Yintoni i-hiatus hernia, iimpawu kunye nexesha lokuhlinzwa

Umxholo

• Iimpawu ze-hernia yokuzalwa
• Unyango lwenziwa njani
• Xa utyando luboniswa
• Izizathu ezinokubangela

I-hiatus hernia ihambelana nolwakhiwo oluncinci olwenzeka xa isahlulo sesisu sidlula kummandla obizwa ngokuba yi-esophageal hiatus, ofunyenwe kwisithsaba kwaye ngesiqhelo kufuneka uvumele kuphela ukuba umqala udlule. Qonda ukuba yintoni i-hernia kwaye kutheni iyenza.

Unobangela wokwakheka kwe-hernia yokubeleka akakacaci ncam, kodwa ukutyeba kakhulu kunye nemisebenzi yomzimba egqithileyo inokuxhasa ukubonakala kwale hernia. Phambi kolu hlobo lwe-hernia, isahlulo sokuqala sesisu asikho kwimeko echanekileyo, engaphantsi kwesithambiso, ukuququzelela ukubuya komxholo we-asidi kwindawo yomqala kwaye kukhokelele kukwenzeka kwe-gastroesophageal reflux kunye nokutsha umqala.

Ukuchongwa kwe-hiatus hernia kunokwenziwa ngugqirha emva kokubona iimpawu ze-reflux, nangona ekuphela kwendlela yokuqinisekisa ubukho be-hernia kukwenza uvavanyo lomfanekiso, njenge-endoscopy okanye uvavanyo olwahlukileyo lwe-barium, umzekelo.

Iimpawu ze-hernia yokuzalwa

Uninzi lwabantu abane-hernia yokuzalwa abanazo iimpawu, kodwa abo baneempawu bahlala bevela malunga nemizuzu engama-20 ukuya kwengama-30 emva kokutya kwaye bathambekele ekunyamalaleni kwakamsinya emva koko, ezona ziphambili zezi:

• Isitshisa kunye nokutsha emqaleni;
• Kunzima ukugwinya;
• Ukukhohlela okomileyo nokucaphukisayo;
• Ukunambitha rhoqo;
• Umphunga ombi;
• Ukubetha rhoqo;
• Imvakalelo yokucola ukutya kancinci;
• Ukuzimisela ukugabha rhoqo.

Ezi mpawu zinokubonisa i-reflux kwaye, ke, kuqhelekile ukuba i-reflux ye-gastroesophageal ifunyanwe ngaphambi kokubeleka kwe-hernia. Funda ngakumbi malunga neempawu zokubamba ze-hernia.

Unyango lwenziwa njani

Olona khetho lufanelekileyo kunyango lwe-hernia yokubeleka kukulahleka kobunzima, kwaye kuye kufuneke, kwiimeko ezininzi, ukuhlengahlengisa ukutya kunye nokuphepha ukutya ukutya okunamafutha kakhulu okanye okuneziqholo kakhulu kunye nokutya iziyobisi. Oku kutya kunzima ngakumbi ukwetyisa kwaye kunokwenza mandundu iimpawu zesifo, kwaye kufuneka kuthintelwe rhoqo.

Ukongeza, kubalulekile ukuba utye ukutya okuncinci, ngentlawulo encinci kwaye utye rhoqo iiyure ezi-3 ukunyanga ukungonwabi okubangelwa, kunye nokuthintela ukulala phantsi kanye emva kokutya ungaseli manzi ngokutya. Thatha ithuba lokubona ezinye iinkathalo ezibalulekileyo ezinceda ekunciphiseni ukungakhululeki.

Xa utyando luboniswa

Utyando lwe-hernia yokubeleka luboniswa kuphela kwiimeko ezinzima kakhulu kwaye xa ukhathalelo lokutya lungonelanga ukunciphisa iimpawu ezibangelwa yi-gastroesophageal reflux okanye xa kukho ukukrwelwa kwe-hernia, umzekelo.

Olu hlobo lotyando lwenziwa nge-laparoscopy, phantsi kwe-anesthesia ngokubanzi kunye nokufumana kwakhona kuthatha iinyanga ezimbini. Qonda ukuba lwenziwa njani uqhaqho lwegastroesophageal reflux.

Izizathu ezinokubangela

I-hernia ye-Hiatal inokubangelwa kukuzilolonga komzimba okufuna amandla amaninzi, njengokuphakamisa ubunzima, umzekelo, ukongeza, ukutyeba kakhulu, isifo se-reflux kunye nokukhohlela okungapheliyo nako kunokubangela i-hiatal hernia, ngakumbi kubantu abadala. Nangona kunjalo, kwiimeko ezininzi, akunakwenzeka ukuba uchaze ukuba yintoni ekhokelele kolu tshintsho.