Yintoni i-hernia ye-diaphragmatic, iintlobo eziphambili kunye nendlela yokunyanga

Umxholo

• Iindidi eziphambili
• 1. I-hernia yokuzalwa ene-diaphragmatic
• 2. Ufumene iHernia yeDiaphragmatic
• Indlela yokuchonga
• Unyango lwenziwa njani

I-hernia ye-diaphragmatic ivela xa kukho isiphako kwi-diaphragm, esisisihlunu esinceda ukuphefumla, esinoxanduva lokwahlula amalungu esifubeni nakwisisu. Esi siphene sibangela ukuba amalungu esisisu adlule esifubeni, esingenakubangela zimpawu okanye sibangele iingxaki ezinje ngokuphefumla, usulelo lwemiphunga okanye utshintsho olwetyisayo, umzekelo.

I-hernia ye-diaphragm inokuvela zombini ngexesha lokukhula kosana kwisibeleko soomama, inika ukukhula kwe-hernia, kodwa inokufunyanwa kubomi bonke, njengokuqaqanjelwa sisifuba okanye ingxaki yotyando okanye usulelo ummandla. Qonda indlela eyakhiwe ngayo i-hernia.

Ukuchongwa kwale ngxaki kwenziwa ngovavanyo lwe-imaging njengeX-reyi okanye ikhompyuter yecompography. Unyango lwe-heraphragmatic hernia lwenziwa ngugqirha ogqirha jikelele okanye ugqirha wabantwana, ngoqhaqho okanye utyando lwevidiyo.

Iindidi eziphambili

I-hernia ye-diaphragmatic ingaba:

1. I-hernia yokuzalwa ene-diaphragmatic

Olu lutshintsho olunqabileyo, oluvela kwiziphene kuphuhliso lwesithintelo somntwana kwanaxa ukhulelwe, kwaye lunokubonakala lodwa, ngenxa yezizathu ezingachazwanga, okanye ezinxulunyaniswa nezinye izifo, ezinje ngee-syndromes zemfuza.

Ezona ntlobo ziphambili zezi:

• UBochdalek hernia: inoxanduva lwamatyala amaninzi e-diaphragmatic hernias, kwaye ihlala ivela kwingingqi ngasemva nakwicala ledyaphragm. Uninzi lubekwe ngasekhohlo, ezinye zibonakala ngasekunene kwaye imbinana ibonakala kumacala omabini;
• IHernia yaseMorganiIsiphumo esivela kwisiphene kwingingqi engaphambili, ngaphambili kwidayaphragm. Kwezi, uninzi ngakumbi lusekunene;
• I-heropha esophageal hiatal hernia: kuvela ngenxa yokwandiswa okugqithisileyo kwendlu apho ugqirha udlula khona, onokubangela ukudlula kwesisu esifubeni. Qonda ngcono ukuba i-hernia yokuzalwa ivela njani, iimpawu kunye nonyango.

Kuxhomekeka kubukhali bayo, ukwakheka kwe-hernia kunokubangela iziphumo ezibi kwimpilo yosana olusandula kuzalwa, njengoko amalungu esisu esingahlala kwindawo yemiphunga, ebangela utshintsho kuphuhliso lwezi zinto, kunye namanye amalungu anjengamathumbu, isisu okanye intliziyo., umzekelo.

2. Ufumene iHernia yeDiaphragmatic

Kwenzeka xa kukho ukuqhekeka kovalo ngenxa yokwenzakala esiswini, njengasemva kwengozi okanye ukugqobhoza ngesixhobo, umzekelo, mna ngenxa yotyando lwesifuba okanye nosulelo kwindawo.

Kolu hlobo lwe-hernia, nayiphi na indawo kwi-diaphragm inokuchaphazeleka, kwaye njengakwi-hernia yokuzalwa, olu qhekeko kwisithambiso lunokubangela ukuba imixholo yesisu idlule esifubeni, ngakumbi isisu namathumbu.

Oku kunokubangela ukungahambi kakuhle kwegazi kula malungu, kwaye kwezi meko kunokubangela umngcipheko kwimpilo yomntu ochaphazelekayo ukuba ayilungiswa ngokukhawuleza ngoqhaqho.

Indlela yokuchonga

Kwimeko ye-hernias engabalulekanga, akunakubakho zimpawu, ke inokuhlala iminyaka emininzi de ifunyanwe. Ngamanye amaxesha, kunokwenzeka ukuba ube neempawu kunye neempawu ezinje ngobunzima bokuphefumla, utshintsho lwamathumbu, i-reflux, isitshisa kunye nokugaya okungalunganga.

Ukuxilongwa kwe-hernia ye-diaphragmatic kwenziwa ngemifanekiso yokuhlola isisu kunye nesifuba, njenge-x-ray, i-ultrasound okanye i-tomography ekhompyutheni, engabonisa ubukho bomxholo ongafanelekanga ngaphakathi kwesifuba.

Unyango lwenziwa njani

Unyango lwe-hernia ye-diaphragmatic luqhaqho, olunakho ukubuyisela kwakhona imixholo yesisu kwindawo yazo yesiqhelo, ukongeza ekulungiseni isiphene kwidayaphragm.

Inkqubo yotyando inokwenziwa ngoncedo lweekhamera kunye nezixhobo ezaziswa ngemingxunya emincinci esiswini, eyotyando lwe-laparoscopic, okanye ngendlela eqhelekileyo, kwimeko yehernia enzima. Yazi xa utyando lwe-laparoscopic luboniswa kwaye lwenziwa njani.