Hernia Hiatal: izimpawu, ukwelashwa

Isisu - lokhu ingenye emizimbeni ayisihluthulelo impilo okuyinto encike ngqo kwi induduzo ikhono siphile isidalwa egcwele abantu. Ukubukeka hernias ngokuhambisa ungaba emzimbeni okunomthelela sizeable ezimbi. Le nkinga akunakugwenywa, ngakho-ke kubalulekile uzijwayeze ngezimpawu zesifo kanye lokwelatshwa.

hernia hiatal

Lesi sifo kungaba azimisele njengoba okungavamile, ngokuyisisekelo okuyinto kunciphise eyodwa noma ngaphezulu emizimbeni ise peritoneum. Le nhlangano yenkolo yokulwela Kwenziwa ngokusebenzisa beso elisetendeni ukuvulwa gullet maqondana ngalo ingaphakathi esifubeni. Ngenxa yalokho, ama-ejensi ukuthi kufanele ibe ngalo ingaphakathi lesisu, bazithola esifubeni kakhulu aphume ashone.

hernia Hiatal (igama lesibili zesifo) ingaholela ngisho nasekukholelweni a slippage olungaphelele esiswini, eyagcina liphenduka endaweni esifubeni.

izimo ezinjalo ngezinye izikhathi wenza Reflux acid isiguli, isb outflow emphinjeni ka esiswini acid. Iningi izifo ezinjalo zibizwa iziguli abaneminyaka engama-50. Kuyaphawuleka ukuthi abesifazane baphathwa le nkinga, njengoba hernia Axial, wobulili okuningi namandla.

izimbangela

Displacement yezitho zangaphakathi kungenzeka kubangelwa izici eziningana, okumele abe alalelwa. Nazi izimbangela yalesi sifo:

- izingcindezi engahlula okuholela nzima phezu endaweni peritoneum;

- ukukhwehlela isikhathi eside;

- ukhuluphele;

- zokugula we ngomphimbo ukuvulwa diaphragm, okuyinto has uhlobo namaphutha;

- eziphathelene ne inqubo yokuguga;

- ukuqunjelwa okungamahlalakhona;

- ukwanda appreciable e ingcindezi ngaphakathi peritoneum;

- Ukusebenza ezibuhlungu ezihlukahlukene;

- kwezinye izimo, umbhunu hiatal kungadalwa besakhulelwe noma lapho bebeletha nzima.

Kulula ukuqaphela ukuthi usesimweni elukhuni kanje kubangela izingxabano ngokweqile kule peritoneum, kokuvela bedle yezizathu ezihlukahlukene.

Izinhlobo nezinga isifo

kwezokwelapha zanamuhla zisenza eziningana zezilwane nokumilayo yenkinga:

- Paraezofagenalnaya. Kuyinto kuphela displacement we isisu ngaphandle iqhaza nezinye izitho.

- beya umbhunu, kuba Axial. Kulokhu, ngalo ingaphakathi esifubeni kugudlukela ingxenye kakhudlwana futhi inhliziyo.

- Mixed. Sikhuluma izici izinhlobo ezimbili zokuqala, okuyinto ziboniswa ngesikhathi esifanayo.

- azalwa naso. Lokhu inkinga itholakala lapho lapho bekubona hernia kumiswa okuyinto eyenzeka ngokumelene emphinjeni encane ahlelwe ngendlela "webele ventricle". Lesi simo esibucayi kangaka.

Kubalulekile wazi iqiniso lokuthi hernia ngokuhambisa - a zokugula, okungenzeka degrees eziningana, ngamunye wabo has izici zayo siqu futhi kudingeka siyinake:

1. esiswini itholakala ngezansi diaphragm, cardia - ezingeni nalo, futhi ingxenye besisu we kuqhoqhoqho ngenhla ezingeni diaphragm.

2. hernia hiatal-2 ngamazinga ahlukene kuleso emphinjeni onomfutho ngokulinganayo, futhi mediastinum ukhonza ukhadinali ingxenye esiswini.

3. Kukhona ukwehliswa olukhulu endleleni emphinjeni, futhi phakathi mediastinum imele ngokuphelele usuthi noma ingxenye yayo.

Kangakanani uphethwe

Kukhona izindlela eziningana lapho hernia Axial noma enye indlela lesi sifo kungatholakala.

Okokuqala kubalulekile iphendukele izifundo radiology, esekelwe okuyinto kuyoba ngokohlelo lweSitatimende barium yombala umehluko. Uma inqubo ukuze afeze kahle, umphumela ku isithombe uzobona protrusion lubonakale.

Ukunakwa kufanele ikhokhwe futhi inqubo efana pH-metry. Ngosizo lwawo ukucacisa asidi we esiswini. Lezi idatha abaluleke kakhulu ngenjongo yokwelapha ngempumelelo.

indima yakhe ekuhlonzeni isiguli udlala fibrogastroscopy. Ukusetshenziswa le ndlela kwenza kube nokwenzeka ukuba bahlole isimo, lapho ihlala khona emphinjeni nasesiswini iyonke.

Ngaphandle ezifana izinyathelo zokuxilonga zokugula ezinjalo cishe alibonakali kusaqalwa. Ngakho-ke kufanele bajwayelane izimpawu bakwazi ukuqaphela kahle imiphumela yalesi sifo sina.

ukubonakaliswa isifo

Njengoba izimpawu ayisihluthulelo ubuhlungu kungaba azimisele, avela imvamisa futhi okushiyashiyanayo ngamandla. Ngakho ngezinye izikhathi ingaba umthombo kokubili abayiziphukuphuku nabangahlakaniphile esivuthayo.

Ngezinye izikhathi ubuhlungu imbuthuma emikhawulweni inhliziyo, ukuze iziguli ziqala ukuba usola yokumelwa yinhliziyo. Kwezinye izimo, umbhunu hiatal kungenzeka imbangela ubuhlungu mezhdulopatochnoy ndawo.

Uma lesi sifo sibangelwa inkinga azalwa naso, njengoba emphinjeni insufficiently ububanzi, izimpawu zingase zifane izimpawu of hernia Axial. Sikhuluma isilungulela elivelayo emva kokudla, ubuhlungu ngemuva breastbone, ukuthola amandla evundlile, futhi ubuhlungu kwezinye izingxenye zomzimba.

Ngokuvamile, i-pathology kuzibonakalisa kanje:

- nenkinga yokugwinya;

- isilungulela ngemva kokuzivivinya noma ukudla;

- ubuhlungu endaweni esifubeni;

- izimpawu hernia hiatal kungathatha ngesimo nokubhamuka okuqukethwe emoyeni noma isisu.

izimpawu wathi ngezinye izikhathi ngokungalungile kulinganiselwa iziguli. Njengoba nokubuyekezwa, abantu bacabanga ukuthi lezi izimpawu ezinye izifo zona bekwi self-medicate. Nokho, uma unokungaba kulolu hlobo hernia ungafuni kufanele usheshe uye kudokotela. Lokhu kuzoqala ukwelashwa esifike ngesikhathi futhi kuvimbele ukuxakeka.

izindlela yokwelapha

Uma ebhekene nenkinga enjalo, umbhunu hiatal, iphelelwe isimo kungaba ezimbili: ukwelashwa kuhlinzwa noma olandelanayo.

Umsebenzi oyinhloko izindlela classical kungaba azimisele hhayi ngokwalo ukuqeda hernia nezimpawu Reflux esophagitis ukunciphisa neutralization futhi Reflux gastroesophageal. Okungukuthi, odokotela bavame ukususa ubuhlungu futhi kuvimbele yezinkinga kungenzeka. Lezi zinhloso izuzwe enquma Ukudla, esekelwe ukudla wamaqhuzu futhi njalo. Ngesikhathi lokhu kwelashwa kumelwe siyiyeke ukudla okuthile. Sikhuluma ushokoledi, iziphuzo carbonated, ikhofi, ezilwane, isinkwa fresh kanye neminye imikhiqizo ebhikawozi. Futhi, odokotela beluleka impatho enjalo uphumule kule sikhundla lisalele olandelayo 3 amahora emva kokudla.

imikhuba emibi izinkinga inqubo ekulweni nesifo, ngakho banesikhathi ukuyeka. Futhi umthelela kungenzeka ejenti kwemithi. Lokhu kungaba proton futha inhibitor, prokinetics, antacids, nabanye.

Njengoba ukuhlinzwa, kubalulekile kuphela uma ukwelashwa ngoludala ayizange ekhiqizwa nomphumela ofiselekayo. Ezisetshenziswa kakhulu inqubo laparoscopic.

yezinkinga kungenzeka

Uma kutholakala ukuthi hernia hiatal, le ngaphandle ngesikhathi esifanele futhi ukuphathwa afanelekayo isiguli singase sezizimbi kakhulu.

Kwakona nje ukuthi izinkinga ungaboniswa esebenzisa izinqubo eziningana:

- strangulated hernia;

- ukopha ngomphimbo;

- peptic stricture we emphinjeni;

- Reflux esophagitis;

- perforation we emphinjeni;

- ukulahlekelwa ulwelwesi lwamafinyila we isisu emphinjeni;

- isilonda peptic.

Uma ukusebenza kwenziwa, kukhona ingozi dilatation esiswini megaezofagusa futhi Reflux gastroesophageal. Akufanele ngaphandle ukuthi kungenzeka, futhi hernia Ukuphinda. Ekhuluma ewukuhlakanipha okwenziwe yezinkinga angasebenza nenshisekelo nenyumoniya. Ukuze iwukudambisa it, abaphathi parenteral kwamaphilisi isetshenziswa.

Imiphumela

Bheka kabi yokuthi nesenzakalo of umbhunu hiatus - iphutha elikhulu. Uma kungatholakali ngokushesha ukuthi uphethwe esinjalo esasenziwe, inqubo yokwelashwa kufanele yasithatha ngokungathí sina. Kungenjalo isimo kungenzeka zimbi nakakhulu kakhulu.