Ithemba Hiatal: iimpawu, unyango

Isisu - le yenye imizimba ezingundoqo lwempilo apho uxhomekeke ngqo kwi intuthuzelo kunye nokukwazi ukuba baphile yokuba ngokuphelele. Imbonakalo hernias sliding abanokuzifumana umzimba nefuthe engango elibi. Le ngxaki azinakho ukutyeshelwa, ngoko kubalulekile ukuba uwazi iimpawu izifo unyango.

Ithemba hiatal

Esi sifo kumiselwa nje engaqhelekanga, eli apho ukulinganisa imizimba omnye okanye ngaphezulu ibekwe kwi peritoneum. Intshukumo lwenziwa nge emngxunyeni leyo ekuvuleni nommizo ekuyeni lweHo- esifubeni. Ngenxa yoko, ii-arhente ukuba kufuneka ibe kwisisu, bazifumane esifubeni kakhulu ezivelileyo.

Ithemba Hiatal (igama wesibini sifo) Unga kukhokelela slippage kwenxenye esiswini, nto leyo ekugqibeleni iba kuloo ndawo esifubeni.

Iimeko ezinjalo amaxesha kudale reflux asidi umguli, ngamanye nencindi emphinjeni of esiswini acid. Uninzi iSifo enjalo kwizigulane ezindala ngaphezu kweminyaka engama-50. Kubalulekile ukuphawula ukuba abasetyhini abaphathwa kule ngxaki, njengoko Ithemba yezihlunu, kokukhona oyindoda womelele.

oonobangela

Ukubana ngamalungu angaphakathi inokuba ngenxa yezinto eziliqela, ekufuneka ihlawulwe ingqalelo. Nazi izinto ezibangela ukuba esi sifo:

- ingcinezelo enamandla kakhulu kukhokelele zizame kwindawo ye peritoneum;

- ukukhohlela elide;

- amavila;

- ngezifo of esophageal yokuvulwa uvalo, leyo uhlobo ongaphakathi;

- utshintsho ezinxulumene ukwaluphala;

- nokuqunjelwa ezingapheliyo;

- ukwanda appreciable uxinzelelo ngaphakathi peritoneum;

- Imisebenzi kunye ezibuhlungu ezahlukeneyo;

- kwezinye iimeko, Ithemba hiatal ezinokubangelwa ekhulelwe okanye kunzima ekubelekeni.

Kulula ukuba uqaphele ukuba kukho imeko enzima enjalo ebangela ukungakhululeki kakhulu kwi peritoneum, ukubonakala phantsi kwempembelelo yezizathu ezininzi.

Iintlobo kunye nobungakanani sifo

yezonyango Modern ivumela iintlobo ezininzi ezingundoqo le ngxaki:

- Paraezofagenalnaya. Kuyinto kuphela ukubana esiswini ngaphandle kwenxaxheba namanye amalungu.

- sliding Ithemba, oko yezihlunu. Kulo mzekelo, lweHo- esifubeni ishenxiselwe isabelo ngakumbi inhliziyo.

- Mixed. Sithetha malunga iimpawu iintlobo ezimbini zokuqala, nto leyo ziboniswa ngexesha elifanayo.

- bekhubazekile. Esi sifo lwenziwa xa Ithemba ukwakhiwa elibhaqiweyo leyo kwalelo kuvuleke iminxunya encinane zicwangciswe ngohlobo "ventricle webele". Le meko aziqhelekanga.

Kubalulekile ukuqaphela into yokuba Ithemba sliding - a ngezifo, apho banokuba kumanqanaba aliqela, ngamnye kubo uneempawu zawo yaye lifanelwe ingqalelo:

1. Le esiswini ibekwe ngezantsi uvalo, cardia - kumgangatho nayo, kwaye icandelo esiswini le kuvuleke iminxunya ngaphezu kwenqanaba uvalo.

2. Ithemba hiatal degrees-2 ezahlukeneyo ukuba kuvuleke iminxunya leyo zixinaniswe ngokulinganayo, yaye mediastinum upha cardinal yinxalenye esiswini.

3. Kukho ukuncitshiswa okuphawulekayo kuvuleke iminxunya, kwaye kungena mediastinum kumi ngokupheleleyo isisu ngokupheleleyo okanye inxalenye yayo.

Njani na isifo

Kukho iindlela ezininzi apho i Ithemba yezihlunu okanye olunye uhlobo kwesi sifo ukuba andibhaqwa.

Okokuqala kuyimfuneko babhenele kwizifundo zeradiyoloji, ngokusekelwe eziza kusekelwa barium umahluko. Ukuba inkqubo ukuphumeza kakuhle, isiphumo kwi mfanekiso uya kubona Buze obonakalayo.

Ingqalelo kufuneka ihlawulwe kunye njengobuchule ezifana pH-metry. Ngoncedo lwawo amisele asidi esiswini. zibaluleke kakhulu ngenjongo unyango olusebenzayo Le data.

indima yakhe ngokuchonga isigulane udlala fibrogastroscopy. Ukusetyenziswa kwale ndlela yenza kube lula ukuba ukuvavanya imeko, apho ahlala khona kuvuleke iminxunya emathunjini xa iyonke.

Ngaphandle amanyathelo lokuqonda ngezifo ezifana leengxaki phantse ungabonakali usaqala. Ngoko ke kufuneka simazi iimpawu ukuba abe nako ukuqonda ifuthe kwesi sifo kakhulu.

kubonakaliswa sifo

Njengoko iimpawu eziphambili neentlungu kumiselwa, ukubonakala ezishiyanayo oluqukuqelayo kunye ngamandla. Ngenxa yoko baya kuba zombini baziziyatha kunye otshisayo.

Maxa wambi intlungu ibonakala ukuya kummandla ngentliziyo, ukuze izigulane eziqala ukuba ukrokrela ukusilela intliziyo. Kwezinye iimeko, Ithemba hiatal inokuba unobangela iintlungu kwindawo mezhdulopatochnoy.

Ukuba sifo sibangelwa ingxaki enaso, njengoko kuvuleke iminxunya ngokwaneleyo ngokubanzi, iimpawu ukuze sifane iimpawu Ithemba yezihlunu. Sithetha heartburn evelayo emva kokutya, iintlungu emva breastbone, ukufumana amandla kwindawo tyaba, kunye neentlungu kwamanye amalungu omzimba.

Ngokubanzi, i ngezifo kubonakala ngolu hlobo lulandelayo:

- ubunzima ukuginya;

- heartburn emva umthambo okanye isidlo;

- iintlungu kwindawo esifubeni;

- iimpawu Ithemba hiatal ingathatha ngohlobo belching lomoya okanye isisu lemixholo.

Iimpawu athi ngamanye amaxesha ngokungachanekanga kuqikelelwa izigulane. Njengoko ncomo, abantu bacinga ukuba ezi ziimpawu zezinye izifo bekwi self-medicate. Noko ke, xa nayiphi na intandabuzo phezu kolu hlobo Ithemba kufuneka ngoko nangoko uye kwagqirha. Oku kuya kuqala unyango ngexesha ukuthintela iingxaki.

iindlela zonyango

Ukuba senze loo ngxaki, Ithemba hiatal, iphumile meko kuba ezimbini: unyango utyando okanye endala.

Umsebenzi ophambili iindlela yamandulo nga kumiselwa hayi ngokwayo ekupheliseni Ithemba, kunye iimpawu reflux esophagitis zokunciphisa neutralization kunye reflux gastroesophageal. Oko kukuthi, oogqirha ukususa iintlungu ukuthintela iingxaki kunokwenzeka. Ezi njongo kuphunyezwa kumiselwa ukutya, ngokusekelwe izidlo iqhezu kunye rhoqo. Ngelo xesha zolu nyango kufuneka ancame izinto ezithile. Sithetha itshokolethi, nezihlwahlwazayo, ikofu, amafutha ezilwanyana, isonka amatsha kunye nezinye iimveliso yokubhaka. Kwakhona, oogqirha ukucebisa unyango ezinjalo yokuphumla kwindawo lisalele iiyure ezi-3 elandelayo emva kwesidlo.

nemikhwa emibi ingxubakaxaka inkqubo yokulwa sifo, ngoko ke kufuneka ukuba ningayekeleli. Kwaye ke impembelelo arhente kunokwenzeka imithi. Oku kunokuba inhibitors Proton pump, prokinetics, asidi, kunye nabanye.

Yona kotyando, kubalulekile kuphela xa unyango endala ayikhange wavelisa neziphumo ebezifuneka. Le ndlela laparoscopy ezisetyenziswa ngokuxhaphakileyo.

iingxaki kunokwenzeka

Ukuba unesifo Ithemba hiatal, i ngaphandle okufika unyango afanelekayo isigulane libe mandundu.

Isibakala sokuba iingxaki lungabonakaliswa ngokusebenzisa iinkqubo ezininzi;

- strangulated Ithemba;

- ukopha esophageal;

- stricture Peptic le kuvuleke iminxunya;

- reflux esophagitis;

- perforation le kuvuleke iminxunya;

- ukulahleka ukuba inwebu kwiinwebu esiswini emphinjeni;

- isilonda Peptic.

Ukuba umsebenzi lwaqhutywa, kukho umngcipheko dilatation esiswini, megaezofagusa kunye reflux gastroesophageal. Asimele ukuvala amathuba, kunye Ithemba ukuphinda. Xa indima iingxaki zingasebenza mgomo inyumoniya. Ukuze yokungenelela oko, kusetyenziswa ulawulo parenteral of antibiotics.

iziphumo

Jonga kakubi yokuba ingenzeka le Ithemba hiatus - impazamo enkulu. Ukuba yenziwe isifo enjalo, inkqubo yonyango kufuneka luthathelwe ingqalelo kakhulu. Kungenjalo imeko zimbi kakhulu.