Ukuginya iingxaki

Ubunzima ngokuginya kukuziva ukuba ukutya okanye ulwelo lunamathele emqaleni okanye nangaliphi na ixesha ngaphambi kokuba ukutya kungene esiswini. Le ngxaki ikwabizwa ngokuba yi-dysphagia.

Oku kunokubangelwa yingqondo okanye ukuphazamiseka kwemithambo-luvo, uxinzelelo okanye uxinzelelo, okanye iingxaki ezibandakanya umva wolwimi, umqala, kunye nomqala (ityhubhu ekhokelela emqaleni isiya esiswini).

Iimpawu zeengxaki zokuginya zibandakanya:

• Ukukhohlela okanye ukukrwitsha, nokuba kungexesha okanye emva kokutya
• Ukukhala okuvakalayo kuvela emqaleni, ngexesha okanye emva kokutya
• Ukucoca umqala emva kokusela okanye ukuginya
• Ukuhlafuna kancinci okanye ukutya
• Ukukhohlela ukutya kubuyela umva emva kokutya
• I-Hiccups emva kokuginya
• Ukungonwabi kwesifuba ngexesha okanye emva kokuginya
• Ukuphulukana nobunzima obungachazwanga

Iimpawu zinokuba mnene okanye zibe nzima.

Uninzi lwabantu abane-dysphagia kufuneka ihlolwe ngumboneleli wezempilo ukuba iimpawu ziyaqhubeka okanye zibuye. Kodwa ezi ngcebiso ngokubanzi zinokunceda.

• Gcina ixesha lesidlo likhululekile.
• Hlala nkqo ngokuthe ngqo xa usitya.
• Thatha ukulunywa okuncinci, ngaphantsi kwe-1 itispuni (5 ml) yokutya ngokuluma.
• Hlafuna kakuhle kwaye ukuginye ukutya kwakho ngaphambi kokuba uphinde ulume.
• Ukuba elinye icala lobuso okanye lomlomo libuthathaka, hlafuna ukutya kwicala lomelele lomlomo wakho.
• Musa ukudibanisa ukutya okuqinileyo kunye nolwelo ngokuluma okufanayo.
• Ungazami ukuhlamba izinto eziqinileyo ngeesiphu zotywala, ngaphandle kokuba intetho yakho okanye ingcali yokuginya ithi oku kulungile.
• Sukuthetha nokuginya ngaxeshanye.
• Hlala nkqo imizuzu engama-30 ukuya kwengama-45 emva kokutya.
• Musa ukusela izinto ezingamanzi ungakhange ubuze kugqirha wakho okanye ugqirha kuqala.

Unokufuna umntu akukhumbuze ukuba ugqibe ukugwinya. Inokukunceda nokucela abanonopheli kunye namalungu osapho ukuba angathethi nawe xa usitya okanye usela.

Fowunela umnikezeli wakho ukuba:

• Ukhohlela okanye unefiva okanye uphefumla kancinci
• Uphulukana nobunzima
• Iingxaki zakho zokuginya ziya zisiba mbi

IDysphagia

• Ukuginya iingxaki

I-DeVault KR. Iimpawu zesifo esophageal. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 13.

I-Emmett SD. I-Otolaryngology kubantu abadala. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 13.

I-Fager SK, uHakel M, uBrady S, et al. Unxibelelwano lwabantu abadala lwe-neurogenic kunye nokuphazamiseka kokugwinya. Ku: Cifu DX, ed. Amayeza oNyango kaBraddom kunye noVuselelo. Umhla we-5. IPhiladelphia, PA: Elsevier; 2016: isahluko 3.

• Ukulungiswa kwe-aneurysm yobuchopho
• Utyando lobuchopho
• Laryngectomy
• Isifo sokugubhuka
• Umhlaza womlomo
• Isifo seParkinson
• Ukubetha
• Umhlaza womqala okanye womqala

• Utyando lobuchopho-ukukhutshwa
• Isifo sengqondo esixhalabisayo-indlela yokuziphatha kunye neengxaki zokulala
• Isifo sengqondo esixhalabisayo-ukhathalelo lwemihla ngemihla
• Isifo sengqondo esiyingozi-ukugcina sikhuselekile ekhaya
• Umlomo owomileyo ngexesha lonyango lomhlaza
• Isondlo sangaphakathi-iingxaki zokulawula umntwana
• Ityhubhu yokondla isisu - i-bolus
• Ityhubhu yokondla iJejunostomy
• Umlomo kunye nentamo radiation - ukukhutshwa
• Multiple sclerosis - ukukhutshwa
• Stroke - ukubhobhoza

• Amyotrophic lateral Sclerosis
• Umvakalelo yokitazo
• Umhlaza we-Esophageal
• Ukuphazamiseka kwi-Esophagus
• IGERD
• Umhlaza wentloko kunye nentamo
• Isifo sikaHuntington
• Isifo sokugubhuka
• Imisipha yeDystrophy
• Umhlaza womlomo
• Isifo sikaParkinson
• Umhlaza wedlala yamathe
• Iscleroderma
• Umqolo weAthene Atrophy
• Ukubetha
• Ukuphazamiseka kokuGwinya
• Umhlaza womqala
• Iingxaki zetracheal