Iyo diaphragm inorudzi rwehupu inoparadzanisa nhengo dzedumbu remuviri kubva kune sternum. Iyo inodzivirira kuputika kwavo, pamwe nekukanda zviri mukati mudumbu mumumvuri weeophagus. Kana mabasa e-ligamentous apparatus akavhiringidzika, chirwere chechirwere chinomuka - zviratidzo uye kurapwa kwehutachiona hunoenderana nekukura kwechirwere chacho. Sezvo mutemo, kurapa kwakachengetedza kwakakwana, asi muzviitiko zvakakomba, chirwere chokuvhiya chinoitwa.
Zviratidzo zvemutsara wechirwere
Maitiro ekutanga echirwere haasi pamwe nezviratidzo zvakakomba, saka vanoramba vasingazivi. Mumamiriro ezvinhu akadaro, chirwere chinogona kuonekwa chisingatauriki, kana chichiratidza kufanana nezvimwe zvirwere.
Maitiro ekupedzisira ekubudirira kwechirwere anozivikanwa nezviratidzo zvekurapa:
- kuchema;
- akaoma anoramba achikanganiswa;
- eructation;
- kusuruvara mu epigastrium;
- bloating of the intestine;
- kuzvidzora;
- kurwadziwa shure kwe sternum uye mimba;
- kukanganisa kumedza kudya;
- hiccough ;
- kupisa mururimi.
Kurapa uye kubviswa kwehenia diaphragm
Kuchengetedza kurapa kwechirevo chinorondedzerwa chirwere chinosanganisira mukugadzira nzira yakabatana inosanganisira:
- kutora mishonga ( antacids , proton pump inhibitors, prokinetics, H2-blockers histamine receptors);
- kushandiswa kwemishonga yevanhu;
- kuomerera nguva dzose kune kudya kwakasimba;
- kuchinja mararamiro, kurega tsika dzakaipa;
- kushanda kwekufuridzira gymnastics;
- shandisai therapy.
Kushanda kwekushandisa kamwe chete kwezvizvi zvose zvinobvumira kuti zvive nekugadziriswa kunatsiridzirwa uye kunonoka kufambira mberi kwehutano.
Kana chirwere chetsika chakaratidzika kuti hachina kubudirira kana kuti chirwere chave chave chave chave chaonekwa munguva yekupedzisira, kurapwa kwekuvhiya kunorumbidzwa:
- Kugadzirisa dumbu mu peritoneal cavity;
- kusunungura mutsara;
- fundoplication;
- kusimbisa diaphragm-esophageal ligament uye dzimwe nzira.