Ingabe ikhanda lami, noma ingabe kunenkinga ngempela?
Iphunga emqaleni libhekisela ekuzweleni okuphikisayo okukhona okuthile okunamathele emqaleni wakho okungahambisani nokugwinya, ngisho noma kungekho lutho emqaleni wakho. Ngeshwa, njengokuba kunzima kakhulu ukuxilonga izifo, kunomqondo wokuba nephunga eliphikisayo emqaleni wakho kwakubhekwa njengesifo sengqondo esibizwa ngokuthi i- globus hystericus (okuyinto igama eliye lavalwa futhi akufanele lisetshenziswe ukubhekisela kulokhu ukuphazamiseka).
Njengoba kuvame futhi ukubhekana nalezi zinhlobo ezinzima ukuxilonga izifo, kukhona ubufakazi obukhulayo, ukuthi empeleni lo mzwa awugcini nje "ekhanda lakho" futhi kunezizathu zokuthi kungani unesisindo.
Manje ukuthi ukuqonda okunembile kuqondwa kangcono, ukuzwa lokhu kubuye kubhekiswe ngokuthi: i-globus pharyngeus, i-globus sensation, noma i-globus.
Ukuvelela Kanjani I-Globus Sensation?
Abantu abaningi baye babhekana nale nzwa ngesikhathi esisodwa ekuphileni kwabo. Kulinganiselwa ukuthi okungenani abantu abangu-46 kwabangu-100 baye babhekana nesisindo se-globus, futhi empeleni lokhu kubandakanya amaphesenti angu-4 azo zonke izincomo ezintsha ezihleliwe ne- ENT ochwepheshe (i-otolaryngologist) . I-globus sensation nayo ibonakala ifana kakhulu phakathi kwamadoda nabesifazane kungakhathaliseki isimo sabo sempilo. Awusiye wedwa, futhi kukhona ukuhlolwa okutholakala ukusiza ukukhomba noma yiziphi izinkinga okufanele uzikhathalele.
Yini engingayilindela ngesikhathi sokuqokwa kwami kokuqala?
Inhloso eyinhloko ye-ENTs ngesikhathi uvakashele kuyoba ukucacisa ukuthi uhlangabezana no-dysphagia (ubunzima bokugwinya). I-Dysphagia ne-globus zihlukile kulokho i-dysphagia ihambisana nenkinga yokwakhiwa noma yokusebenza nge-pharynx yakho (umphimbo) noma isici.
Ukwelashwa kuzohluka phakathi kokuthola okubili okuhlukene. Udokotela wakho uzothatha umlando ophelele ukuze asize ekuboneni izimbangela ezingase zibe izimbangela zakho. Imibuzo evamile ongayilindela ihlanganisa:
- ngokungazelelwe, ukulahlekelwa kwesisindo esingalindelekile
- ubuhlungu ngokugwinya
- ubuhlungu bentamo
- ukuhlanza
- ubunzima bomzimba
- ukuqala kwezimpawu
- ukuqhubekela phambili okuqhubekayo noma izinto ezenza izimpawu zibi nakakhulu
Ngenkathi ungase uzizwe ukuthi umlando wezempilo awubalulekile njengalokho okwamanje uzizwa, kubaluleke kakhulu ukuhlukanisa ukuthi unezinkinga ezilandelayo ezingasetshenziswa ne-globus:
- dysphagia
- isifo se-reflux ye-gastroesophageal (GERD)
- ukuphazamiseka kwemizwa ye-motility
- isifo se-thyroid
- ukungasebenzi kahle kwe-sphincter esophageal
- isifo sokuvuvukala: sinusitis engapheli , pharyngitis , noma tonsillitis
- izicubu (kokubili umdlavuza noma ongewona umdlavuza)
Yikuphi Ukuhlolwa Okuzokwenziwa?
Kukhona okwamanje akuyona indlela ekhethiwe kakhulu yokuhlola ukuzwa kwesikhumba emqaleni wakho. Kodwa-ke, uma udokotela wakho ethathe umlando ophelele, cishe uzobhekela enye yezindlela ezimbili ezihlukile zokuqala:
- Phatha ngemithi ye-GERD
- Ukuhlolwa kwe-Cancer nokusebenza uma uphelelwa umdlavuza (okuvamile)
Ngenxa yokuthi i-GERD ingahlotshaniswa namaphesenti angama-23-68 wamacala we-globus, i-ENT yakho ingahle ivele iqale ekuvivinyeni okufushane kwemithi ye- proton pump inhibitor (PPI) ukuze ubone ukuthi lokhu kuxazulula ukuzwa kwakho kwesikhumba emqaleni.
Uma izimpawu zakho zixazulula, ungase ubuyele emuva kudokotela wakho wokunakekela oyinhloko noma isifo se-gastroenterologist. Uma unezixazululo ezincane zezimpawu, umthamo wakho we-PPI unganda. Kodwa uma ungenayo izinguquko ezimpawu, i-ENT yakho ingase iqhubeke nokuhlola isifo se-reflux noma ezinye izifo zokungalingani ngokwenza izinqubo ezilandelayo:
- impedance yangaphakathi eminingi
- i-acid (pH) yokuqapha
- endoscopy
- i-manometry
- isifundo se-barium sokugwinya
- ividiyofluoroscopy
Kwenzekani Uma Zonke Izivivinyo Ziyizibi?
Uma zonke izivivinyo zingekho, cishe uzizwa ucindezelekile kakhulu. Zama ukuphumuza futhi ucabange kahle.
Uma ukwenze lokhu kude, isimo sakho singenani sinonono (hhayi ngokushesha esiyingozi). Noma kunjalo, ngeke ube nesinqumo sezimpawu ozifunayo. Kulezi zimo, kunezinhlobo eziningana zokwelashwa ezingase zifanele ukuzama:
- ukuphathwa kwezwi
- funda amasu okuphumula
- isilingo sokucindezeleka (sithatha amaviki ayisithupha ngaphambi kokusebenza kahle)
Ukwelashwa kwenkulumo kungakufundisa amasu ukuqinisa ukusetshenziswa kwakho okugwinya nokusetshenziswa kwamagama. Lokhu kungase kube nemiphumela ephumelelayo yokuphumelela. Ukusebenzisa ama-anti-depressant namasu okuphumula kunomqondo ofanayo wokulinganisa. I-mood ingahlotshaniswa nemizwa yokuba nenhlama emqaleni wakho futhi ingasiza ekuhloleni izimbangela zezimpawu zakho ngaphandle kwanoma yiziphi ezinye izimbangela ezaziwayo.
Imithombo:
Lee, BE & Kim, GH (2012). I-Globus Pharyngeus: Ukubukezwa Kwe-Etiology, Ukuxilongwa Nokunakekelwa Kwalo. I-World J Gastroenterol. 18 (20): 2462-2471. doi: 10.3748 / wjg.v18.i20.2462
I-Greenberger, NJ (2013). Lump in Throat (Globus Sensation). http://www.merckmanuals.com/professional/mastrointestinal-disorders/symptoms-of-gi-disorders/lump-in-throat