Zizindikiro zatsopano zazovutaKumeza kapena kumva ngati chakudya chikumira pakhosi panu kungakhale kuda nkhawa.Kumeza ndi njira yomwe anthu amachita mwachibadwa komanso mosaganizira.Mukufuna kudziwa chifukwa chake komanso momwe mungakonzere.Mwinanso mungadabwe ngati kuvutika kumeza ndi chizindikiro cha khansa.
Ngakhale khansa ndi imodzi mwazomwe zimayambitsa dysphagia, sizomwe zimayambitsa.Nthawi zambiri, dysphagia ikhoza kukhala vuto losakhala ndi khansa monga matenda a reflux a gastroesophageal (GERD) (chronic acid reflux) kapena pakamwa pouma.
Nkhaniyi ifotokoza zomwe zimayambitsa dysphagia, komanso zizindikiro zoyenera kuziyang'anira.
Dzina lachipatala la dysphagia ndi dysphagia.Izi zitha kuchitika ndikufotokozedwa m'njira zosiyanasiyana.Zizindikiro za dysphagia zimatha kubwera kuchokera mkamwa kapena kummero (chubu cha chakudya kuchokera mkamwa kupita m'mimba).
Odwala omwe ali ndi vuto la esophageal dysphagia akhoza kufotokoza zizindikiro zosiyana pang'ono.Akhoza kukumana ndi izi:
Zomwe zimayambitsa dysphagia sizimayambitsidwa ndi khansa ndipo zimatha chifukwa cha zifukwa zina.Kumeza ndi njira yovuta yomwe imafuna kuti zinthu zambiri zizigwira ntchito bwino.Dysphagia imatha kuchitika ngati njira iliyonse yomeza yasokonezedwa.
Kumeza kumayambira m’kamwa, kumene kutafuna kumasakaniza malovu ndi chakudya n’kuyamba kuwaphwanyira ndi kuwakonzekeretsa kuti chigayidwe.Lilime kenako limathandiza kukankha bolus (kachidutswa kakang’ono kozungulira kachakudya) kupyola kumbuyo kwa mmero ndi kum’mero.
Pamene imayenda, epiglottis imatseka kuti chakudya chikhale mum'mero m'malo mwa trachea (windpipe), yomwe imatsogolera ku mapapo.Minofu yapakhosi imathandiza kukankhira chakudya m’mimba.
Zinthu zomwe zimasokoneza gawo lililonse la kumeza zingayambitse zizindikiro za dysphagia.Zina mwa izi ndi izi:
Ngakhale kuti sichomwe chimayambitsa, kuvutika kumeza kungayambitsenso khansa.Ngati dysphagia ikupitirira, imakula pakapita nthawi, ndipo imapezeka kawirikawiri, khansa ikhoza kuganiziridwa.Komanso, zizindikiro zina zikhoza kuchitika.
Mitundu yambiri ya khansa ingakhale ndi zizindikiro za vuto lakumeza.Khansara yofala kwambiri ndi yomwe imakhudza mwachindunji ziwalo zomeza, monga khansa ya mutu ndi khosi kapena khansa ya m'mimba.Mitundu ina ya khansa ingaphatikizepo:
Matenda kapena chikhalidwe chomwe chimakhudza njira iliyonse yomeza chingayambitse dysphagia.Matenda amtunduwu angaphatikizepo mikhalidwe ya minyewa yomwe ingakhudze kukumbukira kapena kuyambitsa kufooka kwa minofu.Angaphatikizeponso zochitika zomwe mankhwala ofunikira kuti athetse vutoli angayambitse dysphagia ngati zotsatira zake.
Ngati mukuvutika kumeza, mungafune kukambirana za nkhawa zanu ndi wothandizira zaumoyo wanu.Ndikofunika kuzindikira zizindikiro zikawonekera komanso ngati pali zizindikiro zina.
Muyeneranso kukhala okonzeka kufunsa dokotala mafunso.Alembeni ndi kuwanyamula kuti musaiwale kuwafunsa.
Mukakhala ndi dysphagia, ikhoza kukhala chizindikiro chodetsa nkhawa.Anthu ena akhoza kuda nkhawa kuti amayamba ndi khansa.Ngakhale kuti n’zotheka, khansa si imene imayambitsa.Zinthu zina, monga matenda, matenda a reflux a gastroesophageal, kapena mankhwala, angayambitsenso vuto lakumeza.
Ngati mukupitirizabe kuvutika kumeza, lankhulani ndi dokotala ndikuwunika zomwe zimayambitsa zizindikiro zanu.
Wilkinson JM, Cody Pilley DC, Wilfat RP.Dysphagia: kuwunika ndi kuwongolera limodzi.Ndine dokotala wabanja.2021;103(2):97-106.
Noel KV, Sutradar R, Zhao H, et al.Chizindikiro cholemedwa ndi odwala monga cholosera za kuyendera dipatimenti yodzidzimutsa komanso kuchipatala chosakonzekera chifukwa cha khansa ya mutu ndi khosi: kafukufuku wochuluka wa anthu.JCO.2021;39(6):675-684.Nambala: 10.1200/JCO.20.01845
Julie Scott, MSN, ANP-BC, AOCNP Julie ndi namwino wamkulu wovomerezeka wa oncology komanso wolemba zachipatala wodzidalira yemwe ali ndi chidwi chophunzitsa odwala komanso gulu lazaumoyo.
Nthawi yotumiza: Sep-22-2023