Ðe akɔtave hã le ŋuwòa? Nyemenya ne hiatal hernia ye o! Ðe míaƒo nua?

Ðe dzi gbãna hã zi geɖea? Ðe nèsena le ɖokuiwò me be yeƒe ŋɔti me vivina le nuɖuɖu vɔ megbea, alo ɖe nèsena le ɖokuiwò me ɣeaɖewoɣi be nuɖuɖu le dodom le yeƒe ŋɔti mea? Alo ɖe wòsesẽna na wò be nàmi nuɖuɖua, alo ɖe nèsena le ɖokuiwò me be nane tsi wò ŋɔti mea? Togbɔ be ɣeaɖewoɣi la, míeléa ŋku ɖe nusiawo ŋu boo o hã la, nɔnɔme aɖe ate ŋu anɔ anyi si woyɔna be "Hiatal Hernia" le esiawo megbe. Mègatsi dzi o, esia nye nusi dzɔna ɖe ame geɖe dzi eye woate ŋu adae. Egbea, míaƒo nu tso esia ŋu tsitotsito, abe ɖe míele nu ƒom na ƒomea me tɔ aɖe ene.

Nukae nye Hiatal Hernia?

Kpuie ko la, hiatal hernia nye ne wò dɔgbo ƒe akpa si le etame la to do sue aɖe si le lãkusi si me wò akɔta kple wò ƒodo dome la me. Bu eŋu abe gli ene. Do sue aɖe (esophageal hiatus) le gli sia ŋu afisi wò nuɖuɖutome do ƒome kple wò dɔgbo le. Ɣeaɖewoɣi la, ne do sia lolo vie la, wò dɔgbo ƒe akpa aɖe tutua to eme. Emae nye nusi míeyɔna be hiatal hernia. Nya hernia fia be ŋutinu alo lãkusi aɖe ƒoa to teƒe si gbɔdzɔ le lãkusi ƒe mɔxenu si ƒo xlãe me, ke menye le afisi wòle zi geɖe o. Hernia bɔ, eye ame geɖe kpɔa hiatal hernia sia. Zi geɖe la, esia va doa mo ɖa vivivi le ƒe geɖe megbe. Menye nusi trɔna kpatae wònye o.

Hiatal Hernia ƒomevi kawoe nye?

Hiatal hernia ƒomevi vevi eve li: sliding hiatal hernia kple paraesophageal hiatal hernia . Sliding ƒomevi sia le ame akpa gãtɔ si.

• Ƒomevi 1: Hiatal Hernia si le ʋuʋum

Esiae nye ƒomevi si bɔ wu (anɔ abe 95%) . Nusi dzɔna enye be wò nuɖuɖutome (nuɖuɖu ƒe pɔmpi) dona to do aɖe si le ʋuka me, afisi wòdoa ka kple wò dɔgbo le (gastroesophageal junction), eye emegbe wògatrɔna yia anyime ake. Ðeko wòle abe ɖe wòle ʋuʋum ene. Esia tae woyɔnɛ be sliding hernia ɖo.

• Ƒomevi 2: Paraesophageal Hiatal Hernia - Wogayɔnae be Rolling Hiatal Hernia.

Le ƒomevi sia me la, dɔgboa ƒe akpa si le etame dona tso ʋuƒo si le nuɖuɖutome, si yia nuɖuɖutome la godo. Ate ŋu adze abe ƒuƒoƒo si le abe bɔl ene.

• Ƒomevi 3: Hernia si wotsaka

Esia le abe ƒomevi eve siwo míeyɔ ɖe etame la ƒe ƒuƒoƒo ene. Nuɖuɖutome la dona ɖe gota le afisi wòdo ƒome kple dɔgboa le, eye dɔgboa ƒe akpa bubu ate ŋu ado le ɣeyiɣi ma ke me.

• Ƒomevi 4: Hernia si sesẽ

Esia mebɔ vie o, eye ate ŋu asesẽ vie. Nusi dzɔnae nye be do si le aɖuɖɔtoea me lolona ale gbegbe be dɔgboa kple ƒodo ƒe ŋutinu bubu, le kpɔɖeŋu me, dɔgboa ƒe akpa aɖe, dɔgbo, alo dɔgbo, va kpena ɖe eŋu.

Aleke gbegbee nɔnɔme sia bɔe be Hiatal Hernia?

Le nyateƒe me la, esia bɔ wu alesi nàsusui, vevietɔ ne èle tsitsim. Le dukɔ abe Amerika ene me la, edzea amewo katã ƒe 20% lɔƒo dzi. Wogblɔ be kaka woaxɔ ƒe 50 la, 50% axɔ dɔléle sia, kaka woaxɔ ƒe 60 la, 60%, eye kaka woaxɔ ƒe 70 la, 70% axɔ dɔléle sia. Nɔnɔme sia bɔ ɖe Sri Lanka hã.

Nukae nye Hiatal Hernia ƒe dzesiwo?

Le sliding hiatal hernia, si le ame geɖe ŋu gome la, ɖewohĩ màse hernia gɔ̃ hã o. Medzena abe ƒunukpeƒetetedɔ ene le gota abe ʋuʋudedi ƒomevi bubuwo ene o.

Ame geɖe siwo ŋu hiatal hernia le la meɖea dzesi aɖeke fiana o. Gake amesiwo ƒe dzesiwo dzena le wo ŋu ƒe akpa gãtɔ ƒe dzesiwo do ƒome kple acid reflux dɔléle si nɔa anyi didi (Gastroesophageal Reflux Disease - GERD ) .

Woawoe nye:

• Dzimeve : Dzoxɔxɔ le akɔta, vevietɔ le nuɖuɖu vɔ megbe.
• Akɔtave si menye dzitodzito o : Akɔtave enuenu , si sɔ kple angina , gake medo ƒome kple dzi o .
• Nuɖuɖumadzroame: Seselelãme be yeɖi ƒo le nuɖuɖu sue aɖe ɖuɖu vɔ megbe, si kpe ɖe vevesese le dɔgboa me ŋu.
• Burping and regurgitation: Nuɖuɖu, ya, kple acid ƒe ʋuʋu yi ŋɔti me.
• Nu mimi sesẽ alo ƒunukpeƒetetedɔ aɖe le wò ŋɔti me.
• Kɔmeve kple ɣlidodo: Acid si le ŋɔti me ate ŋu ana ŋɔti nave eye wòatrɔ gbe.

Gake ɖo ŋku edzi be menye amesiame si ŋu hiatal hernia le ye xɔa acid reflux o, eye menye amesiame si ŋu acid reflux le lae hiatal hernia le o. Gake ne èle dzesi siawo kpɔm zi geɖe la, ate ŋu anye hernia. Nuxlɔ̃amedzesi bubuwoe nye:

• Aɖuɖɔtoe: Dɔgbo ƒe nyaƒoɖeamenu, acid ƒe gege ɖe lãme na ame, alo evea siaa ate ŋu ahe aɖuɖɔtoe vɛ.
• Yagbɔgbɔ kpuie:Ne ƒunukpeƒetetedɔa te ɖe lãkusia ŋu la, gbɔgbɔ ate ŋu asesẽ.
• Nyaƒoɖeamenu alo vevesese le ƒodo ƒe akpa si le etame alo akɔta ƒe akpa si le ete.

Dzesi siawo dzena zi geɖe le amesiwo ŋu paraesophageal hernias gãwo le ŋu.

Aleke Hiatal Hernia ƒe vevesese sena le eɖokui me?

Hiatal hernia nye afisi wò dɔgbo kple akɔta do go le. Eyata ne ʋuʋudedi le veve sem na wò la, ate ŋu ase le ɖokuiwò me abe akɔtave alo dɔgbo ƒe vevesese ene. Vevesese ate ŋu ado mo ɖa ne èle nu aɖewo wɔm alo ne èle nɔnɔme si me ʋuʋudedia le tetem alo le ʋuʋum le. Le kpɔɖeŋu me, ne ƒunukpeƒetetedɔ gã aɖe le ŋuwò la, àte ŋu ase veve ne èbɔbɔ ɖe ŋgɔ, kɔ akɔta, alo kɔ nane ɖe dzi. Vevesese ate ŋu anye dzesi hã be nane gblẽ. Gake zi geɖe la, vevesese si tso hiatal hernia me metsoa hernia ŋutɔ gbɔ o, ke boŋ esi tso acid reflux gbɔ. Acid la doa dziku na wò nuɖuɖutome. Esi wònye be nuɖuɖutome sia tso wò akɔta titina va ɖo wò ŋɔti me ta la, vevesesea ate ŋu ase le eɖokui me abe ɖe wòle keklẽm ɖe dzi, ɖe anyi, alo le wò akɔta katã ene. Ame akpa gãtɔ sena le wo ɖokui me abe dzobibi ene. Ame aɖewo gɔ̃ hã ate ŋu ase le wo ɖokui me abe dzidɔ ene. Ne ɖikeke aɖe le mewò, alo ne akɔta le veve sem na wò la, anyo wu be nàyi ɖɔkta gbɔ eye nàdo wò kpɔ.

Aleke acid wɔna gena ɖe ŋɔti me le ʋuʋudedi ta?

Bu eŋu kpɔ, afisi míaƒe nuɖuɖutome do ƒome kple míaƒe dɔgbo (gastroesophageal junction). Afi mae lãkusia yina, eye lãmeka siwo kpena ɖe ame ŋu zi geɖe be acid nagayi ŋɔti me o la me sẽna. Ne lãmeka siawo sesẽ eye womete ŋu tu nuɖuɖutome nyuie o la, aɖi si le dɔgboa me la gadzea egɔme nɔa dzi yim yia nuɖuɖutome. Azɔ hã, le ƒunukpeƒetetedɔa ta la, aɖia ƒe akpa aɖewo tsia ƒodoa ƒe akpa si le etame, eye meɖiɖina bɔbɔe nenema o. Nusi dzɔna koe nye esia.

Nukawoe hea Hiatal Hernia vɛ?

Hernia ate ŋu adzɔ ne teƒe aɖe si gbɔdzɔ le lãkusi siwo ma míaƒe ŋutilã ƒe akpa vovovowo dome. Teƒe gbɔdzɔgbɔdzɔ mae nye afisi ʋuʋudedia dona le. Hiatal hernia dzɔna, abe alesi míegblɔe va yi ene, ne do si le diaphragm si woyɔna be esophageal hiatus me lolo akpa. Ɣeaɖewoɣi la, gbɔdzɔgbɔdzɔ sia ate ŋu atso afɔku aɖe koŋ, amekoko, alo vidzidzi ƒe gbɔdzɔgbɔdzɔ aɖe gbɔ. Gake zi geɖe la, ƒe geɖe ƒe gbesiagbe nuteɖeamedzi kple teteɖeanyi si ƒo ƒu le ɣeyiɣi aɖe megbe gbɔe wòtsona. Nusianu si ahe nyaƒoɖeamenu geɖe wu vɛ le wò ƒodo me ate ŋu aƒoe ɖe ʋukaa me le ɣeyiɣi aɖe megbe. Nu vevi siwo ate ŋu ana hiatal hernia nadze ame dzi dometɔ aɖewoe nye esi:

• Kɔdzi alo aɖuɖɔɖɔɖɔ ɣeyiɣi didi: Bu eŋu kpɔ, ame aɖewo ƒe kɔdzidɔ nɔa ame ŋu atraɖii. Ne èkɔa akɔta henɔa aɖuɖɔ tom atraɖii la, nyaƒoɖeamenu si le wò ƒodo me dzina ɖe edzi.
• Dɔmeɖui: Amesiwo dɔmeɖui le fu ɖem na la nya esia.
• Lolo akpa: Ne ŋutilã ƒe lolome ƒe dzesi (BMI) sɔ gbɔ wu 30.
• Aɖuɖɔtoe enuenu.
• Kamedede sesẽ alo kpekpeme kɔkɔ: Ne èle kpekpeme kpekpewo kɔm, abe le kamedefefewɔƒe ene.
• Fufɔfɔ kple vidzidzi: Ƒodo ƒe nyaƒoɖeamenu hã dzina ɖe edzi le ɣeyiɣi siawo me.

Ðe Hiatal Hernia sia nye dɔléle sesẽ aɖea?

Zi geɖe la, ao. Hiatal hernia akpa gãtɔ menye nu sesẽ o. Wo dometɔ akpa gãtɔ mehea dzesi aɖeke vɛ o. Ðewohĩ mànya gɔ̃ hã be ɖe le ye si o. Gake ƒunukpeƒetetedɔ gã aɖe ate ŋu ava zu nu sesẽ le ɣeyiɣi aɖe megbe. Ne elolo la, dzesiwo adze le ŋuwò zi geɖe.

Nukawoe nye kuxi siwo ate ŋu ado tso eme?

Kuxi si hiatal hernia hena vɛ wue nye acid reflux si nɔa anyi didi. Ne esia nu sẽ eye wometsɔ atikewo ɖu edzi nyuie o la, ate ŋu agblẽ nu le wò nuɖuɖutome mlɔeba. Kuxi siwo dona tso acid reflux si nɔa anyi didi me dometɔ aɖewoe nye:

• Nuɖuɖutomedɔléle: Acid ƒe gege ɖe nuɖuɖutome nana nuɖuɖutome ƒe lãkusi vuvu eye wòxɔa abi. Esia ate ŋu ana ame nase veve, nu mimi nasesẽ, abi, eye ʋu nado gɔ̃ hã.
• Nuɖuɖutome ƒe ʋuʋu: Ne woyi edzi xɔ abi la, ate ŋu ana abi ƒe lãkusiwo nadzɔ ɖe nuɖuɖutome. Abi sia ate ŋu ado kplamatse lãmeka siwo wɔa dɔ le nu mimi me, si ana nuɖuɖutome natsi.
• Barrett ƒe nuɖuɖutome: Nuveviwɔame atraɖii ateŋu ahe tɔtrɔ vɛ le nuɖuɖutome ƒe lãkusi me ɣeaɖewoɣi (nɔnɔme si woyɔna be ``Barrett ƒe nuɖuɖutome.'' Togbɔ be esia megblẽa nu le eɖokui si o hã la, wobua eŋu be enye nɔnɔme si do ŋgɔ na kansa .

Ƒã ŋutɔ hafi kuxiwo ate ŋu ado mo ɖa ne hiatal hernia aɖe tsi alo wotu ɖe ʋuƒoa me. Zi geɖe la, esia dzɔna ɖe ƒunukpeƒetetedɔ ƒomevi siwo mebɔ o dzi. Kuxi mawo dometɔ aɖewoe nye:

• Dɔgbo ƒe mɔxexe: Wò dɔgbo alo ŋutinu bubu ate ŋu atɔ, amimi, alo atrɔ ɖe ʋuƒoa me, si axe wò nuɖuɖumeŋusẽ.
• Dɔgbo ƒe dɔléle: Acid ƒe gege ɖe dɔgboa ƒe akpa si me ʋuʋudedi le ate ŋu ana wòavuvu, dɔgboa naxɔ abi, eye ʋu nado le ememe.
• Ischemia: Ne womia ʋukaa me vevie alea la, woate ŋu atso ʋu si yia eme. Esia ate ŋu ana ame navuvu, ase veve, eye mlɔeba lãmekawo naku. Esia nye nudzɔdzɔ kpata aɖe.

Aleke wokpɔa Hiatal Hernia ƒe dɔlélea?

Ðɔktawo dea dzesi hiatal hernia to wò nuɖuɖutome kple dɔgbo ƒe nɔnɔmetatawo kpɔkpɔ me. Ɣeaɖewoɣi la, woke ɖe eŋu le vo me esime wole nu bubu dim. Gake ɖɔkta ate ŋu adi be yeadie ne acid reflux ƒe dzesiwo le ŋuwò. Gbã la, woawɔ nuɖuɖutome ƒe pH dodokpɔ atsɔ akpɔe ɖa be acid le wò nuɖuɖutome hã.Ne acid ma tɔgbe li la, woawɔ nɔnɔmetatawo dodokpɔwo atsɔ adi nusi gbɔ wòtso. Dodokpɔ siwo ate ŋu ade dzesi hiatal hernia dometɔ aɖewoe nye:

• Akɔta ƒe X-ray: Esia ɖea wò akɔta ƒe akpa si le eme, afisi nuɖuɖutome le, ƒe foto yibɔ kple blɔ si me mekɔ o.
• Esophagram / Barium Swallow: Esia le abe wò nuɖuɖutome ƒe video ene . Enaa nèkpɔa wò nuɖuɖutome ƒe eme le ɣeyiɣi ŋutɔŋutɔ me ne èle nu mimim. Do ŋgɔ na esia la, woana tsi aɖe si woyɔna be barium wò be nàno.
• Upper endoscopy: Wotsɔa mɔ̃ didi aɖe si me fotoɖemɔ̃ sue aɖe kpe ɖo la dea nu me be woakpɔ nuɖuɖutome kple dɔgbo me. Esia wɔnɛ be nàte ŋu akpɔ nuɖuɖutome ƒe eme le screen si le agbe dzi. Ne ehiã la, woate ŋu atsɔ lãkusi suesuesuewo (biopsy) ado wo kpɔ.
• Esophageal manometry: Wotsɔa ka aɖe dea nuɖuɖutome be woatsɔ adzidze lãmeka siwo le nuɖuɖutome ƒe nyaƒoɖeamenu.

Ðe ʋuʋudedi sia nu ayi le eɖokui sia?

Ao, hernias mehayana le wo ɖokui si o. Zi geɖe la, woƒe lãme sẽna le ɣeyiɣi aɖe megbe. Gake ema mefia be wò ƒunukpeƒetetedɔ mahe kuxi aɖeke vɛ na wò o. Ne dzesi aɖeke mele wò hiatal hernia ŋu o la, ke ɖewohĩ màhiã be woawɔ atike nɛ o. Gake ne dzesiwo le ŋuwò la, ate ŋu anɔ anyi eye woagagblẽ ɖe edzi gɔ̃ hã. Woate ŋu atsɔ atike akpɔ acid ƒe ʋuʋu fafɛ gbɔ. Gake dɔléle siwo nu sẽ wu ate ŋu abia be woawɔ dɔ na wo be woaɖɔ wo ɖo.

Nukae nye atikewɔwɔ na Hiatal Hernia?

Wò ɖɔkta alé ŋku ɖe wò ʋuʋudedi ƒe nɔnɔme, wò ʋuʋudedi ƒe lolome, kple wò dzesiwo ŋu nyuie be yeanya atike nyuitɔ kekeake si nàte ŋu azã ɣeyiɣi didi na wò. Tiatia siwo li enye:

• Lala nàlé ŋku ɖe eŋu: Ne wò ƒunukpeƒetetedɔa mele fu ɖem na wò o la, ɖewohĩ mahiã be woawɔ atike nɛ o. Gake wò ɖɔkta anɔ ŋku lém ɖe eŋu, elabena ate ŋu alolo le ɣeyiɣi aɖe megbe.
• Zã atikewo: Atikewo mate ŋu axe mɔ na acid ƒe gege ɖe ŋɔti me keŋkeŋ o. Gake woate ŋu aɖe acid si le dɔgboa me dzi akpɔtɔ. Emegbe ne efɔ ɖe ŋɔti me gɔ̃ hã la, magblẽ nu boo aɖeke o eye wòaɖe vevesesea dzi akpɔtɔ.
• Amekoko: Amekoko sue aɖe ate ŋu aɖɔ wò hiatal hernia ɖo. Amekoko nye tiatia na amesiame, gake menye amesiamee hiãe o. Ðewohĩ ame aɖewo ahiãe kaba, evɔ ame bubuwo ya ahiãe emegbe.

Atikewo

Ne dzimeve le fu ɖem na wò ɣeaɖewoɣi la, àte ŋu akpɔ gbɔdzɔe ne èzã atike siwo wua acid (abe Digene, Gelusil ene). Gake ne enɔa anyi ɖaa la, wò ɖɔkta ate ŋu aŋlɔ atike si anɔ anyi ɣeyiɣi didi, si nàzã gbesiagbe. Zi geɖe la, esia lɔ proton pump inhibitors (PPIs) ɖe eme.(e.g. Omeprazole, Esomeprazole, Pantoprazole) woŋlɔna na ame. Esiawo ate ŋu akpe ɖe ame ŋu be acid nagagblẽ nu le nuɖuɖutome ŋu o eye wòada gbe le teƒe siwo gblẽ la ŋu. Gake atike siawo mate ŋu axe mɔ na nuɖuɖu be wòagatrɔ ava ŋɔti me o (regurgitation) alo axe mɔ na ƒunukpeƒetetedɔa be wòagalolo o.

Amekoko

Ðɔktawo kafui be woawɔ dɔ na ame be wòaɖɔ hernia ɖo le nɔnɔme siawo tɔgbe me:

• Ne womate ŋu atsɔ atike axe mɔ ɖe dzesi alo kuxi siwo wò ʋuʋudedi hena vɛ nu o.
• Ne atikewo he nugbegblẽ le ŋuwò si gblẽa nu le wò lãmesẽ alo agbenɔnɔ ƒe nyonyome ŋu.
• Ne wò ƒunukpeƒetetedɔ lolo ale gbegbe be wòate ŋu ahe kuxi gãwo vɛ le etsɔme.

Hiatal hernia dɔwɔwɔ ɖɔa hernia kple acid reflux ɖo le mɔ si gbɔna nu:

• Wogbugbɔa wò dɔgbo kple nuɖuɖutome ƒe akpa si le ete la vaa woƒe nɔnɔme nyuitɔ me le lãkusia te.
• Wotu do si le lãkusia me afisi ʋuʋudedia dzɔ le.
• Wosẽa kadodo si le dɔgboa kple nuɖuɖutome dome la me.

Woyɔa amekoko sia be fundoplication . Ŋkɔa tso nya "fundus," si fia dɔgboa ƒe akpa si le etame. Le amekokoa me la, amekolaa xɔa wò dɔgbo ƒe lãkusi, xatsae ɖe wò nuɖuɖutome ƒe akpa si le anyime, eye wòtsɔa amekoko ƒe nulénu (staples) alo lãgbalẽwo blanɛ. Bu eŋu abe aɖabɛwu tsɔtsɔ bla kɔe ene. Esia nana lãmeka si ma ŋutinu eveawo (nuɖuɖutome ƒe akpa si le ete) la me sesẽna. Ɣesiaɣi si wòanya wɔ la, wowɔa esia to amekoko si me womezãa nu boo aɖeke le o me . Eyae nye amekoko si bia be woatsɔ fotoɖemɔ̃ kple dɔwɔnuwo ade nu suesuesue ʋɛ aɖewo me.

Aleke hayahaya le amekoko megbe le?

Le wò nɔnɔme kple amekoko si ƒomevi wowɔ nu la, ahiã be nànɔ kɔdzi ŋkeke ɖeka alo eve. Zi geɖe la, hayahaya tso amekoko to dɔgbo alo robot dzi me nɔa bɔbɔe wu eye wònɔa bɔbɔe wu. Esia le alea elabena wotoa lãɖeɖe suewo me, ke menye to lãɖeɖe gãwo abe amekoko le gaglãgbe ene me o. Gake ɣeaɖewoɣi la, ehiãna be woawɔ dɔ na ame le gaglãgbe. Ne ètrɔ yi aƒe gɔ̃ hã la, ahiã be nàhaya kwasiɖa eve va ɖo ade bubu. Le ɣeyiɣi sia me la, ɖewohĩ màte ŋu aɖu nu nyuie o le ɣeyiɣi kpui aɖe ƒe dzesiwo kple eƒe nugbegblẽ le ame ŋu ta esime wò amekokoa le hayahayam. Wò ɖɔkta aŋlɔ nuɖuɖu si seɖoƒe li na ŋutɔ na wò. Àdze egɔme kple tsiwo, vivivi la, àʋu ayi nuɖuɖu falɛfalɛwo dzi, eye mlɔeba àva zu nuɖuɖu sesẽwo. Esɔ be woaɖe lolo dzi akpɔtɔ le hiatal hernia dɔwɔwɔ vɔ megbe - zi geɖe la, anɔ abe pounde 10-15 (kilogram 4.5-6.8).

Aleke gbegbee Hiatal Hernia ƒe amekoko kpɔa dzidzedzee?

Hiatal hernia amekoko kpɔa dzidzedze 90%.Ame akpa gãtɔ ate ŋu adzudzɔ woƒe atikewo nono le amekoko vɔ megbe eye woanɔ agbe si sɔ eye acid reflux ƒe kuxi manɔmee. Ne èhaya vɔ la, ahiã be nàyi ɖɔkta gbɔ zi ɖeka ya teti le ƒea me be nàlé ŋku ɖe ʋuʋudedi si wodzra ɖo ŋu ahakpɔ egbɔ be nusianu le dɔ wɔm nyuie. Ne kuxi yeye aɖewo do mo ɖa alo ne kuxi xoxowo gatrɔ va la, wò ɖɔkta alé ŋku ɖe esiawo hã ŋu. Numekuku siwo wowɔ ɣeyiɣi didi ɖee fia be hiatal hernias ƒe 50% lɔƒo agava le ɣeyiɣi aɖe (zi geɖe la, ƒe geɖe) le amekoko megbe. Esia ate ŋu atso esi womewɔ amekokoa ƒe akpa aɖe nyuie o ta, alo esi nusiwo na ʋu ƒe sisi gbãtɔa gakpɔtɔ le dɔ wɔm eye wòhe amekoko yeye vɛ tae. Gake menye ƒunukpeƒetetedɔ siwo katã gbugbɔna dzɔna lae ƒe dzesiwo anɔ abe ɖeka ene o. Gake ne wowɔe la, zi geɖe la, amekoko yeye ate ŋu aɖɔ wo ɖo tegbee.

Nukae mate ŋu awɔ le aƒeme na nye hiatal hernia?

Ne hiatal hernia si hea dzesiwo dzena ɣeaɖewoɣi la, àte ŋu adze agbagba akpɔ gbɔdzɔe le aƒeme to atike siwo womeƒlena o kple agbenɔnɔ ƒe tɔtrɔ me. Antacids - abe Tums®, Rolaids®, Pepto-Bismol® (atike mawo tɔgbe li le Sri Lanka, bia wò ɖɔkta alo atikewɔla) - ateŋu akpeɖe ŋuwò nàɖu dzimeve ɣeaɖewoɣi dzi, gake womeɖo aɖaŋu be woazã wo edziedzi o. Àte ŋu aɖe dzitodzito ƒe dzidziɖedzi kple eƒe sesẽ hã dzi akpɔtɔ to agbenɔnɔ ƒe tɔtrɔ aɖewo me. Le kpɔɖeŋu me:

• Na wò ŋutilã ƒe lolome ƒe dzesi (BMI) si le lãmesẽ me nanɔ asiwò: Ne lolo akpa le acid ƒe kuxiwo hem vɛ la, lolo dzi ɖeɖe kpɔtɔ ate ŋu akpe ɖe ŋuwò.
• Ƒo nu suewo: Le esi teƒe be nàɖu nu gã aɖe zi ɖeka la, ɖu nu suewo. Esia aɖe nyaƒoɖeamenu si anɔ wò dɔgbo dzi dzi akpɔtɔ.
• Ðe nuɖuɖu siwo me ami le dzi kpɔtɔ: Nuɖuɖu siwo me ami kple ami sɔ gbɔ ɖo nana dɔgboa wɔa acid kple enzyme geɖe.
• Ƒo fiẽnu kaba: Mègamlɔ anyi gaƒoƒo ʋɛ aɖewo le nuɖuɖu vɔ megbe o. Ekema nuheŋusẽ akpe ɖe ŋuwò.
• Trɔ wò alɔ̃dɔdɔ ƒe nɔnɔme: Ne èmlɔ ta ɖe dzi vie le zã me eye nèmlɔ wò miame la, ate ŋu akpe ɖe ŋuwò be acid nagage ɖe wò ŋɔti me o. Ŋutilã ƒe akɔtaɖonu siwo ŋu wotrɔ asi le etɔxɛe li na esia.
• Dzudzɔ atamanono: Sigaretnono nana wò nuɖuɖutome ƒe akpa si le ete la gbɔdzɔna. Ate ŋu ana ame naxɔ kɔdzi atraɖii hã, si nana lãmeka siwo ƒo xlã hiatal hernia la nate ɖe wo dzi.

Woate ŋu akpɔ hiatal hernia le ŋuwò le vome ne èyi ɖɔkta gbɔ le susu bubu aɖe ta. Esia bɔ ŋutɔ, eye ne tɔwò le sue eye mele kuxi aɖeke hem vɛ na wò o la, menye nusi ŋu nàtsi dzi ɖo o. Alo, woate ŋu akpɔe be hiatal hernia le ŋuwò le ƒe geɖe ƒe dzesiwo kpɔkpɔ vɔ megbe eye mlɔeba nàdi ŋuɖoɖowo kple gbɔdzɔe. Ðewohĩ awɔ nuku na wò be nàse be wò acid reflux tso hernia gbɔ. Dzɔgbenyuietɔe la, atike aɖewo li na acid reflux kple hiatal hernia siaa. Atikewɔwɔ si nèhiã la anɔ te ɖe hernia ƒomevi kple wò dzesiwo dzi. Le go geɖe me la, atikewo kple agbenɔnɔ ƒe tɔtrɔ ate ŋu akpe ɖe ŋuwò nàɖu wò acid reflux dzi. Le nɔnɔme siwo nu sẽ wu me la, ate ŋu ahiã be woawɔ dɔ na ame be woatsɔ aɖɔ ƒunukpeƒetetedɔa ɖo. Amekoko sia kpɔ dzidzedze ŋutɔ. Ne wò dɔlélea nya dze ƒã ko la, ànɔ mɔ dzi yina gbɔdzɔe didi tso wò dzesiawo me.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Hiatal hernia menye naneke si ŋu wòle be woavɔ̃ ɖo o. Ame geɖe le eŋu eye womeɖea dzesi aɖeke fiana o.

Gake ne dzesiwo abe akɔtave, nuɖuɖu si le dodom le wò ŋɔti me, alo nu mimi sesẽ na wò ene yi edzi le fu ɖem na wò la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo. Elabena ele vevie be nànya nenye be hiatal hernia alo nu bubu aɖee gbɔ wòtso eye nàxɔ atike si hiã.

Woate ŋu akpɔ nɔnɔme sia gbɔ nyuie to agbenɔnɔ ƒe tɔtrɔ kple ɣeaɖewoɣi atikewo zazã me. Ne ehiã be woawɔ dɔ na ame gɔ̃ hã la, fifia wotsɔa aɖaŋu deŋgɔ ŋutɔwo wɔa esia eye emetsonuwo kpɔa dzidzedze. Eyata, mègatsi dzodzodzoe o. Ƒo nu kple wò ɖɔkta eye nàdi egbɔkpɔnu nyuitɔ kekeake na wò. Hiatal hernia, dzimeve, acid reflux, GERD, dɔgbo, nuɖuɖutome, hernia ƒe amekoko