Whaturama Hiatal: tohumate, maimoatanga

Puku - Ko tetahi o nga tinana matua o te hauora o te mea tika ti'aturi i runga i te whakamarie, me te kaha ki te ora te tangata ki tonu i tenei. Ka taea e whai i runga i te tinana o te pānga kino töna te ahua o retireti hernias. e kore e taea te waiho i tēnei raruraru, na ko te mea nui ki te waia koe ki nga tohu o te mate, me te maimoatanga.

whaturama hiatal

Ka taea te whakaritea i tēnei mate rite rerekē, te ngako o te mea ki te wāhikē kotahi, neke atu rānei tinana kei roto i te peritoneum. kawea te kaupapa kei te roto i roto i te piata i te mea i roto i te whakatuwheratanga pukai ki te kōhao pouaka. Ka rite ki te hua, tari e kia kia i te kōhao puku, kitea ratou i roto i te pouaka, me te tino protrude.

Ka taea e ara whaturama Hiatal (te ingoa tuarua o te mate) arahi ki te slippage te kanohi o te puku, i te mutunga tahuri ki te rohe pouaka.

Taua tikanga e te tahi mau taime whakaoho Reflux waikawa i roto i te manawanui, i.e. matamua ki te pū kai o te waikawa pekitīlia. Ko te nuinga o taua momo tātaritanga i roto i tūroro pakeke atu i te 50 tau. E tano ia tapao e mamae wahine i tenei raruraru, kia rite ki te whaturama axial, nui atu te takoto kaha.

take o

kia tika ki maha o ngā āhuatanga, kia e whakarongo kia utua ki te displacement o whekau. Tenei ko nga take o tenei mate:

- tenge kaha rawa ārahi ki te pumau i runga i te rohe o te peritoneum;

- mare auroa;

- taumaha;

- māuiuitanga o esophageal whakatuwheratanga o te HWM, e kua te āhua hohonu;

- huringa e pā ana ki te tukanga toulekeleká;

- kōroke ma'i;

- hua appreciable i roto i te pēhanga i roto i te peritoneum;

- Operations me ngā traumas;

- i roto i ētahi wā, ka taea te meinga whaturama hiatal i te hapū whanau uaua ranei.

Ko reira ohie ki te kite e i roto i te taua huru uaua ai mānukanuka nui i roto i te peritoneum, putanga i raro i te mana o te momo o take.

Types me whānuitanga o te mate

mahi Modern hauora taea e rave rahi matua momo o te raruraru:

- Paraezofagenalnaya. Ko reira anake te displacement o te kopu kahore whai wāhitanga i roto i te tahi atu whēkau.

- retireti whaturama, he reira axial. I roto i tenei take, neke te kōhao pouaka kei te wahi atu me cardiac.

- Mixed. Kei te korero tatou e pā ana ki te āhuatanga o te momo tuatahi e rua, e kua whakaaturia i te wa ano.

- congenital. hanga ana tēnei tātaritanga te ka e puta te hanganga whaturama kitea ki pū kai iti whakaritea i roto i te puka o "ana roro uma". Ko te rerekē tenei āhuatanga.

He mea nui ki te mōhio i te meka e te whaturama retireti - he māuiuitanga, e kia whai rave rahi nekehanga, kua ia o ratou ona ake āhuatanga, me te tika whakarongo:

1. Kei te kopu i raro te HWM, cardia - i runga te taumata ki reira, me te wāhanga puku o te pū kai runga ake te taumata HWM.

2. whaturama hiatal o 2 nekehanga rerekē i roto i taua kōpeke te pū kai kei te whakanoho, a ka i roto i te mediastinum kaimahi he wāhanga faariro i o te puku.

3. He he he whakaiti i tohua i roto i te pū kai, a ka tu tino puku tonu tona wāhanga ranei ki te mediastinum.

Kia pehea te ko te tātaritanga

He maha ngā tikanga e e taea te kitea i te whaturama axial ranei atu puka o tenei mate.

Tuatahi o te katoa ko reira e tika ana ki te huihui ki rangahau radiological, e hāngai ana i runga i ka e kia hāngai ki runga i te rerekē pārana. Ki te ki te tukanga kawe i tika, te hua i runga i te pikitia e kite koe i te protrusion kite.

kia utua whakarongo me te ki te tikanga pērā i pH-metry. Ki te tona awhina whakatau i te kawatanga o te kopu. He tino nui mo te whakaaro o te therapy whai hua ēnei raraunga.

Tona tūranga i roto i te tāutu o te manawanui nui fibrogastroscopy. Ko te whakamahi o tenei tikanga hanga reira taea ki te aromatawai i te huru, i roto i nei noho te pū kai, me te puku rite te katoa.

Te kore taua mehua tātaritanga taua māuiuitanga tata undetectable i roto i te tīmatanga o te wāhanga. Na kia kia mohio koutou ki te tohu, ki te taea ki te ite i te pānga o tenei mate nui.

faaiteraa mate

Ka rite ki nga tohu matua o te mamae e taea te takoto, putanga ki rerekē auau, me te kaha. Ko te kupu e taea e ratou e rua poauau me te tahunga.

I te tahi taime mamae anaana ki te rohe o te ngakau, kia timata tūroro ki te whakapae kore ngakau. I roto i ētahi wā, kia whaturama hiatal te take o te mamae i roto i te rohe mezhdulopatochnoy.

Ki te meinga te mate e te raruraru congenital, rite pū kai rawaka te whanui, kia rite te tohu tohu o whaturama axial. Kei te korero tatou e pā ana ki tokopā e puta i muri i te kai, te mamae muri te whaturei, whiwhi kaha i roto i te tūnga whakapae, me te mamae i roto i te tahi atu wahi o te tinana.

I roto i te whānui, faaite te māuiuitanga ake e whai ake:

- uaua i roto i horomia;

- tokopā i muri i mahi ranei he kai;

- te mamae i roto i te rohe pouaka;

- Kia tango tohu o whaturama hiatal te puka o te paowa tirotiro rangi puku ranei.

tohumate mea ētahi wā hē tata tūroro. Ka rite ki nga arotake, whakaaro iwi e he tohu o ētahi atu mate e kua whai wāhi i roto i te whaiaro medicate-enei. Heoi, ki te i roto i tetahi feaa i runga i tenei momo o te whaturama kia haere tonu koe ki te tākuta. Tenei ka timata maimoatanga wā, me te ārai i pōauautanga.

tikanga therapy

Ki te fehangahangai ki te raruraru taua, whaturama hiatal, ko roto o te āhuatanga e taea e rua: maimoatanga hāparapara momo ranei.

Ka taea te whakaritea te mahi matua o te tikanga puāwaitanga kore i tahaki faaore i te whaturama, me tohu o Reflux esophagitis neutralization whakaiti me te Reflux gastroesophageal. E ko, ahu kaiwhakaako ki te tango i te mamae, me te ārai i pōauautanga taea. E tutuki e tuhituhia kai, e hāngai ana i runga i nga kai hautanga, me te auau ēnei whāinga. I te wa o tenei maimoatanga i ki te hoatu ake etahi kai. Kei te korero tatou e pā ana ki te tiakarete, inu hihī, kawhe, ngako kararehe, taro hou me ētahi atu hua parāoa. Ano, tākuta tohutohu taua maimoatanga i era i roto i te tūranga te maungārongo te muri 3 haora i muri i te kai.

Ka taea e peu kino haafifi i te tukanga o tohe te mate, kia whai ki te hoatu ki runga ki runga ki ratou. Na te pānga o taea āpiha pharmacological. Ka taea e tenei inhibitors iraoho papu, prokinetics, waikawa, me ētahi atu.

Ka rite ki hoki pokanga, he mea nui anake, ki te kahore i maimoatanga momo hua te pānga e hiahiatia ana. Ko te tikanga laparoscopic tino whakamahia nuitia.

pōauautanga taea

Ki te i pāngia koe ki te whaturama hiatal, te kahore wā me maimoatanga tohu o te manawanui, kia meinga kino.

Ko te meka rawa e taea te whakahuatia fifi e te tikanga o te maha tukanga:

- strangulated whaturama;

- toto esophageal;

- stricture keté o te pū kai;

- Reflux esophagitis;

- perforation o te pū kai;

- mate o te membrane mucous o te kopu ki te pū kai;

- whewhe keté.

Ki te kawea te mahi i roto i, i reira te mea he mōrearea o te pītore pekitīlia, megaezofagusa me Reflux gastroesophageal. E kore e tatou tutakina te taea, me whaturama hohokitanga. I roto i te tūranga o te pōauautanga taea mahi wawata kakā. Hei e haamou i te reira, whakamahia whakahaere parenteral o paturopi te.

hua

Tirohia faahapa ki te meka o takanga o te whaturama mānawanawa - he hape nui. Ki te i hanga he tātaritanga taua, kia te tukanga o te maimoatanga e tangohia rawa tino. Kore tino taea e te huru tupuheke.