Ukuhlinzwa kweHiatal Hernia

-Delile

• Yini inhloso yokuhlinzwa kwe-hernia okuzalayo?
• Ungakulungiselela kanjani ukuhlinzwa kwe-hernia okuzalayo?
• Kwenziwa kanjani ukuhlinzwa kwe-hernia okuzalayo?
• Vula ukulungisa
• Ukulungiswa kwe-Laparoscopic
• I-Endoluminal fundoplication
• Injani inqubo yokutakula?
• Isikhathi
• Uyini umbono wokuhlinzwa kwe-hernia okuzalayo?

Ukubuka konke

I-hernia yokubeletha yilapho ingxenye yesisu ikhula iye phezulu ngocingo kanye nasesifubeni. Kungadala i-acid reflux noma izimpawu ze-GERD ezinzima. Imvamisa, lezi zimpawu zingelashwa ngemithi. Uma lezo zingasebenzi, udokotela wakho anganikeza ukuhlinzwa njengenketho.

Izindleko zokuhlinzekwa kwe-hernia yokubeletha ziyahlukahluka ngokuya ngodokotela ohlinzayo, indawo okuyo, nokutholakala komshuwalense onakho. Izindleko ezingaqinisekisiwe zenqubo ngokuvamile ziba ngama- $ 5,000 e-United States. Kodwa-ke, izindleko ezingeziwe zingavela ngesikhathi senqubo yokutakula uma unezinkinga.

Yini inhloso yokuhlinzwa kwe-hernia okuzalayo?

Ukuhlinzwa kungalungisa i-hernia yokubeletha ngokudonsela esiswini sakho emuva esiswini nokwenza ukuvuleka ku-diaphragm kube kuncane. Inqubo ingabandakanya futhi ukuvuselela kabusha i-esophageal sphincter noma ukususa amasaka e-hernial.

Kodwa-ke, akuwona wonke umuntu one-hernia yokuzalwa edinga ukuhlinzwa. Ukuhlinzwa kuvame ukubekelwa abantu abanezimo ezinzima ezingaphendulanga kahle kwezinye izindlela zokwelashwa.

Uma unezimpawu eziyingozi ngenxa ye-hernia, khona-ke ukuhlinzwa kungaba ukuphela kwakho. Lezi zimpawu zingafaka:

• ukopha
• izibazi
• izilonda
• ukuncipha komphimbo

Lokhu kuhlinzwa kunamazinga empumelelo alinganiselwa kumaphesenti angama-90. Noma kunjalo, cishe abantu abangamaphesenti angama-30 bazobuya nezimpawu ze-reflux.

Ungakulungiselela kanjani ukuhlinzwa kwe-hernia okuzalayo?

Udokotela wakho uzokunikeza lonke ulwazi oludingayo mayelana nokuthi ungakulungiselela kanjani ukuhlinzwa kwakho. Ukulungiselela ngokuvamile kufaka:

• ukuhamba amamayela amabili kuya kwayi-3 ngosuku
• ukwenza izivivinyo zokuphefumula kaningana ngosuku
• ukungabhemi amasonto ama-4 ngaphambi kokuhlinzwa
• ukungathathi i-clopidogrel (Plavix) okungenani isonto elilodwa ngaphambi kokuhlinzwa
• ukungathathi ama-nonsteroidal anti-inflammatories (ama-NSAID) isonto elilodwa ngaphambi kokuhlinzwa

Imvamisa, ukudla oketshezi okucacile akudingeki kulokhu kuhlinzwa. Kodwa-ke, awukwazi ukudla noma ukuphuza okungenani amahora ayi-12 ngaphambi kokuhlinzwa.

Kwenziwa kanjani ukuhlinzwa kwe-hernia okuzalayo?

Ukuhlinzwa kwe-Hiatal kungenziwa ngokulungiswa okuvulekile, ukulungiswa kwe-laparoscopic, kanye ne-endoluminal fundoplication. Konke kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kuthatha amahora amabili kuya kwamathathu ukuphothula.

Vula ukulungisa

Lokhu kuhlinzwa kuyangena kakhulu kunokulungiswa kwe-laparoscopic. Phakathi nale nqubo, udokotela wakho ohlinzayo uzokwenza imbobo eyodwa enkulu yokuhlinzwa esiswini. Ngemuva kwalokho, bazodonsa isisu babuyele endaweni yabo bese besigoqa ngesandla bezungeza ingxenye engezansi yomhosha ukuze benze i-sphincter eqinile. Udokotela wakho angadinga ukufaka ithubhu esiswini sakho ukuyigcina isendaweni yayo. Uma kunjalo, ishubhu lizodinga ukususwa emavikini amabili kuya kwamane.

Ukulungiswa kwe-Laparoscopic

Ekulungisweni kwe-laparoscopic, ukululama kuyashesha futhi kunengozi encane yokutheleleka ngoba inqubo ayifuni kakhulu. Udokotela wakho ohlinzayo uzokwenza ukusikeka okuncane okungu-3 kuya ku-5 esiswini. Bazofaka izinsimbi zokuhlinza ngalezi zigcawu. Eqondiswa yi-laparoscope, ehambisa izithombe zezitho zangaphakathi kumqapha, udokotela wakho uzodonsela isisu emuva emgodini wesisu lapho kungokwaso. Ngemuva kwalokho bazosonga ingxenye engenhla yesisu bezungeze ingxenye engezansi yomhosha, edala i-sphincter eqinile ukugcina i-reflux ingenzeki.

I-Endoluminal fundoplication

I-Endoluminal fundoplication iyinqubo entsha, futhi kuyindlela encane kakhulu yokuhlasela. Akukho okusikiwe okuzokwenziwa. Esikhundleni salokho, udokotela wakho ohlinzayo uzofaka i-endoscope, enekhamera ekhanyisiwe, ngomlomo wakho nangaphansi komphimbo. Ngemuva kwalokho bazobeka iziqeshana ezincane lapho isisu sihlangana khona nomqala. Lezi ziqeshana zingasiza ekuvikeleni i-asidi esiswini kanye nokudla ekusekeleni kuze kube semqaleni.

Injani inqubo yokutakula?

Ngesikhathi sokululama kwakho, unikezwa umuthi okufanele uwuthathe ngokudla kuphela. Abantu abaningi babhekana nobuhlungu bokushoshozela noma bokushisa eduze kwesiza sokusikwa, kepha lo muzwa ungowesikhashana. Ingaphathwa ngama-NSAID, kufaka phakathi izinketho ezingaphezulu kwamakhompiyutha njenge-ibuprofen (Motrin).

Ngemuva kokuhlinzwa, udinga ukugeza indawo yokusika ngensipho namanzi nsuku zonke. Gwema ukugeza, amachibi, noma izitsha ezishisayo, bese unamathela eshaweni kuphela. Uzophinde ube nokudla okunomkhawulo okuhloswe ngakho ukuvimbela isisu ukuthi sandise. Kubandakanya ukudla ukudla okuncane okungu-4 kuye kwayisithupha ngosuku esikhundleni sokudla okukhulu okungu-3. Uvame ukuqala ngokudla oketshezi, bese kancane kancane uthuthela ekudleni okuthambile njengamazambane acubuziwe namaqanda aqhekeziwe.

Uzodinga ukugwema:

• ukuphuza ngotshani
• ukudla okungadala igesi, njengommbila, ubhontshisi, iklabishi kanye nekholifulawa
• iziphuzo ezinekhabhoni
• utshwala
• ezisawolintshi
• imikhiqizo yotamatisi

Udokotela wakho kungenzeka akunikeze izivivinyo zokuphefumula nezokukhwehlela ukusiza ukuqinisa i-diaphragm. Kufanele wenze lokhu nsuku zonke, noma ngokomyalo kadokotela wakho.

Ngokushesha nje lapho usukwazi, kufanele uhambe njalo ukuvimbela amahlule egazi ukuba akhe emilenzeni yakho.

Isikhathi

Ngoba lokhu ukuhlinzwa okukhulu, ukululama ngokugcwele kungathatha amasonto ayi-10 kuye kwayi-12. Uma kushiwo lokho, ungaqala kabusha imisebenzi ejwayelekile ngokushesha ukwedlula amasonto ayi-10 kuye kwayi-12.

Isibonelo, ungaqala ukushayela futhi ngemuva nje kokuthi uphume emithini yezinhlungu ze-narcotic. Uma nje umsebenzi wakho ungakhathazi ngokomzimba, ungaqhubeka nomsebenzi cishe emavikini ayisithupha kuye kwayisishiyagalombili. Ngemisebenzi ebiza kakhulu ngokomzimba edinga umsebenzi omningi onzima, kungasondela ezinyangeni ezintathu ngaphambi kokuthi ubuye.

Uyini umbono wokuhlinzwa kwe-hernia okuzalayo?

Lapho isikhathi sokululama sesiphelile, izimpawu zakho zokushaywa yinhliziyo nezicanucanu kufanele zinciphe. Udokotela wakho usengancoma ukuthi ugweme ukudla neziphuzo ezingadala izimpawu ze-GERD, njengokudla okune-acid, iziphuzo ezinekhabhoni, noma utshwala.