Ingabe nawe unenkinga yokugwinya ukudla? Mhlawumbe awazi ngalokhu okubizwa ngokuthi "ulwelwesi lomphimbo"! Ake sixoxe ngalokhu!

Wake wazizwa sengathi kukhona okubhajwe emphinjeni wakho uma udla noma uphuza okuthile, noma ukuthi kunzima ukugwinya? Ngezinye izikhathi asikunaki kakhulu, kodwa uma kuqhubeka, kuyinto edinga ukuphenywa. Esinye sezizathu zobunzima obunjalo bokugwinya kungaba yisimo esizokhuluma ngaso esibizwa ngokuthi "i-Esophageal Web". Ungakhathazeki, lokhu akuyingozi, kodwa kubaluleke kakhulu ukuqaphela.

Iyini le ntambo yomphimbo?

Kalula nje, umphimbo wakho, ipayipi okudlula kulo ukudla liye esiswini lapho sigwinya, une -membrane encane eyakheka ngaphakathi kwengxenye engenhla yayo ebizwa ngokuthi "i-Esophageal Web." Uma sikhuluma iqiniso, iyi-membrane encane efana ne-spider's web.

Abantu abaningi banalolu hlobo lwe-membrane, kodwa abazi nokuthi lukhona. Ngoba ngokuvamile alubangeli zimpawu . Kodwa-ke, kwezinye izimo ezinzima, lolu hlobo lwe-membrane lungavimba ingxenye noma ngokuphelele umphimbo wakho. Yilapho kuba nzima ukugwinya khona .

Iningi labantu line-membrane eyodwa kuphela enjalo. Kodwa-ke, kungenzeka ukuthi kube ne-membrane engaphezu kweyodwa. Ngisho nangemva kokwelashwa, kunethuba elingavamile lokuthi lesi simo sizophinde sibuye, kodwa akuvamile kakhulu.

Lesi simo, esibizwa ngokuthi "Esophageal Web," sivame ukubonakala kubantu abane- anemia enzima, engalashwanga yokuntuleka kwensimbi. Singenzeka nakubantu abanesimo esibizwa ngokuthi "i-Plummer-Vinson syndrome." Lesi sifo sinezimpawu ezintathu eziyinhloko: i-anemia yokuntuleka kwensimbi, ubunzima bokugwinya (okubizwa nangokuthi "i-dysphagia," odokotela bayibiza kanjalo), kanye ne-web, noma i-membrane.

Sivame kangakanani lesi simo?

Kunzima ukusho ukuthi bangaki abantu abanalesi sifo. Ngoba, njengoba kushiwo ngaphambili, isikhathi esiningi azikho izimpawu. Odokotela bavame ukuthola lokhu `(Esophageal Web)` uma benza izivivinyo ngesinye isizathu.

Kodwa-ke, kutholakale ukuthi phakathi kuka-5% no-15% wabantu abavakashela udokotela ngenxa yobunzima bokugwinya (i-dysphagia) banale "(Esophageal Web)".

Uyini umehluko phakathi kwe-esophageal web ne-esophageal ring?

Esinye isimo esifana nalesi `(Esophageal Web)` yi-`(Esophageal Ring)`. Kungenzeka ukuthi uke wezwa nangalesi `(Schatzki rings)`. Zombili lezi zibangela ukuthi umphimbo wakho unciphe futhi kwenze kube nzima ukugwinya. Kodwa umehluko omkhulu phakathi kwalezi ezimbili ukuthi zakheka kuphi.

• (I-Esophageal Web): Lokhu kwenzeka engxenyeni engenhla yomqala.
• (Indandatho Yomqala): Lokhu kwenzeka engxenyeni engezansi yomqala.

Kokubili i-web kanye ne-ring kuyizinhlobo ze-esophagus strictures. Abanye abantu bazalwa benama-esophagus nama-rings. Kodwa-ke, avame ukukhula kamuva ekuphileni ngenxa yezinye izimo. Esikhathini esiningi, awayona inkinga. Kodwa-ke, uma uzwa ubuhlungu lapho ugwinya, ukwelashwa kungasiza.

Ziyini izimpawu?

Njengoba kushiwo ngaphambili, abantu abaningi abane-esophagus abanazo izimpawu . Uma ungenazo izimpawu, cishe awudingi ukwelashwa.

Kodwa uma kuvela izimpawu, uphawu oluyinhloko ubunzima bokugwinya ukudla noketshezi . Ngezinye izikhathi ukudla kungabhajwa emphinjeni. Uma lokhu kwenzeka, ungase uzwe ubuhlungu noma umuzwa wokuthi kukhona okubhajwe emphinjeni wakho. Cabanga nje, lapho usuzodla ipuleti elimnandi lelayisi, ngokuzumayo uzizwa sengathi ucezu lokudla lubhajwe emphinjeni wakho, futhi ngisho nokuphuza amanzi ngeke kuphele. Lokho kungaba yinto efana naleyo.

Uma unalolu hlobo lwelwesi oluhlotshaniswa ne-"Plummer-Vinson syndrome," ungase ube nezimpawu ezifana nolimi olubuhlungu kanye nokuqhekeka emakhoneni omlomo wakho .

Yiziphi izizathu zalokhu?

Ochwepheshe abakakazi kahle ukuthi yini ebangela ulwelwesi lomphimbo. Uma wazalwa unalesi simo, kungenzeka ukuthi kungenxa yoshintsho endleleni umphimbo wakho owakheka ngayo ngesikhathi sokuphila kombungu. Uma ukhula kamuva ekuphileni, kungaba umphumela wesinye isimo sezokwelapha.

Ubani osengozini enkulu? (Izinto Eziyingozi Ze-Esophageal Web Risk Factors)

Lesi simo esibizwa ngokuthi "i-Esophageal Web" sivame ukubonakala kubantu abanezimo zezokwelapha ezilandelayo:

• Izifo ze-thyroid ezizenzakalelayo (isib. `(Hashimoto's thyroiditis)`, `(isifo sikaGraves)`)
• Izifo ezibangela amathumba esikhumba (isb. i-pemphigus)
• Isifo se-Celiac (lokhu kubangelwa ukungezwani komzimba ne-protein gluten)
• Ukuvuvukala kwe-asidi yesikhathi eside, okuyisimo esenzeka lapho i-gastritis iba nzima kakhulu (GERD - Isifo Sokuqhekeka Kwe-Gastroesophageal)
• Isifo se-graft vs. host (lokhu kuvame ukubonakala ngemva kokufakelwa izitho)
• I-anemia yokuntuleka kwensimbi
• I-Psoriasis
• Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis

Akuwona wonke umuntu onalezi zimo ozoba nolwelwesi lomphimbo, kodwa ingozi iphakeme kancane.

Ukubona kanjani lokhu?

Odokotela basebenzisa lezi zivivinyo ukuxilonga i-esophagus:

• I-Esophagram (noma i-Barium Swallow Test): Lolu ukuhlolwa kwe-X-ray. Unikezwa isisombululo esibizwa ngokuthi i-barium ukuze usiphuze, bese kuthathwa i-X-ray yevidiyo njengoba usigwinya. Lokhu kuvumela udokotela ukuthi abone ukuthi kukhona yini ulwelwesi lomphimbo noma okunye ukuncishiswa komphimbo wakho.
• I-Endoscopy Ephezulu:Kulokhu, udokotela ufaka ithubhu elincane neliguquguqukayo (i-endoscope) ngomlomo wakho bese ehlola ingaphakathi lomphimbo wakho. Le thubhu inekhamera ekugcineni, ukuze udokotela abone kahle ukuthi kukhona "ulwelwesi lomphimbo".

Iphathwa kanjani?

Ezimweni eziningi, i-web inganyamalala uma isimo esiyisisekelo esiyibangelayo selashwa . Odokotela basebenzisa inhlanganisela yemithi, ukwelashwa ehhovisi, kanye nokuhlinzwa. Uhlelo lokwelashwa luhlelwe ngokwezidingo zakho.

Imithi

Isibonelo, uma une-anemia yokuntuleka kwe-iron, kungadingeka unikezwe amaphilisi e-iron noma imijovo equkethe i-iron . Uma une-GERD (i-acid reflux), kungadingeka unikezwe imithi efana nama-H2 blockers noma ama-proton pump inhibitors (ama-PPI).

Lokhu kwelashwa kungashintsha isakhiwo somhudo wakho futhi kunciphise izimpawu.

Ukwelashwa emtholampilo

Uma imithi yodwa ingasebenzi, udokotela wakho angase ancome inqubo ebizwa ngokuthi i-esophageal dilation . Lokhu kwenziwa ngesikhathi se-endoscopy ephezulu. Udokotela usebenzisa ibhaluni lokuhlinzwa noma uchungechunge lwe-dilators zokuhlinzwa ukuze anwebe ingxenye encane ye-esophagus. Lokhu kususa ulwelwesi, okungabangela ubunzima bokugwinya.

Ukuhlinzwa

Iningi labantu abane-esophagus abadingi ukuhlinzwa . Kodwa-ke, uma une-esophagus ebukhali, inqubo ebizwa ngokuthi i-electrocauterization ingasetshenziswa ukususa izicubu ezithintekile. Lokhu kuhilela ukusebenzisa ukushisa ukusika i-esophagus.

Kuzokwenzekani ngemva kokwelashwa? (I-Outlook)

Ngokwelashwa, lesi simo singabekezelelwa kahle kakhulu . Kwabaningi, izimpawu ziyanyamalala ngemva kokukhula komphimbo. Kodwa-ke, njengoba kushiwo ngaphambili, ezimweni ezimbi kakhulu, abanye abantu bangase babe nalesi simo futhi, futhi kungadingeka ukuthi baphinde baphathwe ngokwandiswa. Kodwa-ke, lokhu akuvamile kakhulu .

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Ayikho indlela eqondile yokuvimbela ukuthuthukiswa kwe-esophagus webs. Kodwa-ke, ukuphatha izimo ezihlobene, njenge-iron-deficiency anemia kanye ne-acid reflux (GERD), kungasiza ekunciphiseni ingozi yokuzithola.

Kufanele ubonane nini nodokotela?

Uma unezimpawu ezenza kube nzima ngawe ukugwinya, tshela udokotela wakho. Banganquma imbangela bese bencoma ukwelashwa okufanele. Ungakushayi indiva ngoba kuyinkinga encane, ngoba kulula ukwelapha uma iqashelwa kusenesikhathi.

Yimiphi imibuzo ongayibuza udokotela?

Uma kutholakale ukuthi une-esophageal web, ungase ufune ukubuza udokotela wakho imibuzo efana nale:

• Ingabe ngidinga ukwelashwa?
• Hlobo luni lokwelashwa olunconywayo?
• Ingabe nginezinye izimo zezokwelapha eziyisisekelo ezihlobene nale `(Esophageal Web)`?
• Ingabe kuzodingeka ngiqhubeke ngithatha imithi?
• Yini engingayenza ukuze nginciphise izimpawu zami?

Khumbula, ukugwinya akudingeki kube buhlungu noma kube nzima. Uma kunjalo, kungaba uphawu lokuthi kukhona okungahambi kahle.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukugwinya ukudla akufanele kube buhlungu noma kungakhululeki. Uma uzizwa ngaleyo ndlela, sekuyisikhathi sokuhlola okuthile. Lesi simo esibizwa ngokuthi i-esophageal web ngokuvamile asiyona ingozi . Kodwa-ke, uma ubhekene nezimpawu, kungcono ukukhuluma nodokotela. Angahlonza imbangela eyinhloko futhi akunike uhlelo lokwelashwa olufanele. Ngakho-ke, nakekela umzimba wakho, ngoba impilo iyona nto ebaluleke kakhulu!

I- Esophageal web, ubunzima bokugwinya, i-esophagitis, i-Plummer-Vinson syndrome, ukuntuleka kwensimbi, i-endoscopy, isifundo se-barium