Chii chinonzi inguinal herniorrhaphy uye zvinoitwa sei?

Zvemukati

• Kugadzirira kunofanira kunge kuri
• Kuvhiyiwa kunoitwa sei
• 1. Vhura inguinal herniorrhaphy
• 2. Inguinal herniorrhaphy ne laparoscopy
• Kuchengeta mushure mekuvhiyiwa
• Zvinogona kuitika

Inguinal herniorrhaphy ndiko kuvhiya kwekurapa inguinal hernia, inova bundu munzvimbo yekugomera inokonzerwa nechikamu chemuura chinosiya mukati memadziro edumbu nekuda kwekuzorora kwetsandanyama munzvimbo ino.

Kuvhiya uku kunofanirwa kuitwa nekukurumidza apo inguinal hernia inoonekwa, kuitira kuti pasave nekudzipwa kwematumbo umo kushomeka kweropa kunotenderera muura kunotungamira kuzviratidzo zvekurutsa nekurwadziwa kwakanyanya. Ona kuti ndezvipi zviratidzo zvenguinal hernia.

Asati aita inguinal herniorrhaphy, chiremba anovhiya anogona kukumbira kuongororwa kweropa nekufungidzira kuti aongorore hutano hwemunhu uye, zvichienderana nesaizi yeiyo hernia, comorbidities uye zera remunhu, kuvhurwa kana kuvhenekwa vhidhiyo kucharatidzwa. Mushure mekuvhiya, zororo remazuva matatu rinokurudzirwa uye kutyaira uye kurema kunofanirwa kudzivirirwa kwemavhiki mana kusvika matanhatu.

Kugadzirira kunofanira kunge kuri

Asati aita inguinal herniorrhaphy, chiremba anogona kuraira akateedzana bvunzo, senge kuverenga kweropa, coagulogram, glucose yeropa uye neitsvo mabvunzo ebasa anozoshandiswa kuongorora mamiriro ehutano hwemunhu.

Anesthesiologist achaitawo ongororo yehutano hwemunhu, kuwedzera kuunganidza ruzivo nezvehuremu, kukwirira, zvinokwanisika kurwara uye mishonga inowanzo shandiswa. Zvinogona kukurudzirwa kushandisa mabhanhire emudumbu uye mabhendi kuve neiyo inguinal hernia kusvika zuva rekuvhiyiwa, kudzivirira kuwedzera kwechiitiko.

Zuva rapamberi pekuvhiyiwa, zvakafanira kuti usanyanya kuita zviitiko zvemuviri zvakanyanya uye kana munhu akatora mushonga weanticoagulant, uyo unoshanda ku "onda "ropa, chiremba anokurudzira kurega kuitora usati wavhiyiwa. Uye zvakare, zvinokurudzirwa kuti utsanye kubva kumaawa masere kusvika gumi nemaviri eiyo inguinal herniorrhaphy.

Kuvhiyiwa kunoitwa sei

Inguinal herniorrhaphy inogona kuitwa nenzira mbiri zvichienderana nehutano hwemunhu uye kuomarara kwehernia:

1. Vhura inguinal herniorrhaphy

Muzviitiko zvakawanda, yakavhurika inguinal herniorrhaphy inoitwa pasi pehutachiona hweanesthesia, iyo inoiswa kumutsipa wepelinha uye inobvisa kunzwisisika chete kubva kuzasi chikamu chemuviri, zvisinei, inogona zvakare kuitwa pasi peanesthesia yemuno. Mukuvhiya uku, chiremba anovhiya anoita kucheka, kunzi kucheka, munzvimbo yekugomera uyezve kunounza chikamu chemuura chiri kunze kwedumbu.

Kazhinji, chiremba anovhiya anosimbisa mhasuru munzvimbo yekugomera nerubatsiro rwembambo yekugadzira, kudzivirira hernia kuti isadzokera kunzvimbo imwechete. Izvo zvinhu zveiyi kanivhasi yakagadzirwa ne polypropylene uye inonwiswa zviri nyore nemuviri, iine njodzi yakaderera yekurambwa.

2. Inguinal herniorrhaphy ne laparoscopy

Inguinal herniorrhaphy ne laparoscopy kuvhiya kunoitwa pasi peanesthesia uye inoumbwa nemaitiro ekuvhiya anoita zvidimbu zvidiki mudumbu, inosvitsa kabhoni dhayokisaidhi mudumbu uye yoisa chubhu nhete ine vhidhiyo yakabatana kamera.

Kubva pamifananidzo yakaburitswa pane yekutarisa, chiremba anovhiya anoshandisa zviridzwa, senge zvigezi uye chigero chakanakisa, kugadzirisa hernia mudunhu renguinal, achiisa chinyorwa chekutsigira pakupera kwemaitiro. Nguva yekudzosa yerudzi urwu rwekuvhiya inowanzove ipfupi pane yekuvhiya pachena.

Vanhu vanoitwa laparoscopic kuvhiyiwa vanowanzoona kupfupika kupora nguva. Zvisinei, chiremba anogona kuona kuti laparoscopic kuvhiya haisi iyo yakanyanya kunaka sarudzo kana hernia yakakura kwazvo kana kana munhu akave nekuvhiyiwa kwepamuviri.

Kuchengeta mushure mekuvhiyiwa

Pakarepo mushure meinuinal herniorrhaphy, munhu wacho anogona kunzwa kusagadzikana munzvimbo yekugomera, asi mishonga yekudzora marwadzo ichaendeswa nekukurumidza mushure mekuita. Kazhinji yenguva, munhu anoitwa kuvhiyiwa anoiswa muchipatara kweavhareji yezuva rimwe rekucherechedzwa.

Kuti udzivise matambudziko kubva pakuvhiyiwa, zvinokurudzirwa kuti udzokere kune zvakajairwa zviitiko mushure mevhiki rimwe, dzivisa kutyaira kwemazuva mashanu, zvichiita kuti zvive zvakakosha kuti usashandise simba rakawandisa kana kuti uremu kweanenge mavhiki mana. Kuti usunungure kusagadzikana panzvimbo yekuvhiya, unogona kuisa chando kurongedza kwemaawa ekutanga makumi mana nemasere, kaviri pazuva kwemaminitsi gumi.

Uye zvakare, chiremba anogona kuratidza kushandiswa kwetambo dzepamuviri kana mabhanhire ekudzivirira kuti hernia isadzokezve kusvikira saiti yanyatsopora, iyo modhi uye nguva yekushandisa kwechishongo kunoenderana nekuomarara kweiyo inguinal hernia uye mhando yekuvhiyiwa yakaitwa.

Zvinogona kuitika

Mushure mekuvhiyiwa zvakakosha kuti utarise kune zviratidzo zvezvinetso zvakaita sekubuda ropa uye kubuda kubva mukucheka, sezvo zvingangoratidza hutachiona. Matambudziko ane chekuita nekuiswa kweiyo mesh anogona kuitika, sekunamatira, kuvhara matumbo, fibrosis kana kusangana nekukuvara kumitsipa yekugomera, uye izvi zvinonyanya kuzivikanwa nekuonekwa kwekutambudzika panzvimbo yekuvhiya kunyangwe mushure mevhiki rimwe maitiro.

Chimwe chinetso chinogona kuitika nekuda kweiyo inguinal herniorrhaphy ndeyekuchengetedza weti, zvinova apo munhu wacho paanotadza kuburitsa dundira, zvisinei, mamiriro ezvinhu aya anoenderana nerudzi rweanesthesia yaishandiswa uye nehunyanzvi hwakasvikwa nachiremba. Tarisa uone zvimwe kuti chii urinary chengetedzo uye marapirwo anoitwa.