HH - abin da yake da shi? Alamun da kuma lura da HH

Bari mu fara da gaskiyar cewa ba kowa ne saba raguwa HH. Mene ne wannan?

Hiatal hernia (HH ne guda domin takaice), ko da wani hiatal hernia, - kome fiye da wata cuta halin da korar wani sashin jiki (located a cikin kogon ciki) ta hanyar cin abinci da wani rami a diaphragm ga thoracic kogo. Wannan jiki ne kusan ko da yaushe ciki.

Oesophageal hernia iya samun nakasar ko samu yanayi da ya furta na asibiti manifestations. Nakasar hernia ne ƙasa da na kowa fiye da samu. HH iya faruwa domin dalilai da yawa.

A wannan labarin, za mu dubi abin da yake HH, cututtuka, magani da kuma post-tiyata lokacin da wannan cuta.

Janar halaye da cutar

Budewa (to wanda yana kai tsaye munasaba HH) yana mai siffar domed bangare cewa kunshi iri biyu yadudduka: tsoka da kuma connective. Wannan shi ne bangare na raba kogon ciki daga kirji. A tufts a diaphragm tsoka ta samar da wata kananan rami ta hanyar abin da na esophagus. Kuma ku yiwuwa riga fahimtar me ya sa shi ne ake kira da esophageal bude.

Komowa zuwa hiatal hernia (HH). Mene ne wannan? An kafa a sakamakon hijirar na jiki daga kogon ciki a cikin akwati, ta hanyar sosai hiatal. Kuma shi ya faru saboda ta weakening.

Hiatal hernia - na kowa cuta sabõda haka shi za a iya samu nasarar tare da cholecystitis, pancreatitis ko duodenal ulcers. Duk da haka, bisa ga muhimmancin, shi kuma za ta sa su gasa.

Dangi shekaru na haƙuri za a iya ce da cewa sau da yawa cutar tasowa a cikin mutane girmi shekaru 60. Game da jinsi - mata ne mafi kusantar su sha wahala daga wannan cuta fiye da maza.

rarrabuwa

oesophageal hernia classified bisa ga halaye. Ware irin wannan iri:

• Shawagi ko ajali hernia (hernia for axial da paraesophageal kawai). A musamman, paraesophageal hernia - wannan shi ne lokacin da hoton da wani rabo daga ciki ne kai tsaye kusa da esophagus sama da diaphragm. Kuma da cardia na ciki a kasa da diaphragm ne a tsakiya. Axial HH - esophageal, cardiac, ko subtotal totalnozheludochnaya. A bambanci ne har yanzu zamiya hernia, musamman inda cewa an kafa a cikin irin wannan hernial jakar kwai liyi tare da peritoneum. Ya bambanta daga axial cewa karshe jakar akwai. Axial hernia iya matsar da yardar kaina da jiki ƙungiyoyi.
• Paraesophageal hernia (fundic ko antral).
• Nakasar hernia, ya sa ta a takaice esophagus da wani anomaly a ci gaba.
• Hernias na wani irin (enteric, like da sauransu. P.).

Wannan cuta kuma za a iya classified bisa ga mataki:

- Esophageal hernia farko digiri. Halin da cewa cardia na ciki ne a kan matakin da diaphragm, ciki dan kadan dagagge da kuma tam shigeba, ga diaphragm. Ciki esophagus aka located a cikin thoracic rami nan da nan sama da diaphragm.

- Esophageal hernia biyu digiri. The asibiti hoto ne kamar haka: na ciki esophagus a thorax, kuma a cikin esophageal bude riga ɓangare na ciki.

- Esophageal hernia uku mataki. A mafi tsanani digiri, ne halin da binciken na esophagus, cardia, da kuma wani lokacin har cikin jiki da kuma fundus na ciki sama da diaphragm.

Dalilan da esophageal hernia

Mun riga mun ambata cewa dalilan da hiatal hernia sosai. Duk da haka, mafi sau da yawa ne da wadannan dalilai:

• Thinning na connective jijiyoyin sa ta shekaru da suke da alaka canje-canje ko jawo by wani tafiyar matakai.
• -Din-din ko daya-mataki na kullum karuwa a matsa lamba a cikin kogon ciki kanta. Sa karuwa a matsa lamba na iya zama na kullum maƙarƙashiya, nauyi motsa jiki (kamar dagawa nauyi abubuwa), m ciki rauni , kuma mafi.
• Kullum cututtuka da cewa an kai tsaye alaka da narkewa kamar tsarin da kuma cewa zai iya rushe mota aiki na gall mafitsara, ciki, ko duodenum.
• Cuta da endocrine gland (endocrinopathy).
• Miyagun halaye (shan taba, sha), tsofaffi mutum.

HH: Alamun

Dangane da na asibiti manifestations da cutar suna da wadannan siffofin hiatal hernia:

- HH asymptomatic.

- HH, domin Pathology lokacin da ciwo ne ya sa ta gazawar da cardia.

- HH, ba halin gaban ciki cardia insufficiency ciwo.

- HH, wanda ya bayyana a matsayin mai wahala na sauran iri gastrointestinal cututtuka (ko kawai ci gaba a kan su bango).

- paraesophageal HH.

- HH haihuwa, halin da gajeren esophagus.

Yana da daraja idan akai la'akari kowane irin HH (kowane irin cututtuka) daban:

• Asymptomatic hernias. Kamar yadda ka sani sunan wannan nau'i na cuta, wani alamu na HH a cikin wadannan lokuta, babu. Wannan ainihi tana nufin cardiac ko esophageal hernia, watau kananan size tsarin. Gano wannan nau'i na hernia gaba daya bazuwar, sau da yawa - a lokacin wani cikakken jarrabawa, da kuma wani lokacin mutane ba su ma gane cewa yana da wani HH - bayyanar cututtuka (magani tattauna a kasa), domin kuwa babu hernia.
• HH ciwo cardia gazawar. Mafi na kowa ãyõyin cardiac HH - ƙwannafi da kuma jin zafi, postprandial, kuma a kaifi canji na matsayi na haƙuri ta jiki. Ya kamata kuma a lura da cewa, wadannan cututtuka sau da yawa faruwa da dare, yana yiwuwa a bayyana fasali na kara sautin na vagus jijiya, kazalika da shakatawa na ƙananan esophageal sphincter.

Game da tsanani da ƙwannafi, ka iya cewa shi zai iya zama da sauki (a wannan yanayin, shi za a iya bi da antacids), da kuma quite m (sosai domin ko da deprives adam yi). Its tsanani ne m da wani hadadden na daban-daban dalilai, da kuma, da farko, kuma farkon, wadannan sun hada da acid-peptic, wanda shi ne peculiar da na ciki da ruwan 'ya'yan itace. Har ila yau, kuma zai iya shafar esophageal distension da kuma jefa shi duodenal abinda ke ciki (musamman bile).

A mafi ido-kamawa alama na hiatal hernia, ba shakka, zafi. Shi ne ya kamata a lura da cewa shi ya dogara da dalili na ƙwannafi. M da ta bayyana ga m dalilai. Pain da aka sarrafa, yafi a cikin yankin na sternum, kuma an Littafi lokacin da haƙuri daukan wani maƙaryaciya matsayi. Bugu da kari ga wannan halin da ake ciki kuma sa zafi jiki baya da kuma fitar. A yanayi na ta iya zama daban-daban, mafi sau da yawa shi ne pricking, yankan ko kona majiyai.

Regurgitation na ciki abinda ke ciki - ne ma quite m alamar HH. Mene ne wannan? Wannan shi ne kan aiwatar da Fitar da ciki abinda ke ciki a cikin bakinka. Very m sabon abu, kuma ta haka ne da abinda ke ciki na ciki zai iya samun cikin da trachea ko bronchi.

Sa'an nan, kamar wata magana game da zafi. Real zafi ji kawai rabin na marasa lafiya da kuma a 25% na lokuta shi psevdokoronarnaya zafi, wanda aka sarrafa a cikin zuciya. Daga shi zaka iya rabu da yin amfani da nitroglycerin. Bugu da kari ga wannan ciwo, marasa lafiya na iya jin rashin jin daɗi a cikin interscapular, hepatopancreatoduodenal yankunan, kazalika a-Chauffard Minkowski, da dai sauransu

Har ila yau, game da 70% da marasa lafiya da hiatal hernia (musamman idan ta cardiac HH) fuskanci irin wannan alama kamar belching. Mafi sau da yawa shi zai faru da ciki abinda ke ciki, da kuma da wanda ya riga ne m abin mamaki hali na cikar a cikin epigastric yankin, wanda ya nuna aerophagia. Yana kawo wani m m iyawa. Kuma antispasmodics da analgesics a wannan yanayin, ka cire wadannan ji iya ba.

Har ila yau, 40% da marasa lafiya da wahala wucewa abinci tare da esophagus, ko da shan ruwa abinci. Ko da yake ya kamata a lura da cewa m abinci wuce sauƙi isa. Mutane fama da wannan alama, mafi sau da yawa shi ne bayyana ta a sosai zafi ko mataimakin versa, sosai sanyi abinci. Saboda haka, idan wata hernia bada shawarar ci kawai abinci cewa yana da teperatura jiki.

Game da 4% na marasa lafiya fama da HH hiccups a kan bango na axial nau'i na hernia. Kawai yana da ba quite da saba hiccups. Its main alama za a iya daukan wani gagarumin duration (iya wuce makonni ko ma watanni). ba mu rabu da shi ma kawai, kuma don taimaka a taron da za su iya kawai zama m m.

Wasu marasa lafiya da kuma fuskanci glossalgia (ciwon harshe) da kuma hoarseness, wanda shi ne wani sakamako na konewa daga peptic ciki abinda ke ciki jefarwa a lokacin regurgitation.

Bugu da kari ga dukan sama, za mu iya ƙara cewa bayyanar cututtuka na wani hernia dogara a kan ta size.

• HH ba tare da bayyanar cututtuka insufficiency na cardia. A irin haka ne, bayyanar cututtuka na opportunistic cututtuka ne mafi pronounced, ba hernia. Ãyõyin wannan nau'i zai pericardial hernia, epigastric ko retrosternal zafi da ke faruwa nan da nan bayan da wani abinci ko bayan dagawa.

Dauki wannan sha raɗaɗin Can ga dama, kwanaki. To neutralize su ka iya yi amfani da wadanda ba narcotic analgesics (sai validol saboda shi akwai wani sakamako) ko nitroglycerin. Har ila yau, da zafi yana tsayawa lokacin da shan abinci ko ruwa.

• HH, wanda ya bayyana a matsayin mai wahala ko kawai ci gaba a kan bango na sauran siffofin gastrointestinal cututtuka. Irin cututtuka ne mafi sau da yawa ciki ko duodenal miki. A wannan nau'i na HH babban bayyanar cututtuka da cutar, ba hernia.
• Paraesophageal HH. Wannan nau'i na hernia ne halin da babu wani bayyanar cututtuka da kuma ãyõyinSa. Mafi sau da yawa ganewar asali paraesophageal hernia faruwa da ka a lokacin janar binciken. Amma lokacin da hernia shimfida, akwai esophageal matsawa (a cikin wasu kalmomi, takaita da esophagus). A rare lokuta, ci gaba esophageal spasm (wata cuta a cikin abin da yake damun esophageal hanginsu).

Idan ƙeta paraezafagealnyh hernias akwai zafi a cikin sternum ko epigastric.

• Nakasar HH halin da gajeren esophagus. A wannan nau'i na esophagus hernia iya zama biyu zažužžukan. A farko daga gare su iya ci gaba da irin wannan abu a matsayin "thoracic ciki", wanda aka halin da wadannan siffofin:

- da wuri daga cikin kirji.

- sarrafawa na intrathoracic ciki.

A karshen harka, da ganewar asali ne da wuya sosai, shi yawanci ya faru a lokacin tiyata ko a autopsy.

zai yiwu rikitarwa

Hiatal hernia iya tsokana a iri-iri na da rikitarwa. Mafi sau da yawa bayyana kamar haka:

- gastritis ko na ciki miki cewa kashi a cikin abin da hernia (bayyana a game 8% na lokuta);

- zub da jini, anemia (akwai 20% na lokuta);

- gabatarwar ƙananan esophagus a hernial jakar kwai.

- rage daga cikin esophagus (yawanci samu ne kawai tare da kardiaezofagealnymi siffofin).

- prolapse na ciki mucosa a cikin esophagus (watau retrograde hasara).

- strangulated hernia (mafi wuya wahala na duka na sama).

ganewar asali da cutar

Yawanci, kwararru gudanar da dama gwaje-gwaje a kan tushen da wanda sakamakon iya riga a bincikar lafiya "HH." Abin da irin gwaje-gwaje:

• Fibrogastroscopy. Za ka iya amfani da shi don fahimtar yanayin esophagus da ciki. Endoscopic ãyõyin HH ma'anar kansa likita, dangane da wanda ya iya yin bincike da kuma rubuta magani.
• X-ray jarrabawa, wanda dogara ne a kan barium bambanci. Ta hanyar wannan binciken, za ka iya samun hoto herniation, wanda shi ne halayyar ga kowane HH-mataki.
• PH-metry. Wannan gwajin da aka yi domin sanin matakin na acidity a ciki. Wajibi ne a daidai sanya lura da hernia.

HH da esophagus Jiyya

Kullum, magani hiatal hernia wuce ta kwayoyi, amma a wasu lokuta (musamman a lokacin da rikitarwa) ya bukatar m baki.

Game da magani tare da magunguna, shi ne don rage acidity na ciki (ta amfani da antacids), da kuma rage ciki mugunya. Wannan - na farko aiki. Har ila yau, idan magani ne wajibi ne don kare ciki mucosa, wanda ya hada da samar da aikace-aikace na wasu kwayoyi.

Lokacin da aka ba da jiyya mai tsananin rage cin abinci, wanda dole ne jabu bi. Amma, wannan rage cin abinci ne kusan guda kamar yadda na gastritis: babu kitse, babu yaji, m, m. Kawai lafiya da abinci, irin su kayan lambu, 'ya'yan itatuwa, hatsi, abin da ake ci soups da broths, ramammu nama.

Saboda haka, don kawar da ƙwannafi da kuma rage ciki mugunya iya dauka da miyagun ƙwayoyi "Maalox". Wanne ne sosai dace, shi ne samuwa ba kawai Allunan, amma kuma a cikin nau'i na mala'iku, kwayoyi, suspensions. Kowane nau'i na wannan yana nufin raba umarnin don amfani, wanda za a iya kayyade a cikin wani kantin magani na gari.

Shi ne kuma zai yiwu ya dauko wannan hanyar a matsayin "Rennie" ko "Gastal". Don kawar ƙwannafi riga ya bayyana ga zama isa ya dauki daya kwamfutar hannu, da kuma don rigakafin - 4 Allunan a rana (sa'a daya bayan da abinci). Duk da haka, ku tuna cewa wadannan kwayoyi kawai cire cututtuka.

Kamar yadda na tiyata, shi ne a cire hernia samuwar.

Domin a more m bincike da kuma magance dalilai wajibi ne a yi amfani da likita (likita ko gastroenterologist).

Jiyya na jama'a magunguna

HH Jiyya jama'a magunguna ba zai ba da ake so sakamakon, kamar yadda a mafi yawan lokuta da rashin lafiya mutum na bukatar tsanani magani ko tiyata.

Wancan ne, babu hernia kanta ne ba iya cire kudin mutane ta. Ne kawai dalilin da za su iya a yi amfani - to taimaka zafi.

Wasu na ganye teas iya taimaka wajen rage zafi. Ga wasu jama'a magunguna da cewa za su taimaka a yaki da hernia:

- A decoction na marshmallow tushen. Zuba kimanin 20 g na murƙushe tushen Althea MUG, daga ruwan zãfi, da bar shi bane girkawa.

- Mix 30 saukad da na giya propolis tincture da kuma 50 ml na madara. Dauki sau 2 a rana.

- flatulence da taimaka decoction na tsaba na karas. Cika daya gram iri 2 kofuna na ruwan zafi da kuma ba da damar cakuda bane girkawa na kimanin awa daya. Kana bukatar ka sha tare da tsaba.

Ka tuna cewa kafin shan wani abu (musamman jama'a magunguna) shi wajibi ne don tuntubar tare da likita.

Har ila yau, ta amfani jama'a magunguna, za ka iya rabu da ƙwannafi, hiccups, da kuma sauran cututtuka na HH. Amma tuna cewa wannan shi ne kawai ta wucin gadi sakamakon, da kuma bukatar su bi hanyar da cutar maimakon bayyanar cututtuka.

oesophageal hernia bayan tiyata

Kamar yadda aka ambata a sama, a wasu lokuta, hiatal hernia bukatar tiyata. HH-aiki, da sake dubawa na wanda shubuha, iya zahiri ajiye rai a sosai m lokuta.

Amma abin da ya yi a lokacin da wani aiki da aka rigaya ya yi? Yadda za a bi da post-tiyata yanayin? Yadda zarar za ka iya komawa zuwa al'ada rayuwa?

HH bayan tiyata dole bukatar hadaddun kula da magani da kuma rigakafin.

A rana ta farko bayan tiyata, marasa lafiya bukatar ilimin jarrabawa da kuma electrocardiography. A rana ta biyu da aka kirji X-ray. A cikin uku - jimlar cikakken jini count da biochemical karatu na wanda karatu wajabta sonography.

Sau biyu a rana, marasa lafiya ya kamata gudanar da sauki bada numfashi darussan da jiki far.

Amma ga miyagun ƙwayoyi far iya ce da wadannan. Ya kunshi a gabatarwar Saline bayani intravenously a wani ƙarfi ga 1800 ml a kowace rana. Dukan marasa lafiya bayan tiyata dauki maganin rigakafi.

Trocar raunuka suna bi da barasa da an daura a rana.

Just wata rana bayan da aiki da haƙuri yana sha ruwan, amma daga rana ta biyu - shan ruwa abinci. A postoperative zamani ne game da watanni 3.

Ta yaya ta HH-aiki (reviews daga waxanda suke da daban-daban, dangane da tsananin cutar), muka ambata a sama. Yana da su cire mafi hernia.

ƙarshe

Saboda haka a yanzu ba za ku ji tsoro, idan wani wuri za ka ga raguwa HH. Abin da shi ne da kuma yadda shi bayyana kanta, ku sani.

Ya zauna kawai a takaita, cewa cutar ne ƙwarai da gaske. Kai-magani, musamman magani daga mutãne magunguna, shi ne m isa kuma zai iya sa tsanani da rikitarwa.

Amma, alas, daga rikitarwa ba daya ne rigakafi, tun wasu siffofin HH asymptomatic. Kadai hanyar fita - dauki cikakken jarrabawa a asibiti a kalla sau daya a shekara. Saboda haka za ka iya kawai sami wannan m cutar.