Kungenzeka ukuthi sekuphele amahora amaningi singadli lutho kodwa sinomuzwa wokuthi kukhona okusibambe emphinjeni. Ukuzwa ibhaluni lapho ugwinya kungacasula kakhulu, ngakho-ke kulula ukwazi umsuka webhaluni lepharyngeal.
Kunegama lalo muzwa obeleselayo wokuthi ucezu lokudla noma into yangaphandle ihlala (noma ihlala) emphinjeni noma esifubeni lapho kungekho lutho ngempela: kubizwa ngokuthi i-globus noma i-pharyngeal globus sensation. Nakuba ukuzwa kwe-globus ngokuvamile kungenabuhlungu, kungase kukhungathekise kakhulu. Singase sikuthole kunzima ukugxila kunoma yini enye ngaphandle kwesigaxa esihlala njalo emphinjeni.
Kuyini lokhu?
Ukuzwa isigaxa emphinjeni akuvamile. Abantu abaningi bayabhekana nalokhu ukuzwa okungenabuhlungu okungenani kanye empilweni yakho. Abanye abantu bakuchaza njengokuzwa sengathi kunento ebhajwe emphinjeni, kodwa basengadla futhi baphuze. Ukuzwa isigaxa noma ukuvuvukala emphinjeni wakho ngaphandle kokuba nesigaxa sangempela kwaziwa ngokuthi i-globus sensation.
Into ebaluleke kakhulu ehlukanisa ukuzwa kwe-globus kwezinye izimbangela ezingase zibe nomthelela wayo ekugwini. Uma sinenkinga yokugwinya, singase sibhekane nenye inkinga enkulu kakhulu. Uma sinalo muzwa kodwa abukho ubunzima bokugwinya, kungenzeka ukuthi sinomuzwa ovamile we-globus.
Izimbangela
Kungani abanye abantu bezwa sengathi kukhona okubhajwe emphinjeni (ngisho nalapho kungekho okuvimbayo ngokomzimba) akwaziwa, kodwa kubonakala kubangelwa izici eziningana. Nakuba kunezimbangela eziningi ezingenzeka, ngokuvamile, ukuzwa kwe-globus kubonakala kuhlotshaniswa nohlobo oluthile lokucasuka oluhlobene nomphimbo.
IGERD
Isifo se-reflux ye-gastroesophageal (GERD), isimo esenzeka lapho i-asidi yesisu ibuyela emphinjeni (ishubhu elixhuma umlomo nesisu), ingase ibe umthombo wokungezwani komzimba emphinjeni. Eqinisweni, i-acid reflux ingabalela cishe isigamu samacala e-balloon pharyngeal.
Kunemibono emibili eyinhloko yokuthi i-asidi ingaholela kanjani ebhaluni. Okokuqala ukuthi i-asidi iyacasula ngokuqondile i-pharynx, okuholela ekuvuvukeni kanye nomuzwa wokuthi kukhona okunamathele emphinjeni. I-hypothesis yesibili iwukuthi lapho amajusi ane-asidi egeleza esuka esiswini eya kumminzo ongezansi, kubangela i-vasovagal reflex ukuba ifinyeze i-upper esophageal sphincter, okubangela ukuzwa ukuthi kukhona okubambekile lapho.
Ukuze sisuse umuzwa we-globus, kufanele siqale silawule i-GERD. Imithi efana ne-histamine-2 blockers (okuhlanganisa i-famotidine ne-ranitidine), i-proton pump inhibitors (efana ne-omeprazole, esoprazole, ne-pantoprazole), kanye nokwelashwa kwe-alginate okungeyona imithi (into yemvelo etholakala okhulani lwasolwandle oluntanta phezu kokuqukethwe kwe-alginate). isisu sakho ukwenza umgoqo womzimba ngokumelene ne-reflux) kungasiza ukwelapha noma ukuvimbela izimpawu ze-GERD.
Isifo somphimbo ovuthayo
Izinkinga ezithile zempilo ezithinta i-pharynx (umphimbo) zingase zibe nendima ekuzweni kwe-globus. Isibonelo, izinkinga zezokwelapha ezibangela ukucasuka nokuvuvukala komphimbo, njenge-pharyngitis, i-tonsillitis, ne-sinusitis engapheli ene-postnasal drip, ingakhuthaza ukuzwela okwenyuka esifundeni somphimbo, okuholela kumabhaluni e-pharyngeal.
Kunconywa ukuthi uthintane nodokotela ukuze akwazi ukuxilonga kahle futhi aphathe isifo esingenzeka emphinjeni. Lapho inkinga ewumsuka isilawulwa, ukuzwa kwe-globus kufanele kudambe.
inkinga yegilo
Abantu abanezinhlobo ezithile zezimo zegilo bangase bazizwe sengathi nabo banokuthile okubhajwe emphinjeni wabo. Ukungajwayelekile kwegilo kubonakala kuvame kakhulu kubantu abanomuzwa we-globus, cishe ingxenye eyodwa kwezintathu yabantu abanesisindo segilo ebika izimpawu ezihlobene ne-globus.
Ngokuqondile, ama-goiters, noma indlala yegilo ekhulisiwe, ingabangela ukuzwa kwe-globus. Noma kunjalo, kubalulekile ukuqaphela ukuthi ngezinye izikhathi ukwanda kwe-thyroid, njengama-goiters, kukhula kancane kakhulu futhi akubangeli izimpawu kuze kube kukhulu kakhulu.
Uma sicabanga ukuthi sinezinkinga zegilo, sizobona i-endocrinologist (udokotela obhekele izifo zegilo) ongakwazi ukuhlola.
Ukukhathazeka nokucindezela
Nakuba ubuhlobo buhlala bungaqondakali, kunobufakazi bokuthi abanye abantu abane-pharyngeal balloon banesibalo esiphezulu sokucindezeleka kanye nezingcindezi zokuphila. Futhi abantu abaningi abane-globus sensation (kufika kumaphesenti angu-96) babika ukuwohloka kwezimpawu ngezikhathi zokucindezeleka okukhulu.
Into ewukuthi, lokhu kungabangela umphumela we-domino olimazayo. Isibonelo, umuntu angase abambeke endleleni yokususa umphimbo engase ikhulise ukukhathazeka, okuholela ekukhishweni komphimbo kanye nokucasuka, okungaholela ekucindezelekeni okukhulu ngokomzimba nangokwengqondo.
Ngemva kokukhipha isinqumo sezinkinga zezokwelapha ezicindezelayo, ungase usebenze nodokotela wezifo zolimi lokukhuluma ukuze usize ukubhekana nokuzwa usebenzisa izindlela ezifana ne-biofeedback, indlela yokwelapha ekusiza ukulawula eminye yemisebenzi yomzimba ukuze usize ukukhulula ukukhathazeka.
Imithi
Imithi enciphisa ukukhiqizwa kwamathe ingase futhi ibangele ukuzwa kwama-globus pharyngeal. Eqinisweni, abantu abahlushwa umlomo owomile (owaziwa nangokuthi i-xerostomia) babonakala besengozini enkulu yokuba ibhaluni. Ukugeleza kwamathe okwehlisiwe (okungukuthi, ukungasebenzi kahle kwamathe) kubonakala kuyisici esinomthelela ekuzweni kweglobhu.
Inkinga iwukuthi inqwaba yemithi evamile etholakala ngaphandle kwekhawunta nekadokotela ingabangela ukoma komlomo, okuhlanganisa ama-antihistamine, imithi elwa nomfutho wegazi ophakeme, ama-decongestants, ama-pain relievers, ama-diuretics, anciphisa imisipha, nama-antidepressants.
Uma sicabanga ukuthi umuthi ubanga leso sigaxa esiphikelelayo emphinjeni, sizokhuluma nodokotela, ongalungisa umthamo noma anikeze omunye umuthi ukuze kwehliswe izimpawu zomlomo owomile kanye neglosi.
izigqoko zokudla
Kwesinye isikhathi kuba nzima ukukugwinya ngoba sinokudla okuncane emphinjeni. Abantu bangathola ukudla kubhajwe emphinjeni ngenxa yezizathu eziningi, njenge:
- Ungahlafuni kahle. Uma ingahlafunwa kahle, izinto ezifana nesinkwa noma inyama ziyabhajwa futhi, ezimweni ezimbi kakhulu, azikwazi ukugwinywa.
- Izinkinga ezithile zempilo. Ezinye izimo zezempilo zingenza ukugwinya kube nzima. Lokhu kuhlanganisa i-scleroderma, eosinophilic esophagitis, izimila (ngaphezulu kulokhu kamuva), unhlangothi, kanye ne-diverticulum.
Futhi lapho ukudla kubambeka emphinjeni, kungase kungakhululeki futhi ngokunokwenzeka kube yingozi. Ngokwesibonelo, lapho izinhlayiya zokudla ezinamathele phezulu komminzo ekugcineni zigqashuka, zingangena kuqhoqhoqho futhi zinqamule umoya. Futhi, ukudla okuvalelekile emmizweni isikhathi eside kungabangela ukucasuka, ukuvuvukala, nokuguguleka kolwelwesi lomminzo.
Kungakhathaliseki ukuthi sineqatha lokudla elinamathele emphinjeni noma sisola ukuthi inkinga yezokwelapha isivimbela ukuba sigwinye kahle, sizobonana nodokotela. Udokotela we-otolaryngologist angasusa ngokuphepha ucezu lokudla oluqinile futhi aluhlole nganoma yiziphi izinkinga eziyisisekelo zezempilo ezingase zibangele ukuthi ukudla kubambeke.
Ama-tumors
Izimila zolimi, i-larynx (ibhokisi lezwi), i-pharynx (umphimbo), kanye ne-esophagus (ithubhu lokudla) kungabangela ukuvinjelwa ngokomzimba okubangela ubunzima bokugwinya. Izimila zentamo, njengezicubu ze-thyroid, nazo zingacindezela umminzo, zenze ukugwinya kube nzima.
Njengoba izimila zibangela ukuvinjelwa okubambekayo emphinjeni, ziyizimo ezihluke kakhulu kunebhaluni le-pharyngeal, futhi zingathí sina kakhulu.
Uma siyekwa singalashwa, isimila singakhula futhi ngokunokwenzeka sivimbe imigudu yokuphefumula kanye nekhono lokuphefumula. Futhi, kunconywa ukuthi uvakashele udokotela ngokushesha, ukuze ukuhlolwa kwenziwe futhi kuhlelwe uhlelo olufanele lokwelapha.
Uya nini kudokotela?
Kubalulekile ukwazi ukuthi ukuzwa kwe-globus akuyona ingozi futhi akubangeli izinkinga ezengeziwe. Lokho kusho ukuthi ukuxhumana nodokotela ngokuvamile akudingekile. Nokho, lo muzwa ungadideka nezinye izifo ezidinga ukunakwa udokotela.
Kufanele sibize udokotela zingakapheli izinsuku ezimbalwa uma siqhubeka nokuba nesigaxa emphinjeni noma uma siba nezinye izimpawu. Isibonelo, ubunzima bokugwinya kungase kube uphawu lwenkinga enkulu futhi kudinga ukulungiswa ngokushesha.
Uma singenaso isiqiniseko ngezimpawu futhi sifuna ukuxilongwa, sizokwenza isikhathi sokubonana nodokotela. Singase sibhekiselwe ku-a i-otorhinolaryngologist noma udokotela wezindlebe, ikhala, nomphimbo. Lo dokotela uzohlola umlomo, ikhala nomphimbo wethu. Bazodlula isibonakude esizacile kakhulu, esivumelana nezimo esinokukhanya ekhaleni lakho ukuze sibone ngaphakathi kwezono zakho nomphimbo.
Lokhu kuhlolwa kungase kungaqinisekisi ukuxilongwa kokuzwa kwe-globus. Ongakwenza ukunikeza enye incazelo yezimpawu. Isibonelo, uma kusolwa i-acid reflux, ukuhlolwa okwengeziwe kungenziwa ukuze kuqinisekiswe lokho kuxilongwa.
Ungakuvimbela kanjani?
Ngenxa yokuthi abacwaningi abazi ukuthi yini ebangela ukuzwa kwe-globus, kunzima ukuqonda ukuthi kungavinjelwa kanjani. Ngenxa yalokhu, inkambo engcono kakhulu yesenzo ukunakekela umphimbo ngokusemandleni ethu. Sizolandela lezi zeluleko ezinempilo zomphimbo ukugwema izinkinga ezingaba khona ngokuzwa ibhaluni noma ezinye izimbangela zokuba nesigaxa emphinjeni:
- Phuza amanzi amaningi. Ukuhlala u-hydrated kuhle kokungaphezu kwesikhumba sakho nje. Igcina uketshezi kanye nezimfihlo kuwo wonke umzimba kuhamba kahle.
- Yekani ukubhema. Umphimbo, ukona nomlomo kuthinteka kakhulu uma sisebenzisa ugwayi nogwayi. Ukusebenzisa noma iyiphi yale mikhiqizo kwandisa ingozi yezimo eziningi, kuhlanganise nomdlavuza.
- Phumula izwi lakho lapho sigula. Lapho sinomkhuhlane noma into embi kakhulu njenge-laryngitis, sizophumuza umphimbo wethu. Imisipha engaphakathi emphinjeni isivele ivuvukele futhi ibuhlungu ngenxa yalesi sifo. Ukuzisebenzisa kakhulu kungabangela umonakalo ongalungiseki.
- Thuthukisa imikhuba yokuphila ukuze uvimbele i-reflux. Uma umuzwa wakho wokuba nesigaxa ubangelwa i-acid reflux, imikhuba ethile yokuphila ingasiza ekudambiseni umuzwa. Ezinye izibonelo yilezi: ukulinda okungenani amahora angu-3 ukuze ulale ngemva kokudla, ukunciphisa noma ukugwema ukudla okuvusa amadlingozi, okufana nokudla okubabayo noma okunamafutha amaningi.