Whaturama Diaphragmatic o te puku - e kore te take mo te manukanuka nui, engari he karanga ki te mahi

Whaturama ara ake ki hiatal, e titiro nui rite te taiepa kohuki, nuitia i huaina herniation pekitīlia. HWM - tetahi paraharaha ki te uaua, kei nei i waenganui i te puku, me te pouaka, faaite te reira raraunga wāhi me insulates okana (pūkahukahu, haoraora me te ngakau) i te wahi gastrointestinal me ētahi atu whekau puku. He kotahi anake te poka āhua nui i roto i nei te pū kai.

A, no te hanganga ture-kore ki te kai, me te faaoaoaraa, i reira te mea he kohakoha tinana taimaha herniated puku, e kore he nei i roto ano i te take mō te manukanuka nui. Tino maha, e titau te aroaro o tenei mate maimoatanga whawhati tata.

I roto i te ao o te mahi hauora, i reira he he kawenata e i tae ki te whai wāhitanga o te ārahi tohunga i roto i te mara o te gastroenterology, ki te wheako whānui i roto i te hernias maimoatanga i puta ake i tari piata esophageal. whakau ana tenei kawenata ki te ture e whai ake nei:

• pokanga puku herniated, kua hua pānga maimoatanga anake ina e neke atu i te toru o te pū kai te whaturama;
• whaturama Me mahi ki pōauautanga, whewhe esophageal, me toto e pā ana ki;
• e kore e te tahi atu hernias katoa whakahaeretia i runga i, kia rite ki tatauranga he reira nui atu i te 90% o nga mate katoa;
• e kore e mahi faaore i te take e whai wāhi ki te hanganga o te hernias, i roto i te wā katoa.

Take o te whaturama

whakaaro nga take matua mo te hanganga o te whaturama o te mate puku te ki te waiho i te takahi o nga ture me tikanga o te horomanga kai, paowa, me te tūkino o te ava. I roto i taua take, ki te tukua te manawanui ko te tātaritanga hauora, e tohu ana i te aroaro o te whaturama i roto i te wāhanga esophageal o te HWM, reira me i roto i te ara rerekē ki te whakarite i to outou oraraa. Ehara i anake me whakamamaetia momo, e ngā ngā tukanga e hāngai ana ki te whakatika i nga take, i nei te maka o te tirotiro puku ki te whakatuwheratanga esophageal, me te te whakakorenga o nga hopearaa o tenei makanga. Me hoatu i te manawanui ake nga peu e meinga te mate.

Tohu o te whaturama diaphragmatic

I roto i te mate pērā i te whaturama puku, tohu o te mamae. Nuinga o ngā wā puta reira i muri tonu i te inuinu kai i mahi tinana incommensurate, me te ara kawenga taimaha. kia puta te mamae whitiki i runga i te maremare me te flatulence, ētahi wā tango i te tohu o te pancreatitis atamira tuatahi o te mate. kia whakaiti i te mamae ranei ngaro i muri i te manawa, ruaki, te burping, huringa i roto i te tūranga tinana, me te fariiraa i rongoā kawakore.

A, no te he te tikanga āhua, puhoi nga tātaritanga o mamae puku herniated, wā i reira he nui te kaha, me te he kino ka piko atu o te tinana, rawa ki te reira e mumura me te horo whenua.

Mumura me te horo i roto i te kopa o te HWM ko te take mo te akiaki maimoatanga hāparapara o herniated mate puku, me tetahi atu ara o whakaora, kahore pokanga mahi hauora e kore e mohio. Me mahara ia manawanui e taea kia tino mōrearea te tukanga o te whakawhiti ngā mahi "hoki i muri" i roto i ētahi wā.

e kore e he take mō te manukanuka nui nga tohu tuatahi o te herniation, engari mahi rite te karanga ki te mahi. He mea tika ki te whakahaere i te kai, me te nui o te supply, whakaiti mahi tinana, e kore e inu waipiro. kia whakapā koe he whare hauora, te wahi e kia kawea tohunga ki waho tātaritanga me te faaotiraa o te tohu o te hanganga o te hernias, e hāngai ana i runga i ka e kia tohua anō tikanga maimoatanga. Anake kia whakatau i te gastroenterologist wheako i runga i te wā me te momo o te tafa hiahiatia.