Kuongororwa, Kuvhiya & Kudzorera
Chirwere chepigastric hernia chinoitika apo utera huri mumuviri huri mumuviri hunoita kuti mishonga yemudumbu ibudirire kuburikidza nemumhutu. Inowanzovapo panguva yekuzvarwa uye yakafanana neyembilical hernia , kunze kwekuti umbilical hernia inopoteredza dumbu rechero uye epigastric hernia inowanzo pakati pechebonde nebhokisi.
Chirwere chepigastric hernia inowanzoita shoma zvakakwana zvokuti ndiyo chete peritoneum, kana chigadziko chemuviri wepamuviri, inoputika kuburikidza nemadziro emasumbu .
Muzviitiko zvishomanana, nyaya yacho inogona kuonekwa munguva yeC CT scan kana zvimwe zviedzo zvekusiyana kwakasiyana, uye zvingasazokonzera zviratidzo. Ichokwadi, mazhinji epigastric hernias anoonekwa mune vanhu vakuru, panzvimbo pevana. Mune zviitiko zvakakomba, zvikamu zvechirongwa zvinogona kufamba mumugodhi uri musumbu.
Ndiani ari pangozi
Epigastric hernias inowanzovapo pakuberekwa uye inogona kuoneka ichioneka uye inopera, inonzi "reducible" hernia. Izvo zvinogona kunge zvisingaonekwi kunze kwekuti murwere ari kuchema, achikumbira kuti ave nechikwata chemuviri, kana chimwe chiitiko chinoita kuti muviri usamanike. Kuonekwa kwechikafu kunoita kuti zvive nyore kuongororwa, kazhinji zvinoda kusaedza kunze kwekuongorora kwemuviri nachiremba.
Kurapa muvana
Chirwere chepigastric hernia hachizoporeri pacharo uye chinoda kuvhiyiwa kuti igadziriswe. Zvisinei, kunze kwekuti hernia inotyisidzira kuva dambudziko, chirwere chinogona kuchinjwa kusvikira mwana ava mukuru.
Vachiri kuyaruka vanowanzoita kuti kuvhiyiwa kuve nani kupfuura vana vanozvarwa, saka zvingava zvakanaka kumirira vasati vavhiyiwa.
Mishonga muVakuru
Hazvisi zvisingazivikanwi kuti munhu mukuru aongororwe ane chirwere chepigastric hernia chavasingazivi kare kare muupenyu. Izvo zvinokwanisikawo nhengo yake yakange ichizivikanwa kuvapo kwemakore akawanda kuti ive nharo semunhu wega wega.
Kune vakawanda, mutsara haubvumiri zviratidzo kusvika munguva inotevera muupenyu nekuda kwekuneta, kushaya simba kwemutsipa, kana kushungurudza pamadziro emasimba emudumbu. Mune zviitiko izvi, kugadziriswa kwekupora kunogona kudikanwa kana hutachiona huchikonzera marwadzo kana kuti kutyisidzira kuve wakadzika.
Apo Icho Chine Ngozi
Nhengo inowanikwa yakanamatira mu "kunze" nzvimbo inonzi yakasungwa. Kunyange zvazvo hurumende yakasungwa haisi ngozi, inofanira kutariswa, uye kutarisirwa kwechiremba kunofanira kutsvakwa. Nharaunda yakasungwa inomhanyira kana ichisvika "iyo yakasvibiswa," apo mishonga iyo inoputika kunze kwemuviri inenge ichiziya nenzara yeropa. 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.
Surgery
Epigastric hernia chirwere inowanzoitwa kuburikidza nekushandisa aneshehesia yakawanda uye inogona kuitwa kune chirwere chekushaya chirwere chepachivi kana chepakati . Kana murwere ari mwana, kuchengetwa kwakanaka kunofanira kutorwa kunokodzera vana kugadzirira kuvhiyiwa .
Uku kuvhiyiwa kunoitwa nechiremba mukuru kana chiremba -rectal muongorori , kana murwere ari mwana chiremba anovhiya anonyanya kugadzirisa chirwere chinowanzoita chirongwa.
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 zvinonzi "hernia sac". Chiremba anovhiya anodzokera shenia sac panzvimbo yake chaiyo, zvino anotanga kugadzirisa kukanganisa kwemasuru.
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 dzakawanda. Iyo inogona kuvharwa ne sutures iyo inobviswa pakutevera kushanya nechiremba, chimiro chakakosha cheglue chinoshandiswa kuchengetedza kuvharwa kwakavharwa pasina sutures, kana mabhanji mashoma anonzi steri-strips.
Kudzorera
Nzvimbo dzakawanda hutachiona hwevarume vanokwanisa kudzokera kumabasa avo akagara mukati memavhiki maviri kusvika mana. Varwere vakwegura vanotora nguva refu. 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 .
Zvishamiso panguva iyo kusanganisa kunofanira kudzivirirwa kunosanganisira:
- Kufamba kubva panzvimbo inoreva nhema kune imwe nzvimbo yakagara, kana kubva panzvimbo yakagadzika kuti imire
- Sneezing
- Kuchema
- Kuchemera, kunyanya kana mwana akatendeuka muzviso kubva pamusana
- Kupera pasi panguva yekufamba kwechirwere
- Kudzora
Kunobva:
> Lang B, Lau H, Lee F. Epigastric hernia uye etiology. Hernia 2002; 6: 148.