I-diaphragm uhlobo lwe-septum ehlukanisa izitho zesikhala esiswini esiswini. Ivimbela ukuhamba kwawo, kanye nokuphonsa okuqukethwe kwesisu ngaphakathi kwe-lumen ye-esophagus. Uma imisebenzi yezinto ezisetshenziswa yi-ligamentous iphazamiseka, i-hernia ye-diaphragm ivela - izimpawu kanye nokwelashwa kwalesi sifo kuhambisana nesilinganiso sokuqhubeka kwesifo. Njengomthetho, ukwelashwa okulondolozayo kuyanele, kodwa ezimweni ezinzima, kwenziwa ukuhlinzwa okuhlinzekwayo.
Izimpawu ze-hernia ye-diaphragm
Izigaba zokuqala zalesi sifo azihambisani nezimpawu ezinzima, ngakho-ke zihlala zingabonakali. Ezimweni ezinjalo, i-hernia ingatholakala ngokungekho emthethweni, lapho ixilongwa ngezinye izifo.
Izigaba eziseduze zokuthuthukiswa kwalesi sifo zibhekwa yizibonakaliso ezinjalo zemitholampilo:
- i-heartburn;
- ukukhwehlela okuqhubekayo;
- ukuqhutshwa;
- ubunzima epigastrium;
- ukubhoboza emathunjini;
- ukuqotshwa;
- ubuhlungu ngemuva kwe-sternum nesisu;
- ukugwinya ukugwinya ukudla;
- ukuxhuma ;
- ukuvutha ngolimi.
Ukwelapha nokususwa kwe-hernia diaphragm
Imithi yokwelashwa yenkinga ehlongozwayo iqukethe ukuthuthukisa indlela ehlangene ehlanganisa:
- ukuthatha imithi ( antacids , proton pump inhibitors, prokinetics, H2-blockers of histamine receptors);
- ukusetshenziswa kwamakhambi abantu;
- ukunamathela njalo ekudleni okuqinile;
- ukushintsha indlela yokuphila, ukwenqaba imikhuba emibi;
- ukusebenza kwama-gymnastics okuphefumula;
- sebenzisa imithi yokwelapha.
Ukusebenza kuphela ngesikhathi esisodwa kuzo zonke lezi zindlela kuvumela ukufezekisa ukuthuthukiswa okuqhubekayo nokunciphisa ukuqhubeka kwe-hernia.
Uma ukwelashwa kwendabuko kuye kwabonakala kungasebenzi noma ukukhubazeka sekutholiwe kakade esikhathini esiphezulu, ukwelashwa okuhlinzekwayo kunconywa:
- ukulungiswa kwesisu emgodini we-peritoneal;
- suturing hernia;
- ukuxhuma;
- ukuqiniswa komgogodla we-diaphragm-esophageal nezinye izindlela.