Zizindikiro zatsopano zazovutaKumeza kapena kumva ngati chakudya chikukuvutitsani pakhosi kungakhale kodetsa nkhawa. Kumeza nthawi zambiri ndi njira yomwe anthu amachita mwachibadwa komanso osaganizira. Mukufuna kudziwa chifukwa chake komanso momwe mungakonzere vutoli. Mungadabwenso ngati vuto lomeza ndi chizindikiro cha khansa.
Ngakhale khansa ndi chimodzi mwa zifukwa zomwe zimayambitsa dysphagia, si chifukwa chachikulu chomwe chingayambitse. Nthawi zambiri, dysphagia ikhoza kukhala matenda omwe si a khansa monga matenda a gastroesophageal reflux (GERD) (chronic acid reflux) kapena pakamwa pouma.
Nkhaniyi ifotokoza zomwe zimayambitsa dysphagia, komanso zizindikiro zomwe muyenera kuziganizira.
Mawu azachipatala a dysphagia ndi dysphagia. Izi zitha kuchitika ndikufotokozedwa m'njira zosiyanasiyana. Zizindikiro za dysphagia zitha kuchokera mkamwa kapena m'mero (chubu chochokera pakamwa kupita m'mimba).
Odwala omwe ali ndi vuto la dysphagia m'mero angafotokoze zizindikiro zosiyana pang'ono. Angakumane ndi izi:
Zifukwa zambiri zomwe zimayambitsa dysphagia sizimayambitsidwa ndi khansa ndipo zitha kuchitika ndi zifukwa zina. Kumeza ndi njira yovuta yomwe imafuna zinthu zambiri kuti igwire bwino ntchito. Dysphagia imatha kuchitika ngati njira iliyonse yomeza yasokonekera.
Kumeza kumayambira mkamwa, pomwe kutafuna kumasakaniza malovu ndi chakudya ndikuyamba kuchiphwanya ndikuchikonzekera kugaya chakudya. Kenako lilime limathandiza kukankhira bolus (chidutswa chaching'ono, chozungulira cha chakudya) kudzera kumbuyo kwa pakhosi ndikulowa m'mimba.
Pamene ikuyenda, epiglottis imatseka kuti chakudya chikhale m'mimba osati m'mapapo, zomwe zimapita ku mapapo. Minofu ya m'mimba imathandiza kukankhira chakudya m'mimba.
Zinthu zomwe zimasokoneza gawo lililonse la kumeza zimatha kuyambitsa zizindikiro za dysphagia. Zina mwa izi ndi izi:
Ngakhale kuti si chifukwa chenicheni chomwe chingayambitse vutoli, kuvutika kumeza kungayambitsenso khansa. Ngati dysphagia ikupitirira, ikuipiraipira pakapita nthawi, ndipo imachitika kawirikawiri, khansa ikhoza kukayikiridwa. Kuphatikiza apo, zizindikiro zina zingachitike.
Mitundu yambiri ya khansa ingakhale ndi zizindikiro za vuto la kumeza. Khansa yofala kwambiri ndi yomwe imakhudza mwachindunji ziwalo zomeza, monga khansa ya mutu ndi khosi kapena khansa ya m'mero. Mitundu ina ya khansa ingakhale:
Matenda kapena vuto lomwe limakhudza njira iliyonse yomeza lingayambitse dysphagia. Matendawa amatha kuphatikizapo matenda amitsempha omwe angakhudze kukumbukira kapena kufooketsa minofu. Angaphatikizeponso nthawi zina pamene mankhwala ofunikira pochiza vutoli angayambitse dysphagia ngati zotsatirapo zake.
Ngati mukuvutika kumeza, mungafune kukambirana ndi dokotala wanu za nkhawa zanu. Ndikofunikira kudziwa nthawi yomwe zizindikiro zimawonekera komanso ngati pali zizindikiro zina.
Muyeneranso kukhala okonzeka kufunsa dokotala wanu mafunso. Lembani pansi ndipo muwanyamule kuti musaiwale kuwafunsa.
Mukakumana ndi vuto la dysphagia, likhoza kukhala chizindikiro chodetsa nkhawa. Anthu ena angadandaule kuti limayambitsidwa ndi khansa. Ngakhale n'zotheka, khansa si yomwe imayambitsa vutoli. Matenda ena, monga matenda opatsirana, matenda a gastroesophageal reflux, kapena mankhwala, angayambitsenso kuvutika kumeza.
Ngati mukupitirizabe kuvutika kumeza, lankhulani ndi dokotala wanu ndipo muwone chomwe chayambitsa zizindikiro zanu.
Wilkinson JM, Cody Pilley DC, Wilfat RP. Dysphagia: kuwunika ndi kuyang'anira limodzi. Ndine dokotala wa banja. 2021;103(2):97-106.
Noel KV, Sutradar R, Zhao H, ndi ena. Zizindikiro zomwe zanenedwa ndi odwala monga chizindikiro cha maulendo obwera mwadzidzidzi m'chipatala komanso kugonekedwa m'chipatala kosakonzekera chifukwa cha khansa ya mutu ndi khosi: kafukufuku wokhudza anthu ambiri. JCO. 2021;39(6):675-684. Nambala: 10.1200/JCO.20.01845
Julie Scott, MSN, ANP-BC, AOCNP Julie ndi namwino wovomerezeka wa khansa ya akuluakulu komanso wolemba nkhani zachipatala wodziyimira pawokha yemwe ali ndi chidwi chophunzitsa odwala komanso anthu ogwira ntchito zachipatala.
Nthawi yotumizira: Sep-22-2023