Hiatal hainia

Hiatal hernia bụ ọnọdụ nke akụkụ nke afọ na-agbasa site na oghere nke diaphragm n'ime obi. Diaphragm bụ mpempe akwara nke na-ekewa obi na afọ.

Amabeghị ihe kpatara hiatal hernia Ọnọdụ nwere ike ịbụ n'ihi adịghị ike nke anụ ahụ na-akwado. Ihe ize ndụ gị maka nsogbu ahụ na-arị elu na afọ, oke ibu, na ise anwụrụ. Hiatal hernias dịkarịsịrị. Nsogbu a na-emekarị n'ime ndị gaferela afọ iri ise.

Ọnọdụ a nwere ike jikọọ na reflux (backflow) nke gastric acid site na afọ n'ime esophagus.

Childrenmụaka nwere ọnọdụ a na - amukarị ya (congenital). Ọ na-adịkarị na reflux nke gastroesophageal na ụmụ ọhụrụ.

Mgbaàmà nwere ike ịgụnye:

• Obi mgbu
• Obi mgbawa, dị njọ mgbe ị na-ehulata ala ma ọ bụ dinara ala
• Logo isi ike

A heratal hernia n'onwe ya anaghị akpata mgbaàmà. Mgbu na ahụ erughị ala bụ n'ihi mmụba nke afọ acid, ikuku, ma ọ bụ bile.

Ule nke enwere ike iji:

• Barium ilo x-ray
• Esophagogastroduodenoscopy (EGD)

Ebumnuche nke ọgwụgwọ bụ iji belata mgbaàmà ma gbochie nsogbu. Ọgwụ nwere ike ịgụnye:

• Ọgwụ iji chịkwaa acid afọ
• Surwa ahụ iji rụzie hernia hiatal ma gbochie reflux

Measureszọ ndị ọzọ iji belata mgbaàmà gụnyere:

• Izere nri buru ibu ma ọ bụ nke dị arọ
• Lying dinara ala ma ọ bụ hulata ala ozugbo i risịrị nri
• Mbelata ibu ma ghara ị smokingụ sịga
• Welite isi ihe ndina ahụ dị sentimita 4 ruo 6 (sentimita 10 ruo 15)

Ọ bụrụ na ọgwụ na usoro ndụ adịghị enyere aka ịchịkwa mgbaàmà, ị nwere ike ịwa ahụ.

Ọgwụgwọ nwere ike ịkwụsị ọtụtụ mgbaàmà nke hernia hiatal.

Nsogbu nwere ike ịgụnye:

• Akpa ume (akpa ume) ọchịchọ
• Ọbara ọgbụgba na ụkọ ụkọ ọbara (n'ihi nnukwu hernia)
• Strangulation (imechi) nke hernia

Kpọọ onye nlekọta ahụike gị ma ọ bụrụ:

• Have nwere ihe mgbaàmà nke a hiatal hainia.
• Have nwere hernia hiatal na mgbaàmà gị na-akawanye njọ ma ọ bụ na ị gaghị emeziwanye na ọgwụgwọ.
• Develop na-emepe mgbaàmà ọhụụ.

Rollingchịkwa ihe ndị dị ka oke ibu nwere ike inyere aka gbochie hernia hiatal.

Hernia - hiatal

• Anti-reflux ịwa ahụ - ihapu

• Hiatal hainia - x-ihe
• Hiatal hainia
• Hiatal hainia idozi - usoro

Brady MF. Hiatal hainia. Na: Ferri FF, ed. Ndụmọdụ gbasara ahụike Ferri na 2019. Philadelphia, PA: Elsevier; 2019: 663.e2-663.e5.

Falk GW, Katzka DA. Ọrịa nke akpịrị. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke iri abụọ na ise. Philadelphia, PA: Elsevier Saunders; 2016: isi 138.

Rosemurgy As. Paraesophageal hainia. Na: Cameron JL, Cameron AM, eds. Usoro ọgwụgwọ nke oge a. Agba nke iri na abụọ. Philadelphia, PA: Elsevier; 2017: 1534-1538.

Yates RB, Oelschlager BK, Pellegrini CA. Nke a Gastroesophageal reflux ọrịa na hiatal hainia. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 42.