Ukuba ingqibelelo yesithsaba iyancitshiswa, i-hernia ye-diaphragm iyakwenzeka-ukukhutshwa kwamalungu e-peritoneal kwisigxina se-thoracic kunye nokunye. Esi siqulatho sisifo esibalulekileyo, kodwa siyaphathwa kakuhle.
Iimpawu ze-hernia yesigxina se-diaphragm
I-hernia ye-diaphragmatic ye-esophag iyakwenzeka ngezizathu ezahlukahlukeneyo. Ngokuxhomekeke kwimvelaphi, ezi ntlobo zilandelayo ziyahluka:
- ukungabikho komntwana;
- imvelaphi engummangaliso;
- i-hernia, ebangelwa ukutyhafisa kwezicubu zengqungquthela;
- Ukwandiswa kovulo oludityanisiweyo olujikeleze isisu ngenxa yokudakalisa kwe-sphincter yesisu;
- i-hernia ebangelwa kukutya ngokutya;
- ukukhutshwa, okubonakalayo ngenxa yokukhulelwa nokubeletha;
- utshintsho lwe minyaka.
Ingqungquthela ihlula isisu esiswini kunye nezitho zokuphefumula, ukuthintela ukungena kweemveliso ezibalulekileyo kwisimo sokuphefumula, kodwa ngamanye amaxesha udonga oluyingqumbo lomzimba lulahlekelwa ingqibelelo yalo. Ngamanye amaxesha oku kwenzeka kwiintsana ezingekafiki, kodwa ngokuphindaphindiweyo inkunkuma ye-diaphragmatic isiphumo sokuphila okungalunganga. Ngokwezibalo, ukuphazamiseka okunjalo kuboniswa kuwo onke amabhinqa angaphezu kweminyaka engama-50 kunye nomntu wesihlanu oneminyaka efanayo. Nazi iziganeko eziphambili ze-hernia ye-epidus:
- ukuguquka;
- ukubetha kunye nokubetha;
- ukubetha rhoqo;
- intlungu esifuba;
- ukukhwehlela;
- intlungu eyongeziweyo xa iphoswe;
- isicathulo kunye nokuhlanza, ukuzisa.
Iimpawu zonyango lwe-hernia ye-diaphragmatic
Ukuxilongwa kwe-hernia ye-diaphragmatic kwenzeka kwiinqanaba eziliqela. Emva kokuhlalutya izikhalazo kunye neempawu, ugqirha ubeka i- x-ray yesisu ngokuhlukileyo, okanye i-fibroesophagogastroduodenoscopy. Ngokusekelwe kwezi zifundo, kunokwenzeka ukuba kusekwe ukuxilongwa okucacileyo.
Kukho iindlela ezininzi zokuphatha i-hernia ye-diaphragmatic. Kwimeko apho kwakunomtsalane omncinci kwi-diaphragm ye-esophagus, okanye inxalenye yesisu, isincedo siya kuzisa utshintsho kwindlela yokutya. Isigulane sifanele sigweme ukutya okumuncu, okunesonka kunye nokutshintshela kwisidlo sokuhlulwa. Kwakhona kunqweneleka ukuba ugweme umsebenzi omzimba onzima kunye nokuphakanyiswa kombane. Inkunkuma encinane kunye nale mithetho iya kutshabalala ngokwayo.
Ukuba ukutya kunye nokuthintelwa komsebenzi akuzange kwenze iziphumo, isigulane sinokumiselwa iziyobisi ezilawula u-acidity wesisu. Ngoxa uncedo unako ukuwukhupha ngokupheleleyo kwaye unganciphise imfuno yokungenelela.
Ngendlela yokusebenza i-hernia ipheliswa kwimeko apho iholele ekubunjweni kwezilonda, okanye izinto zangaphandle ezisuka kwisigxu zaqala ukungena kwi-bronchi. Njengomthetho, izitho zokuphefumula ngakwesokudla zixhaphake rhoqo. Udokotela ogqirha ushukumisela isisu kunye nenxalenye engenasisu yesisu ngaphantsi kwesigxina kunye ne-sutures i-orifice ejikeleze isisu se-sphincter, apho izidumbu zenyama zifaka i-thorax.
Unyango lwe-hernia ye-diaphragm kunye namayeza omntu awuniki iziphumo ezinzulu ezifana nokuhlinzwa, kodwa unokuphelisa ngokupheleleyo ukutshaya kwentliziyo kwaye iminyaka emininzi ithoxise ukungenelela ngophengululo. Okokuqala, kufuneka uqaphele izityalo ezinciphisa i-asidi yesantya esiswini kunye nokukhwehlela. Yomibini yale mi sebenzi ineengcambu ze-althea. Kwanele imihla ngemihla ukugqiba i-150 g yeeyi kwi-1 tbsp ingcambu ehlanjwe ngomhlaba ukuziva uncedo emva kweveki.
Kwakhona unako ukulungiselela iyeza ngokulandela iresiphi elandelayo:
- Elinye ithisipuni leembewu zerrotti zityhala iglasi yamanzi abilayo.
- Ukupheka ukushisa okuphantsi kweminye imizuzu emi-2-3, gubungela.
- Ukunika umhluzi imizuzu engama-30, utywala, uphuze ngexesha lemini kwiincinci ezincinci.
- Inkqubo yokonyango iiveki ezingama-2-3.