Hernia Surgery In Detail
A hernia inoitika kana paine gomba kana utera mune musumbu inobvumira nhengo kana mhuka kuti dziwedzere kuburikidza nechirema. Hernias inotarisa zvakanyanya kubva zvisingaonekwi nehupenyu hunotyisidzira, zvichienderana nekukura kwechirema uye nhengo dzinobatanidzwa. Mune zvimwe zviitiko, hernia chirwere chinoshandiswa kubvisa zvinoshungurudza kana kusingaoneki; mune dzimwe nguva, nhengo yakakomba yomuviri inogona kuitika kana chirwere chisina kuitwa pakarepo kugadzirisa dambudziko racho.
Aina
Ikoko inogona kuitika munzvimbo dzakawanda dzomuviri. Yakazara, kunyange zvakadaro, iri mudumbu uye munzvimbo dzinogomera.
- Inguinal Hernia ndeimwe yemhando mbiri dzemakwenzi ake anowanikwa mumugwagwa.
- Incisional Hernia inoumba pamwe chete nenzvimbo yekubatwa kwekuvhiya.
- Epigastric Hernia ndeimwe yemhando dzemakumbo emimba dzinoumbwa pakati pebhokisi reimba uye chifuva.
- Umbilical Hernia inoumba pedyo nembilicus kana bongo bhatani.
- Mukadzikadzi Hernia ndeimwe yemhando mbiri dzemakwenzi ake anoumba mumupura.
- Congenital Diaphragmatic Hernia (CDH) inorudzi rwehutano huripo pakuberekwa kunogona kubvumira nhengo dzemaviri kuti dzipinde mubhokisi.
- Hiatal Hernia inobvumira kuti dumbu ripinde mukati memapfupa.
Mitemo Yakafanana
Pane mitemo yakawanda inoshandiswa apo shenia inorondedzerwa kurondedzera kuoma uye mhuka yechibereko.
Mamwe maitiro emaronda anoshandura muhupamhi kana simba remuviri richiwedzera.
Kushushikana kwepamuviri kunowedzera nemabasa, zvakadai sekukanganiswa kana kunyunyuta, kuchema (vana) uye kutakura kuti uve nechirwere chemuviri. Nhengo dzomukati dzinobhururuka kunze kwekumanikidzwa kwepamuviri asi dzinodzoka mukati memuviri apo kushungurudzwa kwapera uye nekuninipiswa kwakanyanyisa kunobva kune imwe, kunonzi reducible.
Hernias inoramba iri munzvimbo "kunze" inonzi "irreducible."
An herden irreducible inonziwo "akaiswa mutirongo" hernia. Izvi zvinogona kuva dambudziko kana ichitanga "kuparadzanisa," zvichireva kuti chigamba chinoparara chinorasikirwa neropa. Imwe nyanzvi yakakanganiswa ndeyekukurumidzira.
A hernia inogona kuva basa raunowana, zvinoreva kuti rinokura nezera, kana nekuda kwekuvhiyiwa kana nzira. Chirwere chekuberekwa chiripo pakuberekwa, uye kunozivikanwa sekuremara kwekuberekwa.
Nguva Yokudaidza Chiremba
Nhengo yake inotyisa inenge iine hutambu hwakanyanya panzvimbo ino, iyo inowanzokonzerwa nekushayikwa kweropa kunopinda kumeso kunotenderera kuburikidza nemusemu. Kushandurwa kwemuvara wehaini kunogona kuratidzawo dambudziko rakakomba. Inogona kuve yakasviba, zvichireva kuti ichine mvere kana yakajeka muvara, kana inogona kuva yakaita tsvuku kana yepepuru. Aya mavara emararamiro anokwanisa kuratidza kuti kubuda kweropa kwakagurwa uye hernia iri kuchenesa.
Mushure mekuvhiya
Mamwe maitiro emaronda anokwanisa kudzivirirwa. Imwe yenzira dzakanyanyisa yekudzivirira inonzi incisional hernia ndeyokudzivirira kuvhara chirwere apo ichirapa. Izvi zvinoreva kuti kana iwe uchikwira kubva panzvimbo yakagara, unofanirwa kana kuti ufukidze kana uri kutakura kubva muchikwata chemafupa, unofanirwa kubatisisa kuomeswa kwekudzidzira kusvikira basa rapera.
Imwe nzira inokosha yekudzivirira inonzi incisional hernia ndeyekutevera mirairo yechiremba, pamusoro pekureba kwenguva yakareba sei kusimudza chero chinhu, kunyanya zvinhu zvinorema.
Pakusimudza Zvinhu
Mimwe mhando yemariniya inogona kukonzerwa kana kuwedzerwa zvakanyanya nekusimudza zvinhu zvakaoma nemaitiro asina kunaka. Kushandisa nzira dzakanaka, dzakadai sokushandisa mitsipa yako yemakumbo kusimuka panzvimbo yekushandisa musana wako kana mitsipa yemakumbo, inogona kubatsira kudzivirira mamwe marudzi emaronda. Kana iwe wakambosimudza chimwe chinhu chakakura uye ukaita kuti mumwe munhu ati, "Uchazozvipa pfuma," ungada kuongorora nzira yaunosimudza zvinhu zvinorema.
Kudzorera
Ikoko hakuna kuzowanikwa kwakakwana kubva kunzvimbo yake yekuvhiya sezvo kune marudzi akawanda emakwenzi ake.
Zvimwe zvipfeko zvekuvhiya zvakakura uye zvakanyatsogadziriswa, asi zvimwe zvinogona kuitwa kunze kwepfungwa nemurwere achidzoka kumba musi iwoyo.
Zvimwe Zveruzivo: Mhinduro kumibvunzo yakawanda pashure pekuvhiya
> Sources:
> Congenital Diaphragmatic Hernia. University of Michigan Health System. http://surgery.med.umich.edu/pediatric/clinical/physician_content/am/congenital_diaphragmatic.shtml
> Diaphragmatic Hernias. The Lucile Packard Children's Hospital iri kuStanford http://www.lpch.org/diseasehealthinfo/healthlibrary/digest/diaphrag.html
> Hernia Surgery. National Institutes of Health http://www.nlm.nih.gov/medlineplus/ency/article/002935.htm