Sibutsetelo
Ngeshwa, abanye abantu banezinye, izinkinga zempilo ezixubile kanye nesifo sofuba esiswini (IBS). I-Globus yisimo lapho abantu bezwa khona ukuzwa okuthile okunamathela emphinjeni wabo, kuyilapho i-IBS yisimo lapho abantu bebhekana khona nezinkinga ezingasaphili zobuhlungu nezisu zangasese.
Bobabili babhekwa ukuphazamiseka kwemisipha okusebenzayo, (FGIDs), ngenxa yokuthi akukho sizathu sokuba izimpawu zivezwe ekuvivinyeni okujwayelekile, ngakho-ke kungenza ukwazi ukuthi kukhona ukuxhumana phakathi kwalaba ababili.
Kulesi sibonisi, uzofunda ngezimpawu, ukuxilongwa nokuphathwa kwe-globus, kanye nokubona ukuthi kukhona yini okungenzeka ukuthi ikhona phakathi kwe- globus ne-IBS. Uzothola neminye imibono mayelana nokuthi ungenzenjani uma uzithola usebenza nezinkinga zombili ngesikhathi esisodwa.
Kuyini i-Globus?
I-Globus iyinzwa ephikisanayo noma ephakathi kokuthi kukhona into enamathele emhlane wakho, lapho eqinisweni kungekho lutho khona. Isibonakaliso se-globus siyinto evamile. Ekucwaningweni kocwaningo, ukuzwa kuye kwabikwa cishe isigamu sabathintekayo abathintekayo. Noma kunjalo, ukugula kwangempela akuvamile.
Izindaba ezinhle mayelana ne-globus yilokho isimo sibonakala sinengqondo, okusho ukuthi nakuba kungase kuthukuthelise, akusona isongo empilweni yakho. Izindaba ezimbi ukuthi i-globus ivame ukuba yinkimbinkimbi yokuphatha, isimo esingapheli. Nakuba lesi sibonakaliso singasakaza, kungenzeka ukuthi sibuyele emuva.
Lesi simo sasibizwa ngegama elithi "glubus hystericus" kepha kamuva siboniswe ukuthi asihlobene nendawo "ye-hysterical" yesifo sengqondo. Manje sekuyaziwa ngegama elinembile kakhulu nelingaphansi kwehlulelo, "i-globus phayrngeus," evuma ukubandakanywa kwemisipha ye-pharynx esimweni.
Izimpawu
I-Globus ayibonakali njengenzwa ebuhlungu, kodwa kunalokho umqondo wokuthi kukhona inhlama noma uhlobo oluthile lokucindezela noma into yangaphandle emqaleni wakho. Kungase futhi uzizwe njengomzwelo wezingqinamba noma i-constriction emqaleni wakho. Ingxube ingase izwe sengathi ihamba phezulu futhi iphansi, noma ngaphansi, ngokuya eceleni.
Izinzwa ezihambisana ne-globus kufanele zinciphise uma udla noma uphuza okuthile, kodwa kungase kube nzima uma ungagwilanga lutho kodwa umathe wakho. I-Globus akufanele ibangele kunzima ukugwinya (dysphagia). Abanye abantu abane-globus bangathola ukuthi izwi labo liyakhuphuka, i-raspy noma i-husky, noma amathayi kalula. Umphumela wezwi ungase ube nomphumela we-acid reflux kunokuba i-globus ngokwayo.
Uma ubona noma yiziphi izimpawu ze-globus, kubalulekile ukuthi utshele udokotela wakho. Nakuba ingozi ye-globus ibonisa inkinga enkulu yempilo encane, noma yiziphi izimpawu ezingavamile kudingeka ziphenywe ukuze zihlolwe kahle.
Izimbangela
Ochwepheshe bezokwelapha nabacwaningi abazi kahle ukuthi kungani abanye abantu bezwa izimpawu ze-globus. Izinkinga eziningana zezokwelapha ziye zabonwa njengokungathi ziqale noma zenze inkinga.
Lokhu kufaka:
Isifo se-reflux se-gastroesophageal (GERD) : I-reflux ye-asidi ehlobene ne- GERD icatshangwa ukuthi idlala indima yabantu abaningi ababhekana nesifo se-globus. Kuthiwa ukuthi noma yimuphi u-asidi osuka esiswini sakho kuya emgodini nomphimbo wakho uphazamisa ukusebenza kwemisipha yomphimbo, ukuvimbela ukuba baphumule njengoba kufanele, futhi ngaleyo ndlela kubangele ukuzwa ukuthi kukhona into engavamile endaweni.
Izinkinga ze-Motility ze-pharynx : I-pharynx iyilungu ngemuva komphimbo wakho odlala indima kokubili kokugaya nokuphefumula.
Njengengxenye yokugaya, ihambisa ukudla endaweni yakho, kanti njengengxenye yokuphefumula, ivuselela futhi ifaka umoya ngaphambi kokungena emoyeni wakho. Kwabanye abantu, inkinga yokuthi leli lungu lisebenza kanjani lingabangela uphawu lwe-globus.
Izinkinga zezempilo ezithinta i-pharynx: Izinkinga zezempilo, njenge-pharyngitis, i-tonsillitis, ne-postnasal drip kusuka sinusitus, zingenza ukuba i-pharynx icasuliwe noma ivuke, iholele ekuzweleni kwamagciwane endaweni kanye nokuzwela kwe-globus.
Ukungasebenzi kahle kwe-sphincter esophageal: I-sphincter yakho ephezulu kakhulu (UES) i-valve etholakala ngemuva komphimbo wakho phansi kwe-pharynx yakho futhi ibhekene nezinto ezimbili ezinkulu. Ivula ukuze uvumele ukudla neziphuzo ukungena esivumelwaneni sakho futhi uvale ukuvimbela ukudla ukungena ku-windpipe yakho. Kucatshangwa ukuthi kwabanye abantu abaye bagubha imisipha ye-sphincter baqhamuka kunokujwayelekile, futhi lokhu kungezwani okweqile kudala ukuzwa okuhambisana ne-globus.
Izinkinga ze-motility ze-Esophageal : Kucatshangwa ukuthi ezinye izigameko ze-globus zingase zihlobene nezinkinga zokuthi i-esophagus isebenza kanjani. Kulinganisela mayelana nokusabalalisa kwezinkinga zokungabikho komqondo kubantu abangenalo i-globide ehlukahluka kakhulu.
Izinkinga zezokwelashwa eziningana ezibangela izimpawu ze-globus : Kunezinye izinkinga ezingavamile ezingabangela umuntu ukuba abone izimpawu ze-globus. Lezi zihlanganisa inkinga ye-anatomical, njengaleyo ene-epiglottis (i-flap encane ehlanganisa ukuvulwa kwephepule yakho uma ugwinya), kanye nezicubu ezinomdlavuza noma ezinomdlavuza.
Ukwenza Izinto Zokuphila Zokuphila
Abacwaningi baye baveza izinto ezithile zokuphila ezingase zibe nomthelela ekuqaliseni noma ekugcinweni kwe-globus:
1. Ukucindezeleka : Nakuba i-globus ekuqaleni yayicatshangwa ukuthi iyingqayizivele engokwengqondo, ukucwaninga ngale ndaba kusukela kuhlanganisiwe kakhulu. Ezinye izifundo zibonise ukuhlangana phakathi kwe-globbus kanye nokuxilongwa kwengqondo, njengokucindezeleka noma ukukhathazeka kokukhathazeka, kuyilapho ezinye izifundo zingabonisi inhlangano enjalo. Okucacile ukuthi izimpawu ze-globus zivuthiwe kakhulu uma umuntu onesifo se-globus ekhathazeka noma ecindezelekile. Lokhu kukhula kwezimpawu kungenzeka ngenxa yokuqina okungaqondakali kwemisipha endaweni yomphimbo.
2. Ukukhathala : Izimpawu zingase zibi nakakhulu uma ukhathele noma uma usebenzisa izwi lakho ngaphezu kokujwayelekile.
3. Ukugwinya okuphindaphindiwe : Ngenxa yokuthi inhlanzi "inhlanzi" ayizwa kahle, kunokuthambekela komuntu okungokwemvelo ukugwinya njengendlela yokudambisa uphawu. Kodwa-ke, ukugwinya okulandelanayo kunciphisa inani lemali futhi ama-swallows "abomile" abangela ukuthi empeleni angakhulisa ukukhathazeka kwakho.
4. Ukubhema: Nakuba kungabikho bonke ababhemayo abathola i-globus, ukubhema kungenza izimpawu zibe zibi nakakhulu kulabo abanesimo.
Ukuxilongwa
I-Globus ixilongwa ngokushiywa ngaphandle, okusho ukuthi yenziwe emva kwezinkinga zempilo eye yaqedwa. Uma uhlangabezana nezimpawu ze-globus, kufanele ubonwe udokotela, indlebe nomlomo (ENT). Bangase batusa eyodwa noma ngaphezulu kwezivivinyo ezilandelayo zokuxilonga:
- I-Barium igwinya (ama-x-ray athathwa ngemuva kokugwinya isisombululo se-barium)
- I-Endoscopy (ithubhu efakwe emlonyeni wakho ku-oophagus)
- I-manometry yokulinganisa (ukufakwa kwethebhulethi enezinzwa ezenzelwe ukulinganisa imisipha ye-muscle ku-esophagus)
- I-Nasolaryngoscopy (ithubhu elincane elifakwe ekhaleni lakho emqaleni wakho)
- I-videofluoroscopy (ama-x-ray athathwa ngenkathi edla nokuphuza)
Kungaba I-Cancer?
Kungokwemvelo ukukhathazeka ukuthi ukuzwa komzimba wangaphandle emqaleni wakho kungaba uphawu lwesifo esinomdlavuza. Ungase uqinisekiswe ukuzwa ukuthi lokhu akuvamile neze. (Kodwa kubalulekile ukutshela udokotela wakho mayelana nezimpawu zakho zokusebenza kahle-uphethiloli!) Izimpawu ezingavumelani ne-globus ezingase zibonise umdlavuza zifaka:
- Ubuhlungu ngesikhathi sokugwinya
- Kunzima ukugwinya
- Ukulahlekelwa kwesisindo esingachaziwe
- Ukuzwela kuhlangothini olulodwa komphimbo
- Ukudla okuqinile kuhlanganiswe emqaleni
- Izimpawu zihlala njalo futhi / noma ziba nzima
- Ungabona noma uzizwe ubukhulu obungempela ngaphakathi noma endaweni ezungeze umphimbo
- Izimpawu zokuphapha emlonyeni
Ukwelapha
Esikhathini esiningi, konke okudingekayo ekusebenzelaneni ne-globus kuyisiqiniseko sokuthi awunayo umdlavuza. Kodwa-ke, uma izimpawu zakho ziphazamisa futhi ziphazamisa, ezinye izindlela zokwelapha ziyatholakala. Kwezinye izimo, ukwelashwa kunganconywa ngoba ikhuluma nganoma yisiphi isisombululo esingaba nesibonakaliso, kanti kwezinye izimo ukwelashwa okunconywe yilo eligxila ngokuqondile kwi-globus. Nazi ezinye izindlela ongakhetha kuzo:
- Ukwelapha ngenkulumo kanye nezolimi lwezilwane
- Imithi kanye nokudla kuguquka ukunciphisa i-acid reflux
- Ukwelashwa kokuziphatha kwengqondo (CBT)
- Ama-antidepressants
- Uma kusebenza, izinhlelo zokuqeda ukubhema
Ukwelashwa yisimiso esingavamile kakhulu esetshenziswayo; kodwa kungase kunconywe ukuthi ngabe isifo sofuba noma inkinga ye-epiglottis e-anatomical (epiglottis ephundukile) ikhona.
Ihlangana ne-IBS
Nakuba ukubuyekezwa kocwaningo kuveza isifundo esisodwa esidala esicacisiwe kabanzi futhi esho ukuthi i-globbus isisindo "esivamile" se-IBS, ucwaningo olunjalo alubonakali luye lwaphindaphindiwe. Kodwa-ke, uma unayo kokubili, kunezinye izinto ongazenza ezingasiza ekunciphiseni izimpawu zombili izinkinga:
1. Phuza amanzi amaningi. Amanzi angasiza ukugcina indawo yomphimbo inomile kakhulu, kanti futhi ibuye isetshenziswe iziphuzo ezilahlekelwe izidumbu zokuhuda (IBS nehudo) noma ukugcina isitembu esinomsoco (se-IBS ngokuqothulwa).
2. Gwema iziphuzo zokuphuza utshwala, ikhofi, kanye ne-carbonate ezingase zibacasula ohlelweni lwakho lokugaya.
3. Ukunciphisa ukucindezeleka empilweni yakho-noma nge-CBT, ukusetshenziswa kwezindlela zokuphumula noma ngokusebenzisa ezinye izinto ezingqondweni / zomzimba ezifana ne-yoga, tai noma ukuzindla.
> Imithombo:
> Kortequee S, uKarkos PD, Atkinson H, et al. "Ukuphathwa kwe-Globus Pharyngeus" I- International Journal ye-Otolaryngology 2013; amakhasi ama-5
> Lee, BE, Kim, GH "Globus pharyngeus: Ukubuyekezwa kwe-etiology, ukuxilongwa nokuphathwa" I- World Journal of Gastroenterology 2012; 18 (20): 2462-2471.
> Watson WC, uSullivan SN, Corke M, Rush D. "I-Globus kanye nekhanda: izimpawu ezivamile zesifo sofuba esiyingozi." I- Canadian Medical Association Journal 1978; 118 (4): 387-388.