I-hernia yokubeleka ibangelwa ubuthathaka bemisipha yesandi. Ininzi yexesha, akucaci ukuba kutheni i-hernia yokuzala, nakuba kukho izinto ezinobungozi. Iimeko ezibangela uxinzelelo kwimisipha yesigxina okanye iimeko ezenza buthathaka imisipha zinganandisa amathuba okuhlakulela i-hernia yokuzalwa.
Izizathu eziqhelekileyo
Ubuthakathaka bezihlunu ezinobunzima buvumela isisu ukuba singene kwindawo engasentla kwisithsaba endaweni yokuhlala ngokukhuselekileyo ngaphantsi kwesithintelo, apho singabakho.
Ingqungquthela iyisisipha esinamandla esahlukanisa isifuba esingasentla esivela kumagumbi esisu. Inokuvula apho i-esophagus idibanisa ngesisu, njengoko i-esophagus iqhelekile ngaphezu kwesicacisi, ngelixa isisu siphantsi kwesithsaba. I-diaphragm inceda kwakhona ukuvula isikhala kwisibilini sesifuba xa uthatha umoya ophefumlelweyo, ngoko ngokuqhelekileyo kuqiniswe kakuhle emzimbeni.
Iingxaki zeMfucu yokuHluleka kweMisipha
- Ukuguga: Ngokubanzi, amathuba okuba ne-hiara yenyuka xa ukhula. Imisipha ye-diaphragm ngokwemvelo ibuthathaka kwaye iguquke ngokuguquguqukayo kunye nokukhula, kwaye, njengoko ukhula, unakho amathuba okuba ufumane ingozi yobunzima bokuzala. Okungabandakanyiyo kubandakanya ukuzalwa komntwana (ukususela ekuzalweni) kunye nenzala yokuzalwa, eyakhula esemncinci.
- Ixinzelelo: Ukulimala kabuhlungu kunokubangela uxinzelelo kwisithintelo, kubangela ukwandiswa kokuvula kwi-muscle.
- Ugqirha: Ukuhlinzwa kwangasese kunokwandisa amathuba akho ekuphuhliseni i-hernia yokuzalwa.
- Ukuzalwa komntwana : Iintsana kunye nabantwana abancinci banako ukufumana inzala yokuzalwa . Oku kuya kulungiswa.
Ukufuduswa kwesisu ngenxa yezihlunu ezinobuthakathaka obuthathaka kungenza iintlobo ezahlukeneyo ze-hernia.
Hernia eLawulayo
I-hernia elambileyo yimeko apho isisu sakho sinokuyilahla ngokukhawuleza ngaphezu kwesithintelo ngenxa yokuvula ngokubanzi kwi-diaphragm okanye ubuthathaka bentambo engummangaliso. Ukuba unayo i-hernia ehambayo, isisu sakho asixhaswanga endaweni, kodwa ubudlelwane be-anatomiki phakathi kwesisu sakho kunye nesisu sakho, esiphezulu ngaphezu kwayo, sigcinwa njengento eqhelekileyo yobudlelwane be-anatomical.
I-hernia ibuhlungu ngexesha leengcinezelo zesisu, kunye nesisu sishenxisa ngokucacileyo kwisithuba esingaphezulu kwesithintelo. Isisu singabuya kwisimo sawo sokuqala xa kungekho nxinzelelo esiswini.
I-Paraesophageal Hernia
Olu hlobo lwe- hernia lubangelwa xa isisu sidlula ngokuvulwa okwandisiweyo kwisithintelo. Kulo hlobo lobuncwane bokubeletha, isisu sitsho eduze kwesigxina. Ayifuduki okanye isilayidi, kodwa ihlala kwindawo engavumelekanga ecaleni kwesigxobhozo, apho inokuthi ifakwe okanye ifakelwe yi-diaphragm.
Genetics
Ngokuqhelekileyo, i-hernia yokuzalwa ayikholelwa ukuba iyimfuyo, kodwa iimeko eziqhelekileyo ezizimeleyo ezinokuthi zidibaniswe ne-hiara ye-hija yi- Ehlers Danlos syndrome . Esi sisifo sesisifo esinesisombululo esinemifanekiso eyahlukahlukeneyo yekliniki, kubandakanywa ukunyunyuza okulula kunye nokudibanisa ngokugqithiseleyo.
I-Heratal hernia nayo ikhona.
Le yimiqathango ye-autosomal, echaza ukuba uza kufuneka uzuze ifa lemfuza kubazali bakho bobabini ukuze uhlakulele isifo. Ngenxa yokuba uphelele ngokwexesha, ukuba ngabazali bakho ngabanye banomdla omnye we-Ehlers Danlos Syndrome, ngoko abayi kuba nesifo, kwaye unokuba ngumntu wokuqala kwintsapho yakho ukuba ube nemiboniso yeklinikhi yesifo.
Indlela yokuphila
Kukho izinto ezimbalwa zobungozi bokuphila ezikhupha amathuba akho okuba nemfuyo yokuzala. Kwimiba emininzi yemingcipheko, ikhonkco kwi-hernia ye-hialia imisiwe kakuhle, kodwa isizathu asicacanga.
- Ukunyanya ubukhulu: Ukunyanya ubuninzi ngenye yezona zinto zinobungozi obunzima bokufa. Oku kungakho ngenxa yokunyuswa kwengcinezelo kwi-diaphragm ngenxa yesisindo esinzima.
- Ukuphakamisa kakhulu: Kukholelwa ukuba ukuphakama okunzima kubeka uxinzelelo kwisisu esiqhekezayo, okwandisa amathuba okubangela ukuba isisu siphumelele ngaphezu kwesithintelo.
- Ukuqhwala: Ingcinezelo esiswini esabangelwa ukukhwehlela ingavumela okanye ingabangela ukuba isisu sinyamezele kwisithsaba.
- Ukucocwa: Ukuchithwa kunokwandisa amathuba okuba unobungozi bokuzala ngenxa yokucinezela ngokweqile kwi-diaphragm. Oku kubandakanya ukuhluthwa kwentshukumo yokuhamba.
- Ukukhulelwa: Uxinzelelo lwesisu kunye noshintsho lwe-hormonal yokukhulelwa lunokwandisa amathuba okuba ngumntu oza kuzalwa.
- Ukutshaya: Ukutshaya kubuthakathaka izihlunu zesithintelo, ukuvumela isisu siphumelele ngaphezu kwesithintelo.
> Imithombo:
> Garvey EM, Ostlie DJ. Ukulungiswa kwe-heratal ne-paraesophageal hernia kwizigulana zezilwanyana. I-Semin Pediatr Surg. 2017 kuMatshi; 26 (2): 61-66. i-doi: 10.1053 / j.sempedsurg.2017.02.008. Epub 2017 Mar 9.
> Nelson AD, Mouchli MA, Valentin N. Ehlers Danlos syndrome kunye nemibonakaliso yesisu: unamava angama-20 e-Clinical Mayo. Neurogastroenterol Motil. 2015 Nov; 27 (11): 1657-66. i-doi: 10.1111 / nmo.12665. Epub 2015 Sep 16.