Hernia ea hiatal

Hiatal hernia ke boemo boo karolo ea mpa e kenang ka ho bula sefahleho ka sefubeng. Diaphragm ke lesela la mesifa le arolang sefuba ho tsoa mpeng.

Lebaka le tobileng la hernia e tsoaloang ha le tsejoe. Boemo bo ka bakoa ke bofokoli ba lisele tse tšehetsang. Kotsi ea hau ea bothata e nyoloha le lilemo, botenya le ho tsuba. Li-hernias tsa Hiatal li atile haholo. Bothata bo hlaha khafetsa ho batho ba fetang lilemo tse 50.

Boemo bona bo kanna ba amahanngoa le reflux (backflow) ea asiti ea ka mpeng e tsoang ka mpeng ho kena ka mpeng.

Bana ba nang le boemo bona hangata ba hlaha ba e-na le eona (congenital). Hangata ho hlaha ka reflux ea gastroesophageal ho masea.

Matšoao a ka kenyelletsa:

• Bohloko ba sefuba
• Ho hema, ho mpefala ha o khumama kapa o paqame
• Ho metsa bothata

Hernia ea hiatal ka boeona ha e bake matšoao. Bohloko le ho se utloise bohloko li bakoa ke phallo e phahameng ea asiti ea mpeng, moea kapa bile.

Liteko tse ka sebelisoang li kenyelletsa:

• Barium e koenya x-ray
• Esophagogastroduodenoscopy (EGD)

Morero oa kalafo ke ho imolla matšoao le ho thibela mathata. Kalafo e ka kenyelletsa:

• Meriana ea ho laola asiti ea mala
• Ho buoa ho lokisa hernia ea lesea le ho thibela reflux

Mehato e meng ea ho fokotsa matšoao e kenyelletsa:

• Ho qoba lijo tse kholo kapa tse boima
• Ho se robale kapa ho koba hang kamora ho ja
• Ho fokotsa boima ba 'mele le ho se tsube
• Ho phahamisa hlooho ea bethe lisenthimithara tse 4 ho isa ho tse 6 (lisenthimithara tse 10 ho isa ho tse 15)

Haeba meriana le mekhoa ea bophelo e sa thuse ho laola matšoao, u kanna oa hloka ho buuoa.

Kalafo e ka kokobetsa matšoao a mangata a hernia ea pelehi.

Mathata a ka kenyelletsa:

• Takatso ea pulmonary (lung)
• Ho tsoa mali butle le khaello ea mali ea tšepe (ka lebaka la hernia e kholo)
• Ho qhekella (ho koala) ha hernia

Bitsa mofani oa tlhokomelo ea bophelo haeba:

• U na le matšoao a hernia e tsoaloang.
• U na le hernia e tsoaloang 'me matšoao a hao a ea mpefala kapa ha a ntlafale ka kalafo.
• U hlahisa matšoao a macha.

Ho laola likotsi tse kang botenya ho ka thusa ho thibela hernia ea lesea.

Hernia - tsoalo

• Ho buuoa ka anti-reflux - ho tsoa

• Hiatal hernia - x-ray
• Hernia ea hiatal
• Ho lokisa hernia ea hiatal - letoto la lihlooho tse

Mofumahali Brady MF. Hernal hernia. Ka: Ferri FF, e hlophisitsoeng. Moeletsi oa Bongaka oa Ferri oa 2019. Philadelphia, PA: Elsevier; 2019: 663.e2-663.e5.

Falk GW, Katzka DA. Maloetse a 'metso. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 138.

Rosemurgy JOALOKAHA. Hernia ea paraesophageal. Ka: Cameron JL, Cameron AM, bahlophisi. Phekolo ea Hajoale ea Ts'ebetso. 12th ed. Philadelphia, PA: Elsevier; Kajeno: 1534-1538.

Yates RB, Oelschlager BK, Pellegrini CA. Lefu la reflux la gastroesophageal le hernia e tsoaloang. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 42.