Iimpawu, isifo kwaye afumane unyango lwe dysphagia esophageal

A esenzeka apho umntu uba ubuhlungu xa yokuginya isenzo okanye ukuginya nantoni (ukutya, amanzi, ematheni) kuthiwa dysphagia. kubonakaliswa Single yale umbuso tufwile umntu, yaye ukuba kukho into enjalo kuye kwaphawulwa amaxesha amaninzi, kuyimfuneko ukuba udibane nogqirha nokunyanga dysphagia.

Musa ukubhidanisa dysphagia lokwenene psevdodisfagiyu. Ngelona xesha lisemva kwi kuvuleke iminxunya okanye emva breastbone ngayo "nentlama", yaye inkqubo ligwinya eziqhelekileyo. Le mba we dysphagia kudla ihamba ukuphazamiseka ingathityazwa yengqondo, kunye reactions ezaqhwithi ngokweemvakalelo (kohlekayo elikhulu, iinyembezi, ukukhala), clouding osezingqondweni, ukuxhuzula, kwakunye lengqula kunye nesifo senhliziyo.

Iimpawu dysphagia esophageal

Unyango esiza kuxubusha ngayo ngokubanzi ngezantsi. Kwaye ngeli thuba zichaza iimpawu zesi sifo.

Ukophulwa ukukhuthazwa ngentlama ukutya ukusuka emlonyeni emphinjeni, okanye, njengoko sele wayebhekisela kwesi simo - a dysphagia lokwenyaniso kwenzeka ngenxa intshabalalo lamaziko-luvo alawula inkqubo yokuginya, nto leyo ekhokelela ukuba unbalance le yinkqubo entsonkothileyo. Ngenxa yoko, xa uzama ungavuleka bolus neziqulatho zayo kwisiqwenga yokuphefumla (impumlo, umqala, noqhoqhoqho) kwaye hayi emphinjeni. Oku kwenza i spasm ye yomoya, isifuba kunye reflex eyomeleleyo khohlo.

Ukuphazamiseka kwenkqubo luvo ezifana ucaphuka okanye luvo ukuphazamiseka, kunokubangela dysphagia esebenza. iimpawu zayo zenzeka manqaphanqapha, izigulane ukunxulumana nabo ulwamkelo uhlobo oluthile lokutya (umz, nzima, ezibukhali, elulwelo, njalo njalo). Eli phecana yokuphefumla ungafumani ukutya, kodwa ligwinya kunzima, kunye nokukhuthazwa kuvuleke iminxunya ezinxulumene ubuhlungu kunye ekhathazayo. dysphagia unyango kufuneka ezintsonkothileyo.

Izinto ezibangela dysphagia

Inkqubo ligwinya angohlulwa ngokwezigaba ezithathu:

• ngomlomo (olungenazo) xa umntu ulawula ithamo yabo;
• pharyngeal (mbulo ngokukhawuleza), xa kukho umntu olungalawulwayo SIP ngokukhawuleza;
• esophageal (vukele olucothayo) kunye olucothayo olungalawulwayo nokukhuthaza ukutya emphinjeni.

Xa unyango dysphagia luvo ijoliswe ekulungiseni psyche yabantu. Isenzo yokuginya kunye dysphagia esophageal uqhawulwe, kodwa inkqubela kuwo ebangela intlungu kwi phezulu esiswini, heartburn, belching. Kwakhona, kukho regurgitation, xa iziqulatho esiswini iphoswe emqaleni kunye umlomo, ibangela uxinizelelo incasa krakra emlonyeni. regurgitation Ukuqinisa kunokwenzeka endaweni elibhalwe ngokumileyo zomzimba, kuquka xa ulele, ukuba isidlo iiyure ngaphantsi kwe ezimbini phambi kokuba ezinye ebusuku.

Dysphagia kungenziwa ikhatshwe iimpawu ezifana hoarseness, slyunoobrazovanie ephakamileyo kunye ukutsarhwa. Esophageal dysphagia kwande bakuphathe strong inyama. Izigulane ingxelo yokuba kulula ukuginya xa zapivaniya amanzi okanye reception pasty okanye ukutya ulwelo. Nangona kukho iimeko apho ukutya engamanzi kwabangela dysphagia, iimpawu kunye nonyango zibaluleke kakhulu.

Isifo

Kuxhomekeka isithuba inkqubo flow dysphagia bodwa fom zilandelayo:

• oropharyngeal (intshukumo nzima ukutya emphinjeni, yokuginya kwaphulwa isigaba ngokungenasizathu);
• pharyngoesophageal (nzima nokusiwa kwawo ukutya kuvuleke iminxunya kwaphulwa okukhawulezayo ngokuzenzekelayo isigaba yokufakwa);
• nowomqala (nommizo lo nawo nzima enkalweni ukutya, ezaphukileyo, isigaba kade of ligwinya ngokuzenzekelayo).

Dysphagia kwakhona nohlulwe:

• engumgquba (ityala yalo amacala asentla le wokugaya pathology);
• esebenza. Waphawula kwimeko ukuphazamiseka kwenkqubo luvo central, kodwa ukuba akukho miqobo mechanical wawo ukuya kuvala ingxingwa akukho ukutya.

Unyango dysphagia ezisebenzayo ubambe i zengqondo okanye luvo kunye gastroenterologist.

Oonobangela imeko zophendlo lwezifo

Amaxesha amaninzi uphuhliso dysphagia yi iliphawu izifo emphinjeni. Phakathi kwazo kukho ezi:

• Esophagitis - ukudumba isifo ye emphinjeni.
• isifo Gastroesophageal reflux (GERD). Kulo sifo, imixholo isisu ukuya ichitheke umphimbo, ecaphukisayo iindonga zayo.
• Buze udonga esophageal (diverticula).
• exineneyo Cicatricial le kuvuleke iminxunya, ezivele emva kokuphilisa chemical utshisa kubangelwa nokudla acid okanye kwealkali. Emva ifuthe inyama elastic loo emphinjeni luthathelwa nokuqina, ukuzolula ombi yaye akathethi nokukhuthaza ukusetyenziswa ukutya ngokusebenzisa kuvuleke iminxunya.
• yamathumba amabi, le kuvuleke iminxunya emathunjini. Ngokuqhelekileyo, oko ngokukhawuleza-ezikhulayo, zihluma e ezikufutshane amalungu ithumba.
• Achalasia. Zaphazanyiswa bolus ukutya esisuka kuvuleke iminxunya kungena esiswini, isizathu silele sisifo esingapheliyo neuromuscular ye emphinjeni.

Dysphagia nayo ukuphuhlisa kwisiqalo:

• ukuphazamiseka ze nencindi lwemithambo yegazi kwesibindi (portal lwegazi), varices esophageal kunye insufficiency hepatic (isibindi ayayeka ukusebenza ngenxa inkqubo intshabalalo oyingozi okanye engapheliyo of zaso);
• ukulimala esophageal (umonakalo kuvuleke iminxunya ngaphakathi, umzekelo xa ukuginyile into ezibukhali, okanye elophayo blade esifubeni, njl);
• exineneyo lwangaphandle kuvuleke iminxunya, leyo ezinokubangelwa i kwemithambo lwe aorta (ulwandiso aortic), intliziyo ezandisiweyo, nangezilonda mediastinal - Department of esifubeni, ekhohlo nasekunene kokukhanya kangako, phambi kwentamo, yaye emva kwalapho. Kuyo ke kuvuleke iminxunya, uqhoqhoqho, intliziyo kunye thymus (immune system omzimba).

Ngokufuthi kufuna unyango lwe dysphagia emva icala.

Kwakhona, dysphagia kunokubangela izibhaxu zophendlo lwezifo le oropharynx:

• ayanda;
• Angioedema (sokungamelani namachiza okanye nezidlo kuphuhliso olunzulu uhlobo nokudumba ye kwingqula kunye pharynx);
• tonsils (tonsils);
• namaqumrhu angaphandle (amatye, amaqhekeza ukutya, njl);
• ukushwabana izihlunu pharyngeal. Kwenzeka Kudla emva cerebrovascular iingozi (stroke), uphuhliso kwisiqalo ngenxa yamafutha (odla cerebrovascular atherosclerotic umonakalo). Kusenokwenzeka ukuba ngenxa yamathumba zobuchopho, kwakunye nokwenzakala umqolo wesibeleko. Konke oku kubangela dysphagia kuvuleke iminxunya. Ukuphathwa yayo impumelelo ixhomekeke a oluchanekileyo isifo.

iindlela isifo

Lokufunyaniswa kwesifo zibandakanya le misebenzi ilandelayo:

• Ukuqokelelwa izikhalazo kunye imbali yezonyango kunye nale ngcaciso ilandelayo: nexesha uhlaselo iimpawu, lonke ixesha ligxojiwe igwinya, buhlungu ukuba yokuginya, nokuba ukungaphatheki esifubeni xa besitya, awanyakazela ngayo isigulane kanga imvelaphi yazo naziphi na iingxaki nazo xa yokuginya kuphela ukudla okuqinileyo, kwaye ngoku amanzi okanye enye into.
• Uhlalutyo imbali yobomi; ntoni isifo isiguli, ukuba iintengiselwano baba ukutsha esophageal, ukudumba esiswini (gastritis), izifo iphecana zesisu.
• Uhlaziyo imbali yosapho (sibonile nokuba usisizalwane somgadi isifo phecana zesisu, xa izifo ethile kuvuleke iminxunya).
• Ukuhlolwa yomguli, uhlolo ngenyameko kwisisu zomlomo, imvakalelo (Ngokucofa) ukuba zamanzi entanyeni ishukumayo dysphagia syndrome. Isifo kwaye afumane unyango lwesi sifo kufuneka ngexesha elifanelekileyo.
• iimvavanyo zegazi Jikelele kunye zengqo- - yokuqingqa kwinqanaba mpilo (neprothini uthwala oksijini), iiseli ezibomvu, iiseli ezimhlophe zegazi (indyebo zabo ibonisa ubukho inkqubo yokukrala) kwakunye nolawulo lwe kwizintso, injeke nesibindi.
• Coprogram - Uhlalutyo ngemikroskopu ze endleni (kuphononongo bekubona iingceba ukutya undigested, ifayibha ekrwada, amafutha).
• Laryngoscopy: usebenzisa mbhobho uhlolo olubonakalayo yenziwa umva womqala.
• Upper endoscopy (EGD) - iimviwo yi izixhobo gastroscope duodenum, isisu kunye kuvuleke iminxunya, kwesi sifundo ithuba lokuba athathe iqhekeza mucosal biopsy.
• Ultrasonography (US). Kuphonononga imeko amalungu esiswini (amathumbu, senyongo, zezintso, iphecana biliary, isisu, injeke) kwaye ukufumana oonobangela dysphagia kunokwenzeka.
• iimviwo X-ray emphinjeni. Kwakhona loo nto yenza kube lula ukufumanisa izifo ezithile okanye iimeko ezikhokelela ubunzima ukuginya.
• Barium enema - X-ray iimviwo emphinjeni kunye nokuqaliswa umahluko arhente, ngokucacileyo kubonisiwe emfanekisweni. Ukubona constriction okanye nezithintelo izinto umphimbo.
• MRI (magnetic livakale umfanekiso) yobuchopho nobuchopho electroencephalography olwenziwe ukubhaqa ezimbi e-nervous system, ukuba iimviwo ze isigulane kunye dysphagia akufunyanwanga imiqobo ngoomatshini ukuya phambili bolus oropharynx kunye kuvuleke iminxunya.

Izigulane ezineengxaki yokuginya ngokuyimfuneko kufuneka badibane noogqirha: otolaryngologist, luvo, gastroenterologist.

unyango Drug of dysphagia

Drug therapy (usebenzisa amayeza) is a amayeza. Amaninzi amisele inhibitors ezinciphisa asidi imixholo isisu ukuba oku unobangela dysphagia. Kwakhona kufuneka unyango zintsholongwane ye ukudumba pharynx kunye kuvuleke iminxunya, nto leyo eyakhokelela ekubeni nokuhluthwa ligwinya. Amalungiselelo yonyango dysphagia kufuneka amisele gqirha.

unyango ngotyando

Kufuneka ube intsumpa ukususa iziphumo kuvuleke iminxunya ukutsha ezibangelwa ucutheko yayo, nangokurhala, nangezilonda. Ezinye iindlela ukuphelisa le miqobo ezihlambela inkqubo igwinya, azikho.

Ukuba isigulana ngexesha ekuphulukenwe kulandelayo stroke awukuvumeli ukuba zoqhaqho kunyango dysphagia ukuphelisa unobangela (umz, esophageal nangezilonda), ixesha isiganeko ikhutshwa phandle ukuququzelela yomguli intlalo-ntle.

Ngaba kunokwenzeka kunye nonyango dysphagia amayeza intsomi? Kule kamva.

kwiindlela zakudala unyango

Ukuze banyamezele iimpawu engasi dysphagia kunye namakhambi kuya kunceda. Ngaphambi kokuba kudliwe kufuneka usele decoction womfuno, iba meko:

• izixhobo Hop - '25
• Inxina ushiya - ngo-'25
• Rosemary kushiya - '20
• Valerian iingcambu - '30
• Wort umfuno St. kaYohane - 20 g
• Lemon namafutha aqholiweyo kushiya - '25

Collection kufuneka ixutywe, 1 icephe nelokukha ze ugalele 1 nendebe yamanzi abilayo, ungasinika iiyure ezimbini. Emva koko ukumnika uhlobo iyafuneka. Thatha ikomityi ikota kathathu ngemini kangangesiqingatha seyure phambi izidlo.

impahla Antispasmodic iye Belladonna tincture (Belladonna). Ukuba uthathe-5 amathontsi kathathu ngosuku imizuzu emi-5 phambi kokuba atye.

Kukho elinye iyeza kunye iimpawu ezifanayo:

• Root kunye kumila ragwort latifolia, '15
• Le imifuno ephedra, '20
• Motherwort imifuno, '20

intlawulo ukusilwa kugalela amanzi abandayo ilitha iiyure ezine, ngoko itshiswe ngomlilo imizuzu emibini, lupholile, yahluzwa. Ezimbini amacephe of isiphumo ubume kufanele athathe imizuzu elishumi ngaphambi kokudla.

Xa unyango kazwelonke dysphagia ayisoloko ukunceda, ngoko qiniseka ukuba adibane yincutshe.

Yintoni idityanisiwe ekutyeni?

unyango dysphagia sinzima, ngoko ukuze kulungiselelwe imeko ebonakalayo amandla athile kufuneka ukuba athobele imithetho.

• Fraction nokuselwa yokutya encinane izabelo.
• Qaphela kukutyumza okanye ukuhlafuna ukutya.
• Ukwandisa umthamo ulwelo ziphele.
• Ukwala kutya ezisicaphukisayo ukuba inwebu kwiinwebu emphinjeni (elibukhali, ezinetyuwa, okuneziqholo, kubanda kakhulu okanye ashushu), ukudla okubandayo, ikofu elungileyo kunye neti, neziselo ezihlwahlwazayo kunye notywala.

Angafuna bougienage - kuphinda ukwandiswa sayo buzhom umphimbo, extenders ezizodwa. Yiloo nto ke unyango lwe dysphagia.

Imiphumela kanye nobunzima

• Ukuqhubeka zemigudu ngokwehluleka maxa wambi a epheleleyo ime ngxi, okubangwa ithumba eli umphimbo, ngokuveza uqhoqhoqho (umzimba ukuba liqhuba umoya emiphungeni).
• ukudumba kuvuleke iminxunya (esophagitis).
• yamathumba abulalayo (likhula ngokukhawuleza, liyanda wonke umzimba) ka kuvuleke iminxunya okanye inxalenye yokuqala isisu.
• Eskom pneumonia, xa besaphula komsebenzi ligwinya ngokuqulethwe kule oropharynx iphoswe ngalo impumlo kwi imiphunga kunye noqhoqhoqho, kwaye imveliso luphuhliso yinyumoniya, ukukrala kwemiphunga.
• amathumba lung (ejikelezwe yi nezilonda capsule olukhuselayo) ukuba zenzeka xa imixholo isisu waphoswa kwisiqwenga yokuphefumla kwaye ukhuthaza ukudumba.
• abanesigulo pulmonary kukwaphula ubume umonakalo lung inyama ngenxa imixholo yawo isisu (leyo asidi) yeyiphi efika apho emva bephosa ngenxa ligwinya kakuhle.
• Weight ilahleko ngenxa inani elincinane izondlo ezingenayo.
• Ukulahleka amanzi umzimba kumguli okanye emzimbeni.

Siye sahlolisisa isifo, ezifana dysphagia. Uxilongo, iimpawu, unyango, ichazwe ngokwenkcukacha kweli nqaku.