Iyini i-Hiatal Hernia? Izimpawu, Izimbangela, & Ukwelashwa

I-hiatal hernia kwenzeka lapho ingxenye yesisu sakho icindezela phezulu ngesithuba esi-diaphragm yakho esibizwa ngokuthi yi-hiatus. Cabanga nge-diaphragm yakho njengomsuku oqinile ohlukanisa isifuba sakho nesisu sakho futhi ikusize ukuphefumula.

Lokhu kumele kuyatholakala kakhulu, ikakhulukazi njengoba siqhubeka sikhulile. Abantu abaningi bane-hiatal hernias encane ngaphandle kokwazi. Nakuba igama lingase lizwakale liyesabekayo, iningi le-hiatal hernias lilawuleka futhi alibangeli izinkinga ezinzima.

Ziyini izinhlobo ze-hiatal hernia?

Kunezinhlobo ezimbili eziyinhloko ze-hiatal hernias, nokuqonda umehluko kungakusiza ukwazi ukuthi yini okulindeleke. Uhlobo olukhona lunomthelela ezimpawu zakho nakwizindlela zokwelapha.

I-sliding hiatal hernia uhlobo oluvamile kakhulu, olukwakha cishe u-95% lazo zonke izimo. Ngaleli hlobo, indawo lapho i-esophagus yakho ihlangana khona nesisu sakho isuka phezulu futhi iye phansi ngesithuba se-hiatus. Kubizwa ngokuthi “ukuslayida” ngoba ingasuka ibheke phambili.

I-paraesophageal hiatal hernia ayivamile kodwa iyikhathaza kakhulu. Lapha, ingxenye yesisu sakho icindezela phezulu eduze ne-esophagus yakho ngenkathi indawo ehlangana ihlala endaweni. Lolu hlobo ngezinye izikhathi lungabangela ubunzima ngoba ingxenye yesisu ingase ivalwe noma igoqwe.

Kukhona nezinhlobo ezixubile ezihlanganisa izici zombili, nakuba lezi zimbalwa kakhulu. Udokotela wakho angakwazi ukuqonda ukuthi yiluphi uhlobo olukhona ngokuhlola izithombe uma kudingeka.

Ziyini izimpawu ze-hiatal hernia?

Abantu abaningi abane-hiatal hernias encane abanawo noma yimiphi impawu. Uma izimpawu zivele, zivame ukuxhumene ne-acid reflux ngoba i-hernia ingathinta ukuthi i-lower esophageal sphincter yakho isebenza kangcono kangakanani ukugcina i-acid yesisu lapho kufanele ibe khona.

Nawa ama-symptom avamile ongawaqaphela:

• Ukushisa esifubeni okubi kakhulu uma ulele noma ukhweme phansi
• Ukubuyela emuva kwesidumbu noma ukunambitha okubabayo emlonyeni wakho
• Ubunzima bokuginya, ikakhulukazi ngezigaxa ezinkulu zokudla
• Ubuhlungu esifubeni obungase buzwakale njengoxinzelelo noma ukushisa
• Ukuzwa ugcwele ngokushesha uma udle
• Ukukhipha umoya ngaphezu kokujwayelekile
• Ukuphefumula kabi, ikakhulukazi ngemva kokudla

Abanye abantu nabo baye bahlangabezana nezimpawu ezingavamile njengokukhokha okuqhubekayo, ukukhuluphala, noma ukuvuvukala komphimbo. Lokhu kwenzeka ngoba i-asidi yesisu ingafinyelela egxathwini lakho futhi icasule izicubu lapho.

Ezimeni ezingavamile, ama-hernia amakhulu angabangela izimpawu ezinkulu njengobunhlungu obukhulu besifuba, ubunzima bokuqeda umoya, noma ukugabha. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha ngoba zingabonisa ubunzima.

Yini ebangela i-hiatal hernia?

Ama-hiatal hernias athuthukiswa lapho izicubu zemisipha ezizungezile i-hiatus zibuthakathaka noma zolukile. Lokhu kubuthakathaka kuvumela ingxenye yesisu lakho ukuba icindezele ngaphesheya kokuvuleka okuvamise ukuba kukhulu ngokwanele kuphela esibindini sakho.

Izici eziningi zingase zifake isandla kulolu buthakathaka ngokuhamba kwesikhathi:

• Ubudala, njengoba imisipha ye-diaphragm ngokwemvelo iba buthakathaka futhi ayinawo amandla
• Uxinzelelo olukhulu esiswini sakho oluvela ekuqineni, ukukhulelwa, noma ukuhlala uphakamisa izinto ezisindayo
• Ukukhokha okuqhubekayo noma ukugabha okubekela ingcindezi ephindaphindayo kule ndawo
• Ukulimala kule ndawo okuvela ekulimala noma ekuhlinzweni
• Ukuzalwa nokukhiqizwa kokuvuleka okukhulu kunokujwayelekile kwe-hiatus
• Ukuhlala ucindezela ngesikhathi sokuhamba kwesisu

Ngezinye izikhathi isizathu esiqondile asiqondakali, futhi i-hernia ithuthukiswa kancane kancane eminyakeni eminingi. Kubalulekile ukwazi ukuthi ama-hiatal hernias avamise ukubangelwa yilutho olulimazayo.

Ezimeni ezingavamile, ukulimala okukhulu esifubeni noma esiswini kungabangela i-hiatal hernia ebukhali. Lolu hlobo luthuthukiswa ngokushesha futhi ngokuvamile ludinga ukunakekelwa kwezokwelapha ngokushesha.

Ziyini izici ezingozi ze-hiatal hernia?

Ukuqonda izimbangela ezingase zikubangele ukuthi uthole i-hiatal hernia kungakusiza ukwazi ukuthi unethuba elingakanani lokuyithola. Khumbula ukuthi ukuba nezimbangela ezingase zikubangele lokho akusho ukuthi uzoyithola ngokuqinisekile.

Ubudala yimbangela enkulu kunazo zonke, i-hiatal hernias iba yinto evamile kakhulu ngemuva kweminyaka engama-50. Njengoba siqhubeka sikhulile, izicubu ezisekela i-diaphragm yethu zibuthakathaka ngokwemvelo, okwenza kube lula ukuthi kube ne-hernia.

Ezinye izinto ezikhuphula ingozi yakho zihlanganisa:

• Ukuba sisindayo noma ukukhuluphala, okwandisa ukucindezela esiswini
• Ukubhema, okungabuthakathaka izicubu futhi kubangele ukukhokha okuqhubekayo
• Ukuba namalungu omndeni ane-hiatal hernias
• Ukuba owesifazane, njengoba abesifazane beyithola kancane kakhulu kunamadoda
• Ukuba nezinye izifo zezicubu ezihlanganisayo
• Ukuhlinzwa kwesisu noma esifubeni ngaphambili

Ukukhulelwa kungakhuphula izingozi zakho okwesikhashana ngenxa yokwanda kokucindezela esiswini. Kodwa-ke, i-hiatal hernias ehambisana nokukhulelwa ivame ukuthuthuka ngemuva kokubeletha.

Eminye imisebenzi ehilela ukuphakamisa izinto ezisindayo noma ukucindezela njalo ingase ikhulise kancane ingozi yakho eminyakeni eminingi.

Nini kufanele ubona udokotela ngenxa ye-hiatal hernia?

Kufanele uxhumane nodokotela wakho uma uhlushwa ukukhahlela okungapheli noma ezinye izimpawu zokugaya ukudla eziphazamisa impilo yakho yansuku zonke. Nakuba lezi zimpawu zingase zibonakale zincane, ukuthola ukwelashwa okuqondile kungathuthukisa kakhulu induduzo yakho futhi kuvimbele ukuphazamiseka.

Hlela i-aphoyintimenti uma uqaphela ukukhahlela okuvamile, ikakhulukazi uma kungathuthuki ngemithi yokulwa nokukhahlela okuthengiswa ngaphandle kwesikripthi. Udokotela wakho angakusiza ukuthola ukuthi i-hiatal hernia noma enye isimo yimbangela yezimpawu zakho.

Funani usizo lwezokwelapha ngokushesha uma uhlushwa izimpawu ezinzima ezifana nalezi:

• Ubuhlungu obukhulu besifuba obungapheli
• Ukuphefumula okukhulu nokugabha
• Ukungenakwazi ukuphuma umoya noma ukuya esikhathini
• Ukuphefumula okunzima noma ukuphefumula okufushane
• Ukushaya kwenhliziyo okusheshayo kanye nobuhlungu besifuba

Lezi zimpawu zingabonisa isimo esiphuthumayo sokuthi ingxenye yesisu sakho ivalekile noma iphendukile. Nakuba lokhu kungavamile, kudinga ukwelashwa ngokushesha.

Unganqikazi ukubiza udokotela wakho uma ungaqiniseki ukuthi izimpawu zakho zinzima kangakanani. Kungcono njalo ukuhlolwa bese uthola ukuthula kwengqondo.

Ziyini izinhlanganisela ezingase zenzeke ze-hiatal hernia?

I-hiatal hernias eningi ayibangeli izinhlanganisela ezinkulu, ikakhulukazi uhlobo olukhulu olukhulu. Noma kunjalo, ukuqonda izinhlanganisela ezingase zenzeke kungakusiza ukwazi ukuthi yiziphi izimpawu okufanele uzilinde bese ufuna ukunakekelwa kwezokwelapha.

Inhlanganisela evamile kunazo zonke yi-gastroesophageal reflux disease (GERD), evela lapho ama-acid esisu ephuma njalo esibindini sakho. Ngokuhamba kwesikhathi, lokhu kudla kwama-acid kungacasula futhi konakalise ukugqoka kwesibindini sakho.

Izinhlanganisela ezihlobene ne-GERD zingafaka:

• I-Esophagitis, okuwukuvuvukala kokugqoka kwesibindini
• I-Barrett's esophagus, lapho ukugqoka kwesibindini kushintsha ngenxa yokudla kwama-acid
• I-Esophageal stricture, noma ukuncipha okwenza kube nzima ukugwinya
• Izinkinga zokuphefumula ezingapheli ezivela kuma-acid afinyelela emaphashini

I-Paraesophageal hernias ngezinye izikhathi ingabangela izinhlanganisela ezinkulu. Kwezinye izikhathi, ingxenye yesisu ecishe iphume ingavalwa noma iphenduke, iqedela ukunikezwa kwegazi.

Izimpawu zalezi zinhlanganisela ezinkulu zifaka ubuhlungu obukhulu, obuhlala njalo besisu, ukungakwazi ukugabha naphezu kokuzwa ukugula, kanye nesilinganiso sokubetha kwentliziyo esisheshayo. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha okusheshayo.

Ngokuphathwa okuhle nokunakekelwa okuqhubekayo kokulandelela, abantu abaningi abane-hiatal hernias bangavimbela lezi zinhlanganisela ezingase zenzeke.

I-hiatal hernia ihlonishwa kanjani?

Ukuhlola i-hiatal hernia kuvame ukuqala ngokuthi udokotela wakho akusize ngezimpawu zakho kanye nomlando wakho wezokwelapha. Uzofuna ukwazi ngezindlela zakho zokushisa inhliziyo, imikhuba yokudla, kanye nanoma yimuphi umlando womndeni wezinkinga zokugaya ukudla.

Ngesikhathi sokuxilongwa komzimba, udokotela wakho uzolalela isifuba sakho bese athinta isisu sakho. Noma kunjalo, ama-hiatal hernia avamise ukungatholakali ngokuhlolwa komzimba kuphela, ngakho-ke ukuhlolwa kwezithombe kuvame ukudingeka.

Izivivinyo ezivamile zokuxilonga zihlanganisa:

• I-X-ray yokugwinya i-barium, lapho uphuza khona isilika elithambile elibonakala kwi-X-rays
• I-Upper endoscopy, usebenzisa ipayipi elincane, elithambile elinekhamera ukubuka ngaphakathi
• I-CT scan yesifuba sakho nesisu sakho ukuze uthole izithombe ezinemininingwane
• I-Esophageal manometry ukuze uqonde ukuthi imisipha yesophagus yakho isebenza kangcono kangakanani

Ukugwinya i-barium kuvame ukuba yivivinyo lokuqala ngoba kulula futhi kubonisa ukuthi i-esophagus yakho nesisu sakho zihamba kanjani uma ugwinya. Udokotela wakho angabona ukuthi ingxenye yesisu sakho icindezela phezulu emathuneni esifuba sakho.

I-upper endoscopy ingase icelwe uma unezimpawu ezinkulu noma uma udokotela wakho edinga ukubuka eduze ukugqoka kwe-esophagus yakho. Lo mvivinyo ubenza futhi bakwazi ukuhlola izinkinga ezinjengokuqina noma i-Barrett's esophagus.

Ngezinye izikhathi ama-hiatal hernia atholakala ngokungalindelekile ngesikhathi sokuhlolwa kwezinye izimo, ikakhulukazi ama-X-rays esifuba noma ama-CT scans enziwe ngezizathu ezingahambi kahle.

Iyini ukwelashwa kwe-hiatal hernia?

Ukwelashwa kwe-hiatal hernia kugxila ekuphatheni izimpawu zakho nokuvimbela izinkinga. Abantu abaningi bangalawula izimpawu zabo ngokuphumelelayo ngokushintsha indlela yokuphila nezinhlungu, ngaphandle kokudinga ukuhlinzwa.

Udokotela wakho cishe uzoqala ngokwelashwa okuqondile, ikakhulukazi uma izimpawu zakho zithambile kuya ezingeni eliphezulu. Umgomo ukunciphisa ukubuyela emuva kwesidumbu nokwenza ukhululeke kakhulu emisebenzini yansuku zonke.

Izinketho zokwelashwa zivame ukufaka:

• Ama-antacids ukuze kutholakale ukukhululeka okusheshayo kwezimpawu zokushisa kwesisu
• Abaphoqi be-H2 receptor ukuze kunciphisa ukukhiqizwa kwesidumbu
• Abaphoqi be-proton pump ukuze kube khona ukucindezelwa okukhulu, okuhlala isikhathi eside kwesidumbu
• Amajenti e-Prokinetic ukuze asisize isisu sakho sigeleze ngokushesha

Udokotela wakho angase aqale ngezinye izidakamizwa ezingathengwa ngaphandle kokubhalwa komthombo, bese eya kwezinye izidakamizwa ezibhalwe ngudokotela uma kudingeka. Uhlobo namandla wemithi kuzoleleka ngokuthi izimpawu zakho zinzima kangakanani nokuthi uphendula kangcono kanjani ekwelapheni.

Ukuhlinzwa kuvame ukucatshangelwa kuphela uma imithi nezinguquko zendlela yokuphila zingabi nakusiza ngokwanele, noma uma une-paraesophageal hernia enkulu engokungozini yokuba nezinhlungu. Inkqubo yokuhinzwa evamile kakhulu ibizwa ngokuthi yi-fundoplication, lapho udokotela ohlinzayo ehlanganisa ingxenye yesisu sakho ngaphezulu kwesophagus ephansi ukuze aqinise isikhungo sokuvimbela ukubuyela emuva kwesisu.

Ukuhlinzwa okuphansi okuhlinzwa nge-laparoscopy kuvame ukukhethwa ngoba kuhilela ukunqunywa okuncane nokubuyela esimweni esijwayelekile okusheshayo uma kuqhathaniswa nokuhlinzwa okuvulekile okujwayelekile.

Indlela yokuphatha i-hiatal hernia ekhaya?

Ukuphathwa ekhaya kudlala indima ebalulekile ekulawuleni izimpawu ze-hiatal hernia nokuthuthukisa ikhwalithi yokuphila kwakho. Ukushintsha okulula ekudleni kwakho nasesimweni sakho sansuku zonke kungenza umehluko omkhulu endleleni ozizwa ngayo.

Ukudla ukudla okuncane, okuvamile kunokudla okukhulu okutatu kungasiza ekunciphiseni ukucindezela esiswini sakho nokunciphisa ukubuyela emuva kwesisu. Zama ukudla ukudla kwakho kokugcina okungenani amahora amathathu ngaphambi kokulala ukuze unike isisu sakho isikhathi sokuhlanza.

Ukudla neziphuzo ezivame ukubangela izimpawu zihlanganisa:

• Ukudla okunoshukela, okunomsoco, noma okwenziwe ngamatamatisi
• Izithelo nejusi ze-citrus
• I-chocolate ne-peppermint
• Iziphuzo ezinokafini no-alcohol
• Ukudla okunemafutha noma okubhakiwe
• Iziphuzo ezinokhuni

Ukugcina idayari yokudla kungakusiza ukuthi ubone izinto ezibangela izimpawu zakho. Ukubekezelela kwabo bonke abantu kuhlukile, ngakho-ke lokho okuphazamisa omunye umuntu kungase kube kuhle komunye umuntu.

Ukuqengqeleka ikhanda lembhede yakho ngamasentimitha ayi-6 kuya kwangu-8 kungasiza ekuvimbeni ukubuyela emuva kwesisu ebusuku. Ungasebenzisa izinto eziphakamisa imbhede noma i-wedge pillow ukuze ufinyelele leli banga. Ukulala ngakwesobunxele kungasiza futhi ekuthuthukiseni izimpawu.

Ukugcina isisindo esinempilo kunciphisa ukucindezeleka esiswini okungenza izimpawu ze-hernia zibe zimbi. Ngisho nokunciphisa isisindo esincane kungasiza abantu abaningi.

Ukugwema izingubo ezinamathelayo ezingqongqotha isithunzi sakho nokungalali phansi ngokushesha ngemva kokudla kuyizindlela ezilula kodwa eziphumelelayo.

Kungenzeka kanjani ukuvimbela i-hiatal hernia?

Nakuba ungawavimbi njalo ama-hiatal hernias, ikakhulukazi alawo ahlobene nobudala, ungathatha izinyathelo zokunciphisa ingozi yakho nokuvimbela ama-hernia akhona ukuba angabi bibi.

Ukugcina isisindo esinempilo ingenye yezindlela ezibaluleke kakhulu zokuvikela. Isisindo esiningi sanda ukucindezeleka esiswini, okungase kube nomthelela ekukhuleni kwe-hernia nokwenza ezakhayo zibe zimbi.

Nawa amasu abalulekile okuvimbela:

• Dla ukudla okulinganiselayo okuno-fiber ukunciphisa i-constipation nokucindezela
• Zivocavoca njalo ukuze ugcine amandla e-core kanye nesisindo esinempilo
• Sebenzisa amasu afanele okuphakamisa futhi ugweme ukuphakamisa okunzima uma kungenzeka
• Ungabhemi, njengoba kubutha izicubu futhi kubangela ukukhokha okuqhubekayo
• Phatha izimo ezingapheli ezingabangela ukukhokha okuvamile
• Gwema imisebenzi eyandisa ukucindezeleka esiswini kakhulu

Uma usesengozini enkulu ngenxa yobudala noma umlando womndeni, ukunaka kakhulu lezi zindlela zokuvikela kubaluleke nakakhulu.

Kubantu abasenes-hiatal hernia, ukulandela lezi zindlela ezifanayo kungasiza ukuvimbela izimpawu ezingabi zimbi nokunciphisa ingozi yezinkinga.

Kufanele uzilungiselele kanjani ukubona udokotela wakho?

Ukulungiselela i-aphoyintimenti yakho kungakusiza ukuthi uthole okuningi kakhulu ekuhambeleni kwakho futhi kuqinisekise ukuthi udokotela wakho uneyonke imininingwane edingekayo ukukusiza ngokuphumelelayo.

Ngaphambi kwe-aphoyintimenti yakho, bhala izimpawu zakho, kufaka phakathi ukuthi zenzeka nini, yini ebonakala iyabangela, nokuthi yini ekuthola impumuzo. Phawula ukuthi izimpawu zakho zithinta kanjani imisebenzi yakho yansuku zonke, ubuthongo, kanye nemikhuba yokudla.

Letha uhlu oluphelele lwazo zonke izidakamizwa ozithathayo, kuhlanganise nezinye izidakamizwa ozithenga ngaphandle kokubonisana nodokotela, izongezelelo, kanye nezinongo zomvelo. Ezinye izidakamizwa zingathinta izimpawu zokugaya ukudla noma zihlangane nezinye izindlela zokwelapha udokotela angase akucele zona.

Lungela ukuxoxa ngalokhu okulandelayo:

• Umlando womndeni wakho wezinkinga zokugaya ukudla noma i-hernia
• Noma iyiphi i-opereyshini owake wayenza, ikakhulukazi izinqubo zesisu noma isifuba
• Ukudla kwakho okuvamile kanye nezindlela zakho zokudla
• Uma uphuza utshwala noma ufuma uphuza utshwala njalo
• Noma iyiphi i-shintsho yobunzima yakamuva
• Ezinye izimo zezokwelapha onazo

Bhala imibuzo ofuna ukuyibuza ngaphambi kokuba uyikhohlwe ngesikhathi sokuqokwa. Cabanga ukuthi ubuze ngezindlela zokwelapha, ukuguqulwa kwesitayela sokuphila, nokuthi nini kufanele ufuna ukunakekelwa okulandelayo.

Uma uzama noma iyiphi indlela yokwelapha yasekhaya noma izindlela zokwelapha ozithenga ngaphandle kokubonisana nodokotela, tshela udokotela wakho ukuthi yini esebenzile nokuthi yini engasebenzelanga. Ulwazi olufana nalolu lusiza ekuqondeni izinqumo zokwelapha.

Iyini into ebaluleke kakhulu mayelana ne-hiatal hernia?

I-Hiatal hernias iyizimo ezivamile, ezilawuleka, ezingadingi ukuthinta ikhwalithi yokuphila kwakho kakhulu. Nakuba ukuxilongwa kungase kuzwakale kukukhathaza ekuqaleni, abantu abaningi bangalawula izimpawu zabo ngokuphumelelayo ngokuhlanganiswa okulungile kokuguqulwa kwesitayela sokuphila kanye nokwelashwa kwezokwelapha.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-hiatal hernias encane ngokuvamile ibangele izimpawu ezincane futhi ayivame ukubangela izinkinga ezinzima. Ngisho ne-hernia enkulu ngokuvamile ingaphathwa ngempumelelo ngokunakekelwa kwezokwelapha okufanele nokunakekelwa kwezimpawu ezibangela izimpawu.

Ukusebenzisana eduze nomhlinzeki wakho wezempilo ukuthuthukisa uhlelo lokulawula oluqondene nawe kuyisihluthulelo sempumelelo yakho. Lokhu kungase kuhlanganise ukuguqulwa kokudla, imithi, ukulawula isisindo, kanye nokulandelela njalo ukuqinisekisa ukuthi isimo sakho sihlala siqondile.

Ungangabazi ukuya kudokotela wakho uma izimpawu zakho zishintsha noma zibe zimbi. Ngokuphathwa okuqaphayo kanye nokwesekwa okufanele, ungaqhubeka ujabulela imisebenzi yakho oyithandayo futhi ugcine impilo enhle yempilo naphezu kokuba ne-hiatal hernia.

Imibuzo evame ukubuzwa mayelana ne-hiatal hernia

Ingabe i-hiatal hernia ingaphela yodwa?

I-hiatal hernias encane ngokuvamile ayipheli ngokuphelele yodwa, kodwa izimpawu zivame ukuthuthuka kakhulu ngokushintsha indlela yokuphila nokuphathwa okuqondile. I-hernia ngokwayo imele ukuguquka komzimba lapho ingxenye yesisu sakho isihambe ngaphesheya kokuvuleka kwe-diaphragm. Noma kunjalo, abantu abaningi bathola ukuthi izimpawu zabo ziqala ukuphatheka kalula noma ziyaphela ngendlela yokwelapha efanele, okwenza i-hernia ingabonakali kakhulu ekuphileni kwansuku zonke.

Kuphephile yini ukuzivocavoca nge-hiatal hernia?

Yebo, ukuzivocavoca ngokuvamile kuphephile futhi kuzuzisa abantu abane-hiatal hernias, kodwa uzofuna ukukhetha imisebenzi ngokuhlakanipha. Ukuzivocavoca okungathinti kakhulu njengokuhamba, ukubhukuda, kanye ne-yoga ebushelelezi kuyizikhetho ezinhle. Gwema ukuzivocavoca okwandisa ngokukhulu ukucindezeleka kwesisu, njengokuphakamisa izinto ezisindayo, ukuqeqeshwa okukhulu komzimba, noma imisebenzi edinga ukuba ubambe umoya wakho futhi ucindezele. Hlala ulalele umzimba wakho bese uyeka uma uhlangabezana nezimpawu ezikhulayo ngesikhathi noma ngemuva kokuzivocavoca.

Yikuphi ukudla okufanele ngikugweme ngokuphelele nge-hiatal hernia?

Nakuba ukudla okubangela izimpawu kuhlukahluka kumuntu ngamunye, okuvamile okufanele kuvinjelwe noma kunciphise kufaka phakathi ukudla okunoshukela, izithelo zesitrus, amatamatisi, i-chocolate, i-peppermint, i-caffeine, utshwala, kanye nokudla okunemafutha noma okubhaqedwayo. Noma kunjalo, awudingi ukususa lezi zinto zokudla ngokuphelele phakade. Gcina idayari yokudla ukuze ubone izinto ezibangela izimpawu zakho, bese usebenza nodokotela wakho noma umqeqeshi wokudla ukuze udale uhlelo lokudla olufanelekile oluqeda izimpawu ngenkathi usavumela ukuthi ujabulele izinhlobo ezahlukene zokudla.

Kuthatha isikhathi esingakanani ukululama ekuhlinzweni kwe-hiatal hernia?

Isikhathi sokuphulukisa sihluka kuye ngohlobo lokuhlinzwa kanye nenqubo yakho siqu yokwelapha. Ngokuhlinzwa okuncane kwe-laparoscopic, abantu abaningi bangabuyela emisebenzini elula ngaphakathi kweviki futhi emisebenzini evamile ngaphakathi kwamasonto angu-2-4. Ukuphulukisa okugcwele, kufaka phakathi ikhono lokuphakamisa izinto ezisindayo nokubuyela kuzo zonke imisebenzi yangaphambili, kuvame ukuthatha amasonto angu-6-8. Udokotela wakho uzonikeza imiyalelo ethile esekelwe enkambweni yakho kanye nokuqhubeka ngesikhathi sokuvakasha okulandelayo.

Ingabe ukucindezeleka kwenza izimpawu ze-hiatal hernia zibe zimbi?

Yebo, ukucindezeleka kungenza izimpawu ze-hiatal hernia zibe zimbi ngezindlela eziningi. Ukucindezeleka kuvame ukubangela ukuguquka kokudla, ukwanda kokukhiqizwa kwa-acid yesisu, kanye nokuqina kwemisipha okungathinta ukugaya. Abantu abaningi badla ngokushesha noma bakhetha ukudla okungelona impilo uma becindezelekile, okungabangela izimpawu zokubuyela emuva. Ukuphatha ukucindezeleka ngezindlela zokuphumula, ukuzivocavoca njalo, ukulala okwanele, kanye namasu okuthambisa ukucindezeleka kungaba yingxenye ebalulekile yokuphatha izimpawu zakho ze-hiatal hernia ngokuphumelelayo.