Mphuno yapamwamba yotchedwa sophgeal sphincter ndi mitsempha ya minofu imene imakhala kumtunda wa pamwamba, yomwe ili pafupifupi pafupifupi mainchesi 8.
Mosiyana ndi otsika kwambiri otchedwa sophageal sphincter (LES), omwe amatsegula ndi kutseka popanda khama lathu lodziwitsidwa, superegeal sphincter ili pansi pa chidziwitso chathu. Tingathe kulamulira pamene itsegula. Mwachitsanzo, tikhoza kutsegula zakumwa zapamwamba kwambiri pomeza zakudya kapena zakumwa.
UES pa Ntchito
Panthawi yokumeza, superegeal sphincter imatsegula kuti alole chakudya ndi zakumwa kuti zidutse mkati mwake. Zingathe kuchepetsanso kupuma kwa chakudya ndi zamadzimadzi kuchokera ku chimbudzi kupita ku phokoso.
Kuwonjezera pa kudya, timagwiritsa ntchito gawo ili la mphuno pamene tikupuma. Zimagwiranso ntchito pazinthu zosautsa thupi, monga burping kapena kutaya, zomwe zimatulutsa kuchotsa mpweya kapena zinthu zovulaza m'thupi.
Magulu a minofu omwe amapanga sophageal sphincter amaletsa chakudya kuti asayende pansi pa trachea , kapena mphepo. Izi zimadziwika ngati chokhumba ndipo zimatanthawuza zakuthupi zakunja panjira. Kutentha kungayambitse kupweteka kapena ngakhale chibayo ngati ulendo wa chakudya kumapapo. Pamene chakudya chikutsika "chitoliro cholakwika," malangizo abwino kwambiri ndi chifuwa, chomwe chimathandiza kuti chakudya chichepetse.
Zomwe Zikudziwikanso: Kuthamanga kwapopugeal sphincter kumaphatikizapo ngati UES.
Amadziwikanso kuti aperior pharyngeal sphincter kuyambira pamalo ake otsika kumapeto kwa pharynx ndipo amateteza kutsegula m'mimba .
Pamene UES Mavuto
Ngati sophgeal sphincter sichigwira ntchito bwino, asidi omwe adabwerera kumbuyo amaloledwa kummero.
Izi zingayambitse matenda opweteka, monga kupweteka kwa mtima kapena matenda a reflux a gastroesophageal (GERD), mawu omwe amagwiritsidwa ntchito pofotokozera mobwerezabwereza vuto la kupweteka kwa mtima.
Chifukwa chiyani UES Ndi Yopadera
UES amagwira ntchito yapadera poyendetsa chakudya ndi madzi pansi pa khosi, koma ndi LES siwo okhawo omwe amapezeka m'thupi. Palinso anal sphincter, gulu la minofu pafupi ndi anus yomwe imayendetsa gawo la chitsime kunja kwa thupi. Kenaka, pali sphincter ya Oddi, yomwe imayendetsa ndondomeko ya bile ndi mpweya wambiri m'matumbo aang'ono.
Pamene sphincters amawonekera m'madera osiyanasiyana a thupi, amatha kuyendetsa kutuluka kwa zinthu kudzera mu ziwalo ndi kutsegula ndi kutseka ziwalo zosiyanasiyana za thupi. Sphincters amathandiza kwambiri kuti thupi likhale labwino komanso labwino.
Kukulunga
Pamene kuphunzira za ziwalo za thupi zomwe zimagwira ntchito zofunika kwambiri pakukula kwa acid reflux sikungapangitse kuti vuto lanu lisathenso, lingakupangitseni kukhala wodwala wodziwa bwino, wodziwa bwino kuti asankhe njira zosiyanasiyana pofuna kupeza chithandizo chabwino.
Kutentha kwa kanthawi kapena GERD kungakhudze kwambiri khalidwe la munthu. Ngati muli ndi magawo ambiri a asidi reflux, funsani dokotala wanu momwe angathetsere vutoli.
Antacids, opaleshoni kapena ngakhale mankhwala a kunyumba ndi kusintha kwa moyo kungachepetse zizindikiro zanu.
> Chitsime:
Carol Ann Rinzler, Ken DeVault, MD. Kuchetsa ndi Reflux kwa Dummies. Wiley Publishing, Inc., 2004.