Hernia ezinganeni: ukuhlinzwa nokuvuselelwa

Udonga lwangaphakathi lwesisu lunamaphuzu amancane (isibonelo, indandatho yomzimba, umugqa omhlophe wamasondo, izindandatho ze-inguinal , njll) lapho ama-hernias angakha khona. Kuyini? I-Hernias - ukuphuma kwamalungu nezicubu ezivela endaweni yazo evamile ngokusebenzisa ukuvuleka okwakhiwa ngokwemvelo noma ngenxa yezinqubo ze-pathological.

Etiology of hernia ombilical

Isibalo salesi sifo si-4%. Kutholakala ukuthi, njengombuso, esiteshini sesisu esisha.

Kungani kungukuthi i- hernia embilical yenziwe ? Isizathu esiyinhloko ukuphazanyiswa ekuphulukisweni kwilonda lomzimba ngemuva kokuba intambo yomzimba iwile. Ngokujwayelekile, indandatho yomlomo kufanele igcine futhi igcwalise ukuvalwa kwesilonda. Noma kunjalo, izici zesakhiwo salesi sifunda zifaka isandla ekubukeni komzimba.

I-ring embilical ivalwe kahle kuphela engxenyeni engezansi, lapho imithwalo ye-artificial embilical ne-pass urinary pass. Le datha yemfundo iyadingeka kuphela esiteji sokuthuthukiswa kwamabriyoni, emva kokubelethwa kuthathwa indawo yesikhumba esithintekayo.

I-vebilical vein idlula engxenyeni engenhla yendandatho ye-umbilical, okuyiyo emva kokuzalwa futhi ishintshwe yizicubu ezinamafutha. Noma kunjalo, umvuthwandaba owodwa ngokuvamile awukwazi ukuqinisekisa ukubunjwa kwendawo enesisindo nesosana samathambo axhunyiwe, njengengxenye engezansi yendandatho. Ngaphezu kwalokho, uma i-fascia yesisu ingasetshenziswanga, ngokuvamile evame ukuqinisa i-ring embilical, ingxenye engaphezulu iba yindawo enhle yokuhlelwa kwe-hernias.

I-hernia ifomu kanjani?

I-pathogenesis yanoma yiluphi uhlobo lwe-protrusion oluhle lwayo lusekelwe ekuphambaneni phakathi kwamandla edonga lomzimba kanye nokwanda kwengcindezi emgodini wesisu, okukhuthaza ukuphuma kwezitho ezingaphezu kwemikhawulo yawo. Izindawo ezingenamandla ziba ingosi yomlando.

Kuyini okudingekayo ukuvela kwe-hernia embilical ezinganeni?

1. Ukuqeda ukuqala.
2. Isisindo esincane.
3. Imisipha emandla.
4. Ukuqokwa.
5. Isikhukhula.
6. Ukuziphatha okungapheli, ukumemeza njalo.

Isithombe somtholampilo nokuxilongwa

Ukubunjwa kwe-herbilical hernia - eyakhelwe inkaba. Ukulinganisa kungahluka kakhulu. Ngokuvamile endaweni ephezulu, lapho ingane izolile futhi ingakhali, i-hernia ngokwayo iyanyamalala. Kungenzeka ukuthi kufakwe indandatho ye-umbilical engavumelekile.

Lapho umntwana ehlala noma emela, lapho ekhala, ngaleyo ndlela ecindezela ukwanda kwengcindezi emgodini wesisu, i-hernia iphinda ibonakale.

Akunakuzwa okungajabulisi lokhu ku-pathology akubanga imbangela. Inkinga eyinhloko isici sezimonyo. Nokho, akudingekile ukuba ukhohlwe ngengozi ekhona yokuphulwa. Noma, uma sikhuluma ngama-herbias ombilical, phakathi kwabo le nkinga ayivamile.

Yini okufanele ngiyenze uma ingane yami inomtholampilo?

I-hernia embilical iphathwa kanjani ezinganeni? Ukusebenza noma izindlela ezizimele - okuyinto engcono kakhulu? Ake sizame ukuyihlola.

Ngaso leso sikhathi kubalulekile ukutshela ukuthi cishe amacala angama-60% inkinga ixazululwa ngokuzimela ngesikhathi sokukhula nentuthuko yengane. Ngeshwa, lokhu akuyona into njalo.

Lena inkinga evamile kakhulu - i-hernia embilical ezinganeni, ukwelashwa ngaphandle kokuhlinzwa kungenzeka futhi, ngaphezu kwalokho, nokuqaliswa okufanele kwezincomo ngendlela efanele. Yiqiniso, ngesikhathi esithile.

I-hernia embilical iphathwa kahle kangakanani ezinganeni? Ukusebenza akuyona indlela eyedwa kuphela. Kufanele siqale kusuka komunye uqobo:

1. Massage nsuku zonke kanye nokuvocavoca. Kumele ubeke ingane emathunjini akho. Kungcono ukwenza lokhu ngaphambi kokudla. Lesi senzo esilula sizokuvumela ukuba ubalekele emathunjini anqwabelene nalawo magesi futhi uthuthukise ukugaya, okusho ukuthi ingane ngeke ikhathazeke kancane ngenxa ye-colic emathunjini. Ngaphezu kwalokho, esimweni esifanelekile esiswini, ukukhuphula ithoni yemisipha yodonga lwangaphakathi lomzimba kuyashukumiswa, okuyinto enhle ekwelapheni i-hernia embilical. Isenzo esingaphansi kakhulu - izigubhu eziyindilinga ezungeze inkaba enhlokodolobha.
2. Ukulungiswa kwesikhwama se-hernial esimweni esilungisiwe. Kungekudala, sincoma ukuthi inkinobho yesisu ibambe iqhaza nge-band-aid izinsuku ezimbalwa ukuze okuqukethwe kwe-hernia kuhlale emgodini wesisu, hhayi ukuphuma ngaphandle. Kodwa-ke, i-plaster yokunamathisela inesakhiwo sokucasula isikhumba ngokusetshenziswa isikhathi eside futhi ngokuvamile kubangela ukuzwa okungajabulisi, okusho ukuthi ingane izohlale ikhathazeka. Kuphumelela kakhulu futhi kukhululekile ukuba ingane isebenze i-bandage ekhethekile, okuyi-waistband ehlanganisiwe ngokuqina okungafani neveli. Akuyona kakhulu kakhulu, ngakho ngeke kuvimbele ingane ukuba ihambe ngokuzungezile futhi ifunde umhlaba, ifaka i-velcro, isuswe kalula futhi ifakwe, uma kunesidingo, ingahlanzwa. Ama-bandages anamuhla akhiwe ngezinto zokuzikhohlisa, ngakho-ke azicasuli isikhumba, ngokungafani ne-plaster yokunamathisela.
3. Ukubhukuda kusiza nokuqinisa imisipha yodonga lwesisu.

Ukuhlinzwa kwenziwa ngakanani?

Uma i-hernia embilical itholakele ezinganeni, ukwelashwa (kuhlanganise nokuhlinzwa) kufanele kwenziwe ngesikhathi esifanele nangesikhathi esithile seminyaka. Kuze kube yiminyaka engu-5, isibonelo, kuphela izindlela ezizongiwe ezikhulunywe ngenhla ezisetshenziswayo. Umsebenzi wokususa hernia embilical ezinganeni kwenziwa eneminyaka engaphezu kwengu-5. Lokhu kufike ekufikeni kokwelashwa okuhleliwe okuhlinzekwa. Umuntu akufanele neze akhohlwe ukuthi noma iyiphi i-hernia, ngisho neyodwa, ingavinjelwa, yokwenza isidingo sokusebenza okuphuthumayo (Yebo, uma kuziwa ekulondolozeni izimpilo, imingcele yobudala ayicatshangelwa).

Iminyaka engu-7 ubudala iyisikhathi esiphakathi, lapho umsebenzi we-hernia ovame ukwenziwa ngokuvamile kubantwana. Ungakwazi, nakanjani, kamuva. Kodwa kungcono ukuqeda inkinga ngokushesha, ngoba lapho kunesithakazelo esisha kanye nokuzilibazisa okuqala ukuvela, okuyinto ngenxa yokuhlala esibhedlela kunzima kakhulu ukuhlehlisa. Futhi lo msebenzi uhlehlisiwe kuze kube nini nanini, ngenkathi i-hernia ingase ibanjwe ngelinye ilanga futhi iguqulwe kusuka kwesici esincane sezithokozi ibe yingozi yokuphila.

Yiziphi izinhlobo zokwelapha ezikhona?

Kunamaqembu amabili okusebenza asetshenziselwa ukwelashwa kwe-herbias ombilical:

1. Amasu aqinisayo, lapho amasango omzimba evalwa ngamathissi wendawo (ukusebenza eMayo, Sapezhko, Lexer).
2. Ukusetshenziswa kwezimpande zokufakelwa (imifino) ukuvala isici sogu lwesisu. Ukusebenza kuboniswa ukwelashwa kwe-hernias yobukhulu obukhulu futhi esekhulile, ngakho-ke kulesi sihloko ngeke kuxoxwe ngalolu daba.

I-hernia embilical ezinganeni: Ukusebenza kweMayo

Ukuchotshozwa kwenziwa enkambeni ehamba phambili, emngceleni weveli. Ngokuphambene, i-aponeurosis ye-rectus abdominis isakazwa. Isikhwama se-hernial sivuliwe, okuqukethwe kwayo kufakwe emgodini wesisu, amashidi e-parietal peritoneum akha izindonga ze-sac ahlanganiswa ndawonye.

Ukuze uqinise le ndawo futhi uvimbele ukuphindaphinda, ukuphindaphinda (isendlalelo esiphindwe kabili) se-aponeurosis kudalwe, okungukuthi, amashidi ayo ahlanganiswe ndawonye ukuze ophansi abekwe ngaphezu kwe-aponeurosis. Khona-ke isilonda sisendlalelo esicwecwe ngqimba. Ngakho-ke ukuphindaphindiwe kwakha ngendlela ehamba phambili.

Lo msebenzi uvame ukusetshenziselwa ngemuva kokufinyelela ebuntwaneni kanye ne-hernia enkulu.

Operation Sapezko

Inqubo yokwenza lokhu kusebenza ifana nendlela yeMayo. Umehluko utholakala ekutheni ukuhlanganiswa nokubunjwa kokuphindaphindiwe kwenziwa ngokuqondisa kwesikhathi eside. Kusukela ekubukeni kwezimonyo, kungase kube mnandi kakhulu, kepha le ndlela ingaphansi kwamandla emisebenzi kaMayo. Ukuphindaphinda ngendlela ehamba phambili akuthinti kakhulu ukucindezeleka kwangaphakathi kwesisu, okusho ukuthi ubungozi bokubuyela emuva ngemuva kokuhlinza uMayo kungaphansi.

I-hernia embilical iphathwa kanjani ezinganeni? Ukusebenza eMayo naseSapezhko - izindlela, ezikhethwayo kubantu abadala. Ukuqeda i-hernia ezinganeni ezincane, indlela yeLexer ivame kakhulu.

I-hernia embilical ezinganeni ezineminyaka engu-7 ubudala. Ukusebenza ku-Lexer

Ngaphansi kokunyuka kwe-hernial, i-incilunar incilunar isenziwa. I-hernia ivuselela, isikhwama se-suture sifakwa emgqeni we-umbilical futhi siqinisa, ngaleyo ndlela sikhiphe amasango omzimba. Inxeba isendlalelo esicwecwe ngqimba.

Yilokho indlela hernia embilical izingane eziphathwa kakhulu. Ukusebenza, ukubuyekezwa mayelana nokuthi yikuphi okuhle (ukusizwa okuncane, ukutakula okusheshayo), kuyindlela kaLekser echazwe ngenhla. Nokho, okwamanje, ukuhlinzwa okuncane okuthuthumayo kuthola intuthuko eningi.

Ukususwa kwe-laparoscopic kwe-hernia

Lena yindlela entsha yokuqeda i-hernia embilical, kanye nokwakha isitshalo esisemqoka uma kudingeka. Kulesi simo, akudingeki ukuba kwenziwe izinto eziningi ezinkulu, zonke izinyathelo ezenziwa nge-punctures odongeni lwesisu ngokusizwa ngezikhali ezikhethekile.

Le ndlela inekhono eliphezulu, umphumela omuhle wezithokozi, ukutakula ngokushesha kwesiguli ngemuva kokuhlinzwa.

Isigaba sokuvuselela

Ingane emva kokuhlinzwa ukukhipha i-hernia yomzimba kumele igcine yonke imiyalelo yesidokotela esiya khona ukuze igweme ukutholakala kwezinkinga noma ukubuyela emuva kwesifo.

1. Ukuhambisana nokudla, ikakhulukazi ngesonto lokuqala. Ukudla okunzima nesindayo akufakiwe. Okuthandwayo kunikezwa ama-broths, ama-juices, ama-kissels. Ungakwazi ukuhlukanisa ukudla okuvela ngesonto lesibili, kodwa kufanele kwenziwe kancane kancane.
2. Ukuvimbela ukusebenza komzimba. Ukuhlanganyela ngokugcwele emfundweni engokwenyama kungabi khona ngaphambi kwenyanga emva kokuhlinzwa.
3. Ukugqoka i- bandage postoperative uma ingane ihlupheka ngesisindo somzimba ngokweqile.
4. Ukushisa - ngokuphathelene nezinsana (incazelo inikezwe ngenhla).

Ake sibambe imiphumela

Akufanele likhohlwe ukuthi ukwelashwa okufika ngesikhathi kuphela kuphumelele kakhulu. Ezinyangeni eziyisithupha zokuqala zokuphila, ukulwa ne-hernia embilical akuyona isibonelo esilula kunaneminyaka lapho ingane iqala ukukhwela, ayifuni ukulala emathunjini futhi iphikisana nokusikhipha.

Ngemuva kweminyaka emihlanu, izindlela zokwelashwa eziqaphayo azibe zingasebenzi. Uma ugcina i-hernia embilical kule minyaka, kufanele ucabange ngokusebenza.