Ọrịa nke esịtidem akụkụ. Hiatal hainia

Dị ka anatomical Ọdịdị nke ahụ mmadụ abdominal na thoracic region-iche site na a diaphragm. Na ya na e nwere onye na-akpụpụta vaskụla oghere kpụrụ fibrous mgbanaka. Iji chebe ihe nile ọ nwere a mgbe nile na-n'obosara. The abụọ oghere - esophageal - a kpụrụ ike nke na mgbasa na mkpi (dabere nri bolus) uru.

Mgbe imebi nke spain ọrụ, ghara ịdị na esịtidem akụkụ. Ka ihe atụ, curvature nke ọkpụkpụ azụ (scoliosis), n'ụdị dịgasị iche, bụ ugbu a na ọtụtụ n'ime ndị bi, na-eduga ná emeghasịkwa nke innervation nke akụkụ. N'ihi ya, e visceroptosis (dechapụ, omission ozu) na imebi ha ọrụ ma na ụda.

Site na mbenata ụda olu nke diaphragm na-ụba esophageal oghere. N'ihi intraabdominal nrụgide ma ọ bụ na a kehoraizin ọnọdụ nke aru ahu site obi oghere si abdominal ikpe ma ọ bụ kpam kpam n'èzí afo. N'ihi ya, a hiatal hainia.

Gastric akụkụ, mgbe ke obi, poddavlivat obi, bronchial osisi na akwara Kporo. Nke a, n'aka nke ya, nwere ike ịkpalite a na mberede na-enwe nsogbu obi ọnụego (tachycardia), oké nke bronchospasm (ụkwara ume ọkụ). Na rịaworo pectoris, hiatal hainia nwere ike ime ka onye agha nke atrial fibrillation, na pụrụ iche ikpe - myocardial infarction.

Ọ dị mkpa banyere ahụhụ nke onye ọrịa. Ọnọdụ na-enwe nnukwu site eziokwu na ọtụtụ mgbe, ogologo oge na mgbalị iji na-agwọ ọrịa, bụ adighi ike. N'ọnọdụ ndị dị otú, mgbe mgbe hiatal hainia na-ezo aka a abụọ ọrịa, mgbe mbụ ebe bụ "nsogbu àgwà chaa aghara." Mmetụta nke afo na mediastinal akụkụ, obi na akpa ume na-amị mgbali anabata ufu nke uku.

Isi mgbaàmà nke a hainia hiatal:

- nrekasi obi (dị ka nke ọma mgbe dị ka tupu a nri), nnọọ na-egbu mgbu, karịsịa mgbe na-eme ka a kehoraizin ọnọdụ;

- regurgitation, ilu ikuku;

- regurgitation nri, Bilie mgbu;

- ere ihe mgbu na-ekpe elu quadrant, na sternum, na epigastric mpaghara (nwere ike mgbe ekwe ma ọ bụ ibu);

- mgbu na usoro nke na ilo nri, mmetụta nke a akpụ na akpịrị ;

- erughị ala, paced na n'oké ihe mgbu, yiri na ekpe ubu na n'ubu;

- ọkụ;

- mmetụta nke enweghị ikuku ma ọ bụ enweghị afọ ojuju ume.

Ọtụtụ mgbe, a hiatal hainia akpata neurosis ọrịa ndị nwere ike kpọrọ ịgbanwe psyche, na mgbe ụfọdụ, na-elekọta mmadụ omume nke onye ọrịa.

N'oge ụfọdụ, e nwere a n'amaghi-abawanye na nsogbu. N'abalị, mụbara salivation, mesikwuru ọgụ nke breathlessness na ụkwara, n'ụtụtụ e hoarseness na olu ya.

Ọgwụgwọ hainia esophageal orifice aperture buu kenyere (site ịwa ahụ). Ọ ga-kwuru na usoro ịwa ahụ a na-eji naanị mgbe gosiri. Dị ka omume-egosi, e nwere ụfọdụ pasent nke ikpe nke ịwa ahụ nwere ike kpochapụ ọrịa.

Conservative ọgwụgwọ eduzi dịtụ iche direction. Irè nke ọgwụgwọ dị ka a dum, nakwa dị ka ya agwa bụ ihe dabere na otú n'ụzọ ziri ezi sonye na akaụntụ peculiarities nke ọrịa. Ndị ọzọ okwu, ọ na-adabere isi ọrịa na ya mgbaàmà, nsogbu na-akpata, na ahu.

O bu na adakarị picture nke ọrịa na ọtụtụ ndị ji kpebisie ike na ngosipụta nke gastroesophageal reflux, isi ọgwụgwọ jikoro na-eduzi ndị ya mkpochapu.