Ingabe uzwa isilungulela? Kungaba yi-Hiatal Hernia! Ake sixoxe | Nirogi Lanka

Ingabe uvame ukuzwa umuzwa wokushisa esifubeni sakho? Ingabe uvame ukuthola ukunambitheka okune-asidi noma okumuncu emlonyeni wakho ngemva kokudla, noma ngezinye izikhathi uzizwa sengathi ukudla kuyabuya? Mhlawumbe unenkinga yokugwinya noma uzizwa sengathi kukhona iqhubu elinamathele emphinjeni wakho. Nakuba lezi kuyizimpawu abaningi bethu abavame ukuzilahla, zingaba izimpawu zesimo esibizwa ngokuthi "i-Hiatal Hernia." Ungakhathazeki—lesi yisimo esivame kakhulu esingelapheka ngempumelelo. Ake sixoxe ngaso ngokuningiliziwe, njengoba nje besingenza ekubonisaneni okunobungane nochwepheshe eNirogi Lanka.

Iyini i-Hiatal Hernia?

Kalula nje, i-hernia yokubeletha yenzeka lapho ingxenye engenhla yesisu sakho ingena esifubeni sakho ngembobo encane ku-diaphragm yakho—umsipha omkhulu ohlukanisa isifuba sakho nesisu sakho. Cabanga nge-diaphragm yakho njengodonga. Lolu donga lunombobo omncane (i-esophageal hiatus) ovumela i-esophagus yakho ukuthi ixhumane nesisu sakho. Uma lombobo uba mkhulu kakhulu noma uba buthakathaka, ingxenye yesisu sakho ingakhukhumala iye phezulu. Lokho kukhukhumala yilokho esikubiza ngokuthi i-hiatal hernia.

I -hernia yenzeka lapho isitho noma izicubu zicindezela endaweni ebuthakathaka emgodleni wemisipha noma izicubu ezivame ukuyibamba. I-hernia ivamile, futhi i-hernia yokubeletha ibonakala kubantu abaningi. Ngokuvamile ikhula kancane kancane eminyakeni eminingana, kunokuba yenzeke ngesikhathi esisodwa.

Yiziphi izinhlobo ze-Hiatal Hernias?

Kunezinhlobo ezimbili eziyinhloko: i-hernia ye-hiatal eshelelayo kanye ne-hernia ye-hiatal ye-paraesophageal . Uhlobo lwe-sliding yilona oluvame kakhulu.

• Uhlobo 1: I-Hernia Ehambayo Ye-Hiatal

Lolu uhlobo oluvame kakhulu (cishe ama-95% ezimo) . Kulesi simo, indawo lapho umphimbo wakho uhlangana khona nesisu sakho iyashelela phezulu ngembobo esesikhaleni sakho bese ibuyela phansi. Ngenxa yokuthi "iyashelela" emuva naphambili, ibizwa ngokuthi i-sliding hernia.

• Uhlobo 2: I-Paraesophageal Hiatal Hernia – eyaziwa nangokuthi i-Rolling Hiatal Hernia.

Kulolu hlobo, ingxenye yesisu esingaphezulu isunduza phezulu ngesikhala se-diaphragm kodwa ihlala eduze komphimbo. Ingavame ukubukeka njengeqhubu elisendaweni noma ukuvela okufana nebhola.

• Uhlobo 3: I-Hernia Exubile

Lokhu kuyinhlanganisela yezinhlobo ezimbili okukhulunywe ngazo ngenhla. Zombili izindawo lapho umphimbo uhlangana khona nesisu kanye nenye ingxenye yesisu ziya phezulu ziye esifubeni.

• Uhlobo 4: I-Hernia Eyinkimbinkimbi

Lokhu kuyinto engavamile futhi eyinkimbinkimbi kakhulu. Kwenzeka lapho imbobo e-diaphragm ikhuliswa kakhulu, okuvumela hhayi isisu kuphela, kodwa nezinye izitho zesisu—njengengxenye yekholoni, i-pancreas, noma i-spleen—ukuba ikhuphuke.

Zivame kangakanani i-Hiatal Hernias?

Empeleni zivame kakhulu kunalokho ongakucabanga, ikakhulukazi njengoba ukhula. Ucwaningo luphakamisa ukuthi cishe u-20% wabantu bangaba nayo. Lapho beneminyaka engu-50, cishe u-50% wabantu bane-hernia ethile yokubeletha, eyanda ibe ngu-60% uma beneminyaka engu-60, kanye no-70% uma beneminyaka engu-70. Lesi simo sivame ukutholakala ezigulini lapha eSri Lanka.

Ziyini izimpawu ze-Hiatal Hernia?

Uma une-hernia eshelelayo yokubeletha, ungase ungazi nokuthi unayo. Ngokungafani nezinye izinhlobo ze-hernia, akukho qhubu langaphandle elibonakalayo.

Abantu abaningi bane- hernia yokubeletha ngaphandle kwezimpawu. Kodwa-ke, kulabo ababhekana nezimpawu, iningi lezinkinga lihlobene ne -Gastroesophageal Reflux Disease ( GERD ) .

Lezi zimpawu zifaka:

• Isishiso senhliziyo : Umuzwa oshisayo esifubeni, ikakhulukazi ngemva kokudla.
• Ubuhlungu besifuba obungebona obenhliziyo: Ubuhlungu besifuba obuphindaphindayo obufana nobe -angina ( isifo semithambo yenhliziyo ) kodwa empeleni obungahlobene nenhliziyo yakho.
• Ukungagayeki kahle kokudla: Umuzwa wokugcwala ngokushesha ngemva kokudla, ovame ukuhambisana nokungakhululeki esiswini.
• Ukubhodla nokubhodla: Ukudla, umoya, kanye ne-asidi yesisu ebuyela emphinjeni wakho.
• Ubunzima bokugwinya noma umuzwa wokuthi kukhona iqhubu emphinjeni wakho.
• Umphimbo obuhlungu kanye nokushoshozela: I-asidi efika emphinjeni ingacasula izicubu futhi ishintshe izwi lakho.

Khumbula ukuthi akuwona wonke umuntu one-hernia yokubeletha ohlangabezana ne-acid reflux, futhi akuwona wonke umuntu one-acid reflux onesifo se-hernia yokubeletha. Kodwa-ke, uma ubona lezi zimpawu zenzeka njalo, i-hernia ingaba imbangela.

Ezinye izimpawu eziyisixwayiso zingase zihlanganise:

• Isicanucanu: Kubangelwa ukucindezeleka esiswini noma ukuba khona kwe-asidi emgudwini womchamo.
• Ukuphelelwa umoya: Uma i-hernia enkulu icindezela amaphaphu akho, ingathinta ukuphefumula kwakho.
• Ukucindezeleka noma ubuhlungu esiswini esingaphezulu noma esifubeni esingezansi.

Lezi zimpawu zivame ukuhlotshaniswa nama-hernia amakhulu e-paraesophageal.

I-Hernia ye-Hiatal izizwa kanjani?

Ngenxa yokuthi i-hernia itholakala lapho isisu sakho sihlangana khona nesifuba sakho, ubuhlungu bungazwakala kunoma iyiphi indawo. Ukucindezeleka noma ukuvinjelwa kwe-hernia—njengokugoba phambili, ukukhwehlela, noma ukuphakamisa izinto ezisindayo—kungabangela ukungakhululeki. Uma uzwa ubuhlungu obungazelelwe, obukhulu, kungabonisa inkinga edinga ukunakekelwa kwezokwelapha ngokushesha.

Esikhathini esiningi, ukungakhululeki okuhambisana ne-hernia yokubeletha empeleni kubangelwa yi-acid reflux ephumela lapho, ecasula ulwelwesi lwe-esophagus. Lokhu kungazwakala njengokusha okukhanya esifubeni sonke. Ngenxa yendawo, ngezinye izikhathi kungafana nezimpawu zokuhlaselwa yinhliziyo. Uma uke waba nobuhlungu esifubeni, kuhlale kuphephile ukubonana nodokotela ngokushesha ukuze kunqunywe izinkinga zenhliziyo.

I-hernia ibangela kanjani i-acid reflux?

Cabanga ngokuhlangana lapho umphimbo wakho uhlangana khona nesisu sakho. Lapho leyo nhlanganisela ihamba ngaphezu kwe-diaphragm, imicu yemisipha evame ukusebenza njenge-valve yokuvimbela i-asidi ukuthi ingabuyeli emuva iba buthakathaka noma inwebeke. Ngenxa yokuthi le misipha ayikwazi ukuvala umphimbo ngokuqinile ngokwanele, i-asidi yesisu ivuza kalula phezulu. Ngaphezu kwalokho, i-hernia yokubeletha ingabamba inani elincane le-asidi yesisu esikhwameni esakhiwe yi-hernia, okwenza kube nzima ngesisu ukuthulula kahle.

Yini ebangela i-Hiatal Hernia?

Ama-hernias ayenzeka uma kukhona indawo ebuthakathaka esivimbelweni sezicubu esihlukanisa izingxenye zomzimba wakho. I-hernia yokubeletha yenzeka ngqo lapho imbobo ku-diaphragm (i-esophagus hiatus) ikhula, okuvumela isisu ukuthi sidlule.

Ngezinye izikhathi lobu buthakathaka bungenzeka ngenxa yokulimala okuthile, ukuhlinzwa, noma ngisho nesimo sokuzalwa. Kodwa-ke, ngokuvamile kuba umphumela weminyaka yokulimala kwezicubu okuqongelelekayo okuvela ekucindezelekeni okungapheli kwansuku zonke kanye nokucindezeleka. Noma yini eyandisa ingcindezi ngaphakathi kwesisu sakho ingagcina ithinte i-diaphragm yakho. Nazi izici eziningana ezibalulekile ezifaka isandla ekuthuthukisweni kwe-hernia yokubeletha:

• Ukukhwehlela noma ukuthimula okungapheli: Cabanga ngalabo abahlushwa ukukhwehlela okungapheli. Ukukhwehlela noma ukuthimula okungapheli kukhulisa kakhulu ingcindezi yangaphakathi kwesisu.
• Ukuzikhandla okuqhubekayo ngesikhathi sokuhamba kwamathumbu (ukuqunjelwa): Uma uhlushwa ukuqunjelwa okungapheli, uyazi ukuthi lolu hlobo luthinta kanjani umzimba.
• Ukukhuluphala: I-Body Mass Index (BMI) engama-30 noma ngaphezulu ibeka ukucindezeleka okukhulu odongeni lwesisu sakho.
• Ukuhlanza njalo.
• Ukuvivinya umzimba okunzima noma ukuphakamisa okunzima: Ukuphakamisa izinsimbi ezisindayo kakhulu ejimini kungadala ingcindezi enkulu yangaphakathi.
• Ukukhulelwa nokubeletha: Lezi zikhathi zihilela ukwanda okungokwemvelo nokuphawulekayo kokucindezeleka kwesisu.

Ingabe i-Hiatal Hernia iyisimo esibucayi?

Ngokuvamile, cha. Iningi lama-hernias okubeletha aliyona ingozi. Abantu abaningi abaziboni ngisho nezimpawu, futhi ungase ungazi nokuthi unazo. Kodwa-ke, ama-hernias amakhulu angaba yingozi ngokuhamba kwesikhathi futhi angase avele nezimpawu ezibonakalayo.

Yiziphi izinkinga ezingaba khona?

Inkinga evame kakhulu ebangelwa yi-hernia yokubeletha yi-chronic acid reflux. Uma lokhu kukubi kakhulu futhi kungenakuphathwa kahle ngemithi, kungaholela ekulimaleni kwesikhathi eside emhubheni wakho.

Izinkinga ezibangelwa yi-reflux ye-acid engapheli zifaka:

• I-Esophagitis: I-acid reflux ibangela ukuthi ulwelwesi lomsipha luvuvuke noma lube nezilonda, okuholela ebuhlungwini, ubunzima bokugwinya, kanye nokopha okungenzeka.
• Ukuqiniswa komlomo wesibeletho: Ukuvuvukala okungapheli kungaholela ekwakhekeni kwezicubu zesilonda emqaleni. Lokhu kuqiniswa kunganciphisa indlela, kwenze kube nzima ukuthi ukudla kudlule.
• Umphimbo kaBarrett: Umonakalo oqhubekayo ngezinye izikhathi ungabangela izinguquko ezicutshini zomphimbo. Nakuba ungeyona ingozi ngokwawo, kubhekwa njengesimo esingaphambi komdlavuza esidinga ukubhekwa ngudokotela.

Akuvamile kakhulu, i-hernia ingabanjwa noma icindezelwe kakhulu ngaphakathi kwe-diaphragm. Lokhu kuvame ukwenzeka ngezinhlobo ze-hernia ezingavamile. Izinkinga ezinjalo zifaka:

• Ukuvaleka kwamathumbu: Isisu sakho noma esinye isitho singase sibambeke noma sisonteke, sivimbe umgudu wokugaya ukudla.
• I-Gastritis: I-asidi yesisu ebambekile ingabangela ukuvuvukala kanye nezilonda engxenyeni yesisu ene-herniated.
• I-Ischemia: Uma i-hernia icindezelwe kahle ngokwanele, inganqamula ukuhlinzekwa kwegazi layo. Lokhu kuholela ekuvuvukeni, ebuhlungwini obukhulu, futhi ekugcineni kufe izicubu. Lesi yisimo esiphuthumayo sezokwelapha; funa ukunakekelwa okusheshayo egumbini eliphuthumayo.

I-Hernia ye-Hiatal itholakala kanjani?

Odokotela bavame ukuhlonza i-hernia yokubeletha ngokuhlola izithombe zomhubhe wakho kanye nesisu. Ngezinye izikhathi, itholakala ngengozi ngesikhathi sokuhlolwa kwezinye izimo. Kodwa-ke, udokotela wakho cishe uzophenya kabanzi uma ubika izimpawu ze-acid reflux. Ungase uqale wenze ukuhlolwa kwe-pH yomlomo ukuqinisekisa ukuba khona kwe-asidi. Uma kuqinisekisiwe, kuzosetshenziswa ukuhlolwa kwezithombe ukuthola imbangela.

Ukuhlolwa okuvamile kokuxilonga kufaka phakathi:

• I-X-ray yesifuba: Inikeza umbono ocacile wesikhala sesifuba.
• I-Esophagram (i-Barium Swallow): Lokhu kusebenza njengevidiyo yesikhathi sangempela ye-esophagus yakho. Ngemva kokugwinya uketshezi lwe-barium, udokotela wakho angabuka ukusebenza kwe-esophagus yakho ngesikhathi sangempela.
• I-endoscopy Ephezulu: Ipayipi elincane neliguquguqukayo elinekhamera lidluliselwa emphinjeni wakho ukuze udokotela akwazi ukubona ingaphakathi lomphimbo wakho nesisu. Amasampula ezicubu (i-biopsy) angathathwa uma kudingeka.
• I-Esophageal manometry: I-catheter ifakwa ukukala ukucindezeleka kanye nokufinyela kwemisipha ngaphakathi komphimbo wakho.

Ingabe i-hernia iyaphela yodwa?

Cha. I-hernia ayizipholi ngokwayo. Ngokuvamile, ivame ukuba yimbi kakhulu ngokuhamba kwesikhathi.Kodwa-ke, lokhu akusho ukuthi i-hernia yakho izokubangela ukucindezeleka. Uma i-hernia yakho yokubeletha ingenazimpawu, ungase ungadingi ukwelashwa. Uma unezimpawu, zingase ziqhubeke noma ziqhubeke. Ukuvuvukala okuncane kungaphathwa ngemithi, kodwa izimo ezimbi kakhulu zingase zidinge ukulungiswa kokuhlinzwa.

Yiziphi izindlela zokwelapha i-Hiatal Hernia?

Udokotela wakho uzonquma isu elihle kakhulu lesikhathi eside ngokusekelwe ohlotsheni lwe-hernia yakho, ubukhali bezimpawu zakho, kanye nempilo yakho iyonke. Izinketho zifaka:

• Linda ubheke: Uma i-hernia yakho ingabangeli izinkinga, ungase uqashwe ukuze ubone ukuthi iyashintsha yini ngokuhamba kwesikhathi.
• Imithi: Nakuba imithi ingakwazi ukulungisa i-hernia, inganciphisa i-asidi yesisu, inciphise ubuhlungu futhi ivimbele ukulimala komphimbo.
• Ukuhlinzwa: Inqubo encane yokuhlinzwa ingalungisa i-hernia. Ukuhlinzwa kuyindlela yabaningi, yize kungadingeki kuwo wonke umuntu.

Imithi

Uma kwenzeka i-acid reflux ngezikhathi ezithile, ama-antacid atholakala ngaphandle kwemithi anganikeza impumuzo yesikhashana. Kodwa-ke, uma izimpawu zivame, udokotela wakho angase akunike ama-Proton Pump Inhibitors (PPIs) (njenge-Omeprazole noma i-Esomeprazole). Lawa asebenza kahle kakhulu ekwelapheni umonakalo womqala, yize engavimbeli i-hernia ekukhuleni noma ekuvimbeleni ukudla ukuthi kubuye.

Ukuhlinzwa

Odokotela eNirogi Lanka bangase batuse ukulungiswa kokuhlinzwa uma:

• Izimpawu noma izinkinga azikwazi ukulawulwa ngemithi.
• Imithi ibangela imiphumela emibi ethinta ikhwalithi yempilo yakho.
• Ubukhulu be-hernia bubonisa ingozi enkulu yezinkinga ezinkulu zesikhathi esizayo.

Ngesikhathi sokuhlinzwa kwe-hernia yokubeletha, inqubo ivame ukuhilela:

• Ukubuyisela isisu kanye nengxenye engezansi yomphimbo endaweni efanele ngaphansi kwe-diaphragm.
• Ukulungisa imbobo ku-diaphragm.
• Ukuqinisa indawo yokuhlangana phakathi komphimbo nesisu.

Le nqubo ibizwa ngokuthi i-Fundoplication . Igama lisuselwa ku-"fundus," okuyingxenye engenhla yesisu sakho. Ngesikhathi sokuhlinzwa, udokotela wakho ohlinzayo uthatha i-fundus yesisu sakho, ayisonge engxenyeni engezansi ye-esophagus yakho, bese eyiqinisa nge-staples noma i-sutures yokuhlinzwa. Cabanga ngakho njengokusonga isikhafu entanyeni yakho. Lokhu kuqinisa i-sphincter engezansi ye-esophagus, imisipha ehlukanisa lezi zitho ezimbili. Noma nini lapho kungenzeka, lokhu kwenziwa njengokuhlinzwa kwe-laparoscopic okungenasidingo , okusho ukuthi udokotela ohlinzayo usebenzisa ikhamera namathuluzi afakwe ngokusika okuncane.

Injani inqubo yokululama ngemva kokuhlinzwa?

Kuye ngempilo yakho kanye nohlobo lokuhlinzwa okwenziwe, kungadingeka uhlale esibhedlela usuku olulodwa noma ezimbili. Ukululama ekuhlinzweni kwe-laparoscopic noma ekuhlinzweni kwerobhothi kuvame ukushesha futhi kukhululeke ngoba kuhilela ukusikwa okuncane kunokusikwa okukhulu okudingekayo ekuhlinzweni okuvulekile. Kodwa-ke, kwezinye izimo, ukuhlinzwa okuvulekile kungadingeka ngokwezokwelapha.

Uma usubuyile ekhaya, uzodinga isikhathi sokululama esingamasonto amabili kuya kwayisithupha. Phakathi nalesi sikhathi, ungase ube nezimpawu zesikhashana kanye nemiphumela emibi eyenza ukudla kube nzima ngesikhathi umzimba wakho ululama. Udokotela wakho uzokunikeza ukudla okuqondile kakhulu. Cishe uzoqala ngoketshezi, kancane kancane uye ekudleni okuthambile, bese ekugcineni ushintshela ekudleni okuqinile. Kuvamile ukwehla kwesisindo —ngokuvamile amakhilogremu angu-4.5–6.8—ngemuva kokuhlinzwa kwe-hernia yokubeletha.

Kuphumelela kangakanani ukuhlinzwa kwe-hiatal hernia?

Ukuhlinzwa kwe-hiatal hernia kunezinga lempumelelo elingu-90%.Iziguli eziningi ziyakwazi ukuyeka ukuthatha imithi futhi ziphile ngaphandle kokungakhululeki kwe-acid reflux ngemva kwenqubo. Ngemva kokululama, kufanele ubonane nodokotela wakho okungenani kanye ngonyaka ukuqinisekisa ukuthi indawo elungisiwe isebenza kahle. Uma uzwa izimpawu ezintsha noma uma ezindala zibuya, ithimba lakho lezokwelapha lizophenya ngokufanele.

Izifundo zesikhathi eside zibonisa ukuthi cishe ku-50% wamacala, i-hernia yokubeletha ingabuya futhi ngokuhamba kwesikhathi (ngokuvamile ngemva kweminyaka eminingana). Lokhu kungenzeka uma ingxenye yokulungiswa ingagcinanga noma uma izici eziyisisekelo ezibangele i-hernia yokuqala zisekhona. Akuwona wonke ama-hernia aphindaphindayo abangela izimpawu ezifanayo, kodwa uma eba khona, ukuhlinzwa okulandelayo kunganikeza ikhambi elihlala njalo.

Yini engingayenza ekhaya ukuze ngiphathe i-hernia yokubeletha?

Uma uphila ne-hernia yokubeletha ebangela izimpawu ezithile kuphela, ungazama ukuthola impumuzo ekhaya ngemithi etholakala ngaphandle kwemithi kadokotela kanye nokushintsha indlela yokuphila. Ama-antacid — njenge-Tums®, i-Rolaids®, noma i-Pepto-Bismol® — angasiza ekulawuleni i-acid reflux ngezikhathi ezithile, kodwa akufanele asetshenziswe njengesixazululo sesikhathi eside, sansuku zonke. Unganciphisa futhi ukuvama kanye nobukhali be-acid reflux ngalezi zindlela zokuphila ezilandelayo:

• Gcina Inkomba Yomzimba Ephilile (i-BMI): Uma isisindo esiningi sibangela izinkinga zakho ze-asidi, ukwehlisa isisindo kungaba yimpumelelo enkulu.
• Yidla ukudla okuncane, okuvamile: Esikhundleni sokudla okukhulu, yidla kancane usuku lonke ukuze unciphise ingcindezi esiswini sakho.
• Nciphisa ukudla okunamafutha: Ukudla okunamafutha amaningi noma okunamafutha amaningi kungandisa ukukhiqizwa kwe-asidi yesisu nama-enzyme.
• Yidla isidlo sakusihlwa kusenesikhathi: Gwema ukulala phansi amahora amaningana ngemva kokudla ukuze amandla adonsela phansi asebenzele wena.
• Shintsha indawo yakho yokulala: Ukulala ikhanda lakho liphakanyisiwe futhi ulale ngohlangothi lwakho lwesobunxele kungasiza ekuvimbeleni i-asidi ukuthi ingaphinde ikhuphuke. Kukhona imicamelo ekhethekile yomzimba etholakala ukusiza ngalokhu.
• Yeka ukubhema: Ukubhema kwenza buthaka i-sphincter engezansi komphimbo. Ngaphezu kwalokho, kungabangela ukukhwehlela okungapheli, okubeka ingcindezi eyengeziwe emisipheni ezungeze i-hernia yokubeletha.

Ungase uthole ukuthi une-hernia yokubeletha ngengozi ngenkathi uvakashela udokotela ngenkinga ethile. Lokhu kuvame kakhulu; uma eyakho incane futhi ingabangeli ukungakhululeki, ngokuvamile asikho isidingo sokukhathazeka ngayo. Ngaphandle kwalokho, kungenzeka ukuthi uchithe iminyaka ubhekene nezimpawu eziya ziba zimbi ngaphambi kokuthola imbangela ekugcineni. Ungase umangale ukuzwa ukuthi i-acid reflux yakho empeleni ibangelwa i-hernia.

Ngenhlanhla, kukhona ukwelashwa okuphumelelayo kokubili i-acid reflux kanye ne-hiatal hernias. Ukwelashwa okudingayo kuncike ohlotsheni lwe-hernia yakho kanye nobukhali bezimpawu zakho. Ezimweni eziningi, imithi kanye nezinguquko zendlela yokuphila zanele ukuphatha inkinga. Ezimweni ezimbi kakhulu, ukuhlinzwa ukulungisa i-hernia kungadingeka. Lokhu kuhlinzwa kuphumelela kakhulu. Uma ukuxilongwa kwakho sekucacile, uzobe usendleleni yokuthola impumuzo yezimpawu.

Amanothi Okugcina Abalulekile

I-hernia yokubeletha ayiyona into yokwesaba. Abantu abaningi banayo futhi abakaze babonise zimpawu nhlobo.

Kodwa-ke, uma uzwa isilungulela esingapheli, ukudla kubuya, noma kunzima ukugwinya, sicela ufune iseluleko sezokwelapha ngokushesha. Ukuthola ukuthi imbangela iyi-hernia yokubeletha noma okunye kubalulekile ekutholeni ukunakekelwa okufanele.

Ngezinguquko ezincane zendlela yokuphila kanye nemithi ngezinye izikhathi, lesi simo singaphathwa kahle. Uma kudingeka ukuhlinzwa, yazi ukuthi inqubo yesimanje, ephumelelayo, nethembekile. Ungavumeli ukukhathazeka kukuvimbele; khuluma nodokotela wakho waseNirogi Lanka ukuze uthole ikhambi elifanelana kahle nezidingo zakho.

I-Hiatal Hernia, Isilungulela, Ukubuyela Kwe-Acid, I-GERD, Isisu, Umphimbo, Ukuhlinzwa Kwe-Hernia