Yini i-hiatus hernia, izimpawu nokuthi uzohlinzwa nini

-Delile

• Izimpawu ze-hernia yokuzalwa
• Yelashwa kanjani
• Lapho kuboniswa ukuhlinzwa
• Izimbangela ezingaba khona

I-hiatus hernia ihambelana nokwakheka okuncane okwakhiwa lapho ingxenye yesisu idlula esifundeni esibizwa nge-esophageal hiatus, esitholakala ku-diaphragm futhi imvamisa kufanele ivumele kuphela ukudlula komphimbo. Qonda ukuthi iyini i-hernia nokuthi kungani yakha.

Izimbangela zokwakheka kwe-hernia yokubeletha azikacaci kahle, kepha ukukhuluphala nokwenza izinto ngokweqile zomzimba kungavumela ukuvela kwaleli hernia. Lapho kukhona lolu hlobo lwe-hernia, ingxenye yokuqala yesisu ayikho esimeni esifanele, esingaphansi kwesithambiso, esenza kube lula ukubuya kokuqukethwe kwe-asidi emqulwini futhi kuholele ekwenzekeni kwe-reflux yesisu nokuzwa okushisayo ngaphakathi. umphimbo.

Ukuxilongwa kwe-hiatus hernia kungenziwa ngudokotela ngemuva kokubona izimpawu ze-reflux, noma ukuphela kwendlela yokuqinisekisa ubukhona be-hernia ukwenza ukuhlolwa kwesithombe, njenge-endoscopy noma ukuhlolwa kwe-barium umehluko, isibonelo.

Izimpawu ze-hernia yokuzalwa

Iningi labantu abane-hernia yokubeletha abanazo izimpawu, kepha labo abanezimpawu bavame ukuvela cishe imizuzu engama-20 kuye kwengama-30 ngemuva kokudla futhi bavame ukunyamalala ngemuva nje kwalokho, okuyinhloko okuyilezi:

• Isilungulela nokushisa emphinjeni;
• Kunzima ukugwinya;
• Ukukhwehlela okomile nokucasulayo;
• Ukunambitheka okuvamile;
• Ukuphefumula kabi;
• Ukubopha njalo;
• Ukuzwa kokugaya kancane;
• Ukuzimisela ukuhlanza kaningi.

Lezi zimpawu zingakhombisa futhi ukuthi yi-reflux futhi, ngakho-ke, kuvamile ukuthi i-reflux yesisu nesifo sokugaya itholakale ngaphambi kwe-hernia yokubeletha. Funda kabanzi mayelana nezimpawu ze-hernia zokubeletha.

Yelashwa kanjani

Inketho yokwelashwa engcono kakhulu ye-hernia yokubeletha ukwehla kwesisindo, futhi kuyadingeka, ezimweni eziningi, ukuvumelanisa indlela odla ngayo nokugwema ukusetshenziswa kokudla okunamafutha kakhulu noma okubabayo kakhulu nokuphuza iziphuzo ezidakayo. Lokhu kudla kunzima ukukugaya futhi kungazenza zibe zimbi izimpawu zesifo, futhi kufanele kugwenywe njalo.

Ngaphezu kwalokho, kubalulekile ukuthi udle ukudla okulula, okunenani elincane futhi udle njalo emahoreni amathathu ukwelapha ukungaphatheki kahle okudalile, kanye nokugwema ukulala phansi ngemuva kokudla nokungaphuzi uketshezi ngokudla. Thatha ithuba lokubona okunye ukunakekelwa okubalulekile okusiza ukunciphisa ukungakhululeki.

Lapho kuboniswa ukuhlinzwa

Ukuhlinzwa kwe-hernia yokubeletha kuboniswa kuphela ezimweni ezinzima kakhulu futhi lapho ukunakekelwa kokudla kunganele ukukhulula izimpawu ezibangelwa i-reflux ye-gastroesophageal noma lapho kukhona ukuklinya kwe-hernia, ngokwesibonelo.

Lolu hlobo lokuhlinzwa lwenziwa nge-laparoscopy, ngaphansi kwe-anesthesia ejwayelekile futhi ukululama okuphelele kuthatha cishe izinyanga ezimbili. Qondisisa ukuthi kwenziwa kanjani ukuhlinzwa kwe-reflux ye-gastroesophageal.

Izimbangela ezingaba khona

I-hernia ye-Hiatal ingabangelwa wukuzivocavoca umzimba ngokweqile okudinga amandla amaningi, njengokuphakamisa izinsimbi, ngokwesibonelo, ngaphezu kwalokho, ukukhuluphala ngokweqile, isifo se-reflux nokukhwehlela okungamahlalakhona nakho kungadala i-hiatal hernia, ikakhulukazi kubantu abadala. Kodwa-ke, ezimweni eziningi, akunakwenzeka ukuthola ukuthi yini eholele kulolu shintsho.