Hiatal heniya: zviratidzo, kurapwa

Dumbu - ichi ndechimwe kiyi mitumbi utano iri zvakananga novimba nyaradzo uye kugona kurarama zvizere munhu. The pakuonekwa zvishoma nezvishoma mumatope hernias dzinaro mutumbi sizeable inokanganisa. dambudziko iri zvinogona kungotariswa, saka zvakakosha kuti uzive zviratidzo chirwere uye mishonga.

hiatal heniya

chirwere ichi chinogona akatsunga kanganisika, musimboti chiri kuti zvaizopedza miviri chete kana kupfuura riri peritoneum. Sangano iri kuitwa kubudikidza aperture kuri gullet yokutanga kurutivi chipfuva mhango. Somugumisiro, masangano kuti zvinofanira kuva zviri abdominal mhango, vanozviwana vari chipfuva uye yekudyidzana protrude.

Hiatal heniya (zita chirwere chechipiri) kungatoita kuti haasaruri slippage mudumbu, iyo pakupedzisira anochinja mubhokisi nzvimbo.

Mamiriro ezvinhu akadaro dzimwe nguva chinokurwadzai iine acid reflux mune murwere, i.e. water drainage kupinda yegurokuro pamusoro gastric acid. Most diagnoses vakadaro vari varwere vakuru makore 50. Zvinokosha kucherechedza kuti vakadzi vanotambura kubva dambudziko iri, sezvo axial heniya, zvikuru bonde kusimba.

zvinokonzera

The misha ine nhengo dzomukati zvingava nokuda zvinoverengeka, izvo zvinofanira Aizvirumbidza. Heano zvinokonzera chirwere ichi:

- Matambudziko simba zvokutadza kunotungamirira kunotadzisawo pamusoro nzvimbo yacho peritoneum;

- refu chikosoro;

- remesa;

- zvokurwara pakati esophageal hwomukova diaphragm, iro rine tinozvarwa nechisikirwo;

- kuchinja chokuita vasachembera;

- chisingaperi kupatira;

- kuti munhu kuwedzera nevezera mukati peritoneum;

- Operations uye traumas siyana;

- dzimwe nguva, hiatal heniya zvinogona kukonzerwa pamuviri kana pakusununguka akaoma.

Zviri nyore kuona kuti mune yakadaro yakaoma mamiriro kunokonzera kunyanya makakatanwa ari peritoneum, nekuratidzwa pasi pokudzora nezvikonzero zvakasiyana-siyana.

Types uye kukura chirwere

Modern okurapa achibvumira akawanda anokosha mhando dambudziko:

- Paraezofagenalnaya. Zviri chete misha mudumbu pasina kuita dzimwe nhengo.

- zvishoma nezvishoma mumatope heniya, zviri axial. Panyaya iyi, chipfuva mhango iri haachatauri zvakawanda uye cardiac mugove.

- yakavhenganiswa. Tiri kutaura zvinhu zviviri marudzi okutanga, ayo kuratidzwa panguva imwe chete.

- vachiberekwa. chirwere ichi chinoitwa apo dzakaonekwa heniya inotungamirwa kunoitika pamusoro yegurokuro duku yakarongwa muchimiro "zamu ventricle". Izvi ndizvo mwero.

Zvinokosha kuziva chokwadi chokuti zvishoma nezvishoma mumatope heniya - a zvokurwara, izvo vangava madhigirii akawanda, mumwe nomumwe wavo ane pachake zvachiri uye zvakakodzera:

1. dumbu riri pazasi kuti diaphragm, Cardia - pamusoro pamwero nacho, uye abdominal chidimbu kubva yegurokuro pamusoro diaphragm revarombo.

2. hiatal heniya 2 madhigirii siyana pakuti yegurokuro iri compressed zvakaenzana, uye mediastinum anopa mufundisi chikamu mudumbu.

3. Pane anyatsoona zvinoderedza yegurokuro, uye kupinda mediastinum anomira azere dumbu kana ayo chikamu.

Sei nechirwere

Pane nzira dzakawanda uhwo axial heniya kana zvako. chirwere ichi chinogona kuonekwa.

Chekutanga zvose zvakafanira kushandisa radiological zvidzidzo, kwakavakirwa hwuchavapano pasi barium musiyano. Kana nzira kuita zvakarurama, mugumisiro uri pamufananidzo uchaona oneka protrusion.

Attention zvinofanira kuripirwa uye kuti nzira dzakadai ph-metry. Uchibatsirwa kwayo kuona acidity mudumbu. Data izvi zvinokosha chaizvo kuti chinangwa zvinobudirira mishonga.

basa rake kuziva murwere kunoita fibrogastroscopy. Kushandiswa unyanzvi ichi zvinoita kuongorora mamiriro, umo kunogara yegurokuro uye dumbu yose.

Pasina chirwere matanho akadaro zvokurwara kwakadaro anenge dzavaisakwanisa kuona mukutanga nezvishoma. Saka unofanira tinyatsoziva zviratidzo kuti kugona matambudziko chirwere ichi chakakura.

chirwere kuratidzwa

Sezvo kiyi zviratidzo marwadzo zvinogona tsunga, nekuratidzwa pamwe kusiyanisa maitikiro uye zvikuru. Nokudaro vanogona kuva vari mapenzi uye unopfuta.

Dzimwe nguva marwadzo zvichiratidza kunharaunda mwoyo, saka kuti varwere vanotanga vazondifungira mwoyo kutadza. Mune zvimwe zviitiko, hiatal heniya angava zvinokonzera kurwadziwa mezhdulopatochnoy nharaunda.

Kana chirwere kunokonzerwa nokuziva vachiberekwa dambudziko, sezvo insufficiently rakafara yegurokuro, zviratidzo anogona kufanana zviratidzo axial heniya. Tiri kutaura chirungurira inooneka pashure kudya, marwadzo seri breastbone, kuwana simba iri chinjikira chinzvimbo, uye kurwadziwa mune dzimwe nhengo dzomuviri.

Kazhinji, kuti zvokurwara pachena pacharo sezvinotevera:

- dzikatadza pakuparadza;

- chirungurira pashure muviri kana zvokudya;

- kurwadziwa muchipfuva nzvimbo;

- zviratidzo hiatal heniya anogona kutora chimiro belching mhepo kana mudumbu mukati.

Akati Zviratidzo dzimwe nguva zvisiri vanofungidzirwa varwere. Sezvo ongororo, vanhu vanofunga kuti izvi zviri zviratidzo zvimwe zvirwere zviri kuita kuzvidzora medicate. Zvisinei, kana chero mubvunzo uyu mhando heniya unofanira pakarepo kuenda kwachiremba. Izvi kuchatanga nenguva kurapwa uye kudzivirira matambudziko.

kurapa nzira

Kana watarisana dambudziko rakadai, hiatal heniya, riri kunze mamiriro anogona kuva zviviri: zvomusejari kana kuchinja kurapwa.

The chikuru Basa dzenhoroondo nzira inogona vakatsunga kwete pachayo vanyatsopedza heniya, uye zviratidzo reflux esophagitis rutapudzo neutralization uye gastroesophageal reflux. Kureva, vanachiremba vanowanzotevedzera kubvisa marwadzo uye kudzivirira zvinobvira matambudziko. Zvinangwa izvi kubatsirwa ne varwere zvokudya, inobva fractional uye kakawanda zvokudya. Panguva kurapwa ino kurega zvimwe zvokudya. Tiri kutaura chocolate, carbonated zvinodhaka, kofi, mafuta mhuka, chingwa yakachena uye nezvimwe bhekari zvigadzirwa. Uyewo, vanachiremba zano kurapa kwakadaro panguva zororo iri supine nzvimbo rakatevera 3 maawa pashure zvokudya.

Bad miitiro inogona omesa muitiro pakurwisa chirwere, saka vanofanira kukanda mapfumo pasi. Uye matambudziko zvichibvira pharmacological nevamiririri. Izvi zvinogona kuva hwepurotoni Pombi FIs, prokinetics, antacids, uye vamwe.

Kana vavhiyiwa, zvakakosha chete kana kuchinja kurapwa asina aigadzira zvinozoita. The anowanzodanwa kushandiswa laparoscopic unyanzvi.

zvinogoneka yematambudziko

Kudai nechirwere hiatal heniya, ari pasina nenguva uye anokwanisa mabatiro murwere anogona kuva kuipa.

Chokwadi chokuti matambudziko kungaratidzwa pachishandiswa pezvakaitwa akawanda:

- strangulated heniya;

- esophageal ropa;

- peptic stricture of yegurokuro;

- reflux esophagitis;

- perforation of yegurokuro;

- kurasikirwa mucous Kamudzira mudumbu kupinda yegurokuro;

- peptic urikanwi.

Kana oparesheni akanga akatakurwa achiburitswa kunze, pane ngozi gastric dilatation, megaezofagusa uye gastroesophageal reflux. Hatifaniri kudzivirira, uye heniya dzokororo. In basa yematambudziko anogona kuita chido nemabayo. Kuti neutralize izvozvo, parenteral Kutarisirwa inorwisa mabhakitiriya rinoshandiswa.

zvabuda

Endesa nechavo kuti chokwadi pamusoro panowanikwa munhu hiatus heniya - chikanganiso chikuru. Kana chirwere yakadaro yakaitwa, chirongwa kurapwa kunyatsofungwa chaizvo. Zvikasadaro mamiriro aigona kuderera yekudyidzana.