Munyori: Marcus Baldwin
Zuva Rekusika: 13 Chikumi 2021
Gadziridza Zuva: 16 Mbudzi 2024
Anonim
Chii chinonzi umbilical hernia, zviratidzo, kuongororwa uye kurapwa - Utano
Chii chinonzi umbilical hernia, zviratidzo, kuongororwa uye kurapwa - Utano

Zvemukati

Umbilical hernia, inonziwo hernia mu umbilicus, inoenderana nekuratidzira kunoonekwa mudunhu remboro uye kunoumbwa nemafuta kana chikamu chemuura chakakwanisa kupfuura nemudumbu remudumbu. Mhando yehernia iyi inowanzoitika muvana, asi inogona zvakare kuitika kune vanhu vakuru, uye inogona kucherechedzwa kana munhu achisimbisa dumbu remudumbu pavanenge vachiseka, vachisimudza huremu, vachikosora kana kushandisa mbichana kuti vabude, semuenzaniso.

Kazhinji yenguva iyo hernia iri muguvhu haitungamire pakuonekwa kwezviratidzo, zvisinei kana iri yakakura kwazvo munhu anogona kunzwa kurwadziwa, kusagadzikana uye kusvotwa, kunyanya kana achisimudza zvirema, kumanikidza tsandanyama dzemudumbu kana kumira kwenguva refu. nguva. Kunyange haro umbilical isingatariswe seyakakomba, zvakakosha kuti ionekwe nekurapwa kuitira kuti matambudziko adzivirike. Dzidza zvakawanda nezve hernias.

Zviratidzo zvikuru

Chiratidzo chikuru uye chiratidzo chinoratidzira umbilical hernia ndiko kuvapo kwebundu munzvimbo yeguvhu iyo inogona kukonzeresa kurwadziwa uye kusagadzikana. Uye zvakare, kana hernia iri yakakura, zvinokwanisika kuti zvimwe zviratidzo nezviratidzo, senge kusvotwa uye kurutsa, zvinogona kuoneka pakuedza uye nekuonekwa kwemapundu madiki ayo anogona kumira kana munhu akamira, asi ayo anonyangarika kana akarara pasi .


Zviratidzo zvembilical hernia mumwana

Kazhinji, vacheche vanokudziridza zviratidzo zvakafanana nevakuru, uye hernia inoonekwa kunyanya mushure mekugumburwa kwechigunun'unu mushure mekuzvarwa. Iyo hernia inowanzo dzokera kune yakajairwa yega kusvika makore mashanu ekuberekwa, zvisinei zvakakosha kuti mwana aongororwe nachiremba wevana kana aine umbilical hernia.

Kunyangwe pasina kuratidza zviratidzo zvekurwadziwa, vana vanofanirwa kuendeswa kuna chiremba wevana kuti vaongorore kukura kwedambudziko, nekuti kana rakanyanya uye risingarapwe, hernia inogona kukura uye kubatwa muvhuru rembilical, zvichizoguma nehusungwa umbilical hernia, iyo inogona kuisa yemwana hupenyu huri panjodzi, hunoda kuvhiyiwa nekukurumidza.

Kazhinji, kurapwa kweumbilical hernia muvacheche kunogona kuitwa nekuisa bhandeji kana bhandiji kumanikidza guvhu mukati medumbu mhango. Nekudaro, kana iyo umbilical hernia yakakura kwazvo kana ikasatsakatika kusvika zera ramakore mashanu, chiremba wevana anogona kukurudzira kuita kuvhiya kugadzirisa dambudziko.


Umbilical hernia pakubata

Umbilical hernia pakubata inowanzoitika kune vakadzi vaive nehernias vachiri vana, sezvo kuwedzera kwekumanikidza mukati memimba yemukadzi ane nhumbu kunokonzeresa kuvhurika musumbu remudumbu, iro raive ratotetepa, zvichibvumira kubhururuka kwechikamu chidiki.

Kazhinji, umbilical hernia haina njodzi kumwana, haina kukanganisa hutano hwaamai, uye haidzivise kusununguka. Zvichienderana nesaizi yeiyo hernia, chiremba mukuru kana chiremba wepamuviri anogona kukurudzira kushandiswa kwesimbi panguva yekuzvitakura uye anozoongorora mukana wekuvhiyiwa kugadzirisa umbilical hernia mushure mekusununguka kana panguva yechizarira chikamu.

Ndiani angangodaro ave

Zvimwe zvinhu zvinogona kufarira kuumbwa kwemubilical hernias, senge nhoroondo yemhuri yehernias, cystic fibrosis, cryptorchidism, vacheche vasati vazvarwa, nhumbu, kufutisa, shanduko murethra, dysplasia yekukura kwehudyu uye zvakanyanya kuita nesimba. Uye zvakare, kuonekera kwembilical hernia kunowanzoitika kune vakomana vatema nevana.


Maitiro ekuongororwa kunoitwa

Kuongororwa kwembilical hernia kunoitwa kubva pakuongororwa kwezviratidzo nezviratidzo zvinoratidzwa nemunhu, kuwedzera pakuona uye kubatika kwenzvimbo yemumbilicus. Uye zvakare, chiremba anogona kukurudzira kuita ultrasound yemudumbu mudumbu kuti aongorore kukura kwehernia uye kutarisa njodzi yematambudziko.

Kana umbilical hernia inogona kuomarara

Umbilical hernia haiwanzo kuita chikonzero chekushushikana, asi kana ikaramba yakamira, mamiriro anonzi umbilical hernia kuvharirwa, kunoitika kana ura hwasungwa mukati mehernia uye husisakwanise kudzokera mudumbu, kuvhiyiwa kunofanirwa kuitwa nekukasira. Nekuda kweizvi, munhu wese ane umbilical hernia anofanirwa kuvhiyiwa kuti abvise.

Pane kukurumidza kuita oparesheni nekuti chikamu chemuura chakanamatira chinogona kunge chakakanganisa kutenderera kweropa, pamwe nekufa kwetishu, iyo inoda kubviswa. Iko kusanzwanana kunogona kukanganisa vanhu vane hombe kana diki hernias mu umbilicus, uye haigone kufungidzirwa, uye zvinogona kuitika kune vanhu vane hernia kwezuva rimwe kana kwemakore mazhinji.

Zviratidzo zvekuti umbilical hernia yakavharirwa marwadzo akakomba echiguvhu anogara maawa akati wandei. Ura hunogona kumira kushanda uye dumbu rinogona kuzvimba zvakanyanya. Nausea uye kurutsa zvinowanzo kuve zviripo.

Kurapa kunoitwa sei

Umbilical hernia kuvhiyiwa, inonziwo herniorrhaphy, ndiyo nzira inoshanda yekurapa umbilical hernia uye inoitwa nechinangwa chekugadzirisa dambudziko uye kudzivirira kunetseka, senge hutumbu hwemukati kana kufa kwetishu nekuda kwekushandurwa kweropa mudunhu.

Rudzi rwekuvhiya iri nyore, runogona kuitwa kuvana kubva pamakore mashanu ezera uye runowanikwa neSUS. Herniorrhaphy inogona kuitwa nenzira mbiri:

  1. Videolaparoscopy, kuti zvinoitwa pasi peanesthesia uye 3 zvidiki zvidimbu zvinoitwa mudumbu kubvumidza kupinda kweiyo microcamera uye zvimwe zvekurapa zviridzwa zvinodiwa kugadzirisa mamiriro acho;
  2. Cheka mudumbu, inoitwa pasi pechirwere chepfungwa uye kuvhunika kunoitwa mudumbu kuitira kuti hernia isundirwe mudumbu uye ipapo madziro emudumbu anovharwa nezvisungo.

Kazhinji panguva yekuvhiyiwa, chiremba anoisa mesh yekudzivirira kana mesh panzvimbo kuitira kudzivirira hernia kubva pakudzokororazve uye kuve nekusimbiswa kukuru kwemadziro emudumbu. Nzwisisa kuti kupora kwakaita sei mushure mekuvhiyiwa.

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