Chii Chikadzi Hernia
Overview
Hondo yevakadzi inoitika apo utera huri mumuviri weguruva hunoita kuti mumumbu uwedzere. Chiratidzo chekutanga chechikadzi chechikadzi chinowanzonyatsotsanangurwa munzvimbo yekunze kana panzvimbo yepamusoro. Kazhinji chinhu chinowedzera kwenguva, kwete chimwe chinhu icho munhu anozvarwa nacho.
Zvinogona kuva zvakaoma kuziva kana chinzvimbo chechikadzi chikafu chechikadzi kana kuti chikafu chinoputika.
Zvinongoparadzaniswa nenzvimbo yavo maererano ne inguinal ligament. A hernia munharaunda yekumera iyo iri pamusoro pekugadzirisa mutsara inonzi hernia inguinal ; pasi peiyo ligament, iyo inhengo yevakadzi. Inowanzotora nyanzvi kuti aone kuti mhando ipi yeropa iripo uye inogona kuonekwa chete kana chirwere chinotanga.
Nzvimbo yechisimba yevakadzi inogona kunge yakawanda zvokuti ndiyo chete peritoneum, kana chigadziko chemuviri wepamuviri, inopfuurira kuburikidza nemadziro emasumbu . Mune zviitiko zvakakomba, zvikamu zvemukati zvinogona kufamba mumugero uri musumbu.
Zvinokonzera
Kudzokorora kana kuramba uchiomesa kuti uve nechikwata chinokonzera mhuka kunogona kukonzera chirwere, chinogona kukonzera kuti urinate, sezvinowanzoitika nezvinetso zveprostate . Chirwere chisingaverengeki , kubva kumapfupa emapapu kana kubva kusvuta, chinogona kuwedzera mikana yekukudziridza tsvina. Kuwedzera muviri kunogona kuwedzera mungozi yekudzidzira hutsika asi kuora muviri kunogona kudzivirira hutachiona kubva pakuumba kana kukura muhukuru.
Risk Factors
Vakadzi vevakadzi vanowanzoonekwa kune vakadzi, kunyange zvazvo vanogona kukura mune varume nevana. Vakadzi vakwegura nevadzimai avo vaduku zvikuru kana vakaonda ndivo vari pangozi yekukudziridza hupfumi hwevakadzi.
Zviratidzo
Nharaunda yechikadzi haizoporeri pachayo uye inoda kuvhiyiwa kuti igadziriswe. Pakutanga, hutachiona hunogona kunge huri chiduku chiduku mumupura asi unogona kukura zvakakura kupfuura nguva.
Inogona kuonekwa zvakare kukura uye kukanganisa nemabasa akasiyana. Kuwedzera kwekumanikidzwa kwemuviri panguva yezviitiko zvakadai sokumanikidzira kuti uve nechikwata chemuviri kana kusvetuka kunogona kukonzera hutumbu huzhinji munzvimbo inonzi herniated, zvichiita kuti hernia ione kukura kwechinguva
Apo Icho Chine Ngozi
Nhengo inowanikwa yakanamatira mu "kunze" nzvimbo inonzi yakasungwa. Ichi chisungo chakajairika chevakadzi vevakadzi uye apo hupfumi huri mujeri hahusi hurumende, hunofanira kutariswa, uye kurapwa kwechiremba kunofanira kushandiswa. Nharaunda yakapfigirwa INHU inotambudza kana ikava "yakarongedzwa" yakasvibiswa apo mhuka dzinenge dzichiri kunze kwemuviri dzinenge dzichiziya nenzara yeropa. Izvi zvinogona kukonzera rufu rwechigunyu chiri kukurira kuburikidza nehupfumi.
A hernia yakakanganisika inogona kuonekwa nehupamhi tsvuku kana ruvara rwepepuru rwehutu hunotapira. Inogona kuendeswa nekutambudzika kwakanyanya, asi haisi nguva dzose inorwadza. Nausea, kurutsa, chirwere uye kuvhara mumimba kunogonawo kuvapo.
Kurapa
Chishuwo chechikadzi chirongwa chekuvhiya chinowanzoitwa kuburikidza nekushandiswa kweaneshesia uye zvinogona kuitwa kune munhu anenge asina chirwere chepfungwa kana chepakati . Kuvhiyiwa kunoitwa nechiremba mukuru kana chiremba -rectal specialist .
Kana imwe nguva anesthesia inopiwa, kuvhiyiwa kunotanga nekukanganiswa kune rumwe rutivi rwemunda. A laparoscope inowanikwa mune imwe incision, uye imwe incision inoshandiswa kune zvimwe zvinoshandiswa pakuvhiya. Chiremba wacho anobva azviparadzanisa chikamu chemuviri wechipfuva chiri kupfurikidza nemumutsipa. Iyi mhuka inonzi " hernia sac ." Chiremba anovhiya anodzosera sheya yeka hereni panzvimbo yakakodzera mukati memuviri, uye anotanga kugadzirisa kukanganisa kwemisimba.
Kana chiremera chiri mumutsipa chiri chiduku, chinogona kukanganiswa chakavharwa. Izvo sutures zvicharamba zviri munzvimbo inogara nekusingaperi, zvichidzivirira kuti pfuma isadzoke.
Nokuda kwezviremera zvakakura, chiremba anokwanisa kufunga kuti kusunungura hakukwani. Muchiitiko ichi, mesh graft ichashandiswa kuvhara gomba. Mesh ndeyekusingaperi uye inodzivisa kuti hernia idzoke, kunyange zvazvo chirema ichi chikaramba chakazaruka.
Kana suture nzira inoshandiswa nehukuru hutsika hutachiona (anenge hukuru hweyendima kana yakakura), mukana wekuti reoccurrence unowedzera. Kushandiswa kwemashizha mumakwenzi makuru ehurumende ndiyo yemhando yekurapa, asi zvingave zvisina kukodzera kana murwere ane nhoroondo yekuramba kushandiswa kwekuvhiya kana mamiriro ezvinhu anodzivirira kushandiswa kwemashizha.
Kana kamwe mesh inenge iri panzvimbo kana kuti musuru wange wakagadzirwa, laparoscope inobviswa uye kuvharwa kunogona kuvharwa. Iyo incision inogona kuvharwa mune imwe yenzira dzakawanda. Iyo inogona kuvharwa ne sutures iyo inobviswa pakutevera kushanya nechiremba, chimiro chakakosha cheglue chinoshandiswa kuchengetedza kuvharwa kwakavharwa pasina sutures, kana mabhanji mashoma anonzi steri-strips.
Kudzorera
Nzvimbo dzakawanda hutachiona hwevarume vanokwanisa kudzokera kumabasa avo akagara mukati memavhiki maviri kusvika mana. Nharaunda yacho ichave ine nyoro, kunyanya kwevhiki yekutanga. Munguva ino, iyo incision inofanira kuchengetedzwa panguva yebasa rinowedzera mimba yekumanikidza nekushanda zvakasimba asi kunyorovesa kumanikidza pamusoro pekutsvaira mutsara.
Zviito zvinoratidza kuiswa kunofanira kuchengetedzwa zvinosanganisira:
- Kufamba kubva panzvimbo inoreva nhema kune imwe nzvimbo yakagara, kana kubva panzvimbo yakagadzika kuti imire
- Sneezing
- Kuchema
- Kupera pasi panguva yekufamba kwechirwere
- Kudzora
Chinhu
> Femoral Hernia. National Institutes of Health http://www.nlm.nih.gov/medlineplus/ency/001136.htm