Kodi inunso mumamva kupweteka pachifuwa? Sindikudziwa ngati ndi hernia ya hiatal! Kodi tikambirane?

Kodi nthawi zambiri mumakhala ndi kutentha pamtima? Kodi mumamva ngati muli ndi kukoma kowawa pakhosi panu mukatha kudya, kapena nthawi zina mumamva ngati chakudya chikutuluka pakhosi panu? Kapena mumavutika kumeza chakudya, kapena mumamva ngati chinachake chatsekedwa pakhosi panu? Ngakhale nthawi zina sitimasamala kwambiri za izi, pakhoza kukhala vuto lotchedwa "Hiatal Hernia" kumbuyo kwa izi. Musadandaule, ichi ndi chinthu chomwe chimachitikira anthu ambiri ndipo chimachiritsidwa. Lero, tikambirana za izi mwatsatanetsatane, ngati kuti tikulankhula ndi wachibale.

Kodi Hiatal Hernia ndi chiyani?

Mwachidule, hernia yobereka mwana ndi pamene gawo lapamwamba la mimba yanu limadutsa m'kabowo kakang'ono mu diaphragm, minofu yomwe imalekanitsa chifuwa chanu ndi mimba yanu. Taganizirani ngati khoma. Khoma ili lili ndi kabowo kakang'ono (esophageal hiatus) komwe m'mero ​​wanu umalumikizana ndi mimba yanu. Nthawi zina, pamene bowo ili likukulirakulira pang'ono, gawo la m'mimba mwanu limadutsa. Ndicho chimene timachitcha hiatal hernia. Mawu akuti hernia amatanthauza kuti chiwalo kapena minofu imadutsa pamalo ofooka mu chotchinga cha minofu chozungulira, osati kumene chimakhala nthawi zonse. Hernia ndi yofala, ndipo anthu ambiri amakumana ndi hernia yobereka mwana. Izi nthawi zambiri zimakula pang'onopang'ono kwa zaka zambiri. Si chinthu chomwe chimasintha mwadzidzidzi.

Kodi mitundu ya Hiatal Hernia ndi iti?

Pali mitundu iwiri ikuluikulu ya hernias ya hiatal: hernia yotsetsereka ya hiatal ndi hernia ya hiatal ya paraesophageal . Anthu ambiri ali ndi mtundu uwu wotsetsereka.

• Mtundu 1: Kuthamanga kwa Hiatal Hernia

Uwu ndi mtundu wofala kwambiri (pafupifupi 95%) . Chomwe chimachitika ndi chakuti m'mero ​​(chitoliro cha chakudya) chanu chimatuluka kudzera mu dzenje la diaphragm, komwe chimalumikizana ndi mimba yanu (gastroesophageal junction), kenako chimabwerera pansi kachiwiri. Zimakhala ngati zikutsetsereka. Ndicho chifukwa chake chimatchedwa sliding hernia.

• Mtundu wachiwiri: Paraesophageal Hiatal Hernia - Umatchedwanso Rolling Hiatal Hernia.

Mu mtundu uwu, gawo lapamwamba la mimba limatuluka kuchokera pa khomo la m'mero, kupitirira m'mero. Lingawoneke ngati chotupa chonga mpira.

• Mtundu 3: Hernia yosakanikirana

Izi zili ngati kuphatikiza mitundu iwiri yomwe yatchulidwa pamwambapa. Mphuno imatuluka kumene imalumikizana ndi mimba, ndipo gawo lina la m'mimba limatha kutuluka nthawi yomweyo.

• Mtundu 4: Hernia yovuta

Izi zimachitika kawirikawiri, ndipo zingakhale zovuta pang'ono. Chomwe chimachitika ndi chakuti dzenje lomwe lili mu diaphragm limakula mokwanira kotero kuti m'mimba ndi chiwalo china cha m'mimba, mwachitsanzo, gawo la matumbo, kapamba, kapena ndulu, zimatuluka limodzi nalo.

Kodi vuto limeneli lotchedwa Hiatal Hernia ndi lofala bwanji?

Izi zimachitika kawirikawiri kuposa momwe mungaganizire, makamaka mukakula. M'dziko ngati America, zimakhudza pafupifupi 20% ya anthu onse. Akuti akafika zaka 50, 50% adzakhala ndi vutoli, akafika zaka 60, 60%, ndipo akafika zaka 70, 70% adzakhala ndi vutoli. Vutoli ndi lofalanso ku Sri Lanka.

Kodi zizindikiro za Hiatal Hernia ndi ziti?

Ngati pali hernia yoyenda pang'onopang'ono m'mimba, yomwe anthu ambiri ali nayo, simungathe kumva herniayo. Siimawoneka ngati chotupa kunja monga mitundu ina ya hernia.

Anthu ambiri omwe ali ndi hernia ya hiatal sasonyeza zizindikiro zilizonse. Komabe, ambiri mwa omwe ali ndi zizindikirozo ali ndi zizindikiro zokhudzana ndi matenda a acid reflux a nthawi yayitali (Gastroesophageal Reflux Disease - GERD ) .

Ali:

• Kutentha pamtima : Kumva kutentha pachifuwa, makamaka mukatha kudya.
• Kupweteka pachifuwa kosakhala kwa mtima : Kupweteka pachifuwa kobwerezabwereza , kofanana ndi angina , koma sikukhudzana ndi mtima .
• Kusadya bwino chakudya: Kumva kukhuta mutadya chakudya chochepa, limodzi ndi kupweteka m'mimba.
• Kuguguda ndi kubweza: Kubweza chakudya, mpweya, ndi asidi pakhosi.
• Kuvuta kumeza kapena kutupa pakhosi.
• Kupweteka pakhosi ndi mawu osamveka bwino: Asidi pakhosi angayambitse kupweteka pakhosi ndikusintha mawu.

Koma kumbukirani, si aliyense amene ali ndi hernia ya hiatal amene amakumana ndi acid reflux, ndipo si aliyense amene amakumana ndi acid reflux amene ali ndi hernia ya hiatal. Koma ngati mukukumana ndi zizindikirozi nthawi zambiri, zikhoza kukhala hernia. Zizindikiro zina zochenjeza ndi izi:

• Kusanza: Kusanza kungayambitsidwe ndi kupanikizika kwa m'mimba, acid reflux, kapena zonse ziwiri.
• Kupuma movutikira:Ngati hernia ikanikiza mapapo, zingakhale zovuta kupuma.
• Kupanikizika kapena kupweteka m'mimba pamwamba kapena pachifuwa.

Zizindikiro zimenezi zimapezeka kwambiri mwa anthu omwe ali ndi matenda aakulu a paraesophageal hernias.

Kodi ululu wa Hiatal Hernia umakhala bwanji?

Hernia yobereka mwana ndi komwe mimba ndi chifuwa chanu zimakumana. Chifukwa chake ngati muli ndi ululu chifukwa cha hernia, umamveka ngati kupweteka pachifuwa kapena kupweteka m'mimba. Ululu ukhoza kuchitika mukachita zinthu zina kapena mukakhala pamalo pomwe hernia ikukanikiza kapena kukanikiza. Mwachitsanzo, ngati muli ndi hernia yayikulu, mutha kumva ululu mukawerama patsogolo, kukhosomola, kapena kukweza china chake. Ululu ukhozanso kukhala chizindikiro chakuti pali vuto. Koma nthawi zambiri, ululu wochokera ku hernia yobereka mwana si wochokera ku hernia yokha, koma kuchokera ku acid reflux. Asidi imakwiyitsa mmero wanu. Chifukwa mmero uwu umayambira pakati pa chifuwa chanu kupita kukhosi kwanu, ululuwo umamveka ngati ukutuluka mmwamba, pansi, kapena pachifuwa chanu chonse. Anthu ambiri amamva ngati kutentha. Anthu ena amatha kumva ngati matenda a mtima. Ngati muli ndi kukayikira kulikonse, kapena ngati mukumva kupweteka pachifuwa, ndibwino kupita kwa dokotala ndikupita kuchipatala.

Kodi asidi amalowa bwanji pakhosi chifukwa cha hernia?

Tangoganizirani, komwe m'mero ​​wathu umalumikizana ndi m'mimba mwathu (gastroesophageal junction). Apa ndi pomwe diaphragm imapita, ndipo minofu yomwe nthawi zambiri imathandiza kuletsa asidi kukwera pakhosi imalimba. Minofu imeneyi ikalimba ndipo singatseke bwino m'mero, asidi m'mimba imayamba kubwerera m'mero. Komanso, chifukwa cha hernia, asidi wina amamatira kumtunda kwa m'mimba, ndipo satsika mosavuta. Izi ndi zomwe zimachitika.

Kodi ndi zifukwa ziti zomwe zimayambitsa Hiatal Hernia?

Hernia imatha kuchitika ngati pali malo ofooka m'minofu yomwe imalekanitsa ziwalo zosiyanasiyana za thupi lathu. Malo ofooka amenewo ndi komwe hernia imatuluka. Hernia ya hiatal imachitika, monga tafotokozera kale, pamene dzenje la diaphragm lotchedwa esophageal hiatus limakhala lalikulu kwambiri. Nthawi zina kufooka kumeneku kungachitike chifukwa cha ngozi inayake, opaleshoni, kapena chilema chobadwa nacho. Koma nthawi zambiri kumachitika chifukwa cha zaka zambiri za kupsinjika tsiku ndi tsiku komanso kupsinjika komwe kwakhala kukuchulukirachulukira pakapita nthawi. Chilichonse chomwe chimapangitsa kuti pakhale kupanikizika kwambiri m'mimba mwanu chingakakamize diaphragm pakapita nthawi. Nazi zina mwazinthu zazikulu zomwe zingayambitse hernia ya hiatal:

• Kutsokomola kapena kuyetsemula kwa nthawi yayitali: Taganizirani izi, anthu ena amakhala ndi chifuwa chosatha. Mukatsokomola ndi kuyetsemula mosalekeza, kuthamanga kwa magazi m'mimba kumawonjezeka.
• Kudzimbidwa: Anthu omwe ali ndi vuto la kudzimbidwa amadziwa izi.
• Kunenepa kwambiri: Ngati index ya misa ya thupi (BMI) ndi yoposa 30.
• Kusanza pafupipafupi.
• Kuchita masewera olimbitsa thupi otopetsa kapena kunyamula zolemera: Mukanyamula zolemera zolemera, monga ku gym.
• Mimba ndi kubereka: Kupanikizika kwa m'mimba kumawonjezekanso panthawiyi.

Kodi Hiatal Hernia iyi ndi vuto lalikulu?

Nthawi zambiri, ayi. Matenda ambiri a m'mimba mwa mayi si aakulu. Ambiri sayambitsa zizindikiro zilizonse. Mwina simungadziwe kuti muli ndi vuto lina. Komabe, hernia yaikulu imatha kukhala yoopsa pakapita nthawi. Ngati ndi yaikulu, nthawi zambiri mumakhala ndi zizindikiro.

Kodi mavuto omwe angakhalepo ndi ati?

Vuto lofala kwambiri lomwe limayamba chifukwa cha hernia ya hiatal ndi chronic acid reflux. Ngati izi zili zovuta kwambiri ndipo sizikuthandizidwa bwino ndi mankhwala, pamapeto pake zimatha kuwononga mmero. Mavuto omwe amabwera chifukwa cha chronic acid reflux ndi awa:

• Esophagitis: Kutuluka kwa asidi m'mimba mwa mayi kumapangitsa kuti mkati mwa mayiyo mutuluke ndi kutupa. Izi zingayambitse kupweteka, kuvutika kumeza, zilonda, komanso kutuluka magazi.
• Kutsekeka kwa m'mero: Kupitiriza kuvulala kungayambitse minofu ya zipsera kupangika m'mero. Zipsera zimenezi zingasokoneze minofu yomwe imagwira ntchito pomeza, zomwe zimapangitsa kuti m'mero ​​muchepetseke.
• Mmero wa Barrett: Kuvulala kosalekeza nthawi zina kungayambitse kusintha kwa mkati mwa mmero (vuto lotchedwa "mmero wa Barrett." Ngakhale kuti izi sizowopsa kwenikweni, zimaonedwa kuti ndi vuto loopsa kwambiri .

Nthawi zambiri, mavuto amatha kuchitika ngati hernia yobereka yatsekeredwa kapena kukankhidwira m'chitseko. Izi nthawi zambiri zimachitika ndi mitundu ya hernia yomwe si yofala kwambiri. Mavuto oterewa ndi awa:

• Kutsekeka kwa m'mimba: M'mimba mwanu kapena chiwalo china chingatseke, kufinyidwa, kapena kupotoka m'malo otseguka, zomwe zingatseke njira yanu yogayira chakudya.
• Gastritis: Kutuluka kwa asidi m'mimba kungayambitse kutupa, zilonda zam'mimba, komanso kutuluka magazi mkati.
• Kufooka kwa magazi: Ngati hernia yapanikizika kwambiri, magazi omwe amalowamo amatha kutsekedwa. Izi zingayambitse kutupa, kupweteka, komanso kufa kwa minofu. Izi ndi zadzidzidzi.

Kodi Hiatal Hernia imachiritsidwa bwanji?

Madokotala amazindikira hernia ya m'mimba mwanu poyang'ana zithunzi za mmero ndi m'mimba mwanu. Nthawi zina imapezeka mwangozi pamene mukufunafuna china chake. Komabe, dokotala angafune kuifufuza ngati muli ndi zizindikiro za acid reflux. Choyamba, adzayesa pH ya mmero kuti aone ngati muli ndi asidi m'mero ​​mwanu.Ngati pali asidi wotere, mayeso ojambulira adzachitika kuti apeze chomwe chikuyambitsa. Mayeso omwe angathandize kuzindikira hernia ya hiatal ndi awa:

• X-ray ya pachifuwa: Izi zimatenga zithunzi zakuda ndi zoyera za mkati mwa chifuwa chanu, komwe kuli m'mero.
• Esophagram / Barium Mellow: Iyi ndi kanema wa mmero wanu . Imakupatsani mwayi wowona mkati mwa mmero wanu nthawi yomweyo pamene mukumeza. Musanayambe izi, mudzapatsidwa madzi otchedwa barium kuti mumwe.
• Endoscopy Yapamwamba: Chubu chachitali chokhala ndi kamera kakang'ono chimayikidwa kudzera pakamwa kuti chiyang'ane mkati mwa m'mero ​​ndi m'mimba. Izi zimakupatsani mwayi wowona mkati mwa m'mero ​​pa sikirini yeniyeni. Ngati pakufunika, zidutswa zazing'ono za minofu (biopsy) zitha kutengedwa kuti zikaunikidwe.
• Kuyeza kwa Esophageal Manometry: Catheter imayikidwa mu esophagus kuti iyeze kuthamanga kwa minofu yomwe ili mu esophagus.

Kodi hernia iyi idzatha yokha?

Ayi. Hernias sizichira zokha. Nthawi zambiri zimachira pakapita nthawi. Komabe, sizikutanthauza kuti hernia yanu sidzakubweretserani mavuto. Ngati mulibe zizindikiro zilizonse kuchokera ku hernia yanu ya hiatal, mwina simukufunika chithandizo. Koma ngati muli ndi zizindikiro, zitha kupitirira ndipo zimakulirakulira. Kupuma pang'ono kwa asidi kumatha kuthandizidwa ndi mankhwala. Koma milandu yoopsa kwambiri ingafunike kukonzedwa ndi opaleshoni.

Kodi chithandizo cha Hiatal Hernia ndi chiyani?

Dokotala wanu adzafufuza mosamala mtundu wa hernia yanu, kukula kwa hernia yanu, ndi zizindikiro zanu kuti adziwe njira yabwino kwambiri yothandizira kwa nthawi yayitali. Njira zomwe zilipo ndi izi:

• Dikirani ndi kuyang'anitsitsa: Ngati hernia yanu sikukuvutitsani, mwina singafunike chithandizo. Koma dokotala wanu adzayang'anira, chifukwa imatha kukula pakapita nthawi.
• Gwiritsani ntchito mankhwala: Mankhwala sangalepheretse asidi kukwera pakhosi. Koma amatha kuchepetsa kuchuluka kwa asidi m'mimba. Ndiye, ngakhale atakwera pakhosi, sadzawononga kwambiri ndipo amachepetsa ululu.
• Opaleshoni: Opaleshoni yaying'ono ingakonze hernia yanu ya hiatal. Opaleshoni ndi njira ya aliyense, koma si aliyense amene akuifuna. Anthu ena angafunike msanga, pomwe ena angafunike pambuyo pake.

Mankhwala

Ngati nthawi zina mumakhala ndi kutentha pamtima, mutha kupeza mpumulo pogwiritsa ntchito mankhwala oletsa asidi omwe amagulitsidwa ndi dokotala (monga Digene, Gelusil). Komabe, ngati akupitirira, dokotala wanu angakulembereni mankhwala a nthawi yayitali, tsiku lililonse. Izi nthawi zambiri zimaphatikizapo zoletsa za proton pump (PPIs).(monga Omeprazole, Esomeprazole, Pantoprazole) amaperekedwa. Izi zingathandize kupewa kuwonongeka kwa asidi m'mero ​​ndikuchiritsa madera owonongeka. Komabe, mankhwalawa sangalepheretse chakudya kubwerera m'khosi (regurgitation) kapena kuletsa hernia kukula.

Opaleshoni

Madokotala amalimbikitsa opaleshoni yokonzanso hernia pazochitika ngati izi:

• Ngati zizindikiro kapena mavuto omwe amabwera chifukwa cha hernia yanu sangathe kupewedwa ndi mankhwala.
• Ngati mankhwala amayambitsa zotsatirapo zina zomwe zimakhudza thanzi lanu kapena moyo wanu.
• Ngati hernia yanu ndi yayikulu mokwanira kuti ibweretse mavuto akulu mtsogolo.

Opaleshoni ya hiatal hernia imakonza hernia ndi acid reflux motere:

• Mimba yanu ndi m'munsi mwa mmero zimabwezeretsedwa pamalo ake oyenera pansi pa diaphragm.
• Bowo lomwe lili mu diaphragm pomwe hernia idachitikira latsekedwa.
• Malo olumikizirana pakati pa mimba ndi mmero amamangiriridwa.

Opaleshoni iyi imatchedwa fundoplication . Dzinali limachokera ku liwu lakuti "fundus," lomwe limatanthauza gawo lapamwamba la m'mimba. Pa opaleshoni, dokotalayo amatenga fundus ya m'mimba mwanu, n’kuikulunga mozungulira gawo la pansi la m'mero, n’kuimanga ndi ma clip opareshoni (staples) kapena ma stitches. Taganizirani izi ngati kukulunga sikafu pakhosi panu. Izi zimalimbitsa minofu yomwe imalekanitsa ziwalo ziwirizi (sphincter ya m'munsi ya m'mero). Nthawi iliyonse ikatheka, izi zimachitika kudzera mu opaleshoni ya laparoscopic yomwe siigwira ntchito kwambiri . Ndiko kuti, opaleshoni yomwe imaphatikizapo kuyika kamera ndi zida kudzera m'mabala ang'onoang'ono.

Kodi kuchira kumakhala bwanji pambuyo pa opaleshoni?

Kutengera ndi matenda anu komanso mtundu wa opaleshoni, mungafunike kukhala m'chipatala kwa tsiku limodzi kapena awiri. Kuchira kuchokera ku opaleshoni ya laparoscopic kapena ya robotic nthawi zambiri kumakhala kosavuta komanso kofulumira. Izi zimachitika chifukwa chakuti kumachitika kudzera m'mabala ang'onoang'ono, osati kudzera m'mabala akuluakulu monga opaleshoni yotseguka. Komabe, nthawi zina opaleshoni yotseguka imafunika. Ngakhale mutabwerera kunyumba, muyenera kuchira kwa milungu ina iwiri mpaka isanu ndi umodzi. Panthawiyi, simungathe kudya bwino chifukwa cha zizindikiro zakanthawi ndi zotsatirapo zina pamene opaleshoni yanu ikuchira. Dokotala wanu adzakupatsani zakudya zochepa kwambiri. Mudzayamba ndi zakumwa, pang'onopang'ono mukuyamba kudya zakudya zofewa, ndipo pamapeto pake mudzakhala ndi zakudya zolimba. Ndizabwinobwino kuchepetsa thupi mukamaliza opaleshoni ya hernia ya hiatal - nthawi zambiri pafupifupi makilogalamu 4.5-6.8.

Kodi opaleshoni ya Hiatal Hernia yapambana bwanji?

Opaleshoni ya hernia ya hiatal yapambana ndi 90%.Anthu ambiri amatha kusiya kumwa mankhwala awo atachitidwa opaleshoni ndikukhala moyo wabwinobwino popanda vuto la acid reflux. Mukachira, muyenera kuwona dokotala wanu kamodzi pachaka kuti akawone hernia yomwe yakonzedwa ndikuwonetsetsa kuti chilichonse chikuyenda bwino. Ngati pali mavuto atsopano kapena ngati mavuto akale abweranso, dokotala wanu adzawafufuzanso. Kafukufuku wa nthawi yayitali wasonyeza kuti pafupifupi 50% ya hernias ya hiatal idzabweranso patatha nthawi (nthawi zambiri zaka zingapo) atachitidwa opaleshoni. Izi zitha kukhala chifukwa chakuti gawo lina la opaleshoni silinachitike bwino, kapena chifukwa zinthu zomwe zidayambitsa hernia yoyambirira zikugwirabe ntchito ndipo zayambitsa yatsopano. Komabe, si hernias zonse zomwe zimabwereranso zomwe zimakhala ndi zizindikiro zomwezo. Komabe, ngati zitachitika, opaleshoni yatsopano nthawi zambiri imatha kuzikonza kwamuyaya.

Kodi ndingachite chiyani kunyumba chifukwa cha hernia yanga yobereka?

Ngati mukukhala ndi hernia yobadwa nayo yomwe imayambitsa zizindikiro zina, mutha kuyesa kupeza mpumulo kunyumba pogwiritsa ntchito mankhwala ogulitsidwa kunja kwa ofesi komanso kusintha moyo wanu. Mankhwala ochepetsa asidi - monga Tums®, Rolaids®, Pepto-Bismol® (mankhwala ofanana ndi amenewa amapezeka ku Sri Lanka, funsani dokotala wanu kapena wamankhwala) - angathandize kuchepetsa kutentha pamtima nthawi zina, koma sakulangizidwa kuti agwiritsidwe ntchito nthawi zonse. Muthanso kuchepetsa kuchuluka ndi kuopsa kwa kutentha pamtima mwa kusintha moyo wanu. Mwachitsanzo:

• Khalani ndi chiwerengero chabwino cha kulemera kwa thupi (BMI) kwa inu: Ngati kunenepa kwambiri kukuyambitsa mavuto a asidi, kuchepetsa thupi kungathandize.
• Idyani zakudya zochepa: M'malo modya chakudya chachikulu nthawi imodzi, idyani zakudya zochepa. Izi zichepetsa kupanikizika m'mimba mwanu.
• Chepetsani zakudya zokhala ndi mafuta ambiri: Zakudya zokhala ndi mafuta ambiri zimapangitsa kuti m'mimba mupange asidi ndi ma enzyme ambiri.
• Idyani chakudya chamadzulo msanga: Musagone kwa maola angapo mutadya. Kenako mphamvu yokoka idzakuthandizani.
• Sinthani malo anu ogona: Kugona mutu uli pamwamba pang'ono usiku ndikugona cha kumanzere kungathandize kupewa asidi kukwera pakhosi panu. Pali mapilo apadera oti agwiritsidwe ntchito pa izi.
• Siyani kusuta: Kusuta kumafooketsa m'mimba mwanu. Kungayambitsenso chifuwa chosatha, chomwe chimakakamiza minofu yozungulira hernia ya hiatal.

Mungadziwike kuti muli ndi hernia yobereka mwana mwangozi mukapita kukaonana ndi dokotala pazifukwa zina. Izi zimachitika kawirikawiri, ndipo ngati yanu ndi yaying'ono ndipo sikukubweretserani mavuto, si chinthu chodetsa nkhawa. Kapena, mungadziwike kuti muli ndi hernia yobereka mwana mutatha zaka zambiri mutakhala ndi zizindikiro ndipo pamapeto pake mukuyang'ana mayankho ndi mpumulo. Mungadabwe kudziwa kuti acid reflux yanu imayamba chifukwa cha hernia. Mwamwayi, pali mankhwala a acid reflux ndi hiatal hernia. Chithandizo chomwe mukufuna chidzadalira mtundu wa hernia ndi zizindikiro zanu. Nthawi zambiri, mankhwala ndi kusintha kwa moyo wanu kungathandize kuwongolera acid reflux yanu. Pa milandu yoopsa kwambiri, opaleshoni ingafunike kuti mukonze hernia. Opaleshoniyi imayenda bwino kwambiri. Mukazindikira bwino, mudzakhala panjira yopezera mpumulo ku zizindikiro zanu.

Pomaliza, zinthu zoti muzikumbukira

Choyipa cha hernia ya m'mimba si chifukwa choopera. Anthu ambiri ali nayo ndipo sasonyeza zizindikiro zilizonse.

Komabe, ngati mukupitirizabe kukhala ndi zizindikiro monga kupweteka pachifuwa, chakudya chikutuluka pakhosi panu, kapena kuvutika kumeza, muyenera kufunafuna upangiri wa dokotala. Chifukwa ndikofunikira kudziwa bwino ngati chomwe chimayambitsa ndi hernia ya hiatal kapena china chake ndikupeza chithandizo chofunikira.

Vutoli lingathe kuthetsedwa bwino ndi kusintha moyo komanso nthawi zina mankhwala. Ngakhale opaleshoni ikufunika, tsopano ikuchitika ndi njira zapamwamba kwambiri ndipo yakhala ndi zotsatira zabwino. Chifukwa chake, musachite mantha. Lankhulani ndi dokotala wanu kuti mupeze yankho labwino kwambiri kwa inu. Hiatal hernia, kutentha pamtima, acid reflux, GERD, m'mimba, mmero, opaleshoni ya hernia