Umbilical Hernia Kuziva, Kurapwa uye Kuvhiya

An umbilical hernia inoitika apo kushaya simba mumutsipa kwakapoteredza umbilicus, kana kuti bhomba bundu, inobvumira zviviri zvemuviri kuputika kuburikidza nemusemu. Mutsara, kana tambo inopa michina kubva kuna amai kusvika kumucheche, inopinda nepamuviri mutsva, ichigadzira nzvimbo iyo inogona kuita nyore nyore.

An umbilical hernia inowanzoita shoma zvokuti ndiyo chete peritoneum, kana chigadziko chemuviri wepamuviri, inoputika nemusvingo wemasumbu.

Mumatambudziko akaoma, zvikamu zvemukati zvinogona kufamba mumumvuri mumusungo.

Ndiani Ari pangozi yeUmbilical Hernia?

Umbilical hernias inowanzovapo pakuberekwa uye inogona kuonekwa seinooneka uye inopera, iyo inonzi "reducible" hernia. Ikoko inogona kunge isingaonekwi kunze kwokunge murwere ari kuchema, achikumbira kuti ave nechikwata chemuviri kana chimwe chiitiko chinoita kuti mucheche udzvinyike. Kuonekwa kwechikafu kunoita kuti zvive nyore kuongororwa, kazhinji zvinoda kusaedza kunze kwekuongorora kwemuviri nachiremba.

Apo umbilical hernias iripo kune munhu mukuru, inowanzova mushure mekuvhiyiwa munharaunda iyo, panguva kana kana mushure mokunge avete pamuviri, kana kune avo vari kuwandisa. Kusiyana nevana, vanhu vakuru havasisiri kukura kuitira kuti umbilical hernia haizviponesi pachedu mumatambudziko akawanda.

Bhomba iri mudumbu, kana umbilicus, rinowanzoshandiswa senzvimbo yekuisa zvishandiso panguva yekuvhiyiwa kweparoscopic nokuti tsvuku yakavanzwa mukati meganda.

Nokuda kwechikonzero ichi, hutachiona husina kukodzera hunogona kuumba hunoita sehusiki hwembilical.

Umbilical Hernia Kuchirwa

Kune vana vakawanda, mutezo wembilical uchazvirapa pachako. Kazhinji vana "vanokura kubva" munharaunda nezera remakore matatu, sezvo mimba yemimba inosimbisa uye ichikura nemwana.

Mune zvimwe zviitiko zvakare, kuvhiyiwa kunogona kudiwa.

Apo Umbilical Hernia Surgery Inodiwa?

Nhengo yake inogona kudikanwa kuti ivhiwe kana:

Apo Umbilical Hernia Inotyisa?

Nhengo iyo inowanikwa mu "kunze" nzvimbo inonzi "musungwa" musungwa. Kunyange zvazvo hurumende yakasungwa haisi ngozi, inofanira kutariswa, uye kutarisirwa kwechiremba kunofanira kutsvakwa. Nharaunda yakapfigirwa inomhanyira apo inosvika "yakarongedzwa hernia" apo mhuka dzinoputika kunze kwemuviri dziri kufa nenzara. 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.

Umbilical Hernia Surgery

Umbilical hernia chirwere inowanzoitwa kuburikidza nekushandisa aneshehesia yakawanda uye inogona kuitwa kune munhu anenge asina chirwere kana kuti kunze kwepakati. Kunyatsotarisirwa kunofanirwa kuendeswa kugadzirira zvakakwana vana kuvhiyiwa .

Kana imwe nguva anesthesia inopiwa uye murwere akarara, kuvhiyiwa kunotanga nechisungo pasi pemubvunzo wembilicus kana mudumbu. Kana imwe nguva iyo yakagadzirwa, chikamu chemuviri wechipfu chinenge chichitenderera kuburikidza nemisungo yacho iri kure. Izvi zvinyorwa zvinonzi "hernia sac". Chiremba anovhiya achidzoka shenia sac kumudumbu, panzvimbo yayo yakakodzera.

Kana chiremera chiri mumutsipa chiri chiduku, chinogona kukanganiswa chakavharwa. Izvo sutures zvicharamba zviri munzvimbo inogara nekusingaperi, zvichidzivirira hutachiona kudzoka munguva yemberi.

Nokuda kwezviremera zvakakura, chiremba anovhiya anganzwa sokuti kusunura haisi nzira yakakwana yokugadzirisa demo mumusungo.

Muchiitiko ichi, mesh graft ichashandiswa kuvhara gomba mumusungo. Chimbofungidzira upuro hunoshandiswa hwehwindo rinoshandiswa mumahwindo rinoshandiswa kuvhara gomba uye kuiswa panzvimbo. 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 chimwe chiitiko chinodzivirira kushandiswa kwemashandisirwo emashonga.

Kamwe kana mesh inenge iri panzvimbo kana kuti musuru wange wave wakaderedzwa, kuvharwa kunogona kuvharwa. Iyo incision inowanzovharika mumakumbo akazara emuviri webonde. Saka kana yapora, hazvionekwi. Iko kusungirirwa kunowanzovharwa nesuture iyo inobviswa pakutevera-up uye chiremba.

Kuwanazve Kubva kuMbilical Hernia Surgery

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 kudzivirirwa panguva yebasa rinowedzera mimba yekumanikidza nekushanda zvakasimba asi kunyorovesa kumanikidza pamusoro pekunyorera mutsara.

Zviito zvinoratidza kuiswa kunofanira kuchengetedzwa zvinosanganisira:

Sources

> Umbilical Hernia Surgery. National Institutes of Health http://www.nlm.nih.gov/medlineplus/ency/article/002935.htm.