{"id":72382,"date":"2019-01-30T13:18:59","date_gmt":"2019-01-30T13:18:59","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/hernie-hiatale\/"},"modified":"2025-01-13T03:11:36","modified_gmt":"2025-01-13T03:11:36","slug":"hernie-hiatale","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/fr\/diseases\/hernie-hiatale\/","title":{"rendered":"Hernie hiatale"},"content":{"rendered":"<p>Une hernie hiatale se produit lorsqu&#8217;une partie de l&#8217;estomac pousse vers le haut \u00e0 travers le diaphragme en raison de la faiblesse d&#8217;un muscle. Le diaphragme comporte une petite ouverture, appel\u00e9e hiatus, o\u00f9 l&#8217;\u0153sophage passe et, en dessous, se relie \u00e0 l&#8217;estomac. La pouss\u00e9e de l&#8217;estomac par cette ouverture provoque une hernie hiatale.<\/p>\n<p>Dans la plupart des cas, les hernies hiatales sont petites et ne causent pas de probl\u00e8mes. Un gonflement ou une bosse peut \u00eatre remarqu\u00e9 dans l&#8217;abdomen. Cela dispara\u00eet lorsque vous vous allongez ou lorsqu&#8217;il peut \u00eatre repouss\u00e9. Une hernie hiatale de grande taille peut permettre l&#8217;ingestion de nourriture et d&#8217;acide, qui remontent \u00e0 l&#8217;\u0153sophage, ce qui entra\u00eene des br\u00fblures d&#8217;estomac. Les m\u00e9dicaments en vente libre peuvent soulager ces sympt\u00f4mes ; dans le cas d&#8217;une tr\u00e8s grosse hernie hiatale, une chirurgie peut \u00eatre n\u00e9cessaire.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"types-de-hernie\">Types de hernie<\/h2>\n<p>Les hernies se d\u00e9veloppent le plus souvent entre la poitrine et les hanches. Voici quelques-uns des types les plus courants :<\/p>\n<ol>\n<li>Hernie inguinale &#8211; lorsque le tissu adipeux ou une partie de l&#8217;intestin p\u00e9n\u00e8tre dans l&#8217;aine au sommet de l&#8217;int\u00e9rieur de la cuisse. Il s&#8217;agit du type d&#8217;hernie le plus courant, affectant principalement les hommes ; elle est souvent associ\u00e9e au vieillissement et aux tensions r\u00e9p\u00e9t\u00e9es sur l&#8217;abdomen.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<ol start=\"2\">\n<li>Les hernies f\u00e9morales &#8211; comme les hernies inguinales, mais elles sont moins fr\u00e9quentes et touchent plus de femmes que d&#8217;hommes.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<ol start=\"3\">\n<li>Hernie ombilicale &#8211; lorsqu&#8217;un tissu adipeux ou une partie de l&#8217;intestin p\u00e9n\u00e8tre dans l&#8217;abdomen pr\u00e8s du nombril. Ce type se produit chez les b\u00e9b\u00e9s si le cordon ombilical ne se colmate pas correctement apr\u00e8s la naissance. Chez l&#8217;adulte, elle peut r\u00e9sulter d&#8217;une sollicitation r\u00e9p\u00e9t\u00e9e de l&#8217;abdomen.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<ol start=\"4\">\n<li>Hernie hiatale \u2013 d\u00e9crite dans cet article<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<ol start=\"5\">\n<li>D&#8217;autres types d&#8217;hernie sont les suivantes : incisionnelle \u2013 lorsque le tissu traverse une plaie chirurgicale dans un abdomen non compl\u00e8tement cicatris\u00e9 ; \u00e9pigastrique &#8211; lorsque le tissu graisseux traverse l&#8217;abdomen, entre le nombril et la partie inf\u00e9rieure du sternum ; spig\u00e9lienne \u2013 lorsque l&#8217;intestin traverse l&#8217;abdomen du c\u00f4t\u00e9 du muscle abdominal ; diaphragmatique \u2013 lorsque les organes dans l&#8217;abdomen p\u00e9n\u00e8trent la poitrine par le passage du diaphragme. Cela peut affecter les b\u00e9b\u00e9s si leur diaphragme ne se d\u00e9veloppe pas correctement dans l&#8217;ut\u00e9rus, mais peut aussi affecter les adultes ; hernies musculaires \u2013 lorsqu&#8217;une partie du muscle p\u00e9n\u00e8tre \u00e0 travers l&#8217;abdomen (elles peuvent aussi se produire dans les muscles des jambes, \u00e0 la suite de blessures sportives).<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"causes\">Causes<\/h2>\n<p>La cause de l&#8217;hernie hiatale n&#8217;est pas tout \u00e0 fait claire, mais elle peut r\u00e9sulter de l&#8217;affaiblissement du diaphragme avec l&#8217;\u00e2ge ou la pression sur l&#8217;abdomen.<\/p>\n<p>D&#8217;autres causes peuvent \u00e9galement comprendre :<\/p>\n<ul>\n<li>Blessures dans cette r\u00e9gion<\/li>\n<li>N\u00e9 avec un hiatus large.<\/li>\n<li>Pression persistante et intense sur les muscles environnants, lors de la toux, des vomissements, de l&#8217;effort lors d&#8217;une selle ou du levage d&#8217;objets lourds.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"symptomes\">Sympt\u00f4mes<\/h2>\n<ul>\n<li>La plupart des petites hernies hiatales ne causent aucun signe ou sympt\u00f4me.<\/li>\n<li>Les plus grosses hernies hiatales peuvent pr\u00e9senter les sympt\u00f4mes suivants :<\/li>\n<li>Br\u00fblures d&#8217;estomac<\/li>\n<li>\u00c9ructation<\/li>\n<li>Difficult\u00e9 \u00e0 avaler<\/li>\n<li>Fatigue<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"facteurs-de-risque\">Facteurs de risque<\/h2>\n<p>L\u2019hernie hiatale est plus fr\u00e9quente chez les personnes qui :<\/p>\n<ul>\n<li>Ont 50 ans ou plus<\/li>\n<li>Sont Ob\u00e8ses<\/li>\n<\/ul>\n","protected":false},"featured_media":0,"template":"","class_list":["post-72382","disease","type-disease","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Hernie hiatale - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hernie hiatale - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Une hernie hiatale se produit lorsqu&#8217;une partie de l&#8217;estomac pousse vers le haut \u00e0 travers le diaphragme en raison de la faiblesse d&#8217;un muscle. Le diaphragme comporte une petite ouverture, appel\u00e9e hiatus, o\u00f9 l&#8217;\u0153sophage passe et, en dessous, se relie \u00e0 l&#8217;estomac. La pouss\u00e9e de l&#8217;estomac par cette ouverture provoque une hernie hiatale. 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Le diaphragme comporte une petite ouverture, appel\u00e9e hiatus, o\u00f9 l&#8217;\u0153sophage passe et, en dessous, se relie \u00e0 l&#8217;estomac. La pouss\u00e9e de l&#8217;estomac par cette ouverture provoque une hernie hiatale. 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