Ukuhlinzwa okuphuthumayo kungadingeka uma unenkinga
I-herniaophageal hernia ayiyona into engavamile kulezi zinhlobo ezimbili ze- hernia yokuzalwa . Kuyenzeka lapho ingxenye engenhla yesisu iqhuma ngokusebenzisa ukuvulwa kwesigxathu futhi kufike esifubeni. Funda ngalesi simo nezimbangela, izimpawu, kanye nokwelapha.
Kwenzekani Paraesophageal Hiatal Hernia
I-hernia itho ukuthi ingxenye yangaphakathi yomzimba iye yaqhutshelwa endaweni engayiyo.
I-torso yakho ihlukaniswe emgodini wesifuba lapho amaphaphu nenhliziyo kutholakala khona nesisu esiswini sakho, amathumbu kanye nezinye izitho eziningana. Isigxobo nesifuba sesifuba sihlukaniswa ishidi lesisiphako, isikhalazo.
I-esophagus iyishubhu lapho ukudla nokuphuza kudlula khona kusukela emlonyeni kuya esiswini, futhi kuhamba ngokuvulwa kwidayimane, i-hiatus. Ngakho igama elithi heratal hiatal. I-oophagus iyanciphisa futhi ikhula ngesikhathi sokugwinya, futhi nge-hernia, isisu kanye / noma ukuhlangana kwesisu nesisu kungathathwa ngokusebenzisa i-hiatus.
Kunezinhlobo ezimbili zama-hernias wokubeletha:
- I-hernia ehambayo (indlela evamile kakhulu)
- I-heresophageal hernia (engavamile kakhulu)
Nge-hernias ye-paraesophageal, i-gastroesophageal junction (lapho i-esophagus ifinyelela esiswini) ihlala lapho ingokwakhe, kodwa ingxenye yesisu ifakwe phezulu esifubeni eceleni kwesigcawu.
Isiqephu sesisu esisehlangothini olungalungile yama-hiatus sihlala esifubeni ngaso sonke isikhathi. Ngalolu hlobo lwe-hernia , izinkinga zingenzeka.
Izimpawu
I-hernias yama-paraesophageal ngokuvamile ayibonisi izimpawu, kodwa uma izimpawu zikhona, zifana nalokhu:
- Ngokungazelelwe ubuhlungu obukhulu besifuba
- Ukuphuza ubuhlungu besifuba esingenakuqhathaniswa ngokuthatha inhlamba
- Kunzima ukugwinya
- Ubuhlungu besisu
- Ukuzithoba
- I-nausea
- Ukuvota
- Ukubuyisela
Izinkinga ze-Hiara Hernia yama-Paraesophageal
- Ukuboshwa: Lokhu yisikhathi lapho isisu sinamathele futhi sinyanyiswa noma sinqatshelwe. Kungabangela ekuqedeni.
- Ukumisa: Lokhu kubangelwa ukunikezwa kwegazi esiswini sokunqunywa. Izicubu zesisu azikwazi ukuhlala ngaphandle kokunikezwa kwegazi ngakho-ke ziyafa.
- Ukweqa: Izakhi nezilonda ezibizwa ngokuthi izilonda zeCameron zingakhula. Njengazinye izilonda, lokhu kungaholela ekulahlekelweni kwegazi nokuphuza igazi.
- I-gastric volvulus : Lokhu kubhekisela ekusongeni kwesisu, okungabangela izinkinga ukugwinya, ubuhlungu obuphansi nje kwezimbambo, nokuphindaphinda.
- Izinkinga zokuphuza : I-hernia enkulu ingase ifinyelele amaphaphu.
Ukuhlinzwa kwe-Paraesophageal Hiatal Hernia
Ukwelashwa kuyadingeka kunoma yimuphi umuntu onamalimi avela ku-hernia epharaophageal hernia. Ukuhlinzwa okuphuthumayo kuyadingeka ngenxa yezinkinga ezifana nokuphuma kwamanzi okungenakuvalwa, izinkinga zokuphefumula, ukuguquka kwesisu, ukuboshwa, noma ukucwiliswa.
Ukuhlinzwa kokubeletha kwe-Hiatal kuvame ukwenza njengenqubo ye-laparoscopic. I- laparoscope iyinsimbi encane, efana ne-telescope enekhamera ekugcineni eyenza ukuthi udokotela ohlinzayo abheke ngaphakathi kwesisu . Ngalolu hlobo lokuhlinzwa, ukucubungula okuncane kuyenziwa esiswini.
I-laparoscope nezinsimbi zokuhlinza zifakwe ngalezi zici. Ngesikhathi sokuhlinzwa, isisu sishaywa phansi (sidonsa phansi) futhi i-hiatus (umgodi osesithombeni) uqiniswa ukuze isisu singabuyeli emuva.
> Imithombo:
> I-Paraesophageal Hernia (i-Hiatal Hernia). Ikholeji yezokwelapha yaseWisconsin. http://www.mcw.edu/General-Surgery/Patient-Info/GERD-Surgery-Program/Paraesophageal-Hernia.htm.
> Rosen M, Blatnik J. Ukuphathwa kokuhlinzekwa kwe-hernia ye-paraesophageal. Kusesikhathini. http://www.uptodate.com/contents/surgical-management-of-paraesophageal-hernia.