IHernatal hernia

I-hernia ye-Hiatal yisimo lapho ingxenye yesisu idlulela khona ngokuvulwa kwesifo esifubeni. I-diaphragm ishidi lemisipha elihlukanisa isifuba esiswini.

Isizathu esiqondile se-hernia yokuzalwa asaziwa. Isimo singabangelwa ubuthakathaka bezicubu ezisekelayo. Ubungozi bakho benkinga bukhuphuka nobudala, ukukhuluphala, nokubhema. Ama-hernias ase-Hiatal ajwayelekile kakhulu. Inkinga yenzeka kaningi kubantu abangaphezu kweminyaka engama-50.

Lesi simo singaxhunyaniswa ne-reflux (backflow) ye-gastric acid kusuka esiswini iye esimphagus.

Izingane ezinalesi sifo zivame ukuzalwa nazo (ezalwa naso). Imvamisa kwenzeka nge-reflux ye-gastroesophageal ezinganeni.

Izimpawu zingafaka:

• Ubuhlungu besifuba
• Isilungulela, sibi kakhulu lapho ugoba noma ulele phansi
• Ukugwinya ubunzima

I-hernia yokubeletha ngokwayo ayibangeli izimpawu. Ubuhlungu nokungahambi kahle kubangelwa ukugeleza okuphezulu kwesisu esiswini, umoya, noma inyongo.

Ukuhlolwa okungasetshenziswa kufaka:

• I-Barium swallow x-ray
• I-Esophagogastroduodenoscopy (EGD)

Izinhloso zokwelashwa ukunciphisa izimpawu nokuvikela izinkinga. Ukwelashwa kungafaka:

• Imithi yokulawula i-acid esiswini
• Ukuhlinzwa ukulungisa i-hernia yokubeletha nokuvimbela i-reflux

Ezinye izinyathelo zokunciphisa izimpawu zifaka:

• Ukugwema ukudla okukhulu noma okunzima
• Hhayi ukulala phansi noma ukugoba ngemuva nje kokudla
• Ukwehlisa isisindo nokungabhemi
• Ukuphakamisa ikhanda lombhede amayintshi angama-4 kuye kwayi-6 (amasentimitha ayi-10 kuye kwayi-15)

Uma imithi nezindlela zokuphila zingasizi ukulawula izimpawu, ungadinga ukuhlinzwa.

Ukwelashwa kunganciphisa izimpawu eziningi ze-hernia yokubeletha.

Izinkinga zingafaka:

• Isifiso sePulmonary (lung)
• Ukwehla kancane kwegazi nokushoda kwe-iron anemia (ngenxa ye-hernia enkulu)
• Ukuklinywa (ukuvalwa) kwe-hernia

Shayela umhlinzeki wakho wezempilo uma:

• Unezimpawu ze-hernia yokuzalwa.
• Une-hernia yokubeletha futhi izimpawu zakho ziba zimbi kakhulu noma azithuthuki ngokwelashwa.
• Uba nezimpawu ezintsha.

Ukulawula izinto ezinobungozi njengokukhuluphala kungasiza ekuvimbeleni i-hernia yokubeletha.

UHernia - ukuzalwa

• Ukuhlinzwa kwe-anti-reflux - ukukhishwa

• I-hernia ye-Hiatal - i-x-ray
• IHernatal hernia
• Ukulungiswa kwe-hernia hernia - uchungechunge

UBrady MF. IHernatal hernia. Ku: Ferri FF, ed. Umeluleki Wemitholampilo kaFerri 2019. IPhiladelphia, PA: Elsevier; 2019: 663.e2-663.e5.

I-Falk GW, i-Katzka DA. Izifo zomphimbo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 138.

I-Rosemurgy AS. I-hernia ye-Paraesophageal. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 1534-1538.

I-Yates RB, i-Oelschlager BK, iPellegrini CA. Isifo se-reflux se-gastroesophageal kanye ne-hernia yokubeletha. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 42.