Zvinokonzera Kushungurudzika Kunogara Kwemarefu Kupfuura Mwedzi mitatu
Imwe yezvinetso zvinogumbura zvinoshandiswa pakuvhiya kwake ndezvekusagadzikana kwemashure kunokonzera kushanda kunogona kuitika dzimwe nguva. Izvo zvose zvinonzwisisika uye kukurira kwakapiwa kuti kuvhiyiwa kwaireva kubvisa marwadzo, kwete kuwedzera kwairi.
Nenguva isipi, mune zvese kunze kwezviitiko zvishomanana, kurwadziwa hakusi kwekusingaperi uye pakupedzisira kugadzirisa pachako. Zvinotora nguva yakareba sei zvichienderana nezera remunhu, rudzi rwekuvhiya anoshandiswa, nzvimbo uye chiyero chemaharai, uye hutano hwakakwana hwomumwe munhu.
Kunzwisisa Post-Herniorraphy Neuralgia
Chronic postoperative henia pain, inozivikanwawo se-post-herniorrhaphy neuralgia, inotsanangurwa sehutano hunokonzerwa nehutano hunopfuurira kwemwedzi inopfuura mitatu uye husingaenderani nedzimwe zvikonzero.
Izvo hazvisi zvese zvisingashamisi mamiriro ezvinhu, kunyanya kune avo vakagadzirira inguinal (groin) hernia chirurgic. Zvichienderana nedzipi zvidzidzo zvaunotaurira, zviitiko zvinogona kunge zvakaderera sepfumbamwe kubva muzana kana zvakakwirira se 62 muzana. Mune zvimwe zviitiko, kurwadziwa kunogona kuva kwakanyanya sekupindira nekufamba, kugara, kana kurara.
Marwadzo anowanzokonzerwa kana noutsi dzichikuvadzwa kana kuti dzakabatwa mu sutures, staples, kana meshonga yekuvhiya. Zvinorwadza zvinoguma zvinonzi seuropathy uye zvinogona kuratidza nekutema kupfura uye / kana kupisa, kurira, kupera, kana pini-uye-nenyuchi kunzwa.
Huri kurwadziwa kunogonawo kuva somatic , kureva kuti yakabatana neganda, mishonga, kana kuti mavara panzvimbo pemitsipa.
Kana imwe yeiyi ichinyorwa panguva yekuvhiyiwa, inogona kuita kuti usakanganwe kugunzva, kuputa, kana kuvhomora manzwiro, kazhinji nekufamba. Nguva uye kurovedza muviri kazhinji ndiyo nzira yakanakisisa yekukunda marwadzo eizvi. Hazviwanzogara kwenguva refu.
Ngozi ye Postoperative Hernia Neuralgia
Dambudziko rekugara kwenguva refu neopergia neuralgia mushure mekuvhiyiwa kunogona kusiyana asi kunogona kusanganisira:
- Muduku
- Kuva mukadzi (kunyange pasina munhu ane chokwadi nei)
- Akave nekuvhiyiwa mukati memakore matatu apfuura
- Anovhiyiwa kuzogadzira chirwere chekare chinonzi chirwere
- Kubatanidzwa kweIrishypogastric nerve iyo inopa manzwiro kumabako uye mudumbu
- Kugadziriswa kwekare (pedyo ne midline) hernia
- Kuvharirwa kana zvimwe zvinetso zvepasipo
- Pre-iripo neuropathy
Pakati idzi, zera rinoratidzika kuva chinhu chikuru chikuru. Kutaura zvazviri, kumwe kuongorora kwakawana kuti 58 kubva muzana yevanhu pasi pemakumi mana vakange vakaramba vachiita, mushure mekushaya marwadzo ekuenzanisa kana vachienzaniswa ne14 muzana kupfuura 60. Izvi zvinokonzerwa nekuti vechidiki vari kushingaira kudarika vanhu vakwegura.
Kurapa Postoperative Hernia Neuralgia
Kurwara mushure mekunyanya kunetseka kunowanzobatwa nekuchengetedzeka ne-over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDS) yakadai se ibuprofen kana naproxen. Uturu hwakanyanya hunogona kudikanwa mishonga inonzi opioid mishonga.
Kana izvi zvikakundikana kupa ruzivo, chiremba angakurudzira kupisa kwemajeri umo magetsi emagetsi anokonzerwa nemasaisai eredhiyo anoshandiswa kugadzirisa nzira nzira, zvichiita kuti kuderedza zviratidzo zvinorwadza kubva munzvimbo iyoyo.
Chinhu chiduku chisingaoneki chechi ichi chinonzi nerve block uye chinosanganisira kushandiswa kwemajoini anesthetic kupedza zvishoma zviratidzo zvinorwadza.
Shoko Rinobva
Kunyange zvazvo kurwadziwa kusingaperi kwemashure kunogona kukanganisa mararamiro ako uye hutano hwehupenyu, zvinokosha kuyeuka kuti hazviwanzo hupenyu husingaperi. Munenge makapoteredza makumi matatu ematatu ematambudziko, marwadzo acho achapera ari oga mumwedzi mitanhatu. Mushure memakore mashanu, vashoma kupfuura vatatu kubva muzana vevarwere vanoramba vachibatwa.
Kunyange zvazvo mishonga inogona kubvisa zviratidzo zvakawanda, kurovedza muviri kunogona kuwedzera kupararira uye kuchinja, izvo zvose zvingabatsira kuderedza marwadzo kwenguva refu. Kugara zvakadaro hazviiti. Uyezve, kubudisa mamwe mapaundi aya kunogona kubatsira kubvisa kuora-kunokonzera kushungurudzika, zvikurukuru mukunaya kana panzvimbo yeplavic.
Pakupedzisira, mararamiro akanaka ekuita sarudzo haangokugadziri hutano, inogona kuvandudza mafungiro ako nekukupa nzira dzekubatsira kutsungirira kurwadziwa kunoramba kuripo.
Sources:
> Hakeem, A. uye Shanmugam, V. "Maitiro ano iye zvino mukuongororwa uye kutungamirirwa kwemashure-herniorraphy isingaperi kurwadziwa." World J Gastrointest Surg. 2011; 3 (6): 73-81. DOI: 10.4240 / wjgs.v3.i6.73.
> Somaiah, A. uye Spence, R .. "Kurapa Kusingaperi Mushure mekuvhiya kweHernia - Mvumo Yakagadziriswa Issue." Ulster Med J. 2007; 76 (3): 136-40.PMCID: PMC2075594