Emergency surgery inogona kudiwa kana une dambudziko
A paraesophageal hernia ndiyo isina kufanana yemhando mbiri dzehutano hwekuzvarwa . Izvo zvinoitika apo chikamu chepamusoro chemudumbu chinoputika nemumvuri mukati mechirwere uye kusvika muchipfuva. Dzidza nezvechiitiko ichi uye zvinokonzera, zviratidzo, uye kurapa.
Chii Chinowanikwa muParaesophageal Hiatal Hernia
A hernia zvinoreva kuti chikamu chemukati chemuviri chave chasimbirirwa kune imwe nzvimbo iyo isiri iyo.
Chiedza chako chinoparadzaniswa mumapfupa emapfupa apo mapapu nemwoyo zviripo uye mudumbu apo dumbu rako, matumbu, uye dzimwe nhengo dzakawanda dziripo. Chifukidzo chechifu uye mhumbu zvakaparadzaniswa nechidimbu chemuviri, chidimbu.
Inophagus iyo inoputira iyo zvokudya nekumwa zvinopfuura kubva mumuromo kusvika mudumbu, uye inofamba nepakati pevhumuro mudiapragm, hiatus. Nokudaro zita rokuti hiatal hernia. Iyo nhengo inopera uye inowedzera panguva yekumedza, uye nechirwere, mudumbu uye / kana kukanganiswa kwemudumbu uye sopu inokwanisa kudhonza kuburikidza ne hiatus.
Kune marudzi maviri ehaatal hernias:
- Nzvimbo yakasvibira (yakanyanya kufanana)
- A paraesophageal hernia (kwete yakajairika)
Neparaesophageal hernias, gastroesophageal junction (apo inophagus inosvika kumudumbu) inoramba iine iyo, asi chikamu chemuviri chinopindirwa kusvika mubhokisi riri pedyo nehombodo.
Chikamu chemuviri chiri kumativi asina kururama chechi hiatus chinogara mubhokisi panguva dzose. Nemhando iyi yemhando , zvinetso zvinogona kuitika.
Zviratidzo
Paraesophageal hernias kazhinji hairatidzi zviratidzo, asi kana zviratidzo zviripo, zvinotevera:
- Nokukurumidza kurwadziwa kwepfupa
- Kupisa marwadzo emapfupa asina kubviswa nekutora antacid
- Dambudziko kukumedza
- Dumbu remarwadzo
- Indigestion
- Nausea
- Kudzora
- Retching
Matambudziko eParaesophageal Hiatal Hernia
- Kusungwa: Iyi ndiyo apo dumbu rinomira uye rinomanikidzirwa kana kuti rakadzivirirwa. Iyo inogona kutungamirira pakupenga.
- Kushungurudza: Izvi zvinoguma kubva kuwedzerwa ropa kusvika mudumbu kubviswa. Zvirwere zvemuviri hazvigone kurarama pasina ropa uye saka vanofa.
- Kusvibiswa : Erosion uye zvipembenene zvinonzi Cameron zvipembenene zvinogona kukura. Sezvimwe nezvimwe zvironda, izvi zvinogona kutungamirira kukurumidza kurasikirwa kweropa uye anemia.
- Gastric volvulus : Izvi zvinoreva kukanganisa dumbu, izvo zvinogona kukonzera zvinetso kumedza, marwadzo ari pasi pemibvu, uye kubvuma.
- Zvinokonzera Zvinetso : Hora yakawanda inogona kupisa mapapu.
Kuvhiya kweParaesophageal Hiatal Hernia
Kuvhiya kunodiwa kune munhu upi zvake ane zviratidzo kubva paharajaophageal hernia. Emergency surgery inodiwa nokuda kwezvinetso zvakadai sekubuda ropa izvo zvisingagoni kumira, kufema kunetseka, kusagadzikana mumimba, kuvharirwa, kana kusanganisa.
Hiatal hernia chirurgical chirwere chinowanzoitwa se laparoscopic nzira. Iyo laparoscope isimbi, teresiko-sechigadzirwa chakafanana nekamera pamagumo inoita kuti chiremba chiremba aone mukati memudumbu . Nemhando iyi yekuvhiyiwa, zviduku zviduku zvinowanikwa mudumbu.
Iko laparoscope uye zvigadzirwa zvokuvhiya zvinowanikwa kuburikidza nezvinofungwa. Panguva yekuvhiyiwa, chirwere chacho chinodzokorora (chakakoromoka pasi) uye hiatus (gomba riri mumarara) rinosimbiswa kuitira kuti dumbu risingadzokeri zvakare.
> Sources:
> Paraesophageal Hernia (Hiatal Hernia). Medical College yeWisconsin. http://www.mcw.edu/General-Surgery/Patient-Info/GERD-Surgery-Program/Paraesophageal-Hernia.htm.
> Rosen M, Blatnik J. Kuchengetedzwa kwekushandiswa kweparaesophageal hernia. Kusvika pari zvino. http://www.uptodate.com/contents/surgical-management-of-paraesophageal-hernia.