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HAITUS HERNIA 20190813_210303 (HEALTH EDUCATION (Avoid alcohol., Eat at…
HAITUS HERNIA
CAUSES
Trauma
Congenital muscle weakness
Poor nutrition
Intra abdominal pressure
The cause is unknown but there are contributory factors
Structural changes of muscle of the diaphragm
DEFINITION
part of the stomach pushes up through the diaphragm muscle
To the thoracic cavity
CLINICAL MANIFESTATIONS
Regurgitation of acid fluid
Heart burn
Dysphagia
Server burning pain when bending over
PATHOPHYSIOLOGY
Muscle encircling the diaphragm
Becomes weakened, which leads to
Part of the stomach herniates upwards
Through the diaphragm into the mediastinal cavity
Separate the abdominal cavity from the thoracic
PHARMACOLOGY
Antiacids
Analgesia
NURSING INTERVENTIONS
Protect oesophagus from ulceration
Manage acid reflux
Give medication antiacids
Nurse patient in a Fowler position
DIAGNOSTIC TESTS
Oesophagoscopy (barium swallow)
Biopsy specimen
ECG
HEALTH EDUCATION
Avoid alcohol.
Eat at least two to three hours before bedtime.
Lose weight if you're obese.
Stop smoking.
Elevate the head of your bed 15cm
Avoid bending or heavy lifting
Sit in Fowler position when eating
DIET THERAPY
Avoid foods that trigger heartburn
Eat several smaller meals throughout the day rather than a few large meals.
Eat at least two to three hours before bedtime
TYPES OF HAITUS HERNIA
Oessophagogastic hiatus hernia
A sac-like portion of the peritonium and part of stomach
Heniates through the oesphageal opening
Into the thorax
Paraoesophageal hiatus hernia
The oesophagogastric junction and portion of fundus
Are displaced into the thoracic cavity
