Kodi hiatus hernia, zizindikiro ndi nthawi yanji yochitidwa opaleshoni

Zamkati

• Zizindikiro za nthenda yoberekera
• Momwe mankhwalawa amachitikira
• Pamene opaleshoni ikuwonetsedwa
• Zomwe zingayambitse

Chifuwa cha hiatus chimafanana ndi kachigawo kakang'ono kamene kamapangidwa pamene gawo la m'mimba limadutsa dera lotchedwa esophageal hiatus, lomwe limapezeka mu diaphragm ndipo nthawi zambiri limangololeza kuti mkodzo udutse. Mvetsetsani chomwe chophukacho ndi chifukwa chake chimapangidwira.

Zomwe zimayambitsa kuphulika kwa nthendayi nthawi zambiri sizikuwonekeratu, koma kunenepa kwambiri komanso kuchita masewera olimbitsa thupi kumatha kuyambitsa mawonekedwe a chophukacho. Pamaso pa nthenda yamtunduwu, gawo loyambirira la m'mimba silili pamalo oyenera, lomwe lili pansi pamimba, ndikuthandizira kuti asidi abwererenso kum'mero ​​ndikubweretsa kupezeka kwa gastroesophageal Reflux ndikumverera kotentha mu mmero.

Matenda a hiatus hernia amatha kupangidwa ndi dokotala atawona zizindikiro za Reflux, ngakhale njira yokhayo yotsimikizira kukhalapo kwa hernia ndikupanga mayeso azithunzi, monga endoscopy kapena mayeso osiyanitsa a barium, mwachitsanzo.

Zizindikiro za nthenda yoberekera

Anthu ambiri omwe ali ndi vuto lodzala ndi ziwalo zoberekera alibe zisonyezo, koma omwe ali ndi zizindikilo nthawi zambiri amawoneka pafupifupi mphindi 20 mpaka 30 atadya ndipo amakonda kutha posakhalitsa pambuyo pake, omwe amakhala:

• Kutentha pa chifuwa ndi kutentha pakhosi;
• Zovuta kumeza;
• Chifuwa chowuma ndi chopweteka;
• Kukoma kowawa pafupipafupi;
• Mpweya woipa;
• Kubetcha pafupipafupi;
• Zomverera za wosakwiya chimbudzi;
• Kufunitsitsa kusanza pafupipafupi.

Zizindikirozi zitha kuwonetsanso kuti ndi Reflux ndipo, chifukwa chake, ndizofala kuti reflux ya gastroesophageal ipezeke matendawa asanabadwe. Dziwani zambiri zamatenda obadwa ndi hernia.

Momwe mankhwalawa amachitikira

Njira yabwino kwambiri yothandizira kuti nthendayi ikhale yocheperako ndikuwonda, ndipo nthawi zambiri, pamafunika kusintha zakudya ndikupewa kudya zakudya zonenepa kwambiri kapena zokometsera komanso kumwa zakumwa zoledzeretsa. Zakudya izi ndizovuta kwambiri kuzipukusa ndipo zitha kukulitsa zizindikilo za matendawa, ndipo ziyenera kupewedwa nthawi zonse.

Kuphatikiza apo, ndikofunikira kudya chakudya chopepuka, pang'ono pang'ono ndikudya maola atatu aliwonse kuti muchepetse zovuta zomwe zimayambitsa, komanso kupewa kugona pansi mukangodya komanso osamwa madzi ndikudya. Tengani mwayi wowona zosowa zina zofunika zomwe zimathandizanso kuchepetsa mavuto.

Pamene opaleshoni ikuwonetsedwa

Kuchita opaleshoni ya chikhodzodzo chobadwa kumene kumawonetsedwa m'mavuto ovuta kwambiri komanso ngati chisamaliro ndi chakudya sichikwanira kuthana ndi zovuta zomwe zimayambitsidwa ndi gastroesophageal reflux kapena ngati pali strangulation ya hernia, mwachitsanzo.

Kuchita opaleshoni uku kumachitika kudzera mu laparoscopy, pansi pa anesthesia wamba ndipo kuchira kwathunthu kumatenga pafupifupi miyezi iwiri. Mvetsetsani momwe opaleshoni ya reflux ya gastroesophageal imachitikira.

Zomwe zingayambitse

Matenda a Hiatal amatha kuyambitsidwa ndi masewera olimbitsa thupi omwe amafunikira mphamvu zambiri, monga kukweza, mwachitsanzo, kuwonjezera kunenepa kwambiri, matenda a Reflux ndi chifuwa chosatha kungayambitsenso chophukacho, makamaka kwa okalamba. Komabe, nthawi zambiri, sizotheka kuzindikira chomwe chidapangitsa kuti zisinthe.