Diaphragmatic hainia - ihe bụ ihe mere nke omume?

E kwuru banyere "diaphragmatic hainia" na-ezo aka narị afọ nke 16. Ọ bụ nke a maara nke ọma na-agwọ ọrịa nke oge - Ambroise Paré. Nke a na okwu a ga-aghọta infiltration nke ụfọdụ esịtidem akụkụ site a nkwarụ na diaphragm.

I kwesịrị ịmata na n'okpuru ụfọdụ ụfọdụ ịda site nsogbu na -amalite amalite na mmepe nke nwa ebu n'afọ, e nwere ike ele mmadụ anya n'ihu ma ọ bụ zuru ezu diaphragm ntụpọ a mụrụ ọhụrụ. Na ikpe, mgbe ndị a na imebi na-ewere ọnọdụ ruo mgbe e guzobere diaphragm, na hainia ga-enweghị a hainia nwa. Ọ bụrụ na deviations na mmepe ruru na mgbe e guzobere diaphragm akpụkpọ ahụ na-penetrated fim esịnede serous hernial nwa site hernial mgbanaka nwere dịghị uru.

Area njikọ ọgịrịga na sternum, nke bụ nke na-enweghị uru, bụ ebe omumu nke sterno-costal hainia. Ma ọ bụghị ya, ha na-akpọ sternokostalnymi hernias. Nke a vulnerability a na-akpọ sternokostalnym Larrey si triangle, na a hainia mere n'ebe ahụ, a na-akpọ ndị triangle Larrey si hainia.

Diaphragmatic hainia nwere ike mere site dị iche iche ihe. Ka na-ekwu, ọrịa a na nkewa Petrovsky, dị ka ndị a:

1. hainia natara dị ka a n'ihi nke mmerụ (traumatic hainia):

- ugha;

- eziokwu.

2. The na-abụghị traumatic hainia:

- congenital ugha;

- adịghị ike ezi hainia aperture mpaghara;

- Diaphragmatic hainia orifices:

- ezi hainia gbara gharịị orunótu;

3. hainia esophageal oghere;

4. obere hainia orifices.

Ọ bụrụ na diaphragmatic hainia, mgbaàmà nke na-emetụtachaghị ọjọọ ma ọ bụ mmerụ, kewara naanị na ụgha na ezi, ndị na-abụghị traumatic hainia nwere a nabatara umu nhazi ọkwa. The naanị ụgha bụ congenital hainia na emee n'ihi na diaphragm ntụpọ (mkpịwa abdominal na thoracic cavities).

N'ihi na a ezi hainia ike diaphragm hainia zones agụnye sternum-costal triangle. Na mpaghara a, ǹgụ bụ iche si peritoneum mkpa efere nke connective anụ ahụ dị n'agbata peritoneum na pleura.

Retrostenalnye hainia ji underdeveloped sternum diaphragm ebe.

Kemgwucha obere hainia vena cava, na ọmịiko akwara ọdịiche aorta. The kasị ụdị (banyere 98% nke ihe nile ikpe) bụ diaphragmatic hiatus hainia.

Ọ nwere ya anatomical atụmatụ. E nwere ọtụtụ ụdị nke ọrịa a. Ndị a hainia bụ: rịa, na a mgbanwe ke nkọlọ (na shortening, na-enweghị shortening); gbasara obi; subtotal; kardiofundalnaya; ngụkọta.

Ẹdude paraesophageal hernias na-ekewa n'ime: nsia, nri, fundic, eriri afọ.

Ọkachamara ịmata ọdịiche dị n'etiti:

1. congenital "shortened nkọlọ";

2. paraesophageal hainia, nke akụkụ nke afo a na-emekarị odude ke n'akụkụ nke na nkọlọ;

3. hiatal hainia eji, na nke gbasara obi na nkọlọ afo ebe nwere ike retracted n'ime ara oghere.

Paraesophageal hainia, dị ka eji ike congenital ma ọ bụ enwetara, ma ọ bụ ndị ọzọ obere karịa enwetara na congenital hainia. Na ndị ruru afọ 40, bụ ihe ndị ọzọ nkịtị enwetara hainia. Nke dị oké mkpa bụ afọ involution anụ ahụ, na-eduga na mgbasa na-agwụ ike nke esophageal oghere linkages diaphragm na nkọlọ.

The ebutekarị herniation bụ abụọ ihe. Otu ihe -pulsatsionny, agaghi asu hainia a kpụrụ n'ihi na-abawanye na intra-abdominal nsogbu (arọ omumu, flatulence, iribiga nri ókè, ime, mgbe nile na-yi eriri uko). Ihe ọzọ - na traction jikọtara gipermotorikoy nkọlọ mere site Ugboro vomiting.

A bụrụkwa ọrụ na-ekpebi ihe nchoputa na-arụ X-ray nyochaa. Diaphragmatic hainia kewara obere dayameta (3 cm), ọkara (3 ka 8 cm) na nnukwu (karịa 8 cm).

Diaphragmatic hainia ka e jiri mgbanwe ụzọ ghara arụpụta ihe anyị, ọ na-kacha mma emeso surgically.