Chii chinonzi diaphragmatic hernia, mhando huru uye maitiro ekurapa
Zvemukati
- Mhando huru
- 1. Kuberekwa diaphragmatic heniya
- 2. Yakawana Diaphragmatic Hernia
- Ungaziva sei
- Kurapwa kunoitwa sei
Diaphragmatic hernia inomuka kana paine chirema mudhayaphira, inova mhasuru inobatsira kufema, uye inova nebasa rekuparadzanisa nhengo kubva muchipfuva nemudumbu. Kuremara uku kunokonzeresa kuti nhengo dzemudumbu dzipfuure kuchifuva, izvo zvingangokonzeresa zviratidzo kana kukonzera matambudziko akakura sekufema kunetseka, hutachiona hwemapapu kana shanduko yekugaya, semuenzaniso
Hernia yedhiaphragm inogona kusimuka zvese panguva yekukura kwemwana mudumbu reamai, zvichikonzera kuberekwa kwehuswa, asi inogona zvakare kuwanikwa muhupenyu hwese, senge nekushungurudzika kuchifuva kana nekuomesa kwekuvhiyiwa kana hutachiona mukati dunhu. Nzwisisa kuti hernia inoumbwa sei.
Kuzivikanwa kwedambudziko iri kunoitwa kuburikidza nekufungidzira bvunzo dzakadai seX-ray kana computed tomography. Kurapa kweiyo diaphragmatic hernia kunoitwa nachiremba mukuru wechiremba kana chiremba wechiremba, kuburikidza nekuvhiya kana kuvhiya vhidhiyo.
Mhando huru
Diaphragmatic heniya inogona kuva:
1. Kuberekwa diaphragmatic heniya
Iko kushanduka kusingawanzoitika, uko kunobva mukuremara mukukura kwedhiramu remwana kunyangwe panguva yekuzvitakura, uye kunogona kuoneka kwakazvimiririra, nekuda kwezvikonzero zvisina kutsanangurwa, kana kusangana nezvimwe zvirwere, zvakaita semagene syndromes.
Mhando huru ndeiyi:
- Bochdalek hernia: inokonzeresa ruzhinji rwezviitiko zve diaphragmatic hernias, uye kazhinji inoonekwa mudunhu kumashure uye kudivi redhayaphira. Mazhinji ariko kuruboshwe, mamwe anoonekwa kurudyi uye vashoma vanoonekwa kumativi ese;
- Hernia yaMorgani: mhedzisiro kubva mukuremara munzvimbo yepamberi, kumberi kw diaphragm. Pane izvi, mazhinji ari kurudyi;
- Esophageal hiatal hernia: kuonekera nekuda kwekuwedzera kwakanyanya kwechidzitiro chinopfuura nepasipo, izvo zvinogona kukonzeresa kupfuura kwemudumbu mubhokisi. Nzwisisa zvirinani kuti hernia inobereka inomuka sei, zviratidzo uye kurapwa.
Zvichienderana nekuomarara kwayo, kuumbwa kwehernia kunogona kukonzera zvakakomba kuhutano hweiye achangozvarwa, sezvo nhengo dzemudumbu dzinogona kutora nzvimbo yemapapu, zvichikonzera shanduko mukukudziridzwa kweizvi, uyezve nedzimwe nhengo dzakadai seura, dumbu kana moyo., semuenzaniso.
2. Yakawana Diaphragmatic Hernia
Izvo zvinoitika kana paine kutsemuka kwedhayaphiramu nekuda kwekukuvara padumbu, senge mushure mekuita tsaona kana kupwanywa nechombo, semuenzaniso, ini nekuda kwekuvhiyiwa pachipfuva kana kutapukirwa panzvimbo.
Mune iri mhando yehernia, chero nzvimbo iri padhayafura inogona kukanganisika, uye sezvakangoita mukuzvarwa hernia, kuputika uku mune diaphragm kunogona kukonzera izvo zviri mukati medumbu kupfuura nepachipfuva, kunyanya mudumbu uye ura.
Izvi zvinogona kukonzeresa kutenderera kweropa kune idzi nhengo, uye mune izvi zviitiko zvinogona kukonzeresa njodzi dzehutano kumunhu akabatwa kana ikasakurumidza kugadziriswa nekuvhiyiwa.
Ungaziva sei
Panyaya yehernias isiri yakakomba, panogona kunge pasina zviratidzo, saka zvinogona kuramba zviripo kwemakore mazhinji kudzamara yawanikwa. Mune zvimwe zviitiko, zvinokwanisika kuve nezviratidzo nezviratidzo senge kufema kunetseka, shanduko yemukati, reflux, chirungurira uye kusagadzikana kugaya.
Kuongororwa kweiyo diaphragmatic hernia kunoitwa nekufungidzira bvunzo dzemudumbu uye chipfuva, senge x-ray, ultrasound kana computed tomography, iyo inogona kuratidza kuvepo kwezvinhu zvisina kukodzera mukati mechipfuva.
Kurapwa kunoitwa sei
Kurapa kweiyo diaphragmatic hernia kuvhiyiwa, inokwanisa kudzoreredza zviri mukati medumbu kune kwavo kwazvinowanikwa nzvimbo, mukuwedzera kugadzirisa chigumbuso chiri mudhiramu.
Maitiro ekuvhiya anogona kuitwa nerubatsiro rwemakamera uye zviridzwa zvakaunzwa kuburikidza nemakomba madiki mudumbu, kunova kuvhiyiwa kweparoscopic, kana nenzira yakajairika, kana paine hernia yakaoma. Ziva apo kuvhiyiwa kweparoscopic kunoratidzwa uye kuti kunoitwa sei.