Iimpawu ezintsha zeubunzimaukuginya okanye ukuziva ngathi ukutya kubambekile emqaleni wakho kunokukukhathaza.Ukuginya kudla ngokuba yinkqubo eyenziwa ngabantu ngokwethuku nangaphandle kokucinga.Ufuna ukwazi ukuba kutheni kwaye ungayilungisa njani.Unokuphinda uzibuze ukuba ubunzima bokugwinya luphawu lomhlaza.
Nangona umhlaza ungoyena nobangela we-dysphagia, ayisiyiyo eyona nto inokwenzeka.Ngokuqhelekileyo, i-dysphagia ingaba yimeko engeyiyo yomhlaza njengesifo se-reflux ye-gastroesophageal (GERD) (i-chronic acid reflux) okanye umlomo owomileyo.
Eli nqaku liza kujonga izizathu ze-dysphagia, kunye neempawu zokukhangela.
Igama lezonyango le-dysphagia yi-dysphagia.Oku kunokuba namava kwaye kuchazwe ngeendlela ezahlukeneyo.Iimpawu ze-dysphagia zinokuvela emlonyeni okanye kwi-esophagus (ityhubhu yokutya esuka emlonyeni ukuya esiswini).
Izigulana ezinezizathu ze-esophageal ze-dysphagia zinokuchaza iimpawu ezahlukileyo.Basenokuba namava:
Uninzi lwezizathu ze-dysphagia azibangelwa ngumhlaza kwaye zinokubangelwa zezinye izizathu.Isenzo sokuginya yinkqubo entsonkothileyo efuna izinto ezininzi ukuze zisebenze ngokufanelekileyo.I-Dysphagia ingenzeka ukuba kukho naziphi na iinkqubo eziqhelekileyo zokugwinya ziphazamiseka.
Ukuginya kuqala emlonyeni, apho ukuhlafuna kuxuba amathe kunye nokutya kuze kuqalise ukuwaqhekeza kuze kulungiselele ukwetyisa.Ulwimi ke lunceda ukutyhala i-bolus (intwana yokutya engqukuva) emva komqala ukuya kummizo.
Njengoko ihamba, i-epiglottis iyavala ukugcina ukutya kummizo kunokuba kuqhoqhoqho (uqhoqhoqho), okhokelela emiphungeni.Izihlunu zomqalazo zinceda ukutyhala ukutya esiswini.
Iimeko eziphazamisa nayiphi na inxalenye yenkqubo yokugwinya inokubangela iimpawu ze-dysphagia.Eminye yale miqathango ibandakanya:
Nangona ingengoyena nobangela unokwenzeka, ubunzima bokuginya bunokukhokelela kumhlaza.Ukuba i-dysphagia iyaqhubeka, ibuhlungu ngokuhamba kwexesha, kwaye iyenzeka rhoqo, umhlaza unokukrokrelwa.Ukongezelela, ezinye iimpawu zingenzeka.
Iindidi ezininzi zomhlaza zingabonakalisa iimpawu zobunzima bokuginya.Ezona zomhlaza zixhaphakileyo zezo zichaphazela ngqo izakhiwo zokuginya, ezifana nomhlaza wentloko nentamo okanye umhlaza wommizo.Ezinye iintlobo zomhlaza zinokuquka:
Isifo okanye imeko echaphazela nayiphi na indlela yokugwinya inokubangela i-dysphagia.Ezi ntlobo zezifo zingabandakanya iimeko ze-neurological ezinokuchaphazela imemori okanye zibangele ubuthathaka bemisipha.Basenokubandakanya iimeko apho amayeza afunekayo ukunyanga imeko anokubangela i-dysphagia njengempembelelo yecala.
Ukuba unengxaki yokuginya, unokufuna ukuxoxa ngezinto ezikuxhalabisayo nomboneleli wakho wezempilo.Kubalulekile ukuqaphela xa iimpawu zivela kunye nokuba zikhona na ezinye iimpawu.
Kufuneka ukulungele ukubuza ugqirha wakho imibuzo.Zibhale phantsi kwaye uzithwale kunye nawe ukuze ungaze ulibale ukubabuza.
Xa ufumana i-dysphagia, ingaba ngumqondiso oxhalabisayo.Abanye abantu banokuba nexhala lokuba ibangelwa ngumhlaza.Nangona kunokwenzeka, umhlaza awungoyena nobangela unokwenzeka.Ezinye iimeko, ezifana nokusuleleka, isifo se-reflux ye-gastroesophageal, okanye amayeza, anokubangela ubunzima bokugwinya.
Ukuba uqhubeka nobunzima bokugwinya, thetha nogqirha wakho kwaye uvavanye imbangela yeempawu zakho.
UWilkinson JM, uCody Pilley DC, uWilfat RP.Dysphagia: uvavanyo kunye nolawulo ngokubambisana.Ndingugqirha wosapho.2021;103(2):97-106.
Noel KV, Sutradar R, Zhao H, et al.Umthwalo weempawu ezichazwe ngesigulana njenge-predictor yokutyelela isebe eliphuthumayo kunye nokulaliswa esibhedlele okungacwangciswanga kwintloko kunye nomhlaza wentamo: isifundo esisekelwe kwi-longitudinal.JCO.2021;39(6):675-684.Inombolo: 10.1200 / JCO.20.01845
UJulie Scott, MSN, ANP-BC, AOCNP Julie ngumongikazi omdala oqinisekisiweyo ongumongikazi we-oncology kunye nombhali wezempilo ozimeleyo onomdla wokufundisa izigulana kunye noluntu lwezempilo.
Ixesha lokuposa: Sep-22-2023