Ngaba nawe uneentlungu esifubeni? Andazi ukuba yi-hiatal hernia! Singathetha?

Ngaba nawe uhlala unesitshiso sentliziyo? Ngaba uziva ngathi unencasa emuncu emqaleni wakho emva kokutya, okanye ngamanye amaxesha uziva ngathi ukutya kuphuma emqaleni wakho? Okanye ngaba unengxaki yokuginya ukutya, okanye uziva ngathi kukho into ebambekileyo emqaleni wakho? Nangona ngamanye amaxesha singazinaki kakhulu ezi zinto, kunokubakho imeko ebizwa ngokuba yi "Hiatal Hernia" emva kwezi zinto. Ungakhathazeki, le yinto eyenzeka kubantu abaninzi kwaye iyanyangeka. Namhlanje, siza kuthetha ngayo ngokweenkcukacha, ngokungathi sithetha nelungu losapho.

Yintoni iHiatal Hernia?

Ngamafutshane, i-hernia yokuzala xa inxalenye ephezulu yesisu sakho ityhala umngxuma omncinci kwi-diaphragm, umsipha owahlula isifuba sakho kwisisu sakho. Cinga ngayo njengodonga. Olu donga lunomngxuma omncinci (i-esophageal hiatus) apho umngxuma wakho udibana nesisu sakho. Ngamanye amaxesha, xa lo mngxuma ukhula kancinci, inxalenye yesisu sakho iyatyhala. Yiloo nto siyibiza ngokuba yi-hiatal hernia. Igama elithi hernia lithetha ukuba ilungu okanye izicubu zityhala kwindawo ebuthathaka kumqobo wezicubu ezijikeleze yona, endaweni yokuba ziqhele ukuba lapho. I-Hernias zixhaphakile, kwaye abantu abaninzi bafumana le hernia yokuzala. Oku kudla ngokukhula kancinci kancinci kwiminyaka emininzi. Asinto etshintsha ngequbuliso.

Ziziphi iintlobo zeHernia yeHiatal?

Kukho iintlobo ezimbini eziphambili ze-hiatal hernias: i-sliding hiatal hernia kunye ne -paraesophageal hiatal hernia . Uninzi lwabantu lunolu hlobo lwe-sliding.

• Uhlobo 1: I-Sliding Hiatal Hernia

Olu lolona hlobo luxhaphakileyo (malunga nama-95%) . Okwenzekayo kukuba i-esophagus (umbhobho wokutya) wakho uphuma ngomngxuma okwi-diaphragm, apho udibana khona nesisu sakho (i-gastroesophageal junction), uze ubuye uhle kwakhona. Kufana nokuba iyatyibilika. Yiyo loo nto ibizwa ngokuba yi-sliding hernia.

• Uhlobo lwesi-2: I-Paraesophageal Hiatal Hernia - Ikwabizwa ngokuba yi-Rolling Hiatal Hernia.

Kolu hlobo, inxalenye ephezulu yesisu iphuma kwindawo evulekileyo kwi-esophagus, ngaphaya kwe-esophagus. Ingabonakala njengeqhubu elifana nebhola.

• Uhlobo 3: I-hernia exutyiweyo

Oku kufana nokudibana kweentlobo ezimbini ezikhankanyiweyo apha ngasentla. I-esophagus iphuma apho idibana khona nesisu, kwaye enye inxalenye yesisu ingaphuma ngaxeshanye.

• Uhlobo lwesi-4: I-hernia eyinkimbinkimbi

Oku kunqabile kancinci, kwaye kunokuba nzima kancinci. Okwenzekayo kukuba umngxuma okwi-diaphragm uba mkhulu ngokwaneleyo kangangokuba isisu kunye nesinye isitho sesisu, umzekelo, inxalenye yamathumbu, i-pancreas, okanye i-spleen, ziphuma kunye nawo.

Ixhaphake kangakanani le meko ibizwa ngokuba yiHiatal Hernia?

Oku kuqheleke kakhulu kunokuba unokucinga, ingakumbi njengoko ukhula. Kwilizwe elifana neMelika, kuchaphazela malunga nama-20% abantu ngokubanzi. Kuthiwa xa beneminyaka engama-50, ama-50% baya kuba nale meko, xa beneminyaka engama-60, ama-60%, kwaye xa beneminyaka engama-70, ama-70% baya kuba nale meko. Le meko ikwaxhaphakile naseSri Lanka.

Ziziphi iimpawu ze-Hiatal Hernia?

Kwimeko ye-hernia etyibilikayo ye-hiatal, abantu abaninzi abanayo, usenokungayiva ne-hernia. Ayibonakali njengeqhubu ngaphandle njengezinye iintlobo ze-hernia.

Abantu abaninzi abane- hernia ye-hiatal ababonisi zimpawu. Nangona kunjalo, uninzi lwabo baneempawu baneempawu ezinxulumene nesifo se-acid reflux sexesha elide (iGastroesophageal Reflux Disease - GERD ) .

Bazi:

• Isitshiso sentliziyo : Ukutsha esifubeni, ingakumbi emva kokutya.
• Iintlungu zesifuba ezingezizo ezentliziyo : Iintlungu zesifuba eziphindaphindayo , ezifana ne -angina , kodwa azinxulumene nentliziyo .
• Ukungagayi kakuhle kokutya: Ukuziva ugcwele emva kokutya ukutya okuncinci, okuhamba nentlungu esiswini.
• Ukubhodla nokurhawuzelela: Ukuphinda ukutya, umoya kunye ne-asidi zingene emqaleni.
• Ubunzima bokuginya okanye ukuba neqhubu emqaleni.
• Umphimbo obuhlungu kunye nokurhawuzelela: I-asidi emqaleni inokubangela umphimbo obuhlungu kwaye itshintshe ilizwi.

Kodwa khumbula, ayinguye wonke umntu one-hernia yokuzala ofumana i-acid reflux, kwaye ayinguye wonke umntu one-acid reflux onayo i-hernia yokuzala. Kodwa ukuba ufumana ezi mpawu rhoqo, isenokuba yi-hernia. Ezinye iimpawu zokulumkisa ziquka:

• Isicaphucaphu: Isicaphucaphu sinokubangelwa luxinzelelo lwesisu, i-acid reflux, okanye zombini.
• Ukuqhawukelwa ngumphefumlo:Ukuba i-hernia icinezela imiphunga, kunokuba nzima ukuphefumla.
• Uxinzelelo okanye iintlungu esiswini esingaphezulu okanye esifubeni esisezantsi.

Ezi mpawu zibonakala kakhulu kubantu abane-hernias enkulu ye-paraesophageal.

Injani intlungu yeHiatal Hernia?

I-hernia yokuzala kulapho isisu sakho nesifuba sakho zidibana khona. Ngoko ke ukuba unentlungu evela kwi-hernia, ingavakala njengentlungu yesifuba okanye intlungu yesisu. Intlungu ingenzeka xa wenza izinto ezithile okanye xa ukwindawo apho i-hernia icinezelwa okanye icinezelwa khona. Umzekelo, ukuba une-hernia enkulu, ungaziva iintlungu xa ugoba phambili, ukhohlela, okanye uphakamisa into ethile. Intlungu inokuba luphawu lokuba kukho into engalunganga. Kodwa uninzi lwexesha, iintlungu ezivela kwi-hernia yokuzala aziveli kwi-hernia ngokwayo, kodwa zivela kwi-acid reflux. I-asidi iyayicaphukisa i-esophagus yakho. Ngenxa yokuba le esophagus isuka embindini wesifuba sakho iye emqaleni wakho, iintlungu zingavakala ngathi ziyaphuma phezulu, ezantsi, okanye esifubeni sakho sonke. Uninzi lwabantu luziva ngathi luvutha. Abanye abantu banokuziva ngathi luhlaselo lwentliziyo. Ukuba unamathandabuzo, okanye ukuba ufumana iintlungu zesifuba, kungcono ukubona ugqirha kwaye uhlolwe.

I-asidi ingena njani emqaleni ngenxa ye-hernia?

Khawucinge nje, apho umphimbo wethu udibana khona nesisu sethu (i-gastroesophageal junction). Kulapho i-diaphragm iya khona, kwaye izihlunu ezihlala zinceda ekuthinteleni i-asidi ukuba inganyuki iye emqaleni ziyaqina. Xa ezi zihlunu ziqina kwaye zingakwazi ukuvala umphimbo ngokufanelekileyo, i-asidi esesiswini iqala ukubuyela emphinjeni. Kwakhona, ngenxa ye-hernia, enye ye-asidi inamathela kwinxalenye ephezulu yesisu, kwaye ayihleki lula. Yile nto kanye eyenzekayo.

Zithini izizathu ze-Hiatal Hernia?

I-hernia inokukhula xa kukho indawo ebuthathaka kwizicubu ezahlula amalungu ahlukeneyo omzimba wethu. Loo ndawo ibuthathaka kulapho i-hernia iphuma khona. I-hernia yokuzala iyenzeka, njengoko bekutshiwo ngaphambili, xa umngxuma kwi-diaphragm ebizwa ngokuba yi-esophageal hiatus uba mkhulu kakhulu. Ngamanye amaxesha obu buthathaka bunokwenzeka ngenxa yengozi ethile, utyando, okanye isiphene sokuzalwa. Kodwa rhoqo bubangelwa yiminyaka yoxinzelelo lwemihla ngemihla kunye noxinzelelo oluqokelelene ngokuhamba kwexesha. Nantoni na edala uxinzelelo olongezelelweyo ngaphakathi kwesisu sakho inokubeka uxinzelelo kwi-diaphragm ngokuhamba kwexesha. Nazi ezinye zezinto eziphambili ezinokubangela i-hernia yokuzala:

• Ukukhohlela okanye ukuthimla ixesha elide: Cinga ngako, abanye abantu banesikhwehlela esingapheliyo. Xa ukhohlela kwaye uthimla rhoqo, uxinzelelo ngaphakathi esiswini sakho luyanda.
• Ukuqhinwa: Abantu abanengxaki yokuqhinwa bayayazi le nto.
• Ukutyeba kakhulu: Ukuba i-body mass index (BMI) ingaphezulu kwama-30.
• Ukuhlanza rhoqo.
• Ukuzilolonga okunzima okanye ukuphakamisa iintsimbi: Xa uphakamisa iintsimbi ezinzima, njengasejimini.
• Ukukhulelwa nokuzala: Uxinzelelo lwesisu nalo luyanda ngeli xesha.

Ingaba le Hiatal Hernia yimeko embi kakhulu?

Amaxesha amaninzi, hayi. Uninzi lweehernias zokuzala azibi nzulu. Uninzi alubangeli zimpawu. Usenokungazi nokuba unayo. Nangona kunjalo, ihernia enkulu inokuba nzulu ngokuhamba kwexesha. Ukuba inkulu, uya kuba neempawu rhoqo.

Ziziphi iingxaki ezinokubakho?

Eyona ngxaki ixhaphakileyo ebangelwa yi-hiatal hernia yi-chronic acid reflux. Ukuba oku kukhulu kwaye akulawuleki kakuhle ngamayeza, ekugqibeleni kunokonakalisa umphimbo wakho. Iingxaki ezibangelwa yi-chronic acid reflux ziquka:

• I-Esophagitis: Ukuphuma kwe-asidi kwi-esophagus kubangela ukuba ulwelo lwe-esophagus ludumbe kwaye luvuvuke. Oku kunokubangela iintlungu, ubunzima bokuginya, izilonda, kwanokopha.
• Ukuqiniswa komlomo: Ukulimala okuqhubekayo kunokubangela ukuba kubekho izicubu zesilonda kwi-esophagus. Olu xinzelelo lunokuphazamisana nezihlunu ezisebenzayo ngexesha lokuginya, nto leyo ebangela ukuba i-esophagus ibe mxinwa.
• Umphimbo kaBarrett: Ukwenzakala okuqhubekayo ngamanye amaxesha kunokubangela utshintsho kulwelo lwe-esophagus (imeko ebizwa ngokuba yi-"Barrett's esophagus." Nangona oku kungeyongozi ngokwayo, kuthathwa njengemeko engaphambi komhlaza .

Amaxesha amaninzi, iingxaki zinokwenzeka xa i-hernia yokuzala ibanjwa okanye ityhalelwa emngxunyeni. Oku kwenzeka rhoqo kwiintlobo ze-hernia ezingaqhelekanga. Ezi ngxaki ziquka:

• Ukuvaleka kwamathumbu: Isisu sakho okanye elinye ilungu linokunamathela, licinezelwe, okanye lijijeke kwindawo evulekileyo, livale indlela yakho yokugaya ukutya.
• I-Gastritis: Ukubuyela kwe-asidi kwinxalenye yesisu ehluthwe yi-herniated kunokubangela ukudumba, izilonda zesisu, kunye nokopha ngaphakathi.
• Ischemia: Ukuba i-hernia icinezelwe kakhulu, ukuhanjiswa kwegazi kuyo kunokupheliswa. Oku kunokubangela ukudumba, iintlungu, kwaye ekugqibeleni kufe izicubu. Le yimeko engxamisekileyo.

Ifunyanwa njani iHiatal Hernia?

Oogqirha baxilonga i-hernia yokuzala ngokujonga imifanekiso yomqala wakho nesisu sakho. Ngamanye amaxesha ifunyanwa ngengozi ngelixa bekhangela enye into. Nangona kunjalo, ugqirha unokufuna ukuyikhangela ukuba uneempawu ze-acid reflux. Okokuqala, baya kwenza uvavanyo lwe-pH yomqala ukujonga i-asidi kumqala wakho.Ukuba kukho i-asidi enjalo, kuya kwenziwa uvavanyo lomfanekiso ukuze kufunyanwe unobangela. Uvavanyo olunokuchonga i-hernia yokuzala luquka:

• I-X-reyi yesifuba: Oku kuthatha imifanekiso emnyama nemhlophe engashukumiyo yangaphakathi kwesifuba sakho, apho kukho khona i-trachea.
• I-Esophagram / I-Barium Swallow: Oku kufana nevidiyo ye-esophagus yakho . Ikuvumela ukuba ubone ngaphakathi kwe-esophagus yakho ngexesha langempela njengoko uginya. Ngaphambi koku, uza kunikwa ulwelo olubizwa ngokuba yi-barium ukuze ulusele.
• I-endoscopy ephezulu: Ityhubhu ende enekhamera encinci eqhotyoshelweyo ifakwa ngomlomo ukuze ijonge ngaphakathi kwi-esophagus nakwisisu. Oku kukuvumela ukuba ubone ingaphakathi le-esophagus kwisikrini esiphilayo. Ukuba kuyimfuneko, iziqwenga ezincinci zezicubu (i-biopsy) zingathathwa ukuze zihlolwe.
• I-Esophageal manometry: I-catheter ifakwa kwi-esophagus ukuze kulinganiswe uxinzelelo lwemisipha kwi-esophagus.

Ingaba le hernia iza kuphela yodwa?

Hayi. IiHernia aziphucuki zodwa. Zihlala ziphucuka ngokuhamba kwexesha. Nangona kunjalo, oko akuthethi ukuba ihernia yakho ayizukubangela naziphi na iingxaki. Ukuba awunazo iimpawu ezivela kwihernia yakho yokuzala, mhlawumbi awudingi unyango. Kodwa ukuba unazo iimpawu, zisenokuqhubeka kwaye zibe mandundu. I-acid reflux encinci inokulawulwa ngamayeza. Kodwa iimeko ezinzima ngakumbi zinokufuna ukulungiswa ngotyando.

Ziziphi iindlela zonyango ze-Hiatal Hernia?

Ugqirha wakho uza kuhlola ngononophelo uhlobo lwe-hernia yakho, ubungakanani be-hernia yakho, kunye neempawu zakho ukuze amisele eyona ndlela ilungileyo yonyango oluhlala ixesha elide kuwe. Nazi ezinye iindlela ezikhoyo:

• Linda uze ujonge: Ukuba i-hernia yakho ayikukhathazi, isenokungadingi unyango. Kodwa ugqirha wakho uya kuyijonga, njengoko inokuya ikhula ngokuhamba kwexesha.
• Sebenzisa amayeza: Amayeza awanakukuthintela ngokupheleleyo i-asidi ukuba ingangeni emqaleni. Kodwa anokunciphisa ubungakanani be-asidi esiswini. Emva koko, nokuba ingena emqaleni, ayizukubangela monakalo mkhulu kwaye inciphise iintlungu.
• Utyando: Utyando oluncinci lunokulungisa i-hernia yakho yokuzala. Utyando lukhetho lomntu wonke, kodwa ayinguye wonke umntu olufunayo. Abanye abantu banokulufuna kwangoko, ngelixa abanye banokulufuna kamva.

Amayeza

Ukuba unesitshiso sentliziyo ngamaxesha athile, ungafumana isiqabu ngee -antacids ezingathengiswayo ngaphandle kwe-admin (ezifana neDigene, iGelusil). Nangona kunjalo, ukuba iyaqhubeka, ugqirha wakho unokukunika amayeza emihla ngemihla. Oku kudla ngokuquka ii-proton pump inhibitors (PPIs).(umz. i-Omeprazole, i-Esomeprazole, i-Pantoprazole) ziyanikwa. Ezi zinokunceda ekuthinteleni umonakalo we-asidi kwi-esophagus kwaye ziphilise iindawo ezonakeleyo. Nangona kunjalo, la mayeza awanakukuthintela ukutya ukuba kungabuyeli emqaleni (regurgitation) okanye athintele i-hernia ukuba ikhule.

Utyando

Oogqirha bacebisa utyando lokulungisa i-hernia kwiimeko ezifana nezi:

• Ukuba iimpawu okanye iingxaki ezibangelwa yi-hernia yakho azinakuthintelwa ngamayeza.
• Ukuba amayeza abangela iziphumo ebezingalindelekanga ezichaphazela impilo yakho okanye umgangatho wobomi bakho.
• Ukuba i-hernia yakho inkulu ngokwaneleyo ukuba ibangele iingxaki ezinkulu kwixesha elizayo.

Utyando lwe-hiatal hernia lulungisa i-hernia kunye ne-acid reflux ngale ndlela ilandelayo:

• Isisu sakho kunye nomminzo osezantsi zibuyiselwa kwindawo yazo efanelekileyo ngaphantsi kwe-diaphragm.
• Umngxuma okwi-diaphragm apho i-hernia yenzeke khona uvaliwe.
• Indawo edibanisa isisu kunye nomqala iqinisiwe.

Olu tyando lubizwa ngokuba yi-fundoplication . Eli gama livela kwigama elithi "fundus," elibhekisa kwinxalenye ephezulu yesisu. Ngexesha lotyando, ugqirha uthatha i-fundus yesisu sakho, ayisonge ngenxalenye esezantsi ye-esophagus yakho, aze ayiqinise ngee-operation clips (staples) okanye izitishi. Cinga ngayo njengokusonga isikhafu entanyeni yakho. Oku kuqinisa imisipha eyahlula amalungu amabini (i-sphincter esezantsi ye-esophageal). Nanini na xa kunokwenzeka, oku kwenziwa ngotyando lwe-laparoscopic olungena kakhulu . Oko kukuthi, utyando olubandakanya ukufaka ikhamera kunye nezixhobo ngokusebenzisa imingxunya embalwa emincinci.

Injani indlela yokuchacha emva kotyando?

Ngokuxhomekeke kwimeko yakho kunye nohlobo lotyando, kunokufuneka uhlale esibhedlele usuku olunye okanye ezimbini. Ukuchacha emva kotyando lwe-laparoscopic okanye lwerobhothi kudla ngokuba lula kwaye kukhawuleze. Oku kungenxa yokuba kwenziwa ngokusikwa okuncinci, endaweni yokusikwa okukhulu njengotyando oluvulekileyo. Nangona kunjalo, ngamanye amaxesha utyando oluvulekileyo luyafuneka. Kwanasemva kokuba ubuyile ekhaya, kuya kufuneka uphile ezinye iiveki ezimbini ukuya kwezintandathu. Ngeli xesha, usenokungakwazi ukutya ngokuqhelekileyo ngenxa yeempawu zexeshana kunye nemiphumo emibi ngelixa utyando lwakho luphola. Ugqirha wakho uya kukunika ukutya okulinganiselweyo kakhulu. Uza kuqala ngezinto ezimanzi, ngokuthe ngcembe uye ekutyeni okuthambileyo, kwaye ekugqibeleni uye ekutyeni okuqinileyo. Kuqhelekile ukunciphisa umzimba emva kotyando lwe-hernia yokuzala - ngokuqhelekileyo malunga neekhilogram ezili-10-15 (4.5-6.8).

Luphumelele kangakanani utyando lweHiatal Hernia?

Utyando lwe-hiatal hernia luphumelele ngama-90%.Uninzi lwabantu lunokuyeka ukuthatha amayeza abo emva kotyando baze baphile ubomi obuqhelekileyo ngaphandle kwengxaki ye-acid reflux. Emva kokuchacha, kuya kufuneka ubone ugqirha wakho ubuncinane kanye ngonyaka ukuze ajonge i-hernia elungisiweyo kwaye aqinisekise ukuba yonke into isebenza kakuhle. Ukuba kukho naziphi na iingxaki ezintsha ezivelelayo okanye ukuba iingxaki ezindala ziyabuya, ugqirha wakho uya kuzijonga nazo. Izifundo zexesha elide zibonise ukuba malunga ne-50% ye-hernias ye-hiatal iya kuphinda ivele emva kwexesha elithile (ngesiqhelo iminyaka eliqela) emva kotyando. Oku kusenokuba kungenxa yokuba inxalenye ethile yotyando ayizange yenziwe ngokufanelekileyo, okanye ngenxa yokuba izinto ezibangele i-hernia yokuqala zisasebenza kwaye zibangele entsha. Nangona kunjalo, ayizizo zonke ii-hernias eziphinda zivele eziya kuba neempawu ezifanayo. Nangona kunjalo, ukuba ziyavela, utyando olutsha lunokululungisa ngokusisigxina.

Ndingenza ntoni ekhaya nge-hernia yam yokuzala?

Ukuba uhlala ne-hernia yokuzala ebangela iimpawu ezithile, ungazama ukufumana isiqabu ekhaya ngamayeza athengiswa ngaphandle kwemvume kagqirha kunye notshintsho kwindlela yokuphila. Ii-antacids - ezifana neTums®, Rolaids®, Pepto-Bismol® (amayeza afanayo ayafumaneka eSri Lanka, buza ugqirha wakho okanye ikhemisti) - zinokunceda ukulawula isitshiso sentliziyo ngamanye amaxesha, kodwa azikhuthazwa ukuba zisetyenziswe rhoqo. Unganciphisa ukuphindaphindeka kunye nobunzima besitshiso sentliziyo ngokutshintsha indlela yokuphila. Umzekelo:

• Gcina i-body mass index (BMI) esempilweni kuwe: Ukuba ukutyeba kakhulu kubangela iingxaki ze-asidi, ukunciphisa umzimba kunokunceda.
• Yitya ukutya okuncinci: Endaweni yokutya isidlo esikhulu ngaxeshanye, yitya ukutya okuncinci. Oku kuya kunciphisa uxinzelelo esiswini sakho.
• Nciphisa ukutya okunamafutha: Ukutya okunamafutha amaninzi kubangela ukuba isisu sivelise iasidi kunye nee-enzymes ezininzi.
• Yitya isidlo sangokuhlwa kwangethuba: Musa ukulala phantsi iiyure ezimbalwa emva kokutya. Emva koko amandla adonsela phantsi aza kukunceda.
• Tshintsha indlela olala ngayo: Ukulala intloko yakho iphakanyisiwe kancinci ebusuku kwaye ulale ngecala lasekhohlo kunokunceda ukuthintela i-asidi ukuba ingangeni emqaleni. Kukho imiqamelo yomzimba eyenzelwe oku ngokukodwa.
• Yeka ukutshaya: Ukutshaya kwenza buthathaka i-sphincter yakho esezantsi kwesophagus. Kunokubangela nokukhwehlela okungapheliyo, okubeka uxinzelelo kwimisipha ejikeleze i-hernia ye-hiatal.

Usenokufunyaniswa une-hernia yokuzala ngengozi xa usiya kugqirha ngesinye isizathu. Oku kuqhelekile kakhulu, kwaye ukuba eyakho incinci kwaye ayikubangeli ngxaki, ayisiyonto yokuxhalaba ngayo. Okanye, unokufunyanwa une-hernia yokuzala emva kweminyaka yeempawu kwaye ekugqibeleni ufuna iimpendulo kunye noncedo. Usenokumangaliswa kukufumanisa ukuba i-acid reflux yakho ibangelwa yi-hernia. Ngethamsanqa, kukho unyango lwe-acid reflux kunye ne-hiatal hernia. Unyango olufunayo luya kuxhomekeka kuhlobo lwe-hernia kunye neempawu zakho. Kwiimeko ezininzi, amayeza kunye notshintsho kwindlela yokuphila lunokunceda ukulawula i-acid reflux yakho. Kwiimeko ezinzima ngakumbi, utyando lunokufuneka ukulungisa i-hernia. Olu tyando luphumelela kakhulu. Nje ukuba ukuxilongwa kwakho kucace gca, uya kuba usendleleni yokufumana isiqabu kwiimpawu zakho.

Okokugqibela, izinto ekufuneka uzikhumbule

I-hernia yokuzala ayiyonto yokoyika. Abantu abaninzi banayo kwaye ababonisi zimpawu.

Nangona kunjalo, ukuba uqhubeka uneempawu ezifana neentlungu zesifuba, ukutya okuphuma emqaleni, okanye ubunzima bokuginya, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kagqirha. Kuba kubalulekile ukwazi ukuba unobangela yi-hiatal hernia okanye yinto enye kwaye ufumane unyango olufunekayo.

Le meko inokulawulwa kakuhle ngokutshintsha indlela yokuphila kwaye ngamanye amaxesha ngamayeza. Nokuba kufuneka utyando, ngoku lwenziwa ngeendlela eziphambili kakhulu kwaye luneziphumo eziphumelelayo. Ngoko ke, ungoyiki. Thetha nogqirha wakho kwaye ufumane isisombululo esifanelekileyo kuwe. I-Hiatal hernia, isitshiso sentliziyo, i-acid reflux, i-GERD, isisu, i-esophagus, utyando lwe-hernia