Iqhubu Emphinjeni

Abantu abaningi bazwa umuzwa ongakhululekile weqhubu emphinjeni ngesikhathi esithile. Lo muzwa ungabangela ukukhathazeka nokukhathazeka, ikakhulukazi lapho ukugwinya noma ukukhuluma kuba nzima. Isigaxa emphinjeni, okwaziwa nangokuthi i-Globus sensation, singasukela ekuphathekeni kabi kuye ebuhlungwini obukhulu. Abantu bavame ukuyichaza njengokuthi kukhona okubhajwe emphinjeni noma ukuzwa isigaxa ngaphansi komphimbo esingasuki. Abanye abantu bayaqaphela ukuthi lesi sigaxa emphinjeni sibuhlungu, ikakhulukazi lapho bedla noma bephuza. Lo mhlahlandlela ophelele uchaza ukuthi yini ebangela lesi simo esivamile, izimpawu zaso, kanye nezindlela ezihlukahlukene zokwelashwa. 

Liyini Ukuzwa Kwesigaxa Emqaleni?

Isigaxa emphinjeni yisimo somtholampilo esihlukile lapho abantu bezwa khona ukuthi kukhona okubhajwe emphinjeni lapho kungekho sisindo somzimba esikhona. Lo muzwa, ophinde ubizwe nge-Globus Pharyngeus, ungaphikelela noma ufike futhi uhambe ngezikhathi ezithile. Abantu bachaza lo muzwa ngezindlela ezihlukahlukene, njengokuzwa ukudla kubambeke noma umuzwa wengcindezi noma ukuqina emphinjeni. 

Cishe ingxenye yalabo abathintekile, isigaxa emphinjeni kungase kube ukuphela kophawu lwabo. Nakuba umuzwa ungakhungathekisa futhi uphathelene, ochwepheshe bezokwelapha bakuhlukanisa njengesimo esibucayi esivame ukuzixazulula ngokwaso ngokuhamba kwesikhathi.

Izimpawu Zesigaxa Emphinjeni

Abantu abanalesi simo babika lezi zimpawu eziyinhloko:

• Umuzwa wokuqina komphimbo noma ingcindezi
• Ukuzwa kwebhande eliboshwe entanyeni
• Ubunzima bokugwinya amathe
• Umuzwa obeleselayo wento ebhajwe emphinjeni
• Ukungakhululeki emphinjeni okuhluka ngamandla

Lo muzwa uvame ukubonakala kakhulu lapho ugwinya amathe kodwa ungase uthuthuke ngenkathi udla noma uphuza. 

Izimbangela Zesigaxa Emphinjeni

Ochwepheshe bezokwelapha baye bahlonza izici eziningana ezingase zibangele lo muzwa wokungakhululeki.

• Izimo Zomzimba Nezokwelapha:
  • Isizathu esivame kakhulu i-acid reflux noma i-GERD (i-Gastroesophageal Reflux Disease). Kuyisimo lapho i-asidi yesisu igeleza ihlehle futhi icasule ipayipi lokudla, idale ukucinana komphimbo. 
  • Ukuvuvukala kwezicubu zomphimbo noma amalaka
  • Ukuconsa kwangemva kwamakhala kusuka izinkinga zesinus
  • Isifo se-thyroid noma i-thyroid ekhulisiwe
  • Izimo zomgogodla wesibeletho ezithinta imisipha yentamo
  • Ukucindezeleka kwezwi kusuka ekukhulumeni okunwetshiwe
  • Ukubhema noma ukucasuka kwe-vaping
  • Ukungasebenzi kahle kwe-esophageal sphincter
• Izici Zengqondo: Badlala indima ebalulekile ekudaleni noma ekwenyuseni umuzwa wokuzwa. Lapho othile ebhekana nengcindezi noma ukukhathazeka, imisipha yomphimbo yakhe ingaqina, okuholela emuzweni wesigaxa. Imizwa ejulile, ikakhulukazi usizi noma ukuqhosha, ingabangela lo muzwa, ngisho nalapho kungekho sizathu esingokoqobo.
• Izici Zemvelo kanye Nemikhuba Yokuphila: Ukukhuluma ngokweqile, ukususa umphimbo kaningi, noma ukukhwehlela okungapheli kungase kucasule izicubu zomphimbo. Abanye bayaqaphela ukuthi ukuzwa kuzwakala kakhulu phakathi nokukhathala noma ngemva kwesikhathi eside sokukhuluma.

Sifo

Odokotela ngokuvamile baqala ngengxoxo enemininingwane mayelana nezimpawu nomlando wezokwelapha, benaka ngokukhethekile lapho ukuzwa kwenzeka nokuthi yini eyenza kube ngcono noma kubi nakakhulu.

Ukuhlolwa Komzimba: Udokotela uzohlola indawo yentamo nomphimbo, efuna noma yiziphi izimpawu ezibonakalayo zezinkinga. Bangase bayizwe kahle intamo ukuze bahlole ukuvuvukala noma ukuthamba futhi bahlole umlomo nomphimbo ukuze babone izinto ezingavamile.

Ukuze uthole ukuhlolwa okuningiliziwe, odokotela bangancoma ukuhlolwa okukhethekile okuningana:

• I-Laryngoscopy - ukuhlola umphimbo kusetshenziswa isibonakude esincane esiguquguqukayo
• Izifundo zokugwinya kwe-barium - Ama-X-ray akhombisa ukuthi ukudla kudlula kahle kangakanani emphinjeni
• I-Endoscopy - ukuhlolwa okuningiliziwe komgudu wokugaya ongaphezulu
• Ukuhlolwa kokugwinya - ukuhlola ukuthi umuntu angagwinya kahle kangakanani
• Isithombe sentamo - CT scan noma MRI uma kudingeka

Ukwelashwa Kwesigaxa Emphinjeni 

Izindlela zokwelapha eziphumelela kakhulu zihlanganisa:

• Ukuguqulwa kwendlela yokuphila: 
  • Ukuphuza amanzi amaningi ngama-sips amancane
  • Ukugwema i-caffeine notshwala
  • Ukugcina isisindo esinempilo
• Izinguquko Zokudla:
  • Ukunciphisa ukudla okunamafutha nokudla okubabayo
  • Ukulinda amahora amathathu emva kokudla ngaphambi kokulala
• Izinketho Zomuthi:
  • I-Proton pump inhibitors ye-acid reflux
  • Izifutho zamakhala zokuvuza kwangemuva
  • Ama-antidepressants lapho kudingeka
• Izindlela zokwelapha:
  • Ukwelapha ngenkulumo ukuze uphumule imisipha yomphimbo 
  • Ukucindezeleka amasu okunciphisa
  • Ukwelashwa kokuziphatha kwengqondo kungasiza ekunciphiseni izimpawu lapho ukucindezeleka kuyisizathu esiyinhloko salesi simo.
• Ukusekelwa Kochwepheshe: 
  • Ukusebenza nodokotela ukubhekana nokukhathazeka okucashile noma ukucindezeleka
  • Abanye abantu bathola impumuzo ngokuzivocavoca umzimba nokuzindla, okungasiza ukukhulula imisipha yomphimbo futhi kunciphise ukungezwani.

Uzoyibona Nini Udokotela

Izimpawu eziyisixwayiso ezidinga ukunakwa ngokushesha zihlanganisa:

• Ubuhlungu obungapheli bentamo noma ukuzwela 
• Ubunzima noma ubuhlungu lapho ugwinya
• Ukwehla kwesisindo okungahlosiwe
• Ukuphindaphinda kokudla
• Ukuvuvukala okuphawulekayo noma isigaxa esingokomzimba entanyeni
• Ubuthakathaka bemisipha
• Imfiva ehambisana nezimpawu zomphimbo

Ukuvimbela

Izinyathelo eziningana zokuvimbela zingasiza abantu ukuthi bagweme ukuzwa isigaxa emphinjeni:

• Prakthiza i-hydration efanele usuku lonke
• Landela ukudla okunomsoco okugcwele i-fiber nokudla okune-asidi ephansi
• Lawula ukucindezeleka ngokusebenzisa ukuzivocavoca njalo nezindlela zokuphumula
• Gwema ukususa umphimbo ngokweqile noma ukukhwehlela
• Gcina ishejuli yokulala enempilo
• Yeka ukubhema futhi unciphise ukusetshenziswa kotshwala
• Zijwayeze ukuhlanzeka okuhle kwezwi, ikakhulukazi kulabo abasebenzisa izwi labo ngobungcweti
• Abantu abasebenza emisebenzini edinga ukusetshenziswa okukhulu kwezwi kufanele bacabangele ukusebenzisa izikhathi zokuphumula zezwi usuku lonke. 
• Ukugcina isisindo esiphelele nokugwema izingubo ezimpintshayo entanyeni kusiza ukuvikela ukungaphatheki kahle komphimbo.
• Ukugcina ukuma okuhle ngenkathi wenza umsebenzi wedeski noma usebenzisa amadivaysi eselula kungasiza ekuvimbeleni ubunzima bentamo obungase bubangele ukungakhululeki komphimbo.
• Labo abanomlando we-acid reflux kufanele baqaphele ikakhulukazi imikhuba yabo yokudla, bagweme ukudla okukhulu eduze nesikhathi sokulala futhi bahlale bemi kahle ngemva kokudla. 

Isiphetho

Isigaxa esizwakala emphinjeni sithinta abantu abaningi futhi ngokuvamile sibangela ukukhathazeka, kodwa ukuqonda izimbangela zako kusiza ukuphatha isimo kangcono. Izimo eziningi zisuka ezindabeni ezivamile ezifana ne-acid reflux, ingcindezi, noma ukungezwani kwemisipha kunezinkinga ezinkulu zezokwelapha. Izinguquko ezilula zendlela yokuphila (njengokuhlala umanzi, ukulawula ingcindezi, nokugcina ukuma okuhle) kusiza ukuvimbela nokunciphisa izimpawu.

Abantu abazwa lokhu kuzwa kufanele bakhumbule ukuthi nakuba bengakhululekile, isimo ngokuvamile siba ngcono ngokunakekelwa okufanele nangesikhathi. Usizo lwezokwelapha ludingeka kuphela lapho kuvela izimpawu ezengeziwe, ezinjengobunzima bokugwinya noma ubuhlungu obungapheli. 

Imibuzo Evame Ukubuzwa

1. Iqhubu emphinjeni livamise ukuhlala isikhathi esingakanani? 

Ubude beqhubu ekuzwakalini komphimbo buyahluka kakhulu kubantu ngabanye. Kwabaningi, umuzwa uzixazulula wona ngokwawo emasontweni ambalwa. Nokho, abanye abantu bangase babe nezimpawu eziqhubeka izinyanga noma ngisho neminyaka. 

2. Ungasusa kanjani umuzwa wento ethile emphinjeni wakho?

Izindlela ezimbalwa ezisebenzayo zingasiza ekudambiseni ukuzwa kokuthile okubhajwe emphinjeni:

• Phuza amanzi ngama-sips amancane usuku lonke
• Prakthiza ukuvivinya imihlathi emnene nokuzamula okubanzi
• Gwema ukususa umphimbo nokugwinya ngokweqile
• Zama izindlela zokuphumula ukuze unciphise ukucindezeleka
• Gcina ukuma okuhle ngenkathi uhlezi futhi ukhuluma

3. Ingabe isigaxa emphinjeni sinomdlavuza?

Isigaxa esivamile sokuzwa komphimbo (Globus) ngokuvamile asiwona umdlavuza. Kodwa-ke, ukunakekelwa kwezokwelapha ngokushesha kuba kudingekile uma umuzwa uphikelela futhi uza nezimpawu eziyisixwayiso ezinjengobunzima bokugwinya, ukulahlekelwa isisindo esingaqondakali, noma isisindo esibonakalayo sentamo esikhula sivelele ngokuhamba kwesikhathi. Izigaxa ezihlobene nomdlavuza ngokuvamile zibangela izimpawu ezengeziwe futhi zivame ukuba zimbi ngokuqhubekayo, ngokungafani nomuzwa ovamile we-globus ongase ufike futhi uhambe.

UDkt Minal Gupta

CARE Medical Team

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