Ingabe uyaklinywa uma ugwinya ukudla? Ake sifunde ngokungakwazi ukuhamba komphimbo!

Wake wazizwa sengathi unesigaxa selayisi noma into enamathele emphinjeni wakho ngenkathi udla? Noma ukuthola kunzima ukugwinya ukudla, njengokungathi kukhona okunamathele phakathi kwesifuba sakho? Ngezinye izikhathi lezi yizinto ezingahleliwe nje, kodwa uma unalezi zinhlobo zokungakhululeki njalo, kungaba ngenxa yokungasebenzi kahle okuthile emhubheni wethu, okungukuthi, ipayipi lokudla (i-Esophageal Dysmotility) . Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, kulungile?

Kuyini i-Esophageal Dysmotility?

Kalula nje, i-dysmotility yomphimbo ibhekisela ezimweni ezahlukahlukene lapho umphimbo wethu, ipayipi elithwala ukudla kusuka emlonyeni kuya esiswini, lingakwazi ukuhambisa ukudla noketshezi phansi kahle. Cabanga ngakho njengomgwaqo oya ohlangothini olulodwa. Ukudla neziphuzo kumele kusuke emphinjeni kuye esiswini.

Yilokhu okuvame ukwenzeka:

1. Okokuqala, umsipha ongaphezulu komphimbo wakho (siwubiza ngokuthi i-Upper Esophageal Sphincter ) uyavuleka ukuze kungene ukudla noketshezi emphinjeni wakho. Kufana nomnyango ovulekayo.

2. Okulandelayo, imisipha emphinjeni iyafinyela bese iphumula ngendlela enesigqi, icindezela ukudla phansi. Lokhu kwehlela phansi njengegagasi.

3. Ekugcineni, engxenyeni engezansi yomhubhe, lapho ukudla kungena khona esiswini, omunye umsipha (esiwubiza ngokuthi yi -Lower Esophageal Sphincter) uyavuleka futhi uvumele ukudla noketshezi ukuthi kungene esiswini.

Manje, ndawana thize kule nqubo, uma le misipha ingasebenzi kahle, yilapho ukudla kuqala ukubhajwa futhi kuba nzima ukugwinya. Yilokho esikubiza ngokuthi i-esophageal dysmotility.

Ziyini izimpawu zalesi simo?

Uma unezinkinga zokunyakaza komphimbo, ungase ube nezimpawu ezifana nalezi:

• Ubunzima bokugwinya (i-Dysphagia): Lolu uphawu oluyinhloko. Kuwumuzwa wokuthi ukudla kubhajwe emphinjeni noma esifubeni. Abanye abantu bangase babe nobunzima bokugwinya hhayi ukudla okuqinile kuphela kodwa noketshezi.
• Ubuhlungu besifuba ngemva kokudla: Lobuhlungu ngezinye izikhathi bungazwakala njengokuhlaselwa yinhliziyo, yingakho kubalulekile ukuthola ukuthi buyini ngempela.
• Isishiso Senhliziyo: Lo muzwa wokushisa ungenzeka lapho i-asidi yesisu ingena emphinjeni. Kodwa-ke, futhi kuwuphawu lwesifo se-gastroesophageal reflux (GERD).

Ngaphezu kwalokhu, abanye abantu bangase babhekane nezinto ezifana nokudla okuphinde kukhuphuke emphinjeni, ukwehla kwesisindo, kanye nokukhwehlela.

Yiziphi izimbangela zokungasebenzi kahle kwe-erectile?

Kunezici eziningana ezingadala lesi simo. Ezinye ziyizimbangela eziyinhloko ezithinta umphimbo kuphela, kanti ezinye ziyizimo zesibili ezithinta umzimba wonke.

Izimbangela eziyinhloko (ezithinta umphimbo kuphela)

Izimbangela ezivame kakhulu ezibonakala ziyi:

• I-Achalasia:Okwenzekayo ukuthi i-sphincter yakho engezansi komphimbo (LES), indandatho yemisipha ekugcineni komphimbo wakho lapho ingena khona esiswini sakho, ayiphumuli kahle. Cabanga ngakho njengomnyango ongezansi komphimbo wakho awuvuli kahle. Lokhu kubangela ukudla namanzi ukuthi kubuyele emuva kumphimbo wakho.
• I-Eosinophilic Esophagitis: Kulokhu, uhlobo olukhethekile lweseli elimhlophe legazi elibizwa ngokuthi ama-eosinophils luqongelela ezindongeni zomhubhe, okubangela ukusabela kokungezwani komzimba, okubangela ukuthi ingaphakathi lomhubhe livuvuke futhi linciphe, okwenza kube nzima ukuthi ukudla kudlule.
• Ukuqaqamba Komqala: Kulokhu, imisipha emphinjeni iyafinyela ngokungazikhetheli, ngokushesha okukhulu, noma ngokungaqondile. Njengengcezu yenyama emphinjeni, iyafinyela njalo, ngaphandle kokuhleleka. Bese ukudla kuzama ukubuya esikhundleni sokuya phansi.

Izimbangela zesibili (ezibangelwa izifo ezithinta umzimba wonke)

Ngezinye izikhathi, ezinye izimo zezokwelapha nazo zingabangela ukuphazamiseka kokusebenza kwe-erectile.

• Isifo iChagas: Lesi isifo esingamahlalakhona esibangelwa ukulunywa yisilwane njenge-triatomine (ukuqabulana) bug. Lesi sifo singathinta nomphimbo, okubangela ubunzima bokugwinya.
• I-Esophageal Sclerosis: I-Sclerosis iyisifo esibangelwa ukuzivikela komzimba. Lokhu kusho ukuthi amasosha omzimba ahlasela amangqamuzana awo. Kulokhu, izicubu ezijiyile ngendlela engavamile ziyakheka emzimbeni. Uma lolu hlobo lwezicubu ezijiyile lukheka emhubheni, kuba nzima ukuthi ukudla kudlule.

Ngaphezu kwalokhu, isimila esinomdlavuza emhubheni singadala ukuvaleka komhubhe kanye nobunzima bokugwinya.

Yiziphi izinkinga zalesi simo?

Enye yezinkinga ezinkulu ezingase zenzeke ngenxa yezinkinga zokunyakaza komphimbo yi -aspiration pneumonia kanye nezinye izifo zamaphaphu. Cabanga nje, kwenzekani uma ukudla kubhajwe emmphinjeni kuhamba ngendlela engafanele, okungukuthi, kungene emphinjeni wakho (i-trachea), bese kusuka lapho kungene emaphashini akho? Yilapho izimo ezibucayi njenge-pneumonia zingavela khona. Futhi, izinto ezinjengokuntuleka kokudla okunempilo kanye nokwehla kwesisindo zingavela.

Odokotela bakuthola kanjani lokhu?

Uma unalezi zimpawu, kufanele uqale ubonane nodokotela. Uzokubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Ngemuva kwalokho, uma kudingeka, bazokudlulisela kudokotela wezifo zamathumbu .

Laba ochwepheshe baqeqeshwe ngokukhethekile ukuxilonga nokwelapha izifo zesimiso sokugaya ukudla, okuhlanganisa nomphimbo. Bangenza izivivinyo ezahlukahlukene ukuze babone ukuthi ukudla neziphuzo kuhamba kanjani emmphimbo wakho. Ezinye zazo zifaka:

• Ukugwinya kwe-Barium / I-Esophagram: Kulesi sivivinyo, unikezwa uketshezi olukhethekile olubizwa ngokuthi i-barium ukuze uluphuze, bese kuthathwa i-X-ray njengoba ludlula emphinjeni wakho. Lokhu kukuvumela ukuthi ubone ukuma komphinjeni wakho nokuthi ngabe kukhona yini ukuvaleka.
• Ukuhlolwa kwe-EndoFLIP:Lolu vivinyo lulinganisa ubukhulu bengaphakathi le-scrotum kanye nendlela imisipha ese-scrotum esebenza ngayo.
• I-Esophageal Manometry: Njenge-endoflip, lokhu kuwukuhlolwa okukala ukuthi imisipha esesinqeni ifinyela kahle kangakanani, iphumule, futhi icindezela ukudla phansi.
• I-Upper Endoscopy: Lokhu kuhilela ukufaka ithubhu elincane neliguquguqukayo (i-endoscope) elinekhamera encane bese kukhanya ngomlomo ukuhlola umphimbo, isisu, kanye nengxenye yokuqala yamathumbu amancane. Lokhu kuvumela udokotela ukuthi abheke ngqo ngaphakathi komphimbo ukuthola noma yiziphi izilonda, ukuvuvukala, noma ukucinana. Uma kudingeka, isampula encane yezicubu (i-biopsy) ingathathwa ukuze ihlolwe.

Izinkinga zokunyakaza komphimbo ziphathwa kanjani?

Ukwelashwa kuncike ekutheni yini ebangela isimo sakho. Uma kungenxa yesizathu esiyinhloko, ungase welashwe ngenye noma ngaphezulu yalezi zindlela zokwelapha ezilandelayo:

• Imithi: Imithi ephumuza imisipha yomphimbo noma enciphisa ukuvuvukala.
• Izindlela ezingezona ezokuhlinzwa: Isibonelo , ukunwebeka komphimbo . Kulokhu, ngesikhathi se-endoscopy, kusetshenziswa ithuluzi elikhethekile ukwandisa izindawo ezincishisiwe zomphimbo. Lokhu kwenza kube lula ukugwinya ukudla.
• Ukuhlinzwa Okungangeni Kakhulu: Isibonelo, ukuhlinzwa okufana ne -Heller Myotomy noma i-Peroral Endoscopic Myotomy (POEM) kusebenza ngokukhulula imisipha e-esophagus, okwenza kube lula ukuthi ukudla kudlule e-esophagus.

Uma kungenxa yesizathu sesibili, into eyinhloko okufanele uyenze ukwelapha lesi sifo esiyisisekelo.

Yini esingayilindela kulesi simo?

Ezimweni eziningi, i-achalasia, isimo esithinta umphimbo kuphela, singelashwa ngempumelelo. Imithi, izindlela ezingezona ezokuhlinzwa, kanye nokuhlinzwa kungenza kube lula kakhulu ukuthi ukudla nokuphuza kudlule kusuka kumphimbo kuye esiswini.

Kodwa, into eyodwa okufanele uyikhumbule ukuthi isimo sabo bonke asifani. Kungcono ukukhuluma nodokotela wakho ukuze uqonde isimo sakho nokuthi yini ongayilindela.

Ngingazinakekela kanjani? Ingabe kudingeka ngishintshe imikhuba yami yokudla?

Yebo, ukwenza izinguquko ezimbalwa ezincane endleleni odla ngayo kungasiza ekunciphiseni ezinye zalezi zinkinga.

• Ukudla Okucabangayo: Yidla kancane bese uhlafuna ukudla kwakho kahle. Linda isikhashana ngemva kokugwinya okunye ngaphambi kokuthatha okunye. Ungabuki i-TV noma usebenzise ifoni yakho ngenkathi udla. Naka ukudla kwakho.
• Hlala uqonde ngenkathi udla: Ungadli ulele embhedeni noma uncike kusofa. Yidla uhleli uqonde esihlalweni. Lokhu kuzosiza amandla adonsela phansi ukuthi anciphise ukudla.
• Phuza amanzi kancane kancane:Phuza isiphuzo samanzi esisodwa noma ezimbili njalo emilonyeni embalwa yokudla. Lokhu kuzomanzisa ukudla futhi kwenze kube lula ukukugwinya. Kukusiza futhi ukuthi udle kancane.

Yikuphi ukudla okungafanele ngikudle?

Ngokuvamile, kungcono ukunciphisa noma ukugwema ukudla okufana nalokhu:

• Ukudla okunzima ukukuhlafuna futhi okuthatha isikhathi ukukugaya: Isibonelo, imifino eqinile, inyama enamathelayo, enamafutha.
• Ukudla okungabhajwa emqaleni: Isibonelo, abanye abantu bangase babe nobunzima bokugwinya izinkwa ezithambile ezenziwe ngofulawa, ilayisi elimhlophe (ikakhulukazi ezinamathelayo), kanye ne-pasta. Uma uzidla, ziqhekeze zibe yizicucu ezincane, uzihlafune kahle, bese uzidla ngamanzi.

Lezi yiziqondiso ezijwayelekile nje. Kuzodingeka uzame kancane ukuze ubone ukuthi yikuphi ukudla okunzima nokuthi yikuphi okulula kuwe. Ungacela neseluleko kuchwepheshe wezokudla uma kudingeka.

Kufanele ngiphinde ngimbone nini udokotela?

Uma izimpawu zakho zingathuthuki ngemva kokuqala ukwelashwa, noma uma zibonakala ziba zimbi kakhulu, qiniseka ukuthi ubona udokotela wakho futhi.

Kungase kube nezikhathi lapho ungafuni ngisho nokudla ngenxa yokungasebenzi kahle komphimbo wakho. Ungase futhi uzizwe wesaba, "Ingabe ukudla okulandelayo kuzoba nzima kakhulu?" Ngezinye izikhathi, njengokudla okunamathele kumphimbo wakho, ungase uzizwe sengathi, "Asikho yini ikhambi lalokhu? Ingabe kuzomele ngiphile kanje?"

Kodwa khumbula, kunezindlela zokwelapha ezingasiza kulezi zimo. Uma unenkinga yokugwinya noma ubuhlungu besifuba ngemva kokudla, khuluma nodokotela wakho ngakho. Uma ukuhlolwa kukhombisa ukuthi unalolu hlobo lwesifo sokunyakaza komphimbo, udokotela wakho uzokunikeza ukwelashwa okufanele kakhulu.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

• Ubunzima bokugwinya ukudla kanye nobuhlungu besifuba ngemva kokudla akuzona izinto okufanele zithathwe kalula.
• Lokhu kungaba izimpawu zokungasebenzi kahle komgudu womqala .
• Kungaba nezizathu eziningana zalokhu, ngakho-ke kubaluleke kakhulu ukuthola ukuxilongwa okufanele.
• Ungakhathazeki, kunezindlela zokwelapha lezi zimo. Khuluma nodokotela wakho bese usungula uhlelo lokwelapha olusebenza kahle kuwe.
• Ungathola impumuzo ngokwenza izinguquko ezincane ekudleni kwakho.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela wakho. Hlala uphilile!

Umphimbo , Ubunzima bokugwinya, Ukungasebenzi kahle komphimbo, Ubuhlungu besifuba, Uhlelo lokugaya ukudla, i-Achalasia, i-Endoscopy