ʻO kēia anei ke kumu o ka ʻeha puʻuwai? E kamaʻilio kākou e pili ana i ka Hiatal Hernia!

ʻO kahi pilikia i loaʻa i nā poʻe he nui, ʻo ia ka ʻā ʻana o ka ʻōpū , ka ʻā ʻana o ka umauma . I kekahi manawa ma hope o ka ʻai ʻana, manaʻo ʻia e like me ka iho ʻana mai i ka puʻu, e like me ka ʻono ʻawaʻawa. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi maʻi e hiki ai ke hana i kēia. ʻO ia hoʻi ʻo Hiatal Hernia. Ua lohe paha ʻoe i kēia inoa. E nānā kākou i ke ʻano maʻalahi.

I ka ʻōlelo maʻalahi, he aha ka hernia hiatal?

E noʻonoʻo he pā i hana ʻia me nā ʻiʻo ma waena o ko kākou umauma a me ka ʻōpū. Kāhea mākou i kēia ʻo ka diaphragm . Ua like ia me ka pā e hoʻokaʻawale ana i ʻelua lumi. ʻO ka meaʻai a mākou e ʻai ai e hele ana mai ka puʻu a i ka ʻōpū ma ke ʻano o ka paipu meaʻai ( esophagus ). I mea e hele ai mai ka umauma a i ka ʻōpū, pono kēia paipu meaʻai e hele ma waena o kēlā diaphragm nui. Aia kahi lua liʻiliʻi i loko. Ua kapa ʻia kēia lua ʻo ka hiatus.

ʻO ka hernia hiatal ka wā e piʻi ai kekahi hapa o kou ʻōpū i luna ma o ka lua i loko o kou ʻōpū, i kou umauma. Ua like ia me ka wā e nui loa ai kahi puka pihi ma kahi pālule, e puka maʻalahi ana ka pihi i waho.

He aha nā hōʻailona o ka hernia hiatal?

ʻO ka mea kupaianaha, ʻaʻole hōʻike ka nui o ka poʻe me ka hernia hiatal i kekahi mau hōʻailona. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i kēia mau hōʻailona.

No ke aha e hana ai kēia hernia hiatal?

I kekahi manawa he mea paʻakikī ke kuhikuhi i kahi kumu kikoʻī no kēia, akā ke manaʻo nei au eia kekahi mau mea e kōkua ai:

• Loaʻa kahi puka nui i ka wā hānau: Hiki i kekahi poʻe ke hānau ʻia me kahi lua i kapa ʻia he hiatus i ʻoi aku ka nui ma mua o ka maʻamau.
• Ka ʻelemakule: I kou wā ʻelemakule, hiki i nā mākala o kou diaphragm ke hoʻonāwaliwali.
• Hoʻonui ʻia ke kaomi intra-abdominal: ʻO nā mea e like me ka ʻū ʻana lōʻihi, ka hāpai kaumaha, a me ka hoʻoikaika nui ʻana i ka wā e hele ai i ka lua hiki ke hoʻonui i ke kaomi intra-abdominal a hoʻokuke i ka ʻōpū i luna.
• Momona: I ka piʻi ʻana o ke kaumaha o ke kino, piʻi pū ke kaomi ma ka ʻōpū.
• ʻEha: ʻO kēlā me kēia ʻeha ma ia wahi.

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

• No ka poʻe momona
• No ka poʻe ma luna o 50 mau makahiki
• No nā makuahine hāpai
• No ka poʻe puhi paka a nau paha i ka paka

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Hiki i kāu kauka ke ʻike iā ʻoe me ka hernia ke loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka ʻōpū. No ka hōʻoia ʻana i kēia, hiki ke hana ʻia kekahi a ʻoi aku paha o nā hoʻokolohua aʻe:

1. Barium Swallow: Ma kēia hoʻāʻo, inu ʻoe i kahi wai i loaʻa kahi kemika i kapa ʻia ʻo barium a laila loaʻa iā ʻoe kahi X-ray. Hōʻike ka barium i kou esophagus a me kou ʻōpū i ʻike maopopo ʻia ma ka X-ray.

2. Endoscopy:Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia i lalo o kou puʻu a ua nānā ʻia ke ʻano o loko o kou esophagus a me ka ʻōpū.

3. Manometry Esophageal: Ke ana kēia i ke kaomi i loko o ka esophagus i kou ale ʻana.

4. Hoʻāʻo pH: Hoʻokomo ʻia kahi capsule liʻiliʻi i loko o ka ʻōmole hānai a ana ʻia kou pae waikawa no kahi o 48 mau hola. ʻAʻole pono e wehe ʻia kēia capsule, e hemo wale ia a puka pū me kou ʻōpala.

Pehea e mālama ʻia ai ka hernia hiatal?

ʻO ka loaʻa ʻana o ka lāʻau lapaʻau a i ʻole ʻaʻole paha, pili ia i ka loaʻa ʻana o nā hōʻailona a me ke koʻikoʻi o ia mau hōʻailona.

Inā he mau hōʻailona, ​​​​aia nā lāʻau lapaʻau e like me:

Nā lāʻau lapaʻau (nā lāʻau lapaʻau)

ʻAʻole hiki i ka lāʻau lapaʻau ke ho'ōla i ka hernia, akā hiki ke hoʻēmi ʻia nā hōʻailona ma ka kaohi ʻana i ka waikawa o ka ʻōpū.

• Antacids: Hoʻonāwaliwali lākou i ka waikawa o ka ʻōpū.
• Nā mea pale i ka pamu proton a i ʻole nā ​​​​mea pale i ka receptor H2: E hōʻemi i ka hana ʻana o ka waikawa i loko o ka ʻōpū.
• Prokinetics: Hoʻoikaika lākou i nā mākala o ka esophagus a kōkua i ka pale ʻana i ka waikawa mai ka piʻi ʻana mai.

ʻoki kino

I kekahi manawa pono ke ʻoki kino. ʻO kēia ka hihia i ka wā:

• Inā ʻaʻole hiki ke kaohi ʻia nā hōʻailona me nā lāʻau lapaʻau a me nā loli o ke ʻano o ka nohona.
• Inā paʻakikī ke hoʻomanawanui i nā hopena ʻaoʻao o ka lāʻau lapaʻau.
• Inā nui loa ka hernia.

ʻAʻole kēia he ʻoki kino ulia pōpilikia maʻamau. Hana pinepine ʻia ia ma o kahi puka kī (laparoscopy). Pili kēia i ka hana ʻana i kekahi mau ʻoki liʻiliʻi ma ka ʻōpū a me ka hana ʻana i ke ʻoki kino me ke kōkua o kahi kāmela. ʻO ka hopena, ʻoi aku ka wikiwiki o ka ho'ōla ʻana a me ka emi ʻana o nā ʻeha. Pono ʻoe e noho ma ka haukapila no hoʻokahi a ʻelua paha lā ma hope o ke ʻoki kino. Hiki ke hala i ʻelua a ʻeono pule e hoʻōla piha ai.

He aha nā hoʻololi o ke ʻano o ka nohona e pono ai ʻoe e hana?

ʻO ke kaumaha nui ke kumu nui o ka hernia. No laila, he mea nui loa ia e kaohi i kou kaumaha.

• E hōʻemi i ka nui o kāu ʻai ʻana: E ʻai liʻiliʻi, ʻaʻole nui i ka manawa hoʻokahi.
• E hōʻemi i nā meaʻai momona kiʻekiʻe: E hōʻemi i nā mea ʻono momona, nā meaʻai ʻaila, a me nā meaʻai i hoʻopili ʻia (e like me nā ʻuala palai).
• E ʻai i ka ʻaina ahiahi i kakahiaka nui: E ʻai i ka ʻaina ahiahi 3-4 mau hola ma mua o ka hiamoe ʻana. Mai moe no kekahi manawa ma hope o ka ʻai ʻana.
• E hoʻokiʻekiʻe iki i kou poʻo i kou wā e hiamoe ai: E hiamoe me hoʻokahi a ʻelua paha uluna. E hōʻemi kēia i ka nui o ka waikawa e piʻi mai ana.
• E ho'ōki i ka puhipaka: Hoʻonui ka puhipaka i kēia maʻi.
• E ʻike i nā meaʻai maikaʻi ʻole iā ʻoe:Inā hoʻonui aʻe kekahi mau meaʻai (nā mea ʻawaʻawa, kokoleka, nā hua citrus, kofe) i nā hōʻailona, ​​e pale aku iā lākou.