Abdominal hernia zviratidzo uye zvikonzero zvikuru

Zvemukati

• Zviratidzo zvikuru
• Zvinogona kuitika mudumbu heniya
• Chii chinokonzera mudumbu hernia
• Abdominal hernia kuvhiyiwa
• Kudzoreka sei

Abdominal hernia inoratidzirwa nekuputika kweimwe nhengo mudumbu kunze kwemuviri, iyo kazhinji isingakonzere zviratidzo, asi inogona kukonzera marwadzo, kuzvimba uye kutsvuka munzvimbo iyi, kunyanya kana paine kuteya kana kumonyanisa kwenhengo dziri mukati memhombwe.

Abdominal hernia inoratidzirwa nekuputika kweimwe nhengo mudumbu kunze kwemuviri, iyo kazhinji isingakonzere zviratidzo, asi inogona kukonzera marwadzo, kuzvimba uye kutsvuka munzvimbo iyi, kunyanya kana paine kuteya kana kumonyanisa kwenhengo dziri mukati memhombwe.

Kurapa kwehutachiona hwemudumbu kunoitwa kuburikidza nekuvhiyiwa kutsiva icho chikamu chemuviri seri kwemhasuru dzemudumbu. Kuvhiya kwacho kuri nyore, pasina kukosha kweanesthesia uye, kazhinji, munhu anoramba ari muchipatara kwezuva rimwe chete.

Zviratidzo zvikuru

Kuvapo kwemimba yemudumbu kunoonekwa nekuda kwekuvapo kwekuzvimba kana bundu mudumbu dunhu, kunyanya mudunhu riri pamusoro peguvhu, mukati meguvhu uye muguyo. Uku kuzvimba kunoumbwa kana zvirimo mudumbu, kazhinji ura, zvinokwanisa kubata mhasuru yemudumbu, ichiumba saga yechinyakare.

Kazhinji, zviri muhomwe yehernia zvinogona kufamba uye kubuda zvakasununguka, pasina kukonzera zviratidzo, kana kukonzera kusagadzikana kudiki. Nekudaro, kana chimiro chekufamba kwenhengo chikadzikira, izvo zvinodaidzwa kuti zvakasungwa kana kudzipwa hernia zvinoitika, izvo zvinogona kuratidza zviratidzo, senge:

• Kurwadziwa kwakanyanya panzvimbo yehernia kana mudumbu;
• Kuzvimba uye kutsvuka panzvimbo yehernia;
• Kusvotwa uye kurutsa.

Iyi mamiriro akakomba, uye anofanirwa kurapwa nekuvhiyiwa nekukurumidza sezvazvinogona, nekuda kwenjodzi yekushomeka kweropa kutenderera kunhengo, zvichikonzera kuzvimba, kupera, hutachiona uye kufa kwemasero, inova necrosis.

Zvinogona kuitika mudumbu heniya

Kunyangwe akawanda hernias akagadziriswa chete nekukanganisa hernia kuenda mudumbu mhango, mune zvimwe zviitiko izvi hazvigoneke, uye zvinogona kukonzera matambudziko. Imwe yematambudziko makuru ndeye kudzipwa kwenhengo mudumbu, kazhinji yenguva mumatumbu, nekuderera kweropa kunzvimbo, izvo zvinogona kukonzeresa necrosis.

Pamusoro pekudzipwa, panogona zvakare kuve nekuvharika kwemukati, umo izvo zvemukati zvemukati hazvigone kupfuura nenharaunda yehernia, iyo inogona kukonzeresa kusvotwa uye kurutsa, kuwedzera pakuzvimbirwa.

Chii chinokonzera mudumbu hernia

Hernia inoitika kana paine kushomeka kwedumbu, izvo zvinogona kunge zviri zvechibereko, kana izvo zvinogona kumuka mushure mekuwedzera kwekumanikidza mukati medumbu, semumabasa anoda kuwanda kwemuviri, nekuda kwekufutisa kana nhumbu, semuenzaniso.

Mhando huru dzedumbu hernia ndeiyi:

• Inguinal, munzvimbo yekugomera, inova ndiyo mhando yakajairika. Dzidza maitiro ekuziva nekurapa inguinal hernia;
• Epigastric, iri pamusoro peguvhu, panosangana pakati pemhasuru dzemudumbu. Dzidza zvakawanda nezve epigastric hernia;
• Umbilical, ndiyo yakajairika muvacheche, uye kazhinji inodzoreredza pasina kuda kuvhiyiwa mumakore ekutanga ehupenyu. Ona zvekuita kana umbilical hernia;
• Incisional, inoitika munzvimbo yekumwe kuvhiyiwa kwekare, nekuda kwekushomeka kwenzvimbo pakagadzirwa suture.

Kuti uongorore dumbu renhumbu, chiremba anogona kuita bvunzo dzepanyama dzinoongorora kuzvimba kwedumbu, asi simbiso inoitwa neiyo ultrasound ongororo yedumbu.

Abdominal hernia kuvhiyiwa

Mushonga mukuru wehernias kuvhiyiwa, zvisinei, mune dzimwe nguva, vanogona kuzvidzora vega, sezvazviri mune zvidiki zvidiki kana hernias mumucheche, kunyanya umbilical.

Kuvhiya kunoitwa munzvimbo yekuvhiya, ine yemuno kana yemuzongoza anesthesia, uye inogona kuitwa nekuvhurwa kwedumbu kana nevhidhiyoolaparoscopy, mune nzira inogara ingangoita 1 awa. Nekudaro, iyo nhengo dzinosundirwa uye dzoreredzwa mudumbu, uye iyo yekuvhura yakavharwa nesuture.

Kana tsandanyama dzemudumbu dzisina kusimba, zvingave zvakafanira kuisa mesh yekusimbisa kuchengetedzwa uye kudzikisira mikana yekuumbwa kweiyo nyowani nyowani.

Kudzoreka sei

Iyo yekuvhiya nguva yekuvhiya mudumbu hernia kuvhiya inowanzoitika nekukurumidza kupora, uye mu1 kusvika kumazuva maviri iwe unoburitswa muchipatara. Aya mazano ndeaya:

• Kushandiswa kweanalgesic kana anti-kupisa mishonga yekurwadziwa, yakatemwa nachiremba;
• Usaite kuyedza kwakadai sekutyaira kana kutakura huremu kwemazuva manomwe kusvika gumi;
• Dzokera kubvunzurudzo yekuongororazve nachiremba anovhiya mumazuva manomwe;
• Ita zviitwa zvakanyanya zvemuviri, senge mitambo, mushure memwedzi mumwe.

Kazhinji yenguva, hernia inopora pamwe nekuvhiya uye, nekudaro, kune njodzi diki kwazvo yekudzoka.