Hernia o nā'ōpū - hōʻailona a me ka lāʻau

ʻO ka diaphragm he pāʻani māmā ia e hoʻokaʻawale ana i nā'ōpū o ka'ōpū a me nā pūpū abdominal. Hiki i ka poʻe esophagus ke hele i loko o ka puka o ka diaphragm, kahi i kū i ke kūpona maʻamau e like me ke anawaena. Akā inā e hoʻopilikiaʻia ka elasticity o kaʻiʻo o ka diaphragm, hiki ke hele i nā'ōpū mai ka'ōpū a hiki i ke kīnā. ʻO kēiaʻano mea i kapaʻia he'alania o ka puka āpau o ka diaphragm, aiʻole ma ka'ōlelo maʻamau - ka hernia o ka esophagus.

Nāʻano o ka'alania o ka esophagus

Ma muli o keʻano o ka hoʻolālāʻana a me nā hiʻohiʻona o ke anatomi, ua māheleʻia ka hernia diaphragmatic i ka'ūlū, openophagous a me nā hernias herbias o ka esophagus:

1. ʻO kaʻokiʻana (ʻo ia ka'alowalo, axial a axial) o ka esophagus -ʻo keʻano maʻamau o ka maʻi. Me kēiaʻano hiʻona, ka spancter haʻahaʻa o ka esophagus, ka hapa o ka esophagus a me ka hapa o ka'ōpū e komo i loko o ka'ōpū o ka'ōpū, a laila hoʻi i ko lākou wahi, e like me keʻano o ka loli o ke kūlana. Ke māheleʻia ka launia o ka esophagus i loko o ke kīhaʻi, kāpikipikōʻau, subtotal, a me ka'ōpū o ka'ōpū. I kekahi mau kumu, hikiʻole i ka hernias ke hoʻonaʻauao iā ia iho a ma muli o ka hopena, e lilo i mea paʻa.
2. Hiki ke hoʻopiliʻia ka palaka palapona (kokoke-esophageal) i ka manawa a ka cardia a me ka esophagus haʻahaʻa e hoʻololi i ko lākou kūlana, akāʻo ka komoʻana i lalo o ka'ōpū i loko o ka puka o ka diaphragm e kū ana ma kahi kokoke i kaʻaoʻao kiʻekiʻe o ka esophagus. ʻAʻole like me keʻoniʻana, ua hewa pinepineʻia kēia mau hernias. ʻO nā hōʻailona o iaʻano hernias o ka diaphragm o ke esophagus, he kaumaha nui, paʻakikī i kaʻai ma o ka esophagus, kausea, ka luaʻi.
3. Me nā hernias i hoʻohuiʻia, ua hui pūʻia nāʻano hana o ka hoʻohuiʻana i nā hernias.

Nā hōʻailona a me ka mālamaʻana i ka launia o ka esophagus

Ma nāʻano liʻiliʻi, inā paha he hainia palahalaha,ʻaʻole hiki ke hōʻike. Ināʻole, ua hilinaʻiʻia nā hiʻona ma ka nui o ka hernia, konaʻano, a me keʻano o nā pilikia a me nā maʻi concomitant:

1. Kuʻikena . ʻO ka hōʻailona maʻamau, mai kaʻikeʻoleʻia i kaʻeha, hiki i ka nele. ʻO ka hapanui ma hope o kaʻai a me ka pō.
2. Pain ma hope o ka sternum , i ka mea maʻamau i ka hypochondrium a me ka hapakolu o ka'ōpū. Hoʻomaopopoʻia ka hapalua o nā mea maʻi, a he pinepine hoʻi me ka lamaina paʻa.
3. He mea paʻakikīʻo Dysphagia i ka hāʻawiʻana i nā meaʻai ma o ka'ōpū. Keʻikeʻia nei i ka halaʻana o kēlā me kēiaʻano o ka meaʻai, a ua'ōlelo nuiʻia i ka wela, nā meaʻai maʻamau aiʻole i nā nui.
4. ʻO Belching. Hiki ke hana ma ka lewa a ma nā mea o loko o ka'ōpū. I ka hopena hope, hiki ke mālamaʻia i loko o ka waha ka waiʻawaʻawa aʻawaʻawa paha ma ka hoʻoleiʻana i nā mea o loko o ka'ōpū i loko o ka esophagus, ai hiki ke kumuʻia e ka hernia o ka esophagus.
5. Pālāʻi . ʻAʻole mālamaʻia he mea paʻakikī, akā lōʻihi ka lōʻihi (a hiki i kekahi mau pule).

I ka hihia o ka hernia e moe ana,ʻikeʻia nā hōʻailona wale nō i ka wā e hoʻoleiʻia ai nā mea o ka'ōpū i loko o ka esophagus. Hiki paha ke lilo i ka puʻupalapala, belching, nausea.

Hoʻomaʻawa i kahi hernia o ka esophagus e hiki ke mālama a me ke kaʻawale.

Hana pono ka mea hana ma ka hopena o ka hōʻehaʻana i ka hernia, i ka hernia o ka esophagus, paʻakikī i ka maʻi maʻi peptic, a i keʻano o ka hernias nui nui,ʻoi aku i ka 1/3 o ka'ōpū.

I kekahi mau kumu'ē aʻe, mālamaʻia ka mālamaʻana me ka mālamaʻole. ʻO ka mea mua, i ka meaʻai maikaʻi, ka mea e kōkua ai e pale i ka pihaʻana o ka'ōpū a me ka hoʻopuka i kāna mau meaʻona i loko o ka esophagus. Hoʻohālikelikeʻia nā meaʻai kūpono, 5-6 mau manawa o ka lā, i nā'āpana liʻiliʻi. ʻO ka hoʻohanaʻana i ka momona, ka'ōhinu, ka meaʻono, nā meaʻala, nā mea inu kalapona, nā huahana e hoʻonui i ka hoʻomehana honua, ma muli o - leʻaleʻa. I loko o hoʻokahi hola a me ka hapalua hola ma hope o kaʻaiʻana,ʻaʻole ia e'ōleloʻia e lawe i kahi pani. Eia kekahi, keʻae aku i ka hana kaumaha kaumaha,ʻo ka mea i pili i ka pali a me nā loli koke i ke kūlana o ke kino.