Saraysa Sheelada hiatal: astaamaha iyo daweynta

Sheelada Hiatal (pathology photo la soo bandhigay hoos maqaal) iyo esophagitis reflux waa cudurro arrin khatar ah. Against asalka ah dalalka kuwan waxaa ku calaamadeysan tahay iskala mid ah qaybaha caloosha qaarkood. Gaar ahaan, isbedel ka dhaca ay seeduhu si taageera caloosha iyo hunguriga, sawirka kaas oo sidoo kale soo bandhigay maqaal ah. Sidaas darteed, xiisadda ayaa la wareejiyay. Gaar ahaan, qaybta sare ee caloosha galaa aagga xabadka. Sidaas darteed u wareersan shaqeeya ee endetarms- xira caloosha iyo hunguriga (sawir muujinayaa qaybtan).

halis tahay

Haddii aad bedesho xagal ee ku foodhyaan oo hawlo xadgudub esophageal (hoose) ee endetarms- dhacdaa tuur waxyaabaha acid caloosha ama bile galay hunguriga 12 boog dyspepsia. Geedi waxaa la socda horumarinta caabuq rearrangement-axaleedka. Tani waxay si weyn u kordhiyaa halista ah ee kansarka. Of muhiimadda gaarka ah ee horumarinta cudurka waa qiime eerno hiatal. Qalliinka waa habka kaliya ee la heli karo si loo baabi'iyo xadgudubka. Si kastaba ha ahaatee, qalliin ayaa Gudigga u gaar ah. Dheeraad ah falanqaynta si faahfaahsan, waxa eerno hiatal. Ilaa xad, noocyada iyo daliilka ayaa sidoo kale tilmaamay in maqaalka.

Guudmarka

Sheelada ee furitaanka esophageal, sida caadiga ah uu yeesho lala cudurka gastroesophageal. Gidaarada la socda wadnaha oo adag, sambabada iyo xanuunada dyspeptic. Inay soo sara kacaan inta badan sababta oo ah Sheelada iyo reflux gastroesophageal. Sida laga soo xigtay ururada Maraykanka iyo Yurub ay goobjoog ka ahaayeen HH qofka for 5-12 sano jaaniska kansarka shan sano ka dib uu korayo ilaa 270%, iyo 12 - by 350-490% (ku xiran da'da).

jiritaanka cudurada

HH, sida uu sheegay dhowr qorayaasha, waxaa loo tixgeliyaa sida cudur caadi ahaan cudurka, sida cholecystitis ama boogaha esophageal. Sida laga soo xigtay in ay jiritaanka cudurradan waa cudurada caloosha keentay. HH sida boog esophageal, loo arko cudur ku filan khatar ah oo u baahan ogaanshaha hore iyo dhawrid taxadir.

kala soocidda

Waxaa jira saddex qaybood oo waaweyn ee HH. Kuwaas waxaa ka mid ah:

• Sheelada hiatal Axial. pathology waxa uu leeyahay magac kale. Magaca caadiga ah - saraysa Sheelada hiatal. Noocan ah cudurada la ogaado in ku dhowaad 90% bukaannada. Gobolka waxa lagu gartaa dhacdo of achalasia esophageal kor godka. Marka tan la eego, waxa ay ahayd shaqo af xiritaanka jebinta.
• Sheelada Paraesophageal. Qaabka Tan waxaa laga helaa qiyaas ahaan 5% bukaannada. Wixii noocan ah cudurada lagu gartaa booska joogta ah cardia iyo dhaf ah oo la taaban karo ee caloosha.
• hunguriga Gaaban. Sida oo madax banaan ah, cudurada this waxaa lagu ogaada ayado aad u dhif ah. Cudurka ayaa ah mid aan caadi ahayn ee horumarinta. Sida caadiga ah, this syndrome waxaa ku weheliyay saraysa eerno hiatal. Waayo, waxaa sidoo kale lagu gartaa geedi socodka bararka iyo nabarro.

Sheelada saraysa

Qaabkan cudurka lagu gartaa dhegyadii qaar ka mid ah. In Sheelada saraysa guud waa protrusion ah, kuna waari dhexdeeda derbiga ka mid yahay jidhka peritoneum qayb dahaarka leh. Waa in la sii tixgelin karo in qayb ka article, kaadi haysta, oo kor u kacaya oo ku soo degaya xiidanka, iyo wixii la mid ah. Xaaladdan oo kale, koleyga Sheelada ah ma noqon karo. Diverticulum, in ay taasi dhacdo qaabeeya meelaha jidhka ma hoos peritoneum ah.

hab ay of dhacdo

Iyadoo la tixraacayo feature tani waxaa la go'doonsan;

• hernias Congenital. Xaaladdan oo kale maamulka sabab kasta hal ama waaxyaha kale, ma peritoneum u xiran yihiin si tartiib ah u dagta in qayb ka mid ah barxadda iridda hoose xaydha retroperitoneal. Markii ay ka soo baxaan saabka. Marxaladani waxay bilaabi kartaa sida ugu horreysa ee xilligii embriyaha. Sidaas darteed, waaxaha yihiin mowjadda protrusion qayb aan koleyga Sheelada.
• xanuunada helay. Hernias noocan ah waxaa la aasaasay by foosha farsamo kaadi haysta ama xiidmaha qaybaha. Waxaa loo diiday, cover nabarrada iyo ku xiga si ay peritoneum ah.

Sheelada Inguinal saraysa ee xiidmaha waaweyn, inta badan waa protrusions ballaaran leh iridda ballaaran. Cudurka, sida caadiga ah ee dadka waayeelka ah. Ogaado isticmaalaya farsamooyin X-ray ee imtixaanka xiidmaha waaweyn. Sheelada saraysa kaadi haysta muuqataa xanuunada dysuric. Bukaan-socodka calaamadeeyay kaadinayo double. Markii hore dheecaan waxaa lagu fuliyaa sida caadiga ah, ka dibna, markii riixaya on protrusion ah, waxaa jira rabitaanka kale oo bukaanka mar kaadiyo. Marka cudurka waxaa la sameeyaa sanka iyo cystography. In koorsada of nidaamyadan shaaca ka qaaday in qaabka iyo cabbirka Sheelada ah, maqan yahay ama jiritaanka dhagaxyo kaadi.

Sheelada hiatal Axial

cudurada Tani waa barakaca ee caloosha ama xubnaha kale ee caloosha galay saabka xabadka. Cudurku waxaa lagu gartaa in 5% ka mid ah dadka qaangaarka ah. Si kastaba ha ahaatee, oo ku saabsan nus ka mid ah bukaanka ma dareemaan wax astaamo ah. cudurada socodka noocan oo kale ah, sababtoo ah qiime ah Sheelada hiatal ayaa tirtirayaa calaamadaha qaabka caadiga ah, maxaa yeelay, protrusion la amro gudahood jidhka oo hoos daawashada caadiga ah ee aan la ogaan karaa. Cudurku waxa uu saameeyaa dumarka inta badan ragga. cudurada carruurta ah waa inta badan dhalin.

noocyada cudurka

Saraysa Sheelada hiatal u qaybsan yahay:

• Kardiofundalnuyu.
• Total gastric.
• Wadnaha.
• caloosha Subtotal.

hernias Paraesophageal waxaa loo kala galay:

• Caloosha iyo mindhicirka.
• Walxahaas.
• Xiidmaha.
• Antral.
• Fundus.

stage bahal ah

Saraysa Sheelada hiatal loo kala saari laga yaabaa in iyadoo la raacayo mugga caloosha cabaar galay saabka xabadka:

• Wejiga kowaad. Xaaladdan oo kale, saabka thoracic diaphragm ku yaal in ka badan qaybta caloosha ee hunguriga. caloosha waa ka dibna boos ah kacsantahay. Isagu waa si toos ah ku xiga si ay diaphragm ka. Oo waxa uu ku yaalaa at cardia ah.
• Heerka labaad. saabka thoracic waa qaybta uu caloosha ee hunguriga, caloosha laga soocay si toos ah gobolka ee godka phrenic.
• Heerka saddexaad. Kor diaphragm waa cardia, jirka gastric iyo hoose (oo mararka qaarkood qayb antral) esophageal caloosha soocay.

sawir clinical

Calaamadaha cudurka aad uula mid tahay calaamadaha cudurada of mareenka dheefshiidka la xiriira hawlaha yaraada yihiin. Against asalka ay ka sii daraan dhaqdhaqaaqa of esophageal (hoose) endetarms- calaamadeeyay reflux catarrhal (beddeli shubay ku jira gastric). Muddo ay sabab u tahay saameynta ay dagaal of mass ee qaybta hoose ee hunguriga horumarisa habka bararka. Bukaanku wuxuu bilaabaa inuu ka cawdaan laab ka dib cuntada iyo sii kordhaya walaaca jirka ama meel siman. Inta badan waxaa jira dareen ah barar dhuunta. cuntada ka dib, xanuunka u muuqan kara. Waxay kala duwan ee dabiiciga ah waa. xanuun ayaa ku faafi karaan daab garabka, in la siiyo qoorta, ka danbeeya sternum ah, agagaarka wadnaha ama daanka hoose. astaamaha waxay la mid yihiin astaamaha angina, oo waxaa lagu fuliyaa cudurka kala duwan yihiin. Mararka qaarkood xanuunka u muuqataa at meel ka mid ah jidhka. U badan tahay inuu rafcaan u qaadato barar caloosha sare ee bukaan-socodka, dareemi joogitaanka ee jirka ajnabi ah.

saamaynta

Xaaladaha More daran waxaa lagu gartaa dhowr ah oo dhibaatooyin. Mid ka mid ah iyaga ka mid ah waa dhiig ka weelashii esophageal. Sida caadiga ah, waxa ay qaadataa meel qaab qarsoon, iyo teedu sida dhiig horusocod ah. Dhiig waxaa laga yaabaa in chronic oo ba'an. Mararka qaar, xitaa ogaan protrusions xadgudub furitaanka esophageal iyo daloolin esophageal. cidhibtii ugu badan ee cudurka waa esophagitis reflux. Waxa loo badali karaa boog a ulcer ee hunguriga. Inta lagu jiro daryeelka joogtada dhirfinaya xaaladan dhibaato ka daran - stenosis cicatricial (cidhiidhi) ee jirka.

Baadhista xanuunada

Pathology Ogaanshaha waxaa lagu fuliyaa by dhowr hab. Waxaa la soo sheegnay ka mid ah oo waaweyn: esophagogastroduodenoscopy, X-rays oo ka mid ah caloosha iyo hunguriga, intraesophageal PH-mitir. Waxaa loo adeegsaday sida ultrasound, si raajito loogu xisaabiyaa, ezofagometriya.

daaweynta cudurka

Fuliyey hawlo kala duwan loogu talagalay yaraynayo daliilka ah in raaci Sheelada hiatal u saraysa, cuntada, daawooyinka. Hababka Conservative waxaa loogu talagalay baabi'inta calaamadaha cudurka: xanuun joojiye, laab, lallabo. Xaaladdan oo kale, loo magacaabay daawo yareeyo ashitada gastric. Iyada oo la adeegsanayo sida, tusaale ahaan, waxaa ka mid ah diyaarinta "Kvamatel". Mid ka mid ah shuruudaha lagu daaweyn wax ku ool ah ee bukaanka cudurka Sheelada hiatal - cunto. Cuntada waxaa ku eg tahay joogitaanka dufanka leh, basbaaska leh, cunto la shiilay, khamriga, shukulaatada, kafeega, waxyaabaha kor u wax soo saarka ee juice gastric. Eating waa in ay cunto yar marar badan. Si looga hortago bukaan jiifka reflux waxaa lagula talinayaa in la sara kiciyaa jidh gobolka sare, oo iska ilaali qaaditaanka culus.

Qalliinka: warbixin guud

Waxaa la sheegay in hawlgalka kor ku xusan ma baabi'iyo sababta oo waxaa jira qiime eerno hiatal. Operation - sida kaliya ee si loo soo celiyo xiriirka ka dhexeeya jireed qaybo GI ka. In geeddi-socodka ah ee qabashada abuurtaa hab antireflux in ka hortagtaa dambe ayaa lagu tuuray waxyaabaha caloosha. Inta uu hawlgalka socday hernial reebtay by suturing aperture ballaadhisay in size caadi ah.

farsamooyinka qalliin la isticmaalay

Maanta, khubaro isticmaalaan laba hab oo ah ka-qabashada:

• helitaanka Open. Xaaladdan oo kale, waxaa laga yaaba in Nissen fundoplication ama caag by Tope. Xaaladda hore, halis sare oo soo koraya dhibaatada ka ballamay. Maxaa yeelay, caag ah waxaa quman waayo Tope.
• hab Laparoscopic. Tani waa habka ugu yaraan argagaxa leh ee faragelinta. hawlgalka hab this ka dib markii bukaanka uu ka soo kabsanayo dheereysa oo sahlan.

Waa in la sheegay in god esophageal Sheelada laparoscopic waxaa inta badan ku qaadeen si wadajir ah ula hawlgalada xubnaha kale ee saabka caloosha. Tusaale ahaan, holetsistomiya sameeyaa marka cholecystitis calculous in marxaladda chronic, vagotomy proximal la xushay - boog ee malawadka.