Chala cha Hiatal

Matenda a Hiatal ndi omwe gawo lina la m'mimba limafikira potsegulira chotsekera m'chifuwa. Chizindikiro ndi pepala la minyewa lomwe limagawaniza chifuwa kuchokera pamimba.

Zomwe zimayambitsa chiberekero chodziwika bwino sizidziwika. Vutoli limatha kukhala chifukwa chofooka kwa minofu yomwe ikuthandizira. Kuopsa kwanu kwa vutoli kumapita ndi zaka, kunenepa kwambiri, komanso kusuta. Matenda a Hiatal amapezeka kwambiri. Vutoli limapezeka nthawi zambiri mwa anthu azaka zopitilira 50.

Vutoli limatha kulumikizidwa ndi Reflux (backflow) ya gastric acid kuchokera m'mimba kupita kummero.

Ana omwe ali ndi vutoli nthawi zambiri amabadwa nawo (kobadwa nako). Nthawi zambiri zimachitika ndi reflux ya m'mimba mwa makanda.

Zizindikiro zimaphatikizapo:

• Kupweteka pachifuwa
• Kutentha pa chifuwa, kumawonjezeka mukamawerama kapena kugona pansi
• Kumeza vuto

Hernia yobereka yokha imayambitsa zizindikilo. Zowawa ndi zovuta zimachitika chifukwa chakumtunda kwa asidi m'mimba, mpweya, kapena bile.

Mayeso omwe angagwiritsidwe ntchito ndi awa:

• Barium kumeza x-ray
• Esophagogastroduodenoscopy (EGD)

Zolinga zamankhwala ndikuthandizira kuthetsa zizindikiro ndikupewa zovuta. Chithandizo chitha kukhala:

• Mankhwala oletsa asidi m'mimba
• Kuchita opaleshoni kuti akonze chophukacho choberekera komanso kupewa Reflux

Njira zina zochepetsera zizindikilo ndi izi:

• Kupewa chakudya chachikulu kapena cholemera
• Osati kugona pansi kapena kuwerama mutangotha ​​kudya
• Kuchepetsa kunenepa osasuta
• Kukweza mutu wa bedi mainchesi 4 mpaka 6 (10 mpaka 15 masentimita)

Ngati mankhwala ndi njira zamoyo sizithandizira kuwongolera zizindikilo, mungafunike kuchitidwa opaleshoni.

Chithandizo chitha kuthana ndi zizindikiritso zambiri za hernia wobereka.

Zovuta zingaphatikizepo:

• Cholinga cha m'mapapo mwanga (m'mapapo)
• Kutaya magazi pang'ono komanso kuchepa kwa magazi m'thupi (chifukwa cha nthenda yayikulu)
• Kusokonekera (kutseka) kwa chophukacho

Imbani wothandizira zaumoyo wanu ngati:

• Muli ndi zizindikilo za nthenda yobereka.
• Muli ndi chophukacho chobadwa kumene ndipo matenda anu amakula kapena samasintha ndi chithandizo.
• Mumakhala ndi zizindikilo zatsopano.

Kulimbana ndi zoopsa monga kunenepa kwambiri kungathandize kupewa matenda opatsirana pogonana.

Hernia - wobadwira

• Opaleshoni ya anti-reflux - kutulutsa

• Chithandizo cha Hiatal - x-ray
• Chala cha Hiatal
• Kukonza nthenda ya Hiatal - mndandanda

Brady MF. Chala cha Hiatal. Mu: Ferri FF, Mkonzi. Mlangizi wa Zachipatala wa Ferri 2019. Philadelphia, PA: Elsevier; 2019: 663.e2-663.e5.

Falk GW, Katzka DA. Matenda am'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 138.

Rosemurgy AS. Matenda a paraesophageal. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 12. Philadelphia, PA: Elsevier; 2017: 1534-1538.

Yates RB, Oelschlager BK, Pellegrini CA. (Adasankhidwa) Matenda a reflux a gastroesophageal ndi hernia wobereka. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 42.