Utyando olungxamisekileyo lunokufuneka ukuba unengxaki
I-heresophageal hernia ayiqhelekanga kwiintlobo ezimbini ze- hernia yokuzala . Kuyenzeka xa inxalenye ephezulu yesisu iqhubelela ngokuvula kwintsimbi kunye nokusa kwisifuba. Funda ngale meko kunye nezizathu, iimpawu kunye neyeza.
Kwenzeka ntoni kwi-Paraesophageal Hiatal Hernia
I-hernia ithetha ukuba inxalenye yomzimba yangaphakathi iqhutywe kwindawo engenazo.
Isibilini sakho sihlukaniswe kwisibindi sesifuba apho imiphunga nentliziyo ikhona kunye nesisu esiswini sakho, amathumbu kunye nezinye izitho ezininzi. Isifuba nesifuba sihlukaniswe ngumshicileli we-muscle, isithintelo.
I-esophagus ibhubhe apho ukutya nokusela kudlula emlonyeni ukuya esiswini, kwaye kuhamba ngokuvula kwintsimbi, i-hiatus. Ngenxa yoko igama elithi hiatal hernia. I-esophagus iyanciphisa kwaye iyancipha ngexesha lokugwinya, kunye ne-hernia, isisu kunye / okanye ukuhlanganiswa kwesisu kunye nesisu kuya kufakwa kwi-hiatus.
Kukho iintlobo ezimbini zeempilo ze-hija:
- I-hernia ehambayo (indlela eqhelekileyo)
- I-paraesophageal hernia (engaqhelekanga)
Ngama-hernias epereophageal, i-gastroesophageal junction (apho i-esophagus ifakela kwisisu) ihlala apho ikhona, kodwa inxalenye yesisu ixutywe kwisifubeni ngasecaleni.
Isabelo sesisu esisecaleni elingafanelekanga kwi-hiatus sihlala esifubeni ngamaxesha onke. Ngoluhlobo lwe-hernia , iingxaki zingenzeka.
Iimpawu
Ama-paraesophageal hernias kaninzi ayibonisi nayiphi na impawu, kodwa xa kukho izibonakaliso, zilandelayo:
- Ngokukhawuleza intlungu yesifuba
- Ukutyumza intlungu yesifuba esingenakukhutshwa ngokuthatha isifo esicacileyo
- Unzima ukugwinya
- Intlungu yesisu
- Ukunyanzelisa
- I sizathu
- Ukuvutha
- Ukubuyisela
Iingxaki ze-Paraesophageal Hiatal Hernia
- Ukuvalelwa: Kulo xesha isisu sinyanzele kwaye sinyanzeliswa okanye sinyanzeliswe. Ingakhokelela ekugqibeleni.
- Ukumangalisa: Oku kubangelwa ukunikezelwa kwegazi kwisisu sokunqunyulwa. Izicubu zesisu azikwazi ukuhlala ngaphandle kwegazi kwaye ngoko ziyafa.
- Ukuhlamba : Izidumbu kunye nezilonda ezibizwa ngokuba yizilwanyana zeCameron zingakhula. Njengazinye izilonda, ezi zikhokelela ekulahlekelweni kwegazi kunye nokuphazamiseka kwegazi.
- I-gastric volvulus : Oku kubhekisela ekuphambeni kwesisu, oko kunokubangela iingxaki zokugwinya, iintlungu ezantsi ngaphantsi kwembambo, nokubuya.
- Iingxaki eziphefumulayo : I-hernia enkulu inokuyifumba imiphunga.
Uphando lwe-Paraesophageal uHeratal Hernia
Ugqirha luyadingeka kunoma yimuphi umntu onempawu kwi-hernia ephageal hernia. Ukuhlinzwa ngokukhawulezileyo kuyadingeka ngenxa yeengxaki ezinjengokuphuma kwamanzi ezingenakuvalwa, iingxaki zokuphefumla, ukuguquka kwesisu, ukuvalelwa okanye ukutyhalwa.
Utyando lwe-hiatal ukuhlinzwa ngokuqhelekileyo lwenziwa njengendlela ye-laparoscopic. I- laparoscope iyinsimbi ebonakalayo encinci, ene-telescope enekhamera ekugqibeleni eyenza ugqirha ukuba ajonge ngaphakathi kwisisu . Ngolu hlobo lotyando, iincinci ezincinci zenziwe kwisisu.
I-laparoscope kunye nezixhobo zokugqithisa zifakwe kulo mcimbi. Ngexesha lotyando, isisu sitshintshiwe (sitshitswe phantsi) kwaye i-hiatus (umgodi kwisithsaba) iqiniswa ukuze isisu singabuyi kwakhona.
> Imithombo:
> I-Paraesophageal Hernia (Hiatal Hernia). College College yeWisconsin. http://www.mcw.edu/General-Surgery/Patient-Info/GERD-Surgery-Program/Paraesophageal-Hernia.htm.
> Rosen M, Blatnik J. Ukulawulwa kokutya kwe-herniaophageal hernia. Isemgangathweno. http://www.uptodate.com/contents/surgical-management-of-paraesophageal-hernia.