Ingabe umphimbo wakho nawo unenkinga? Ake sixoxe ngezinkinga zomqala!

Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokugwinya uma udla? Noma uthola umuzwa oshisayo esifubeni sakho noma umuzwa wokuthi kukhona okubhajwe emphinjeni wakho? Lezi akuzona nje izinto ezingahleliwe. Lezi zingaba izimpawu zenkinga ngomhubhe wakho, okungukuthi, ipayipi lakho lokudla. Namuhla, sizoxoxa ngalezi zinkinga zomhubhe. Ungakhathazeki, kubaluleke kakhulu ukuqaphela lokhu.

Iyini 'i-esophagus'? Izifo zomhubhe ziqala kanjani?

Kalula nje, i-esophagus iyipayipi elenziwe ngemisipha ethwala ukudla kusuka emlonyeni wethu kuya esiswini sethu. Kufana nepayipi lamanzi, kodwa kuyinkimbinkimbi kakhulu. Uma le payipi yokudla ingasebenzi kahle, noma uma inezinkinga ezithile, siyibiza ngokuthi isifo somqala. Ubunzima bokugwinya ukudla, noma lokho odokotela abakubiza ngokuthi (Dysphagia) , kungenye yezinto eziyinhloko ezingenzeka ngenxa yalezi zifo.

Isifo esivame kakhulu kulezi yisifo se-gastroesophageal reflux (GERD). Lokhu kwenzeka lapho i-asidi yesisu, noma i-asidi, ibuyela phezulu emphinjeni, okubangela ukucasuka nokuvuvukala kolwelwesi oluthambile lwe-esophagus.

Yiziphi izinhlobo eziyinhloko zezifo ezenzeka emphinjeni?

Kunezinhlobo eziningana zezifo ezingase zivele emphinjeni. Ake sibheke ezimbalwa zazo.

• I-GERD (Isifo Sokuphindezela Kwesisu Esingamahlalakhona): Yilokhu engikushilo ekuqaleni, isifo esivame kakhulu. Engxenyeni engezansi yomsipha, kukhona umsipha ofana ne-valve obizwa ngokuthi i-Lower Esophageal Sphincter . Uma lo msipha ungavali kahle, i-asidi yesisu nokudla kuyabuya. Cabanga ngakho njengebhodlela elingenaso isivalo esiqinile bese okuqukethwe kuphuma.

• I-Achalasia: Lokhu kwenzeka lapho imisipha ye-sphincter engezansi yomphimbo engikhulume ngayo ekuqaleni ingavuli kahle, noma ingaphumuli. Lokhu kuvimbela ukudla ukuthi kungangeni esiswini. Abanye ochwepheshe bakholelwa ukuthi lokhu kungaba yisifo sokuzivikela komzimba . Lokhu kusho ukuthi amasosha omzimba wethu ahlasela amangqamuzana ethu. Kodwa-ke, imbangela eqondile ayikatholakali. Lokhu kungase kube ngenxa yomonakalo wemizwa elawula imisipha yomphimbo.

• I-Barrett's Esophagus: Lesi yisimo esibucayi kancane. Uma i-GERD ingelashwa isikhathi eside , ulwelwesi lwe-esophagus engezansi luqala ukufana nolwelwesi lwesisu. Amaseli lapho aqala ukufana namaseli asemathunjini. Lezi zinguquko zenzeka lapho kuhlangana khona i-esophagus nesisu. Lesi simo sandisa ingozi yomdlavuza we-esophagus .

• I-Eosinophilic Esophagitis: Sinohlobo lweseli elimhlophe legazi elibizwa ngokuthi ama-eosinophils egazini lethu. Uma la maseli eqoqana ngokweqile ku-esophagus, ulwelwesi lwe-esophagus lungavuvukala, noma luvuvuke. Odokotela bakubiza lokhu ngokuthiLesi simo esibizwa nangokuthi i-esophagitis , sivame ukubonakala kubantu abanezinkinga eziningi zokungezwani komzimba.

• Umdlavuza Wesisu: Kunezinhlobo ezimbili eziyinhloko zomdlavuza womphimbo: I-Squamous cell carcinoma kanye ne-Adenocarcinoma . Ukubhema, ukwelashwa ngemisebe, kanye nokutheleleka nge-HPV ngokuvamile kuhlotshaniswa nengozi eyengeziwe ye- squamous cell carcinoma . Ukubhema kanye ne-acid reflux nakho kuhlotshaniswa nengozi eyengeziwe ye -adenocarcinoma .

• I-Esophageal Diverticulum: Lokhu kuphuma okuncane okufana nesikhwama kusuka endaweni ebuthakathaka emhubheni. Abantu abane- achalasia banamathuba amaningi okuthuthukisa lolu hlobo lwe-diverticula.

• Ukuqaqamba Komqala: Lokhu kungukufinyela okungazelelwe kwemisipha emqaleni . Lesi yisimo esibuhlungu kakhulu futhi esingavamile. Lokhu kuvimbela ukudla ukuthi kwehle kuye esiswini.

• Ukuqina Komqala: Lokhu kwenzeka lapho umphimbo uba mncane kakhulu, okwenza kube nzima ukuthi ukudla noketshezi kudlulele esiswini.

• I-Hiatal Hernias: Lokhu kwenzeka lapho ingxenye engenhla yesisu isunduza idlule ngembobo e-diaphragm iye esifubeni. Lesi simo singandisa ne-acid reflux.

Yiziphi izinto ezingabangela izifo zomphimbo?

Ezinye izinto zandisa ingozi yokuthola izifo zalesi sigaba somzimba. Ake sibheke ukuthi ziyini:

• Ukusetshenziswa kotshwala.
• Ukukhuluphala ngokweqile ngenxa yokukhuluphala noma ukukhulelwa.
• Eminye imithi , isibonelo, eminye imithi elwa namagciwane , imithi yokucindezeleka, kanye nemithi yokunciphisa ubuhlungu .
• Uma uke welashwa ngemisebe entanyeni noma esifubeni sakho .
• Ukubhema , kanye nokuphefumula intuthu lapho abanye bebhema (intuthu ebhemayo).

Ingabe nawe unalezi zimpawu?

Izimpawu zingahluka kuye ngohlobo lokutheleleka komphimbo. Ungase ubhekane nezinto ezifana nalezi:

• Ubuhlungu besisu, ubuhlungu besifuba, noma ubuhlungu bomhlane.
• Ukukhwehlela okuqhubekayo noma umphimbo obuhlungu.
• Ubunzima bokugwinya ukudla noma umuzwa wokudla ubhajwa emphinjeni.
• Isishiso senhliziyo - umuzwa oshisayo esifubeni.
• Ukuhosha noma ukuphefumula kanzima uma uphefumula.
• Ukungagayeki kahle kokudla - Lokhu kusho umuzwa wobuhlungu esiswini.
• Ukuphinda udle noma ukuhlanza ukudla noma i-asidi yesisu ebuyela emphinjeni.
• Ukuba mncane ngaphandle kwesizathu.

Okubalulekile: Uma uqhubeka nokuba nesinye noma ngaphezulu salezi zimpawu, qiniseka ukuthi ufuna iseluleko sezokwelapha. Uma lesi sifo sisheshe sibonakale, kuba lula ukwelapha.

Ungazithola kanjani lezi zifo ngokunembile?

Udokotela wakho uzoqala ngokukubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Bangase bakuzwe nomphimbo wakho njengoba ugwinya.

Ukuhlolwa okulandelayo kwenziwa ukuze kutholakale izifo ze-larynx:

• I-Upper Endoscopy: Lokhu kuhilela ukufaka ipayipi elide nelincane (i-scope) ngomlomo wakho ukuze kuhlolwe ingxenye engenhla yesistimu yakho yokugaya ukudla. Phakathi nale nqubo, udokotela wakho angase athathe amasampula ezicubu (ama-biopsy) ukuze ahlole ukuvuvukala, amangqamuzana omdlavuza, noma ezinye izifo.
• I-X-ray yesistimu yokugaya ukudla (i-Barium Swallow): Kulokhu, kuphuzwa uketshezi olubizwa ngokuthi i-barium bese kuthathwa izithombe ze-X-ray njengoba luhamba nge-esophagus kanye nesistimu yokugaya ukudla.
• I-Esophageal Manometry: Lokhu kuhlolwa kulinganisa ukuthi imisipha esesifubeni sakho kanye ne-sphincter engezansi ye-esophageal isebenza kahle kangakanani uma ugwinya uketshezi.
• Ukuhlolwa kwe-pH yesisu: Lokhu kulinganisa inani le-asidi yesisu (izinga le-pH) ku-esophagus.

Yiziphi izindlela zokwelapha lokhu?

Izindlela zokwelapha ziyahlukahluka kuye ngesimo. Nazi ezinye zazo:

• Imithi efana nama-antacid , ama-proton pump inhibitors (PPIs), kanye nama-histamine receptor blockers (H2) inikezwa ukunciphisa i-asidi yesisu.
• Inqubo ebizwa ngokuthi i-endoscopic dilation isetshenziselwa ukwandisa umphimbo onciphile noma ukukhulula imisipha enciphile.
• I-Botulinum toxin (Botox®) ifakwa ukuze kumiswe ukufinyela okungajwayelekile kwemisipha ku-sphincter yomphimbo noma ukuze kuphumule imisipha efinyelayo.
• Ukuhlinzwa okubizwa ngokuthi i-esophagectomy kwenziwa ukuze kususwe ingxenye noma wonke umphimbo onesifo.
• Ukwelapha izimo ezifana ne -GERD noma i-hernia yokubeletha , kwenziwa ukuhlinzwa kwe-laparoscopic antireflux (i-Nissen Fundoplication) ukuze kuqiniswe i-sphincter engezansi yomphimbo.
• Izimo ezifana ne -achalasia kanye nokuqaqamba komphimbo zelashwa nge- Heller Myotomy kanye ne-Peroral Endoscopic Myotomy (POEM) .

Yini okufanele siyenze ukuze sihlale siphephile ezifweni zomphimbo? (Ukuvimbela)

(GERD) , okusho ukuthi i-acid reflux, ingaholela kwezinye izifo ezinkulu zomqala uma ingelashwa kahle. Ngakho-ke, (GERD)Futhi ungenza lezi zinto ukuvimbela noma ukunciphisa izinkinga ngomqala wakho:

• Gwema ukudla ebusuku kakhulu. Linda okungenani amahora amathathu ngemva kokudla ngaphambi kokulala phansi.
• Nciphisa ukudla okunongwe, okunamafutha, okusekelwe kutamatisi noma okune-citrus, kanye neziphuzo ezine-caffeine ne-carbonated.
• Yidla ukudla okuncane kaningana ngosuku. Yidla kancane uma udla. Yeka ukudla amahora ambalwa ngaphambi kokulala.
• Nciphisa ukuphuza kwakho utshwala. Uma ubhema, thola usizo lokuyeka.
• Uma ulele, gcina ikhanda lombhede liphakeme noma ulale nekhanda lakho liphakeme ngomcamelo.
• Hlala umatasa ngokomzimba futhi ugcine isisindo sakho siphilile.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma zingelashwa kahle, ezinye izifo zomphimbo, njenge -GERD kanye ne-achalasia, zingandisa ingozi yomdlavuza womphimbo .

Ukubuyela esimeni ngezinye izikhathi kungabangela ukudla ukuthi kukhuphuke nge-trachea kuye emaphashini. Lokhu kubizwa ngokuthi i-aspiration . Lokhu kungaholela ekuthelelekeni yi-pneumonia kanye namaphaphu. Ubunzima bokugwinya bungandisa nengozi yokungondleki kahle kanye nokuphelelwa amanzi emzimbeni .

Liyini ikusasa lalabo abanalezi zifo? (I-Outlook)

Iningi labantu abanezinkinga zomphimbo bangakwazi ukulawula izimpawu zabo ngemithi etholakala ngaphandle kwemithi kadokotela noma ngemithi kadokotela. Kodwa-ke, ezinye izimo, njengomdlavuza womphimbo noma i-achalasia, zingadinga ukuhlinzwa. Kanye nokwelashwa, ungalawula nezimpawu zakho ngokwenza izinguquko ekudleni kwakho nasendleleni yakho yokuphila .

Imibuzo ebalulekile okufanele uyibuze udokotela wakho

Kungumqondo omuhle ukubuza udokotela wakho le mibuzo:

• Uhlobo luni lwe-gonorrhea enginalo?
• Kungani ngithole lesi sifo somphimbo?
• Yikuphi ukwelashwa okungcono kakhulu kwalolu hlobo lwesifo somphimbo?
• Ziyini izingozi nemiphumela emibi yokwelashwa?
• Ingabe ngisengozini yokuthola ezinye izifo ezithathelwana ngocansi?
• Yiziphi izinguquko okufanele ngizenze ekudleni noma endleleni yami yokuphila ukuze ngivikele impilo yami?
• Ingabe kufanele ngikhathazeke ngezinkinga?

Umyalezo Wokugcina Wokuya Nasekhaya

Izifo zomhubhe zingadala ukungakhululeki nobuhlungu. Isimo esivame kakhulu yi -GERD, ebangela isilungulela. Uma ingelashwa, i-GERD nezinye izifo zomhubhe zingaholela kumdlavuza womhubhe.Ngakho-ke, uma unezimpawu, funa iseluleko sezokwelapha ngokushesha. Ngokuvamile, izimpawu zingalawulwa ngemithi. Izimo ezingathi sína njengomdlavuza kanye ne-achalasia zingadinga ukuhlinzwa. Udokotela wakho angakusiza ukunciphisa ingozi yalokhu kungakhululeki kanye nezinkinga ezinkulu ngokwenza izinguquko ezifanele ekudleni kwakho nasendleleni yakho yokuphila . Ukunakekela lokhu kubaluleke kakhulu ukuze uhlale uphilile!

Umphimbo , i-GERD, i-acid reflux, ubunzima bokugwinya, ukuvuvukala kwesifuba, umdlavuza womphimbo, uhlelo lokugaya ukudla