Ingxaki abantu abaninzi abanayo yile mvakalelo yokutsha esiswini , imvakalelo yokutsha esifubeni . Ngamanye amaxesha emva kokutya, kuvakala ngathi kuhla emphinjeni, njengencasa emuncu. Namhlanje sithetha ngemeko enokubangela oku. YiHiatal Hernia leyo. Usenokuba ukhe wayiva le gama. Makhe sibone ukuba yintoni ngokulula.
Ngamafutshane, yintoni i-hernia yokuzala?
Khawucinge ukuba kukho udonga olwenziwe ngemisipha phakathi kwesifuba nesisu. Oku sikubiza ngokuba yi- diaphragm . Kufana nodonga olwahlula amagumbi amabini. Ukutya esikutyayo kuhamba ukusuka emqaleni ukuya esiswini ngombhobho wokutya ( umphimbo ). Ukuze kusuke esifubeni uye esiswini, lo mbhobho wokutya kufuneka udlule kuloo mbhobho mkhulu. Kukho umngxuma omncinci kuwo. Lo mngxuma ubizwa ngokuba yi-hiatus.
I-hernia yokuzala iyenzeka xa inxalenye yesisu sakho ityhala phezulu ngemingxuma esiswini sakho, isiya esifubeni sakho. Kufana nokuba umngxuma weqhosha kwihempe uba mkhulu kakhulu, iqhosha liphuma lula.
Zithini iimpawu ze-hernia ye-hiatal?
Into emangalisayo kukuba abantu abaninzi abane-hernia yokuzala ababonisi zimpawu. Nangona kunjalo, abanye abantu banokuba nazo ezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Intlungu yesisu/intlungu yesifuba | Olu lolona phawu luqhelekileyo. Olu phawu lokutsha lubangelwa kukunyuka kwe-asidi yesisu (i-Acid Reflux). Sikwabiza le meko ngokuba yiGastroesophageal Reflux Disease (GERD). |
| Ezinye iimpawu |
|
| Iimeko ezingxamisekileyo ezifuna ingcebiso yezonyango ngokukhawuleza! | |
| Iimpawu zeHernia enesifo sokuqhwanyaza | Le yimeko eyingozi kakhulu. Inxalenye yesisu inokubhajwa emngxunyeni, ithintele ukuhamba kwegazi kuyo. Ukuba oku kuyenzeka, unokufumana ezi mpawu:
Ukuba unayo nayiphi na kwezi mpawu, kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko. |
Kutheni le nto i-hernia ye-hiatal isenzeka?
Kudla ngokuba nzima ukukhomba unobangela othile woku, kodwa ndicinga ukuba ezi zinto zinokuba negalelo:
- Ukuba nomngxuma omkhulu xa ezalwa: Abanye abantu banokuzalwa benomngxuma obizwa ngokuba yi-hiatus omkhulu kancinci kunesiqhelo.
- Ukwaluphala: Njengoko ukhula, izihlunu ezikwidiaphragm yakho zinokuba buthathaka.
- Ukwanda koxinzelelo olungaphakathi kwesisu: Izinto ezifana nokukhohlela ixesha elide, ukuphakamisa izinto ezinzima, kunye nokuzibhokoxa kakhulu xa usiya kwindlu yangasese kunokunyusa uxinzelelo olungaphakathi kwesisu kwaye kutyhale isisu phezulu.
- Ukutyeba kakhulu: Njengoko ubunzima bomzimba busanda, uxinzelelo esiswini luyanda.
- Ukwenzakala: Nakuphi na ukwenzakala kuloo ndawo.
Ngubani osengozini enkulu yokuhlaselwa yile meko?
- Kwabo batyebe kakhulu
- Kwabo baneminyaka engaphezu kwama-50 ubudala
- Kwabomama abakhulelweyo
- Kwabo batshaya okanye bahlafuna icuba
Uyifumana njani le nto, Gqirha?
Ugqirha wakho unokukufumanisa ukuba une-hernia kuphela xa ufumana iimpawu ezifana neentlungu zesisu. Ukuqinisekisa oku, olunye okanye ngaphezulu kwezi vavanyo zilandelayo lunokwenziwa:
1. I-Barium Swallow: Kolu vavanyo, usela ulwelo olunekhemikhali ebizwa ngokuba yi-barium uze emva koko wenze i-X-ray. I-barium yenza umphimbo wakho kunye nesisu sakho zibonakale ngokucacileyo kwi-X-ray.
2. I-Endoscopy:Kule meko, kufakwa ityhubhu encinci enekhamera eqhotyoshelweyo ezantsi emqaleni wakho kwaye ingaphakathi lomqala wakho nesisu sakho liyahlolwa.
3. I-Esophageal Manometry: Le ilinganisa uxinzelelo ngaphakathi kwi-esophagus xa uginya.
4. Uvavanyo lwe-pH: Ikhaphu encinci ifakwa ngaphakathi kwityhubhu yokondla kwaye amanqanaba e-asidi yakho alinganiswa malunga neeyure ezingama-48. Le khaphu ayidingi kususwa, iza kuzikhupha yodwa ize iphume kunye nendle yakho.
Iphathwa njani i-hernia yokuzala?
Ukuba ufumana unyango okanye awufumani kuxhomekeke ekubeni uneempawu na kwaye zinzima kangakanani.
Ukuba awunazo iimpawu, ugqirha wakho unokucebisa ukuba ungenzi nto okwangoku kwaye ujonge imeko ("Ukulinda ngononophelo").
Ukuba kukho iimpawu, kukho unyango olufana nolu:
Amayeza (amayeza)
Amayeza awanakunyanga i-hernia, kodwa iimpawu zingancitshiswa ngokulawula i-asidi yesisu.
- Ii-antacids: Ziyenza buthathaka i-asidi yesisu.
- IiProton Pump Inhibitors okanye iiH2 Receptor Blockers: Zinciphisa ukuveliswa kweasidi esiswini.
- Iiprokinetics: Ziqinisa izihlunu ze-esophagus kwaye zinceda ekuthinteleni i-asidi ukuba inganyuki.
Utyando
Ngamanye amaxesha utyando luyimfuneko. Oku kwenzeka xa:
- Ukuba iimpawu azinakulawulwa ngamayeza kunye notshintsho kwindlela yokuphila.
- Ukuba iziphumo ebezingalindelekanga zeyeza kunzima ukuzinyamezela.
- Ukuba i-hernia inkulu kakhulu.
Olu tyando aluqhelekanga ukuba luqhutywe ngokukhawuleza. Ludla ngokwenziwa nge-keyhole (laparoscopy). Oku kuquka ukwenza imingxunya embalwa esiswini kunye nokwenza utyando ngoncedo lwekhamera. Oku kubangela ukuba uphole ngokukhawuleza kwaye ungafumani amanxeba amaninzi. Kuya kufuneka uhlale esibhedlele usuku okanye ezimbini emva kotyando. Kungathatha iiveki ezimbini ukuya kwezintandathu ukuze uphile ngokupheleleyo.
Zeziphi iinguqu zendlela yokuphila ekufuneka uzenze?
Eyona nto ibangela i-hernia kukutyeba kakhulu. Ngoko ke, kubaluleke kakhulu ukulawula ubunzima bakho.
- Nciphisa umlinganiselo owutyayo: Yitya kancinci kancinci, ungatyi kakhulu ngaxeshanye.
- Nciphisa ukutya okunamafutha amaninzi: Nciphisa iisosi ezikhrimu, ukutya okunamafutha, kunye nokutya okupakishwe kwiipakethe (ezifana neetships).
- Yitya isidlo sangokuhlwa kwangethuba: Yitya isidlo sangokuhlwa iiyure ezi-3-4 ngaphambi kokulala. Musa ukulala phantsi okwethutyana emva kokutya.
- Gcina intloko yakho iphakanyisiwe kancinci xa ulele: Lala nomqamelo omnye okanye emibini. Oku kuya kunciphisa inani le-asidi ephumayo.
- Yeka ukutshaya: Ukutshaya kwenza le meko ibe mandundu.
- Chonga ukutya okungalunganga kuwe:Ukuba ukutya okuthile (ukutya okunobuthi, itshokolethi, iziqhamo ze-citrus, ikofu) kuya kuyenza ibe mandundu imeko, kuphephe.
Akuyongcinga ilungileyo ukusela amayeza athengiswa ngaphandle kwemvume kagqirha njengee-antacids. Ukwenza njalo kunokonakalisa izintso zakho. Ukuba iimpawu zakho kunzima ukuzilawula, qiniseka ukuba uthetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-hiatal hernia yimeko apho inxalenye yesisu ityhala iye esifubeni. Le yimeko eqhelekileyo kakhulu.
- Abantu abaninzi abanazo iimpawu. Ukuba bayazi, uphawu oluphambili sisitshiso sentliziyo kunye ne-acid reflux.
- Utshintsho kwindlela yokuphila (ukunciphisa umzimba, ukulawula indlela yokutya, ukuyeka ukutshaya) lunokulawula kakhulu iimpawu.
- Ukuba iimpawu ziyakhathaza, bona ugqirha ukuze ufumane unyango.
- Ukuba uneempawu ezifana nentlungu yesifuba okanye yesisu ngequbuliso, eqatha, ukuhlanza, okanye ukungakwazi ukukhupha indle, yingxaki engxamisekileyo leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
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