Kumeza kowawa

Kumeza kowawa ndikumva kuwawa kapena kukhumudwa kulikonse mukameza. Mutha kumva kuti ili pamwamba pakhosi kapena kutsikira kumbuyo kwa mafupa. Nthawi zambiri, kupweteka kumamveka ngati kukomoka kwamphamvu pakufinya kapena kuwotcha. Kumeza zowawa kungakhale chizindikiro cha matenda aakulu.

Kumeza kumaphatikizapo mitsempha yambiri ndi minofu pakamwa, pakhosi, ndi chitoliro cha chakudya (esophagus). Gawo la kumeza ndi laufulu. Izi zikutanthauza kuti mukudziwa kuwongolera zomwe zikuchitikazo. Komabe, kumeza kwambiri sikungodzifunira.

Mavuto nthawi iliyonse pakumeza (kuphatikiza kutafuna, kusunthira chakudya kumbuyo kwa pakamwa, kapena kusunthira kumimba) kumatha kubweretsa kumeza kowawa.

Mavuto akumeza angayambitse zizindikiro monga:

• Kupweteka pachifuwa
• Kumva chakudya chakhazikika pakhosi
• Kulemera kapena kupanikizika m'khosi kapena pachifuwa chapamwamba pamene mukudya

Mavuto akumeza atha kukhala chifukwa cha matenda, monga:

• Cytomegalovirus
• Matenda a chingamu (gingivitis)
• Vuto la Herpes simplex
• Kachilombo ka HIV (HIV)
• Pharyngitis (zilonda zapakhosi)
• Kuthamanga

Mavuto akumeza atha kukhala chifukwa cha vuto lam'mero, monga:

• Achalasia
• Matenda otupa magazi
• Matenda a reflux am'mimba
• Kutupa kwa mimba
• Matenda a Nutcracker
• Zilonda zam'mero, makamaka chifukwa cha tetracyclines (maantibayotiki), aspirin ndi mankhwala osagwiritsa ntchito anti-inflammatory (NSAIDs) monga ibuprofen, naproxyn

Zina mwazovuta zakumeza zimaphatikizapo:

• Zilonda za pakamwa kapena pakhosi
• China chake chokhazikika pakhosi (mwachitsanzo, nsomba kapena mafupa a nkhuku)
• Matenda a mano kapena abscess

Malangizo ena omwe angakuthandizeni kuti muchepetse kumeza kupweteka kunyumba ndi awa:

• Idyani pang’onopang’ono ndi kutafuna chakudya chanu bwino.
• Idyani zakudya zoyera kapena zakumwa ngati zakudya zolimba ndizovuta kumeza.
• Pewani zakudya zozizira kwambiri kapena zotentha kwambiri ngati zingakulitse matenda anu.

Ngati wina akutsamwa, yambani kuyendetsa Heimlich.

Itanani omwe akukuthandizani ngati mukumeza ndi:

• Magazi m'malaya anu kapena malo anu amawoneka akuda kapena akuchedwa
• Kupuma pang'ono kapena kupepuka
• Kuchepetsa thupi

Uzani wothandizira wanu za zina zilizonse zomwe zimachitika ndikumeza kowawa, kuphatikiza:

• Kupweteka m'mimba
• Kuzizira
• Tsokomola
• Malungo
• Kutentha pa chifuwa
• Nseru kapena kusanza
• Kulawa kwakumwa m'kamwa
• Kutentha

Wothandizira anu adzakufunsani ndikufunsani za mbiri yanu yazachipatala ndi zizindikilo, kuphatikiza:

• Kodi mumamva kuwawa mukameza zolimba, zakumwa, kapena zonse ziwiri?
• Kodi kupweteka kumakhala kosalekeza kapena kumabwera ndikumapita?
• Kodi ululu ukukulira?
• Kodi zimakuvutani kumeza?
• Kodi muli ndi pakhosi?
• Kodi zimamveka ngati pali chotupa pakhosi panu?
• Kodi mwapumira kapena kumeza chilichonse chokwiyitsa?
• Ndi zisonyezo zina ziti zomwe muli nazo?
• Ndi mavuto ena ati azaumoyo omwe muli nawo?
• Mumamwa mankhwala ati?

Mayesero otsatirawa akhoza kuchitika:

• Endoscopy yokhala ndi biopsy
• Barium kumeza ndi mndandanda wapamwamba wa GI
• X-ray pachifuwa
• Kuwunika kwa pH Esophageal pH (kuyesa asidi m'mero)
• Esophageal manometry (amayesa kupanikizika m'mimba)
• Esophagogastroduodenoscopy (EGD)
• Kuyezetsa HIV
• Khosi x-ray
• Chikhalidwe cha pakhosi

Kumeza - kupweteka kapena kutentha; Odynophagia; Kumva kotentha mukameza

• Kutupa kwa pakhosi

Devault KR. Zizindikiro za matenda am'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 13.

Nussenbaum B, Bradford CR. Pharyngitis mwa akulu. Mu: Flint PW, Haughey BH, Lund V, olemba., Eds. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chaputala 9.

Pandolfino JE, Kahrilas PJ. Matenda a Esophageal neuromuscular and motility. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 43.

Wilcox CM. Zotsatira za m'mimba za matenda a kachilombo ka HIV. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 34.