Ukuqina Kwemisipha Ye-esophagus? Izimpawu, Izimbangela, Nokwelashwa

Ukuqina kwemisipha ye-esophagus kuyi-contractions ezibuhlungu nezingalindelekile zemisipha e-esophagus yakho - umgudu othatha ukudla emlonyeni wakho uye esiswini sakho. Cabanga ngakho njengokuqina kwemisipha, kodwa kwenzeka ngaphakathi endleleni lapho ukudla kwakho kuhamba khona.

Le miqina ingase ibe yiyona into ebangela ukukhathazeka uma ivela, kodwa ngokuvamile ayilimazi impilo yakho jikelele. I-esophagus yakho ngokuvamile icindezela ngendlela efana ne-wave ukuze isuse ukudla phansi, kodwa ngokuqina kwemisipha, le miqina iba yingalungile futhi inamandla.

Ziyini izimpawu zokuqina kwemisipha ye-esophagus?

Isimpawu esiyinhloko oyibonayo yi-chest pain engase ibe namandla kakhulu. Le nhlungu ngokuvamile iphazamiseka njengengxaki yenhliziyo ngoba ingase ifane nokuhlaselwa yinhliziyo.

Nazi izimpawu ezivame ukuvela ngokuqina kwemisipha ye-esophagus:

• Ubuhlungu obungalindelekile, obukhulu besifuba obungase buqhubeke kusuka emaminithini kuya emahoreni
• Ubuhlungu obuzwakala njengokucindezela noma ukucindezela esifubeni sakho
• Ubunzima bokuginya ukudla noma izinto eziphuzwayo
• Ukuzwa njengokuthi ukudla kunamathele entanyeni yakho noma esifubeni
• Ubuhlungu obungase buhanjiswe entanyeni yakho, emaxhaphozeni, ezingalweni, noma emuva
• Ukuphuma kokudla noma izinto eziphuzwayo

Ubuhlungu besifuba bungase bube namandla kangangokuthi abantu abaningi basabela e-emergency room becabanga ukuthi bahlushwa yinhliziyo. Lokhu kuphendula kuqondakala ngokuphelele futhi empeleni yinto efanele ukwenziwa uma ubhekene nobuhlungu obukhulu besifuba.

Abanye abantu nabo baye bahlushwa yilokho okuzwakala njengokushisa kwesisu noma ukuzwakala okushisayo. Ubuhlungu bungase buze buhambe ngokungalindelekile, okwenza kube nzima ukuhlanganisa nanoma yiziphi izimbangela ezithile ekuqaleni.

Ziyini izinhlobo zokuqina kwemisipha ye-esophagus?

Kunezinhlobo ezimbili eziyinhloko zokuqina kwemisipha ye-esophagus, ngayinye inezingqikithi ezihlukile ze-muscle contractions. Ukuqonda ukuthi iyiphi uhlobo olukuyo kusiza udokotela wakho ukukhetha indlela yokwelapha engcono kakhulu.

Uhlobo lokuqala lubizwa ngokuthi yi-diffuse esophageal spasm. Ngale ndlela, izingxenye eziningi ze-esophagus yakho ziqina ngesikhathi esifanayo esikhundleni sokulandelana okuhleliwe okujwayelekile. Lokhu kudala iphethini engajwayelekile engase ibe yiyona into ebangela ubuhlungu.

Uhlobo lwesibili yi-nutcracker esophagus, ebizwa nangokuthi yi-jackhammer esophagus. Lapha, i-contractions zenzeka ngokulandelana okulungile, kodwa zinamandla kakhulu kunokujwayelekile. Uxinzelelo lungaba kabili noma kathathu kunokujwayelekile.

Zombili izinhlobo zingabangela izimpawu ezifanayo, yize i-nutcracker esophagus ngokuvamile ibangela ubuhlungu obukhulu. Udokotela wakho angakwazi ukubona umehluko usebenzisa izivivinyo ezikhethekile ezilinganisa uxinzelelo nokulandelana kwemisipha yakho ye-esophagus.

Yini ebangela ukuqina kwemisipha ye-esophagus?

Imbangela eqondile yokuqina kwemisipha ye-esophagus ayicaci ngaso sonke isikhathi, kodwa izinto eziningi zingakhuthaza noma zinikeze. Imisipha yakho ye-esophagus ingase ibe nokuningi ukusabela ngenxa yezinto ezihlukahlukene.

Izimbangela ezivamile nezinto ezinikezayo zihlanganisa:

• Ukudla neziphuzo ezishisayo noma ezibandayo kakhulu
• I-Gastroesophageal reflux disease (GERD)
• Ukuqina nokukhathazeka
• Imithi ethile, ikakhulukazi eminye imithi yegazi
• Izifo zezinzwa ezihlasela i-esophagus
• Izimo ze-autoimmune

Ngesinye isikhathi, ukuqina kwemisipha kuvela njengengxaki yesibili. Isibonelo, uma une-acid reflux eqhubekayo, ukucasula okuqhubekayo kungenza imisipha yakho ye-esophagus ibe nomkhuba wokuba nomqina.

Ezimweni ezithile, ikakhulukazi ezingavamile, ukuqina kwemisipha ye-esophagus kungase kuhambisane nezimo zezinzwa eziyinkimbinkimbi noma izifo ze-connective tissue. Noma kunjalo, abantu abaningi abane-esophageal spasms abanawo noma yiluphi ubuhlungu obukhulu.

Nini okufanele ubone udokotela ngokuqina kwemisipha ye-esophagus?

Kufanele ufuna usizo lwezokwelapha ngokushesha uma ubhekene nobuhlungu obukhulu besifuba, ikakhulukazi uma kungokokuqala ukuthi ube nalezimpawu. Kungcono njalo ukuba uphephile uma kukhulunywa ngobuhlungu besifuba.

Shaya u-911 noma uhambe e-emergency room ngokushesha uma unebuhlungu besifuba kanye nokuqina kokuphefumula, ukubila, isicanucanu, noma ubuhlungu obuhanjiswa engalweni yakho noma emaxhaphozeni. Lezi zingase zibe izimpawu zokuhlushwa yinhliziyo kunokuqina kwemisipha ye-esophagus.

Hlela i-appointment nodokotela wakho uma ubhekene neziqephu eziphindaphindayo zobuhlungu besifuba noma ubunzima bokuginya. Ngisho noma ubuhlungu bungelona obunzima, izimpawu ezivamile zingathinta kakhulu ikhwalithi yokuphila kwakho futhi kufanele ziqondwe.

Kufanele futhi ubone udokotela wakho uma ulahlekelwa isisindo ngaphandle kokulindelekile noma ugwema ukudla okuthile ngenxa yengxaki yokuginya. Lezi zinguquko zingase zibonise ukuthi isimo sakho sidinga ukuphathwa okusebenzayo.

Ziyini izinto ezingase zikwenze ube sengozini yokuqina kwemisipha ye-esophagus?

Izinto ezithile zingase zikwenze ube nomkhuba wokuba nokuqina kwemisipha ye-esophagus. Ubudala buyinye into - le miqina ivame kakhulu kubantu abadala kuno-60, yize ingase ivela kunoma yiliphi isikhathi.

Nazi izinto eziyinhloko ezingase zikwenze ube sengozini:

• Ukuba ne-Gastroesophageal reflux disease (GERD)
• Amazinga aphezulu okuqina noma ukukhathazeka
• Izimo ezithile ze-autoimmune
• Ukuthatha imithi ethile efana ne-calcium channel blockers
• Ukuba nezinye izifo ze-esophagus
• Ukudla ukudla okushisayo noma okubandayo kakhulu njalo

Uma une-GERD, ukuyilawula kahle kungasiza ukunciphisa amathuba okuqina kwemisipha ye-esophagus. Ukucasula okuqhubekayo kwe-acid kungacasula imisipha ye-esophagus futhi kuyenze ibe nomkhuba wokuba ne-contractions engajwayelekile.

Ngokuthakazelisayo, kubonakala sengathi abanye abantu banesabela kakhulu ekushiseni okuphezulu noma okubandayo kokudla neziphuzo. Uma uqaphela ukuqina kwemisipha ngemuva kokudla ikhofi elishisayo kakhulu noma iziphuzo ezibandayo kakhulu, lokhu kungase kube yimbangela yakho.

Ziyini izinhlanganisela ezingase zibe khona zokuqina kwemisipha ye-esophagus?

Abantu abaningi abane-esophageal spasms abathuthuki ezinhlanganisela ezinkulu, kodwa kunezinkinga ezithile okufanele uzazi. Izindaba ezinhle ukuthi lezi zinhlelo zokusebenza ngokuvamile zilawuleka ngokunakekelwa okuhle.

Inhlanganisela evamile kakhulu ukukhula kokwesaba ukudla noma ukukhathazeka ngokudla. Uma ukuginya kuba yiyona into ebangela ubuhlungu noma kunzima, abanye abantu baqala ukugwema ukudla okuthile noma ukudla okuncane, okungase kube yimbangela yezinkinga zokudla.

Ukulahleka kwesisindo kungase kwenzeke uma ukuqina kwemisipha kwenza ukudla kungabi nakho ukuthula. Lokhu kungenzeka kakhulu uma isimo singalashwa isikhathi eside noma uma ukuqina kwemisipha kunamandla kakhulu.

Ezimweni ezingavamile, ukuqina kwemisipha okuqhubekayo okunzima kungase kube yimbangela yenguquko esakhiweni se-esophagus ngokuhamba kwesikhathi. I-contractions engajwayelekile eqhubekayo ingase ithonye ukusebenza okujwayelekile kwe-esophagus.

Abanye abantu nabo bathuthukisa ukukhathazeka okwesibili noma i-panic attacks, ikakhulukazi uma sebebe nezimo ezisabekayo ezazizwakala njengokuhlushwa yinhliziyo. Leli thonya lengqondo liyinto yangempela futhi liyaphatheka ngokusekelwa okuhle.

Ukuqina kwemisipha ye-esophagus kungavikeleka kanjani?

Nakuba ungakwazi ukugwema ukuqina kwemisipha ye-esophagus ngokuphelele, kunezindlela eziningi ezingasiza ukunciphisa ubukhulu bawo. Abantu abaningi bathola ukuthi ukuqonda nokuqeda izimbangela zabo siqu kwenza umehluko omkhulu.

Qala ngokuqaphela lokho okukudlayo nokuphuzayo. Ukuqeda ukudla neziphuzo ezishisayo noma ezibandayo kakhulu ngokuvamile kuwusizo. Izinto ezishisayo noma ezifudumele ngokuvamile ziyamukeleka kangcono.

Ukulawula ukucindezeleka ngezindlela zokupumula, ukuzivocavoca njalo, noma ukwelashwa kungasiza futhi. Njengoba ukucindezeleka nokukhathazeka kungakhuthaza ukuqina kwemisipha, ukuthola izindlela ezempilo zokubhekana nokucindezeleka kwempilo kuyasiza.

Uma une-GERD, ukusebenzisana nodokotela wakho ukulawula i-acid reflux kungavimbela ukucasula okubangela ukuqina kwemisipha. Lokhu kungase kuhlanganise ukuguqula ukudla, imithi, noma ezinye izindlela zokwelapha.

Ukudla ukudla okuncane, okuvamile esikhundleni sokudla okukhulu kungasiza futhi. Ukukoma ukudla kahle nokudla kancane kunika i-esophagus yakho isikhathi sokusebenza kahle ngaphandle kokucindezelwa.

Ukuqina kwemisipha ye-esophagus kuqondwa kanjani?

Ukuqonda ukuqina kwemisipha ye-esophagus ngokuvamile kuqala ngodokotela wakho ebuza imibuzo eminingi mayelana nezimpawu zakho. Uzothanda ukwazi ukuthi ubuhlungu buvela nini, buzwakala kanjani, nokuthi yini ebonakala iyikhuthaza.

Isinyathelo sokuqala ngokuvamile ukugwema izinkinga zenhliziyo, ikakhulukazi uma ubhekene nobuhlungu besifuba. Udokotela wakho angase anikeze i-electrocardiogram (EKG) noma ezinye izivivinyo zenhliziyo ukuqinisekisa ukuthi inhliziyo yakho isebenza kahle.

Uma izinkinga zenhliziyo zigwenywe, udokotela wakho cishe uzoncoma izivivinyo ezikhethekile ze-esophagus yakho. I-esophageal manometry iyona ivivinyo eliqinisekile kakhulu - linganisa uxinzelelo nokulandelana kwe-muscle contractions e-esophagus yakho.

Ungase futhi ube ne-barium swallow test, lapho uphuza khona i-liquid enama-chalky bese kuthathwa ama-X-rays. Leli vivinyo libonisa ukuthi i-esophagus yakho isusa ukudla kanjani phansi futhi lingase libonise noma yiziphi izinkinga zesakhiwo.

I-upper endoscopy ingase ibe yindlela yokwelapha. Lokhu kuhilela umgudu omncane, oguquguqukayo onekhamera edlula entanyeni yakho ukubuka ngqo i-esophagus yakho nokuqeda ezinye izimo.

Iyini indlela yokwelapha yokuqina kwemisipha ye-esophagus?

Ukwelapha ukuqina kwemisipha ye-esophagus kugxile ekunciphiseni ubukhulu bezimpawu ngenkathi kuthuthukiswa ikhwalithi yokuphila kwakho. Indlela ngokuvamile ihlanganisa ukuxuba imithi, ukuguqula indlela yokuphila, futhi ngezinye izikhathi izinqubo.

Imithi ngokuvamile iyindlela yokuqala yokwelapha. I-calcium channel blockers, efana ne-nifedipine, ingasiza ekuphumuleni imisipha ye-esophagus nokunciphisa ubukhulu bokuqina kwemisipha. I-Nitrates, efana nalezo ezisetshenziswa ezimweni zenhliziyo, nayo ingasebenza.

Kwabanye abantu, imithi ye-antispasmodic noma ngisho namanani aphansi e-antidepressants ethile angasiza. Le miithi isebenza ngokuthinta izibonakaliso zezinzwa ezilawula i-muscle contractions.

Uma imithi ingasebenzi ngokwanele, udokotela wakho angase ancome i-botulinum toxin injections. Amanani amancane e-Botox asetshenziswa emipha ye-esophagus ngesikhathi senqubo ye-endoscopy ukubasiza baphumule.

Ezimweni ezinzima ezingaphenduli kwezinye izindlela zokwelapha, izindlela zokwelapha ezinjenge-laparoscopic Heller myotomy zingase zicatshangelwe. Lokhu kuhilela ukukha imicu eminye yemisipha ukunciphisa amandla abo okuqina ngamandla.

Indlela yokulawula ukuqina kwemisipha ye-esophagus ekhaya?

Kunezinto eziningi ongazenza ekhaya ukuze usize ukulawula izimpawu zakho nokunciphisa amathuba okuqina kwemisipha. Lezi zindlela zokunakekela zisebenza kangcono uma zixubene nokwelashwa kwezokwelapha.

Qala ngokuguqula ukudla. Dlala ukudla okuncane, okuvamile esikhundleni sokudla okukhulu. Koma ukudla kwakho kahle futhi udle kancane ukunika i-esophagus yakho isikhathi sokusebenza kahle.

Gcina umbhalo wokudla noma iziphuzo ezibonakala zikhuthaza ukuqina kwemisipha yakho. Izimbangela ezivamile zihlanganisa izinto ezishisayo noma ezibandayo kakhulu, ukudla okunoshukela, i-citrus, futhi ngezinye izikhathi iziphuzo ezinogesi.

Izinqubo zokulawula ukucindezeleka zingasiza kakhulu. Ukuzivocavoca kokuphefumula okujulile, ukucamngca, noma i-yoga ebushelelezi kungakusiza uhlale ukhululekile futhi kungenzeka kunciphisa ubukhulu bokuqina kwemisipha.

Hlala uthambile, kodwa phuza izinto eziphuzwayo ezishisayo uma kungenzeka. Abanye abantu bathola ukuthi ukuphuza izinto ezifudumele (ezingezona ezishisayo) empeleni kungasiza ekuphumuleni imisipha ye-esophagus ngesikhathi sokuqina kwemisipha okuncane.

Uma ubhekene nokuqina kwemisipha, zama ukuhlala uzolile futhi uzivocavoce ngokuphefumula okujulile. Ngesinye isikhathi ukuguqula izikhundla noma ukuphuza amanzi afudumele ambalwa kungasiza ukuqina kwemisipha kuhambe ngokushesha.

Kufanele uzilungiselele kanjani i-appointment yakho nodokotela?

Ukulungiselela kahle i-appointment yakho nodokotela kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nesiqondiso sokwelapha esisebenzayo. Qala ngokugcina idayari yesimpawu okungenani isonto ngaphambi kwe-appointment yakho.

Bhala phansi ukuthi izimpawu zakho zivela nini, lokho okwakukudla noma okuphuzayo, amazinga akho okuqina, nokuthi ubuhlungu buzwakala kanjani. Qaphela ukuthi isiqephu ngasinye siqhubeke isikhathi esingakanani nokuthi yini, uma kukhona, esisize ukuxazulula.

Yenza uhlu lwemithi yonke oyithathayo njengamanje, kuhlanganise nemithi ye-over-the-counter kanye ne-supplements. Imithi ethile ingase ibe yimbangela yokuqina kwemisipha ye-esophagus, ngakho-ke lolu lwazi lubalulekile.

Lungiselela uhlu lwemibuzo okumele uyibuze udokotela wakho. Ungase uthande ukwazi ngezindlela zokwelapha, ukuguqula indlela yokuphila okungasiza, noma izimpawu zokuqapha okumele uzibone.

Uma uke waba nezivivinyo zenhliziyo noma ezinye izilingo zezokwelapha ezihlobene nobuhlungu besifuba, letha lezo zirekhodi nawe. Lokhu kungasiza udokotela wakho ukugwema ukuphinda izivivinyo ezingadingekile.

Iyini into ebaluleke kakhulu mayelana nokuqina kwemisipha ye-esophagus?

Ukuqina kwemisipha ye-esophagus kungase kube yiyona into ebangela ukukhathazeka nobuhlungu, kodwa ngokuvamile akubi kakhulu futhi kungaphathwa kahle ngendlela efanele. Okubalulekile ukuthola ukuxilongwa kwezokwelapha ukuqinisekisa ukuxilongwa nokuqeda ezinye izimo.

Abantu abaningi abane-esophageal spasms bangathola impumuzo enkulu ngokuxuba imithi, ukuguqula indlela yokuphila, nokuphatha ukucindezeleka. Nakuba isimo singase siqhubeke, akudingeki lithonye kakhulu impilo yakho yansuku zonke.

Khumbula ukuthi ubuhlungu obukhulu besifuba kufanele buqondwe ngokushesha, ikakhulukazi uma kuyisimo esisha kuwe. Uma usuqonde ukuthi ubhekene nokuqina kwemisipha ye-esophagus, wena nodokotela wakho ningasebenzisana ndawonye ukwenza uhlelo lokuphatha olusebenzayo.

Into ebaluleke kakhulu ukuhlala uxhumana neqembu lakho lokunakekelwa kwezempilo futhi ungavumeli ukwesaba izimpawu kukuvimbele ukudla kahle noma ukujabulela impilo yakho. Ngokuphathwa okuhle, abantu abaningi abane-esophageal spasms baphila impilo evamile, enempilo.

Imibuzo evamile ebuzwayo mayelana nokuqina kwemisipha ye-esophagus

Q1: Ingabe ukuqina kwemisipha ye-esophagus kungaphiliswa ngokuphelele?

Nakuba ayikho indlela eqinisekile yokwelapha ukuqina kwemisipha ye-esophagus, isimo singaphathwa kahle kakhulu kubantu abaningi. Abantu abaningi baye bathola ukunciphisa okukhulu kwezimpawu ngokwelashwa okuhle, futhi abanye bangase babe nezinkathi ezinde ngaphandle kokuthi kube nomqina kwemisipha. Umgomo wokwelapha ukulawula izimpawu nokuthuthukisa ikhwalithi yokuphila kwakho.

Q2: Ingabe ukuqina kwemisipha ye-esophagus kuhlobene nezinkinga zenhliziyo?

Ukuqina kwemisipha ye-esophagus akuhlobene ngokuqondile nezinkinga zenhliziyo, yize ubuhlungu besifuba bungase buzwakale bufana nokuhlaselwa yinhliziyo. Kungakho kubalulekile ukuthola ubuhlungu besifuba buqondwe yisazi sezokwelapha. I-esophagus yakho nenhliziyo ziseduze kakhulu esifubeni sakho, okwenza ubuhlungu buzwakale bufana.

Q3: Ingabe ukucindezeleka ngempela kungakhuthaza ukuqina kwemisipha ye-esophagus?

Yebo, ukucindezeleka nokukhathazeka ngokuqinisekile kungakhuthaza ukuqina kwemisipha ye-esophagus kubantu abaningi. Isistimu yakho yokugaya ukudla ixhunyaniswe eduze nesistimu yakho yezinzwa, futhi ukucindezeleka kwengqondo kungathinta indlela imisipha yakho ye-esophagus esebenza ngayo. Kungakho izinketho zokulawula ukucindezeleka ngokuvamile ziyingxenye ebalulekile yokwelapha.

Q4: Ingabe kuphephile ukuzivocavoca ngokuqina kwemisipha ye-esophagus?

Ukuzivocavoca ngokuvamile kuphephile futhi empeleni kungasiza abantu abane-esophageal spasms, njengoba kusiza ekulawuleni ukucindezeleka nasempilweni jikelele. Noma kunjalo, kufanele ugweme ukudla ukudla okukhulu ngaphambi kokuzivocavoca futhi uhlale uthambile. Uma ubhekene nokuqina kwemisipha ngesikhathi sokuzivocavoca, yeka uphumule. Xoxa njalo ngezinhlelo zakho zokuzivocavoca nodokotela wakho.

Q5: Ingabe ngizodinga ukushintsha ukudla kwami njalo?

Ukushintsha ukudla ngokuvamile kuwusizo ekulawuleni ukuqina kwemisipha ye-esophagus, kodwa akudingeki kube ukulinganiselwa okukhulu. Abantu abaningi bangakwazi ukuqonda izimbangela zabo ezithile futhi bagweme lezo zinto kuphela ngenkathi beqhubeka bejabulela ukudla okuhlukahlukene. Ukusebenzisana nodokotela wakho noma umhlinzeki wokudla kungakusiza ukwenza uhlelo lokudla oluzinzile oluunciphisa izimpawu ngenkathi ulondoloza ukudla okuhle.