Yu kin gɛt at bɔn bak bɔku tɛm? Yu kin fil lɛk se yu gɛt sɔl teys na yu trot afta yu dɔn it, ɔ sɔntɛnde yu kin fil lɛk se it de kam ɔp yu trot? Ɔ i nɔ kin izi fɔ yu fɔ swɛla it, ɔ yu kin fil lɛk se sɔntin dɔn stɔp na yu trot? Pan ɔl we sɔm tɛm wi nɔ kin pe bɔku atɛnshɔn to dɛn tin ya, i kin gɛt wan kɔndishɔn we dɛn kɔl "Hiatal Hernia" biɛn dɛn tin ya. Nɔr wɔri, dis na tin wae kin apun to bɔrku pipul ɛn kin trit am. Tide, wi go tɔk bɔt dis ditayli, lɛk se wi de tɔk to pɔsin na wi famili.
Wetin na Hiatal Ɛnia?
Fɔ tɔk am simpul wan, hiatal hernia na we di ɔp pat pan yu bɛlɛ de push tru wan smɔl ol na di dayafragm, we na di mɔsul we de sheb yu chɛst frɔm yu bɛlɛ. Tink bɔt am lɛk wɔl. dis wכl gεt sכmכl ol (esophageal hiatus) usay yu εsophagus de kכnekt to yu bεlε. Sɔntɛnde, we dis ol big smɔl, wan pat pan yu bɛlɛ kin push tru. Na dat wi kin kɔl hiatal hernia. di wɔd
hεnia min se wan כgan כ tisu de push tru wan wik ples na di tisu barεri we de rawnd am, pas usay i nכmal fכ de. Ɛnia kin kam, ɛn bɔrku pipul kin gɛt dis hiatal hεnia. Dis kin apin smɔl smɔl fɔ lɔng tɛm. I nɔto sɔntin we kin chenj wantɛm wantɛm.
Wetin na di kayn Hiatal Hernia?
Tu men kayn hiatal hεnia de:
slayding hiatal hεnia εn
paraesophageal hiatal hεnia . Bɔku pipul dɛn gɛt dis kayn we we de slayv.
Dis na
di kayn we we dɛn kin gɛt mɔ (lɛk 95%) . wetin kin apin na we yu εsophagus (fud paip) de kam כp tru wan ol na di dayafragm, usay i de kכnekt to yu bεlε (gastroesophageal junction), εn afta dat i de go bak dכn bak. I tan lɛk se i de slip. Na dat mek dɛn kɔl am sliding hernia.
- Tayp 2: Paraesophageal Hiatal Hernia - Dɛn kin kɔl am bak Rolling Hiatal Hernia.
insay dis kayn we, di כp pat pan di bεlε de kכmכt frכm di opin we de na di εsophagus, pas di εsophagus. I kin tan lɛk wan bɔl we tan lɛk bɔl.
Dis tan lɛk we dɛn jɔyn di tu kayn we dɛn we wi dɔn tɔk bɔt. di εsophagus de kכmכt usay i kכnεkt to di bεlε, εn כda pat pan di bεlε kin kכmכt di sem tεm.
Dis nɔ kin apin smɔl, ɛn i kin kɔmplikt smɔl. wetin kin apin na di ol na di dayafragm kin big so dat di bכdi εn כda bכdi כgan, fכ egzampl, pat pan di intestכn, di pankrias, כ di splin, kin kam כp wit am.
Aw kɔmɔn dis sik we dɛn kɔl Hiatal Hernia?
Dis kin rili kɔmɔn pas aw yu go tink, mɔ as yu de ol. Na kɔntri lɛk Amɛrika, i kin afɛkt lɛk 20% pan di jenɛral pipul dɛn. Dɛn se we dɛn rich 50 ia, 50% go gɛt dis sik, we dɛn rich 60 ia, 60%, ɛn we dɛn rich 70 ia, 70% go gɛt dis sik. Dis sik kin apin bak na Sri Lanka.
Wetin na di sayn dɛm wae de sho se yu gɛt Hiatal Hernia?
If yu gɛt sliding hiatal hernia, we bɔku pipul dɛn gɛt, yu nɔ kin ivin fil di hernia. I nɔ de sho lɛk lump na do lɛk ɔda kayn hεnia.
Bɔrku pipul dɛm wae gɛt hiatal hernia nɔr kin sho ɛni sayn. Bɔt bɔku pan di wan dɛn we gɛt di sik gɛt sɔm sayn dɛn we gɛt fɔ du wit lɔng tɛm asid riflɔks sik (Gastroesophageal Reflux Disease - GERD ) .
Dɛn na:
- At bɔn : Na tin we de bɔn na yu chɛst, mɔ afta yu dɔn it.
- Nɔnkardiak chɛst pen : Chɛst pen we kin kam bak , we fiba angina , bɔt nɔ gɛt ɛnitin fɔ du wit di at .
- Indigestion: Na filin fɔ ful afta yu it smɔl it, we kin kam wit pen na yu bɛlɛ.
- Burping and regurgitation: Na di it, briz, ɛn asid we de kam bak na di trot.
- I nɔ izi fɔ swɛla ɔ yu trot gɛt smɔl smɔl tin.
- Trot we de at ɛn we yu de tɔk lawd lawd wan: Di asid we de na di trot kin mek yu trot at ɛn chenj di vɔys.
Bɔt mɛmba se nɔto ɔlman we gɛt hiatal hεnia kin gɛt asid riflɔks, ɛn nɔto ɔlman we gɛt asid rεflɔks kin gɛt hiatal hεnia. Bɔt if yu de gɛt dɛn sik ya bɔku tɛm, i kin bi hεnia. Ɔda sayn dɛn we de sho se wi de wɔn pipul dɛn na:
- Nɔs: Nɔs kin kam bikɔs yu bɛlɛ prɛshɔn, asid we de kɔmɔt na yu bɔdi, ɔ ɔl tu.
- Shot we yu de blo:If di hεnia kכmprεs di lכng dεm, i kin at fכ brith.
- Prεshכn כ pen na di כp bכdi כ di lכw chεst.
Dɛn kin si dɛn sayn ya mɔ pan pipul dɛm wae gɛt big paraesophageal hernia.
Aw Hiatal Hernia pen kin fil lɛk?
Hiatal hεnia na di say we yu bεlε εn yu chεst de mit. So if yu gɛt pen frɔm ɛnia, i kin fil lɛk pen na yu chɛst ɔ yu bɛlɛ de pen. Pen kin apin we yu de du sɔm tin ɔ we yu de na say we di hεnia de prɛs ɔ pinch. Fɔ ɛgzampul, if yu gɛt big hεnia, yu kin fil pen we yu bɛn bifo, kɔf, ɔ es sɔntin.
Pen kin bi sayn bak fɔ sho se sɔntin nɔ fayn. Bɔt bɔku tɛm, di pen we kin kam frɔm hiatal hεnia nɔ kin kɔmɔt frɔm di hεnia insεf, bɔt na frכm asid riflɔks. Di asid de mek yu εsophagus irita. Bikɔs dis εsophagus de rɔn frɔm di midul pan yu chɛst to yu trot, di pen kin fil lɛk se i de rayt ɔp, dɔŋ, ɔ ɔlsay na yu chɛst. Bɔku pipul dɛn kin fil am lɛk se dɛn de bɔn. Sɔm pipul dɛn kin ivin fil lɛk se dɛn gɛt at atak.
If yu gɛt ɛni dawt, ɔ if yu gɛt pen na yu chɛst, i bɛtɛ fɔ go to dɔktɔ ɛn chɛk yu. Aw asid kin go insay di trot bikɔs ɔf ɛnia?
Imajin, usay wi εsophagus de kכnekt to wi bεlε (gastroesophageal junction). na de di dayafragm de go, εn di mכsul dεm we nכmal fכ εp fכ stכp di asid fכ go כp insay di trot de tayt. we dεn mכsul dεm ya tayt εn nכ ebul fכ kכloz di εsophagus fayn fayn wan, di asid we de na di bεlε de bigin fכ kam bak כp insay di εsophagus. Dɔn bak, bikɔs ɔf di hεnia, sɔm pan di asid kin stɔp na di ɔp pat na di bɛlɛ, ɛn i nɔ kin go dɔŋ izi wan. Dis na jɔs wetin kin apin.
Wetin na di tin dɛn we kin mek pɔsin gɛt Hiatal Ɛnia?
Ɛnia kin kam we wik ples de na di tisu dɛn we de sheb difrɛn pat dɛn na wi bɔdi. Na da wik ples de di hεnia de kכmכt. hiatal hεnia kin apin, lεk aw wi bin dכn tכk, we di ol na di dayafragm we dεn kכl εsophageal hiatus tu big. Sɔntɛnde dis wikɛdnɛs kin apin bikɔs ɔf wan patikyula aksidɛnt, ɔpreshɔn, ɔr bɔn prɔblɛm. Bɔt
bɔku tɛm, i kin kam bikɔs ɔf di strɛs ɛn strɛs we dɔn de fɔ lɔng tɛm ɛvride we dɔn gɛda as tɛm de go. εnitin we de mek εkstra prεshכn insay yu bכdi kin put prεshכn pan di dayafragm ova tεm. Na sɔm pan di men tin dɛm wae kin mek yu gɛt hiatal hεnia:
- Kɔf ɔ sniz fɔ lɔng tɛm: Tink bɔt am, sɔm pipul dɛn kin gɛt kɔf we nɔ de dɔn. We yu de kɔf ɛn sniz ɔltɛm, di prɛshɔn we de insay yu bɛlɛ de go ɔp.
- Kɔnstipɛshɔn: Pipul dɛm wae de sɔfa wit kɔnstipɛshɔn no dis.
- Fat pasmak: If di bɔdi mas indeks (BMI) pas 30.
- Fɔ vɔmit ɔltɛm.
- Fɔ ɛksesaiz ɔ fɔ es yu wet we yu de tray tranga wan: We yu de es ebi ebi wet, lɛk na di jim.
- Bεlε εn bכn pikin: di bεlε prεshכn de go כp bak insay dεn tεm dεm ya.
Dis Hiatal Hernia na siriɔs sik?
Bɔku tɛm, nɔto so.
Mɔs pan di hiatal hεnia nɔr kin siriɔs. Bɔrku pan dɛn nɔr kin kɔz ɛni sayn. Sɔntɛm yu nɔ go ivin no se yu gɛt wan. Bɔt, big hεnia kin kam siriɔs as tɛm de go. If i big, bɔku tɛm yu go gɛt sɔm sayn dɛn.
Wetin na di prɔblɛm dɛn we kin apin?
di prכblεm we kכmכn we hiatal hεnia kin kam wit na di krכnik asid rεfluks. If dis bad ɛn nɔ kɔntrol am fayn wit mɛrɛsin, i kin dɔn pwɛl yu εsophagus. Di kɔmplikeshɔn dɛn we kin kam wit kronik asid riflɔks inklud:
- εsophagitis: Asid we de kam bak insay di εsophagus de mek di layn na di εsophagus swel εn inflamed. Dis kin mek i fil pen, i nɔ kin izi fɔ swɛla, ɔlsa, ɛn ivin blɔd.
- di εsophageal stricture: If yu kɔntinyu fɔ wund, i kin mek di ska tisu fכm na di εsophagus. dis skata kin ambɔg di mכsul dεm we de wok we yu de sכlow, we kin mek di εsophagus sכmtεm sכmtεm.
- Barrett's esophagus: sכmtεm we yu kכntinyu fכ injuri kin mek chenj dεm na di layn na di εsophagus (wan kכndyushכn we dεn kכl ``Barrett's esophagus.'' Pan כl we dis nכ de du bad insεf, dεn kin tek am se na kכndishכn we de bifo kansa .
Na smɔl tɛm nɔmɔ, kɔmplikeshɔn kin apin if hiatal hεnia trɔp ɔ push insay di opin. Dis kin apin wit di kayn hεnia wae nɔr kin kɔmɔn. Dɛn kayn prɔblɛm dɛn ya na:
- Gastrointestinal obstruction: Yu bɛlɛ ɔ ɔda ɔgan kin stɔp, swɛt, ɔ twist na di opin, we kin mek yu dijestiv trakt blok.
- Gastritis: Asid we de kam bak na di pat we gɛt hεnia kin mek yu swel, yu bɛlɛ kin gɛt ɔlsa, ɛn blɔd kin kɔmɔt insay yu bɔdi.
- Ischemia: If di hεnia kכmprεs so bad bad wan, dεn kin kכt di blɔd we de go to am. Dis kin mek i swel, i kin fil pen, ɛn leta di tisu dɛn kin day. Dis na imejensi.
Aw dɛn kin no se pɔsin gɛt Hiatal Ɛnia?
Dɔktɔ dɛn kin no if yu gɛt hiatal hεnia bay we dɛn de luk di pikchɔ dɛn we de sho yu εsophagus ɛn yu bɛlɛ. Sɔntɛnde, dɛn kin diskɔba am bay we dɛn de luk fɔ ɔda tin. Bɔt dɔktɔ kin want fɔ luk fɔ am if yu gɛt sayn dɛn we de sho se yu gɛt asid we de tɔn bak. fכs,
dεn go du wan εsophageal pH tεst fכ chεk fכ asid na yu εsophagus.If da kayn asid de de, dɛn go du imej tɛst fɔ no di rizin. Tεst dεm wae kin no if yu gεt hiatal hεnia inklud:
- Chɛst X-ray: Dis kin tek stil, blak ɛn wayt pikchɔ dɛn fɔ di insay pat pan yu chɛst, usay di trakya de.
- Esophagram / Barium Swallow: Dis tan lεk vidio fכ yu εsophagus. I de mek yu si di insay pat pan yu εsophagus insay rial tɛm we yu de swɛla. Bifo dis, dɛn go gi yu wan wata we dɛn kɔl barium fɔ drink.
- di כp εndoskopi: dεn de put wan lכng tכb we gεt sכmכl kεmεra we dεn atak tru di mכt fכ luk insay di εsophagus εn di bεlε. dis de mek yu si di insay pat pan di εsophagus pan layv skrin. If nid de, dɛn kin tek smɔl smɔl tisu (bayopsi) fɔ ɛgzamin.
- εsophageal manometry: dεn kin put kateta insay di εsophagus fכ mכsu di prεshכn we de na di mכsul dεm na di εsophagus.
Yu tink se dis hεnia go go insεf?
Nɔ, Ɛnia nɔ kin bɛtɛ fɔ dɛnsɛf.
Bɔku tɛm, dɛn kin bɛtɛ as tɛm de go. Bɔt dat nɔ min se yu hεnia nɔ go kɔz yu ɛni prɔblɛm. If yu nɔr gɛt ɛni sayn frɔm yu hiatal hεnia, yu nɔr go nid tritmɛnt. Bɔt if yu gɛt sɔm sayn dɛn, dɛn kin kɔntinyu fɔ de ɛn dɛn kin ivin wɔs. Mild asid rεfluks kin mεnεj wit mεdikeshכn. Bɔt di kes dɛn we kin rili bad kin nid fɔ ɔpreshɔn fɔ mek dɛn ripɛnt.
Wetin na di mɛrɛsin fɔ Hiatal Ɛnia?
Yu dɔktɔ go tek tɛm luk aw yu hεnia tan, di sayz we yu hεnia gɛt, ɛn di sayn dɛm fɔ yu fɔ no di bɛst tritmɛnt fɔ yu fɔ lɔng tɛm. Di opshɔn dɛn we de na:
- Wet ɛn wach: If yu hεnia nɔr de mɔna yu, i nɔr kin nid tritmɛnt. Bɔt yu dɔktɔ go de wach am, bikɔs as tɛm de go i kin big.
- Yuz mɛrɛsin: Mɛrɛsin nɔ kin ebul fɔ stɔp asid fɔ kam ɔp na di trot ɔltogɛda. Bɔt dɛn kin mek di asid we de na di bɛlɛ nɔ bɔku. Dɔn, ivin if i go ɔp na di trot, i nɔ go mek di pɔsin nɔ gɛt bɔku prɔblɛm ɛn i nɔ go mek di pen nɔ bɔku.
- Ɔpreshɔn: Smɔl ɔpreshɔn kin mek yu hiatal hεnia bak. Ɔpreshɔn na tin we ɔlman kin du, bɔt nɔto ɔlman nid am. Sɔm pipul dɛn kin nid am kwik, ɛn ɔda wan dɛn kin nid am leta.
Di mɛrɛsin dɛn we dɛn kin yuz
If yu gɛt at bɔn wan wan tɛm, yu kin gɛt rilif wit ɔva-di-
kɔnta antasid (lɛk Digene, Gelusil). Bɔt if i nɔ de chenj, yu dɔktɔ kin gi yu mɛrɛsin fɔ lɔng tɛm ɛn ɛvride. dis kin inklud
protכn pכmp inhibito dεm (PPI dεm).(e.g. Omeprazole, Esomeprazole, Pantoprazole) dεn kin gi yu. Dɛn tin ya kin ɛp fɔ mek asid nɔ pwɛl di εsophagus ɛn fɔ mɛn di say dɛn we dɔn pwɛl. Bɔt dɛn mɛrɛsin ya nɔ kin ebul fɔ stɔp di it fɔ kam bak ɔp na di trot (regurgitation) ɔ stɔp di hεnia fɔ big.
Ɔpreshɔn
Dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn fɔ mek dɛn ripɛnt di hεnia if dɛn kayn tin ya:
- If yu nɔr kin ebul fɔ stɔp di sayn ɔr kɔmplikeshɔn dɛm wae yu hεnia kin kam wit wit mɛrɛsin.
- If mɛrɛsin kin mek yu gɛt sayd ɛfɛkt we kin afɛkt yu wɛlbɔdi ɔ yu kwaliti layf.
- If yu hεnia big fɔ mek yu gɛt big big prɔblɛm dɛn tumara bambay.
Hiatal hεnia כpεrayshכn de kכrekt di hεnia εn asid rεfluks dis we ya:
- yu bכdi εn di lכw εsophagus dεn de bכn bak na dεn kכrekt posishכn dכn di dayafragm.
- di ol na di dayafragm usay di hεnia bin apin, dεn kin kכloz am.
- di jכnkshכn bitwin di bכdi εn di εsophagus de tayt.
Dɛn kɔl dis ɔpreshɔn
fundoplication . di nem kכmכt frכm di wכd "fundus," we de tכk bכt di כp pat pan di bεlε. We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin tek di fundus na yu bɛlɛ, rap am rawnd di ɔda pat we de dɔŋ na yu ɛsophagus, ɛn mek am tayt wit ɔpreshɔn klip (stepl) ɔ stich. Tink bɔt am lɛk we yu rap skɔf rawnd yu nɛk. dis de tayt di mכsul we de separet di tu כgan dεm (di lכw εsophageal sphincter). Ɛnitɛm we i pɔsibul, dɛn kin du dis tru
di ɔpreshɔn we dɛn kin du wit laparoskopik we nɔ kin tek bɔku mɔni . Dat min se, ɔpreshɔn we gɛt fɔ du wit fɔ put kamɛra ɛn inschrumɛnt dɛn tru sɔm smɔl smɔl say dɛn we dɛn kɔt.
Aw i kin bi fɔ wɛl afta dɛn dɔn du di ɔpreshɔn?
Dipen pan yu sik ɛn di kayn ɔpreshɔn, yu kin nid fɔ de na ɔspitul fɔ wan ɔ tu dez. Bɔku tɛm, fɔ wɛl
frɔm laparoskopik ɔ
rɔbɔt ɔpreshɔn kin kwik ɛn izi. dis na biכs dεn kin du am tru sכm sכm sכm say dεm, pas fכ du am tru big insishכn lεk opin כpεrayshכn. Bɔt sɔntɛnde, dɛn kin nid fɔ ɔpreshɔn opin wan. Ivin afta yu go bak na os, yu go nid fɔ wɛl fɔ ɔda tu to siks wiks. Insay dis tɛm, yu nɔ go ebul fɔ it nɔmal wan bikɔs ɔf sɔm tɛmporari simptom ɛn sayd ɛfɛkt dɛn we yu ɔpreshɔn de wɛl. Yu dɔktɔ go gi yu di it we yu fɔ it we nɔ bɔku. Yu go bigin wit wata, smɔl smɔl yu go muf to saf it dɛn, ɛn leta to sɔlid it dɛn.
i nכmal fכ lכs weit afta hiatal hεnia כpεrayshכn - כltεm na lεk 10-15 paund (4.5-6.8 kilogram).
Aw di ɔpreshɔn we dɛn kin du wit Hiatal Ɛnia kin wok fayn?
Hiatal hεnia ɔpreshɔn
na 90% saksesful.Bɔrku pipul kin stɔp fɔ tek dɛn mɛrɛsin afta dɛn dɔn du ɔpreshɔn ɛn liv nɔrmal layf wae nɔr gɛt di prɔblɛm wae gɛt asid riflɔks. Afta yu dɔn wɛl, yu go nid fɔ go to yu dɔktɔ wan tɛm insay di ia fɔ chɛk di hεnia we dɛn dɔn ripɛnt ɛn mek shɔ se ɔltin de wok fayn fayn wan. If ɛni nyu prɔblɛm kam ɔ if ol prɔblɛm kam bak, yu dɔktɔ go luk insay dɛn prɔblɛm dɛn de bak. stכdi dεm we dεn du fכ lכng tεm dεn sho
se lεk 50% pan di hiatal hεnia dεm go kam bak afta wan tεm (bכku tεm fכ sεvεra ia) afta dεn כpεrayshכn. Dis kin bi bikɔs dɛn nɔ bin du sɔm pat pan di ɔpreshɔn fayn, ɔ bikɔs di tin dɛn we mek di ɔrijinal ɛnia stil de wok ɛn dɛn dɔn mek nyu wan. Bɔt nɔto ɔl di hεnia dɛm we kin kam bak go gɛt di sem sayn dɛm. Bɔt if dɛn du dat, bɔku tɛm nyu ɔpreshɔn kin kɔrɛkt dɛn fɔ ɔltɛm.
Wetin a kin du na os fɔ mi hiatal hεnia?
If yu de liv wit hiatal hernia wae kin mek yu gɛt sɔm kayn sik wan wan tɛm, yu kin tray fɔ fɛn rilif na os wit mɛrɛsin wae nɔr de na kɔt ɛn chenj yu layf.
Antacids - lɛk Tums®, Rolaids®, Pepto-Bismol® (di sem kayn mɛrɛsin dɛn de na Sri Lanka, aks yu dɔktɔ ɔ fama) - kin ɛp fɔ kɔntrol at we kin bɔn wan wan tɛm, bɔt dɛn nɔ kin fayn fɔ yuz dɛn ɔltɛm. Yu kin ridyus bak di frɛkuɛns ɛn di bad bad at we yu kin gɛt wit sɔm chenj dɛn na yu layf. Fɔ ɛgzampul:
- Mek yu gɛt wɛlbɔdi bɔdi mas indeks (BMI) fɔ yu: If yu bɔdi wet pasmak de mek yu gɛt prɔblɛm wit asid, fɔ lɛf fɔ it bɔku bɔku it kin ɛp.
- It smɔl smɔl it dɛn: Bifo yu it big it wan tɛm, it smɔl smɔl tin dɛn. Dis go mek di prɛshɔn we de na yu bɛlɛ nɔ bɔku.
- Ridyus it we gɛt ɔyl: Fɔ it we gɛt bɔku ɔyl ɛn fat kin mek di bɛlɛ mek mɔ asid ɛn ɛnzaym.
- It dina kwik: Nɔ ledɔm fɔ sɔm awa afta yu dɔn it. Dɔn di graviti go ɛp yu.
- Chenj yu slip pozishɔn: If yu slip wit yu ed ɔp smɔl na nɛt ɛn slip na yu lɛft say, dat kin ɛp fɔ mek asid nɔ kam ɔp na yu trot. Bodi pilo dɛn de we dɛn mek spɛshal fɔ dis.
- Klof fɔ smok: We yu smok, dat kin mek yu sfinktɔ we de dɔŋ di εsophageal wik. I kin mek bak yu kɔf fɔ lɔng tɛm, we kin put prɛshɔn pan di mɔsul dɛm we de rawnd di hiatal hεnia.
Dɛn kin no se yu gɛt hiatal hεnia bay chans we yu go to dɔktɔ fɔ ɔda rizin. Dis kin rili kɔmɔn, ɛn if yu yon smɔl ɛn nɔ de mek yu gɛt ɛni prɔblɛm, dat nɔto sɔntin we yu fɔ wɔri bɔt. Ɔ, dɛn kin no se yu gɛt hiatal hεnia afta yu dɔn gɛt sɔm kayn sik ɛn dɔn de luk fɔ ansa ɛn rilif. Yu go sɔprayz fɔ no se na ɛnia de mek yu asid riflɔks. Laki, tritmεnt de fכ כl tu di asid rεfluks εn hiatal hεnia. De tritmɛnt wae yu nid go dipen pan di kayn hεnia ɛn yu sayn dɛm. Bɔrku tɛm, mɛrɛsin ɛn chenj wae yu de liv yu layf kin ɛp fɔ kɔntrol yu asid riflɔks. If i rili bad, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di hεnia fayn. Dis ɔpreshɔn kin rili wok fayn. Wae yu dɔn no bɔt yu sik, yu go de na yu rod fɔ fɛn rilif frɔm yu sayn dɛm.
Fɔ dɔn, tin dɛn we wi fɔ mɛmba
Hiatal hεnia nɔto natin fɔ fred. Bɔrku pipul kin gɛt am ɛn nɔr kin sho ɛni sayn.
Bɔt if yu kɔntinyu fɔ gɛt sɔm sayn dɛn lɛk pen na yu chɛst, it we de kam ɔp na yu trot, ɔ i nɔ izi fɔ swɛla, yu fɔ rili go to dɔktɔ. Bikɔs i impɔtant fɔ no gud gud wan if di kɔz na hiatal hεnia ɔr ɔda tin ɛn gɛt di tritmɛnt we yu nid.
Dɛn kin mɛn dis sik fayn fayn wan wit chenj na yu layf ɛn sɔmtɛm dɛn kin tek mɛrɛsin. Ivin if dɛn nid fɔ du ɔpreshɔn, naw dɛn kin du am wit rili advans tɛknik dɛn ɛn i kin kɔmɔt fayn. So, nɔ panik. Tɔk to yu dɔktɔ ɛn fɛn di bɛst sɔlv fɔ yu.
Hiatal hεnia, at bכn, asid rεfluks, GERD, bεlε, εsophagus, εnia כpεrayshכn
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