Ingaba ekhanda lam, okanye ngaba kukho ingxaki?
Iphunga emqaleni libhekisela kwintliziyo eqhubekayo yokuba kukho into enamathele entanyeni yakho engahambisani nokugwinya, nangona kungekho nto emqaleni wakho. Ngelishwa, njengokuba kunzima kuninzi ukuxilonga iziphazamiso, kunokuba unomvakalelo wokuba unomsolo oqhubekayo emqaleni wakho wawuqhelekileyo njengengxaki yesifo sengqondo kunye nokubizwa ngokuba yi- globus hystericus (eli lixesha eliye lavalwa kwaye akufanele lisetyenziswe ukubhekisela kulo ingxaki).
Njengoko ngokuqhelekileyo kwimeko kunye nalezintlu ezinzima ukuxilonga iziphazamiso, kukho ubungqina obukhulayo, ukuba ngokwenene le ntliziyo ayikho "entloko yakho" kwaye kukho izizathu zokuba kungani unaloo nto.
Kalokunokuba ukuqonda ukuqonda kwimizi ephosakeleyo, ukuvakalelwa kwinto eqhelekileyo kuthethwa ngokuthi: i-globus pharyngeus, i-globus sensation, okanye i-globus nje.
Ixhaphake kangakanani i-Globus Sensation?
Abantu abaninzi baye bafumana le ntlungu ngexesha elinye ebomini babo. Kuqikelelwa ukuba ubuncinane abantu abangama-46 kwabangama-100 baye bafumana ukuvalelwa kwehlabathi, kwaye oku kunene kubangelwa iipesenti ezi-4 zazo zonke izithuba zokuqeshwa ezinjenge- ENT ingcali (i-otolaryngologist) . I-Globus ukuvakalelwa nayo ibonakala ibonakala ngokufanayo phakathi kwamadoda nabasetyhini kungakhathaliseki ukuba yintoni imeko yabo yempilo. Awuyedwa, kwaye kukho iimvavanyo ezikhoyo ukukunceda ukufumanisa nayiphi na ingxaki enokukhathazeka ngayo.
Yintoni endiyilindeleyo ngexesha lokuqeshwa kwam kuqala?
Injongo ephambili yakho ye-ENT ngexesha lokutyelela kuya kuba kukubona ukuba unobungozi be-dysphagia (ubunzima bokugwinya). I-Dysphagia kunye ne-globus zihluke kwinto yokuba i-dysphagia ihambelana neengxaki zesakhiwo okanye isisombululo kunye ne-pharynx (umqala) okanye isopha.
Utyando luya kuhluka phakathi kwezi zimbini ezahlukeneyo. Ugqirha wakho uya kuthatha imbali epheleleyo ukukunceda ukufumanisa izizathu ezibangelwa ziimpawu zakho. Imibuzo eqhelekileyo enokuyilindela iquka:
- ngokukhawuleza, ukulahlekelwa kwesisindo
- intlungu ngokugwinya
- intlungu yentamo
- ukuhlanza
- buthathaka
- ukuqala kweempawu
- ukunyuka okuqhubekayo okanye izinto ezenza iimpawu zibe zibi nakakhulu
Nangona unokuba unomuvo wokuthi imbali yezempilo ayibalulekanga njengokuba uvakalelwa njengamanje, kubaluleke kakhulu ekubalulekeleni ukuba unayo nayiphi na ingxaki ezilandelayo ezinokudityaniswa ne-globus:
- dysphagia
- isifo se-reflux ye-gastroesophageal (GERD)
- ukuphazamiseka kwemizimba
- isifo se-thyroid
- ukungasebenzi kwe-sphincter ephezulu
- isifo esivuthayo: sinusitis engapheliyo , pharyngitis , okanye i- tonsillitis
- izidumbu (zombini umdlavuza okanye ongenomdlavuza)
Yiyiphi Iimvavanyo eziza kwenziwa?
Kukho akuyona indlela ekhethiweyo yokuhlola uvakalelo lwenqama emqaleni wakho. Nangona kunjalo, xa ugqirha wakho uthathe imbali epheleleyo, mhlawumbi uza kujolisa enye yeendlela ezimbini ezahlukileyo:
- Phatha ngamachiza weGERD
- Ukukhangela umdlavuza kunye nokusebenza ukuba umhlaza uphawulwa (ayisoloko ityala)
Ngenxa yokuba iGERD inokudityaniswa nama-23-68 ekhulwini lamatyala e-globus, i-ENT yakho inokukuqala nje kwiilingo ezimfutshane zepilisi ye- proton pump inhibitor (PPI) ukuze ubone ukuba le nto isombulula indlela ovakalelwa ngayo inkunzi emqaleni wakho.
Ukuba iimpawu zakho zigqibeleleyo, unokuthi uphinde ubhekiswe kumgqirha wakho oyintloko okanye ugastroenterologist. Ukuba unesisombululo sesisombululo, i-dose yakho yePPI inganyuswa. Nangona kunjalo ukuba awukho na utshintsho kwiimpawu, i-ENT yakho ingaqhubeka nokuhlola isifo se-reflux okanye ezinye izifo ezixhomekeke ku-esophageal ngokwenza oku kulandelayo:
- impedance intraluminal multichannel
- i-acid (pH) iliso
- endoscopy
- manometry
- i-barium yokugoma isifundo
- videofluoroscopy
Yintoni eyenzekayo Ukuba Zonke iimvavanyo ziyibi?
Ukuba zonke iimvavanyo zibi, mhlawumbi uvakalelwa kakhulu. Zama ukuphumla kwaye ucinge ukuba ulungile.
Ukuba ukwenzile ngoku kude, imeko yakho ibuncinci (ingabi yingozi ngokukhawuleza). Nangona kunjalo, awuyi kuba nesisombululo seempawu ozifunayo. Kule meko, kukho iindlela ezininzi zonyango ezinokulungela ukuzama:
- unyango lo kuthetha
- kufunda iindlela zokuphumula
- Uvavanyo lwe-antidepressant (kuthatha iiveki ezi-6 ngaphambi kokuba uvavanyo luphumelele)
Ulwaphulo lwentetho lunokukufundisa ubuchule ukuqinisa amandla okugwinya nokusetyenziswa kwezwi. Oku kungaba nemilinganiselo eyahlukileyo yokuphumelela. Ukusetyenziswa kwe-Antidepressant kunye neendlela zokuphumla zinomxholo ofanayo. Iimoya zinokuthi zidibene neemvakalelo zokuba nomsamo entanyeni yakho kwaye inokuba luncedo ekuzameni ukunyanga iimpawu zeempawu zakho ngaphandle kwezinye izizathu eziyaziwayo.
Imithombo:
Lee, BE & Kim, GH (2012). I-Globus Pharyngeus: Ukuhlaziywa kwe-Etiology yayo, ukuchonga nokuPhathwa. Ihlabathi J Gastroenterol. 18 (20): 2462-2471. i-doi: 10.3748 / wjg.v18.i20.2462
IGreenberger, NJ (2013). I-Lump in Throat (Globus Sensation). http://www.merckmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gi-disorders/lump-in-throat