Diseases o whekau. whaturama Hiatal

E ai ki te hanganga kikokiko o te rohe puku, me te rei tangata e wehea e te HWM. I roto i te reira i reira he he poka iaia anatomic i hanga mowhiti kaiota. I roto i te tikanga ki te tiaki i nga oko kua reira he diameter tamau. Ko te poka tuarua - esophageal - i hanga te nehenehe o te hōrapatanga, ngā hukihuki (i runga i te bolus kai rānei) uaua.

A, no te ofatiraa o te mahi tuarā, fakahohaasi me nga whekau. Hei tauira, te curvature o te tuaiwi (scoliosis), i roto i rerekē nekehanga, he hakari i te nuinga o te taupori, e arata'i ki te rangirua o te innervation o whēkau. Nā tēnei, i reira visceroptosis (wāhikē, tinana mahuetanga) me takahi o ratou mahi, me te reo.

Na roto i te whakaiti i te āhua o te HWM nui haere te whakatuwheratanga esophageal. Nā ki te pēhanga intraabdominal i roto i te tūnga whakapae o te tinana i roto i te kōhao pouaka i te puku wāhanga ranei tino waho te puku ranei. Ko te kupu, he whaturama hiatal.

wahi pekitīlia, i roto i te pouaka, ngakau poddavlivat, rakau arahau, me te karere kahiwi. Tenei, i roto i te tahuri, i taea e tīmata i te raruraru ohorere i roto i auau ngakau (tachycardia), pāngia o bronchospasm (huangō). I roto i te pectoris angina, Ka taea e whaturama hiatal meinga te whawhai o fibrillation Atrial, a i roto i ngā take motuhake - infarction myocardial.

He mea tika ki te whakahua i te mauiui o te tino o te manawanui. kino ake ngaa te āhuatanga e te meka e i roto i te maha ngā take, tautooraa wā roa-e hāngai ana whakaora, whakamatauria hua. I roto i taua āhuatanga, e pā ana whaturama maha hiatal ki te mate tuarua, i roto i te wahi tuatahi ko te "whakararuraru pokepoke-hairiiri." Ko te pānga o te kopu i roto i nga whekau mediastinal, nohotahi te pēhanga ngakau me pūkahukahu whakaputa tino mamae.

Ko te matua tohu o te whaturama hiatal:

- tokopā (rite te pai i muri i rite ki te aroaro o te kai), rawa mamae, tautautefito ki he taimi te hanga he tūnga whakapae;

- regurgitation, rangi kawa;

- regurgitation o te kai, haere tahi i te mamae;

- tahu mamae i roto i te hautahi o runga maui, te whaturei, i roto i te rohe epigastric (kia whakapiki ake i ka piko kawenga ranei);

- te mamae i roto i te tukanga o horomia kai, te mana'o o te puranga i korokoro te ;

- hūhi, vitiviti mamae kino ki, whakatō i roto i te pokohiwi maui, me te peke;

- tahunga;

- te mana'o o te kore o te rangi pouri ranei manawa.

Tino maha, he whaturama hiatal ai tūroro neurosis tino taea e te huri i te konä, a i roto i ētahi wā, me te whanonga pāpori o te manawanui.

I roto i ētahi wā, i reira te mea he hua noa i roto i te pēhanga. I te po, nui haere salivation, whakapakaritia patua o breathlessness me te mare, i te ata i reira he tahi fifi i roto i tona reo.

Treatment whaturama esophageal orifice piata tuwhena whakaritea (e pokanga). Me kï reira e whakamahia te tukanga hāparapara te anake ka tohua. Ka rite ki whakaaturanga mahi, i reira he he tetahi ōrau o ngā take i roto i nei e taea pokanga whakakore i te mate.

tīkina tūpato whakahaua aronga ahua rerekē. Ko te whai huatanga o te maimoatanga rite te katoa, me te tona huru ko atu ti'aturi i runga i te āhua o tika tangohia ki peculiarities pūkete o te mate. I roto i te mau parau te tahi atu, tei reira ki runga ki te mate tuatahi, me ona tohu, pōauautanga, me nga pānga i runga i te tinana.

Homai te meka e te pikitia haumanu o te mate i roto i te nuinga o wā takoto faaiteraa o Reflux gastroesophageal, kua whakahaua nga mehua haumanu matua ki tona whakakorenga.