Ingabe nawe uzwa ubuhlungu esifubeni? Angazi noma yi-hernia yokubeletha! Sizoxoxa?

Ingabe nawe uvame ukuba nesilungulela? Ingabe uzizwa sengathi unomuzwa omuncu emphinjeni wakho ngemva kokudla, noma ngezinye izikhathi uzizwa sengathi ukudla kuyaphuma emphinjeni wakho? Noma ingabe unenkinga yokugwinya ukudla, noma uzizwa sengathi kukhona okubambeke emphinjeni wakho? Nakuba ngezinye izikhathi singazinaki kakhulu lezi, kungase kube nesimo esibizwa ngokuthi "i-Hiatal Hernia" ngemuva kwalezi. Ungakhathazeki, lokhu kuyinto eyenzeka kubantu abaningi futhi iyelapheka. Namuhla, sizoxoxa ngalokhu ngokuningiliziwe, njengokungathi sikhuluma nelungu lomndeni.

Iyini i-Hiatal Hernia?

Kalula nje, i-hernia yokubeletha yilapho ingxenye engenhla yesisu sakho idlula emgodini omncane ku-diaphragm, umsipha ohlukanisa isifuba sakho nesisu sakho. Cabanga ngakho njengodonga. Lolu donga lunembobo encane (i-esophageal hiatus) lapho umphimbo wakho uxhumana khona nesisu sakho. Ngezinye izikhathi, lapho lo mgodi uba mkhulu kancane, ingxenye yesisu sakho iyadlula. Yilokho esikubiza ngokuthi i-hernia yokubeletha. Igama elithi i-hernia lisho ukuthi isitho noma izicubu zidlula endaweni ebuthakathaka emgodleni wezicubu ezizungezile, kunokuba zibe lapho zivame ukuba khona. I-hernia ivamile, futhi abantu abaningi babhekana nale hernia yokubeletha. Lokhu kuvame ukukhula kancane kancane eminyakeni eminingi. Akuyona into eshintsha ngokuzumayo.

Yiziphi izinhlobo ze-Hiatal Hernia?

Kunezinhlobo ezimbili eziyinhloko zama-hernias e-hiatal: i-hernia ye-hiatal eshelelayo kanye ne-hernia ye-hiatal e-paraesophageal . Iningi labantu linalolu hlobo lokushelela.

• Uhlobo 1: I-Hernia Ehambayo Ye-Hiatal

Lolu uhlobo oluvame kakhulu (cishe u-95%) . Okwenzekayo ukuthi i-esophagus yakho (ipayipi lokudla) liphuma ngembobo ku-diaphragm, lapho ixhuma khona esiswini sakho (i-gastroesophageal junction), bese libuyela phansi futhi. Kufana nokuthi liyashelela. Yingakho libizwa ngokuthi i-sliding hernia.

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

Kulolu hlobo, ingxenye engenhla yesisu iphuma embotsheni esemhubheni, ngale komhubhe. Ingabukeka njengeqhubu elifana nebhola.

• Uhlobo 3: I-hernia exubile

Lokhu kufana nenhlanganisela yezinhlobo ezimbili okukhulunywe ngazo ngenhla. Umphimbo uphuma lapho uxhumeka khona nesisu, kanti enye ingxenye yesisu ingaphuma ngesikhathi esifanayo.

• Uhlobo 4: I-hernia eyinkimbinkimbi

Lokhu kuyinto engavamile, futhi kungaba yinkimbinkimbi kancane. Okwenzekayo ukuthi imbobo ese-diaphragm iba nkulu ngokwanele ukuthi isisu nesinye isitho sesisu, isibonelo, ingxenye yamathumbu, i-pancreas, noma i-spleen, kuvele nayo.

Sivame kangakanani lesi simo esibizwa ngokuthi i-Hiatal Hernia?

Lokhu empeleni kuvame kakhulu kunalokho ongakucabanga, ikakhulukazi njengoba ukhula. Ezweni elifana neMelika, kuthinta cishe ama-20% abantu abavamile. Kuthiwa lapho umuntu eneminyaka engu-50, ama-50% azoba nalesi simo, uma eneminyaka engu-60, ama-60%, kanti uma eneminyaka engu-70, ama-70% azoba nalesi simo. Lesi simo sivamile naseSri Lanka.

Ziyini izimpawu ze-Hiatal Hernia?

Uma kwenzeka i-hernia yokubeletha eshelelayo, abantu abaningi abanayo, ungase ungayizwa ngisho ne-hernia. Ayibonakali njengeqhubu ngaphandle njengezinye izinhlobo ze-hernia.

Abantu abaningi abane- hernia yokubeletha ababonisi zimpawu. Kodwa-ke, iningi lalabo abanazo izimpawu banezimpawu ezihlobene nesifo se-acid reflux sesikhathi eside (i-Gastroesophageal Reflux Disease - GERD ) .

Kunjalo:

• Isishiso senhliziyo : Umuzwa oshisayo esifubeni, ikakhulukazi ngemva kokudla.
• Ubuhlungu besifuba obungebona obenhliziyo : Ubuhlungu besifuba obuphindaphindayo , obufana ne -angina , kodwa obungahlobene nenhliziyo .
• Ukungagayeki kahle kokudla: Umuzwa wokugcwala ngemva kokudla ukudla okuncane, okuhambisana nobuhlungu esiswini.
• Ukubhodla kanye nokubhodla: Ukuphinda ukudla, umoya kanye ne-asidi emphinjeni.
• Ubunzima bokugwinya noma ukuba neqhubu emphinjeni wakho.
• Umphimbo obuhlungu kanye nokushoshozela: I-asidi emphinjeni ingabangela umphimbo obuhlungu futhi ishintshe izwi.

Kodwa khumbula, akuwona wonke umuntu one-hernia yokubeletha ohlangabezana ne-acid reflux, futhi akuwona wonke umuntu ohlangabezana ne-acid reflux onesifo se-hernia yokubeletha. Kodwa uma ubhekana nalezi zimpawu kaningi, kungaba yi-hernia. Ezinye izimpawu eziyisixwayiso zifaka:

• Isicanucanu: Isicanucanu singabangelwa ukucindezeleka kwesisu, i-acid reflux, noma kokubili.
• Ukuphelelwa umoya:Uma i-hernia icindezela amaphaphu, kungaba nzima ukuphefumula.
• Ukucindezeleka noma ubuhlungu esiswini esingaphezulu noma esifubeni esingezansi.

Lezi zimpawu zivame ukubonakala kubantu abane-hernias enkulu ye-paraesophageal.

Ubuhlungu be-Hiatal Hernia bunjani?

I-hernia yokubeletha yilapho kuhlangana khona isisu nesifuba sakho. Ngakho-ke uma uzwa ubuhlungu ngenxa ye-hernia, kungazwakala njengobuhlungu besifuba noma ubuhlungu besisu. Ubuhlungu bungenzeka uma wenza izinto ezithile noma uma usesimweni lapho i-hernia icindezela noma icindezela khona. Isibonelo, uma une-hernia enkulu, ungase uzwe ubuhlungu uma ugoba phambili, ukhwehlela, noma uphakamisa okuthile. Ubuhlungu bungaba uphawu lokuthi kukhona okungahambi kahle. Kodwa isikhathi esiningi, ubuhlungu obuvela ku-hernia yokubeletha abuveli ku-hernia uqobo, kodwa buvela ku-acid reflux. I-asidi iyacasula i-esophagus yakho. Ngenxa yokuthi le-esophagus isuka phakathi kwesifuba sakho iye emphinjeni wakho, ubuhlungu bungazwakala sengathi bukhanya phezulu, phansi, noma esifubeni sakho sonke. Iningi labantu lizwa sengathi lishisa. Abanye abantu bangase bazizwe njengokuhlaselwa yinhliziyo. Uma unokungabaza, noma uma uzwa ubuhlungu besifuba, kungcono ukubona udokotela bese uhlolwa.

I-asidi ingena kanjani emphinjeni ngenxa ye-hernia?

Cabanga nje, lapho umphimbo wethu uxhumana khona nesisu sethu (i-gastroesophageal junction). Yilapho i-diaphragm iya khona, futhi imisipha evame ukusiza ekuvimbeleni i-asidi ukuthi ingakhuphukeli emphinjeni iyaqina. Lapho le misipha iqina futhi ingakwazi ukuvala umphimbo kahle, i-asidi esiswini iqala ukubuyela phezulu emphinjeni. Futhi, ngenxa ye-hernia, enye ye-asidi inamathela engxenyeni engenhla yesisu, futhi ayinciphi kalula. Yilokhu okwenzekayo nje.

Ziyini izimbangela ze-Hiatal Hernia?

I-hernia ingavela uma kukhona indawo ebuthakathaka ezicutshini ezihlukanisa izingxenye ezahlukene zomzimba wethu. Leyo ndawo ebuthakathaka yilapho i-hernia iphuma khona. I-hernia yokubeletha yenzeka, njengoba kushiwo ngaphambili, lapho imbobo ku-diaphragm ebizwa ngokuthi i-esophageal hiatus iba nkulu kakhulu. Ngezinye izikhathi lobu buthakathaka bungenzeka ngenxa yengozi ethile, ukuhlinzwa, noma ukukhubazeka kokuzalwa. Kodwa ngokuvamile kubangelwa iminyaka yokucindezeleka kwansuku zonke kanye nokucindezeleka okuqongeleleke ngokuhamba kwesikhathi. Noma yini edala ingcindezi eyengeziwe ngaphakathi kwesisu sakho ingabeka ingcindezi ku-diaphragm ngokuhamba kwesikhathi. Nazi ezinye zezinto eziyinhloko ezingabangela i-hernia yokubeletha:

• Ukukhwehlela noma ukuthimula isikhathi eside: Cabanga ngakho, abanye abantu banesikhwehlela esingapheli. Uma ukhwehlela futhi uthimula njalo, ingcindezi esiswini sakho iyanda.
• Ukuqunjelwa: Abantu abahlushwa ukuqunjelwa bayakwazi lokhu.
• Ukukhuluphala ngokweqile: Uma inkomba yesisindo somzimba (i-BMI) ingaphezu kuka-30.
• Ukuhlanza njalo.
• Ukuzivocavoca okunzima noma ukuphakamisa izinsimbi: Uma uphakamisa izinsimbi ezisindayo, njengasejimini.
• Ukukhulelwa nokubeletha: Ukucindezeleka kwesisu nakho kuyanda phakathi nalezi zikhathi.

Ingabe le Hiatal Hernia iyisimo esibucayi?

Isikhathi esiningi, cha. Iningi lama-hernias okubeletha awabi yingozi. Iningi lawo alibangeli zimpawu. Ungase ungazi nokuthi unazo. Kodwa-ke, i-hernia enkulu ingaba yingozi ngokuhamba kwesikhathi. Uma inkulu, uzovame ukuba nezimpawu.

Yiziphi izinkinga ezingaba khona?

Inkinga evame kakhulu ebangelwa yi-hernia yokubeletha yi-chronic acid reflux. Uma lokhu kukubi kakhulu futhi kungalawulwa kahle ngemithi, kungagcina kulimaze umphimbo wakho. Izinkinga ezibangelwa yi-chronic acid reflux zifaka:

• I-Esophagitis: Ukuvuvukala kwe-asidi emgudwini kubangela ukuthi ulwelwesi lomgundi luvuvuke futhi luvuvuke. Lokhu kungabangela ubuhlungu, ubunzima bokugwinya, izilonda, ngisho nokopha.
• Ukuqina komphimbo: Ukulimala okuqhubekayo kungabangela ukwakheka kwezicubu zesilonda emqaleni. Lokhu kuqhekeka kungaphazamisa imisipha esebenza ngesikhathi sokugwinya, okubangela ukuthi umsipha ube mncane.
• Umphimbo kaBarrett: Ukulimala okuqhubekayo ngezinye izikhathi kungabangela izinguquko olwelwesini lomphimbo (isimo esibizwa ngokuthi "umphimbo kaBarrett." Nakuba lokhu kungeyona ingozi ngokwayo, kubhekwa njengesimo esingaphambi komdlavuza .

Akuvamile kakhulu ukuthi kube nezinkinga uma i-hernia yokubeletha ibanjwa noma icindezelwa embotsheni. Lokhu kuvame ukwenzeka ngezinhlobo ze-hernia ezingavamile. Izinkinga ezinjalo zifaka:

• Ukuvaleka kwamathumbu: Isisu sakho noma esinye isitho singabhajwa, sicindezelwe, noma sisonteke embotsheni, sivimbe umgudu wakho wokugaya ukudla.
• I-Gastritis: Ukuvuvukala kwe-asidi engxenyeni yesisu ehlutshiwe kungabangela ukuvuvukala, izilonda zesisu, kanye nokopha kwangaphakathi.
• Ischemia: Uma i-hernia icindezelwe kakhulu, ukuhlinzekwa kwegazi kuyo kunganqamuka. Lokhu kungabangela ukuvuvukala, ubuhlungu, futhi ekugcineni kufe izicubu. Lokhu kuyisimo esiphuthumayo.

I-Hiatal Hernia itholakala kanjani?

Odokotela baxilonga i-hernia yokubeletha ngokubheka izithombe zomhubhe wakho kanye nesisu. Ngezinye izikhathi itholakala ngengozi ngenkathi befuna okunye. Kodwa-ke, udokotela angase afune ukuyifuna uma unezimpawu ze-acid reflux. Okokuqala, bazokwenza ukuhlolwa kwe-pH yokubeletha ukuze bahlole i-acid emhubheni wakho.Uma kukhona i-asidi enjalo, kuzokwenziwa izivivinyo zesithombe ukuthola imbangela. Izivivinyo ezingaxilonga i-hernia yokubeletha zifaka:

• I-X-ray yesifuba: Lokhu kuthatha izithombe ezimnyama nezimhlophe ezinganyakazi zangaphakathi kwesifuba sakho, lapho kukhona khona umphimbo.
• I-Esophagram / I-Barium Swallow: Lokhu kufana nevidiyo ye-esophagus yakho . Ikuvumela ukuthi ubone ingaphakathi le-esophagus yakho ngesikhathi sangempela njengoba ugwinya. Ngaphambi kwalokhu, uzonikezwa uketshezi olubizwa ngokuthi i-barium ukuze uluphuze.
• I-endoscopy Ephezulu: Ithubhu ende enekhamera encane enamathiselwe ifakwa ngomlomo ukuze ibheke ngaphakathi komphimbo nesisu. Lokhu kukuvumela ukuthi ubone ingaphakathi lomphimbo esikrinini esibukhoma. Uma kudingeka, izingcezu ezincane zezicubu (i-biopsy) zingathathwa ukuze zihlolwe.
• I-Esophageal manometry: I-catheter ifakwa ku-esophagus ukuze kulinganiswe ingcindezi emisipheni ye-esophagus.

Ingabe le hernia izophela yodwa?

Cha. Ama-hernia awabi ngcono ngokwawo. Ngokuvamile ayaba ngcono ngokuhamba kwesikhathi. Kodwa-ke, lokho akusho ukuthi i-hernia yakho ngeke ikubangele izinkinga. Uma ungenazo izimpawu ezivela ku-hernia yakho yokubeletha, cishe awudingi ukwelashwa. Kodwa uma unezimpawu, zingase ziqhubeke futhi zibe zimbi nakakhulu. I-acid reflux encane ingaphathwa ngemithi. Kodwa izimo ezimbi kakhulu zingadinga ukulungiswa kokuhlinzwa.

Yiziphi izindlela zokwelapha i-Hiatal Hernia?

Udokotela wakho uzohlola ngokucophelela uhlobo lwe-hernia yakho, ubukhulu be-hernia yakho, kanye nezimpawu zakho ukuze anqume ukuthi iyiphi indlela engcono kakhulu yokwelashwa yesikhathi eside. Izinketho ezitholakalayo yilezi:

• Linda ubheke: Uma i-hernia yakho ingakukhathazi, ingase ingadingi ukwelashwa. Kodwa udokotela wakho uzoyibheka, njengoba ingaba nkulu ngokuhamba kwesikhathi.
• Sebenzisa imithi: Imithi ayikwazi ukuvimba ngokuphelele i-asidi ukuthi ingangeni emphinjeni. Kodwa inganciphisa inani le-asidi esiswini. Ngisho noma ingangena emphinjeni, izobangela umonakalo omncane futhi inciphise ubuhlungu.
• Ukuhlinzwa: Ukuhlinzwa okuncane kungalungisa i-hernia yakho yokubeletha. Ukuhlinzwa kuyindlela yawo wonke umuntu, kodwa akuwona wonke umuntu oyidingayo. Abanye abantu bangase bayidinge ngokushesha, kanti abanye bangase bayidinge kamuva.

Imithi

Uma unesilungulela ngezikhathi ezithile, ungathola impumuzo ngemithi yokunciphisa isicanucanu engathengwa ngaphandle kwemithi kadokotela (njengeDigene, iGelusil). Kodwa-ke, uma ihlala isikhathi eside, udokotela wakho angase akunike umuthi wesikhathi eside, wansuku zonke. Lokhu kuvame ukufaka phakathi ama-proton pump inhibitors (PPIs).(isib. i-Omeprazole, i-Esomeprazole, i-Pantoprazole) ziyanikezwa. Lokhu kungasiza ekuvimbeleni ukulimala kwe-asidi emgudwini womchamo futhi kuphulukise izindawo ezonakele. Kodwa-ke, le mithi ayikwazi ukuvimba ukudla ukuthi kungabuyeli emphinjeni (ukubuyela emuva) noma ukuvimba i-hernia ukuthi ikhule.

Ukuhlinzwa

Odokotela batusa ukuhlinzwa kokulungisa i-hernia ezimweni ezinjengalezi:

• Uma izimpawu noma izinkinga ezibangelwa yi-hernia yakho zingenakuvinjelwa ngemithi.
• Uma imithi ibangela imiphumela emibi ethinta impilo yakho noma ikhwalithi yempilo yakho.
• Uma i-hernia yakho inkulu ngokwanele ukubangela izinkinga ezinkulu esikhathini esizayo.

Ukuhlinzwa kwe-hiatal hernia kulungisa i-hernia kanye ne-acid reflux ngale ndlela elandelayo:

• Isisu sakho kanye nomphimbo ongezansi kubuyiselwa endaweni yazo efanele ngaphansi kwe-diaphragm.
• Imbobo e-diaphragm lapho i-hernia yenzeke khona ivaliwe.
• Indawo yokuhlangana phakathi kwesisu nomphimbo iqinisiwe.

Lokhu kuhlinzwa kubizwa ngokuthi i-fundoplication . Igama livela egameni elithi "fundus," elibhekisela engxenyeni engenhla yesisu. Ngesikhathi sokuhlinzwa, udokotela ohlinzayo uthatha i-fundus yesisu sakho, ayisonge engxenyeni engezansi ye-esophagus yakho, bese eyiqinisa ngeziqeshana zokuhlinzwa (ama-staples) noma izithungo. Cabanga ngakho njengokusonga isikhafu entanyeni yakho. Lokhu kuqinisa imisipha ehlukanisa izitho ezimbili (i-sphincter engezansi ye-esophageal). Noma nini lapho kungenzeka, lokhu kwenziwa ngokuhlinzwa kwe-laparoscopic okungenasidingo . Okusho ukuthi, ukuhlinzwa okuhilela ukufaka ikhamera namathuluzi ngokusebenzisa ukusikwa okuncane.

Kunjani ukululama ngemva kokuhlinzwa?

Kuye ngesimo sakho kanye nohlobo lokuhlinzwa, kungadingeka uhlale esibhedlela usuku olulodwa noma ezimbili. Ukululama ekuhlinzweni kwe-laparoscopic noma kwe-robotic kuvame ukushesha futhi kube lula. Lokhu kungenxa yokuthi kwenziwa ngokusikwa okuncane, kunokuba kwenziwe ngokusikwa okukhulu njengokuhlinzwa okuvulekile. Kodwa-ke, ngezinye izikhathi ukuhlinzwa okuvulekile kuyadingeka. Ngisho nangemva kokubuyela ekhaya, kuzodingeka ukuthi ululame amanye amasonto amabili kuya kwayisithupha. Phakathi nalesi sikhathi, ungase ungakwazi ukudla ngokujwayelekile ngenxa yezimpawu zesikhashana nemiphumela emibi ngenkathi ukuhlinzwa kwakho kuphola. Udokotela wakho uzokunikeza ukudla okulinganiselwe kakhulu. Uzoqala ngoketshezi, kancane kancane uye ekudleni okuthambile, bese ekugcineni uye ekudleni okuqinile. Kujwayelekile ukwehlisa isisindo ngemuva kokuhlinzwa kwe-hernia yokubeletha - ngokuvamile cishe amakhilogremu angu-4.5-6.8.

Ukuhlinzwa kwe-Hiatal Hernia kuphumelele kangakanani?

Ukuhlinzwa kwe-hernia ye-hiatal kuphumelele ngo-90%.Iningi labantu lingayeka ukuthatha imithi yabo ngemva kokuhlinzwa bese liphila impilo evamile ngaphandle kwenkinga ye-acid reflux. Ngemva kokululama, kuzodingeka ubone udokotela wakho okungenani kanye ngonyaka ukuze ahlole i-hernia elungisiwe futhi aqinisekise ukuthi konke kusebenza kahle. Uma kuvela izinkinga ezintsha noma uma izinkinga ezindala zibuya, udokotela wakho uzozibheka nazo. Izifundo zesikhathi eside zikhombisile ukuthi cishe ama-50% ama-hernias okubeletha azophinde abuye ngemva kwesikhathi esithile (ngokuvamile iminyaka eminingana) ngemva kokuhlinzwa. Lokhu kungase kube ngenxa yokuthi ingxenye ethile yokuhlinzwa ayenziwanga kahle, noma ngoba izici ezibangele i-hernia yokuqala zisasebenza futhi zibangele entsha. Kodwa-ke, akuwona wonke ama-hernias aphinde abuye azokuba nezimpawu ezifanayo. Kodwa-ke, uma ebuya, ukuhlinzwa okusha kungavame ukuwalungisa unomphela.

Yini engingayenza ekhaya nge-hernia yami yokubeletha?

Uma uhlala ne-hernia yokubeletha ebangela izimpawu ngezikhathi ezithile, ungazama ukuthola impumuzo ekhaya ngemithi etholakala ngaphandle kwemithi kadokotela kanye nokushintsha indlela yokuphila. Ama-antacid - njenge-Tums®, i-Rolaids®, i-Pepto-Bismol® (imithi efanayo iyatholakala eSri Lanka, buza udokotela wakho noma usokhemisi) - angasiza ekulawuleni isilungulela ngezikhathi ezithile, kodwa awanconywa ukuthi asetshenziswe njalo. Unganciphisa futhi ukuvama kanye nobukhali besilungulela ngokushintsha indlela yokuphila. Isibonelo:

• Gcina inkomba yesisindo somzimba (i-BMI) enempilo kuwe: Uma ukukhuluphala ngokweqile kubangela izinkinga ze-asidi, ukwehlisa isisindo kungasiza.
• Yidla ukudla okuncane: Esikhundleni sokudla ukudla okuningi ngesikhathi esisodwa, yidla ukudla okuncane. Lokhu kuzonciphisa ukucindezeleka esiswini sakho.
• Nciphisa ukudla okunamafutha: Ukudla okunamafutha amaningi kubangela ukuthi isisu sikhiqize i-asidi nama-enzyme amaningi.
• Yidla isidlo sakusihlwa kusenesikhathi: Ungalali phansi amahora ambalwa ngemva kokudla. Amandla adonsela phansi azokusiza.
• Shintsha indawo yakho yokulala: Ukulala ikhanda lakho liphakeme kancane ebusuku bese ulala ngohlangothi lwakho lwesobunxele kungasiza ekuvimbeleni i-asidi ukuthi ingangeni emphinjeni wakho. Kunemicamelo yomzimba eyenzelwe lokhu ngokukhethekile.
• Yeka ukubhema: Ukubhema kwenza buthaka i-sphincter yakho engezansi komphimbo. Kungabangela nokukhwehlela okungapheli, okucindezela imisipha ezungeze i-hernia yokubeletha.

Ungase utholakale une-hernia yokubeletha ngengozi uma uya kudokotela ngesinye isizathu. Lokhu kuvamile kakhulu, futhi uma eyakho incane futhi ingakubangeli izinkinga, akuyona into okufanele ukhathazeke ngayo. Noma, ungase utholakale une-hernia yokubeletha ngemva kweminyaka eminingi yezimpawu futhi ekugcineni ufuna izimpendulo kanye nokukhululeka. Ungase umangale ukuzwa ukuthi i-acid reflux yakho ibangelwa i-hernia. Ngenhlanhla, kunezindlela zokwelapha i-acid reflux kanye ne-hiatal hernia. Ukwelashwa okudingayo kuzoncika ohlotsheni lwe-hernia kanye nezimpawu zakho. Ezimweni eziningi, imithi kanye nezinguquko zendlela yokuphila kungasiza ukulawula i-acid reflux yakho. Ezimweni ezimbi kakhulu, kungase kudingeke ukuhlinzwa ukuze kulungiswe i-hernia. Lokhu kuhlinzwa kuphumelela kakhulu. Uma ukuxilongwa kwakho sekucacile, uzobe usendleleni yokuthola impumuzo ezimpawini zakho.

Okokugcina, izinto okufanele uzikhumbule

I-hernia yokubeletha ayiyona into okufanele uyesabe. Abantu abaningi banayo futhi ababonisi zimpawu.

Kodwa-ke, uma uqhubeka nokuba nezimpawu ezifana nobuhlungu besifuba, ukudla okuphuma emphinjeni wakho, noma ubunzima bokugwinya, kufanele nakanjani ufune iseluleko sezokwelapha. Ngoba kubalulekile ukwazi kahle ukuthi imbangela iyi-hernia yokubeletha noma enye into bese uthola ukwelashwa okudingekayo.

Lesi simo singaphathwa kahle ngokushintsha indlela yokuphila futhi ngezinye izikhathi ngemithi. Ngisho noma kudingeka ukuhlinzwa, manje sekwenziwa ngamasu athuthukile kakhulu futhi kunemiphumela ephumelelayo. Ngakho-ke, ungesabi. Khuluma nodokotela wakho bese uthola ikhambi elingcono kakhulu kuwe. I-hernia ye-Hiatal, isilungulela, i-acid reflux, i-GERD, isisu, i-esophagus, ukuhlinzwa kwe-hernia