An hernia incisional inoitika apo kushaya simba mumutsipa wemuviri kunobvumira zviviri zvemuviri kuputika kuburikidza nemusana. Hemaria inoratidzika sehuputi pasi peganda uye inogona kuva inorwadza kana inononoka kumubata.
Mune mhaka yehutu husina kukwana, kushaya simba mumutsipa kunokonzerwa nekukanganiswa kwakaitwa mushure mekuvhiyiwa kwepamuviri.
Kunyora mufananidzo wakajeka: panguva yekuvhiyiwa, kusanganisa kunoitwa mumisungo inoita mudumbu. Nokuda kwechimwe chikonzero, iyo musuru haiporese, saka gaka rinosvinura sezvo mitsipa yakasimbiswa uye inosunungura panguva yemabasa. Panzvimbo yedanda rakadzika, rakasimba remisumbu, une chidimbu chemuviri unenge uine gaka duku mairi.
Mushure mechinguva, maviri ari pasi anoona kuti kune nzira yokupukunyuka kuburikidza nemisungo uye inotanga kuvhara kuburikidza nekuvhura, kusvika pavanokwanisa kunzwa pasi peganda. An her incisional hernia inowanzoita shoma zvokuti ndiyo chete peritoneum, kana chigadziko chemuviri wepamuviri, inopfuurira. Muzviitiko zvakakomba zvikamu zvezvikamu zvinogona kufamba nepakati pehuni mumutsipa, asi izvi hazvisi zvishoma.
Overview
Nhoroondo yezvipembenene zvepamimba zvakawanda inogona kuwedzera njodzi yehutachiona husina kukwana, sezvo kusanganisa kwega kwega kunopa mukana mutsva wekugadzirisa. Kana nhengo inowedzera mudumbu uye murwere asina kuve nekuvhiyiwa, haisi mutsara usina kukodzera.
Murwere anowana uremu hunokosha mushure mekuvhiyiwa kwepamuviri, anova nepamuviri, kana kuti anopindira mumabasa anoita kuti chibereko chemuviri chiwedzere (sekusimudza kwakanyanya) chiri pangozi yeinomutambo usina kumira.
Iko kunokonzera kusina simba, uye kunowanzosvika kune imwe nzvimbo, apo ichiri kuchirapa. Kunyange zvazvo incisional hernias inogona kukura kana kuwedzera kwemwedzi kana makore mushure mekuvhiyiwa, zvinowanzoitika mumwedzi 3 kusvika ku 6 mushure mekuvhiyiwa.
Kuziva
Incisional hernias inogona kuonekwa seinooneka uye inopera, iyo inonzi "reducible" hernia. Ikoko inogona kunge isingaonekwi kunze kwekuti murwere achibatanidzwa mune chimwe chinhu chinowedzera kuomeswa kwepamuviri, zvakadai sekukanganiswa, kunyorera, kusvetedza kuva nechikwata chemuviri, kana kusimudza chinhu chinorema.
Kuonekwa kwechikafu kunoita kuti zvive nyore kuongororwa, kazhinji zvinoda kusaedza kunze kwekuongorora kwemuviri nachiremba. Chiremba angakukumbira kuti iwe ufukidze kana kutakura pasi kuitira kuti uone hernia apo iri "kunze."
Kuongorora nguva dzose kunogona kuitwa kutarisa kuti chikamu chemuviri chinoshandisa sei musuru. Kana mheta yacho yakakura zvakakwana kubvumira kudarika chidimbu chemuviri chepamuviri kuti chiwedzere, kuedza kunogona kudiwa.
Kurapa
Nhengo isina kukwana inogona kunge isina zvishoma zvokuti kugadzirwa kwekugadzira isarudzo, kwete chikonzero. Kana iyo hernia yakakura, inokonzera marwadzo, kana ichikura zvishoma nezvishoma, chirwere chinogona kukurudzirwa.
Imwe nzira ndeye gumbo, nguvo inenge yakafanana nebhandi rekurema kana bhanhire, iyo inoshandisa nguva dzose kumanikidzwa kune imwe nzvimbo.
Ndivanaani Vanokanganisa Hernia An Emergency?
Nhengo inowanikwa yakanamatira mu "kunze" nzvimbo inonzi yakasungwa.
Kunyange zvazvo hupfumi huri mujeri hungave huri hurumende, kutarisira kurapwa kunofanirwa kutsvakwa, sezvo kunogona kukurumidza kuva dambudziko.
Nzvimbo yakasungwa yakava inomhanyira kana ikava "nyanzvi yakaoma," apo mhuka dzinoputika dziri kushaya nzara yeropa rayo. Asingafungi, chimiro chakakanganiswa chinogona kukonzera rufu rwemhuka inenge ichikurira 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.
Funga nezvazvo semheya yakaenzana nekunyora tambo yakapoteredza munwe wako kusvikira yakashandura ruvara rwepepuru uye inorwadza uye iwe haugone kuwana tambo yacho. A hernia yakakanganiswa ndeyekukurumidzira kwezvokurapa uye inoda kupindira kushanda nokukurumidza kuitira kudzivirira kukanganisa kumatumbo nemamwe matukisi.
Apo Mumwe Chete Anokanganisa Kuvhiya Hernia Kunokosha?
Nhengo inosanganisa inogona kudikanwa kuti ivhiwe kana:
- Inoenderera mberi kukura nekufamba kwenguva
- Icho chikuru kwazvo
- Icho chinopisa zvisingabviri
- Izvo zvinosara kunyange kana murwere akasununguka kana akarara
- Hemeni inokonzera marwadzo
Mune zvimwe zvezviitiko izvi, chisarudzo chekuve nekuvhiyiwa chiri kwauri. Iwe unogona kuve nekuvhiyiwa kana iwe uchinzwa usina kunetseka kana unonetseka pamusoro pekuti shenia anotarisa sei, somuenzaniso. Zvakanakisisa kukurukura nekuvhiyiwa kuti uwane tsanangudzo uye unzwisise nzira uye kuti chii chinoratidzika sechiri kufanana.
Surgery
Kunyanya kushandiswa chirwere chinoshandiswa chinowanzoitwa kuburikidza nekushandiswa kweaneshesia uye zvinowanikwa pane chirwere chepfungwa . Kuvhiyiwa kunowanzoitwa kuburikidza nenzira ye laparoscopic , uchishandisa zviduku zvishoma pane zvetsika, uye yakawanda, yakazaruka kuvharwa . Kuvhiya kunoitwa nechiremba mukuru kana chiremba -rectal nyanzvi .
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. Izvi zvinyorwa zvinonzi "hernia sac." Chiremba anochidzorera kunzvimbo yayo yakakodzera zvino anotanga kugadzirisa kukanganisa kwemisimba.
Kana chiremera chiri mumutsipa chiduku zvingave zvakasungirirwa zvakavharwa. 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. Iko kusungirirwa kunowanzovharwa ne sutures iyo inobviswa pakutevera kushanya nechiremba, panguva iyo imwe yeglue inoshandiswa kubata kuvharwa kwakavharwa. Zvidhinha zviduku zvinonzi ster-strips zvinogona kushandiswa zvakare.
Kudzorera
Nzvimbo dzakawanda hutachiona hwevarume vanokwanisa kudzokera kumabasa avo akagara mukati memavhiki maviri kusvika mana. Dumbu richava nyoro, kunyanya kwevhiki rokutanga. Munguva ino, iyo incision inofanira kuchengetedzwa panguva yebasa rinowedzera mimba yekumanikidza nekushanda zvakasimba asi kunyorovesa kumanikidza pamusoro pekutsvaira mutsara . Izvi zvinonyanya kukosha kune vickal hernia varwere, sezvavanenge vachifanirwa kune an incisional hernia uye vanogona kunge vari pangozi kune imwezve pane zvitsva zvitsva.
Zvishamiso panguva iyo kusanganisa kunofanira kudzivirirwa kunosanganisira:
- Kusimuka kubva panzvimbo yakagara
- Sneezing
- Kuchema
- Kupera pasi panguva yekufamba kwechirwere. Taura nechiremba wako kana iwe uchidzivirirwa mushure mekuvhiyiwa , chigadziro chechigaro chinogona kunyorwa.
- Kudzora
- Kusimudza zvinhu zvinorema
Zvakawanda zvezviitiko zvinorongwa mabasa aunenge uchiita zuva rega rega, saka kudzivisa ivo vose hakugoni kuitika. Zvisinei, zviri mukunakidza kwako kuzvibata nekuchenjerera kudzivirira mamwe matambudziko. Iva nechokwadi chekuchengeta nzira yakasununguka yekukurukurirana nachiremba wako kana iwe uchifungidzira kuti chimwe chinhu chakakanganisika.
> Sources:
> National Institutes of Health. Inguinal Hernia Surgery. 2015.