I-herxial herxial yokuvulwa kwe-esophageal ye-diaphragm - ukwelashwa

I-herxial herxial yokuvulwa kwe-esophageal ye-diaphragm iyabonakala lapho imisipha ye-diaphragm iqala ukuzulazula ukuvulwa kwe-esophageal. Ngenxa yalokho, ingxenye yesisu ngesikhathi sokuzivocavoca, emva kokudla kanye neminye imiphumela igxila emgodini wesifuba, futhi ngemva kwesikhashana ubuya.

Izinhlobo ze-axial hernia ekuvuleni kwe-esophageal ye-diaphragm

I-Axial ibizwa ngokuthi i-hernia engeyona i-non-fixed ye-sophageal ye-diaphragm, engekho ngaso sonke isikhathi, kodwa ngokuya ngokugcwele kwesisu, ukucindezeleka kwangaphakathi kwesisu, ukuma komzimba nezinye izici. Ngomtholampilo onjalo, ingxenye engezansi ye-esophagus kanye nengxenye yesisu igxila ngokukhululekile emgodini wesifuba nangemuva, ngokudambisa imisipha evulekile ekuvuleni.

I-herxial herxial ye-esophageal foramen ihlukaniswe ngokuthi:

• inhliziyo - uma kuphela i-cardia ingaphezulu kwe-diaphragm (isigaba esiphezulu phakathi kwesisu nesisu);
• i-cardio-pool - ukungenelela ekuvukeni kwesigxathu sezingxenyeni ezingenhla zesisu;
• i-subtotal kanye nesisindo somzimba esisodwa - ngaphezu kwengxenyana yingxenye enkulu noma wonke umzimba wesisu.

I-cardial hernia yiyona ingxenye enkulu kunawo wonke kuwo wonke ama-axial hernia ekuvuleni okungenasisindo kwe-diaphragm. Ezinye izinhlobo ze-hernia ziba ngaphansi kwamacala angaphansi kuka-5%.

Izitebhisi ze-axial hernia ekuvulekeni kwe-esophageal ye-diaphragm

1. I-herxial herxial yokuvulwa kwe-esophageal yezinga eli-1. Okungakaze kutholakale ukuthi, ngaphezu kwe-diaphragm yiyona ingxenye kuphela yesisu esiswini, kanti i-cardia ingene ngaphakathi kwe-lumen ye-diaphragm.
2. Ezingeni lesibili le-axial hernia, i-cardia ibekwe ngaphezu kwesigxathu, futhi ingxenye engenhla yesisu isesimweni sokuvula okuyi-diaphragmatic.
3. Esigabeni sesithathu nesine, ingxenye noma yonke isisu isondela ngqo emgodini we-thoracic.

Ukwelashwa kwe-axial hernia yokuvulwa kwe-esophageal ye-diaphragm

Ukwelapha okuqondayo kwalesi sifo kusetshenziselwa izigaba zokuqala nokunye ukugwema ukuthuthukiswa kwezinkinga. Ukwelashwa kuhlanganisa:

1. Ukudla okuphazamisayo , ngokuphuza okuningi. Ukukhishwa kwemikhiqizo eqinile, i-cholesterol ecebile neyokugesi. Zonke ukudla kumele zihlolwe kahle.
2. Ukuhambisana nokuphathwa okhethekile. Awukwazi ukuthatha indawo enezingqimba ngokushesha ngemva kokudla, ugweme izinguquko ngokungazelelwe esimweni somzimba, imithwalo engabangela ukucindezeleka ngokweqile kwe-diaphragm ne-peritoneum.
3. Ukwamukela izidakamizwa ze-antatsidnyh , izidakamizwa ezithinta ukukhiqizwa kwesisu se-hydrochloric acid, kanye nezidakamizwa ezilawula umuthi wesisu esiswini.
4. Ukuzivocavoca okukhethekile okuphefumula.

Uma kwenzeka ukuwohloka kanye nasezigabeni ezilandelayo zesifo, ukuhlinzekwa kwenziwa ukuze kulawulwe i-hernia futhi kubuyisele ukuqina kwezinto ezisemisipha.