I-hernia ejwayelekile - into evezwe abaningi. Ukuhlwitha i-hernias akuyazi kangako, ngakho igama labo liyesaba abaningi. Eqinisweni, akufanelekile ukukhathazeka ngakho - ukuvota okwehliswayo kwesimo sokungena kwesimiso akumele kubonakele ingozi enkulu, kepha, akunakulungiswa neze ukuyikulahla. Ukuqala isikhathi esifanele ukwelashwa okunempilo kuqinisekisa ukutakula okugcwele.
Izimbangela nezimpawu zokubukeka kwe-hernia yokuvulwa kwe-esophageal ye-diaphragm
Kusukela emasimini ajwayelekile okugcoba kubonakala ukuthi enye yezindonga zayo ihlanganiswe yi-peritoneum. Inkinga ivela lapho isilwane esivela ku-peritoneum singena kancane phakathi kwendawo evulekile e-sternum. Lesi sifo asibonakali kaningi, futhi ezimweni eziningi, iziguli aziqapheli izinguquko emzimbeni nhlobo.
Yamukelwa ukuhlukanisa izigaba eziningana eziyisisekelo zempikiswano engafihliwe ekuvulekeni kokulinganisa kwe-diaphragm:
- Esigabeni sokuqala, isisu siseduze nomdwebo, kanti ingxenye yengxenyeni yesisu isangena emgodini we-thoracic.
- Isigaba sesibili sibonakala ukungena kwesisu esiswini esifubeni.
- Esigabeni sesithathu esinzima kakhulu, ingxenye yesisu yomzimba, nomzimba, nangaphansi, kanti ngezinye izikhathi ngisho nengxenye yesisu, ingatholakala endaweni ye-thoracic.
Kungcono kunzima ukusho ukuthi yini eyenza ngempela ukubonakala kwendlovu ehambayo yokuvulwa kwe-diaphragm. Izazi zikhomba izici eziningana eziyinhloko ezitholakala ekuthuthukiseni lesi sifo:
- ukuqotshwa njalo;
- imikhuba emibi;
- ukukhuluphala;
- ubuholi obubi;
- iminyaka;
- ezinye izinkinga zokuzalwa zentuthuko;
- ukuzama ngokweqile ngokomzimba;
- ukukhwehlela okukhulu okungapheli;
- indlela yokuphila yokuhlala;
- izinkinga ngomgogodla (isigubhu noma ukuphumula okuphelile , isibonelo).
Izimpawu eziyinhloko ze-hernia yokuvulwa kwe-esophageal ye-diaphragm zingadideka kalula ngokubonakaliswa kwezifo eziningi zegciwane lesisu. Isici esiyingqayizivele se-hernia singacatshangwa ubuhlungu obunzima obukhulu, okuyinto ezimweni eziningi ezigxile esifundeni se-epigastric. Ukunyuka okungajabulisi ukwanda emva kokudla, ukudlala ezemidlalo noma ukuqina okuqinile kokukhwehlela. Ubuhlungu bungabonakala njengoba bubukhali njengoba bukwenza, ngemuva kokubamba noma ukushintsha isikhundla somzimba.
Ezimpawu eziyinhloko zokwephulwa komlando wakhe wokuvulwa kwe-diaphragm, umuntu angahlukanisa kanje:
- i-heartburn;
- ukubukeka ngemuva kokubuhlungu okubuhlungu;
- ukuzwa kwesikhumba emqaleni;
- ukuvula;
- I-anemia (kwenzeka ngenxa yokuphuma kwegastric engenakwenzeka);
- ukuxhuma;
- ukuhlasela kokukhwehlela ebusuku;
- i-dysphagia;
- reflux esophagitis .
Ukuxilongwa nokuphathwa kwe-hernia yokuvulwa kwe-esophageal ye-diaphragm
Ukuze unqume ukuthi lesi sifo siyiqiniso, kudingeke ukuba kuhlolwe kabanzi, kuhlanganise nokuxilongwa kwendlela yokugoma, izinhliziyo zomzimba nezokuphefumula. I-X ray e-hernia
Ezigaba zokuqala, ukwelashwa okusebenza kahle kakhulu okucatshangelwayo kubhekwa, okukuvumela ukuba ususe izimpawu ezisemqoka. Imithi edume kakhulu yokwelapha i-hernia yilezi:
- I-Almagel;
- I-Maalox;
- I-Thimeda;
- Kwamatel nabanye.
Kwezinye izimo, akunakwenzeka ukuphulukisa i-hernia yokuvulwa kwe-diaphragm ngaphandle kokuhlinzwa. Ukungenelela okuhlinzekwayo kuyadingeka lapho kukhona izinkinga noma ukungasebenzi kahle kwezindlela ezizimele.