Thola Ukukhulula Kule Sensation Engajabulisayo
Kunemibandela eminingi yezempilo engase ibangele umlomo wakho ovuthayo. Izindaba ezinhle ukuthi kuqondana nodokotela ukuze akhiphe imbangela, ngokusekelwe kwezinye izimpawu kanye nokuhlolwa ngokomzimba. Hlola izizathu ezivame kakhulu zomphimbo ovuthayo nokuthi udokotela wakho uzokuphatha kanjani ukuze uthole impumuzo.
Izifo ze-Reflux ze-Gastroesophageal (GERD)
Lapho isisu se-acid isishukela ku-esophagus, ngezinye izikhathi singase sifinyelele emqaleni.
Uma lokhu kwenzeka, umphimbo uphukuthele futhi umuzwa ovuthayo ungase uvele. Ukuphazamiseka okuvuthayo okubangelwa yi- GERD kungavela phezulu noma kwehla emqaleni, futhi ubuhlungu bungase buzizwe bubi ngokugwinya. Ngaphezu komzwelo ovuthayo, abantu abaneGERD ngezinye izikhathi babhala ukunambitheka okumuncu, okusawoti, noma okwe-acidi emlonyeni wabo.
Ungase uzibuze ukuthi okuqukethwe kahle kwesisu somuntu kungabuya kanjani noma kubuyele emuva emgodini (ithubhu ehlanganisa umlomo wakho nesisu sakho). I-esophagus nesisu zixhunywe yi-band of fibrous fibers okuthiwa i- sphincter esezansi ephansi (LES). Ngokuvamile, i-LES isebenza njenge-valve, evulekile ukuvumela ukudla kudlule esiswini futhi kuvaliwe ukugcina ukudla nokugaya amaju kusukela ekuhleleni emuva kuya endaweni. Kodwa uma i-sphincter igxila lapho ingafaneleki, noma iba buthakathaka, isisu se-asidi singaphambuka emuva emuva ku-esophagus ebangela ukuzwa okuvuthayo esikuzwayo njengokushisa.
Kubalulekile ukuthi uqaphele ukuthi ngaphezu kwempawu zomphimbo, umuntu onesifo se-GERD angathola ezinye izimpawu ezifana nalezi:
- Ubuhlungu besifuba
- Ukuthuthumela
- Ukukhwehlela okuqhubekayo
- Umoya omubi
Ukwelashwa kweGERD kuhlanganisa ukuguqulwa kwendlela yokuphila njengokuyeka ukubhema, ukunciphisa noma ukusika utshwala nokudla okubangelwa yi-GERD (isibonelo, ushokoledi, ukudla okuneziphuzo kanye nezithelo ze-citrus), nokulahlekelwa isisindo uma ukwedlula ngokweqile noma okugqamile.
Ngezinye izikhathi imithi, njengeproton pump inhibitor , iyadingeka ngaphezu kokuguquka kwendlela yokuphila.
I-Esophagitis
Esinye isimo esingase sibangele ukuvutha emqaleni wakho yi- esophagitis okuyinto ukuvuvukala kwesifo. Ngokungaqiniseki, imbangela evamile ye-esophagitis yi-GERD. Uma isisu se-acid isishubile emqaleni, ingabangela ukucasuka nokuvuvukala, okuvame ukuholela ekuvezweni okuvuthayo emqaleni, ngaphezu kobunzima bokugwinya kanye / noma ubuhlungu ngokugwinya.
Ngaphandle kwe-GERD, ezinye izimbangela ze-esophagitis zihlanganisa ukutheleleka, ukwelapha imisebe entanyeni, ukungenisa imithi ethile (okuthiwa i-pill-induced esophagitis), ukungenisa amakhemikhali (isibonelo, ukuhlanza amakhemikhali), noma umphumela wokungezwani kokudla (okubizwa ngokuthi i- eosinophilic i-esophagitis ).
Ukwelashwa kwesifo se-oophagitis kuncike ekubambeni okubangela. Isibonelo, uma ukutheleleka kwe-fungal kudlalwa, khona-ke kuyadingeka imithi ye-antifungal. Uma i-GERD iyimbangela, izinguquko zendlela yokuphila kanye neproton pump inhibitor ngokuvamile ziphakanyiswa.
Ukushisa Umlomo We-Syndrome
Le syndrome iholela emoyeni ovuthayo ngolimi, izindebe, noma wonke umlomo nomphimbo, ngaphandle kwesizathu esibonakalayo sempilo. Umuntu onomlomo ovuthayo angase azwe nomlomo owomile kanye / noma ukunambitheka okusawoti noma metallic emlonyeni wabo.
Ngokuvamile, ukuvutha komlomo kwesifo kuyisifo esiyinkimbinkimbi futhi kutholakala ukukhishwa, okushoyo. Lokhu kusho ukuthi ezinye izimbangela zomlomo ovuthayo / / noma owomile kumele zikhishwe kuqala, ngokuvamile ezidinga ukuhlolisisa ngokomzimba nokuhlolwa kwegazi. Ngeshwa, kunobufakazi obuncane obungokwesayensi bokusekela noma yikuphi ukwelashwa okunjalo, nakuba odokotela bezamile ukwelashwa kwengqondo-yokuziphatha kanye nezidakamizwa zokucindezeleka, njengeCymbalta (duloxetine).
Ukutheleleka nge-Viral noma Ibhaktheriya
Wonke umuntu uye wabhekana nomphimbo obuhlungu ngesikhathi esithile empilweni yakhe, kanti imbangela evamile kakhulu yi-pharyngitis yegciwane. Ngaphandle kokushisa, inhlanzi, noma i-throat eluhlaza, ikakhulukazi uma igwinya, umuntu one-infection ye-viral yomphimbo angase azwe nokukhwehlela, impumu egijima, kanye / noma isifo sohudo.
Ukwelashwa komlomo wesibeletho ohlobene nesandulela ngculazi kulula futhi kuhlanganisa ukuphuza izimpawu zakho kuze kube yilapho ukutheleleka kuqhuba inkambo yayo. Ngesikhathi ukuphumula nokuphuza kubalulekile, i-anti-inflammatory efana ne-ibuprofen inganciphisa izigulane zakho ezivuvukala.
Ngokuvamile, imbangela yokutheleleka ibhaktheriya, futhi lokhu kubizwa ngokuthi i- strep throat . Kudinga uhambo oluya kudokotela wakho ukuze uthole i-antibiotic njengalapho ushiywe ungakhulumi unengozini yokuthuthukisa umkhuhlane we-rheumatic noma i-glomerulonephritis. Ezinye izimpawu nezimpawu ze-strep throat ngokuvamile zihlanganisa:
- Fever
- I-lymph nodes evuvukile neyethwele entanyeni
- Ama-patches amhlophe kuma-tonsils
I-Drin Drial
Ukudonsa okungahambi kahle, okubizwa nangokuthi i-airway highway cough syndrome, kwenzeka lapho i-mucus iphinde isetshenziselwa ukuphuma emanzini omuntu. Kuvame ukuchazwa ngabantu njengokuzwa kwesinye into ewela emphinjeni, futhi lokhu kungacasula futhi kuholele ekuzizweni okuvuthayo.
Ukukhwehlela kuvame ukuvame uma unomsila wokuthutha ngemuva, njengoba uzama njalo ukusula umphimbo wakho.
Kunezimbangela eziningi ezehlukene zokudonsa okumanzi ngemuva kokufaka:
- Amagciwane
- Izifo zesinus
- Ukutheleleka nge-viral kufana nomkhuhlane ovamile
- Ukungajwayelekile kwe-anatomic yesigcawu somzimba nesinasi
- Ukusebenzisa ngokweqile amanye ama-decongestant angaphezu kwe-counter (okubizwa ngokuthi i- rhinitis medicamentosa )
I-antihistamine / imishanguzo ye-decongestant (isibonelo, i-Claritin-D, okuyi-loratadine ne-pseudoephedrine) ivame ukusetshenziselwa ukwelapha ukudonsa ngemuva. Ukwelapha imbangela ye-drip posts is abuye kubalulekile (isibonelo, ukuthatha imithi yokulwa negciwane lesifo se-bacterial sinus).
Kuyathakazelisa ukuqaphela ukuthi isifo se-reflux ye-gastroesophageal, noma i-GERD, ingazilingisa noma ibuye ihlangane ne-upper airway ukukhwehlela kwesifo somzimba, okwenza ukuxilongwa nokwelapha kube nzima kakhulu.
Izwi elivela
Ekugcineni, kunezizathu eziningi ezingase zibe yizizathu zokuthi kungani ungase ubhekane nomphimbo ovuthayo. Ngenkathi udokotela wakho womndeni noma udokotela oyinhloko ekwazi ukunakekela izimo eziningi, ngezinye izikhathi ukudluliselwa kumchwepheshe kuyadingeka, njenge-gastroenterologist noma indlebe, udokotela, impumulo nomphimbo (ENT).
Ukubona udokotela ukuthola isifo esifanelekile kanye nokwelapha uhlelo kubalulekile, ngakho-ke ungabuyela endleleni ukuze uzizwe kahle.
> Imithombo:
> Choby BA. Ukuxilongwa Nokuphathwa Kwe-Streptococcal Pharyngitis. Am Fam Physician . 2009 Mar 1; 79 (5): 383-90.
> Katz PO, Gerson LB, Vela MF. Ukuxilongwa Nokuphathwa Kwezifo Ze-Reflux Ye-Gastroesophageal. Am J Gastroenterol 2013; 108: 308-28.
> McMillan R, Forssell H, Buchanan JA, Glenny AM, Weldon JC, Zakrzewska JM. Ukungenelela ekwelapheni umlomo ovuthayo. I-Cochrane Database Syst Rev. 2016 Nov 18; 11: CD002779.
> Sylvester DC et al. I-Cough Chronic, Reflux, I-Postnasal Drip Syndrome, ne-Otolaryngologist. I-Int J Otolaryngol. 2012; 2012: 564852.