Ka hāʻuleʻana hiatal hernia: symptoms a me ka lapaʻau

Hiatal hernia (Hawaii photo pathology ua hōʻike ma lalo ma ka 'atikala) a me ka reflux esophagitis i loa pilikia maʻi. E kū'ē i ke kāʻei kua o kēia mau Hawaii ua Kaha aku o kekahi mau gastrointestinal Hoʻohana. Ma kekahi, nā loli ana i loko o ka ligaments e kākoʻo i ka'ōpū, a me ka esophagus, he Hawaii photo no i kekahi hōʻike ma ka pauku. E like me ka hopena, hoʻopilikia ua 'oni iki. Ma 'ana, ka luna aʻe o ka'ōpū hele i loko o ka pahu wahi. E like me ka hopena nee functioning o ka sphincter ai pili aku i ka opu a me ka esophagus (kiʻi wehewehe keia pauku).

paha kamepiula

Inā 'oe e hoʻololi i ka huina o kona mau a me ka' aʻe 'hana esophageal (lalo) o ke sphincter ia lŘlŘ hoolei i kaʻakika Contents o ka'ōpū a me ka bile i loko o ka esophagus o 12 duodenal ulcer. Ke kaʻina ua pu ma ka hooulu ana o ka li nui o mucous rearrangement. He nui maoli ka pilikia o ka maʻi 'aʻai. Of mau nui i loko o ka ulu o ka maʻi o ka ka hāʻuleʻana hiatal hernia. ʻoki kino o ka mea wale iaoia loaʻa, e hoʻopau i ka 'aʻe. Eia naʻe,ʻoki lāʻau lapaʻau 'uao i kona mau nuances. Hou kālailai i au mamuli, mea kūpono ai ka hiatal hernia. i loa, ano a me ka hoike ana i ho'ākāka 'ia i loko o ka pauku.

Overview

Hernia i loko o ka esophageal hamama, IeAUPIIe, IAa IO e hoʻomōhala ana i loko o ka huipūʻana me ka gastroesophageal maʻi. Mea loaʻa pū ma luna 'cardiac, pulmonary a me dyspeptic kāna hana. Ka mea, e kū aʻeʻoeʻano nui no o ka hernia a me ka gastroesophageal reflux. E like me ka mea 'Amelika a me' Eulopa ahahui ma ke alo o HH ke kanaka no 5-12 makahiki ka pahiki o ka maʻi 'aʻai elima makahiki ma hope ulu mai i 270%, a me 12 - ma 350-490% (ke kaumaha ma muli makahiki).

prevalence o pathology

HH, e like me kekahi mau kākau, ka mea, ua noʻonoʻo me ka maʻi mau diagnosed, e like me cholecystitis a esophageal ulcers. E like me kona prevalence o kēia mau maʻi o ke alakai gastrointestinal maʻi. HH like esophageal ulcer, ka mea, ua manaoia pono pilikia maʻi e noi ana i ka wanaʻao eʻike, a me ka nńnń pono ana.

Mea Maluna

Aia i ekolu papa kuhikuhiE waeʻano o HH. Mau nā:

• Iho hiatal hernia. Kēia pathology i kekahi inoa. O na inoa - ka hāʻuleʻana hiatal hernia. Kēiaʻano o ka pathology ua 'akomi i loko o aneane 90% o nā mea maʻi. State ua wehewehe aku ma ka hanana o esophageal achalasia ma luna o ka puka. Ma keia manao, ka mea i Ua he nahae panina kuleana pili i pahi.
• Paraesophageal hernia. Kēia shape ua loaʻa i loko o ka hola 5% o nā mea maʻi. No kēiaʻano o ka pathology ua wehewehe aku ma kekahi mauʻoihana o ka cardia, a me ka nui curvature o ka'ōpū.
• Pōkole esophagus. E like me ka kūʻokoʻa, keia pathology ua diagnosed loa kākaʻikahi. I ka maʻi o ka abnormality i loko o ka ulu ana. E like me ka rula, i kēia maʻi pale ua pu ma ka ka hāʻuleʻana hiatal hernia. No ka mea, ua i wehewehe aku ma ka li nui, a scarring keʻano o ka hanaʻana.

ka hāʻuleʻana hernia

Kēia palapala no ka maʻi wehewehe aku ma kekahi peculiarities. Ma kekahi mau ka hāʻuleʻana hernia mea he protrusion, i kahi o ka hoʻokahi pā ka hapa 'ia' kapa komo iā ia peritoneum kino. Ua hiki ke hou noʻonoʻo i loko o ka pauku kuleana, bladder, e pii aku ana, a iho AeXIeAaOIePEAaI, a no laila, ma luna o. Ma keia hihia, ke hernia sac hiki ole e. Diverticulum, ma keia hihia hoʻokino kino mau mea i uhi ia e ka peritoneum.

Keʻano papa hana o ka hanana

I kulike ai me keia hiʻona ua kaʻawale.

• Congenital hernias. Ma keia hihia i ka luna no kekahi kumu kekahi a me na oihana,ʻaʻole paʻa peritoneum i nā ili ana i kekahi hapa o ka pukapa iloko o ka retroperitoneal momona. A hiki aku ka mea i hele mai mai loko mai o ka lua. Kēia kaʻina hana hiki hoʻomaka me i kakahiaka nui me ka embryonic wā. E like me ka hopena, e offset oihana ke keʻena protrusion me hernia sac.
• Lilo kāna hana. Hernias o kēia 'ano i hana ia e kekahi me mechanical contraction o ka bladder a liʻiliʻi Hoʻohana. Ka mea i hoʻonele o serous aloha a me ka pili ana i ka peritoneum.

Inguinal hernia ka hāʻuleʻana i loko o ka naʻau liʻiliʻi nui, IeAUPIIe, IAa IO, ua nui protrusions me akea ka puka pā. Diagnosed, i hookuu i loko o ka kūpuna. Ia akulla hoʻohana 'X-Ray' ana i kūpono o ka nui liʻiliʻi ninaninau. Ka hāʻuleʻana hernia o ka bladder i Konakele. Dysuric kāna hana. Hoʻomanawanui iki mai ia palua urination. Initially ninini ua lawe mai i mau, a laila, i ka wa a ua e ma ka protrusion, he mea kekahi koi aku ia, a me ka hoʻomanawanui urinates hou. A pau ua hana i kaʻike, a me ka catheterization cystography. I ka papa o kēia mau kaʻina hana hoikeia mai i ke kinona a me ka nui o ka hernia, i ka wa e kaawale aku ai imua o ka bladder pohaku.

Iho hiatal hernia

Kēia pathology o ka pohupani hale o ka'ōpū a me nā abdominal nā loko i loko o ka pahu lua. I ka maʻi ua diagnosed i loko o 5% o ka makua heluna. Eia naʻe, ma kahi o ka hapalua o nā mea maʻi mai e hai i kekahi symptoms. Oia pele pathology no ka mea, o ka ka hāʻuleʻana hiatal hernia ua holoiia hoailona typical kinona no ka mea, o ka protrusion ua manaʻo i loko o ke kino, a ma lalo o maʻamau, mākaʻi ihola iā ia hiki ole ke 'akomi i. I ka maʻi e loli ai na wahine oi pinepine ma mua o nā kānaka. Pediatric pathology o ka hapanui innate.

ano o ka maʻi

Ka hāʻuleʻana hiatal hernia ua maheleia i:

• Kardiofundalnuyu.
• Huina gastric.
• Cardiac.
• Subtotal'ōpū.

Paraesophageal hernias i hoʻolaha i loko:

• Gastrointestinal.
• Hoʻokomo akula.
• Intestinal.
• Antral.
• Fundus.

pathological ke kahua

Ka hāʻuleʻana hiatal hernia i e hoʻolaha i kulike ai me ka buke o ka'ōpū penetrating i loko o ka pahu lua:

• Ka mua ke kahua. Ma keia hihia, ka thoracic lua ka diaphragm ua aia ma ka hapa abdominal o ka esophagus. Ka'ōpū o laila, i loko o ka kiʻekiʻe kūlana. He mea pololei e pili ana i ka diaphragm. A ka mea, ua aia ma ka cardia.
• Ka lua o ke kahua. Ke thoracic lua o ka hapa abdominal o ka esophagus, ua hoʻokaʻawale 'ana i ka'ōpū i loko o ka'āina o ka phrenic lua.
• Ke kolu o ke kahua. Ma luna o ka diaphragm i cardia, gastric kino a me ka lalo (kekahi manawa antral hapa) abdominal esophageal hoʻokaʻawaleʻia.

lapaʻau kiʻi

Symptoms o ka maʻi i mea i like loa me symptoms o nā maʻi o ka digestive'āpana pili me kaʻole functioning. E kū'ē i ke kāʻei kua o ka mea hōʻemi i ka ha awina o ka esophageal (lower) sphincter ia catarrhal reflux (e hoole hooleiia'na o gastric Contents). Over manawa aie i kaʻano pākīkē keiki o ka nuipa i loko o ka hapa malalo o ka esophagus hoʻomōhala i ka hoʻoʻino kaʻina. Ke hoomanawanui hoʻomaka i ka ohumu ana o heartburn ma hope oʻai a me ka ulu me ka physical stress 'ole i loko o ka papamoe kūlana. Pinepine ka mea, he manao o ka pöpö lepo hoÿokahi i loko o ka puu. Ma hope o ka mōhai, ka eha i ikeia. Ka mea, e okoa ma ka ano. Ke soreness e hohola i ka poohiwi maka, e hāʻawi aku i loko o ka'ā'ī, ma ke kua o ka sternum, a puni i ka naau a me ka iwi ā lalo. Mau symptoms e like me symptoms o angina, a ua lawe mai palena pauʻike. Ma kekahi hihia i ka eha akaka ma ka kekahiʻoihana o ke kino. Paha, e hoopii i ka hoʻomanawanui i ka luna abdomen distension, naʻauao lākou i ke alo o ka haole kino.

waiwai

More loa na hihia i wehewehe aku ma ka helu o nā complications. Kekahi o ia ke kahe ana ke koko mai esophageal moku. E like me ka rula, ka mea, i wahi i loko o ka latent palapala, a me ka hoike mai ai ia me e holumua ai anaemia. Kahe ana ke koko i e maʻi a me ka huʻi. Ma kekahi hihia, a hiki ia akullaʻaihue protrusions ma ka esophageal wehe a me ka esophageal perforation. Ka loa, he pono ole no o ka maʻi o reflux esophagitis. Ua hiki ke iho i loko o ka peptic ulcer i loko o ka esophagus. I loko o ke ana lapaʻau hoʻonāukiukiʻana mai o kēiaʻano oi loa complication - cicatricial stenosis (hou) o ke kino.

lapaʻau '

Pathology ka loaʻaʻana ua lawe mai ma kekahi mau ano. Ua Ua oleloia i waena o ka mea nui: esophagogastroduodenoscopy, X-na kukuna o ka opu a me ka esophagus, intraesophageal pH-mika. Hoʻohana 'ia e like me ultrasound, Me tomography, ezofagometriya.

maʻi lapaʻau

Lawe mai nā hana nona ma alleviating na hoikeana e pili ana i ka ka hāʻuleʻana hiatal hernia:ʻai, lāʻau. Makeʻe kulana ano i nona ma ke kāpaeʻana i ka maʻi symptoms: eha no ke kokua, heartburn, nausea. Ma keia hihia, hoonoho ai 'e ho'ēmi i gastricʻakika. Ma ia mau mea, no ka laʻana, loaʻa i ka hoomakaukau "Kvamatel". Kekahi o nā kūlana no ka mea pono ka hana o nā mea maʻi diagnosed me hiatal hernia - heʻai. Keʻai Ua kaupalena ai i ke alo o ka momoma, spicy, palai ai, ka waiʻona, kokoleka, kope, nā huahana e paipai i ka? Iecaianoaaiiie o gastric wai. Ai e e uukuʻai pinepine. E pale aku ua aʻo aku ai iā reflux moe hoomanawanui me ka hoala hou keena kino māhele 'āina, a me ka pale aku kaumaha punohu.

ʻoki kino: mau 'ike

Ua pono e mai la oia i ka mea ma luna o hana mai i hoʻopau i ke kumu no ka i ka mea, he ka hāʻuleʻana hiatal hernia. Ana - ka mea wale nō i hele ai i ka anatomic pilina ma waena o ka GI wahi e hoʻihoʻi aku. Ma ke kaʻina hana o ka 'uao hana i mea antirefluxʻano papa hana e kāohi' ia paha nana e hoole i kiola i ka houpo Contents. Ma ana hernial eliminated ma ka suturing ho'ākea puka i ka maʻamau nui.

Hoʻohana 'iaʻoki lāʻau lapaʻau' ana i kūpono

I kēia lā, poe akamai i hana mau ki ina hana o ka 'uao.

• Open ke kula. Ma keia hihia, ka mea hiki ke lawe Nissen fundoplication paha ea ma Tope. Ma ka hihia mua, he kiʻekiʻe pilikia o ka ulu complications o ka huapalapala. No ka mea, ea mea e ahoʻia no ka Tope.
• Laparoscopic hiki. 'O kēia ka meaʻuʻuku traumatic iaoia o ka' uao. Ma hope o ka hana ma keia aoao o ka hoʻomanawanui ua ho'ōla mai kēlā wikiwiki a me ka maʻalahi.

Ua pono e mai la oia i ua pinepine lawe mai la lakou i ka laparoscopic hernia esophageal puka me ka hana o nā nā loko ma ka abdominal lua. No ka laʻana, holetsistomiya hana wā calculous cholecystitis i loko o ka maʻi ke kahua, e wae proximal vagotomy - ulcer i loko o ka duodenum.