Hiatal chophukacho: zizindikiro, chithandizo

M'mimba - ichi ndi chimodzi mwa matupi kiyi wa thanzi la ndilo mwachindunji amadalira chitonthozo ndi luso moyo wathunthu wokhalapo. Maonekedwe a kutsetsereka hernias akhoza kukhala pa thupi la sizeable kungasokoneze. Vutoli sitingakane, kotero ndikofunika mutidziwe ndi matenda a mankhwala.

hiatal chophukacho

Matenda akhoza mtima nthenda, akamanena za amene ali nazo zithandizire pa matupi chimodzi kapena zingapo ili mu peritoneum lapansi. gululi ikuchitika mwa kabowo amene ali gullet kutsegula kwa chifuwa patsekeke. Chifukwa, mabungwe amene ayenera kukhala mu zonse m'mimba, amapezeka mu chifuwa ndi kwambiri protrude.

Hiatal chophukacho (dzina lachiwiri la matenda) ngakhale kupangitsa munthu slippage tsankho m'mimba, kenako kwasanduka m'dera pachifuwa.

wotere nthawi zina amakwiya asidi Reflux wodwalayo, i.e. outflow mu mmero wa asidi m'mimba muzituluka. Ambiri diagnoses ngati muli odwala wamkulu kuposa zaka 50. Dziwani kuti akazi amadwala vutoli, monga chophukacho ofananira zambiri kugonana wamphamvu.

zimayambitsa

The kusamutsidwa a ziwalo mwina chifukwa zifukwa zingapo, zimene ziyenera anamvera. Nawa zimayambitsa matenda:

- mavuto amphamvu kwambiri zikubweretsa mavuto dera peritoneum ya;

- chifuwa yaitali;

- onenepa;

- kudwala wa esophageal kutsegula chifundamtima, amene ali ndi chikhalidwe titadziwa;

- kusintha kugwirizana ndi ukalamba;

- kudzimbidwa aakulu;

- appreciable kuwonjezeka kuthamanga mkati peritoneum ya;

- Ntchito ndi mabvuto osiyanasiyana;

- zina, hiatal chophukacho bwino zimayamba ndi mimba kapena pobereka kovuta.

N'zosavuta kuona kuti mu chikhalidwe choterocho zovuta amachititsa mavuto kwambiri mu peritoneum ndi anaonekera mchikakamizo cha zifukwa zosiyanasiyana.

Mitundu ndi mmene matenda

Modern zochiritsira zimathandiza mitundu yambiri chifungulo cha vuto:

- Paraezofagenalnaya. Ndi kokha kusamutsidwa m'mimba popanda nawo ziwalo zina.

- kutsetsereka chophukacho, ndi ofananira. Pankhaniyi, chifuwa M'mimbamo ali ankatembenukira gawo ndi mtima.

- losanganikirana. Tikuyankhula zokhudza maonekedwe a mitundu iwiri yoyambirira, amene amaoneka pa nthawi yomweyo.

- kobadwa nako. matenda ino pamene wapezeka chophukacho mapangidwe amene amapezeka ndi kum'mero yaing'ono anakonza mu mawonekedwe a "chifuwa ventricle". Zimenezi nthenda.

Nkofunika kudziwa chakuti kutsetsereka chophukacho - ndi kudwala, kumene kungakhale madigiri angapo, aliyense wa iwo ali ndi makhalidwe komanso kuliganizira:

1. m'mimba ili pansipa zakulera, cardia - pa msinkhu ndi izo, ndi gawo m'mimba ya kum'mero pamwamba mlingo zakulera.

2. hiatal chophukacho madigiri 2 osiyana mu kuti kum'mero ali wothinikizidwa wogawana, ndi mediastinum ndi akutumikira kadinala gawo la mmimba.

3. Pali kuchepetsa zikusintha kholingo, mu mediastinum waima kwathunthu m'mimba mwake kapena chigawo chake.

Kodi matenda

Pali njira zingapo imene chophukacho ofananira kapena mtundu wina wa matenda angathe kuonedwa.

Choyamba m'pofunika amachita maphunziro radiological, potengera zomwe zachokera barium mosiyana. Ngati ndondomeko kuti achite molondola, chifukwa pa chithunzi inu adzaona protrusion noticeable.

Tcheru ziperekedwe ndi njira monga pH-metry. Mothandizidwa ndi mzimuwo kudziwa acidity m'mimba. deta izi nzofunikira kwambiri kuti cholinga cha mankhwala ogwira.

udindo wake chizindikiritso cha wodwalayo masewero fibrogastroscopy. Kugwiritsa ntchito njira imeneyi zimathandiza kuti awunike chichita amene amakhala ndi kum'mero ndi m'mimba wonse.

Popanda kukhwimitsa matenda kudwala ngati pafupifupi undetectable mu magawo oyambirira. Choncho muyenera timudziwe bwino zizindikiro za kuti athe kuzindikira mmene matenda aakulu.

mawonetseredwe matenda

Pamene zizindikiro chifungulo cha ululu zingadziŵike, kuwonekera yosiyana pafupipafupi ndi mphamvu. Choncho iwo ukhoza kukhala opusa ndi moto.

Nthawi zina ululu yochokera ku dera la mtima, kotero kuti odwala kuyamba kuganiza mtima kulephera. Nthawi zina, hiatal chophukacho chingakhale chifukwa cha ululu m'dera mezhdulopatochnoy.

Ngati matendawa amayamba ndi vuto kobadwa nako, monga kum'mero insufficiently lonse, matendawo amakhala ngati zizindikiro za chophukacho ofananira. Tikuyankhula zokhudza kutentha limapezeka atatha kudya, ululu kumbuyo breastbone ndi akulole mphamvu mu malo yopingasa, ndi ululu mbali zina za thupi.

Nthawi zambiri, kudwala kumaonekera motere:

- vuto Pomeza;

- kutentha pambuyo zolimbitsa thupi kapena chakudya;

- ululu m'dera pachifuwa;

- zizindikiro za chophukacho hiatal akhoza kutenga maonekedwe a belching mpweya kapena m'mimba nkhani.

Zizindikiro anati zina molakwa akuti odwala. Monga mauniko, anthu amaganiza kuti izi ndi zizindikiro za matenda ena kuti zikugwira kudzipatsa medicate. Komabe, ngati mu kukayika kulikonse pa mtundu wa chophukacho muyenera yomweyo kupita kwa dokotala. Izi adzayamba chithandizo yake ndi kupewa mavuto.

njira mankhwala

Ngati akakumana ndi vuto, hiatal chophukacho, ndi vuto kungakhale ziwiri: opaleshoni kapena ndiwofatsa chithandizo.

Ntchito yaikulu ya njira ya yapamwamba zingadziŵike osati palokha kuthetsa chophukacho, ndi zizindikiro za kuchepetsa neutralization Reflux esophagitis ndi gastroesophageal Reflux. Ndiko kuti, madokotala amakonda kuchotsa ululu ndi kupewa mavuto zotheka. zolinga izi zimatheka ndi kupereka zakudya, zochokera chakudya fractional pafupipafupi. Pa nthawi ya mankhwala kusiya kudya zakudya zina. Tikuyankhula zokhudza chocolate, zakumwa enaake, khofi, nyama mafuta, mkate watsopano ndi mankhwala ena buledi. Komanso, madokotala kulangiza zimenezi pa mpumulo mu supine malo yotsatira maola 3 pambuyo chakudya.

makhalidwe oipa akhoza kusokoneza ndondomeko kulimbana matenda, choncho muyenera kusiya. Ndipo mmene zotheka wothandizila pharmacological. Zimenezi zingakhale purotoni mpope zoletsa, prokinetics, Mankhwalawa ayenera kumwedwa ndi ena.

Monga opaleshoni, n'kofunika pokhapokha ngati mankhwala ndiwofatsa sikunathandize kuti pakhale anthu a mtima. The zambiri ntchito laparoscopic njira.

zosokonezeka zotheka

Ngati inu anapezeka ndi chophukacho hiatal, ndi popanda yake ndi mankhwala oyenerera a moleza mtima amakhala oipa.

Mfundo yakuti mavuto tingasonyezere mwa njira zingapo:

- khosi chophukacho;

- magazi esophageal;

- zilonda stricture la kholingo;

- Reflux esophagitis;

- perforation la kholingo;

- imfa ya nembanemba mucous ya m'mimba mwa kholingo;

- chironda chachikulu.

Ngati opaleshoni zinachitikadi, pali chiopsezo dilatation chapamimba, megaezofagusa ndi gastroesophageal Reflux. Sitiyenera kukusalani kuthekera, ndi chophukacho zisadzachitikenso. Paudindo mavuto akhoza kuchita kukhumba chibayo. Kuti n'chongoletsa izo, utsogoleli parenteral wa mankhwala ntchito.

zotsatira

Atumizeni akunyoza Baibulo kuti mfundo za zosayembekezereka wa hiatus chophukacho - chibwana. Ngati matenda amenewa anapangidwa, ndondomeko mankhwala ayenera kumwedwa mokhudzika. Apo ayi chikhalidwe lingasanduke kwambiri.