Kuchita opaleshoni yosayembekezereka kungafunike ngati muli ndi mavuto
Nthenda ya pharaeophageal ndi yosavomerezeka kwambiri pa mitundu iwiri ya chilakolako chotha msinkhu . Zimapezeka pamene kumtunda kwa mmimba kumapyola kutseguka mkati mwa chifuwa mpaka m'bokosi. Phunzirani za matendawa ndi zifukwa zake, zizindikiro, ndi mankhwala.
Chimene Chimachitika Paraesophageal Hiatal Hernia
Nthenda imatanthawuza kuti gawo lamkati la thupi lasunthidwira kumalo kumene kulibe.
Miyendo yanu imagawidwa mu chifuwa pomwe mapapo ndi mtima zilipo ndipo mimba kumene m'mimba, matumbo, ndi ziwalo zina zingapo zilipo. Chifuwa ndi mimba zimasiyanitsidwa ndi chithunzithunzi cha minofu.
Mankhwalawa ndi phukusi limene chakudya ndi zakumwa zimadutsa kuchokera pakamwa mpaka mmimba, ndipo zimadutsa pamsewu wa hiatus. N'chifukwa chake dzina la nthenda yotchedwa hiatal. Mankhwalawa amatha kuchepa ndi kutalika pamene akumeza, ndipo ndi nthendayi, mimba ndi / kapena kugawanika kwa mimba ndi mimba zimatha kutengeka kudzera mu hiatus.
Pali mitundu iwiri ya mitsempha ya hiat:
- Nyerere yovuta (njira yowonjezera kwambiri)
- Nthenda yamagazi (osati yofala)
Ndi mitsempha ya m'magazi, mitsempha ya gastroesophageal (yomwe imafika kumimba) imakhalabe komwe ili, koma mbali ya m'mimba imakanikizidwa mu chifuwa pambali pa phokosolo.
Gawo la m'mimba lomwe lili kumbali yolakwika ya hiatus limakhalabe m'chifuwa nthawi zonse. Ndi vutoli, vuto limatha.
Zizindikiro
Kawirikawiri matenda a paraesophageal hernias samasonyeza zizindikiro zirizonse, koma ngati zizindikiro zilipo, ndizo zotsatirazi:
- Ululu wowawa kwambiri wamtima
- Kuswa kupweteka pachifuwa chomwe sichimasulidwa mwa kutenga nthendayi
- Zovuta kumeza
- Kupweteka kwa m'mimba
- Kudzikuza
- Nausea
- Kuthamanga
- Kujambula
Zovuta za Paraesophageal Hiatal Hernia
- Kutsekeredwa: Izi ndi pamene mimba imakanikizidwira ndi kukakamizidwa. Zingayambitse kusokoneza.
- Kukonzekera: Izi zimachokera ku magazi omwe amagawidwa m'mimba. Matenda a m'mimba sangathe kukhala opanda magazi ndipo amafa.
- Kusuta : Zopweteka ndi zilonda zotchedwa Cameron zilonda zingayambe. Mofanana ndi zilonda zina, izi zingayambitse kuchepa kwa magazi komanso kuchepa kwa magazi m'thupi.
- Gastric volvulus : Izi zikutanthauza kupotoza m'mimba, zomwe zingayambitse mavuto, kumvetsa kupweteka pansi pa nthiti, ndi kubwezeretsa.
- Mavuto Otsitsimutsa : Chimake chachikulu chimatha kufalitsa mapapo.
Opaleshoni ya Paraesophageal Hiatal Hernia
Kuchita opaleshoni kumafunika kwa munthu aliyense amene ali ndi zizindikiro kuchokera ku chithandizo chawo chapachirapa. Kuchita opaleshoni yowopsa kumayesedwa ku mavuto monga magazi omwe sangathe kuimitsidwa, kupuma m'mimba, kupotoza m'mimba, kutsekera m'ndende, kapena kusokoneza.
Kuchita opaleshoni ya feteleza yowopsa kwambiri imakhala ngati njira ya laparoscopic. Laparoscope ndi zipangizo zooneka ngati telescope ndi kamera pamapeto pake zomwe zimathandiza dokotalayo kuwona mkati mwa mimba . Ndi opaleshoni yamtundu uwu, zochitika zazing'ono zimapangidwa m'mimba.
Laparoscope ndi zipangizo zopangira opaleshoni zimaphatikizidwa kupyolera mu zochitikazi. Pa opaleshoni, mimba imayambanso (kutsekedwa) ndi hiatus (dzenje mu diaphragm) imalimbikitsidwa kuti mimba isabwererenso.
> Zotsatira:
> Paraesophageal Hernia (Hiatal Hernia). Kalasi ya Zamankhwala ya Wisconsin. http://www.mcw.edu/General-Surgery/Patient-Info/GERD-Surgery-Program/Paraesophageal-Hernia.htm.
> Rosen M, Blatnik J. Kupanga chithandizo cha matenda a mitsempha. Zaposachedwa. http://www.uptodate.com/contents/surgical-management-of-paraesophageal-hernia.