Hiatal hernia

Hiatal hernia wani yanayi ne wanda wani bangare na ciki ya fadada ta hanyar bude diaphragm a cikin kirji. Diaphragm shine takardar tsokar da ta raba kirji daga ciki.

Ba a san ainihin abin da ke haifar da hiatal hernia ba. Yanayin na iya zama saboda rauni na nama mai tallafi. Haɗarin ku ga matsalar ya wuce shekaru, kiba, da shan sigari. Hiatal hernias suna da yawa sosai. Matsalar tana faruwa sau da yawa a cikin mutane sama da shekaru 50.

Wannan yanayin na iya kasancewa da alaƙa da reflux (backflow) na ruwan ciki daga ciki zuwa cikin esophagus.

Yaran da ke da wannan yanayin galibi ana haifuwarsu da ita (na haihuwa). Yana faruwa sau da yawa tare da reflux na gastroesophageal a cikin jarirai.

Kwayar cutar na iya haɗawa da:

• Ciwon kirji
• Ciwan zuciya, mafi munin yayin lankwasawa ko kwanciya
• Hadiyar wahala

Niawayar ƙwayar cuta ta kanta da kanta yakan haifar da bayyanar cututtuka. Jin zafi da rashin jin daɗi suna faruwa ne saboda yawan ruwan ciki, iska, ko bile.

Gwajin da za a iya amfani da shi sun hada da:

• Barium haɗiye ray
• Hanyoyin kwayar halitta (EGD)

Manufofin magani shine don taimakawa bayyanar cututtuka da kuma hana rikice-rikice. Jiyya na iya haɗawa da:

• Magunguna don sarrafa ruwan ciki
• Yin aikin tiyata don gyara hernia na hiatal da kuma hana reflux

Sauran matakan don rage alamun sun hada da:

• Gujewa manyan abinci ko nauyi
• Rashin kwanciya ko lankwasawa bayan cin abinci
• Rage nauyi da rashin shan taba
• Isingaga kan gadon inci 4 zuwa 6 (santimita 10 zuwa 15)

Idan magunguna da matakan rayuwa ba su taimaka wajen kula da alamomin ba, ƙila a buƙatar tiyata.

Jiyya na iya taimakawa yawancin alamun cututtukan heratal.

Matsaloli na iya haɗawa da:

• Fuka na huhu (huhu)
• Raunin jini a hankali da karancin karancin baƙin ƙarfe (saboda babban hernia)
• Ragewa (rufewa) na hernia

Kira mai ba da sabis na kiwon lafiya idan:

• Kuna da alamun rashin lafiyar heratal.
• Kuna da hernia na hiatal kuma alamunku suna daɗa muni ko kuma basa inganta da magani.
• Kuna ci gaba da sababbin bayyanar cututtuka.

Sarrafa abubuwan haɗari irin su kiba na iya taimaka hana rigakafin hiatal hernia.

Hernia - hiatal

• Anti-reflux tiyata - fitarwa

• Hiatal hernia - x-ray
• Hiatal hernia
• Hiatal hernia gyara - jerin

Brady MF. Hiatal hernia. A cikin: Ferri FF, ed. Ferri's Clinical Advisor 2019. Philadelphia, PA: Elsevier; 2019: 663.e2-663.e5.

Falk GW, Katzka DA. Cututtukan hanta. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 138.

Rosemurgy AS. Paraesophageal hernia. A cikin: Cameron JL, Cameron AM, eds. Far Mashi na Yanzu. 12th ed. Philadelphia, PA: Elsevier; 2017: 1534-1538.

Yates RB, Oelschlager BK, Pellegrini MA. Ciwon reflux na Gastroesophageal da hernia na hiatal. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 42.