I-Hernia yeempawu kunye neyeza

Ingqungquthela isitya se-muscular esahlukanisa izitho zentsimbi yesisu kunye nesisu. I-esophag ihamba ngokugqithisa kwisithintelo, apho kwisimo esiqhelekileyo sihambelana ngqo nobubanzi bayo. Kodwa ukuba u-elasticity of tiscues muscular of the diaphragm iyaphazanyiswa, izitho ziyakwazi ukuhamba ukusuka esiswini ukuya kwisigxina se-thoracic. Le ngqungquthela ibizwa ngokuba yi-hernia ye-esophageal sprageal of the diaphragm, okanye inkulumo efanayo - i-hernia yesigxu.

Iintlobo ze-hernia ye-esophagus

Ngokuxhomekeke kwindlela yokwakha kunye neempawu ze-anatomy, i-hernia ye-diaphragm iyahlula kwi-sliding, i-paraeophagous kunye ne-hernias exubileyo:

1. Ukucwina (kujikeleza, i-axial okanye i-axial) i-hernia yesisu-ifomu eqhelekileyo yesifo. Ngeemithi ezinjalo, i-sphincter engezantsi yesifo (cardia), inxalenye yesisu yesisu kunye nengxenye ephezulu yesisu ingena kwi-thoracic cavity, ize ibuyele endaweni yayo, umzekelo, ngenguqu kwindawo. I-hernia ejikelezayo ye-esophagus iyahlula ibe yintliziyo, i-cardiofundal, i-subtotal kunye nesisu esiswini sonke. Kwezinye iimeko, i-hernias ezinjalo zingenako ukukwazi ukulungiswa, kwaye ngenxa yoko, zizinzile.
2. I-parasophagial (esondelene ne-esophageal okanye engagqibekanga) i-hernia ye-oopopus iyenzeka xa i-cardia kunye nesigxina esisezantsi sitshintshi isikhundla sayo, kodwa ukungena kwezantsi kwesisu kuya kuvela kwintsimbi, kwaye kufumaneke kwicandelo eliphezulu le-esophagus. Ngokungafani nokutshatyalaliswa, le mihlayo ihlala iphulwa. Iimpawu zeempawu ezinjalo zesithintelo se-esophagus zibuhlungu obukhulu, ubunzima bokuhambisa ukutya nge-esophagus, i-nausea, ukuhlanza.
3. Ngeemithi ezixubekileyo, iindlela zokubunjwa kwe-sliding kunye ne-hernias ezixilisiweyo zidibeneyo.

Iimpawu kunye nokunyangwa kwe-hernia yesigxina

Kwizinto ezincinci, ngokukodwa ukuba yi-hernia ehambayo, ingabonakali. Ngaphandle koko, iimpawu zixhomekeke kubukhulu be-hernia, uhlobo lwalo, kunye nobukho beengxaki kunye nezifo ezithintekayo:

1. Ukuguquka . Uphawu oluqhelekileyo, ukususela kwinto engabonakaliyo ebuhlungu, ukuya kukhubazeka. Ngokuqhelekileyo kubakho emva kokutya nobusuku.
2. Ubuhlungu emva kwe-sternum , ngaphantsi kancinane kwi-hypochondrium kunye neyesithathu kwisisu esiswini. Phantse isiqingatha sezigulane ziyabonwa, kwaye ngokuphindaphindiweyo kunye ne-hernia ehleliweyo.
3. I-Dysphagia yinkathazo ekudleni ukutya ngokusebenzisa isisu. Kuyabonakala xa phantse naluphi na uhlobo lokutya ludlulileyo, kwaye lubizwa ngokugqithiseleyo ngokutya okutshisayo, okubandayo okanye ngobuninzi.
4. Ukuxhamla. Iyakwenzeka kokubili ngomoya kunye neziqulatho zesisu. Kwimeko yokugqibela, ukunambitheka okunomsoco okanye okukrakra kunokugqalwa emlonyeni ngokuphonsa isiqulatho esiswini kwisisu, esinokubangelwa yi-hernia ye-esophagus.
5. Hiccough . Iyabonwa ngokungaqhelekanga, kodwa inomlinganiselo omude (ukuya kwiiveki eziliqela).

Kwimeko ye-hernia ye-slider, iimpawu zigcinwa kuphela xa iziqulatho zesisu ziphonswa kwi-esophagus. Inokubakho ukugqabhuka, ukubetha, isicathulo.

Unyango lwe-hernia ye-esophag iyakwazi ukukhusela nokukhupha.

Ingenelelo lokuphanda kuyimfuneko xa kwenzeka ukuphulwa kwe-hernia, i-hernia ye-esophagus, eyinkimbinkimbi yesilonda se-peptic, kwaye xa kwenzeka i-hernias ezinkulu, ngaphezu kwe-1/3 yesisu.

Kwezinye iimeko, unyango luqhutywa ngokufanelekileyo. Okokuqala, ekudleni okulungileyo, okukunceda ukuphepha ukugqithisa isisu nokuphonsa i-contents yayo acidic kwisigxina. Isondlo sinconywa i-fractional, amaxesha ama-5-6 ngosuku, kwiindawo ezincinci. Ukusetyenziswa kwamanqatha, okugcobileyo, amnandi, iziqholo, iziphuzo ze-carbonate, iimveliso ezikhuthaza ukwanda kwenkunkuma yegesi, ngokukodwa - izityalo ezingapheliyo. Emva kweyure enye neyesigamu emva kokutya, akukhuthazwa ukuba uthathe isikhundla esingenanto. Kwakhona, ukunyamezela ngokomzimba, ngakumbi ezo zihambelana nemithambeka kunye noshintsho olukhawuleza kwisimo somzimba, kufuneka luphetshwe.