I-hexial herxial yokuvulwa kwe-esophageal ye-diaphragm iyabonakala xa izihlunu zengqungquthela ziphumla zijikeleze ukuvulwa kwe-esophageal. Ngenxa yoko, inxalenye yesisu ngexesha lokuzivocavoca, emva kokutya kunye neminye imiphumo isabela kwisigxina sesifuba, kwaye emva kwexesha libuya.
Iintlobo ze-herxial hernia yokuvulwa kwe-esophageal ye-diaphragm
I-Axial ibizwa ngokuba yi-hernia engeyiyo-ye-sophageal aperture ye-diaphragm, engekho ngaso sonke isikhathi, kodwa kuxhomekeke ekuzaleni kwesisu, isisindo esiswini, isimo somzimba kunye nezinye izinto. Ngaloo ndawo, inxalenye engezantsi ye-esophagus kunye nenxalenye yesisu isilayidi ngokukhululekile kwisigxina sesifuba nangasemva, ngokubuthathaka izihlunu ezivulekileyo.
I-herxial hernia ye-esophageal foramen ihlukaniswe ngo:
- i-cardial - xa kuphela i-cardia ingaphezulu kwesithintelo (icandelo elitshintsho phakathi kwesisu kunye nesisu);
- i-cardiofundal - ukungena ngaphakathi ekuvukeni kwesithintelo sendawo esezantsi yesisu;
- i-subtotal kunye nesigxina esisisigxina-ngaphezu kwesithintelo sinxalenye enkulu okanye umzimba wonke wesisu.
I-cardial hernia ibe yipesente enkulu kunazo zonke ze-herxial hernia yokuvulwa kwe-esophageal ye-diaphragm. Ezinye iintlobo ze-hernia zi-akhawunti engaphantsi kwe-5% yamatyala.
Izigaba ze-herxial hernia yokuvulwa kwe-esophageal ye-diaphragm
- I-axial hernia ye-esophageal powder of degree 1. Eyona nto ayifumananga ngayo, ngaphezu kwengqungquthela kuphela yincindi yesisu yomzimba, kwaye i-cardia ingena kwi-lumen yesithintelo.
- Kwinqanaba lesibili le-axial hernia, i-cardia ifakwe ngaphezu kwesihlunu, kwaye inxalenye yesisu isesimweni sokuvula.
- Kwimigangatho yesithathu neyesine, inxalenye okanye isisu esiswini sondela ngokuthe ngqo kwisigxina se-thoracic.
Unyango lwe-axial hernia yokuvulwa kwe-esophageal ye-diaphragm
Unyango olusisigxina kulesi sifo lusetyenziswa kwizigaba zokuqala kunye nokunye ukuphepha ukuphuhliswa kweengxaki. Unyango luquka:
- Ukutya okufuthi , ngesiselo esininzi. Ukukhutshwa kwezinto eziphambili, i-cholesterol-ityebi kunye nokukhuthazwa kwegesi. Zonke ukutya kufuneka zihlolwe kakuhle.
- Ukuthobela unyango olulodwa. Awukwazi ukuthatha indawo engezantsi emva kokutya, ugweme ukutshintsha ngokukhawuleza kwisimo somzimba, imithwalo enokubangela ubunzima obugqithiseleyo be-diaphragm kunye ne-peritoneum.
- Ukufumana iziyobisi ezinxamnye ne-antatsidnyh , iziyobisi ezichaphazela ukuveliswa kwesisu se-hydrochloric acid, kunye neziyobisi ezilawula isisu somzimba.
- Izakhono zokuphefumula ezikhethekileyo.
Kwiimeko zokungonakali kunye nakwizigaba ezilandelayo zesifo, utyando lwenziwa ukuze lulawulwe i-hernia kunye nokubuyisela ukunyaniseka kwezixhobo ze-muscular.