IHernatal hernia

I-hernia ye-Hiatal yimeko apho inxenye yesisu iqhubeka ngokuvulwa kwesithambiso esifubeni. Uvalo lishiti lesihlunu esahlula isifuba esiswini.

Oyena nobangela we-hernia yokuzalwa akaziwa. Imeko inokubangelwa bubuthathaka kwizihlunu ezixhasayo. Umngcipheko wengxaki unyuka kunye nobudala, ukutyeba kakhulu, kunye nokutshaya. Iimpawu zeHiatal ziqheleke kakhulu. Ingxaki ivela rhoqo kubantu abangaphezu kweminyaka engama-50.

Le meko inokunxulunyaniswa ne-Reflux (backflow) yesisu esiswini esisuka kwisisu siye kwi-esophagus.

Abantwana abanale meko badla ngokuzalwa nayo (bekhulelwe). Ngokuqhelekileyo kwenzeka nge-reflux ye-gastroesophageal kwiintsana.

Iimpawu zingabandakanya:

• Iintlungu zesifuba
• Isilungulela, sibi xa ugoba okanye ulele
• Ukuginya ubunzima

I-hernia yokuzalwa ngokwayo ayifane ibangele iimpawu. Ubuhlungu kunye nokuphazamiseka ngenxa yokuhamba okuphezulu kwesisu esiswini, umoya, okanye inyongo.

Uvavanyo olunokusetyenziswa lubandakanya:

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

Iinjongo zonyango kukukhulula iimpawu kunye nokuthintela iingxaki. Unyango lunokubandakanya:

• Amayeza okulawula isisu esiswini
• Ugqirha ukulungisa i-hernia yokubeleka kunye nokuthintela i-reflux

Amanye amanyathelo okunciphisa iimpawu abandakanya:

• Ukuphepha ukutya okukhulu okanye okunzima
• Ukungalali phantsi okanye ukugoba kanye emva kwesidlo
• Ukunciphisa ubunzima kunye nokungatshayi
• Ukuphakamisa intloko yebhedi ii-intshi ezi-4 ukuya kwezi-6 (iisentimitha ezili-10 ukuya kwezili-15)

Ukuba amayeza kunye neendlela zokuphila azincedi ukulawula iimpawu, unokufuna utyando.

Unyango lunokuthomalalisa uninzi lweempawu zokubeleka.

Iingxaki zinokubandakanya:

• Umnqweno we-Pulmonary (lung)
• Ukopha kancinci kunye ne-anemia yokunqongophala kwe-iron (ngenxa ye-hernia enkulu)
• Ukukhubazeka (ukuvala) i-hernia

Fowunela umboneleli wakho wezempilo ukuba:

• Unempawu ze-hernia yokuzalwa.
• Unesisu sokuzalwa kwaye iimpawu zakho ziya zisiba mbi okanye aziphuculi ngonyango.
• Uba neempawu ezintsha.

Ukulawula izinto ezinobungozi njengokutyeba kunokunceda ukuthintela i-hernia yokuzalwa.

UHernia - ukuzalwa

• Utyando lwe-anti-reflux-ukukhutshwa

• IHernatal hernia - i-x-reyi
• IHernatal hernia
• Ukulungiswa kweHernatal hernia- uthotho

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

IFalk GW, Katzka DA. Izifo zomqala. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 138.

Rosemurgy AS. Ingqumbo yeParaesophageal. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 1534-1538.

IYates RB, iOelschlager BK, iPellegrini CA. Isifo se-Gastroesophageal Reflux kunye ne-hernia ye-hiatal. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 42.