Iimpawu kunye neempawu zokuphela kwesigaba somhlaza wesophageal

Umxholo

• Zeziphi iimpawu zokuqala zomhlaza?
• Athini amanqanaba okugqibela (inqanaba IV) kunye neempawu zomhlaza wokuqina kwemiphunga?
• Ngaba lukhona unyango olwenziwayo lokunciphisa iimpawu zesiphelo somhlaza wokuqina?
• Ukunyuka kwe-Esophageal
• Ukupheliswa kweLaser
• Ityhubhu yokondla
• Amayeza entlungu
• Ngaba kubuhlungu ukubulawa ngumhlaza womqala?
• Amanyathelo onokuwathatha ukunciphisa ukungakhululeki kokuphela kobomi
• Yiba nomonde kwaye wamkele iimfuno zomntu zomntu ngokweemvakalelo
• Yise kude

Xa umhlaza we-esophageal uqhubekile waya kwinqanaba lokugqibela, ugxininiso lokhathalelo kukukhululeka kwempawu kunye nomgangatho wobomi. Nangona uhambo lomntu ngamnye luhlukile, kukho imisonto eqhelekileyo efunyanwa ngabantu abaninzi xa unyango lomhlaza lungasasebenzi.

Iimpawu zokufa ngenxa yomhlaza we-esophageal zibandakanya ubunzima bokuginya (i-dysphagia), kunye neempawu eziqhelekileyo kwezinye iintlobo zomhlaza, ezinje:

• ukudinwa
• ukuqala kwentlungu
• iingxaki zokuphefumla
• Ukutshintsha kwemood kunye nokuqonda

Amayeza kunye nolunye unyango lunokunceda ukunciphisa ezinye zeempawu zomhlaza kwinqanaba lokugqibela. Unonophelo lonyango kufuneka lube yinto ephambili kwabo bahlangabezana nemiceli mngeni yokuphela kobomi.

Ungaze ube madolw 'anzima ukubuza imibuzo okanye wabelane ngolwazi malunga neemfuno zakho zomzimba kunye neemvakalelo ngeli xesha.

Kule nqaku, siza kuphinda sihlolisise iimpawu kunye neempawu zesifo somhlaza wokugqibela, kunye neendlela zokunciphisa iimpawu kunye nokunyamekela.

Zeziphi iimpawu zokuqala zomhlaza?

Kwangoko, umhlaza wokuqina ngokufuthi awunazo iimpawu kunye neempawu ezibonakalayo. Xa zivela, olona phawu luxhaphakileyo yi-dysphagia.

Ukutya iinxalenye ezilinganayo, ezinokuluma kunokukwenza uzive ngathi uyaminxa okanye into ibambekile emqaleni. Ukuzama ukuluma okuncinci kunye nokutya okuthambileyo, kunye nokutya into eninzi yolwelo, kunokunceda okwethutyana.

Ezinye iimpawu kunye neempawu zokuqala zinokubandakanya:

• ukwehla kobunzima obungachazwanga
• Intlungu yesifuba, ukutshisa, okanye uxinzelelo
• Isitshisa okanye isisu
• ukudinwa
• ukukhohlela

Athini amanqanaba okugqibela (inqanaba IV) kunye neempawu zomhlaza wokuqina kwemiphunga?

Iimpawu ze-Esophageal zihlala zisiba mbi njengoko isifo siqhubela phambili kwaye umhlaza usasazeka. I-Dysphagia, umzekelo, inokufikelela kwinqanaba apho ukutya okungamanzi-kuphela kufuneka.

Ezinye iimpawu zokugqibela kunye neempawu zomhlaza wesifo sokubandakanya unokubandakanya:

• ukukhohlela okukhohlakeleyo kunye nomqala obuhlungu
• ukuphefumla nzima
• Ukukrala okukhulu kunye nobunzima bokuthetha ngaphezulu kwesebe
• hiccups
• isicaphucaphu nokugabha
• iintlungu zethambo kunye namalungu
• ukopha kwi-esophagus, enokuthi ikhokelele kwigazi kwindawo yokugaya ukutya kunye nakwisihlalo
• ukudinwa, kunokubangelwa kukuphazamiseka kwegazi, okubangelwa kukuphulukana negazi; amayeza athile kunye nonyango lomhlaza; nokungalali kakuhle ngenxa yeentlungu okanye iziphumo ebezingalindelekanga zonyango

Ngaba lukhona unyango olwenziwayo lokunciphisa iimpawu zesiphelo somhlaza wokuqina?

Unyango lokunciphisa iintlungu kunye nokuphazamiseka kweempawu zesigaba sokugqibela kubandakanya amayeza kunye neenkqubo zotyando.

Kubalulekile ukuxoxa ngokulungileyo kunye nokubi kukhetho ngalunye, njengoko ezinye iindlela zonyango zinokuphazamisa umgangatho wobomi bomntu okanye umnqweno wokuphela kobomi.

Ukunyuka kwe-Esophageal

Ukuba ukugwinya kuya kuba nzima kakhulu, i-esophageal dilation isenokukhetha. Kule nkqubo, ugqirha wandisa isilinda esincinci esifana nebhaluni ezantsi esophagus ukuze olule ngobunono izicwili kwaye andise ukuvulwa kokutya kunye nolwelo ukuba kudlule.

Enye inkqubo efanayo ibandakanya ukubekwa kwe-stent kwi-esophagus ukuyigcina ivulekile.

Ukupheliswa kweLaser

Oogqirha banokusebenzisa umqadi we-laser ojolise kwizicubu zomhlaza ezinciphisa umqala. Umqadi utshabalalisa inyama, ukuphucula ukuginya kunye nokwetyisa.

Ityhubhu yokondla

Ukuba iinkqubo zokwandisa i-esophagus azikho ngokufanelekileyo okanye zamkelekile, ugqirha unokukwazi ukufaka ityhubhu yokondla.

Umbhobho wokondla unikezela ngezondlo ngokuthe ngqo kwisitya segazi okanye esiswini okanye emathunjini amancinci. Oku kwenzelwa ukuthintela ukungondleki kunye nokwandisa ixesha lokuphila.

Nangona zixhaphake kakhulu esibhedlele okanye kwindawo yokunyamekela abaguli, ezinye iityhubhu zokondla zingasetyenziswa ekhaya. Umongikazi okhathalelayo unokubonelela ngemiyalelo yokusetyenziswa.

Amayeza entlungu

Ukunciphisa ezinye iimpawu, ezinjengeentlungu, oogqirha baneendlela ezahlukeneyo zamayeza kunye neendlela zokuhambisa loo mayeza ukuba ukuginya iipilisi, umzekelo, kunzima kakhulu.

Amayeza obuhlungu awela kwiindidi ezimbini ngokubanzi:

• iiopioids
• ii-non-opioids

Iiopioids, ezinjengefentanyl kunye ne-oxycodone, ziye zafumana ingqalelo ebonakalayo kule minyaka idlulileyo ngenxa yobume babo bokulutha kunye namabali abuhlungu abantu abawasebenzisileyo la mayeza.

Nangona kunjalo, xa isetyenziswe ngokufanelekileyo kwaye phantsi konyango olungqongqo, i-opioids ingaba yonyango olusebenzayo lwentlungu yomhlaza wokugqibela kunye nezinye iimeko. Zihlala zichazwe xa iintlungu ezingenasifo se-opioid, njenge-ibuprofen (Advil) kunye ne-acetaminophen (iTylenol), ayisebenzi.

Ngaba kubuhlungu ukubulawa ngumhlaza womqala?

Ukuba umntu unikwa amayeza okulawula iintlungu zomzimba kwaye unikwa ulwelo kunye nezondlo ngokusebenzisa ityhubhu yokugqitha kwiingxaki zokuginya, isiphelo sobomi esinomhlaza wokuqunjelwa asifanelanga ukuba ngamava abuhlungu okanye oyikisayo.

Kodwa ngenxa yokuba amayeza asetyenziselwa ukunyanga iintlungu ahlala omelele, umntu unokulala ixesha elininzi okanye abe namava okudideka.

Ezi mpendulo zandiswa kukucothiswa kwemisebenzi yomzimba. Umzekelo, ukubetha kwentliziyo kuyacotha, oko kuthetha ukuba igazi elinomoya-moya ungaphantsi lifikelela kwingqondo. Umntu unokungena kwaye aphume ezingqondweni kwaye abe nengxaki yokukhumbula okanye ukugxila.

Utshintsho kwimisebenzi yomzimba lukhokelela ekuphefumlweni okungaphantsi kunye nelahleko yesinyi kunye nolawulo lwamathumbu.

Ukubukela umntu omthandayo ehamba nolu tshintsho kunokuba buhlungu kwabanye, kodwa kumntu onomhlaza, uninzi lolu tshintsho luya kwenzeka ngaphandle kwesaziso.

Amanyathelo onokuwathatha ukunciphisa ukungakhululeki kokuphela kobomi

Kukho amanyathelo athile amalungu osapho kunye nabanikezeli bezempilo abanokuthatha ukunciphisa ukungakhululeki ngexesha lokuphela kobomi:

• Iichips. Kuba kunzima ukuginya, ukunika umntu iqhekeza lomkhenkce elincinci okanye ukusela ulwelo kuya kugcina umlomo wabo ufumile.
• Ibalm yomlomo. Amafutha e-Lip aya kunceda ukugcina imilebe ingabi buhlungu kwaye iqhekeke.
• Iingubo ezishushu. Ukuhamba okuncitshisiweyo kunokwenza ukuba amalungu omzimba azive ebanda, ke ukuba neengubo ezishushu ziyafumaneka kunokwenza ukuba umntu akhululeke ngakumbi.

Yiba nomonde kwaye wamkele iimfuno zomntu zomntu ngokweemvakalelo

Wonke umntu ubulisa ixesha lakhe lokugqibela ngendlela yakhe. Abanye abantu banamaxesha osizi okanye uloyiko, ngelixa abantu abaninzi bahlala beseluxolweni, besamkela okuphambili.

Ukuba ukunye nomntu obulawa ngumhlaza wokuqina, qiniseka ukuba bakulungele ngokwasemzimbeni, kodwa bakwabonelele ngamazwi enduduzo. Basenokufuna ukugqiba ishishini elingapheliyo, njengokulungisa ukungavisisani kobudlelwane, iingxaki zemali, okanye ukwabiwa kwezinto ezizodwa.

Zilungiselele ukumamela ngomonde kwaye wamkele nantoni na evela kumntu okule meko kwaye unike nayiphi na inkxaso onokuyifumana ekugqibeleni.

Yise kude

Iimpawu zokufa ngenxa yomhlaza wesophageal zifana kakhulu nezo zinamava abantu abanezinye iintlobo zomhlaza. Kukho iintlungu eziqhelekileyo ezinokuncitshiswa ngamayeza anamandla, kunye nokwehla komzimba ngokubanzi kunye nokucothisa yonke imisebenzi yomzimba.

Iimpawu ezithile zomhlaza wokuqaqanjelwa, njengobunzima bokuginya, zisiba mbi kude kube sekupheleni, ke ityhubhu yokondla inokuba yimfuneko.

Nangona iintlungu zomzimba zihlala zilawulwa, imiceli mngeni kunye neemeko zokomoya ezifunyanwa ngumntu onomhlaza kunye nabahlobo kunye namalungu osapho ngamanye amaxesha kunzima ngakumbi ukuzilawula.

Gxila ekunikezeleni ngenkxaso kunye nokuthatha amanyathelo okuqinisekisa ukomelela kwabo ngokwasemzimbeni. Kwaye unganqikazi ukuthetha nomboneleli ononophelo oluxhasayo kwiingcebiso kunye neengcebiso zabo.