Hiatal hernia

Hiatal hernia mamiriro mune iyo chikamu chedumbu chinotambanuka kuburikidza nekuvhurwa kweiyo diaphragm mubhokisi. Iyo diaphragm ishiti yemhasuru inopatsanura chipfuva kubva mudumbu.

Chikonzero chaicho chekuzvarwa patsva hachizivikanwe. Mamiriro acho anogona kunge ari nekuda kwekushaya simba kwechinhu chinotsigira. Ngozi yako yedambudziko inokwira nezera, kufutisa, uye kuputa. Hiatal hernias zvakajairika. Dambudziko rinoitika kazhinji muvanhu vanopfuura makore makumi mashanu.

Aya mamiriro anogona kubatanidzwa kune reflux (backflow) yegastric acid kubva mudumbu kuenda kune yegurokuro.

Vana vane chirwere ichi vanowanzozvarwa vaine (congenital). Izvo zvinowanzoitika negastroesophageal reflux muvacheche.

Zviratidzo zvinogona kusanganisira:

• Kurwadziwa pachifuva
• Kushungurudzika, zvakanyanya kana uchikotama kana kurara
• Kumedza kuoma

Hernia yekuberekwa iri yoga haigoni kukonzera zviratidzo. Marwadzo uye kusagadzikana zvinokonzerwa nekukwira kuyerera kwedumbu acid, mweya, kana bile.

Miedzo inogona kushandiswa inosanganisira:

• Barium kumedza x-ray
• Esophagogastroduodenoscopy (EGD)

Zvinangwa zvekurapa ndezvekununura zviratidzo uye kudzivirira kusagadzikana. Mishonga inogona kusanganisira:

• Mishonga yekudzivirira mudumbu acid
• Kuvhiya kugadzirisa iyo yekubereka hernia uye kudzivirira Reflux

Mamwe matanho ekuderedza zviratidzo anosanganisira:

• Kudzivisa kudya kukuru kana kunorema
• Kwete kurara pasi kana kukotama pamusoro chaipo mushure mekudya
• Kuderedza uremu uye kwete kusvuta
• Kusimudza musoro wemubhedha 4 kusvika 6 inches (10 kusvika 15 masentimita)

Kana mishonga uye mararamiro matanho asingabatsire kudzora zviratidzo, ungangoda kuvhiyiwa.

Kurapa kunogona kusunungura akawanda zviratidzo zvehunatal hernia.

Zvinetso zvinogona kusanganisira:

• Pulmonary (mapapu) kuda
• Inononoka kubuda ropa uye kushomeka kwesimbi anemia (nekuda kweiyo yakakura hernia)
• Kudzipura (kuvhara) kweiyo hernia

Fonera wako mupi wezvehutano kana:

• Iwe une zviratidzo zvekuzvarwa patsva.
• Iwe une hernia yekuberekwa uye zviratidzo zvako zvinowedzera kana kusavandudza nemushonga.
• Unovandudza zviratidzo zvitsva.

Kudzora zvinhu zvine njodzi sekufutisa kunogona kubatsira kudzivirira hernia yekuberekwa.

Hernia - kuberekwa

• Anti-Reflux kuvhiya - kubuda

• Hiatal hernia - x-ray
• Hiatal hernia
• Hiatal hernia kugadzirisa - akateedzana

Brady MF. Hiatal hernia. Muna: Ferri FF, rakanyorwa. Ferri's Clinical Mupi wezano 2019. Philadelphia, PA: Elsevier; 2019: 663.e2-663.e5.

Falk GW, Katzka DA. Zvirwere zvegurokuro. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 138.

Rosemurgy AS. Paraesophageal hernia. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 1534-1538.

Yates RB, Oelschlager BK, Pellegrini CA. Gastroesophageal Reflux chirwere uye hiatal hernia. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 42.