Izilonda Zomqala

-Delile

• Izimbangela
• Izimpawu
• Ukwelashwa
• Ukuvimbela
• Lapho uzobona udokotela wakho
• Umbono

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

Izilonda zomqala ziyizilonda ezivulekile emphinjeni wakho. Izilonda nazo zingakha esophagus yakho - ithubhu exhuma umphimbo wakho esiswini sakho - nasezintanjeni zakho zezwi. Ungathola isilonda lapho ukulimala noma ukugula kubangela ukugqashuka kolwelwesi lomphimbo wakho, noma lapho ulwelwesi lwamafinyila luvuleka lungapholi.

Izilonda zomqala zingaba bomvu futhi zivuvuke. Bangenza kube nzima ukuthi udle futhi ukhulume.

Izimbangela

Izilonda zomqala zingabangelwa:

• ukwelashwa ngamakhemikhali nokwelashwa ngemisebe ngomdlavuza
• ukutheleleka ngemvubelo, amabhaktheriya, noma igciwane
• umdlavuza we-oropharyngeal, okuwumdlavuza engxenyeni yomphimbo wakho ongemuva komlomo wakho
• i-herpangina, isifo esinegciwane ezinganeni esidala izilonda emlonyeni nasemuva komphimbo wazo
• I-Behçet syndrome, isimo esidala ukuvuvukala esikhunjeni sakho, ulwelwesi lomlomo wakho, nakwezinye izingxenye zomzimba

Izilonda ze-Esophageal zingavela ku:

• isifo se-reflux se-gastroesophageal (GERD), esichazwa ukugeleza kwe-asidi esiswini sakho kuye esiswini sakho njalo
• ukutheleleka kwesifo sakho okubangelwa amagciwane afana ne-herpes simplex (HSV), igciwane lesandulela-ngculazi (i-HIV), igciwane le-papilloma lomuntu (i-HPV), noma i-cytomegalovirus (CMV)
• izinto ezicasulayo njengotshwala nemithi ethile
• ukwelashwa ngamakhemikhali noma ngemisebe yokwelapha umdlavuza
• ukuhlanza ngokweqile

Izilonda zentambo yomlomo (ezibizwa nangokuthi ama-granulomas) zingadalwa yi:

• ukucasuka kusuka ekukhulumeni ngokweqile noma ekuculeni
• i-reflux yesisu
• izifo eziphindaphindayo zokuphefumula eziphindwe kaningi
• ithubhu endotracheal ebekwe emphinjeni wakho ukukusiza uphefumule ngesikhathi sokuhlinzwa

Izimpawu

Ungaba nalezi zimpawu kanye nezilonda zomphimbo. Uma kunjalo, bheka udokotela wakho.

• izilonda zomlomo
• inkinga yokugwinya
• amabala amhlophe noma abomvu emphinjeni wakho
• imfiva
• ubuhlungu emlonyeni noma emphinjeni
• isigaxa entanyeni yakho
• umoya onukayo
• inkathazo yokuhambisa umhlathi wakho
• isilungulela
• ubuhlungu besifuba

Ukwelashwa

Yikuphi ukwelashwa okushiwo udokotela wakho kuya ngokuthi yini ebangela izilonda zomphimbo. Ukwelashwa kwakho kungafaka:

• ama-antibiotic noma ama-antifungal anqunywe udokotela wakho ukwelapha ukutheleleka kwebhaktheriya noma imvubelo
• ukudambisa izinhlungu njenge-acetaminophen (Tylenol) ukudambisa ukungakhululeki okuvela ezilondeni
• ukuhlanza okunomuthi ukusiza ngobuhlungu nokuphulukiswa

Ukwelapha isilonda esophageal, kungadingeka ukuthi uthathe:

• ama-antacids, ama-H2 receptor blockers, noma ama-proton pump inhibitors (ngaphezulu kwekhawunta noma kadokotela) ukunciphisa i-asidi esiswini noma ukunciphisa inani le-asidi esiswini sakho
• ama-antibiotic noma imishanguzo yokulwa namagciwane ukwelapha ukutheleleka

Izilonda zentambo yomlomo ziphathwa yi:

• uphumule izwi lakho
• kwelashwa ngezwi
• ukwelapha i-GERD
• ukuthola ukuhlinzwa uma ezinye izindlela zokwelapha zingasizi

Ukudambisa izinhlungu ezilondeni zomphimbo, ungazama futhi lezi zindlela zokwelapha ekhaya:

• Gwema ukudla okubabayo, okushisayo, nokune-asidi. Lokhu kudla kungacasula izilonda ngokwengeziwe.
• Gwema imithi engacasula umphimbo wakho, njenge-aspirin (Bufferin), ibuprofen (Advil, Motrin IB), ne-alendronic acid (Fosamax).
• Phuza uketshezi olubandayo noma umunce okuthile okubandayo, njengeqhwa noma ipopsicle, ukudambisa izilonda.
• Phuza uketshezi oluthe xaxa, ikakhulukazi amanzi, usuku lonke.
• Buza udokotela wakho ukuthi kufanele usebenzise ukugeza okubandayo noma umuthi ukudambisa ubuhlungu bomphimbo.
• Hlikihla ngamanzi anosawoti afudumele noma ingxube kasawoti, amanzi nesoda yokubhaka.
• Ungabhemi ugwayi noma usebenzise utshwala. Lezi zinto nazo zingakhuphula ukucasuka.

Ukuvimbela

Ungase ungakwazi ukuvimbela ezinye izimbangela zezilonda zomphimbo, njengokwelashwa komdlavuza. Ezinye izimbangela zingavikeleka kakhudlwana.

Nciphisa ubungozi bokutheleleka: Gcina inhlanzeko ngokugeza izandla kaningi usuku lonke - ikakhulukazi ngaphambi kokudla nangemva kokugeza. Hlala kude nanoma ngubani obukeka egula. Futhi, zama ukugcina usesikhathini ngemigomo yakho.

Zivocavoce futhi udle uphilile: Ukuvimbela i-GERD, namathela esisindweni esinempilo. Isisindo esingeziwe singacindezela esiswini sakho bese siphoqa i-asidi ukuthi ifinyelele esiswini sakho. Yidla izidlo ezimbalwa ezincane kunokudla ezintathu ezinkulu nsuku zonke. Gwema ukudla okudala i-acid reflux, njengokudla okubabayo, okune-asidi, okunamafutha nokuthosiwe. Phakamisa ikhanda lombhede wakho ngenkathi ulele ukuze ugcine i-asidi esiswini sakho.

Lungisa imithi uma kunesidingo: Buza udokotela wakho ukuthi ngabe yimiphi imithi oyiphuzayo engadala izilonda zomphimbo. Uma kunjalo, bona ukuthi ungawushintsha yini umthamo, lungisa ukuthi uwuthatha kanjani, noma ushintshele komunye umuthi.

Ungabhemi: Kwandisa amathuba okuba nomdlavuza, onganikela kwizilonda zomphimbo. Ukubhema kuphinda kucasule umphimbo wakho futhi kunciphise i-valve egcina i-asidi ekusekeleni esifubeni sakho.

Lapho uzobona udokotela wakho

Bona udokotela wakho uma izilonda zomphimbo zingapheli ezinsukwini ezimbalwa, noma uma unezinye izimpawu, njenge:

• ukugwinya okubuhlungu
• ukuqubuka
• umkhuhlane, ukubanda
• isilungulela
• ukuncipha kokuchama (uphawu lokwehla emzimbeni)

Shayela u-911 noma uthole ukwelashwa ngokushesha ngalezi zimpawu ezimbi kakhulu:

• inkinga yokuphefumula noma ukugwinya
• ukukhwehlela noma ukuphalaza igazi
• ubuhlungu besifuba
• imfiva ephezulu - ngaphezulu kuka-104˚F (40˚C)

Umbono

Umbono wakho uncike ekutheni yisiphi isimo esidale izilonda zomphimbo nokuthi welashwa kanjani.

• Izilonda ze-Esophageal kufanele zelapheke phakathi kwamasonto ambalwa. Ukuthatha imithi ukunciphisa i-asidi esiswini kungasheshisa ukwelashwa.
• Izilonda zomqala ezibangelwa yi-chemotherapy kufanele zelapheke lapho uqeda ukwelashwa komdlavuza.
• Izilonda zentambo yomlomo kufanele zithuthuke ngokuphumula ngemuva kwamasonto ambalwa.
• Izifo zivame ukuphela kungakapheli isonto noma amabili. Imithi elwa namagciwane nemithi elwa nokubola kungasiza ukutheleleka kwebhaktheriya noma imvubelo kucace ngokushesha okukhulu.