Inguinal Hernia Mushonga Unotsanangurwa
Imwe nyuchi inobereka inoitika apo kushaya simba mumutsipa weguruva kunobvumira mukati kuti iwedzere. Chiratidzo chekutanga chemunda wekwenyika inowanzova chisina kutsanangurwa chinenge chiri munzvimbo yekumera. Imwe nyanzvi inogona kunge iripo pakuberekwa kana kukura kwenguva.
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 yeiyuni iripo, uye chaiyo chaiyo yehaini inogona kunge isina kuzivikanwa kusvikira chirwere chinotanga.
Nhengo yake inoberekwa inogona kunge isina zvishoma zvokuti ndiyo chete peritoneum, kana chigadziko chemuviri wepamuviri, inopfurikidza nemadziro emasumbu . Mune zviitiko zvakakomba, zvikamu zvemukati zvinogona kufamba mumugero uri musumbu.
Zvinokonzera
Nhengo yake yakakosha inokonzerwa nekushaya simba mumusana wekumera. Inogona kuvapo pakuberekwa nekuda kwechiremera chechivi chemuviri kana chinogona kukura nekufamba kwenguva. Kudzokorora zvakasimba kuti uve nechikwata chemuviri kunogona kukonzera chirwere, chinogona kukonzera kuti urinate, seanowanzoitika nezvinetso zveprostate . Chirwere chisingaverengeki , kubva kumapfupa emapapu kana kubva pakusvuta, zvinogonawo kuita kuti zvive nyore. Kuwedzera muviri kunogona kuwedzera mikana yekukudziridza pfuma.
Kune vamwe varwere, kurasikirwa kunogona kudzivirira hutachiona kubva pakuumba kana kukura muhukuru.
Ndiani Ari Pangozi?
Inguinal hernias inowanzoonekwa nevarume, kunyange zvazvo varipo pakuberekwa kusvika kusvika 5% yevana vose. Vakadzi vanogonawo kukudziridza inguinal hernias, asi vakadzi vane pamuviri vane mungozi yakakura yekuve nehutachiona hunobudirira.
Kuonekwa uye Kurapa
Imwe nyanzvi haizorapore 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 kwepamuviri panguva yezviitiko, zvakadai sokushungurudza kuti uve nechirwere chemuviri kana kunyorera, kunogona kukonzera hutumbu huzhinji munzvimbo yakagadziriswa, zvichiita kuti hernia ione kukura kwechinguva.
Ndeipi Iyo Inotyisa?
Nhengo inowanikwa yakanamatira mu "kunze" nzvimbo inotumidzwa se "nzvimbo yakapfigirwa mujeri." Ichi chinhu chinowanzosangana ne inguinal hernias, uye apo hurumende yakasungwa haisi yekukurumidzira, inofanira kutariswa, uye kurapwa kwechiremba kunofanira kushandiswa. Nhengo yakasungwa yakadzingwa INYIKA inomhanyira kana ichisvika "iyo yakasvibiswa ," apo zvisikwa izvo zvinoputika kunze kwemuviri zvinenge zvichifa nenzara yeropa rayo. Izvi zvinogona kukonzera rufu rwechigunyu chiri kukurira kuburikidza nehupfumi.
A hernia yakakanganisika inogona kuonekwa nehupamhi tsvuku kana ruvara rwepepuru rwehutu hunotapira. Inogona kunge iri pamwe nekutambudzika kwakanyanya, asi haisi nguva dzose inorwadza. Nausea, kurutsa, chirwere uye kuvhara mumimba kunogonawo kuvapo.
Surgery
Inguinal hernia kuvhiyiwa inowanzoitwa kuburikidza nekushandiswa kweaneshesia uye inogona kuitika kune munhu anenge asina chirwere . 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 dzakasiyana-siyana: inogona kuvharwa ne sutures iyo inobviswa pakutevera kushanya nechiremba, chimiro chakanaka cheglue chinoshandiswa kuchengetedza kuvharwa kwakavharwa pasina suture kana mabhanji mashoma anonzi "steri-strips."
Kuwanazve Kubva Kuchipurira
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 nzvimbo yakagara kana kubva panzvimbo yakagadzika kuti imire
- Sneezing
- Kuchema
- Kuchema
- Kupera pasi panguva yekufamba kwechirwere
- Kudzora
Shoko Rinobva
Kana iwe uine sora, danho rokutanga kune kurapwa nderokutaurirana nemumwe chiremba anogara achigadzira inguinal hernias. Kuvhiya kunogona kuve kana kusakurudzirwa, zvichienderana nekurwa kwakadini, zviratidzo zviripo, hutano hwemurwere uye mungozi izvo murwere anotarisana nazvo.
Kune vamwe varwere vane zviratidzo zviduku, dambudziko rekuvhiyiwa harifaniri kuwedzera zvikomborero zvekuita, asi vamwe vanofunga kuti nzira yacho inonyanya kukosha.
Kunobva:
Hernia. National Institutes of Health.http: //www.nlm.nih.gov/medlineplus/ency/article/000960.htm