What is hiatal hernia of esophagus to return a responsibility?
summary
Recently, when I eat, I always feel disgusted. My upper abdomen is very full, and my hiccups and pains come together. Sometimes when it hurts, I still feel the pain of acupuncture, which affects my back and shoulders. Later, because my body is too bad, I went to the hospital and found that I had esophageal hiatus hernia after examination. So now I would like to share with you how esophageal hiatal hernia is going on.
What is hiatal hernia of esophagus to return a responsibility?
The normal esophageal hiatus is divided into left and right wings from the 1st to 4th lumbar vertebrae of the left diaphragmatic muscle forward, and can also start from the left diaphragmatic foot (in front of the 1st to 3rd lumbar vertebrae), as if formed around the neck. The longitudinal diameter of the hiatus is 3-5cm and the transverse diameter is 2cm (Fig. 1). There are several layers of tissue in the hiatus, such as pleura, mediastinal fat, intrathoracic fascia, intraabdominal fascia, etc., which separate the thoracic cavity from the abdominal cavity. Esophageal hiatus plays an important role in reflux. The muscles of esophageal hiatus around gastroesophageal junction are like spring clips, which contract rhythmically and inhale synchronously. When the muscles around the hiatus contract, the esophagus is pulled downward and the bending angle is increased, which helps to close the lower esophagus and prevent gastroesophageal reflux.
Diaphragmatic esophageal ligament degeneration and relaxation: the diaphragmatic esophageal ligament exists in the neonatal period. With the growth of age, the tissue around the hiatus and the elastic tissue of the diaphragmatic esophageal ligament atrophy and degeneration, and gradually become thinner and weaker. At the same time, the Subperitoneal fat gradually accumulates near the hiatus, which widens the hiatus. Because of the degeneration and relaxation of the diaphragmatic esophageal ligament and other fascia around the esophagus, it gradually loses its function of fixing the lower esophageal segment and cardia in the normal position, and it is easy to cause the lower esophageal segment and cardia to hernia into the diaphragm. The incidence rate of hiatal hernia is increasing with age. During the operation, it was confirmed that the diaphragmatic esophageal ligament in many adult patients with hiatal hernia no longer exists. Especially in the elderly, the above degenerative changes and atrophy are very common, and most of them are accompanied by diseases that lead to elevated abdominal pressure (such as constipation, prostatic hypertrophy, chronic tracheitis, etc.), which are more likely to occur under the effect of widening esophageal hiatus and high abdominal pressure pushing the stomach to the chest.
Eat more light food, can reduce the chance of reflux, and the gastric mucosa has a significant stimulation of food, may increase the secretion of gastric juice, cause the stomach acid and other major reflux was significantly increased. Therefore, we should avoid eating some stimulating food, or eat less food to delay gastric emptying, and eat more light, soft and digestible food.
matters needing attention
It's better not to eat before going to bed. The interval between dinner and sleeping should be longer than 3 hours. After meals should be in an upright position or take a walk, but to avoid strenuous exercise. Reflux usually occurs more at night, so the head of the bed should be raised so that there is an oblique slope from the head of the bed to the end of the bed, so that even the reflux can be eliminated quickly.
