Kodi ndili pamutu panga, kapena kodi pali vuto?
Mphuno pammero umatanthawuza kumverera kosalekeza kuti pali chinachake chosungidwa mmero mwako chosagwirizana ndi kumeza, ngakhale pamene palibe kalikonse pammero pako. Mwamwayi, monga momwe zimakhalira zovuta kudziwa matenda, kumverera kwa kukhala ndi mtanda wopitirira pamtima pako kunkaonedwa kuti ndi matenda a maganizo omwe amatchedwa globus hystericus (omwe ndi mawu omwe anasiya ndipo sayenera kugwiritsidwa ntchito kutanthauza izi chisokonezo).
Monga momwe zimakhalira ndi zovuta izi kuti muzindikire zovuta, pali umboni wochulukirapo, kuti ndithudi kumverera kotero sikuli "mmutu mwanu" ndipo pali zifukwa zomwe mukukumvera.
Tsopano popeza kukhala ndi mimba m'mtima kumvetsa bwino, kumverera kotere kumatchedwanso: globus pharyngeus, globus sensation, kapena globus.
Kodi Kufala kwa Globus Kukufala Motani?
Anthu ambiri adzidzimva panthawi imodzi m'moyo wawo. Akuti anthu 46 mwa anthu 100 aliwonse adakumana ndi globus sensation, ndipo izi zimachititsa 4 peresenti ya osankhidwa atsopano omwe akukonzedwa ndi katswiri wa ENT (otolaryngologist) . Globus sensation ikuwonekeranso kuti ndi yofala kwambiri pakati pa abambo ndi amai mosasamala kanthu za thanzi lawo. Simuli nokha, ndipo pali mayesero omwe angakuthandizeni kupeza mavuto omwe muyenera kuwaganizira.
Kodi Ndikuyembekeza Chiyani Panthawi Yoyamba Idaikidwa?
Zolinga zanu zazikulu paulendo wanu ndizomwe mukufuna kudziwa ngati mukudwala dysphagia (zovuta kumeza). Dysphagia ndi globus ndizosiyana kuti dysphagia ikuphatikizidwa ndi vuto labwino kapena logwira ntchito ndi pharynx (throat) kapena mpopu.
Chithandizo chidzasiyanasiyana pakati pa zizindikiro ziwiri zosiyana. Dokotala wanu adzatenga mbiri yonse kuti athandize kuzindikira zomwe zingayambitse zizindikiro zanu. Mafunso wamba omwe mungayembekezere ndi awa:
- mwadzidzidzi, zosayembekezereka zolemera
- ululu ndi kumeza
- ululu wa m'khosi
- kusanza
- minofu yofooka
- kuyambira kwa zizindikiro
- kuwonjezereka kochuluka kapena zinthu zomwe zimapangitsa zizindikiro kukhala zovuta
Ngakhale mukuganiza kuti mbiri yaumoyo siili yofunikira monga momwe mukuchitira panopa, ndizofunikira kwambiri kusiyanitsa ngati muli ndi vuto ili lonse lomwe lingagwirizane ndi globus:
- dysphagia
- Matenda a reflux a gastroesophageal (GERD)
- matenda osokoneza bongo
- matenda a chithokomiro
- kupweteka kwapopugeal sphincter kutayika
- matenda opweteka: aakulu sinusitis , pharyngitis , kapena matronillitis
- matumbo (onse odwala khansa kapena osakhala ndi khansa)
Ndi Mayesero Otani Amene Adzachitidwa?
Pakalipano si njira yabwino kwambiri yoyesera kuti muzimva kupweteka kwa m'khosi mwanu. Komabe, dokotala atakhala ndi mbiri yakale, amatha kulunjika njira imodzi yoyamba yoyamba:
- Athandizeni ndi mankhwala kwa GERD
- Kuyeza kansa ndi kugwira ntchito ngati khansa ikudziwika (sizingakhale choncho)
Chifukwa chakuti GERD imatha kukhala ndi 23-68 peresenti ya matenda a globus, ENT yanu ingakuyambe kuyesedwa kanthawi kochepa kwa mankhwala a proton pump inhibitor (PPI) kuti muwone ngati izi zikutitsimikizirani kupweteka kwa mtanda pamtima pako.
Ngati zizindikiro zanu zithetsa, mungangobwereranso kuchipatala chanu choyamba kapena dokotala wodzisamalira. Ngati muli ndi zizindikiro zochepa, chiwerengero chanu cha PPI chikhoza kuwonjezeka. Komabe ngati mulibe kusintha, chizindikiro chanu cha ENT chingapitirize kufufuza matenda a reflux kapena zovuta zina zokopa pogwiritsa ntchito njira zotsatirazi:
- mpikisano wamakono osiyanasiyana
- asidi (pH) kuyang'anira
- kumaliza
- manometry
- Barium amalize kuphunzira
- kanema
N'chiyani Chimachitika Ngati Mavuto Onse Ali Oipa?
Ngati mayesero onse ali oipa, mwina mukukumana ndi zokhumudwitsa. Yesani kumasuka ndikuganiza zabwino.
Ngati mwazipanga mpaka pano, chikhalidwe chanu chili choipa (osati chovulaza pomwepo). Komabe, simudzakhala ndi zizindikiro zomwe mukufuna. Pazochitikazi, pali mankhwala ambiri omwe angafunike kuyesera:
- mankhwala othandizira
- phunzirani njira zosangalatsa
- mayesero oletsa kupanikizika (amatenga masabata asanu asanayambe kuwona bwinobwino)
Thandizo la kulankhula lingakuphunzitseni njira zowonjezera kugwiritsidwa ntchito kwanu. Izi zikhoza kukhala ndi zotsatira zosiyanasiyana zowonjezera. Njira zolimbitsa thupi komanso zopuma zimakhala ndi zofanana. Chikhalidwe chimagwirizanitsidwa ndi kumverera kokhala ndi chotupa pamtima pako ndipo zingakhale zothandiza pakuyambitsa zizindikiro za zizindikiro zanu popanda zifukwa zina zodziwika.
Zotsatira:
Lee, BE & Kim, GH (2012). Globus Pharyngeus: Kubwereza kwa Etiology Yake, Kuzindikira ndi Chithandizo. World J Gastroenterol. 18 (20): 2462-2471. do: 10.3748 / wjg.v18.i20.2462
Greenberger, NJ (2013). Lump mu Throat (Globus Chisoni). http://www.merckmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gi-disorders/lump-in-throat