululeki esifubeni sakho izinsuku ezimbili noma ezintathu. Lokhu kuvamile , ngakho ungakhathazeki.
Kulezo zinsuku ezimbalwa, ungathola impumuzo ngokudla ukudla okumanzi noma okuthambile njengeyogathi, i-pudding, i-jelly, isobho, namazambane acutshunguliwe. Kungcono ukuyeka ukudla okuqinile, okubabayo njengama-cracker izinsuku ezimbalwa. Udokotela wakho uzokweluleka futhi ngalokhu.
| Funa iseluleko sezokwelapha ngokushesha! | |
|---|---|
| Uma unezinye zalezi zimpawu, bona udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. | |
| Isici sengozi | Incazelo |
| Igazi esitulweni | Umnyama, indle ephuzi noma igazi elibomvu. |
| Ubuhlungu obukhulu besifuba | Ubuhlungu obungaphezu kokuvamile futhi obungabekezeleleki ngemva kokwelashwa. |
| Imfiva | Umkhuhlane ongu-39.4°C (103°F) noma ngaphezulu. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula noma umuzwa wokuminyana. |
| Ukuhlanza igazi | Ukuhlanza ngegazi elibomvu noma into efana nekhofi elicwebezelayo. |
Umlayezo Wokuya Nawe Ekhaya
- Ungazinaki izinto ezinjengobunzima bokugwinya kanye nomphimbo obuhlungu njengokujwayelekile. Lokhu kungaba izimpawu zokuncipha komphimbo.
- Ukwanda Komqala kuyindlela elula, ephephile, futhi ephumelela kakhulu yokwelapha eyandisa umphimbo.
- Lokhu kwelashwa kuthatha imizuzu eyi-15 kuphela, futhi ezimweni eziningi, ungaya ekhaya ngalolo suku.
- Kujwayelekile ukuzwa ubuhlungu obuncane bomphimbo ngemva kokwelashwa. Kodwa-ke, uma uzwa izimpawu ezifana nobuhlungu obukhulu besifuba, ukuhlanza igazi, noma umkhuhlane omkhulu, funa iseluleko sikadokotela ngokushesha .
- Uma unalezi zimpawu, ungesabi ukukhuluma nodokotela wakho ubuze ukuthi lokhu kwelashwa kukufanele yini.
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