Kufungidzira hutsvene hwekuvhara kweesophageal yemhizha inowanikwa apo misungo yechipfupa ichizorora pamusana pekuvhura kwemasimba. Somugumisiro, chikamu chemuviri panguva yekurovedza muviri, mushure mekudya uye zvimwe zvinetso zvinopinda mubhokisi chechifu, uye mushure mekunge nguva inodzoka.
Mhando dze axial hernia ye sophageal yokuzarura kwesafa
Axial inonzi isiri yakagadziriswa yake inonzi sophageal aperture yechiramu, iyo isiri nguva dzose, asi zvichienderana nekuzara kwepamukati, mukati memimba, kumanikidzwa kwemuviri nezvimwe zvinhu. Nechinzvimbo chakadaro, chikamu chepasi checheputi uye chikamu chemukati chinosunungura zvakasununguka mumapfupa emapfupa uye kumashure, nekuderedza mishonga kumativi ose ekuzarura.
Axial hernia of the esophageal foramen yakakamurwa kuva:
- moyo - kana chete cardia iri pamusoro peiyo (divi rinoshanduka pakati peeophagus nedumbu);
- hutano hwepfungwa - kupindira mukati mekuvhura kwechidimbu chechikamu chepamusoro chemudumbu;
- hutachiwana uye gastric zvachose-pamusoro pemhizha ndiyo chikamu chikuru kana muviri wose wepamu.
Cardial hernia inoumba huwandu huwandu hwese hwemahara hutachiona hwekuvhenekera kwesophageal yeharura. Mamwe mhando ye hernia inosvika pasi pe5% yemhosva.
Nhanho dzenharaunda yekutsvaira kwekutsvaga kwekutsvaga kwechidimbu
- Kufungidzira hupfumi hwaro hwekutsvaga kwechidimbu chechidimbu chekutanga. Chinenge chisati chaongororwa, pamusoro peiyo diaphragm inongova chikamu chepamuviri chesophagus, uye cardia inopinda mukati memwenje yechirwere.
- Pachidimbu chechipiri cheaxial hernia, cardia inowanikwa pamusoro pemarara, uye chikamu chepamusoro chepamukati chiri pamwero wekuvhura kwemavara.
- Muchikamu chechitatu uye chechina, chimwe chikamu kana chikamu chose chemuviri chinowedzera zvakananga mumugwagwa we thoracic.
Kurapa kweaxial hernia yekuvhara kweesophageal yeharura
Chirwere chekuchengetedza chirwere ichi chinoshandiswa mumatanho ekutanga uye zvizhinji kudzivisa kukura kwezvinetso. Mishonga inosanganisira:
- Fractional food , nechinwiwa chinwiwa. Kusarudzwa kweaicute, cholesterol-pfuma uye gas-kukurudzira michina. Zvokudya zvose zvinofanira kunyatsochekwa.
- Kuteerera nekurapa kwakakosha. Iwe haugoni kutora nzvimbo yakananga pakarepo mushure mekudya, dzivisa kuchinja kamwe kamwe mumamiriro emuviri, mitoro inogona kukonzera kudzvinyirira kwakanyanyisa kwechidimbu uye peritoneum.
- Reception antatsidnyh zvinodhaka , zvinodhaka zvinokonzera kugadzirwa kwemudumbu hydrochloric acid, uye zvinodhaka zvinodzora gastric motility.
- Special breathing gymnastics.
Muchiitiko chekudengenyeka uye mune zvikamu zvekare zvechirwere, chirwere chinoshandiswa kuti chigadzirise hutachiona uye kugadzirisa kusimba kwezvishongedzere zvishonga.