I-hernia eqhelekileyo-into evezwe ngabaninzi. Ukucima i-hernias akungaziwa kakuhle, ngoko igama labo liyaqhiphukisa abaninzi. Enyanisweni, akufanelekanga kakhulu ukukhathazeka malunga - isithsaba esithintekayo sokukhupha isisu se-sulfure ayimelanga ingozi enkulu, kodwa, akunjalo, akunakulungiswa ukuba ayiyihoxise. Ukuqala ngexesha elifanelekileyo lonyango luqinisekisa ukuba uhlaziywa ngokupheleleyo.
Iimbangela kunye neempawu zokubonakala kwe-hernia yokuvulwa kwe-esophageal yesithintelo
Ukususela kwiindlovu eziqhelekileyo ezihambayo zibonakalisa ukuba enye yeendonga zayo ihlanganiswe yi-peritoneum. Ingxaki ivela xa iqumrhu elivela kwi-peritoneum lingena ngokungena kwi-orifice kwisithintelo kwi-sternum. Esi sifo asibonakali rhoqo, kwaye kwiimeko ezininzi, izigulane aziqapheli nayiphi na utshintsho emzimbeni.
Iyakwamkelwa ukuhlula amanqanaba ambalwa angundoqo angenangqiqo ekuvulekeni kwe-sophoge:
- Kwinqanaba lokuqala, isisu siseduze nesithintelo, kwaye inxalenye yesisu esiswini sesangqa sifinyelela kwisigxina se-thoracic.
- Isigaba sesibini sibonakala ngokungena kwesisu esiswini.
- Kwinqanaba elinesithathu kunzima, inxalenye yesisu yomzimba, kunye nomzimba, nangaphantsi, ngamanye amaxesha nxalenye yeengxenyana zesisu, ingafumaneka kwisigxina se-thoracic.
Kunokuba kunzima ukuthetha oko kubangela ukuba kubonakale kubonakale kwindlela yokubonakala kwe-hernia ehambayo ye-sophogeal. Iingcali zichonga eziliqela izinto eziphambili ekuphuhlisweni kwesi sifo:
- ukuqhenywa rhoqo;
- imikhwa emibi;
- u bunzima;
- ubuhlwempu;
- ubudala;
- ezinye iziphene zokuzalwa;
- ukunyanzelisa umzimba;
- ukukhwehlela okungapheliyo;
- yokuphila;
- iingxaki ngomgudu (umqubu okanye ukuphulwa komzimba , umzekelo).
Iimpawu eziphambili ze-hernia yokuvulwa kwe-esophageal ye-diaphragm zinokudideka kalula kunye nokubonakaliswa kwezifo ezininzi zesigca esiswini. Isici esona sikhulu saloo-hernia sinokuthathwa njengentlungu epholileyo, eninzi kwiimeko ze-epigastric. Ukuvakalelwa kwenyameko kwandiswe emva kokutya, ukudlala ezemidlalo okanye ukulungeleka ukukhwehlela. Intlungu iyakwazi ukunyuka ngokukhawuleza njengoko yenzayo, emva kokubamba okanye ukutshintsha isikhundla somzimba.
Kwiimpawu eziphambili zokwephulwa kwe-hernia yokuvulwa kwe-esophageal yesihlunu, umntu unokukwazi ukwahlula oku:
- ukuguquka;
- ukubonakala emva kobuhlungu obunzima;
- uvakalelo lwesinqe emqaleni;
- ukucima;
- Inemia ye-anemia (ivela ngenxa yokuphuma kwegastric engenakwenzeka);
- umququ;
- Ukuhlaselwa kobusuku;
- dysphagia;
- reflux esophagitis .
Ukuxilongwa kunye nokunyangwa kwe-hernia yokuvulwa kwe-esophageal ye-diaphragm
Ukuze kuqinisekiswe isifo esithile, kufuneka uviwo olubanzi, kubandakanya ukuxilongwa kwendlela yokuxhamla isisu, isifo senhliziyo kunye neentsholongwane zokuphefumula. I-X-ray kwi-hernia
Kwizigaba zokuqala, unyango olusisigxina kakhulu luqwalaselwa, oluvumela ukuba ulahlekise iimpawu eziphambili. Izidakamizwa ezidumileyo ekuphatheni i-hernia zi:
- Almagel;
- Maalox;
- Thimeda;
- Kwamatel nabanye.
Kwezinye iimeko, akunakwenzeka ukuphilisa i-hernia yokuvulwa kwe-esophageal ye-diaphragm ngaphandle kokuhlinzwa. Ingenelelo yokuphanda iyadingeka phambi kobunzima okanye ukungasebenzi kakuhle kweendlela ezizimeleyo.