Inkinga abantu abaningi abanayo yilesi simo sokusha esiswini , ukusha esifubeni . Ngezinye izikhathi ngemva kokudla, kuzwakala sengathi kwehlela emphinjeni, njengokunambitha okumuncu. Namuhla sikhuluma ngesimo esingabangela lokhu. Leso yi-Hiatal Hernia. Kungenzeka ukuthi uke wezwa leli gama. Ake sibone ukuthi liyini kalula.
Kalula nje, iyini i-hernia yokubeletha?
Ake sithi kunodonga olwenziwe ngemisipha phakathi kwesifuba nesisu sethu. Lokhu sikubiza ngokuthi i- diaphragm . Kufana nodonga oluhlukanisa amakamelo amabili. Ukudla esikudlayo kusuka emphinjeni kuya esiswini ngepayipi lokudla ( umhubhe ). Ukuze kusuke esifubeni kuye esiswini, leli payipi lokudla kufanele lidlule kulelo diaphragm elikhulu. Kukhona imbobo encane kuyo. Le mbobo ibizwa ngokuthi i-hiatus.
I-hernia yokubeletha yilapho ingxenye yesisu sakho isunduza idlule emgodini osesiswini sakho, iye esifubeni sakho. Kufana nokuthi lapho imbobo yehembe iba nkulu kakhulu, inkinobho iphuma kalula.
Ziyini izimpawu ze-hernia yokubeletha?
Into emangalisayo ukuthi abantu abaningi abane-hernia yokubeletha ababonisi zimpawu. Kodwa-ke, abanye abantu bangase babe nalezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu besisu/isifuba | Lolu uphawu oluvame kakhulu. Lo muzwa wokushisa ubangelwa ukuphuma kwe-asidi esiswini (i-Acid Reflux). Lesi simo sibizwa nangokuthi i-Gastroesophageal Reflux Disease (GERD). |
| Ezinye izici |
|
| Izimo eziphuthumayo ezidinga iseluleko sezokwelapha ngokushesha! | |
| Izimpawu ze-Hernia ephukile | Lesi yisimo esiyingozi kakhulu. Ingxenye yesisu ingabhajwa emgodini, inqande ukugeleza kwegazi kuyo. Uma lokhu kwenzeka, ungase ube nalezi zimpawu:
Uma unezinye zalezi zimpawu, kufanele uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha. |
Kungani kwenzeka le hernia yokubeletha?
Ngokuvamile kunzima ukukhomba imbangela ethile yalokhu, kodwa ngicabanga ukuthi lezi zinto zingase zibe nomthelela:
- Ukuba nembobo enkulu lapho kuzalwa: Abanye abantu bangazalwa benembobo ebizwa ngokuthi i-hiatus enkulu kancane kunokuvamile.
- Ukuguga: Njengoba ukhula, imisipha esesipini sakho ingaba buthaka.
- Ukwanda kokucindezeleka kwangaphakathi kwesisu: Izinto ezifana nokukhwehlela isikhathi eside, ukuphakamisa izinto ezisindayo, nokuzikhandla kakhulu lapho uya endlini yangasese kungakhuphula ukucindezeleka kwangaphakathi kwesisu futhi kusunduze isisu siye phezulu.
- Ukukhuluphala ngokweqile: Njengoba isisindo somzimba sikhula, ingcindezi esiswini iyanda.
- Ukulimala: Noma yikuphi ukulimala kuleyo ndawo.
Ubani osengozini enkulu yokuthola lesi simo?
- Kulabo abanokukhuluphala ngokweqile
- Kulabo abaneminyaka engaphezu kwengu-50 ubudala
- Kwabomama abakhulelwe
- Kulabo ababhema noma abahlafuna ugwayi
Ukuthola kanjani lokhu, Dokotela?
Udokotela wakho angakuxilonga kuphela nge-hernia uma ubhekene nezimpawu ezifana nobuhlungu besisu. Ukuqinisekisa lokhu, kungenziwa olunye noma ngaphezulu kokuhlolwa okulandelayo:
1. Ukugwinya i-Barium: Kulolu vivinyo, uphuza uketshezi oluqukethe ikhemikhali ebizwa ngokuthi i-barium bese kwenziwa i-X-ray. I-barium yenza umphimbo wakho nesisu sakho kubonakale ngokucacile ku-X-ray.
2. I-Endoscopy:Kulokhu, kufakwa ipayipi elincane elinekhamera enamathiselwe emphinjeni wakho bese kuhlolwa ingaphakathi lomphimbo wakho nesisu.
3. I-Esophageal Manometry: Lokhu kulinganisa ingcindezi ngaphakathi komphimbo uma ugwinya.
4. Ukuhlolwa kwe-pH: I-capsule encane ifakwa ngaphakathi kwepayipi lokudla bese amazinga akho e-asidi alinganiswa cishe amahora angu-48. Le-capsule ayidingi ukususwa, izoziphumela yodwa bese iphuma nendle yakho.
Iphathwa kanjani i-hernia yokubeletha?
Ukuthi uthola ukwelashwa noma cha kuncike ekutheni unezimpawu nokuthi zinzima kangakanani.
Uma ungenazo izimpawu, udokotela wakho angase akuncome ukuthi ungenzi lutho okwamanje futhi ubheke isimo ("Ukulinda ngokuqapha").
Uma kukhona izimpawu, kunezindlela zokwelapha ezifana nalezi:
Imithi (izidakamizwa)
Imithi ayikwazi ukwelapha i-hernia, kodwa izimpawu zingancishiswa ngokulawula i-asidi yesisu.
- Ama-antacid: Anciphisa i-asidi yesisu.
- Ama-Proton Pump Inhibitors noma ama-H2 Receptor Blockers: Anciphisa ukukhiqizwa kwe-asidi esiswini.
- Ama-Prokinetics: Aqinisa imisipha ye-esophagus futhi asiza ekuvimbeleni i-asidi ukuthi ingakhuphuki.
Ukuhlinzwa
Ngezinye izikhathi ukuhlinzwa kuyadingeka. Lokhu kwenzeka uma:
- Uma izimpawu zingenakukwazi ukulawulwa ngemithi kanye nezinguquko zendlela yokuphila.
- Uma imiphumela emibi yomuthi kunzima ukuyibekezelela.
- Uma i-hernia inkulu kakhulu.
Lokhu ngokuvamile akuyona indlela yokuhlinzwa ephuthumayo. Ngokuvamile kwenziwa nge-keyhole (laparoscopy). Lokhu kuhilela ukwenza izimbobo ezimbalwa ezincane esiswini nokwenza ukuhlinzwa ngosizo lwekhamera. Lokhu kuphumela ekwelapheni okusheshayo kanye nokuncipha kwezibazi. Kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili ngemva kokuhlinzwa. Kungathatha amasonto amabili kuya kwayisithupha ukuze ululame ngokugcwele.
Yiziphi izinguquko zendlela yokuphila okudingeka uzenze?
Imbangela eyinhloko ye-hernia isisindo esiningi. Ngakho-ke, kubaluleke kakhulu ukulawula isisindo sakho.
- Nciphisa inani olidlayo: Yidla kancane kancane, hhayi okuningi ngesikhathi esisodwa.
- Nciphisa ukudla okunamafutha amaningi: Nciphisa amasoso akhilimu, ukudla okunamafutha, kanye nokudla okupakishwe (njengama-chips).
- Yidla isidlo sakusihlwa kusenesikhathi: Yidla isidlo sakusihlwa amahora angu-3-4 ngaphambi kokulala. Ungalali phansi isikhashana ngemva kokudla.
- Gcina ikhanda lakho liphakeme kancane uma ulele: Lala nomcamelo owodwa noma emibili. Lokhu kuzonciphisa inani le-asidi elikhuphukayo.
- Yeka ukubhema: Ukubhema kwenza lesi simo sibe sibi kakhulu.
- Thola ukudla okungalungile kuwe:Uma ukudla okuthile (ukudla okunobuthi, ushokoledi, izithelo ze-citrus, ikhofi) kwenza izimpawu zibe zimbi kakhulu, zigweme.
Akuyona into enhle ukuthatha imithi ethengiswa ngaphandle kwemithi kadokotela njengemithi yokunciphisa i-asidi. Ukwenza kanjalo kungalimaza izinso zakho. Uma izimpawu zakho kunzima ukuzilawula, qiniseka ukuthi ukhuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-hernia yokubeletha yisimo lapho ingxenye yesisu isunduzela phezulu esifubeni. Lesi yisimo esivame kakhulu.
- Abantu abaningi abanazo izimpawu. Uma benazo, uphawu oluyinhloko ukushisa kwenhliziyo kanye ne-acid reflux.
- Izinguquko zendlela yokuphila (ukwehlisa isisindo, ukulawula ukudla, ukuyeka ukubhema) zingalawula kakhulu izimpawu.
- Uma izimpawu zikhathaza, bona udokotela ukuze uthole ukwelashwa.
- Uma unezimpawu ezifana nobuhlungu obungazelelwe, obukhulu esifubeni noma esiswini, ukuhlanza, noma ukungakwazi ukukhipha indle, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
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