Ukugwinya okubuhlungu

Ukugwinya kabuhlungu noma yibuphi ubuhlungu noma ukungaphatheki kahle ngenkathi ugwinya. Ungayizwa iphakeme entanyeni noma yehle ngemuva ngemuva kwethambo lesifuba. Imvamisa, ubuhlungu buzwa njengokuzwa okuqinile kokukhama noma ukushisa. Ukugwinya okubuhlungu kungaba uphawu lokuphazamiseka okukhulu.

Ukugwinya kubandakanya izinzwa nemisipha eminingi emlonyeni, endaweni yomphimbo, nakwipayipi lokudla (i-esophagus). Ingxenye yokugwinya ingeyokuzithandela. Lokhu kusho ukuthi uyazi ngokulawula isenzo. Kodwa-ke, iningi lokugwinya alithandeki.

Izinkinga noma kunini enkambisweni yokugwinya (kufaka phakathi ukuhlafuna, ukuhambisa ukudla ngemuva komlomo, noma ukukuhambisa esiswini) kungaholela ekugwinyweni okubuhlungu.

Izinkinga zokugwinya zingadala izimpawu ezifana nalezi:

• Ubuhlungu besifuba
• Ukuzizwa kokudla kunamathele emphinjeni
• Ubunzima noma ingcindezi entanyeni noma esifubeni esingenhla ngenkathi udla

Izinkinga zokugwinya kungenzeka ngenxa yezifo, njenge:

• I-Cytomegalovirus
• Isifo sezinsini (gingivitis)
• Igciwane le-Herpes simplex
• Igciwane lesandulela ngculazi (i-HIV)
• I-Pharyngitis (umphimbo obuhlungu)
• I-Thrush

Izinkinga zokugwinya kungenzeka kungenxa yenkinga nge-esophagus, enjenge:

• I-Achalasia
• Ama-spasms we-Esophageal
• Isifo se-reflux se-gastroesophageal
• Ukuvuvukala komphimbo
• I-Nutcracker esophagus
• Isilonda esiswini, ikakhulukazi ngenxa ye-tetracyclines (i-antibiotic), i-aspirin kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen, naproxyn

Ezinye izimbangela zezinkinga zokugwinya zibandakanya:

• Izilonda zomlomo noma zomphimbo
• Okuthile kunamathele emphinjeni (ngokwesibonelo, inhlanzi noma amathambo enkukhu)
• Ukutheleleka kwamazinyo noma ithumba

Amanye amathiphu angakusiza ekunciphiseni ukugwinya izinhlungu ekhaya afaka:

• Yidla kancane futhi ukuhlafune kahle ukudla kwakho.
• Yidla ukudla okumsulwa noma iziphuzo uma ukudla okuqinile kunzima ukukugwinya.
• Gwema ukudla okubanda kakhulu noma okushisa kakhulu uma kwenza izimpawu zakho zibe zimbi kakhulu.

Uma othile eklinya, yenza ngokushesha i-Heimlich maneuver.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma ugwinya kabuhlungu futhi:

• Igazi ezindlini zakho noma indle yakho ibonakala imnyama noma ilindile
• Ukuphefumula okuncane noma ikhanda elikhanyayo
• Ukwehla kwesisindo

Tshela umhlinzeki wakho nganoma yiziphi ezinye izimpawu ezenzeka ngokugwinya okubuhlungu, kufaka phakathi:

• Ubuhlungu besisu
• Amakhaza
• Khwehlela
• Imfiva
• Isilungulela
• Isicanucanu noma ukuhlanza
• Ukunambitheka okumuncu emlonyeni
• Ukuqhuma

Umhlinzeki wakho uzokuhlola abuze ngomlando wakho wezokwelapha nezimpawu, kufaka phakathi:

• Ingabe unobuhlungu lapho ugwinya okuqinile, oketshezi, noma kokubili?
• Ingabe ubuhlungu buhlala njalo noma buyafika budlule?
• Ingabe ubuhlungu buya ngokuya buba bukhulu?
• Unenkinga yokugwinya?
• Unomphimbo obuhlungu?
• Ngabe kuzwakala sengathi kunesigaxa emphinjeni wakho?
• Uke wahogela noma wagwinya noma yiziphi izinto ezicasulayo?
• Yiziphi ezinye izimpawu onazo?
• Yiziphi ezinye izinkinga zempilo onazo?
• Imiphi imithi oyiphuzayo?

Ukuhlolwa okulandelayo kungenziwa:

• I-Endoscopy ene-biopsy
• Ukugwinya kwe-Barium nochungechunge oluphezulu lwe-GI
• I-x-ray yesifuba
• Ukuqapha kwe-pH ye-esophageal (kukala i-acid esophagus)
• I-Esophageal manometry (ilinganisa ingcindezi endaweni)
• I-Esophagogastroduodenoscopy (EGD)
• Ukuhlolelwa i-HIV
• Intamo x-ray
• Isiko lomqala

Ukugwinya - ubuhlungu noma ukushisa; Odynophagia; Umuzwa ovuthayo lapho ugwinya

• Ukwakheka komphimbo

I-Devault KR. Izimpawu zesifo sokuqunjelwa. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 13.

UNussenbaum B, uBradford CR. I-Pharyngitis kubantu abadala. Ku: Flint PW, Haughey BH, Lund V, eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 9.

UPandolfino JE, uKahrilas PJ. Umsebenzi we-Esophageal neuromuscular and disorders. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 43.

UWilcox CM. Imiphumela yamathumbu yokutheleleka ngegciwane lomzimba lokuzivikela komzimba. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 34.