Hiatal hernia: symptoms, lapaʻau

'ōpū - keia mea kekahi o na kino kī o ke ola o ka i mea pololei e kaukaʻi ma ka oluolu a me ka hiki i ka noho i ka piha kanaka maoli. Keʻano o ka hāʻuleʻana hernias ke i ma luna o ke kino o ka 'ai'ē hopena maikaʻi' ole. Kēia pilikia hiki ole ke AOON, no laila ia mea nui, e familiarize oe iho me na symptoms o ka maʻi a me ka ohe..

hiatal hernia

Kēia maʻi hiki e hooponoponoia ia mea, e like me'āno'ē, me ka i loko o ka i mea e offset hoʻokahi a oi kino aia i loko o ka peritoneum. I ka neʻeʻana ua lawe mai ma ka puka i mea ma gullet hamama i ka pahu lua. E like me ka hopena, lapaʻau nāna i e ia i loko o ka abdominal lua, loaʻa iā lākou iho i loko o ka pahu, a me ka nui loa nei iluna.

Hiatal hernia (i ka lua o ka inoa o ka maʻi) ke hiki e alakai i ka hapa slippage o ka opu, a ho'ōla huli mai i loko o ka pahu wahi.

Oia na kumu i kekahi manawa hoʻonāukiukiʻana mai oʻakika reflux i loko o ka hoomanawanui, a laila outflow i loko o ka esophagus o gastricʻakika. Most na diagnoses i loko o nā mea maʻi mua ma mua o 50 makahiki. Ua mea waiwai 'ana i kumumanaʻo i na wahine e ae, mai keia pilikia, e like me ka mea iho hernia, he nui aku i ka ikaika ke keka.

kumu o ka

Ke pohupani hale o na nā loko i e ma muli o ia mau aʻe, a e e uku hoʻolohe ia. Eia nō nā kumu o kēia maʻi.

- oi aku ka ikaika malihini alakai e kanana nei ma luna o ka wahi o ka peritoneum;

- hooloihi ae i cough;

- overweight;

- pathology o esophageal puka o ka diaphragm, a i ka innateʻano;

- loli pili me ka kūnewa kaʻina;

- maʻi constipation;

- appreciable mahuahua ma ka puʻe loko o ka peritoneum;

- ana a me ka likeʻole traumas;

- i loko o kekahi mau hihia, hiatal hernia hiki ke kena ae la ma ka hāpai keiki a ka nahunahu hanau pilikia.

He oluolu i ka nana ole ia ma ka ia o ka huikau ana ke kumu excessive hoʻopilikia i loko o ka peritoneum, ikea mai ma lalo o ka aoao o keʻano o nā kumu.

Ano a me ka nui o ka maʻi

Hoikehonua, 'inikua me ka hana pono e leie aku kekahi mau kī laha' o ka pilikia.

- Paraezofagenalnaya. He wale ka pohupani hale o ka'ōpū me ka komo i loko o nā nā loko.

- ka hāʻuleʻana hernia, ia mea iho. Ma keia hihia, no ka pahu lua ua 'oni iki hou a me ka cardiac hapa.

- hui. Mākou e kamaʻilio e pili ana i nā hiʻona o ka mau ke ano mua, i mea hōʻike i ka ia manawa.

- Congenital. Uaʻike, ua i ka wā o ka 'akomi i hernia kahua a ia lŘlŘ ku e uuku esophagus ka hooponopono ia ma ke ano o ka "umauma ventricle". Keia kulana He'āno'ē.

He nui, e hoailona oukou i ka mea i ka ka hāʻuleʻana hernia - he pathology, a hiki i kekahi mau degere, ua kēlā o ia kona mau 'ano a me ka hewaʻiʻo hoolohe:

1. ka'ōpū ua aia ma lalo o ka diaphragm, cardia - ma luna o kaʻilikai me ia, a me ka abdominal Hoʻohana o ka esophagus ma luna o ka diaphragm kaʻilikai.

2. hiatal hernia o 2 degereʻokoʻa i loko i ua'opihia kōā o ka esophagus, a ma ka mediastinum lawelawe 'ana i kekahi cardinal hapa o ka'ōpū.

3. Aia mea he hiohiona ka ho'ēmiʻana i loko o ka esophagus, a me loko o ka mediastinum kū loa piha'ōpū a me kona ke keʻena.

Pehea o kaʻike,

He nui na ano ma i ka iho hernia 'ole' ē aʻe ano o keia maʻi hiki ke 'akomi i.

Mua o nā mea a pau ia mea e pono ia e akoakoa ai i radiological haʻawina, nānā 'ana i ka mea e e nānā' ana i barium Akä naÿe. Inā i ke kaʻina hana no e lawe mai pono, o ka hopena ma luna o ke kiʻi 'oe e ike i kekahi' protrusion.

Noonoo E e uku ia, a me keʻano hana e like me pH-metry. A me kona kōkua ho oholo i kaʻakika o ka'ōpū. Mauʻikepili, ua nui loa no ka hana ana i ka hoʻokō Inc.

Kona kūlana i loko o ka 'ike o ka hoʻomanawanui Radio fibrogastroscopy. I ka hana o kēiaʻano hanaʻo ia ka mea hiki ke Loiloi i ke kanawai, ma ka i noho i ka esophagus a me ka opu me ka a pau.

Ole ia PalekanaEND_LINK ana ia pathologyʻaneʻane undetectable i loko o ke kakahiaka kahua o ka hoʻonaʻauao. Pela no oe e loaa ka ike lea i na symptoms e e hiki ke ike i ka hopena o keia maʻi koʻikoʻi.

maʻi hoike ana

E like me ka mea ki symptoms o kaʻeha hiki ke nānā ', e hōʻike' me ka loli iki ana alapine (frequency) a me ka pinepine '. Pela no ka mea, hiki e nā naʻaupō kēia a me ka aa ana.

I kekahi manawa,ʻeha houʻia ana i ka māhele o ka naʻau, no laila, e hoʻomanawanui iki mai hoʻomaka e manao naʻau ole. Ma kekahi mau hihia, hiatal hernia i ia i ke kumu o ka eha ma ka mezhdulopatochnoy wahi.

Inā ka maʻi ua kauoha ae la ia e ka congenital pilikia, e like me insufficiently akea esophagus, na symptoms e hoohalike ai symptoms o iho hernia. Mākou e kamaʻilio e pili ana i heartburn e 'ōili mai ma hope o kaʻaiʻana, eha ma ke kua o ka breastbone, ho onui ana ka ikaika i loko o ka papamoe kulana, a me kaʻeha ma nā māhele o ke kino.

I mau, ke pathology hoike mai ai ia ia iho e like me penei:

- ole i ka moni 'ia;

- heartburn ma hope me ka 'ole o kaʻai;

-ʻeha i loko o ka pahu āpana;

- na hoailona o hiatal hernia e lawe i ka palapala o belching ea a me ka'ōpū Contents.

I aku la o symptoms kekahi manawa incorrectly oaeuiinoe nā mea maʻi. E like me ka nāʻana, kanaka manaʻo i kēia mau mea hōʻailona o nā maʻi i mea hoʻoili i loko o ka hoʻoponopono-lapaʻau. Eia naʻe, inā i loko o kekahi kanalua ma keia ano o ka hernia oe e ike koke hele aku i ke kauka. Kēia, e hoʻomaka 'eleu lapaau a me ka pale complications.

Inc ki ina hana like

Ināʻalo me ia i ka pilikia, hiatal hernia, mea mai o ke kulana hiki e elua:ʻoki lāʻau lapaʻau a makeʻe kulana lapaau.

O ka papa kuhikuhi hana o ka panina ano hiki ke nānā 'ole ma ia hoʻopau i ka hernia, a me symptoms o reflux esophagitis ka ho'ēmiʻana neutralization a me gastroesophageal reflux. Oia hoi, kauka lawelawe i ka eha, e lawe aku, a ole hiki complications. Mau Nä Pahuhopu i kāʻia e kuhikuhiʻai, ma muli o ka fractional a me ka pinepineʻai. I ka manawa o kēia hana i, e haawi aku i kekahi mauʻai. Mākou e kamaʻilio e pili ana i kokoleka, carbonated nā mea inu, kope, holoholona bipi kūpaluʻia, hou ia i ka berena a me ka 'ē aʻe Hale Puhi Palaoa nā huahana. Nō hoʻi, kauka kūkā iho ia lapaʻau i koena ma ka supine kulana ka mea e hiki mai ana 3 hola ma hope o kaʻai.

Hewaʻano hiki complicate i ke kaʻina hana o ka paioʻana i ka maʻi, no laila, e loaʻa, e haawi mai ma. A me ka hopena o ka hiki pharmacological konohiki. Kēia hiki e proton EII ni nā mea kūpale, prokinetics, antacids, a me na mea e ae.

Like no kaʻoki kino, ka mea, ua nui wale ina makeʻe kulana lapaʻau i i hua mai la i ka makemake hopena. Ka loa mau hoʻohana laparoscopicʻano hana.

hiki complications

Inā 'oe i diagnosed me hiatal hernia, ka me ka 'āwīwī a palapala hōʻoia no lapaau o ka hoʻomanawanui i lilo loa.

Ka nui loa, e hoike aku i complications hiki ke kaheaia ma ka mea o kekahi mau keʻano o ka hanaʻana:

- strangulated hernia;

- esophageal kahe ana ke koko;

- peptic stricture o ka esophagus;

- reflux esophagitis;

- perforation o ka esophagus;

- lilo o ka mucousʻili lahilahi o ka'ōpū i loko o ka esophagus;

- peptic ulcer.

Inā ka hana i lawe mai, aia no he pilikia o gastric dilatation, megaezofagusa a me gastroesophageal reflux. Mākou e ole hookaawale ia i ka manawa kūpono, a me ka hernia recurrence. Ma ke kūlana o nā complications ke hana wehena pneumonia. E neutralize ia, parenteral hooko ana o antibiotics ua hoʻohana 'ia.

hualoaʻa

I kapa disparagingly i ka oiaio o ka hanana o ka hiatus hernia - he nui kuhihewa. Inā ia iʻike, i i, e e lawe loa seriously ke kaʻina hana o ka lapaau. I ole ia ke ano ke deteriorate me ka nui loa.