{"id":2648,"date":"2023-11-02T10:07:46","date_gmt":"2023-11-02T10:07:46","guid":{"rendered":"https:\/\/fisiogracia.com\/sense-categoria\/hernia-dhiat\/"},"modified":"2023-11-03T10:21:31","modified_gmt":"2023-11-03T10:21:31","slug":"hernia-dhiat","status":"publish","type":"post","link":"https:\/\/fisiogracia.com\/ca\/fisioterapia\/hernia-dhiat\/","title":{"rendered":"H\u00c8RNIA D\u2019HIAT"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img fetchpriority=\"high\" fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" alt=\"Osteopat\u00eda Visceral\" title=\"en-que-nos-ayuda-la-osteopatia-visceral\" src=\"https:\/\/fisiogracia.com\/wp-content\/uploads\/2021\/03\/en-que-nos-ayuda-la-osteopatia-visceral.jpeg\" class=\"img-responsive wp-image-2650\" srcset=\"https:\/\/fisiogracia.com\/wp-content\/uploads\/2021\/03\/en-que-nos-ayuda-la-osteopatia-visceral-200x133.jpeg 200w, https:\/\/fisiogracia.com\/wp-content\/uploads\/2021\/03\/en-que-nos-ayuda-la-osteopatia-visceral-400x267.jpeg 400w, https:\/\/fisiogracia.com\/wp-content\/uploads\/2021\/03\/en-que-nos-ayuda-la-osteopatia-visceral-600x400.jpeg 600w, https:\/\/fisiogracia.com\/wp-content\/uploads\/2021\/03\/en-que-nos-ayuda-la-osteopatia-visceral-800x534.jpeg 800w, https:\/\/fisiogracia.com\/wp-content\/uploads\/2021\/03\/en-que-nos-ayuda-la-osteopatia-visceral.jpeg 1024w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 1024px\" \/><\/span><\/div><div class=\"fusion-text fusion-text-1\"><div id=\"object_3186\" class=\"website_module\">\n<div class=\"mod_title\">\n<div id=\"object_2258\" class=\"website_module\">\n<div class=\"mod_title\">\n<h2 class=\"entry-title\">L\u2019h\u00e8rnia d\u2019hiat.<\/h2>\n<p>L\u2019h\u00e8rnia d\u2019hiat \u00e9s una de les patologies m\u00e9s frequ\u0308ents del sistema digestiu. El manual de principis de medicina interna Harrison defineix l\u2019h\u00e8rnia d\u2019hiat com \u201cel pas d\u2019una part de l\u2019est\u00f3mac cap a la cavitat tor\u00e1cica a trav\u00e9s de l\u2019hiat esof\u00e0gic del diafragma.\u201d<\/p>\n<\/div>\n<div><\/div>\n<div class=\"mod_title\">M\u00e8dicament es distingeixen dos tipus: l\u2019h\u00e8rnia per lliscament, on tant la uni\u00f3 gastroesof\u00e0gica (el que vindria a ser el cardias) com la part alta de l\u2019est\u00f3mac (el fundus) llisquen cap amunt; i l\u2019h\u00e8rnia paraesof\u00e0gica, on la uni\u00f3 gastroesof\u00e0gica es mant\u00e9 correctament posicionada, per\u00f2 una part de l\u2019est\u00f3mac s\u2019hernia a trav\u00e9s del mateix hiat esof\u00e0gic.<\/div>\n<div><\/div>\n<\/div>\n<div><\/div>\n<div><\/div>\n<div><img decoding=\"async\" class=\"size-full wp-image-2645 aligncenter\" src=\"https:\/\/fisiogracia.com\/wp-content\/uploads\/2021\/03\/GI_hiatus_hernia_es.gif\" alt=\"Hernia de hiato\" width=\"800\" height=\"387\" \/><\/div>\n<div><\/div>\n<\/div>\n<div><\/div>\n<div><\/div>\n<div class=\"mod_title\">En alg\u00fan cas poden ser as\u00edmptom\u00e0tiques i es detecten en proves per altres coses, per\u00f2 generalment provoquen una simptomatologia que engloba especialment la dispepsia (dolor i\/o malestar epig\u00e0stric), els refluxes gastroesof\u00e0gics, pirosis (cr\u00e9mor) i gasos (eructes).<\/div>\n<div><\/div>\n<blockquote>\n<div class=\"mod_title\">El pacient millora en sedestaci\u00f3 i empitjora estirat. Especialment s\u2019ho nota a la nit, sobretot si ha fet un menjar abundant, ha menjat fa poc o b\u00e9 aquest ha estat ric en greixos.<\/div>\n<\/blockquote>\n<div><\/div>\n<div class=\"mod_title\">Molts pacients eleven el cap\u00e7al del llit per dormir i milloren. Pot afectar igual homes i dones i sovint apareixen m\u00e9s amb l\u2019edat. Els motius poden ser diversos: debilitat lligamentosa, p\u00e8rdua de to del cardias, augment de la pressi\u00f3 intraabdominal\u2026 No tota cremor en l\u2019epigastri equival a una h\u00e8rnia d\u2019hiat, per exemple, patologies card\u00edaques tamb\u00e9 s\u2019hi poden confondre. Cal doncs que un metge en faci el diagn\u00f2stic, que pot incloure l\u2019endosc\u00f2pia o radiografia amb contrast de bari. El tractament (habitualment no quir\u00fargic) sol incloure recomanacions i un protector g\u00e0stric (omeprazol o derivats). Val a dir que aquests poden interferir en l\u2019absorci\u00f3 d\u2019alguns nutrients.<\/div>\n<div class=\"mod_title\">En osteopat\u00eda, generalment, podem ajudar a reduir els s\u00edmptomes.<\/div>\n<div><\/div>\n<div class=\"mod_title\"><strong>El tractament \u00e9s manual i segueix unes l\u00ednies b\u00e0siques:<\/strong><\/div>\n<ul>\n<li class=\"mod_title\">Millorar la mobilitat de l\u2019est\u00f3mac. Si millora la mobilitat, millora la funci\u00f3. Aqu\u00ed s\u2019inclouen maniobres suaus de descens de l\u2019est\u00f3mac.<\/li>\n<li class=\"mod_title\">Treballar sobre el diafragma, buscant reduir una mica un posible exc\u00e9s de pressi\u00f3 positiva abdominal que afavoreixi la no ascensi\u00f3 de l\u2019h\u00e8rnia. Aix\u00f2 pot incloure treballar en la zona cervical mitja, origen del nervi fr\u00e8nic, que innerva aquest m\u00fascul tant important.<\/li>\n<li class=\"mod_title\">Afavorir un millor equilibri del sistema vegetatiu. Es treballa especialmente sobre la zona dorsal mitja i sobre el crani. El treball aqu\u00ed \u00e9s dif\u00edcil, per la ubicaci\u00f3 de les seves estructures.<\/li>\n<\/ul>\n<p>Normalment tres sessions s\u00f3n ja suficients perqu\u00e8 el pacient pugui avaluar si el tractament l\u2019ajuda. Si no \u00e9s aix\u00ed, no acostumo a continuar. Si aconseguim ajudar, cerquem espaiar les sessions fins a trobar, en funci\u00f3 del que ens diu el pacient, el temps \u00f2ptim entre sessions. Una forma d\u2019avaluar el benefici de les sessions \u00e9s una menor necessitat d\u2019\u00fas del protector g\u00e0stric.<\/p>\n<p>Si tens dubtes, <a href=\"https:\/\/fisiogracia.com\/ca\/contacto\/\"><strong>consultan\u2019s<\/strong><\/a> a osteopatia.<\/p>\n<p><strong>Jonathan Codina<\/strong><br \/>\n<strong>Fisioterapeuta 4605. Oste\u00f2pata DO, MROE 310.<\/strong><\/p>\n<\/div>\n<\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:100% !important;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019h\u00e8rnia d\u2019hiat \u00e9s una de les patologies m\u00e9s frequ\u0308ents del sistema digestiu. El manual de principis de medicina interna Harrison defineix l\u2019h\u00e8rnia d\u2019hiat com \u201cel pas d\u2019una part de l\u2019est\u00f3mac cap a la cavitat tor\u00e1cica a trav\u00e9s de l\u2019hiat esof\u00e0gic del diafragma.\u201d<\/p>\n","protected":false},"author":1,"featured_media":2650,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[59,80,46],"tags":[],"class_list":["post-2648","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisioterapia-ca","category-osteopatia-ca","category-sense-categoria"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>H\u00c8RNIA D\u2019HIAT - Fisiogracia - Centro de Rehabilitaci\u00f3n<\/title>\n<meta name=\"description\" content=\"L\u2019h\u00e8rnia d\u2019hiat es defineix com el pas d\u2019una part de l\u2019est\u00f3mac cap a la cavitat tor\u00e1cica a trav\u00e9s de l\u2019hiat esof\u00e0gic del diafragma.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fisiogracia.com\/ca\/fisioterapia\/hernia-dhiat\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u00c8RNIA D\u2019HIAT - 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