I-Hernia yesifo - izimpawu kanye nokwelapha

I-diaphragm iyi-plate ye-muscular ehlukanisa izitho zezintambo ze-thoracic nesisu. I-esophagus idlula phakathi kwesikhalazo, esimweni esivamile esifana ncamashi nobubanzi bayo. Kodwa uma ukuqina kwezingxube ze-muscular of the diaphragm kuphazanyiswa, izitho zingasuka ukusuka esiswini ukuya emgodini we-thoracic. Lo mkhuba ubizwa ngokuthi i-hernia yokuvulwa kwe-esophageal ye-diaphragm, noma enkulumweni ejwayelekile - i-hernia yesigcawu.

Izinhlobo ze-hernia ye-esophagus

Kuye ngendlela yokubunjwa kanye nezici zesimo somzimba, i-hernia ehlukumezayo ihlukaniswe ngokuyi-sliding, i-paraeophagous kanye ne-hernias ehlanganisiwe ye-esophagus:

1. Ukwehliswa (kuqhuma, i-axial noma i-axial) i-hernia yesifo-ifomu elivame kakhulu lesi sifo. Nge-hernias enjalo, i-sphincter ephansi ye-cardia), ingxenyeni yesisu yomzimba kanye nengxenyeni engenhla yesisu ingena emgodini we-thoracic, bese ubuyela endaweni yayo, isibonelo, ngokushintsha kwesikhundla. I-hernia yokuzulazula ye-esophagus ihlukaniswe yaba inhliziyo, inhliziyo, i-subtotal kanye nesisu esiswini sonke esiswini. Kwezinye izimo, ama-hernias anjalo angeke abe namandla okulungisa futhi, ngenxa yalokho, azinze.
2. I-parasophagial (i-herasophageal noma i-fixed hernia) ye-herop iyenzeka uma i-cardia nesigxila esingaphansi singashintshi isikhundla sabo, kodwa ukungena kwesitho esiswini kuya ekuvukeni kwe-diaphragm kwenzeka, futhi kufinyelele engxenyeni engenhla yesigcawu. Ngokungafani nokugibela, lezi zindlala zivame ukuphulwa. Izimpawu zamakhemikhali ezinjalo ze-diaphragm yilezi zibuhlungu obukhulu, ubunzima bokuhambisa ukudla ngokusebenzisa isisindo, isicashu, ukuhlanza.
3. Nge-hernias ehlanganisiwe, izindlela zokubunjwa kwe-sliding kanye ne-hernias fixed zihlangene.

Izimpawu kanye nokuphathwa kwe-hernia yesifo

Emasayizi amancane, ikakhulukazi uma i-hernia ehambayo, ingase ingabonakali. Uma kungenjalo, izimpawu zixhomeke ebukhulu be-hernia, uhlobo lwayo, kanye nokuba khona kwezinkinga nezifo ezithinta izifo:

1. Ukuguquka kwenhliziyo . Isibonakaliso esivame kakhulu, kusukela ekungabonakali kuya ebuhlungu, kuze kube ukukhubazeka. Ngokuvamile kuvame emva kokudla nasebusuku.
2. Ubuhlungu ngemuva kwe-sternum , kaningi kangako ku-hypochondrium nengxenye yesithathu yesisu. Cishe isigamu seziguli ziyabonwa, futhi kaningi nge-hernia ehleliwe.
3. I-Dysphagia inzima ekudluliseni ukudla ngokusebenzisa isisindo. Kuyabonakala uma cishe noma yiluphi uhlobo lokudla ludluliselwa, futhi lubizwa ikakhulukazi ngokushisa, okubandayo noma ngobuningi.
4. Ukubheka. Kungenzeka kokubili ngomoya kanye nokuqukethwe kwesisu. Esikhathini esilandelayo, ukunambitheka okune-acidic noma okubabayo kungabonwa emlonyeni ngokufaka okuqukethwe kwesisu esiswini, okungabangelwa yi-hernia ye-esophagus.
5. Hiccough . Kubonakala kungavamile, kodwa kunomlingisi omude (kuze kube amasonto amaningana).

Endabeni ye-hernia ehambayo, izimpawu zigcinwa kuphela uma okuqukethwe kwesisu kuphonswa ngaphakathi. Kungaba ukugubha, ukugcoba, ukucabangela.

Ukunakekelwa kwe-hernia ye-oophagus kungaba yindlela yokuqapha nokuhlinzeka.

Ukungenelela kokuhlinzwa kuyadingeka uma kwenzeka ukwephulwa kwe-hernia, i-hernia ye-esophagus, eyinkimbinkimbi yesilonda se-peptic, futhi uma kwenzeka i-hernias enkulu kakhulu, engaphezu kwe-1/3 yesisu.

Kwezinye izimo, ukwelashwa kwenziwa ngokuqhubekayo. Okokuqala, ekudleni okunembile, okusiza ukugwema ukuphefumula ngokweqile isisu nokuphonsa okuqukethwe kwayo okuyi-acidic endaweni. Ukudla okunconywayo kunconywa ngama-fractional, izikhathi ezingu-5-6 ngosuku, ngezigaba ezincane. Ukusetshenziswa kwamanoni, okugcoziwe, amnandi, izinongo, iziphuzo ze-carbonated, imikhiqizo ekhuthaza ukunyuka kwegesi, ikakhulukazi - i-legumes ilinganiselwe. Kungakapheli ihora elilodwa nesigamu emva kokudla, akunconywa ukuthatha isikhundla esingezansi. Futhi, ukuzikhandla ngokweqile ngokomzimba, ikakhulukazi lezo ezihambisana nemithambeka kanye nezinguquko ngokuzumayo esimweni somzimba, kufanele zigwenywe.