Ekubeni ama-hernias amaninzi angabangeli naziphi na iimpawu, ziza kufumaneka ngexesha le-X-ray esifubeni kwimeko engahambelaniyo. Ngamanye amaxesha, i-hernia yokuzala ingakrokra kubantu abane-acid aclule reflux abangakwazi ukuphendula kwi-antacids okanye ezinye iindlela zonyango. Kwiimeko ezinje, kukho izilingo ezininzi oogqirha abangasebenzisa ukuqinisekisa ukuxilongwa, kuquka i-X-rays, i-endoscopy, kunye ne-manometry ye-esophageal.
Ukucinga
Amancinci amancinci ama- hiara ahlala kunzima ukubona kwi- X-ray rhoqo kwaye inokubonakala nje njengesakhiwo esigcwele igesi kwisigxina sesifuba. Ukubonelela ngcaciso engcono, iimvavanyo zokucinga ezifana ne-GI ye-Barium yophando okanye i-scanography ye-tomography (CT) nayo iyalelwe.
Study Barium
Indlela ekhethiweyo yokuxilongwa kwe-hernia yokuzala iyisifundo se-barium esisisigxina (GI). Ngokuqhelekileyo ibizwa ngokuba yi- barium swallow , uvavanyo lufuna ukuba uphuze izitya ezine-half-containing ze-barium sulphate kwaye, malunga nemizuzu engama-30 kamva, uhamba uchungechunge lwe-X-ray. Iingubo zensimbi zensimbi i-esophagus nesisu, ekuncedeni ukuzihlukanisa kwiziphumo zengcamango.
Ukuba ufumana lo vavanyo, lindela ukuba udibene kwitafile njengoko uhamba kwi-X-rays. Ngethuba lokufunda, itafile ifakwe xa usela ibhonum eyongezelelweyo.
Nangona inkqubo ibonwa njengokhuselekile, inokubangela ukumbomboza kwaye, kwiimeko ezinqabileyo, ukunyanzelana kwamafecal .
Ukuba awukwazi ukuhamba intshukumo ezimbini ukuya kwiintsuku ezintathu emva kwenkqubo, biza ugqirha wakho.
CT Scan
Isifundo se-barium sisoloko sanele ngokwenza ukuxilongwa ngokucacileyo. Xa engakwazi ukwenza oko, iskripthi ye-tomography (CT) ekhompyutheni ingalawulwa . Oku kunokuba kuyimfuneko kubantu abagqithiseleyo okanye baye bafumana ukuhlinzwa kwangasemva kwesisu.
I-CT scan ingabaluleka kwiimeko ezingxamisekileyo, ezifana ne- gastric volvulus (imeko ephosakeleyo apho isisu sitshintsha ngaphezu kwama-degrees angama-180) okanye ukucwiliswa (apho ukunyanzeliswa okanye ukuguqulwa kwe-herniation iyanqumla ngokupheleleyo igazi).
Iinkqubo kunye novavanyo
Ugqirha wakho angathanda ukujonga ngokuthe ngqo ukuba enze ukuxilongwa, okanye umnqweno iziphumo ezongezelelweyo ukuncedisa omnye okanye ukucacisa ubunzima beemeko zakho. Kuloo meko, ezi zikhetho zinokuqwalaselwa:
Upper GI Endoscopy
I-hernia yokuzala ingaphinda ifumaneke nenkqubo eyaziwa nge- GI endoscopy ephezulu . Le ndlela yokujonga ngokuthe ngqo apho indawo eguquguqukayo, ebizwa ngokuthi i-endoscope, ifakwe emqaleni wakho ukuze ufumane imifanekiso ephilayo ye-esophagus, isisu, ne-duodenum (inxalenye yokuqala yamathumbu amancinci).
Inkqubo iya kufuna ukuba uyeke ukutya okanye ukusela iiyure ezisibhozo ngaphambi kokuvavanywa. Ngaphambi kwenkqubo, unikezelwa ukuxhaswa kwe-intravenous ukukunceda ekuphumuleni. I-spray numb spray yakho ingasetyenziswa kwakhona. Inkqubo ivame ukuthatha imizuzu engama-10 ukuya kwe-20, ngeeyure ezongezelelweyo ezifunekayo ukuze zibuyiselwe kwi-sedation.
I-Endoscopy ngamanye amaxesha ingabangela ukucima, igesi, ukuchithwa, kunye nomqala. Biza ugqirha wakho ukuba uhlakulela umkhuhlane, ukubola, iintlungu zesisu, okanye ukuphuma ephasini.
I-Manophyge yase-Esophageal
I-manometry ye-Esophageal yinknoloji entsha ehlola indlela iimisipha ze-esophagus kunye ne-esophageal sphincter (i-valve) isebenza ngayo. Inokukunceda ugqirha wakho ukuba achaze iimoto ezichaphazelekayo, ezinjenge- dysphagia (ubunzima bokugwinya), kunye nendlela u-hernia enokuba negalelo ngayo.
Inkqubo eyenziwa ngokuqala isondlo nge-nostril ngeoli ephazamisayo. Ubhubhe obuncinci, obuxhotywe ngeenzwa, buya kutyiswa ngesikhuni sakho uze ufike kwindawo yakho. I-monitor ye-digital ivumela uchwepheshe ukuba abuke kwaye abhale inguqu kwixinzelelo oluxinzekileyo njengoko uginya.
Isiphumo se-manometry sinokukunceda ugqirha wakho ukuba acwangcise ikhosi efanelekileyo yokwelashwa.
Umsindo oyimpumlo kunye neengcambu zomsindo ziyimpembelelo eqhelekileyo.
Ukuhlolwa kwe-pH
Ukuhlolwa kwe-pH e-Esophageal kukuhlola ukusetyenziswa kwirekhodi ye-acidity of your oopopus ngexesha elide (njengoko lilinganiselwe yi- pH ). Kwakhona kufaka ukufakwa kwe-tube-like sensor ngokusebenzisa i-nostri edibaniswe kwisilingo ogqoke kwibhanti yakho. Ngexesha leeyure ezingama-24 ezalandelayo, umlingo ubhalisa rhoqo xa ufumana i-acid reflux kwaye urekhoda utshintsho oluthile kumanqanaba e-pH.
Ukwahlula
Emva kokuba umfuyo we-hiara ufunyaniswa ukuba uhlelwa luhlobo, olunokukunceda ukukhokela unyango kunye / okanye kusetyenziselwa ukubeka nayiphi na inguqu kwimeko yakho. Iintlobo zihlelwa ngobukhulu kunye neempawu ze-hernia:
- Uhlobo 1 luyaziwa njenge-hernia ehambayo; isisu sihlala siselungelelwaniso oluqhelekileyo ngelixa isahlulo se-herniated siphumela ngaphakathi nangaphandle kwe-hiatus (umgodi kwisithintelo esingaphantsi kwe-oopopus).
- Uhlobo lwesi-2 luyi-hernia yophageal hernia, engagqithisiyo kwaye iphume kwi-hiatus kodwa ihlala isalathisi ecaleni kwesigxina.
- Uhlobo lwe-3 lwenzeka xa ukuhlanganiswa kwe-gastroesophageal (umxube phakathi kwe-esophagus nesisu) iqala ukugqithisa nge-hiatus.
- Uhlobo lwe-4 lwenzeka xa i-herniation ivumela isisu kunye nezinye izitho, ezifana nekolon okanye isibindi, ukungena ngaphakathi kwesifuba.
Ukuxilongwa okuhlukeneyo
Iimpawu ze-aclu reflux aziqhelekanga kubantu abane-hernia. Iimithi ezinzima zenza ezinye, iimpawu ezinzulu ezinjengeentlungu zesifuba esibuhlungu, ukuhlanza, ukufunyanwa, kunye nokufunwa kwepneumonia (kubangelwa ukukhwehlela ukutya kwimiphunga).
Nangona i-hernia yokubeleka iqinisekiswa, kunokufunyaniswa ukuxilongwa ngokungafaniyo ukukhuphela ezinye izizathu, ingakumbi ukuba i-hernia ingancinci kwaye ayihambisani nobunzima beempawu. Ezinye zezinye izizathu ezikhoyo ziquka:
- U-Angina , onokuhlukaniswa ngexesha lokuvavanya kwengqondo
- I-pneumonia , izizathu ezinokuthi zahluke kwi-X-ray kunye nokuhlolwa kwegazi
- Isifo se-reflux yesifo se-Gastroesophageal (GERD) , esinokuhlukaniswa ngumzimba ongapheliyo weempawu, kwakunye nemiqondiso yokukhupha isisu
- Isithintelo sokususwa kwegastric, esinokuhlukaniswa yintlupheko kwi-pylorus (ukuvula ukusuka esiswini ukuya kwi-duodenum) kunokuba i-hiatus
> Imithombo:
> UmRoma, S. "Ukuxilongwa kunye nokulawulwa kwe-hiatus hernia" . 2014; 349: g6154. INGXELO: 10.1136 / bmj.g6154.
> I-Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). "Izikhokelo zoLawulo lweHernia yamaHatalia." Los Angeles, eCalifornia; ukukhupha ngo-Ephreli 2013.