Koinei te take o te mamae o te uma? Me kōrero tātou mō te Hiatal Hernia!

He raruraru tēnei e pā ana ki te tini tāngata, arā , te werawera o te puku , te werawera o te uma . I ētahi wā i muri i te kai, ka rite ki te heke iho i te korokoro, he rite ki te reka kawa. I tēnei rā, e kōrero ana tātou mō tētahi āhuatanga ka puta ai tēnei. Ko te Hiatal Hernia tēnā. Kua rongo pea koe i tēnei ingoa. Kia kite tātou he aha te tikanga.

He aha te tikanga o te hernia hiatal?

Whakaarohia he pakitara uaua kei waenganui i tō tātou uma me te puku. Ka kiia tēnei ko te diaphragm . He rite ki te pakitara e wehe ana i ngā rūma e rua. Ko te kai e kainga ana e tātou ka haere mai i te korokoro ki te puku i te taha o te paipa kai ( esophagus ). Hei haere mai i te uma ki te puku, me tika tēnei paipa kai mā roto i taua diaphragm nui. He kōhao iti kei roto. Ka kiia tēnei kōhao ko te hiatus.

Ko te hernia hiatal te wā e pana ake ai tētahi wāhanga o tō puku mā roto i te kōhao i roto i tō puku, ki tō uma. He rite ki te mea ka nui rawa te kōhao pātene o te hāte, ka ngāwari te puta o te pātene ki waho.

He aha ngā tohu o te hernia hiatal?

Ko te mea whakamiharo, he tokomaha ngā tāngata e pāngia ana e te hernia hiatal kāore e whakaatu i ngā tohu. Heoi, tera pea ētahi tāngata ka pāngia e ēnei tohu.

He aha i puta ai tēnei hernia hiatal?

He uaua te tautuhi i tētahi tino take mō tēnei, engari ki taku whakaaro koinei pea ngā mea e whai wāhi ana:

• He nui te pūaha i te whānautanga: Tērā pea ka whānau mai ētahi tāngata me te pūaha e kiia nei ko te hiatus he nui ake i te mea noa.
• Te koroheketanga: I a koe e pakeke haere ana, ka ngoikore pea ngā uaua o tō diaphragm.
• Te pikinga o te pēhanga o roto i te puku: Mā ngā mahi pēnei i te maremare roa, te hiki taumaha, me te whakapau kaha rawa i te wā e haere ana ki te wharepaku ka piki ake te pēhanga o roto i te puku, ka pana ake te puku.
• Momona: I te pikinga o te taumaha o te tinana, ka piki ake te pēhanga ki runga i te puku.
• Whara: Tetahi whara ki taua wāhi.

Ko wai te mea tino mōrearea ki te whakawhanake i tēnei mate?

• Mō te hunga momona
• Mō te hunga neke atu i te 50 tau te pakeke
• Mō ngā whaea hapu
• Mō te hunga e momi hikareti ana, e ngaungau ana rānei i te tupeka

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Tērā pea ka tātaritatia koe e tō tākuta he hernia mēnā kei te pāngia koe e ngā tohu pēnei i te mamae o te puku. Hei whakaū i tēnei, ka taea te whakahaere i tētahi, i ētahi rānei o ngā whakamātautau e whai ake nei:

1. Horomia te Barium: I tēnei whakamātautau, ka inu koe i tētahi wai kei roto he matū e kiia nei ko te barium, kātahi ka tangohia he hihi-X. Mā te barium ka kitea mārama tō korokoro me tō puku i runga i te hihi-X.

2. Te tirotiro ā-roto:I roto i tēnei, ka whakauruhia he ngongo angiangi me te kāmera e piri ana ki roto i tō korokoro, ā, ka tirotirohia te roto o tō korokoro me tō puku.

3. Manometri Esophageal: Mā tēnei ka ine i te pēhanga i roto i te esophagus ina horomia e koe.

4. Whakamātautau pH: Ka whakanohoia he kāpū iti ki roto i te ngongo whāngai, ā, ka inehia ō taumata waikawa mō te 48 hāora pea. Kāore e hiahiatia kia tangohia tēnei kāpū, ka tangohia ko ia anake, ka puta tahi me tō tūtae.

Me pēhea te rongoā i te hernia hiatal?

Ko te whiwhi maimoatanga koe, kei runga i te āhua o ngā tohu me te kaha o aua tohu.

Mena ka puta ngā tohu, ka whai i ngā maimoatanga pēnei i:

Ngā rongoā (tarukino)

Kāore e taea e te rongoā te whakaora i te hernia, engari ka taea te whakaiti i ngā tohu mā te whakahaere i te waikawa o te puku.

• Ngā rongoā antacid: Ka whakaiti i te waikawa o te puku.
• Ngā Ārai Papu Pūtoro, ngā Ārai Kaiwhakawhiwhi H2 rānei: Ka whakaiti i te hanga waikawa i roto i te puku.
• Ngā rongoā prokinetic: Ka whakapakari i ngā uaua o te korokoro, ā, ka āwhina ki te aukati i te putanga mai o te waikawa.

Pokanga

I ētahi wā ka hiahiatia he pokanga. Koinei te āhua ina:

• Mena kāore e taea te whakahaere i ngā tohu mā te rongoā me ngā huringa āhua noho.
• Mena he uaua ki te aro atu ki ngā pānga taha o te rongoā.
• Mena he nui rawa te hernia.

Ehara tēnei i te pokanga ohorere. He tikanga tēnei mā te pokanga kī (laparoscopy). Ko te tikanga, me tapahi ētahi wahi iti ki te puku, ā, me whakamahi i te kāmera hei mahi i te pokanga. Ka tere ake te whakaora, ā, ka iti ake te kiripaka. Me noho koe ki te hōhipera mō te rā kotahi, e rua rānei i muri i te pokanga. E rua ki te ono wiki pea te roa kia tino ora ai.

He aha ngā huringa āhua noho me mahi e koe?

Ko te tino take o te hernia ko te taumaha rawa. Nō reira, he mea tino nui kia whakahaeretia tō taumaha.

• Whakaitihia te nui o te kai e kainga ana e koe: Kai mārire, kaua e nui i te wā kotahi.
• Whakaitihia ngā kai momona: Whakaitihia ngā ranu kirīmi, ngā kai hinuhinu, me ngā kai kua takaihia (pērā i ngā parai paraoa).
• Kai wawe i te tina: Kai i te tina 3-4 hāora i mua i te wā moe. Kaua e takoto mō tētahi wā i muri i te kai.
• Kia paku teitei ake tō mahunga i a koe e moe ana: Moe me te urunga kotahi, e rua rānei. Mā tēnei ka whakaiti i te nui o te waikawa e puta ake ana.
• Kati te momi hikareti: Ka kino ake tēnei āhuatanga i te momi hikareti.
• Tāutuhia ngā kai kino mōu:Mena ka kino ake ngā tohumate i ētahi kai (ngā kai paitini, te tiakarete, ngā hua citrus, te kawhe), karohia.