Mwachidule
Mwamwayi, anthu ena ali ndi zina, kuphatikiza mavuto a umoyo pamodzi ndi matenda osokoneza bongo (IBS). Globus ndi chikhalidwe chomwe anthu amamva kuti chinachake chimagwedezeka pammero mwawo, pamene IBS ndi mkhalidwe umene anthu amakumana ndi mavuto aakulu m'mimba ndi masana.
Zonsezi zimaonedwa kuti zimakhala zovuta m'mimba , (FGIDs), chifukwa palibe chifukwa choti zizindikirozo ziwonetsedwe poyesedwa, choncho zingakuchititseni kudabwa ngati pali kugwirizana pakati pa awiriwo.
Mwachidulechi, mudzaphunzira za zizindikiro, matenda ndi matenda a globus, komanso kuona ngati palipo pakati pa globus ndi IBS. Mudzapezaponso malingaliro a zomwe mungachite ngati mukupeza kuti muli ndi mavuto onsewa panthawi yomweyo.
Kodi Globus N'chiyani?
Globus ndikumverera kosalekeza kapena kwapakati kuti pali chinachake chimagwedezeka kumbuyo kwa mmero pako, pamene kwenikweni palibe chinthu apo. Chizindikiro cha globus ndi chodabwitsa kwambiri. Mu maphunziro a kafukufuku, kumverera kwafotokozedwa ndi pafupifupi theka la ophunzira ophunzirira bwino. Komabe, vuto lenileni silikusowa.
Uthenga wabwino wonena za globus ndikuti chikhalidwe chikuwoneka ngati choipa, kutanthauza kuti ngakhale chingakhale chokhumudwitsa, sikuli chowopsyeza thanzi lanu. Nkhani yoipa ndi yakuti globus nthawi zambiri imakhala yovuta, yopweteka. Ngakhale kuti chizindikirocho chingasokonezeke, chikhozanso kubwereranso.
Mkhalidwewu poyamba unkatchedwa "glubus hystericus" koma pambuyo pake wasonyezedwa kukhala wosagwirizana ndi "chikhalidwe" cha matenda a maganizo. Tsopano amadziwika ndi dzina lolungama komanso losaweruzika, "globus phayrngeus," lomwe limavomereza kusagwirizana kwa minofu ya pharynx mu chikhalidwe.
Zizindikiro
Globus sichimaoneka ngati ululu wowawa, komatu lingaliro lakuti pali mtanda kapena mtundu wina wazitsulo kapena chinthu chachilendo pamtima pako. Zingakhalenso ngati kumverera kwachisoni kapena kupanikizika m'khosi mwanu. Mphuno ikhoza kumverera ngati ikuyenda mmwamba ndi pansi, kapena mocheperako, mbali ndi mbali.
Zomwe zimagwirizanitsidwa ndi globus ziyenera kuchepetsedwa mukamadya kapena kumwa, koma zikhoza kuwonongeka pamene simukudya kalikonse koma mumatope. Globus sayenera kukuvutitsani kumeza (dysphagia). Anthu ena omwe ali ndi globus angapeze kuti mawu awo amawombera, raspy kapena husky, kapena matayala mosavuta. Zotsatira pa liwu likhoza kukhala lotuluka chifukwa cha asidi reflux osati globus palokha.
Ngati mukumva zizindikiro zina za globus, nkofunika kuti muuze dokotala wanu. Ngakhale kuti chiopsezo cha globus chikusonyeza kuti matenda aakulu ndi ochepa, zizindikiro zilizonse zachilendo ziyenera kufufuzidwa kuti apeze matenda oyenera.
Zimayambitsa
Ogwira ntchito zamankhwala ndi ochita kafukufuku samadziwa motsimikiza chifukwa chake anthu ena amawona zizindikiro za globus. Matenda angapo a zachipatala azindikiridwa monga mwina kuyamba kapena kuthandizira ku vutolo.
Izi zikuphatikizapo:
Matenda a reflux a Gastroesophageal (GERD) : Akasidi reflux okhudzana ndi GERD amaganiza kuti amathandiza anthu ochulukirapo omwe amawona chizindikiro cha globus. Zimatchulidwa kuti asidi aliwonse omwe amachoka m'mimba mwako mpaka kumutu ndi mmphuno amalepheretsa kugwira ntchito kwa minofu ya mmero, kuwaletsa kuti asangalale monga momwe ayenera, ndipo motero amachititsa kumva kuti pali chinthu chachilendo chomwe chilipo.
Matenda a motility a pharynx : The pharynx ndi chiwalo kumbuyo kwa mmero wanu omwe amathandiza kwambiri kuwirikiza ndi kupuma.
Monga gawo la chimbudzi, zimasunthira chakudya m'thupi lanu, pamene zimapuma, zimawomba komanso zimatulutsa mpweya musanalowe mphepo yanu. Kwa anthu ena, vuto la momwe ziwalozi zimagwirira ntchito zingapangire chizindikiro cha globus.
Matenda a umoyo omwe amawathandiza pa matendawa: Matenda a matenda, monga pharyngitis, matonillitis, ndi kutayika kwapadera kuchokera ku sinusitus, amachititsa kuti phokoso likhale lopsa mtima kapena lowotcha, zomwe zimapangitsa kuti mitsempha ya m'deralo ikhale yokhudzidwa kwambiri.
Kuthamanga kwapopugeal sphincter yovuta : Wanu wamtundu wapamwamba wotchedwa sphincter (UES) ndi valve yomwe imapezeka kumbuyo kwa mmero wanu pansi pa pharynx yanu ndipo ili ndi udindo wa zinthu zazikulu ziwiri. Amatsegula kuti alole chakudya ndi zakumwa kuti zilowe m'kati mwako ndipo zimatseka kuti zisawononge zakudya kuti zisalowe mu mphepo yanu. Zikuganiziridwa kuti kwa anthu ena omwe awononga minofu ya sphincter ndizovuta kuposa zachizoloŵezi, ndipo vuto loopsya limabweretsa zowawa zogwirizana ndi globus.
Mavuto a motility a Esophageal : Zimaganizidwa kuti zina za globus zingakhale zokhudzana ndi mavuto a momwe mtheradi imagwirira ntchito. Chiwerengero chokhudzana ndi kuchuluka kwa mavuto omwe amachititsa anthu omwe ali ndi globus amasiyana kwambiri.
Mavuto ambiri azachipatala omwe amachititsa zizindikiro za globus : Pali mavuto ena omwe amachititsa munthu kukhala ndi zizindikiro za globus. Izi zikuphatikizapo vuto lamatomu, monga momwe mulili ndi epiglottis (kachidutswa kakang'ono kamene kamaphimba kutsegula kwa mphepo yanu pamene mumeza), ndi zotupa kapena khansa.
Kupereka Zochitika Zamoyo
Ochita kafukufuku adatchula zinthu zina zomwe zimayambitsa kayendedwe ka globus:
1. Kupsinjika maganizo : Ngakhale kuti globus poyamba imaganiziridwa kukhala yongoganizira chabe m'chirengedwe, kufufuza pa nkhaniyi kuyambira yakhala yosakanikirana. Kafukufuku wina wasonyeza mgwirizano pakati pa globus ndi matenda opatsirana maganizo, monga kupsinjika maganizo kapena matenda a chisokonezo, pamene maphunziro ena sanawonetsere gululi. Chomwe chiri chowonekera ndichoti zizindikiro za globus ndizovuta kwambiri pamene munthu yemwe ali ndi globus ali ndi nkhawa kapena akuvutika. Zizindikiro zowonjezerekazi zikhoza kukhala chifukwa cha kusamvetsetsa kovuta kwa minofu m'dera la mmero.
2. Kutopa : Zizindikiro zingakhale zovuta ngati mutatopa kapena ngati mwakhala mukugwiritsa ntchito mau anu kuposa nthawi zonse.
3. Kubwereza kubwereza : Chifukwa chakuti "kupweteka" kumakhala kovuta, pali chizoloŵezi chachibadwa cha anthu chomeza ngati njira yothetsera chizindikiro. Komabe, kuyamwa mofulumira kumachepetsa kuchepetsa kuchulukana kwa phula ndipo "chifukwa chouma" chomwe chimapangitsa kuti muwonjezere kuwonjezeka kwanu.
4. Kusuta: Ngakhale kuti osuta fodya samakhala ndi globus, kusuta kungapangitse zizindikiro kukhala zovuta kwa iwo omwe ali ndi vutoli.
Kudziwa
Globus ndi matenda omwe amadziwika kuti amatulutsidwa, kutanthauza kuti amapangidwa pambuyo pa mavuto ena azaumoyo. Ngati muli ndi zizindikiro za globus, muyenera kuziwona ndi dokotala, khutu ndi khosi (ENT) dokotala. Angapangitse chimodzi kapena zingapo zotsatirazi:
- Barium amadya (x-rays atatengedwa atameza yankho la barium)
- Endoscopy (chubu yomwe imayikidwa kupyolera pakamwa mwako kupita muyeso yako)
- Manometer (Esphageal manometry) (kulembedwa kwa chubu yomwe ili ndi masensa opangidwa kuti ayesedwe minofu mumutu wanu)
- Nasolaryngoscopy (chubu yopapatiza yomwe imayikidwa kupyolera m'mphuno mwako)
- Mafilimu opanga mavidiyo (x-ray akutengedwa pamene akudya ndi kumwa)
Kodi Zingakhale Khansa?
N'kwachibadwa kudandaula kuti kutengeka kwa thupi lachilendo pamtima pako kungakhale chizindikiro cha chotupa cha khansa. Mutha kukhala otsimikizika kuti mukumva kuti izi sizingatheke. (Koma ndi kofunika kuti muuzeni dokotala za zizindikiro zanu za ntchito yoyenera yofufuza!) Zizindikiro zomwe sizikugwirizana ndi globus zomwe zingakhale zisonyezero za khansa ndizo:
- Ululu panthawi yokumeza
- Zovuta kumeza
- Kutaya kosawerengeka kosadziwika
- Kukumana kuli kokha kumbali imodzi ya mmero
- Zakudya zolimba zimamangirika pammero
- Zizindikiro ndizokhazikika ndipo / kapena zikuipiraipira
- Mutha kuona kapena kumva misa yeniyeni mkati kapena kumbali ya mmero
- Zizindikiro za kutuluka magazi pakamwa
Chithandizo
Nthaŵi zambiri, zonse zomwe zimafunikira kuthana ndi globus ndizitsimikizo kuti mulibe khansa. Komabe, ngati zizindikiro zanu zikukhumudwitsa komanso zowonongeka, mankhwala ena alipo. Nthawi zina, chithandizo chingakonzedwe chifukwa chimapereka othandizira omwe angakhale nawo pachizindikiro, pomwe nthawi zina mankhwala omwe amalangizidwa ndi omwe amatsogolera pa globus. Nazi njira zina zomwe mungathe kuchita:
- Mankhwala olankhula ndi olankhula chinenero
- Mankhwala ndi zakudya zimachepetsa kuchepetsa asidi reflux
- Matenda a maganizo ozindikira (CBT)
- Kudetsa nkhaŵa
- Ngati kuli kotheka, mapulogalamu otseka kusuta
Kuchita opaleshoni ndi kawirikawiri yogwiritsidwa ntchito; koma angakonzedwe ngati matenda opatsirana pogonana kapena vuto la anatomical epiglottis (alipo).
Kulimbana ndi IBS
Ngakhale kuti kafukufuku wa kafukufuku amapereka phunziro limodzi lakale limene latchulidwa kwambiri ndipo limanena kuti globus ndi chizindikiro "chofala" cha IBS, kufufuza koteroko sikukuwonekeratu. Komabe, ngati muli ndi zonsezi, pali zina zomwe mungachite zomwe zingathandize kuchepetsa zizindikiro za mavuto onsewa:
1. Imwani madzi ambiri. Madzi angathandize kuti pakhosi lawo liume kwambiri, komanso m'malo mwa zakumwa zotsekula m'mimba (IBS ndi kutsekula m'mimba) kapena kusunga chitsime (kwa IBS ndi kuvomereza).
2. Pewani zakumwa za mowa, za khofi, ndi za carbonate zomwe zingakhale zowopsya kwa dongosolo lonse lakumagazi.
3. Kupanikizika ndi zovuta pamoyo wanu - kaya kudzera mu CBT, kugwiritsa ntchito ntchito yopumula kapena kudzera m'maganizo ena / thupi monga yoga, tai kapena kusinkhasinkha.
> Zotsatira:
> Kortequee S, Karkos PD, Atkinson H, et al. "Management of Globus Pharyngeus" International Journal ya Otolaryngology 2013; masamba 5
> Lee, BE, Kim, GH "Globus pharyngeus: Kuwerengera zamatsenga, matenda ndi matenda" World Journal of Gastroenterology 2012; 18 (20): 2462-2471.
> Watson WC, Sullivan SN, Corke M, Rush D. "Globus ndi kupweteka: zizindikiro zofala za matenda opweteka m'mimba." Canadian Medical Association Journal 1978; 118 (4): 387-388.