Zvirwere nhengo dzomukati. Hiatal heniya

Maererano anatomical maumbirwo abdominal uye thoracal vanhu munharaunda vanoparadzaniswa ne diaphragm. Mariri pane anatomic vascular buri kuumbwa fibrous mhete. Kuti adzivirire midziyo ine dzose dhayamita. Gomba rechipiri - esophageal - aumbwa anogona kuwedzera uye marwadzo (zvichienderana zvokudya bolus) netsandanyama.

Kana kutyorwa kuri nomuzongoza basa, kwakakanganiswa uye zvomukati. Somuenzaniso, curvature pamusoro musana (scoliosis), pakawanda, aripo mune vakawanda vacho, zvinotungamirira nokuvhiringidzirwa innervation zvomukati. Somugumisiro, pane visceroptosis (zvaizopedza, kusiya miviri) uye kutyorwa mashandiro avo uye matauriro.

Akaroromesawo mataurire diaphragm ichiwedzerwa esophageal buri. Nokuda intraabdominal kumanikidzwa kana mune chinjikira nzvimbo muviri kubudikidza chipfuva mhango kubva abdominal zvishomanana kana zvachose kunze mudumbu. Saka, munhu hiatal heniya.

Gastric chikamu, apo ari mubhokisi, poddavlivat mwoyo, Árbol muti uye tsinga hunde dzacho. Izviwo, aigona pave nekukurukurirana pakarepo vachivavhiringidza mumoyo mwero (tachycardia), tichibatwa bronchospasm (asima). In angina pectoris, hiatal heniya zvinogona kuita kurwisa atrial fibrillation, uye anokosha kacho - myocardial infarction.

Zvakakodzera nezvokuparara kutambura murwere. Mamiriro acho ezvinhu yakawedzera nokuti kazhinji, refu kuitwa zvainanga yokuporeswa, zvakaratidza isashande. Mumamiriro ezvinhu akadaro, kazhinji hiatal heniya zvinoreva chirwere yechipiri, apo pakutanga ndiye "nyanyisa-muropa nyonganyonga." Igaroziva mudumbu iri mediastinal zvomukati, kumanikidza mwoyo nemapapu unobereka akashivirira kurwadza kwazvo.

The chikuru zviratidzo zvechirwere heniya hiatal:

- chirungurira (uyewo pashure sepakutanga zvokudya), kurwadza zvikuru, kunyanya kana kuita chinjikira nechinzvimbo;

- regurgitation, zvinovava mhepo;

- regurgitation zvokudya, achiperekedzwa nokurwadziwa;

- kutsva marwadzo ari kuruboshwe yokumusoro quadrant, ari sternum, ari epigastric munharaunda (kungawedzera apo vachikotama kana mutoro);

- kurwadziwa muitiro pakuparadza zvokudya, kunzwa bundu iri huro ;

- kusanzwa, aifamba kuti kurwadziwa, pakuwanza mu pafudzi rworuboshwe uye bandauko;

- uchipfuta;

- kunzwa kushaya mhepo kana kusagutsikana mweya.

Kakawanda, munhu hiatal heniya kunokonzera neurosis varwere vanogona zvakakomba kushandura psyche, uye mune zvimwe zviitiko, uye zvemagariro maitiro murwere.

Mune zvimwe zviitiko, pane kwatangwa kuwedzera kumanikidza. Usiku, wakawedzera salivation, zvakasimbisa yokurwiswa breathlessness uye chikosoro, mangwanani mune hoarseness nenzwi rake.

Treatment heniya esophageal orifice aperture kukuru basa (by kuvhiyiwa). Zvinofanira kucherechedzwa kuti kuvhiya inoshandiswa chete kana akaratidza. Sezvo tsika inoratidza pane chikamu nyaya umo kuvhiyiwa anogona kubvisa zvirwere.

Kuchinja kwomuchipatara rinotungamirirwa mirayiridzo siyanei. Kubudirira kurapa rose, uyewo unhu hwake zvikuru pakufambira sei zvakarurama kufungwa peculiarities nechirwere chacho. Mune mamwe manzwi, izvozvo zvinoenderana chikuru chirwere uye ayo zviratidzo, zvakaoma kunzwisisa uye zvinokonzerwa pamusoro muviri.

Akapiwa yokuti kunotoda mufananidzo hosha iri ruzhinji Zvikamu kutsunga kuoneka gastroesophageal reflux, huru matanho kuchirapa vari kuendeswa ayo kubviswa.