Umbilical hernia kugadzirisa

Umbilical hernia kugadzirisa kuvhiya kugadzirisa umbilical hernia. Umbilical hernia isaga (homwe) inoumbwa kubva mukati memukati medumbu rako (mudumbu mhango) iyo inosundira nepaburi mudumbu remudumbu pane bhatani remudumbu.

Iwe unogashira unogamuchira general anesthesia (wakarara uye unorwadza-wakasununguka) wekuvhiya uku. Kana hernia yako iri diki, unogona kugamuchira musana, epidural block, kana yemuno anesthesia nemushonga wekukuzorodza. Iwe unenge wamuka asi usina kurwadziwa.

Chiremba wako achaita kucheka kwekuvhiya pasi pebhokisi rako dumbu.

• Muvhiyi wako anowana hernia yako ndokuipatsanura kubva kumaturu akaikomberedza. Ipapo chiremba wako anovhiya zvinyoro nyoro zviri mukati medumbu kudzokera mudumbu.
• Maketani akasimba anoshandiswa kugadzirisa gomba kana nzvimbo isina kusimba inokonzerwa nemubra hernia.
• Chiremba wako anovhiya anogona zvakare kuisa chidimbu chembichana pamusoro penzvimbo isina kusimba (kazhinji isiri muvana) kuti ive yakasimba.

Umbilical hernia inogona zvakare kugadziriswa uchishandisa laparoscope. Iyi itepu yakatetepa, yakavhenekerwa inoita kuti chiremba aone mukati medumbu rako. Chiyero chichaiswa kuburikidza nechimwe chezvidimbu zvidimbu. Zviridzwa zvichaiswa kuburikidza nekumwe kucheka.

Kana mwana wako achivhiyiwa, chiremba anovhiya achakurukura mhando yeanesthesia iyo mwana wako achagamuchira. Chiremba anovhiya acharondedzerawo kuti kuvhiya kuchaitwa sei.

VANA

Umbilical hernias zvakajairika muvana. Hernia pakuberekwa inosundira dumbu bhatani kunze. Zvinotaridza zvimwe kana mwana achichema nekuti kumanikidzwa kubva mukuchema kunoita kuti hernia ibude zvakanyanya.

Mune vacheche, dambudziko hariwanzo kurapwa nekuvhiyiwa. Kazhinji yenguva, umbilical hernia inodzikira uye inovhara yega panguva iyo mwana anenge 3 kana 4 makore ekuberekwa.

Umbilical hernia kugadzirisa kunogona kudikanwa muvana nekuda kwezvikonzero izvi:

• Iyo hernia inorwadza uye yakanamatira munzvimbo yekuputika.
• Kuwanikwa kweropa muura kunokanganiswa.
• Iyo hernia haina kuvhara nezera rechitatu kana rechina.
• Kuremara kwacho kwakakura kwazvo kana kusingagamuchirwe kuvabereki nekuda kwekuti zvinoita sei kuti mwana wavo ataridzike. Kunyangwe mune izvi zviitiko, chiremba angangodaro akamirira kumirira kusvikira mwana wako ave 3 kana 4 kuti aone kana hernia ichivhara yega.

VAKURU

Umbilical hernias zvakare zvakajairika muvakuru. Ivo vanoonekwa zvakanyanya muvanhu vakafuta zvakanyanya uye mumadzimai, kunyanya mushure mekubata. Ivo vanowanzo kukura munguva.

Diki hernias isina zviratidzo dzimwe nguva inogona kutariswa. Kuvhiya kunogona kuisa njodzi huru kune vanhu vane matambudziko akakomba ekurapa.

Pasina kuvhiyiwa, pane mukana wekuti mamwe mafuta kana chikamu chemuura chingamire (kuvharirwa) muhernia zvotadza kudzosera mukati. Izvi zvinowanzo kurwadza. Kana kupihwa kweropa kunharaunda ino kukagurwa (kudzipwa), kuvhiya nekukurumidza kunodiwa. Unogona kusangana neshungu kana kurutsa, uye iyo nzvimbo inoputika inogona kuita bhuruu kana rakasviba ruvara.

Kuti udzivise dambudziko iri, vanachiremba vanovhiya vanowanzokurudzira kugadzirisa umbilical hernia kune vanhu vakuru. Kuvhiya kunoshandiswawo kune hernias ayo ari kukura kana ari kurwadza. Kuvhiya kunochengetedza iyo isina kusimba yemudumbu madziro tishu (fascia) uye inovhara chero maburi.

Wana rubatsiro rwekurapwa ipapo kana uine chinorwadza chinorwadza, kana chichemo chisingashome kana iwe wakarara pasi kana chausingakwanise kudzosera mukati.

Njodzi dzekuvhiyiwa embilical hernia dzinowanzo kuve dzakaderera kwazvo, kunze kwekunge munhu wacho ainewo mamwe matambudziko akakomba ekurapa.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Reaction kumishonga kana matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana hutachiona

Ngozi dzekuvhiyiwa kwehuswa hunosanganisira chero yeanotevera:

• Kukuvadza kune diki kana hombe ura (zvisingawanzoitika)
• Hernia anodzoka (diki njodzi)

Chiremba wako wekuvhiya kana anesthesia (anesthesiologist) achakuona nekukupa rairo iwe kana yemwana wako.

Iyo anesthesiologist inokurukura yako (kana yemwana wako) nhoroondo yekurapa kuti uone huwandu hwakakodzera uye mhando yeanesthesia yekushandisa. Iwe kana mwana wako mungakumbirwa kuti murege kudya uye kunwa maawa matanhatu usati wavhiyiwa. Ita shuwa kuti iwe unotaurira wako mupi wezvehutano nezve chero mishonga, allergies, kana nhoroondo yezvinetso zvekubuda ropa.

Mazuva akati wandei usati wavhiyiwa, unogona kubvunzwa kuti utore kutora:

• Aspirin kana nonsteroidal anti-inflammatory drug (NSAIDs), senge ibuprofen, Motrin, Advil, kana Aleve
• Mimwe mishonga yekuchera ropa
• Mamwe mavitamini uye zvinowedzera

Mazhinji embilical hernia ekugadzirisa anoitwa kune vekunze. Izvi zvinoreva kuti iwe ungangoenda kumba nezuva rimwe chete. Kumwe kugadzirisa kunogona kuda kugara kwenguva pfupi muchipatara kana hernia iri rakanyanya.

Mushure mekuvhiyiwa, mupi wako anoongorora ako akakosha zviratidzo (kupomba, kumanikidza kweropa, uye kufema). Iwe uchagara munzvimbo yekudzoreredza kusvikira wagadzikana. Wako mupi achapa mushonga wekurwadziwa kana uchiida.

Tevedza rairo yekuti ungatarisira sei yako kana yemwana wako incision kumba. Wako mupi achakutaurira kana iwe kana mwana wako uchitangazve zviito zvako zvakajairika. Kune vanhu vakuru, izvi zvichave mumavhiki maviri kusvika mana. Vana vanogona kudzokera kuzviitiko zvakawanda ipapo.

Iko kune nguva dzose mukana wekuti hernia inogona kudzoka. Kune vanhu vane hutano, njodzi yekudzoka yakaderera kwazvo.

Umbilical hernia kuvhiyiwa

• Kuunza mwana wako kuti ashanyire hama inorwara zvakanyanya
• Kuchengeta ronda rekuvhiya - rakavhurika

• Umbilical hernia kugadzirisa - akateedzana

Blair LJ, Kercher KW. Umbilical hernia kugadzirisa. Muna: Rosen MJ, ed. Atlas yeAdominal Wall Kuvakazve. 2nd ed. Philadelphia, PA: Elsevier; 2017: chitsiko 20.

Carlo WA, Ambalavanan N. Iyo umbilicus. Mune: Kliegman RM, Stanton BF, St. Geme JF, Schor NF, eds. Nelson Chinyorwa chePediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016: chits. 105.

Malangoni MA, Rosen MJ. Hernias. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 44.