Matenda a ziwalo. Hiatal chophukacho

Malinga ndi kapangidwe anatomical wa anthu m'mimba ndi thoracic dera anasiyanitsidwa ndi zakulera a. Mmenemo ndi anatomic mtima dzenje anapanga fibrous mphete. Pofuna kuteteza ziwiya ali m'mimba mwake nthawi zonse. Una wachiwiri - esophageal - aumbike angathe kuwonjezeka ndi chidule (malingana bolus chakudya) minofu.

Pamene kuyan'anila za ntchito msana, kuvulala ndi ziwalo. Mwachitsanzo, kupindika msana (kupindika msana), amakhala osiyana, alipo ambiri a anthu, kumabweretsa kusokoneza innervation ziwalo. Choncho, pali visceroptosis (kuchepetsa, matupi kuchotsa) kulakwila ntchito zawo ndi kamvekedwe.

Ndi kuchepetsa kamvekedwe ka chifundamtima ndi kuchuluka esophageal kutsegula. Chifukwa kuthamanga intraabdominal kapena udindo yopingasa a m'thupi kudzera pachifuwa M'mimbamo kuchokera m'mimba pang'ono kapena kwathunthu kunja m'mimba. Choncho, hiatal chophukacho.

Muzituluka gawo, pamene pamtima, poddavlivat mtima, bronchial mtengo ndi mitsempha mitengo ikuluikulu. Zimenezi, zingakubweretsereni ndi chisokonezo mwadzidzidzi kugunda kwa mtima (tachycardia), akulimbana ndi bronchospasm (mphumu). Mu pectoris angina, hiatal chophukacho zingachititse kuukira kwa fibrillation matenda, ndipo nthawi yapadera - m'mnyewa wamtima infarction.

M'pofunika kutchula mavuto wodwalayo. Zinthu kulimbikitsa chifukwa chakuti nthawi zambiri, khama yaitali umalimbana machiritso, anali osamveka. Zikatero, nthawi zambiri hiatal chophukacho amatanthauza matenda sekondale, pamene mu malo oyamba ndi "obsessive-zinazake chisokonezo." Zotsatira za m'mimba mwa ziwalo mediastinal, mtima ndi mapapo kubala kuthamanga analekerera zopweteka kwambiri.

Waukulu zizindikiro za chophukacho hiatal:

- kutentha (komanso pambuyo monga kale chakudya), chopweteka kwambiri, makamaka pamene ukupereka udindo yopingasa;

- regurgitation, mpweya chowawa;

- regurgitation chakudya pamodzi ndi kupweteka;

- moto ululu lamanzere nusu chapamwamba, ndi sternum, m'chigawo epigastric (achuluke pamene kupinda kapena katundu);

- ululu mu ndondomeko ya Pomeza chakudya, kumverera kwa mtanda mu mmero ;

- kusapeza, lochita kuti ululu, pochulukitsa mu phewa kumanzere ndi phewa;

- waukali;

- kumverera chosowa mpweya kapena kusakhutira mpweya.

Nthawi zambiri, ndi chophukacho hiatal amachititsa gwero lachisokonezo odwala amene angathe kwambiri kusintha psyche, ndi zina, ndi khalidwe chikhalidwe cha wodwalayo.

Nthawi zina, pali kuwonjezeka mowiriza mu chipsyinjo. Usiku, kuchuluka salivation, analimbitsa matenda breathlessness ndi chifuwa, m'mawa ndi hoarseness mu mawu ake.

Chithandizo chophukacho esophageal orifice kabowo kwakukulu anatumizidwa (by opaleshoni). Tikumbukenso kuti opaleshoni ntchito kokha pamene anasonyeza. Monga mmene mitala, pali anthu ena milandu imene opaleshoni akhoza kuthetsa matenda.

mankhwala ndiwofatsa imatsogoleredwa malangizo yosiyana. Mphamvu ya mankhwala wonse, komanso khalidwe lake ndi wodalira kwambiri pa molondola atatengedwa kupita ku peculiarities chifukwa cha matenda. M'mawu ena, izo zimatengera pa matenda pulayimale ndi zizindikiro zake, zosokonezeka ndi mavuto pa thupi.

Popeza chakuti chithunzi matenda a matenda ambiri a nkhani anatsimikiza chiwonetsero cha Reflux gastroesophageal, waukulu achire miyeso akuuzidwa kuti Kupha ake.