Ukuginya okubuhlungu

Ukuginya okubuhlungu nayiphi na intlungu okanye ukungonwabi ngelixa uginya. Unokuziva uphezulu entanyeni okanye ezantsi ezantsi emva kwethambo lesifuba. Rhoqo, iintlungu zivakalelwa njengemvakalelo yokucinezela okanye ukutshisa. Ukuginya okubuhlungu kunokuba luphawu lwesifo esibi.

Ukuginya kubandakanya uninzi lweemithambo kunye nezihlunu emlonyeni, kwindawo yomqala, kunye nombhobho wokutya (umqala). Inxalenye yokuginya yenzelwe ngokuzithandela. Oku kuthetha ukuba unolwazi ngokulawula isenzo. Nangona kunjalo, ukuginya okuninzi kukungazenzisi.

Iingxaki nangaliphi na ixesha kwinkqubo yokuginya (kubandakanya ukuhlafuna, ukuhambisa ukutya emva komlomo, okanye ukukuhambisa kwisisu) kunokubangela ukuginywa okubuhlungu.

Iingxaki zokuginya zinokubangela iimpawu ezinje:

• Iintlungu zesifuba
• Ukuziva kokutya kunamathele emqaleni
• Ubunzima okanye uxinzelelo entanyeni okanye esifubeni ngaphezulu ngelixa usitya

Iingxaki zokuginya zisenokubangelwa zizifo, ezinje:

• Cytomegalovirus
• Isifo seentsini (gingivitis)
• Intsholongwane ye-Herpes simplex
• Intsholongwane kaGawulayo (i-HIV)
• I-Pharyngitis (umqala obuhlungu)
• Ukuthintela

Iingxaki zokugwinya zinokubangelwa yingxaki yesopha, efana nale:

• I-Achalasia
• Ukuqaqanjelwa sisisu
• Isifo se-reflux sesifo se-Gastroesophageal
• Ukudumba komqala
• I-Nutcracker esophagus
• Isilonda esophagus, ngakumbi ngenxa yeetetracyclines (i-antibiotic), i-aspirin kunye ne-nonsteroidal anti-inflammatory drug (NSAIDs) ezinjenge ibuprofen, naproxyn

Ezinye izinto ezibangela iingxaki zokuginya zibandakanya:

• Izilonda zomlomo okanye zomqala
• Into enamathele emqaleni (umzekelo, intlanzi okanye amathambo enkukhu)
• Usulelo lwamazinyo okanye ithumba

Ezinye iingcebiso ezinokukunceda ukuba unciphise ukugwinya iintlungu ekhaya zibandakanya:

• Yitya kancinci kwaye ukuhlafune kakuhle ukutya kwakho.
• Yitya ukutya okusulungekileyo okanye ulwelo ukuba kunzima ukuginya.
• Kunqande ukutya okubandayo okanye okushushu kakhulu xa kusenza ukuba iimpawu zakho zibe mandundu.

Ukuba kukho umntu okrwitshayo, kwangoko yenza u-Heimlich maneuver.

Fowunela umboneleli wakho wezempilo ukuba unengxaki yokuginya kwaye:

• Igazi kwizitulo zakho okanye ilindle lakho libonakala limnyama okanye lihleli
• Ukuphefumla okufutshane okanye intloko encinci
• Ukuhla ukusinda

Tshela umboneleli wakho malunga naziphi na ezinye iimpawu ezenzeka ngokuginya okubuhlungu, kubandakanya:

• Intlungu zesisu
• Ukugodola
• Khohlela
• Ifiva
• Isitshisa
• Isihlunu okanye ukugabha
• Umuncu omuncu emlonyeni
• Ukukhawuleza

Umboneleli wakho uya kukuvavanya kwaye abuze malunga nembali yakho yezonyango kunye neempawu, kubandakanya:

• Ngaba unayo intlungu xa uginya iziqina, ulwelo, okanye zombini?
• Ngaba iintlungu zihlala zikho okanye ngaba ziyafika zidlule?
• Ngaba iintlungu ziya zisanda?
• Ngaba unengxaki yokuginya?
• Unomqala obuhlungu?
• Ngaba uziva ngathi kukho iqhuma emqaleni wakho?
• Ngaba ukhe waphefumla okanye waginya nayiphi na into ekucaphukisayo?
• Zeziphi ezinye iimpawu onazo?
• Zeziphi ezinye iingxaki zempilo onazo?
• Ngawaphi amayeza owasebenzisayo?

Olu vavanyo lulandelayo lunokwenziwa:

• I-Endoscopy ene-biopsy
• Ukuginya kweBarium kunye nochungechunge oluphezulu lwe-GI
• I-x-ray yesifuba
• Ukubeka iliso kwi-pH ye-esophageal (amanyathelo e-asidi kwisopha)
• Esometgeal manometry (amanyathelo oxinzelelo kwi-esophagus)
• I-Esophagogastroduodenoscopy (i-EGD)
• Uvavanyo lwe-HIV
• Intamo x-ray
• Inkcubeko yomqala

Ukuginya - iintlungu okanye ukutshisa; Odynophagia; Ukuvutha xa uginya

• Umqala womzimba

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-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 13.

UNussenbaum B, uBradford CR. I-Pharyngitis kubantu abadala. Ku: Flint PW, Haughey BH, Lund V, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 9.

IPandolfino JE, iKahrilas PJ. Umsebenzi we-Esophageal neuromuscular kunye nokuphazamiseka kwemotility. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 43.

UWilcox CM. Iziphumo zesisu sosulelo kwintsholongwane yabantu. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 34.