Umlobi: Tamara Smith
Usuku Lokudalwa: 19 Ujanuwari 2021
Ukuvuselela Usuku: 4 Unovemba 2024
Anonim
Kuyini i-hernia e-diaphragmatic, izinhlobo eziyinhloko nokuthi ungaphatha kanjani - Impilo
Kuyini i-hernia e-diaphragmatic, izinhlobo eziyinhloko nokuthi ungaphatha kanjani - Impilo

-Delile

I-hernia e-diaphragmatic ivela lapho kunenkinga ku-diaphragm, okuwumsipha osiza ukuphefumula, futhi obhekene nokuhlukanisa izitho esifubeni nasesiswini. Lokhu kukhubazeka kubangela ukuthi izitho zesisu zidlule ziye esifubeni, okungenzeka kungabangeli izimpawu noma kubangele izinkinga ezinkulu ezifana nobunzima bokuphefumula, izifo zamaphaphu noma ushintsho lokugaya ukudla, isibonelo.

I-hernia ye-diaphragm ingavela zombili ngesikhathi sokukhula kwengane esibelethweni sikamama, ikhulisa i-hernia yokuzalwa, kepha futhi ingatholwa kuyo yonke impilo, njengokuhlukumezeka esifubeni noma ngenkinga yokuhlinzwa noma ukutheleleka isifunda. Qonda ukuthi i-hernia yakhiwa kanjani.

Ukuhlonza le nkinga kwenziwa ngezivivinyo zokucabanga njenge-X-ray noma i-computed tomography. Ukwelashwa kwe-hernia e-diaphragmatic kwenziwa udokotela ohlinzayo ojwayelekile noma udokotela ohlinzayo wezingane, ngokuhlinzwa noma ngokuhlinzwa kwevidiyo.

Izinhlobo eziyinhloko

I-hernia e-diaphragmatic ingaba:


1. I-hernia ye-diaphragmatic yokuzalwa nayo

Kuguquke okungajwayelekile, okuvela emaphutheni ekukhuleni kothambo lwengane ngisho nangesikhathi sokukhulelwa, futhi kungavela ngokuzihlukanisa, ngezizathu ezingachazeki, noma ukuhlotshaniswa nezinye izifo, ezinjengezakhi zofuzo.

Izinhlobo eziyinhloko yilezi:

  • I-Bochdalek hernia: unesibopho samacala amaningi we-hernias e-diaphragmatic, futhi imvamisa ivela esifundeni ngemuva nangasohlangothini lwe-diaphragm. Eziningi zitholakala ngakwesobunxele, ezinye zivela ngakwesokudla kanti idlanzana livela ezinhlangothini zombili;
  • I-Hernia kaMorgani: kubangelwa isici esifundeni sangaphakathi, ngaphambili kwesithambisi. Koku, okuningi kungakwesokudla;
  • I-hernia ye-esophageal yokuzalwa: avele ngenxa yokwanda ngokweqile kwe-orifice lapho kudlula khona i-esophagus, okungaholela ekudluleni kwesisu esifubeni. Qonda kangcono ukuthi i-hernia yokubeletha ivela kanjani, izimpawu kanye nokwelashwa.

Ngokuya ngobukhulu bayo, ukwakheka kwe-hernia kungadala imiphumela emibi empilweni yengane esanda kuzalwa, njengoba izitho zesisu zingangena esikhaleni samaphaphu, zidale ushintsho ekukhuleni kwalezi, kanye nezinye izitho ezinjengamathumbu, isisu noma inhliziyo., isibonelo.


2.I-Hernia Ye-Diaphragmatic Etholakele

Kwenzeka lapho kukhona ukuqhekeka kovalo ngenxa yokuhlukumezeka esiswini, njengangemva kwengozi noma ukugcotshwa yisikhali, isibonelo, mina ngenxa yokuhlinzwa isifuba noma ngisho nokutheleleka esizeni.

Kulolu hlobo lwe-hernia, noma iyiphi indawo ku-diaphragm ingathinteka, futhi njengakwi-hernia yokuzalwa, lokhu kuqhuma ku-diaphragm kungadala ukuthi okuqukethwe yisisu kudlule esifubeni, ikakhulukazi isisu namathumbu.

Lokhu kungaholela ekuhambeni kwegazi okungakhubazekile kulezi zitho, futhi kulezi zimo kungadala ubungozi obukhulu bezempilo kumuntu othintekile uma kungalungiswa ngokushesha ngokuhlinzwa.

Ungayibona kanjani

Endabeni ye-hernias engathí sina, kungahle kungabikho zimpawu, ngakho-ke ingahlala iminyaka eminingi ize itholakale. Kwezinye izimo, kungenzeka ukuthi ube nezimpawu nezimpawu ezifana nobunzima bokuphefumula, izinguquko emathunjini, i-reflux, isilungulela nokugayeka kahle komzimba.

Ukuxilongwa kwe-hernia e-diaphragmatic kwenziwa ngokuhlolwa kwe-imaging kwesisu nesifuba, njenge-x-ray, i-ultrasound noma i-computed tomography, engakhombisa ukutholakala kokuqukethwe okungafanelekile ngaphakathi kwesifuba.


Yelashwa kanjani

Ukwelashwa kwe-hernia e-diaphragmatic ukuhlinzwa, okwazi ukubuyisela okuqukethwe esiswini endaweni yaso ejwayelekile, ngaphezu kokulungisa iphutha ku-diaphragm.

Inqubo yokuhlinza ingenziwa ngosizo lwamakhamera nezinsimbi ezethulwe ngezimbobo ezincane esiswini, okuwukuhlinzwa kwe-laparoscopic, noma ngendlela ejwayelekile, uma kwenzeka kuba ne-hernia enamandla. Yazi ukuthi ukuhlinzwa kwe-laparoscopic kuboniswa nini nokuthi kwenziwa kanjani.

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