Isifo se-hiatal hernia siqala lapho ingxenye engaphezulu yesisu iphuma ngaphandle kwedayafragumu iye emgodini wesifuba.
Isifo se-hiatal hernia siqala lapho ingxenye engaphezulu yesisu iphuma ngaphandle yemisipha emikhulu ehlukanisa isisu nesifuba. Lo misipha ubizwa ngokuthi yi-diaphragm.
IDiaphragm ine-opening encane ebizwa nge-hiatus. Umphako osebenza ekudleni, ogama lakhe yi-esophagus, udlula nge-hiatus ngaphambi kokuxhuma esiswini. E-hiatal hernia, isisu siyakhuphuka ngaphezulu kwale opening siye esifubeni.
I-hiatal hernia encane ngokuvamile ayibangeli izinkinga. Ungase ungalwazi ukuthi unayo ngaphandle uma iqembu lakho lokunakekelwa kwezempilo liyithola lapho lihlola enye isimo.
Kodwa i-hiatal hernia enkulu ingavumela ukudla kanye ne-acid ukuba ibuye emuva e-esophagus yakho. Lokhu kungabangela ukushisa kwesisu. Izindlela zokunakekela kwakho noma imithi ngokuvamile inganciphisa lezi zikhalazo. I-hiatal hernia enkulu kakhulu ingadinga ukuhlinzwa.
Izinhlungu ezincane ze-hiatal azibangeli lutho. Kodwa izinhlungu ezinkulu ze-hiatal zingabangela: Ukushisa kwesisu. Ukuphuma emuva kokudla okugwinywe noma izinto eziphuzwayo emlonyeni, okuthiwa ukugxuma emuva. Ukubuyela emuva kwe-asidi yesisu esiswini, okuthiwa ukubuyela emuva kwe-asidi. Ubunzima bokuginya. Ubuhlungu ebeleni noma esiswini. Ukuzizwa ugcwele ngokushesha nje uma usuqedile ukudla. Ukuphefumula kancane. Ukugabha igazi noma ukukhishwa kwezisu ezimnyama, okungasho ukuphuza igazi esiswini. Yenza i-aphoyintimenti nodokotela wakho noma omunye ochwepheshe wezempilo uma unezinkinga ezihlala njalo ezikukhathazayo.
Yenza i-aphoyintimenti nodokotela wakho noma omunye ochwepheshe wezempilo uma unezinkinga ezihlala njalo ezikukhathazayo.
Isifo se-hiatal hernia siqala lapho ihlathi lemisipha ebuthakathaka livumela isisu sakho ukuba liqhwake phezu kwediphragm yakho. Akuhlali kucace ukuthi lokhu kwenzeka kanjani. Kodwa-ke i-hiatal hernia ingabangelwa yi: Ukuguquka komzimba ngokuya ngeminyaka kwidiphragm yakho. Ukulimala kwendawo, isibonelo, ngemuva kokulimala noma izinhlobo ezithile zokuhlinzwa. Ukuzalwa une-hiatus enkulu kakhulu. Ukungcindezelwa okuqhubekayo nokunzima kwemisipha ezungezile. Lokhu kungenzeka ngesikhathi sokubhema, ukugabha, ukucindezela ngesikhathi sokuya esikhathini, ukuzivocavoca noma ukuphakamisa izinto ezisindayo.
I-hernia yase-hiatal zivame kakhulu kubantu abangaphezu kweminyaka engu-50 ubudala nabantu abanesisindo esingaphezulu.
I-Endoscopy Khulisa isithombe Valela i-Endoscopy I-Endoscopy Ngesikhathi se-endoscopy engaphezulu, ochwepheshe bezempilo bangena ngommese omncane, oluthambile oluhlanganiswe nokukhanya nekhamera phansi komlomo nase-esophagus. Ikhamera encane inikeza umbono we-esophagus, isisu nokuqala kwesibindi esincane, okuthiwa yi-duodenum. I-hiatal hernia ivame ukutholakala ngesikhathi sokuhlolwa noma inqubo yokunquma imbangela yokuhlushwa yisisu noma ubuhlungu esifubeni noma esiswini esingaphezulu. Lezi zivivinyo noma izinqubo zihlanganisa: I-X-ray yesistimu yakho yokugaya ukudla engaphezulu. I-X-rays ithathwa ngemuva kokuba uphuze ulwetshe oluthambile oluhlanganisa futhi lugcwalise ukugqoka kwangaphakathi kwesigaxa sakho sokuhlanza. Ukugqoka kuvumela iqembu lakho lezokunakekelwa kwezempilo ukubona umfanekiso we-esophagus, isisu nesibindi esingaphezulu. Inqubo yokubuka i-esophagus nesisu, okuthiwa yi-endoscopy. I-Endoscopy inqubo yokuhlola isistimu yakho yokugaya ukudla ngommese omde, omncane onekhamera encane, okuthiwa yi-endoscope. I-endoscope idluliselwa phansi komlomo wakho futhi ibuke ngaphakathi kwe-esophagus nesisu bese ihlola ukuvuvukala. Ukuhlolwa kokulinganisa ukucindezela kwemisipha ye-esophagus, okuthiwa yi-esophageal manometry. Lo vi vinyo luqapha ukucindezela kwemisipha emisipha e-esophagus yakho lapho uginya. I-Esophageal manometry iphinde ilinganise ukuxhumana namandla asetshenziswa yimisipha ye-esophagus yakho. Ukunakekelwa eMayo Clinic Iqembu lethu lothando labaqeqeshwe beMayo Clinic lingakusiza ngezinkinga zakho zempilo ezihlobene ne-hiatal hernia Qala Lapha Olunye Ulwazi Ukunakekelwa kwe-hiatal hernia eMayo Clinic I-Upper endoscopy
Abantu abaningi abane-hiatal hernia abanawo noma yimaphi amazinga futhi abadingi ukwelashwa. Uma ubhekene namazinga, njengokushisa kwesisu okuvamile nokuphindaphinda kwesisu, ungadinga imithi noma ukuhlinzwa. Imithi Uma ubhekene nokushisa kwesisu nokuphindaphinda kwesisu, ochwepheshe bakho bezempilo bangakuncoma: I-antacids ehlanza i-asidi yesisu. I-antacids inganika impumuzo ngokushesha. Ukusetshenziswa kakhulu kwe-antacids ethile kungabangela imiphumela emibi, njengokweluka noma ngezinye izikhathi izinkinga zezinso. Imithi yokunciphisa ukukhiqizwa kwe-asidi. Le mithi iyaziwa ngokuthi yi-H-2-receptor blockers. Ihlanganisa i-cimetidine (Tagamet HB), i-famotidine (Pepcid AC) ne-nizatidine (Axid AR). Izinguqulo ezinamandla kakhulu ziyatholakala ngokubhalwa komtholampilo. Imithi evikela ukukhiqizwa kwe-asidi futhi iphulukise i-esophagus. Le mithi iyaziwa ngokuthi yi-proton pump inhibitors. Yizona zivinji ze-asidi ezinamandla kune-H-2-receptor blockers futhi ivumela isikhathi sokuba ingqimba ye-esophageal eyonakele iphulukiswe. I-proton pump inhibitors etholakala ngaphandle kokubhalwa komtholampilo ihlanganisa i-lansoprazole (Prevacid 24HR) ne-omeprazole (Prilosec, Zegerid). Izinguqulo ezinamandla kakhulu ziyatholakala ngefomu lokubhalwa komtholampilo. Ukuhlinzwa Ngezinye izikhathi i-hiatal hernia idinga ukuhlinzwa. Ukuhlinzwa kungasiza abantu abangasizwa yimithi ukuqeda ukushisa kwesisu nokuphindaphinda kwesisu. Ukuhlinzwa kungasiza nabantu abanezinhlungu ezinjengokuvuvukala okukhulu noma ukuncipha kwe-esophagus. Ukuhlinzwa kokulungisa i-hiatal hernia kungabandakanya ukudonsa isisu phansi esiswini nokwenza ukuvula kwi-diaphragm kube lincane. Ukuhlinzwa kungabandakanya nokubumba kabusha imisipha ye-esophagus ephansi. Lokhu kusiza ekugcineni okuqukethwe sesisu kungaphindi phezulu. Ngezinye izikhathi, ukuhlinzwa kwe-hiatal hernia kuhlanganiswa nokuhlinzwa kokulahlekelwa isisindo, njengokusika isisu. Ukuhlinzwa kungase kwenziwe ngokusebenzisa ukusoka olulodwa odongeni lwesibeletho, okuthiwa yi-thoracotomy. Ukuhlinzwa kungase futhi kwenziwe ngokusebenzisa indlela ethiwe yi-laparoscopy. Ekusebenzeni kwe-laparoscopy, udokotela ufake ikhamera encane namathuluzi akhethekile ngokusebenzisa ukusoka okuncane okuningi esiswini. Lokhu kusebenza kwenziwa udokotela obona izithombe ezivela ngaphakathi komzimba eziboniswa kwimonitha yevidiyo. Cela i-aphoyintimenti Kukhona inkinga ngolwazi oluvezwe ngezansi futhi ubuye uthumele ifomu. Thola ulwazi lwakamuva lwezempilo oluvela eMayo Clinic oluthunyelwe ebhokisini lakho le-imeyili. Bhalisa mahhala futhi uthole umhlahlandlela wakho ojulile ngesikhathi. Chofoza lapha ukuze uthole i-imeyili yokubuka kuqala. Ikheli le-imeyili Iphutha Ibhokisi le-imeyili liyadingeka Iphutha Faka ikheli le-imeyili elisebenzayo Ikheli 1 Bhalisa Funda kabanzi ngokusetshenziswa kwe-Mayo Clinic idatha. Ukuze sikunikeze ngolwazi olufanele kakhulu nolusizo, nokuqonda ukuthi yiluphi ulwazi olusizo, singahlanganisa i-imeyili yakho nolwazi lokusetshenziswa kwewebhusayithi nezinye izinto esinazo ngawe. Uma ungumguli weMayo Clinic, lokhu kungabandakanya ulwazi oluvikelwe lwezempilo. Uma sihlanganisa lolu lwazi nolwazi lwakho oluvikelwe lwezempilo, sizophatha lonke lolu lwazi njengolwazi oluvikelwe lwezempilo futhi sizosebenzisa noma sizoveze lolu lwazi kuphela njengoba kuchazwe esazisweni sethu semikhuba yobumfihlo. Ungakhetha ukungatholi ukuxhumana nge-imeyili nganoma yisiphi isikhathi ngokuchofoza isixhumanisi sokuyeka ukubhalisa kwi-imeyili. Siyabonga ngokubhalisa Umhlahlandlela wakho ojulile wezempilo yokugaya ukudla uzoba ebhokisini lakho le-imeyili maduze. Uzophinde uthole ama-imeyili avela eMayo Clinic ngezindaba zakamuva zezempilo, ucwaningo, nokunakekelwa. Uma ungawutholi i-imeyili yethu phakathi kwemizuzu emi-5, hlola ifolda yakho ye-SPAM, bese usithinta [email protected]. Uxolo, kukhona okuphuthumayo ngokubhalisa kwakho Sicela uzame futhi ngemizuzu embalwa Uzama kabusha
Yenza i-aphoyintimenti nodokotela noma omunye ochwepheshe wezokunakekelwa kwezempilo uma unezifo ezikukhathazayo. Uma uke wabhekwa njengonohernia ye-hiatal futhi izinkinga zakho ziqhubeka ngemva kokwenza izinguquko zendlela yokuphila nokuqala imithi, ungase uqondiswe kudokotela oqeqeshwe ezifweni zokugaya ukudla, obizwa ngokuthi i-gastroenterologist. Ngenxa yokuthi i-aphoyintimenti ingaba mifushane, kuhle ukulungela. Nansi imininingwane ezokusiza ukulungiselela. Okufanele ukwenze Qaphela noma yikuphi ukumisa okungaphambi kwe-aphoyintimenti. Ngesikhathi wenza i-aphoyintimenti, qiniseka ukuthi ubuza ukuthi kukhona yini okufanele ukwenze kusengaphambili, njengokulinganisela ukudla kwakho. Bhala izimpawu ozibhekana nazo, kufaka phakathi noma yiziphi ezingabonakali zihambelana nesizathu osihlele i-aphoyintimenti ngaso. Bhala ulwazi oluyisisekelo lomuntu siqu, kufaka phakathi ukucindezeleka okukhulu noma izinguquko zakamuva ekuphileni. Yenza uhlu lwazo zonke izidakamizwa, amavithamini noma izongezelelo ozithathayo kanye nezinani. Thatha ilungu lomndeni noma umngane. Ngezinye izikhathi kungaba nzima ukukhumbula yonke imininingwane enikezwe ngesikhathi se-aphoyintimenti. Umuntu ohambisana nawe angakhumbula okuthile owakhohlwe noma owakhohlwa. Bhala imibuzo okumele uyibuze iqembu lakho lokunakekelwa kwezempilo. Isikhathi sakho nodokotela wakho noma omunye ochwepheshe wezokunakekelwa kwezempilo sinqunywe, ngakho-ke ukulungiselela uhlu lwemibuzo kungakusiza ukwenza okuningi ngesikhathi sakho ndawonye. Bala imibuzo yakho kusuka ebaluleke kakhulu kuya kwengabalulekile uma isikhathi siphela. Ngohernia ye-hiatal, ezinye zemibuzo eyisisekelo okumele uyibuze zihlanganisa: Yini ebangela izimpawu zami? Ngaphandle kwesizathu esivame kakhulu, yiziphi ezinye izizathu ezingaba khona zezimpawu zami? Yiziphi izivivinyo engizidingayo? Iyiphi indlela engcono kakhulu yokwenza? Yiziphi ezinye izindlela zendlela oyikhethayo? Nginezimo zezempilo ezinye. Ngingaziphatha kanjani ndawonye? Ingabe kunomkhawulo engidinga ukuwulandela? Kufanele ngibone ochwepheshe? Ingabe kunezikhangiso noma ezinye izinto ezinyathelisiwe engingazithola? Yimaphi amawebhusayithi oncomayo? Unganqikazi ukubuza eminye imibuzo. Okufanele ukulindele kudokotela wakho Lungela ukuphendula imibuzo, njengalezi: Izimpawu zakho zaqala nini? Izimpawu zakho ziye zaqhubeka noma ngezikhathi ezithile? Zingakanani izimpawu zakho? Yini, uma kukhona, ebonakala ilungisa izimpawu zakho? Yini, uma kukhona, ebonakala ibeza izimpawu zakho? Ngo-Mayo Clinic Staff
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.