Haɗuwa mai zafi

Hadiye mai ciwo shine kowane ciwo ko rashin jin daɗi yayin haɗiya. Kuna iya ji shi sama a cikin wuya ko ƙasa ƙasa a bayan ƙashin ƙirji. Mafi sau da yawa, zafi yana jin kamar ƙarfin abin mamaki na matsewa ko ƙonawa. Haɗuwa mai zafi na iya zama alama ce ta mummunan cuta.

Hadiye haɗi ya ƙunshi jijiyoyi da tsokoki da yawa a cikin baki, yankin makogwaro, da bututun abinci (esophagus). Sashin haɗiye na son rai ne. Wannan yana nufin kuna sane da sarrafa aikin. Duk da haka, yawancin haɗiye ba shi da niyya.

Matsaloli a kowane matsayi a cikin tsarin haɗiye (haɗe da taunawa, motsa abinci zuwa bayan bakin, ko motsa shi zuwa ciki) na iya haifar da haɗiye mai zafi.

Matsalar haɗiyewa na iya haifar da alamun cututtuka kamar:

• Ciwon kirji
• Jin abinci ya makale a makogoro
• Nauyi ko matsa lamba a cikin wuya ko kirjin sama yayin cin abinci

Matsalar haɗiye na iya zama saboda cututtuka, kamar su:

• Cytomegalovirus
• Ciwon gumis (gingivitis)
• Herpes simplex cutar
• Kwayar cututtukan ɗan adam (HIV)
• Pharyngitis (ciwon makogwaro)
• Turawa

Matsalar haɗiyewa na iya zama saboda matsala tare da hanzari, kamar su:

• Achalasia
• Maganin bazara
• Cutar reflux na Gastroesophageal
• Kumburi daga cikin esophagus
• Nutcracker esophagus
• Ulcer a cikin esophagus, musamman saboda tetracyclines (kwayoyin), aspirin da nonsteroidal anti-mai kumburi kwayoyi (NSAIDs) kamar ibuprofen, naproxyn

Sauran abubuwan da ke haifar da matsalolin haɗiye sun haɗa da:

• Bakin ciki ko miki
• Wani abu ya makale a makogoro (misali, kifi ko kashin kaji)
• Ciwon haƙori ko ɓarna

Wasu nasihu waɗanda zasu iya taimaka muku don sauƙaƙe haɗiye ciwo a gida sun haɗa da:

• Ku ci a hankali kuma ku tauna abincinku da kyau.
• Ku ci tsarkakakken abinci ko ruwa idan abinci mai kauri yana da wuyar hadiyewa.
• Guji tsananin sanyi ko abinci mai zafi sosai idan sun sanya alamun ka munana.

Idan wani yana shaƙewa, nan da nan sai ya yi aikin Heimlich.

Kira mai ba da sabis na kiwon lafiya idan kuna haɗiye mai zafi da:

• Jini a kujerunku ko kujerunku sun bayyana baƙi ko jinkiri
• Ofarancin numfashi ko sauƙin kai
• Rage nauyi

Faɗa wa mai ba ka sabis game da duk wasu alamun alamun da ke faruwa tare da haɗiye mai zafi, gami da:

• Ciwon ciki
• Jin sanyi
• Tari
• Zazzaɓi
• Bwannafi
• Tashin zuciya ko amai
• M dandano a cikin bakin
• Hanzari

Mai ba ku sabis zai bincika ku kuma ya yi tambaya game da tarihin lafiyarku da alamun cutar, gami da:

• Kuna jin zafi lokacin haɗiye abubuwa masu ƙarfi, ruwa, ko duka biyun?
• Ciwo ne akai ko yana zuwa ya tafi?
• Shin ciwon yana ta'azzara?
• Kuna da wahalar haɗiye?
• Kuna da ciwon makogwaro?
• Shin yana jin kamar akwai dunƙule a cikin maƙogwaronka?
• Shin kun sha iska ko haɗiye duk wani abu mai tayar da hankali?
• Waɗanne alamun alamun kuke da su?
• Waɗanne matsalolin kiwon lafiya kuke da su?
• Waɗanne magunguna kuke sha?

Za a iya yin gwaje-gwaje masu zuwa:

• Endoscopy tare da biopsy
• Barium haɗiye da jerin GI na sama
• Kirjin x-ray
• Kulawa da pH mai kulawa (matakan acid a cikin esophagus)
• Tsarin halittar mutum (matakan matsin lamba a cikin esophagus)
• Hanyoyin kwayar halitta (EGD)
• Gwajin HIV
• Rigar rawan wuya
• Al'adar makogwaro

Swallowing - zafi ko ƙonewa; Odynophagia; Jin zafi yayin hadiyewa

• Gwanin jikin makogwaro

Devault KR. Alamomin cututtukan hanji. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 13.

Nussenbaum B, Bradford CR. Pharyngitis a cikin manya. A cikin: Flint PW, Haughey BH, Lund V, eds. Cummings Otolaryngology: Ciwon kai da wuya. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 9.

Pandolfino JE, Kahrilas PJ. Ayyukan neuromuscular da ke motsa jiki da rikicewar motsi. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 43.

Wilcox CM. Sakamakon ciki na kamuwa da cuta tare da kwayar cutar kanjamau. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 34.