Chirwere chekuberekwa chinokonzerwa nekushaya simba kwemisungo yechirwere. Kazhinji yenguva, hazvisi pachena kuti nei chibereko chekuberekwa chichikura, kunyange kune zvimwe zvipingamupinyi. Mamiriro ezvinhu anokonzera kusvibiswa pamisungo yechirwere kana mamiriro ezvinhu anotadzisa musumbu anogona kukura mukana wako wekuvandudza hutano hwekuzvarwa.
Zvinowanzokonzera
Kushayiwa simba kwemisumbu yakakonzera kunobvumira mudumbu kupinda munharaunda pamusoro peiyo diaphragm panzvimbo yekugara wakachengeteka pasi pechidimbu, pane iyo.
Iyo diaphragm musimba une simba unoparadzanisa chikamu chepamusoro chechivharo kubva kumadzimai emimba. Iine mhedziso iyo iyo inophagus inobatanidza nemudumbu, sezvo sopu inowanzova pamusoro pemhizha, asi mudumbu kazhinji inowanikwa pasi pechirwere. Iyo diaphragm inobatsirawo kuzarura nzvimbo muchipfuva chepfuva paunotora kufema kwakadzika mukati, saka inowanzochengetwa zvakanaka mumuviri.
Zvinokonzera Diaphragmatic Muscle Weakness
- Kukwegura: Kazhinji, mukana wokuva nechirwere chekuberekwa chichiwedzera sezvaunokura. Misi miviri yakawanda inowedzera kusimba uye inowirirana nehukuru nekukwegura, uye, sezvaunokura, iwe unowanzosangana nematambudziko ehutano hutano. Kusiyanisa kunosanganisira congenital (kubva pakuberekwa) uye nhaka inoberekwa, iyo inokura pazera remakore.
- Dambudziko: Kukuvadzwa kunorwadza kunogona kuita kuti kuve nechisimba pamhepo, zvichiita kuwedzera kwekuvhura musumbu.
- Kuvhiya: Kuvhiyiwa pamuviri kunowedzera mikana yako yekuvandudza hupfumi hwekuzvarwa.
- Congenital: Vacheche nevana vaduku vanogona kuva nehutano hwekuzvarwa kubva pakuzvarwa . Izvi zvinogona kugadziriswa chirwere.
Kusununguka kwemudumbu nekuda kwehutachiona hwehutachiona hwemapfupa hunogona kukonzera mhando dzakasiyana dzesimba.
Sliding Hernia
Nhengo inotonhora inenge iri mamiriro ayo mudumbu rako rinogona kupera nguva pfupi pamusoro pechipfupa pamusana pekuzarura kukuru mukati mutsvuku kana kushaya simba kwemuviri wechirwere. Kana uine chirwere chinotapira, chirwere chako hachina kusimbiswa panzvimbo, asi hukama hwemaatomical pakati pemudumbu mako uye nheyo yako, iyo iri pamusoro payo, inochengetwa sehukama hwemazuva ano.
Hemeni inotambudza panguva dzomumumhanyi wemimba, uye dumbu rinonyatsopinda mukati memhepo iri pamusoro peiyo. Dumbu rinokwanisa kudzokera kunzvimbo yayo yepakutanga kana pasina kunyanya kunetseka kwemimba.
Paraesophageal Hernia
Mhando iyi yeropa inokonzerwa apo dumbu rinopinda nepamuzaruriro yakazaruka mumutsara. Mune rudzi urwu rwehutano hwekuzvarwa, dumbu rinogara pedyo necheputi. Iyo haisi kufamba-famba kana kumira, asi inoramba iri munzvimbo isina kufanana nechepamusoro payo, iyo inogona kunge yakanyatsopindirwa kana kupetwa neharura.
Genetics
Nenzira yakawanda, hutano hwekuberekwa hahutenderwi kuva hutachiona, asi nzvimbo dzakawanda dzinowanikwa dzedzinza dzinogona kubatanidzwa nehutano hwechibereko ndeyeEhlers Danlos syndrome . Izvi zvinosanganisira zvirwere zvechirwere zvine zviratidzo zvakasiyana-siyana zvemakiriniki, zvinosanganisira nyore kugunun'una uye kuwedzera zvinogadzirika.
Chirwere cheHiatal chinogona kuvapo zvakare.
Ichi ndicho chirevo chekuzvidzivirira kwezvokudya, izvo zvinoreva kuti iwe unofanira kutora nhaka yegene kubva kuvabereki vako vose kuitira kuti uwedzere chirwere chacho. Nemhaka yokuti inopera, kana umwe neumwe wevabereki vako ane geni rimwe chete raEhlers Danlos Syndrome, saka havazove nechirwere ichi, uye iwe unogona kuva munhu wekutanga mumhuri yako kuva nechirwere chekuratidzira kwechirwere.
Lifestyle
Kune hupenyu hushomanana hutano hunoita kuti uwedzere mikana yekuve nehutano hwekuzvarwa. Kune zvakawanda zvezviitiko izvi zvinokonzera, hukama huri hura hunosimbiswa zvakanaka, asi chikonzero hachina kujeka.
- Kuwedzera muviri: Kunyanya kurema ndeimwe yenjodzi huru yehutachiona hwekuzvarwa. Izvi zvingave zvakakonzerwa nekuwedzera kwezvinomanikidzwa pamusoro pechirwere chinokonzerwa nechiremera chakaremara.
- Kusimudza zvakanyanya: Zvinotendwa kuti kusimudza kunorema kunokonzera kushungurudzika pamusana unopinza, kuwedzera mikana yegomba rakawedzerwa rinobvumira dumbu kuti ribudirire pamusoro pechidimbu.
- Kushungurudza: Dambudziko remuviri rinokonzerwa nokukanganwa rinogona kubvumira kana kuita kuti dumbu rifambe kuburikidza nemucheka.
- Kurambidza: Kusarura kunogona kuwedzera mikana yekuva nechirwere chekuberekwa nekuda kwekunyanya kudzvinyirira pane diaphragm. Izvi zvinosanganisira kushungurudza kufamba kwechirwere.
- Kuberekwa: Mimba yekudzivirira uye kushandiswa kwemashure ekudzivirira kunogona kuwedzera mikana yehutano hwekuzvarwa.
- Kusvuta: Kusvuta kunokanganisa mishonga yechipfupa, zvichibvumira kuti mudumbu kuve pamusoro pehutura.
> Sources:
> Garvey EM, Ostlie DJ. Hiatal uye paraesophageal hernia kugadziriswa nevarwere vevana. Semin Pediatr Surg. 2017 Apr; 26 (2): 61-66. doi: 10.1053 / j.sempurgurg.2017.02.008. Epub 2017 Mar 9.
> Nelson AD, Mouchli MA, Valentin N. Ehlers Chirwere cheDanlos uye zviratidzo zvematumbu: ruzivo rwemakore makumi maviri muMayo Clinic. Neurogastroenterol Motil. 2015 Nov; 27 (11): 1657-66. doi: 10.1111 / nmo.12665. Epub 2015 Sep 16.