Uma ubuqotho be-diaphragm buyekethiswa, i-hernia eyimfucumfucu ingase ivele-ukufakela kwezingxenye ze-peritoneal kuya emgodini we-thoracic futhi ngokuphambene nalokho. Lokhu kuyisifo esibi kakhulu, kepha siyaphathwa kahle.
Izimpawu ze-hernia ye-diaphragmatic esophagus
I-hernia ye-diaphragmatic ye-esophagus ingenzeka ngezizathu ezihlukahlukene. Kuye ngemvelaphi, izinhlobo ezilandelayo zihlukile:
- i-anomaly yokuzalwa;
- umlando wesimiso esibuhlungu;
- i-hernia, ebangelwa ukubuthakathaka kwezicubu ze-diaphragm;
- Ukwandiswa kokuvula okuphazamisayo okuzungeze isisindo ngenxa yokwehluleka kwesiphincter yesisu;
- i-hernia ebangelwa ukudla ngokweqile;
- i-protrusion, eyabonakala ngenxa yokukhulelwa nokubeletha;
- izinguquko zonyaka.
I-diaphragm ihlukanisa isisu nesisu sokuphefumula, ukuvimbela ukungena kwemikhiqizo ebalulekile ohlelweni lokuphefumula, kodwa ngezinye izikhathi lolu donga olunomzimba oluphansi lulahlekelwa ubuqotho balo. Ngezinye izikhathi lokhu kwenzeka ezinganeni zangaphambi kwesikhathi, kodwa ngokuvamile umlando wakhe ongenamaphutha umphumela wokuphila okungalungile. Ngokwezibalo, ukwehluka okunjalo kubonakala kuwo wonke owesifazane wesithathu ngaphezu kweminyaka engu-50 nomuntu wesihlanu oneminyaka efanayo. Nakhu izimpawu ezisemqoka zesimiso esivela esibhedlela:
- i-heartburn;
- ukuphumula nokubhubhisa;
- i-belching njalo;
- ubuhlungu esifubeni;
- ukukhwehlela;
- ubuhlungu obuningi lapho buboshwe;
- ukunxanxathela nokuhlanza, ukuletha impumuzo.
Izici zokwelashwa kwe-hernia yokudabuka kwesigcawu
Ukuxilongwa kwe-hernia ehluphayo kwenzeka ezinyathelweni eziningana. Ngemuva kokuhlaziya izikhalazo nezimpawu, udokotela ubeka i- x-ray yesisu ngokuphambene, noma i-fibroesophagogastroduodenoscopy. Ngokusekelwe kulezi zifundo, kungenzeka ukusetha ukuxilongwa okuqondile.
Kunezindlela eziningana zokwelapha umlando wakhe wesimiso. Uma kwenzeka ukuthi kube khona ukuqhuma okuncane phakathi kwe-diaphragm ye-esophagus, noma ingxenye engenhla yesisu, ukukhululeka kuzoletha ushintsho endleleni yokudla. Isiguli kufanele sigweme ukudla okunomsoco, okubabayo namafutha futhi ushintshe ekudleni kokuhlukaniswa. Kuyinto efiselekayo ukugwema umsebenzi owenziwe ngokomzimba nokuphakamisa amandla adonsela phansi. I-hernia encane nalezi mithetho izoshabalala ngokwayo.
Uma ukudla nokuvinjelwa komsebenzi akuzange kube nemiphumela, isiguli singabekwa imithi elawula i-acidity yesisu. Ngosizo lwabo ungakwazi ukuqeda ngokuphelele ukungakhululeki futhi unciphise isidingo sokungenelela kokuhlinzwa.
Ngendlela yokusebenza i-hernia iqedwa uma kwenzeka ukuthi ibangele ukwakhiwa kwezilonda, noma izinto zangaphandle ezivela kulesi sikhumba zaqala ukungena nge-bronchi. Njengomthetho, izitho zokuphefumula ngakwesokudla zihlupheka kaningi. Udokotela ohlinzayo uhambisa isisu nengxenye engenhla yesisu ngaphansi kwe-diaphragm kanye ne-sutures i-orifice ezungeze isisu se-sphincter, lapho izitho zokugaya zifaka khona i-thorax.
Ukunakekelwa kwe-hernia eyimfucuza ngamakhemikhali abantu akunikezi imiphumela ephawulekayo efanayo nokuhlinzwa, kepha kunganciphisa ngokuphelele ukushaya kwenhliziyo futhi iminyaka eminingi ibambezeleka ukungenela usizo. Okokuqala, kufanele uqaphele izitshalo ezinciphisa i-acidity yejuji esiswini kanye nokukhwehlela okucindezelayo. Zombili lezi zinsuku zinezimpande ze-althea. Kwanele nsuku zonke ukudla ama-150 g weti kusuka ku-1 tbsp impande eqoshiwe ephansi ukuze uzizwe ukhululekile ngemva kwesonto.
Futhi ungalungisa imithi ngokulandela iresiphi elandelayo:
- Elinye isipuni sembewu isanqante uthele ingilazi yamanzi abilayo.
- Pheka ukushisa okuphansi imizuzu engu-2-3, ikhava.
- Ukunika umhluzi imizuzu engama-30, ukucindezeleka, ukuphuza phakathi nosuku ezinxenyeni ezincane.
- Inkambo yokwelashwa ngamasonto angu-2-3.