Utyando lweHiatal Hernia

Umxholo

• Iyintoni injongo yotyando lwe-hernia yokubeleka?
• Ungakulungiselela njani ukwenza utyando lwe-hernia?
• Lwenziwa njani uqhaqho lwe-hernia yokubeleka?
• Vula ukulungiswa
• Ukulungiswa kweLaparoscopic
• Endoluminal fundoplication
• Injani inkqubo yokubuyisela kwimeko yesiqhelo?
• Ixesha
• Iyintoni imbonakalo yoqhaqho lwe-hernia?

Ushwankathelo

I-hernia yokuzalwa kuxa inxenye yesisu inyuka iye kwi-diaphragm nakwisifuba. Ingabangela i-acid reflux okanye iimpawu ze-GERD. Rhoqo, ezi mpawu zinokunyangwa ngamayeza. Ukuba ezo azisebenzi, ugqirha wakho unokunika utyando njengokhetho.

Iindleko zotyando lwe-hernia yokubeleka ziyahluka ngokuxhomekeka kugqirha wotyando, indawo okuyo, kunye neinshurensi onayo. Iindleko ezingaqinisekiswanga zenkqubo zi malunga ne- $ 5,000 e-United States. Nangona kunjalo, iindleko ezongezelelweyo zinokuvela ngexesha lenkqubo yokubuyisela kwimeko yesiqhelo ukuba uneengxaki.

Iyintoni injongo yotyando lwe-hernia yokubeleka?

Utyando lunokulungisa i-hernia yokubeletha ngokutsala isisu sakho sibuyele esiswini kunye nokwenza ukuvulwa kwidayaphragm kuncinci. Inkqubo inokuthi ibandakanye ukwenziwa ngokutsha kotyando lwe-esophageal sphincter okanye ukususa iisaka ze-hernium.

Nangona kunjalo, ayinguye wonke umntu ophethe i-hernia yokuzalwa efuna utyando. Ugqirha lugcinelwa abantu abanamatyala abukhali angakhange aphendule kakuhle kolunye unyango.

Ukuba uneempawu eziyingozi ngenxa yehernia, emva koko utyando lunokuba kuphela kwendlela onokuthi ukhethe ngayo. Ezi mpawu zinokubandakanya:

• ukopha
• izilonda
• izilonda
• Ukunciphisa umqala

Olu tyando luthelekelela iipesenti ezingama-90 zempumelelo. Okwangoku, malunga neepesenti ezingama-30 zabantu baya kubuya neempawu ze-reflux.

Ungakulungiselela njani ukwenza utyando lwe-hernia?

Ugqirha wakho uya kukunika lonke ulwazi oludingayo malunga nendlela yokulungiselela utyando lwakho. Ukulungiselela ngokubanzi kubandakanya:

• ukuhamba ngeekhilomitha ezi-2 ukuya kwezi-3 ngosuku
• ukwenza imithambo emininzi yokuphefumla amaxesha amaninzi ngemini
• ungatshayi iiveki ezi-4 ngaphambi kotyando
• ungathathi i-clopidogrel (Plavix) ubuncinci kwiveki enye ngaphambi kotyando
• ukungathathi ii-nonsteroidal anti-inflammatories (NSAIDs) kwiveki enye ngaphambi kotyando

Ngokwesiqhelo, ukutya okucacileyo okungamanzi akufuneki kolu tyando. Nangona kunjalo, awukwazi ukutya okanye ukusela ubuncinci iiyure ezili-12 ngaphambi kotyando.

Lwenziwa njani uqhaqho lwe-hernia yokubeleka?

Utyando lwe-Hiatal lunokwenziwa ngokulungiswa okuvulekileyo, ukulungiswa kwe-laparoscopic, kunye ne-endoluminal fundoplication. Zonke zenziwa phantsi kwe-anesthesia ngokubanzi kwaye zithatha iiyure ezi-2 ukuya kwezi-3 ukugqiba.

Vula ukulungiswa

Olu tyando luyingozi ngakumbi kunokulungiswa kwe-laparoscopic. Ngexesha lale nkqubo, ugqirha wakho wotyando uya kwenza utyando olukhulu olukhulu esiswini. Emva koko, baya kutsala isisu babuyele endaweni kwaye basonge ngesandla ngeenxa zonke kwinxalenye esezantsi yomqala ukwenza i-sphincter eqinileyo. Ugqirha wakho unokufuna ukufaka ityhubhu esiswini sakho ukuyigcina ikwindawo. Ukuba kunjalo, ityhubhu iya kufuna ukususwa kwiiveki ezi-2 ukuya kwezi-4.

Ukulungiswa kweLaparoscopic

Ukulungiswa kwe-laparoscopic, ukubuyiswa ngokukhawuleza kwaye kukho umngcipheko omncinci wokusuleleka kuba inkqubo ayifuni. Ugqirha wakho uza kwenza i-3 ukuya kwi-5 incision encinci esiswini. Bazakufaka izixhobo zoqhaqho ngezi zinto zicandiweyo. Ukhokelwa yi-laparoscope, ehambisa imifanekiso yezitho zangaphakathi ukuya esweni, ugqirha wakho uya kusitsala isisu ukuba sibuyele kwisisu esisiso apho sisesakhe. Emva koko baya kusonga indawo ephezulu yesisu ngeenxa zonke kwinxalenye esezantsi yomqala, edala i-sphincter eqinileyo yokugcina i-reflux ingenzeki.

Endoluminal fundoplication

I-Endoluminal fundoplication yinkqubo entsha, kwaye yeyona ndlela inqabileyo yokhetho. Akuyi kwenziwa nto iya kusikwa. Endaweni yokuba ugqirha wakho afake i-endoscope, enekhamera ekhanyisiweyo, emlonyeni wakho nasezantsi kwi-esophagus. Emva koko baya kubeka iziqeshana ezincinci kwindawo apho isisu sihlangana khona. Ezi kliphu zinokunceda ukukhusela i-asidi esiswini kunye nokutya ekuxhaseni ukuya kwi-esophagus.

Injani inkqubo yokubuyisela kwimeko yesiqhelo?

Ngexesha lokuchacha kwakho, unikwa amayeza ekufuneka uwathathe ngokutya kuphela. Abantu abaninzi banamava okuqaqamba okanye okutsha kufutshane nendawo yokusikwa, kodwa le mvakalelo yexeshana. Inokunyangwa nge-NSAIDs, kubandakanywa iindlela ezingaphezulu kwe-counter ezifana ne-ibuprofen (Motrin).

Emva kotyando, kufuneka uhlambe indawo yokusikwa ngobunono ngesepha kunye namanzi yonke imihla. Kuphephe ukuhlamba, amachibi, okanye iibhafu ezishushu, kwaye unamathele kwishawari kuphela. Uyakuba nokutya okuthintelweyo okuthintela isisu ukuba singandisi. Kubandakanya ukutya izidlo ezincinci ezi-4 ukuya kwezi-6 ngosuku endaweni yokutya ezi-3 ezinkulu. Uqala ngokutya okungamanzi, kwaye ngokuthe ngcembe uye kukutya okuthambileyo njengeetapile ezicujiweyo kunye namaqanda aqhekeziweyo.

Kuya kufuneka uphephe:

• ukusela ngeendiza
• ukutya okunokubangela irhasi, efana nombona, iimbotyi, ikhaphetshu kunye nekholifulawa
• iziselo ezihlwahlwazayo
• utywala
• isitrasi
• iimveliso zetumato

Ugqirha uya kuthi akunike imithambo yokuphefumla kunye nokukhohlela ukunceda ukomeleza uvalo. Kuya kufuneka uyenze yonke imihla, okanye ngokomyalelo kagqirha wakho.

Ngokukhawuleza xa unakho, kuya kufuneka uhambe rhoqo ukunqanda amahlwili egazi ukuba angaveli kwimilenze yakho.

Ixesha

Ngenxa yokuba olu lutyando olukhulu, ukubuyela kwimeko yesiqhelo kungathatha iiveki ezili-10 ukuya kwezi-12. Oko kuthethiwe, ungaqala kwakhona imisebenzi yesiqhelo kwakamsinya kune-10 ukuya kwi-12 yeeveki.

Umzekelo, ungaqala ukuqhuba kwakhona nje ukuba uyeke unyango lwamayeza obuhlungu. Ngethuba nje umsebenzi wakho ungekho emzimbeni, ungaqhubeka nomsebenzi malunga neeveki ezi-6 ukuya kwezi-8. Kwimisebenzi enzima ngokwasemzimbeni efuna umsebenzi onzima omninzi, kunokuba kufutshane neenyanga ezintathu ngaphambi kokuba ubuye.

Iyintoni imbonakalo yoqhaqho lwe-hernia?

Nje ukuba ixesha lokufumana kwakhona liphelile, ukubetha kwentliziyo kunye neempawu zesicaphucaphu kufuneka zinciphe. Ugqirha wakho usenokucebisa ukuba uphephe ukutya kunye neziselo ezinokubangela iimpawu ze-GERD, ezinje ngokutya okune-asidi, iziselo ezine-carbon, okanye utywala.