Hernia wodwalayo - zizindikiro ndi mankhwala

Mphunoyi ndi mbale yopindika yomwe imasiyanitsa ziwalo za thoracic ndi m'mimba. Mphuno imadutsamo pamphuno, yomwe imakhala yofanana ndi kukula kwake. Koma ngati kutaya kwa minofu ya mitsempha imasokonezeka, ziwalo zimatha kuchoka m'mimba kupita ku thoracic cavity. Chodabwitsa ichi chimatchedwa hernia chakumangirira kosalala kwa phokoso, kapena mu chiyankhulo chofanana - nthenda ya phokoso.

Mitundu ya hernia ya mimba

Malingana ndi mawonekedwe a mapangidwe ndi maonekedwe a anatomy, chitsulo chophwanyika chimagawidwa pang'onopang'ono, pagaeophagous ndi mix mixed hernias of epopus:

  1. Kuwombera (ndiko kuyendayenda, axial kapena axial) chithunzithunzi cha mimba - mtundu wamba wodwalayo. Ndi majeremusi oterewa, m'munsi mwa mpweya wotchedwa cardia, gawo la m'mimba mwa chiwalo ndi kumtunda kwa m'mimba kumalowa mu thoracic, ndiyeno kubwerera kumalo awo, mwachitsanzo, ndi kusintha kwa malo. Nthenda yothamanga ya eophagus imagawanika kukhala thupi, mtima, chiwerewere ndi chiwalo chonse cha m'mimba. Nthaŵi zina, madyerero oterewa sangathe kudzikonza okha ndipo, motero, amatha kukhazikika.
  2. Mankhwala a parasophagial (omwe ali pafupi kwambiri ndi osophageal kapena akhazikika) amapezeka pamene cardia ndi m'munsi mwake samasintha malo awo, koma kulowa mkati mwa mimba kumalo a chiwindichi kumachitika, ndipo kuli pafupi ndi mbali ya pamwamba. Mosiyana ndi kutayira, majeremusi ameneŵa nthawi zambiri amaphwanyidwa. Zizindikiro za mitsempha yotereyi ya ululu ndi ululu waukulu, kuvutika kusunthira chakudya kudzera m'mimba, kunyoza, kusanza.
  3. Pogwiritsa ntchito mankhwala osokoneza bongo, njira zothandizira kupangidwira ndi kuzikhazikitsa pamodzi zimakhala pamodzi.

Zizindikiro ndi chithandizo cha nthendayi

Pa kukula kwazing'ono, makamaka ngati nthenda yotsekemera, ikhoza kusadziwonetsera yokha. Apo ayi, zizindikiro zimadalira kukula kwa nthendayi, mtundu wake, komanso kupezeka kwa mavuto ndi matenda omwe amachititsa kuti:

  1. Kuthamangitsani . Chizindikiro chofala kwambiri, kuyambira chosawoneka chowoneka chowawa, mpaka kulemala. Kaŵirikaŵiri zimapezeka pambuyo chakudya ndi usiku.
  2. Kupweteka kumbuyo kwa sternum , kawirikawiri mu hypochondrium ndi kumtunda kwachitatu. Pafupi theka la odwala amawonedwa, ndipo nthawi zambiri amakhala ndi hernia wokhazikika.
  3. Dysphagia ndivuta kupititsa chakudya kudzera m'mimba. Zimapezeka pamene pafupifupi mtundu uliwonse wa chakudya wadutsa, ndipo makamaka umatchulidwa mukutentha, chakudya chozizira kapena kuchuluka.
  4. Kukhadzula. Zitha kuchitika mlengalenga ndi m'mimba. Pambuyo pake, kulawa kosavuta kapena kowawa kungathe kuwonedwa pakamwa ponyamula zomwe zili m'mimba m'mimba, zomwe zingayambidwe ndi mimba.
  5. Chimake . Izo zimawonedwa kawirikawiri, koma ziri ndi khalidwe lautali (mpaka masabata angapo).

Pankhani ya nthendayo yowonongeka, zizindikiro zimangowoneka kokha pamene ziwalo za m'mimba zimaponyedwa m'mimba. Kungathe kupweteketsa mtima, kugwedeza, kunyoza.

Kuchiza kwa mimba ya mimba kungakhale yothandiza komanso yopaleshoni.

Njira yothandizira opaleshoni ndi yofunikira ngati vuto la nthendayi likuphwanyidwa, lopweteka ndi chilonda cham'mimba, ndipo makamaka ngati zimakhala zazikulu zazikulu, zoposa 1/3 m'mimba.

Nthawi zina, mankhwala amachitikira mosamala. Ndizoyamba, kudya zakudya zoyenera, zomwe zimathandiza kupeŵa kugwedeza mimba ndikuponyera zomwe zili mkati mwake. Zakudya zabwino zimalimbikitsidwa pang'ono, maulendo 5-6 patsiku, m'magawo ang'onoang'ono. Kugwiritsa ntchito mafuta, okazinga, okoma, zonunkhira, zakumwa za carbonate, zomwe zimapangitsa kuti mafuta apangidwe, makamaka - nyemba zimakhala zochepa. Pakatha maola awiri ndi theka mutadya, sizowonjezera kuti mutenge malo osakanikirana. Komanso, kuyesetsa mwamphamvu, makamaka zomwe zimagwirizana ndi matope komanso kusintha kwadzidzidzi m'thupi, ziyenera kupeŵedwa.