Nasihu na halitta da cikakken jagora don sauƙaƙa hernia hiatal ba tare da rasa ganin magani ba.

Hiatal hernia, wanda kuma aka sani da hiatal hernia, yanayi ne na kowa a kowane zamani. Yana faruwa a lokacin da babban ɓangare na ciki yana shiga cikin thorax ta wata karamar budi a cikin diaphragm.

Mafi yawan alamun cutar sune acidity, halitosis, tari, dysphagia da rashin jin daɗi na numfashi. Baya ga jinya, akwai na halitta da matakan rayuwa wanda zai iya taimakawa wajen rage bayyanar cututtuka ta hanyar da ta dace.

Wasu shawarwari na al'ada don magance hernia hiatal:

Yi yoga (motsi mai laushi da numfashi diaphragmatic).
Guji maƙarƙashiya tare da ingantaccen jurewa fiber, hydration da na yau da kullun na hanji.
Fitoterapia Taimako: aloe vera, lemun tsami balm; amfani da licorice tare da taka tsantsan a hawan jini.
Sha ruwa yada cikin yini.
Guji abubuwan sha masu laushi, barasa, taba da kayan kiwo gabaɗaya idan sun tsananta bayyanar cututtuka.
Infusions taushi (licorice, lemun tsami balm, chamomile, anise, ginger a kananan yawa).
Abincin da ya dace, ƙananan rabo da dafa abinci a hankali.
Danyen ruwan dankalin turawa diluted idan an jure sosai kuma ana kulawa.

Taimakon shaida: tada kan gadon, barci a ciki decubitus na gefen hagu, kiyaye Lafiyayyan nauyi, gujewa m belts da riguna masu matsewa, da kuma rage yawan kamuwa da su taba taimaka rage hade reflux. Hannu dabaru a kan diaphragm (sakin myofascial) ko osteopathy yana nuna sakamako mai ban sha'awa a cikin karatun farko; da amfani probiotics, Ginger, aloe vera o melatonin na iya sauƙaƙa alamun bayyanar cututtuka a wasu lokuta. Koyaushe tuntuɓi ƙwararren lafiyar ku.

Za mu iya kauce wa bayyanar cututtuka na hiatal hernia tare da abinci mai arziki a cikin flavonoids da rage cin abinci abinci mai acidification, kamar gishiri, soyayyen abinci ko kayan kiwo.

A cikin hernia ta hiatal, wani yanki na ciki yana danna cikin ƙirji ko diaphragm. Wannan kuma na iya haifarwa gastroesophageal reflux (RGE). Canza wasu kwastan Za mu iya lura da gagarumin ci gaba. Yana da mahimmanci a yi maganin hernia ta hiatal tare da maganin likita da aka tsara don kada ya tsananta kuma ya haifar da matsalolin lafiya.

Hiatal hernia: abin da yake da kuma yadda za a bi da shi

A hiatal hernia Yana faruwa ne lokacin da wani ɓangare na ciki ya ratsa thorax ta diaphragm. Idan karami ne Yawancin lokaci ba ya haifar da matsala kuma rayuwa na iya zama al'ada.

Idan ya girma, abinci da acid zai iya shiga cikin esophagus, yana haifar da ƙwannafi, maɓalli mai mahimmanci na EGR. Hakanan ana iya samun regurgitation, wahalar haɗiye, jin cikawa, ƙirji ko ciwon ciki, da ƙarancin numfashi.

Akwai magunguna masu tasiri kuma, a cikin zaɓaɓɓun lokuta, tiyataCanje-canjen salon rayuwa da sauƙin amfani da magunguna suna taimakawa haɓaka ingancin rayuwa.

Hakanan, barci a ciki decubitus na gefen hagu da kuma dagawa tsawon 15-20 cm rage reflux aukuwa; kauce belts kuma matsatstsun ɗaurin gindi suna rage matsi na ciki; kuma aiki da diaphragmatic numfashi na iya ba da gudummawa ga sarrafa alamun alamun.

nasihu na halitta don hiatal hernia

1. Abincin da ake ci na Hiatal hernia: guje wa abincin da ke haifar da ƙwannafi

La abinci Yana da mahimmanci don rage yawan wuce haddi mai, soyayyen, yaji, tumatir miya, cakulan, Mint, tafarnuwa da albasa. Ba da fifiko ga girki mai laushi da kananan rabo. Hada abinci mai arziki a alkaline da flavonoids yana iya taimakawa:

Figs.
'Ya'yan itãcen marmari.
Inabi.
Gwoza
Karas.
Kokwamba.
Letas.
Alayyahu mai taushi.
Seleri.
Turnip

Ciwon ciki

Yawancin lokaci ana gano cutar ta hiatal ta hanyar kimantawa acidity, kirji ko ciwon epigastric. Gwaje-gwaje:

Barium X-ray na saman narkewar abinci don ganin kwane-kwane.
Osarshen hoto don tantance esophagus da ciki, da kumburi.
Esophageal manometry don auna raguwa, daidaitawa da ƙarfi lokacin haɗiye.

Tratamiento

Mutane da yawa suna asymptomatic kuma baya buƙatar magani. Idan ƙwannafi da reflux sun kasance, magani ko tiyata na iya zama dole.

Magunguna

Antacids don taimako da sauri (amfani da hankali saboda yiwuwar illa mai yiwuwa).
H2 blockers don rage acid.
Proton-pump inhibitor don toshe acid kuma inganta warkar da esophagus.

Turewa

An nuna idan babu inganta tare da magani ko akwai rikitarwa (mai tsanani esophagitis, tsananin). Ya kunshi rage ciki zuwa ciki, rufe dakatarwar da kuma ƙarfafa ƙananan ƙwayar ƙwayar ƙwayar cuta. Ana iya haɗa shi da fasaha na asarar nauyi a cikin zaɓaɓɓun lokuta. Hanyoyi: thoracotomy ko laparoscopy.

Hanyoyin rayuwa da magunguna na gida

Ƙananan abinci da yawa na zamani.
Guji masu jawo hankali (mai, tumatir, barasa, cakulan, mint, tafarnuwa, albasa, caffeine).
A'a kwanta bayan cin abinci; jira 2-3 hours.
Kiyaye Lafiyayyan nauyi y dakatar da shan taba.
Tada abin kai daga gado 15-20 cm.
Gefen hagu lokacin barci don rage reflux.
Guji belts m da m tufafi (da alaka da ƙara matsa lamba da partial herniation).
Diaphragmatic numfashi kuma ƙwararriyar ƙwararriyar sakin myofascial na iya taimakawa.
Kwayoyin cuta, Ginger, aloe vera o balm na iya sauƙaƙa alamun alamun a wasu mutane.

Shiri don shawarwari

Tsara alƙawari idan kuna da m bayyanar cututtukaIdan an riga an yi ganewar asali kuma rashin jin daɗi ya ci gaba, ana iya buƙatar kimantawar likita. gastroenterology. Shirya tambayar:

Me zaka iya yi

Tabbatar idan kun zo a cikin komai a ciki ko tare da ƙuntatawa.
Rubuta alamomi da juyin halittar sa.
Yi rijista magunguna, kari da dosages.
Dauke abokin idan ze yiwu.
Shirya muhimman tambayoyi a cikin tsari mai mahimmanci.

Misalai na tambayoyi: yiwu dalilai, gwaje-gwaje da ake bukata, shirin aikin, madadin, ƙuntatawa, buƙatar ƙwararrun ƙwararru da amintattun albarkatun bayanai.

Abin da za a jira daga likitan

Inicio da kuma tsarin bayyanar cututtuka.
Frequency da nauyi.
Dalili wanda ya inganta ko ya yi muni.

La hiatal hernia yana faruwa ne lokacin da na sama na ciki ya shiga cikin ƙirji ta diaphragm. Wani lokaci yana da shiru kuma ana iya rikicewa da ƙwannafi. Idan babu alamun cutar, yawanci ba a buƙatar magani; idan sun bayyana, akwai gida da magunguna tasiri.

Matakan da za a bi:

Menene hiatal hernia?

Una hernia yana faruwa ne a lokacin da wani bangare na gabobi ya fito zuwa wurin da ba nasa ba. hiatus Shi ne buɗaɗɗen diaphragm wanda maƙarƙashiya ke wucewa; hiatal hernia yana bayyana lokacin da a kashi na ciki ketare wannan gibin.

Nau'in hiatal hernia

Manyan iri guda hudu:

Zamiya hernia (nau'in 1):

Junction na gastroesophageal da na sama na ciki suna sama da diaphragm.

Paraesophageal hernia (gaskiya ko nau'in 2):

Asusun na ciki shine ƙaura sama tare da esophagus, tare da haɗari mafi girma na rikitarwa.

Mixed (nau'in 3): ya haɗu da gliding da paraesophageal.

Complex (nau'i na 4): kasa akai-akai kuma na mafi rikitarwa.

Alamomin hiatal hernia

En nau'in 1 Wataƙila babu alamun ko dalili pyrosis wanda ke daɗa muni lokacin lanƙwasawa, durƙusa, kwanciya, ko damuwa; ana iya samun belching da regurgitation.

En nau'in 3 ko gauraye paraesophageal na iya bayyana ciwon kirji mai tsanani, tashin zuciya, amai tare da yiwuwar jini da matsala hadiyeIdan akwai ciwo mai tsanani kwatsam da dysphagia, je zuwa gaggawa.

Wani lokaci yana bayyana karancin karancin baƙin ƙarfe saboda asara na tsawon lokaci.

Dalilan hiatal hernia

A cikin yara yawanci haihuwaA cikin manya, dalilin ba koyaushe yake bayyana ba; shekaru, shan taba, kiba/kiba, maƙarƙashiya da kokari, na kullum tari ko maimaita amai, da rauni ko tiyatar da aka yi a baya. A hutu mafi girma anatomically shi ma yana predisposes.

GERD da hiatal hernia

Ba iri daya bane. Hiatal hernia na iya haɓakawa reflux, amma akwai kuma GERD ba tare da hernia ba (misali, a cikin ciki ko kiba).

Jiyya ga hiatus hernia

Yana da daidaikun mutane. A mafi yawan lokuta, bayyanar cututtuka suna raguwa tare da halaye da abinci; wani lokacin ana bukatar su magunguna ko tiyata.

Abinci don hiatal hernia

Guji kofi (tare da kuma ba tare da maganin kafeyin), barasa, cakulan da mai (musamman soyayyen).
Fifita tururi, tanda, microwave; a guji gasassun mai mai yawa da soyayyen abinci.
Rarrabu kananan harbe-harbe, ku ci sannu a hankali kuma ku guje wa ciye-ciye.
Guji acid da abubuwan sha masu laushi idan suna haifar da bayyanar cututtuka.
Guji yanayin zafi matsananci cikin abinci.
Ka guje wa carminatives idan ba za ka iya jurewa ba (tafarnuwa, albasa, Basil, da dai sauransu).
Dauka taya wajen manyan abinci.

Halaye masu amfani: rasa nauyi idan ya cancanta, daina shan taba, kada ku sha barasa, tayar da kai 10-20 cm, kada ku kwanta 2-3 hours bayan cin abinci, tufafi jaka, sarrafa da damuwa da motsa jiki matsakaici (ba mai tsanani ba bayan cin abinci).

Menu na kwana ɗaya idan kuna fama da hernia hiatal

Bayanan: Dafaffen ƙoƙon oat tare da skimmed ko kayan marmari da aka jure sosai, ayaba cikakke, da teaspoon na tsaba na chia mai ruwa.
Washegari: na halitta skimmed yogurt da farin burodi gasa tare da gida cuku.
ComidaKaras da zucchini cream; soyayyen hake tare da dafaffen dankali da ɗanyen man zaitun na budurci; gasasshen apple.
Abin ci: Gelatin tsaka tsaki da ƙananan almonds na halitta idan an jure.
farashin: Farar shinkafa tare da gasasshen turkey (yankakken yankakken) da yankakken alayyahu a hankali; stewed pear. Lemon balm jiko.

LITTAFIN LITTAFI MAI TSARKI:

Buga HH. Hiatal Hernia. Harvard Lafiya.

Mahan LK, Raymond JL. Tsarin Abinci na Krause. Elsevier.

Kahrilas PJ, Shaheen NJ, Vaezi MF. Cibiyar Nazarin Harkokin Gastroenterological Association ta Amirka, Nazarin Fasaha game da Gudanar da Ciwon Gastroesophageal. Gastroenterology.

Magani ga GER & GERD | NIDDK. Cibiyar Nazarin Ciwon sukari ta ƙasa da Cututtukan narkewar abinci da koda.

Cin abinci, Abinci, & Abinci don GER & GERD | NIDDK. Cibiyar Nazarin Ciwon sukari ta ƙasa da Cututtukan narkewar abinci da koda.

Shawarwari don reflux gastroesophageal, hiatal hernia, da ƙwannafi.

Janar shawarwari

barci hade, ɗaga kan jikin jiki 10-15 cm (kumburi, ba kawai wuyansa ba).
Barci akansa gefen hagu.
Guji kwanciya bayan cin abinci (minti 45-60 mafi ƙarancin).
sassauƙa gwiwoyi lokacin lankwasawa, ba kugu ba.
Ka guji tufafi m da ƙuƙumi.
Rasa nauyi idan akwai wuce gona da iri.
Guji barasa y taba.
Aiki matsakaici kuma ba daidai ba bayan cin abinci.
Ka guji abinci m; dauki 4-6 kananan harbe.
Abincin dare haske kuma jira 2-3 hours kafin barci.
Dafa abinci sauki (Boiled, steamed, tanda, papillote).
Yanayin zafi mai kamun kai cikin abinci.
Rage damuwa, ci a hankali kuma a tauna sosai.
Dauka taya tsakanin abinci.
Kayan lambu da legumes dafa shi da kyau domin ingantacciyar narkewar abinci.
Daidaitawa tare da zaren insoluble idan akwai rashin haƙuri.
more durƙusad da furotin da rage kiba.
Ka guje wa abubuwan da ke haifar da kai: mai, soyayyen abinci, miya, kofi, shayi, cakulan, Mint, tafarnuwa, albasa, goro idan rashin haƙuri, abubuwan sha na carbonated, 'ya'yan itatuwa citrus, tumatir, abinci mai yaji, abinci mai gishiri.
Shawarwari na infusions: Harshen Chamomile, kore anisi, Melisa, Kai, Ganye Luisa, Gyada (a cikin matsakaici).

Ƙungiyar abinci	Amfani	Guji
Carnes	Da farko fari (kaza, turkey, zomo) Yanke naman alade da naman sa magori	Sausages, nama mai kitse (rago), nama mai gishiri, naman kyafaffen, viscera da pates
Kifi	Kifi fararen fata	Abincin da aka ɗora, kayan kyafaffen abinci, kifi mai launin shuɗi (salmon idan ba shi da haƙuri)
Qwai	Babu sabani na gaba ɗaya	-
Kayan kiwo	Madara da yogurt skimmed, cheeses maras kitse (sabo, gida, quark)	Kayan kayan zaki na masana'antu, cukui masu warkewa, shimfidawa, yogurts mai kitse, madara gabaɗaya
Kayan lambu, kayan lambu da ‘ya’yan itace	3-5 servings kullum 'Ya'yan itãcen marmari balagagge, gasa ko a cikin compote Kayan lambu marasa ƙarfi (wake, chard, karas, namomin kaza, alayyafo) * In dankakken dankali: mafi kyawun haƙuri	Mint, Basil, cilantro, tafarnuwa, Fennel, Citrus 'ya'yan itatuwa, innabi ruwan 'ya'yan itace, guna, unripe 'ya'yan itatuwa, flatulent kayan lambu (letas, bishiyar asparagus, kabeji, broccoli, leek, albasa, kokwamba, tumatir, danyen barkono)
hatsi, tubers da legumes	Hatsi (gari, semolina, taliya, shinkafa, burodi), tubers da legumes (mafi kyau taushi da pureed) Cin burodin abinci sau 2 a rana rage* reflux.	Gurasa tare da kayan yaji (tafarnuwa), hatsi tare da cakulan, irin kek da wuri
Don Allah	Na halitta ko gasassu Yi amfani da matsakaici	Gishiri ko soyayye
Abin sha	Infusions maganin kafeyin, malt, chicory	Abubuwan sha masu guba, ruwan acidic, kofi, shayi, abubuwan sha masu kuzari da barasa
Kayan mai	Man zaitun mara budurwa a ciki karami yawa	Man shanu, margarine, miya na kasuwanci, man alade, naman alade, kirim
wasu	-	Chocolate, yaji, vinegar, kayan yaji mai ƙarfi, pickles, abun ciye-ciye, abincin da aka riga aka dafa shi, daɗaɗɗen broths

Bibliography

Gabaɗaya shawarwari ga marasa lafiya da ciwon gastroesophageal reflux cuta. Gidauniyar Digestive System Foundation (FEAD).
Ortega Anta, RM; Requejo Marcos, AM. Nutriguía Littafin Abincin Abinci na Clinical. Buga Likita.
Garcia Peris, P; Higuera Pulgar, I; Velasco Gimeno, C; de la Cuerda Compés MC Gastroesophageal reflux cuta. Jagoran shawarwarin abinci mai gina jiki don fitarwa.
Gidan yanar gizon jagororin abinci don masu cin abinci da masu gina jiki. https://www.alimmenta.com/dietas/reflujo-gastroesofagico/
Shawarar tsafta da matakan abinci don marasa lafiya da ciwon gastroesophageal reflux cuta. Sashen Tsarin Narke Jiki. Asibitin Jami'ar Marqués de Valdecilla.
Gil Hernández A et al. Yarjejeniyar Abinci. Gidan Bugawa na Panamericana.
Salas Salvado J et al. Gina Jiki da Magungunan Abinci na Clinical.
Jagororin abinci na Mutanen Espanya (SENC).
Shawarwari na abinci da abinci mai gina jiki daga Sabis na Lafiya na Madrid.
Gastroesophageal reflux cuta. Jaridar JAMA.
Gudanar da marasa lafiya tare da GERD. Jagoran aikin asibiti.
Ƙungiyar Mutanen Espanya na Gastroenterology. Abincin don GERD: https://www.aegastro.es/p/dietas/

Hiatal hernia yana shafar mutane da yawa; gane bayyanar cututtuka, daidaita abinci, karba halaye na bayan gida da jingina albarkatun kasa tare da shaida zai iya kawo canji. Koyaushe tuntuɓi ƙwararren likitan ku kafin yin kowane manyan canje-canje ko kari.