Izifo zamalungu angaphakathi. I-Hernia yokuvula i-sophageal

Ngokutsho kwesakhiwo se-anatomiki seendawo zomzimba zesisu kunye nesifo se-thoracic zihlukaniswe yintsimbi. Inokuvula i-anatomical vascular form made by ring ring. Ukuze kuqinisekiswe ukukhuselwa kwemithambo yegazi, inomlinganiselo obanzi. Isisombululo sesibini - esophageal - sakhiwe sikwazi ukunyanzelisa nokunyuka (kuxhomekeke kwisitya sokutya).

Ngokuphulwa komsebenzi womgudu, umsebenzi wezitho zangaphakathi uphazamiseka. Ngokomzekelo, ukukhawulwa kwempeni (scoliosis), ngokwezinga elithile elikhoyo kwininzi labantu, kubangela ukuphulwa kokungabikho kwamalungu. Ngenxa yoko, i-visceroptosis (ukufuduka, ukushiywa kwamalungu) kunye nokuphulwa kwemisebenzi yabo kunye neetoni.

Ngokwehla kwetoni yesithintelo, i-esophagus yanda. Ngenxa yengcinezelo ye-intra-esiswini okanye kwindawo egciniweyo yomzimba kuyo, isisu sidlula ngokukodwa okanye siphume ngokupheleleyo ngaphandle kwesisu esiswini. Ngaloo ndlela, i-hernia yokuvulwa kwe-esophageal ye-scrifm ivela.

Ingxenyeni yesisu, isendaweni yesifuba, igxotha intliziyo, umthi womhlaza kunye nezigulane zentliziyo. Oku, kunokubangela ukuphulwa ngokukhawuleza kwintliziyo yomculo (tachycardia), i-bronchospasm (i-asthma). Kwizigulane ezine-angina pectoris, i-hernia yokuvulwa kwe-esophageal ye-diaphragm ingabangela ukuhlaselwa kwe-fibrillation ye-atrial, kwaye kwiimeko ezikhethekileyo-i-myocardial infarction.

Kubalulekile ukukhankanya ukubandezeleka kwesigulane. Le meko iqhutyiswa ngakumbi kukuba iimeko ezininzi, iminyaka emininzi yemigudu ejolise ekuphulukeleni ibonakele. Kwiimeko ezinjalo, i-hernia yokuvulwa kwe-esophageal ye-diaphragm ivame ukubhekisela kwisifo sesibini, ngoxa okokuqala "yintlungu yokunyanzelisa". Umphumo wesigxathu segastric kwi-mediastinum, intliziyo kunye nemiphunga ziqhutywa zizigulane kakhulu.

Iimpawu eziphambili ze-hernia yokuvulwa kwe-esophageal yesithintelo:

- Ukubhukuda (emva kokubili nangaphambi kokutya), buhlungu kakhulu, ngakumbi xa uthatha isikhundla esingenanto;

- ukubethelwa ngomoya omuncu, onomsindo;

- ukulungiswa kwakhona kokutya, kunye nentlungu;

Ubuhlungu obuvuthayo kwi-hypochondrium engasekhohlo, emva kwesifuba, kwingingqi ye-epigastric (inokunyuka ngokunyuka okanye ukulayisha);

Intlungu kwinkqubo yokugwinya ukutya, uvakalelwa emqaleni wengqumbo ;

- Ukuxhatshazwa, ukuhlakulela intlungu ebuhlungu, ukunyuka kwesalathanga sehlombe kunye nehlombe;

- Ukuvutha komsindo;

- Ingqiqo yokungabi nomoya okanye ukunganeliseki ngophuzo.

Ngokuqhelekileyo i-hernia yokuvulwa kwe-esophageal ye-diaphragm ibangela izigulane ezingenangqondo ezikwazi ukutshintsha kakhulu ingqondo, kwaye kwezinye iimeko, ukuziphatha kwentlalo yesigulane.

Kwimizekelo yamatyala, ukwanda kwenyameko kwenycinezelo kubonwa. Ebusuku, ukunyuka kwenyuka, ukuhlaselwa kokuxilwa kunye nokukhwehlela kunyukisiwe, kusasa kusasa kubonakala ngelizwi.

Unyango lwe-hernia ye-esophageal open of the diaphragm imiselwe ngokugqithiseleyo (ngokusebenza). Kufuneka kuqatshelwe ukuba ukungenelela kokusetyenziswa ngophaya kusetshenziselwa kuphela ngokwezalathisi. Njengoko kusebenza ukubonisa, kukho ipesenteji ethile yamatyala apho ukungenelela okuphasayo kunokuphelisa isifo.

Iindlela zokonononga zonyango zijoliswe ngendlela eyahlukileyo. Ukusebenza kwonyango ngokubanzi, kunye nokusikeka kwayo, kuxhomekeka ngakumbi malunga nendlela echanekileyo ngayo iinkalo zezifundo zesifo eso. Ngamanye amazwi, konke kuxhomekeke kwisifo esiyintloko, iimpawu zayo, iingxaki kunye nemiphumo emzimbeni.

Ukuqwalasela ukuba umfanekiso wekliniki wesifo kwiintlobo ezininzi zichongiwe ngokubonakaliswa kwe-reflux ye-gastroesophageal, iindlela eziphambili zokwelapha zijoliswe ekuphelisweni kwayo.