Hernias neMufananidzo

Zvemukati

• Chii chinonzi hernia?
• Incisional hernia mufananidzo
• Chii icho
• Inorapwa sei
• Ungazvichengeta sei
• Hiatal hernia pikicha
• Chii icho
• Inorapwa sei
• Ungazvichengeta sei
• Vakadzi hernia mufananidzo
• Chii icho
• Inorapwa sei
• Ungazvichengeta sei
• Epigastric hernia mufananidzo
• Chii icho
• Inorapwa sei
• Ungazvichengeta sei
• Umbilical hernia mufananidzo
• Chii icho
• Inorapwa sei
• Ungazvichengeta sei
• Inguinal hernia mufananidzo
• Chii icho
• Inorapwa sei
• Ungazvichengeta sei
• Kutora

Hernia inoitika kana chimedu cheganda kana nhengo yemuviri (senge ura) inoputika nepakati pechitunha chemukati chinowanzo bata nzvimbo yacho.

Mhando dzakasiyana dzakasiyana dzehernia dziripo - uye dzimwe dzinogona kunge dzichirwadza zvakanyanya uye nekukurumidza kurapwa.

Ramba uchiverenga kuti uwane zvimwe nezve hernias, pamwe nekuona mifananidzo yeimwe akajairika hernia mhando.

Chii chinonzi hernia?

Kazhinji, zvidimbu zvinodzivirira zvemucheka zvinonzi fascia zvinobata nhengo nemaviri munzvimbo. Ivo vanoita seyakasimba yekunze yekuvharira kuchengetedza nyama dzakatsigirwa uye munzvimbo.

Asi dzimwe nguva iyo fascia inogona kukura isina kusimba mapoinzi. Panzvimbo pekubatirira munyama mukati, inobvumira iwo musuru kuti uwedzere kana kubuda munzvimbo isina kusimba. Vatapi vezvehutano vanosheedza iyi hernia.

Hernias haigare ichida kurapwa, asi zvakare havawanzo kuenda vega. Dzimwe nguva mupi wezvehutano anogona kukurudzira kuvhiyiwa kudzivirira kumwe kunetseka kubva kune hernia.

Incisional hernia mufananidzo

Chii icho

Iyo incisional hernia inogona kuitika mushure mekuvhiyiwa padumbu rako.

Mamiriro acho anogona kunge achiitika kana munhu aine midline mudumbu incision.

Nemhando iyi yechiputi, panowanzo kuve nekumanikidza kukuru pamhasuru dzemudumbu panzvimbo iyoyo, zvinoenderana nechinyorwa chakaburitswa mumagazini BJS Vhura.

Iyo incisional hernia inoitika mune zvekuvhiya mudumbu, sekureva kweyekudzokorora kwa2018 kwakaburitswa mumagazini Deutsches Arzteblatt International.

Inogona kukonzera zviratidzo zvakadai se:

• kurwadziwa
• gastrointestinal kugumbuka
• kugara uchinzwa kuguta kwemudumbu

Inorapwa sei

Chiyero chekuvharirwa (kusungwa zvisina kujairika kwetishu) yeiyo incisional hernia iri kupi kubva, sekureva kwe2018 ongororo yakataurwa kare.

Kana iyo incisional hernia iri kukonzera zviratidzo kana ichiita kunge iri panjodzi huru yekuvharirwa, mupi wezvehutano anowanzo kurudzira kuvhiyiwa kuti agadzirise.

Ungazvichengeta sei

Kana chiremba wako akavhiya nekutarisa hernia, iwe unofanirwa kuvazivisa nekukurumidza kana iwe uine zviratidzo zvinoratidza kudzipwa, izvo zvinogona kusanganisira:

• kurwadziwa kwepamuviri kwakapinza
• kusanzwisisika kusanzwisisika
• kutadza kupfuudza gasi kana ura nguva dzose

Hiatal hernia pikicha

Chii icho

Hernia inobereka inoitika kana chikamu chechikamu chepamusoro chedumbu chakwira kuburikidza nedhirafu.

Kazhinji, diaphragm inochengeta dumbu rakasimba panzvimbo, asi hurema hunogona kukura izvo zvinobvumira dumbu kutsvedza kumusoro.

Mhando dzakasiyana dzekuzvarwa hernia mhando dziripo.

Iyo yakanyanya kuwanda ndeye mhando I hernia uko nzvimbo iyo sophagus nedumbu zvinosangana zvinokwira kumusoro kuburikidza ne diaphragm, sekureva kweSosaiti yeAmerican Gastrointestinal uye Endoscopic Surgeons.

Aya marudzi ehernia anowanzo kukonzera gastroesophageal Reflux chirwere (GERD).

Inorapwa sei

Kana munhu aine GERD yakaoma, matambudziko ekumedza, kana kazhinji maronda emudumbu nekuda kwerudzi rwandinobereka hernia, mupi wezvehutano anogona kukurudzira kuvhiyiwa kuti agadzirise.

Dzimwe mhando dzekuzvarwa dzinogona kuda kugadziriswa nekuti matumbo kana chikamu chikuru chedumbu chiri kuenda kuburikidza nedhirafu.

Ungazvichengeta sei

Kana mupi wako wezvehutano asingakurudzire kuvhiyiwa kweiyo hernia yekuzvarwa, iwe unogona kutora matanho ekudzivirira reflux zviratidzo.

Mienzaniso inosanganisira:

• kudzivisa zvinonaka uye zvine mafuta akawanda chikafu
• kutora zvinopfuura-the-counter (OTC) antacids
• kutora H2 receptor blockers senge famotidine (Pepcid) kudzikisa zviratidzo
• kutora proton pump inhibitors kunge lansoprazole (Prevacid)

Vakadzi hernia mufananidzo

Chii icho

Chirikadzi chemukadzi chinoitika muchikamu chepazasi chehudyu, padyo nechidya chemukati uye kazhinji kurudyi rwemuviri.

Dzimwe nguva mupi wezvehutano anogona kutanga aongorora hernia seyenguinal hernia. Zvisinei, mushure mekunyatsotarisisa, vanoona nzvimbo yaro yepazasi inoratidza kuti ihosi yevakadzi.

Iyi hernia mhando haina kujairika, inoitika mune isingasviki 3 muzana yemhando dzese dzehernia muguyo, sekureva.

Vakadzi vanokudziridza iyi mhando yehernia kupfuura varume, pamwe nekuda kwechimiro chemapapiro avo.

Inorapwa sei

Vakadzi hernias vane mwero wakakwirira wekudzipwa, zvinoreva kuti nyama inocheka kuyerera kweropa kuenda muura uhwo hunobuda. Anofungidzirwa iwo anokonzeresa kudzipwa, zvinoenderana StatPearls.

Iwe unogona zvakare kuve neyechikadzi hernia uye inguinal imwe. Nekuda kweizvozvo, vazhinji vanopa hutano vanozokurudzira kurapa.

Ungazvichengeta sei

Mamwe echikadzi hernias anogona kusakonzera zviratidzo.

Kana iwe ukacherekedza kubhidha mukati mekugomera kwako, uko kwehunhu hwechikadzi kunowanzoitika, taura nemupi wako wezvehutano.

Izvo zvakakosha kuti uwane femoral hernia kuongororwa. Kana hernia ikadzipwa, njodzi yekufa, sekureva kwechinyorwa chakaburitswa mumagazini Annals of Surgery.

Epigastric hernia mufananidzo

Chii icho

Epigastric hernias inoitika zvishoma pamusoro pebhokisi dumbu uye pazasi pembabvu.

Epigastric hernia inogona kuitika muhuwandu hwehuwandu hwevanhu, kusanganisira vana nevakuru, maererano nechinyorwa chiri mumagazini Hernia.

Nepo mhando idzi dzehernias dzisingagare dzichikonzera zviratidzo, unogona kukwanisa kunzwa bundu diki kana huremu hunogona kunzwa hunyoro dzimwe nguva.

Inorapwa sei

Kugadzira zvekuvhiya ndiyo chete "yekurapa" kwechokwadi epigastric hernia. Anopa hutano anogona kugara asingakurudzire kurapa hernia kana isiri kukonzera zviratidzo uye iri diki muhukuru.

Ungazvichengeta sei

Iwe unogona kuongorora saizi yehernia yako uye kuzivisa wako mupi wehutano kana ichiratidzika kunge iri kukura kana kutanga kukonzera zviratidzo.

Tsvaga kurapwa kwekukurumidzira kana iwe uine zviratidzo zvakadai se:

• kurwadziwa
• unyoro
• matambudziko ane hutumbu

Umbilical hernia mufananidzo

Chii icho

Rukuvhute mhembwe chihera chinoitika padhuze nedumbu.

Mamiriro acho anowanzoitika muvana, kazhinji achienda nezera rechina.

Muvanhu vakuru, inofungidzirwa kuti makumi mapfumbamwe muzana anowanikwa, kazhinji nekuda kwekumanikidzwa kubva mukukosora kana kumanikidza kana uchiita ura, sekureva kweAmerican College of Surgeons.

Inorapwa sei

Kana munhu achikwanisa kusundira hernia kumashure painobuda (ichi chinonzi "chinodzora" hernia), mupi wezvehutano anogona kusakurudzira kuvhiyiwa kuti agadzirise.

Nekudaro, iyo chete nzira yekurapa zvechokwadi hernia ndeyekuvhiya.

Ungazvichengeta sei

Chengetedza hernia uye kukura kwayo. Kana iwe usingakwanise kusundira hernia kumashure mukati kana kuti inotanga kukura zvakanyanya, udza wako mupi wezvehutano.

Tsvaga kurapwa kwekukurumidzira kana iwe uine zviratidzo zvakadai sekurwadziwa kamwe kamwe uye kurutsa sezvo izvi zvinogona kuratidza kuti hernia yakadzipwa kana kuvharirwa.

Inguinal hernia mufananidzo

Chii icho

Inguinal hernia inoitika kana paine chikamu chisina kusimba mumadziro epazasi emimba. Kazhinji, mafuta kana ura hudiki hunogona kubuda mukati.

Vamwe vakadzi vanogona kuve neovary inopinda nepakati pemadziro edumbu. Varume vanogona kuve neiyo inguinal hernia iyo inobata yavo testes kana scrotum.

Mazhinji inguinal hernias anoumba kurudyi, maererano neNational Institute of Diabetes uye Digestive uye Kidney Zvirwere (NIDDK).

Inguinal hernia inowanzoitika kune vacheche uye avo makore makumi manomwe kusvika makumi masere.

Inorapwa sei

Anopa hutano anozonyanya kukurudzira kuvhiyiwa kugadzirisa inguinal hernia. Izvi zvinoderedza njodzi yekuti hernia inozodzipwa nekukuvadza ura kana dzimwe nhengo dzakakomberedza.

Kana munhu asina zviratidzo, mupi wezvehutano anogona kukurudzira kunyatso tarisa hernia.

Nekudaro, iyo NIDDK inoshuma kuti vazhinji varume vanononoka inguinal hernia kuvhiyiwa vanogona kusangana nekuwedzera zviratidzo kana kuda kuvhiyiwa mukati memakore mashanu ekutanga kuve nezviratidzo.

Ungazvichengeta sei

Kana iwe ukasarudza kusavhiyiwa pane yako inguinal hernia, tarisa saizi yayo uye udza wako mupi wezvehutano kana iwe ukatanga kuve nekurwadziwa uye kusagadzikana neiyo hernia.

Tsvaga kurapwa kwekukurumidzira kana iwe uine:

• kurwadziwa kwakanyanya kana kugara
• kurutsa
• matambudziko kuenda kuchimbuzi

Kutora

Hernia inogona kukonzera mhando dzakasiyana dzezviratidzo.

Zviratidzo zvinogona kubva pane bundu diki iwe raunogona kunzwa dzimwe nguva (kazhinji kana uchisimuka) kuenda kunzvimbo inokonzeresa kurwadziwa nekuti nyama inokomberedza kana kurasikirwa neropa kuyerera kana ichipfuura nepafascia.

Iwe unogona zvakare kuve nehernia iyo yausingakwanise kunzwa, senge yekuzvarwa hernia mudumbu remudumbu.

Mhando dzakasiyana dzerudzi dziripo. Muzviitiko zvakawanda, kuvhiya ndiyo chete nzira yekurapa hernia.

Usaregeredza zviratidzo zvakaita sekurwadziwa kana kusvotwa zvine chekuita nehusope. Ivo vanogona kuratidza kuti nyama yako haisi kuwana yakakwana kuyerera kweropa.