Izimpawu ezintsha zeubunzimaukugwinya noma umuzwa wokuthi ukudla kubambeka emphinjeni kungase kukukhathaze.Ukugwinya ngokuvamile kuyinqubo abantu abayenza ngokuzenzakalelayo futhi ngaphandle kokucabanga.Ufuna ukwazi ukuthi kungani futhi kanjani ukulungisa.Ungase futhi uzibuze ukuthi ubunzima bokugwinya kuwuphawu lomdlavuza.
Nakuba umdlavuza ungenye yezimbangela ze-dysphagia, akuyona imbangela engenzeka kakhulu.Ngokuvamile, i-dysphagia ingase ibe yisimo esingenawo umdlavuza njengesifo se-reflux ye-gastroesophageal (GERD) (i-chronic acid reflux) noma umlomo owomile.
Lesi sihloko sizobheka izimbangela ze-dysphagia, kanye nezimpawu okufanele uzibheke.
Igama lezokwelapha le-dysphagia yi-dysphagia.Lokhu kungenziwa futhi kuchazwe ngezindlela ezahlukene.Izimpawu ze-dysphagia zingase zivele emlonyeni noma emgodleni (ithubhu lokudla elisuka emlonyeni liye esiswini).
Iziguli ezine-esophageal izimbangela ze-dysphagia zingase zichaze izimpawu ezihluke kancane.Bangase babe:
Izimbangela eziningi ze-dysphagia azibangelwa umdlavuza futhi zingase zibangelwa ezinye izimbangela.Isenzo sokugwinya siyinqubo eyinkimbinkimbi edinga izinto eziningi ukuze zisebenze kahle.I-Dysphagia ingenzeka uma noma yiziphi izinqubo zokugwinya ezivamile ziphazamiseka.
Ukugwinya kuqala emlonyeni, lapho ukuhlafuna kuxuba amathe nokudla bese kuqala ukuwahlephula futhi kulungiselele ukugayeka kokudla.Ulimi bese lusiza ukusunduza i-bolus (ucezu lokudla oluncane oluyindilinga) ludlule ngemuva komphimbo lungene emthonjeni.
Njengoba inyakaza, i-epiglottis iyavaleka ukuze kugcinwe ukudla kumphimbo esikhundleni kuqhoqhoqho (uqhoqhoqho), oholela emaphashini.Imisipha yomminzo isiza ukusunduzela ukudla esiswini.
Izimo eziphazamisa noma iyiphi ingxenye yenqubo yokugwinya zingabangela izimpawu ze-dysphagia.Eminye yale mibandela ihlanganisa:
Nakuba kungeyona imbangela enkulu, ubunzima bokugwinya bungabangela nomdlavuza.Uma i-dysphagia iphikelela, iba yimbi ngokuhamba kwesikhathi, futhi yenzeka kaningi, umdlavuza ungase usolwe.Ngaphezu kwalokho, ezinye izimpawu zingase zenzeke.
Izinhlobo eziningi zomdlavuza zingase zibe nezimpawu zobunzima bokugwinya.Imidlavuza evame kakhulu yileyo ethinta ngqo izakhi zokugwinya, njengomdlavuza wekhanda nentamo noma umdlavuza womminzo.Ezinye izinhlobo zomdlavuza zingabandakanya:
Isifo noma isimo esithinta noma iyiphi indlela yokugwinya ingabangela i-dysphagia.Lezi zinhlobo zezifo zingase zihlanganise izimo zemizwa ezingathinta inkumbulo noma zibangele ubuthakathaka bemisipha.Zingase futhi zifake izimo lapho imithi edingekayo yokwelapha lesi simo ingase ibangele i-dysphagia njengomphumela ohlangothini.
Uma unenkinga yokugwinya, ungase ufune ukuxoxa nomhlinzeki wakho wezempilo.Kubalulekile ukuqaphela ukuthi izimpawu zivela nini nokuthi zikhona yini ezinye izimpawu.
Kufanele futhi ulungele ukubuza udokotela wakho imibuzo.Wabhale phansi futhi uwaphathe ukuze ungakhohlwa ukuwabuza.
Uma uhlangabezana ne-dysphagia, kungase kube uphawu olukhathazayo.Abanye abantu bangase bakhathazeke ngokuthi kubangelwa umdlavuza.Nakuba kungenzeka, umdlavuza awuyona imbangela engenzeka kakhulu.Ezinye izimo, njengokutheleleka, isifo se-reflux ye-gastroesophageal, noma imithi, nazo zingabangela ubunzima bokugwinya.
Uma uqhubeka nokuba nobunzima bokugwinya, khuluma nodokotela wakho futhi uhlole imbangela yezimpawu zakho.
UWilkinson JM, uCody Pilley DC, uWilfat RP.I-Dysphagia: ukuhlolwa kanye nokuphatha ngokubambisana.Ngingudokotela womndeni.2021;103(2):97-106.
Noel KV, Sutradar R, Zhao H, et al.Umthwalo wezimpawu ezibikwe isiguli njengesibikezelo sokuvakashelwa komnyango wezimo eziphuthumayo kanye nokulaliswa esibhedlela okungahleliwe ngenxa yomdlavuza wekhanda nentamo: isifundo esisekelwe kubantu besikhathi eside.JCO.2021;39(6):675-684.Inombolo: 10.1200/JCO.20.01845
UJulie Scott, MSN, ANP-BC, AOCNP Julie ungumhlengikazi omdala one-oncology kanye nombhali wezempilo ozisebenzelayo onothando lokufundisa iziguli kanye nomphakathi wezokunakekelwa kwempilo.
Isikhathi sokuthumela: Sep-22-2023