Medical image segmentation models struggle to achieve efficient global context modeling and long-range dependency reasoning under practical computational budgets. In this work, we propose a hybrid architecture utilizing U-Mamba with Heat Conduction Equation, which combines state-space modules for efficient long-range reasoning with Heat Conduction Operators (HCOs) in the bottleneck layers, simulating frequency-domain thermal diffusion for enhanced semantic abstraction. Experimental results show that our model attains the highest DSC (0.8719) on the Abdomen CT dataset. It suggests that blending state-space dynamics with heat-based global diffusion offers a scalable solution for medical segmentation tasks.