Hernia Inguinal ezinganeni: ukuhlinzwa, imiphumela, izimbangela

Ngeshwa, ngo-Pediatrics lanamuhla ngokuvamile kutholakala ukuthi uphethwe yini hernia inguinal izingane. Operation ngezinye izikhathi kuphela indlela okungenzeka ukwelashwa. Yiqiniso, lokhu zokugula kuyinto ekhathazayo omkhulu abazali. Yingakho abaningi banesithakazelo imibuzo mayelana nokuthi iyiphi umbhunu futhi yiziphi izindlela lasungulwa. Yeka indlela okuyingozi kube kungaba isifo futhi yini ukwelashwa ukunikela kwezokwelapha zanamuhla? Ziyini izimbangela zezifo nendlela kuhambisana izimpawu kwangaphandle? Izimpendulo zale mibuzo ziyoba ezithakazelisayo futhi ewusizo kubafundi abaningi.

Kuyini umbhunu?

Lokhu zokugula ubhekwa lalivamile ekuhlinzeni ezingane. Kuvele hernia inguinal kuyinto protrusion okuqukethwe besisu ngokusebenzisa komsele inguinal. izitho zangaphakathi ezifana iluphu emathunjini amancane, amaqanda, omentum okukhulu, aphume ashone ngokusebenzisa besisu imisipha udonga.

Kuthiwa zokugula ezinjalo sitholakale esiningi izinsana wesilisa, futhi basonta iqembu nge kwengozi ababelethwa kungakafiki isikhathi. Ezimweni eziningi, le hernia kungenzeka ukuxilonga angabacwasi ngokushesha - kubonakala sengathi kuba khona ukuvuvukala elincane endaweni imbilapho, le evelele isikhwama hernial iba uqotho. Ungenzenjani ziphethwe kahle, ikakhulukazi uma kwatholakala ukuthi isheshe itholakale. Nokho kufanele olunye ukuhlola izimbangela futhi izimpawu zalesi sifo.

Ziyini izimbangela eziyinhloko zalokhu of hernia inguinal e ingane

Abazali abaningi ukubuza ukuthi kungani umntwana hernia livela. zingase zihluke kakhulu Izizathu eqinisweni. Nasi uhlu ezivamile engcupheni:

• Kaningi iba imbangela hypoplasia odongeni kwamathumbu.
• Izinto eziyingozi ezingabangela i zihlanganisa ukucindezeleka ngokomzimba. Yiqiniso, uma sikhuluma nengane, ukucindezeleka awahlobene umsebenzi ngokomzimba noma ngokuphakamisa izinsimbi. Lapho besisu odongeni ubuthakathaka protrusion we komgodi ongaphakathi kwamathumbu kungenzeka ngenxa ukukhwehlela ezinzima noma ukuhlanza.
• Kwesinye isikhathi hernia kuwumphumela ukuhlukumezeka besisu, kuhlanganise nenkathi wokukhula kwengane esiswini.
• Lokhu zokugula kungaba umphumela nokukhuluphala kwengane.

I pathogenesis lesi sifo

Njengoba sekushiwo, umbhunu sitholakale esiningi abafana, ngenxa izici of ukuthuthukiswa yokwakheka. Ekuqaleni ise testes yezinso fetus. Eduzane bezalwa, ozakwehlela scrotum, edonsa ingxenye peritoneum. Ngakho, uhlobo ephaketheni ku scrotum, okuyinto esekelwe ezicutshini. Ngokuvamile ephaketheni ikhowe le ngesikhathi sokuzalwa. Kodwa ngezinye izikhathi, ngenxa yanoma yisiphi isizathu lokhu akwenzeki. Ukuba khona ephaketheni kwandisa amathuba ezinkulu yezitho zangaphakathi.

Ngaphezu kwalokho, umsele inguinal kwabesilisa mude kakhulu kunalelo abesifazane, nakho kwandisa ingozi herniation. Njengoba for girls, baye le zokugula lihlotshaniswa, njengoba umthetho, ne ngobuthakathaka ezicutshini, kanye ukuzikhandla ngokweqile ngokomzimba. Kuyaphawuleka ukuthi hernia kungaba azalwa naso, noma siqale ukuba nezimo emva kokuzalwa. Ziboya zingavela njengenye (ngokuvamile ngakwesokudla), kanye nhlangothi zombili. Ngezinye izikhathi izingane okutholakala ukuthi banesifo sochoko nasezinkingeni ezilandela ngemva kokuhlinzwa hernia inguinal, eqinisweni amacala lokubuya kwesifo uma uphenyo olwenziwe kahle inqubo zimbalwa futhi ziyantula.

Ayini izimpawu zesifo kuhambisana?

Sazu futhi Kuyaphawuleka ukuthi le izimpawu encike ngqo kwi degree of protrusion. Ngokuvamile, umbhunu kuyinto encane, okusaqanda, esingunxantathu isikhwama eliyindilinga ngezinye izikhathi elise noma uhlangothi suprapubic noma elingaphandle ithambo pubic. Convexity ngokuvamile iba esikufezile kule sikhundla uqotho. Ungenzenjani futhi kwanda ukwanda ingcindezi besisu, okuyinto eyenzeka, isibonelo, phakathi ngengila noma ukukhala.

ngezinye izikhathi kudala ezinzima ubuhlungu paroxysmal uhlamvu. Soreness kwenza ingane ukukhathazeka, wayevame ekhala, Akalali kahle. Izimpawu zingaphinde futhi ibandakanya ukucanuzela kwenhliziyo, ukungakuthandi ukudla, ukuhlanza.

Uma kuziwa endabeni yabafana, lo umbhunu inguinal uyakwazi ukuhambisa bebheke the scrotum (esibizwa i hernia etshekile). Ezimweni ezinjalo, kungase kube ukwenyuka scrotal nokuvuvukala perineum.

Manje ngoba sewuyazi ukuthi indlela ukucacisa hernia inguinal ezinganeni. Ukusebenza akudingekile kuzo zonke izimo. Nokho, uma uqaphela izimpawu eziyisixwayiso ke ingane kufanele ngokushesha ukukhombisa ohlinzayo. I ngaphambili ukuxilongwa kanye nokwelashwa iqalisiwe, amathuba kancane izinkinga.

Izinkinga ezivukayo ku isizinda hernia

Eqinisweni, i hernia inguinal - inkinga engathí sina ngokwanele. Uma umntwana usuke engakabi usizo olufanelekile yezokwelapha enikeziwe ngesikhathi esifanele protrusion kwezitho besisu isiba evelele. Against ngemuva zokugula kungase konakalise igazi ukugeleza, okuholela ukubambezeleka noma ukuthuthukiswa okungafanele kwezitho. Ngo abafana, umphumela kungaba zokugula hernia kwesimiso sokuzala.

Noma kunjalo, inkinga eyingozi kakhulu hernia inguinal kuyinto ekuphikeni yayo. Lesi simo ehlangene pinching kwezicubu futhi ukuphazamiseka evamile igazi flow isitho esithile. Ngakwelinye ihlangothi, lesi simo igcwele izicubu necrosis, ukuvuvukala, ushevu egazini, njalo njalo. D.

Ukwephulwa kwe-futhi izimpawu zaso

hernia Strangulated - isimo esibucayi, ikakhulukazi uma ingane encane. Ezimweni ezinjalo, ukuhlinzwa kuyadingeka. Avuse hernia strangulated kungase kwandise ingcindezi besisu, isibonelo, ukuthi abona othile ewunikela ngesikhathi ngengila eqinile nokukhala ngezinyembezi, ukuzikhandla ngokomzimba, ukukhwehlela, ukuhlanza kanye nokunye okufana nalokho. D.

Anqume khona ubandlululo nje. sac Hernial iba ayizindunduma kakhudlwana futhi kanzima uma uyithinta. Palpation kubangela ubuhlungu. Ingane iba udlubulunda, ngokuvamile ekhala, ukumemeza. Ngokuvamile, esikhumbeni azungeze hernia iba ngokubomvu. Njengoba sihambisana nale woza letindzala izimpawu, ikakhulukazi imfiva, ukukhathala, ukungakuthandi ukudla, ukuhlanza, ukozela, ukucasuka. Uma uqaphela lezi zimpawu kumntanakho, kufanele ngokushesha amyise esibhedlela njengoba ukuntuleka bezokwelapha abanekhono kungaholela necrosis omkhulu, ubuhlungu ukushaqeka nokunye. D.

izindlela zesimanje uphethwe

Usola khona izifo ungaba phakathi ukuhlolwa jikelele. sac Hernial kuyabonakala sesimweni oqotho, kanye ngesikhathi ukhwehlela futhi bekhala futhi t. D. Palpation udokotela bangazizwa kumiswa nokunwebeka esithambile. By the way, ngezinye izikhathi hernia kungenzeka ilungelo - ukubeka izitho emuva ngaphakathi. Ngokwemvelo, Kumele bente Umsebenti Uchwepheshe inqubo, futhi akubona bonke amenable enjalo zokukhwabanisa convexity. Uma ingaphakathi isikhwama uqukethe ingxenye amathumbu, ungezwa ehlukile umsindo kwentaba.

Kamuva, njengoba umthetho, eyenziwa ultrasound besisu noma izitho kwezitho zangasese (for girls). Kwaze kwaba yilapho sebeshiye ukuthi udokotela anganquma uma ukuhlinzwa kuyadingeka ukususa umbhunu.

Kuleso simo, uma uchwepheshe unqume ukuba ngiqhube ukuhlinzwa, lapho ngihlolwa olunemininingwane ethe xaxa kuhlanganisa igazi jikelele kanye test umchamo for erythrocyte sedimentation rate igazi ekunqandeni. Ngezinye izikhathi ngaphezu kwalokho labetibambile ergography - X-ray Luhlolo emathunjini nge Ngokuphambene umphenyi okhethekile. Njengomthetho, esetshenziswa njengoba slurry Ngokuphambene barium yombala. Inqubo ukunquma khona anomalies noma kwezinso ekuthuthukiseni ezinkulu emathunjini.

Zikhona izindlela eziphumelelayo zokwelapha?

Ngokushesha kufanele kusho ukuthi ukwelashwa ngoludala kungenzeka kuphela ezimweni lapho angahlangani kubonakele ku kusaqalwa. Ngokwezibalo, isifo osanda kuzalwa kwesinye isikhathi ukulungiswa ngaphandle izinqubo zokuhlinza.

Kaningi, odokotela batusa egqoke umkaki imbilapho ekhethekile. ezigugile yakhe ngemva hernia kwaba vpravlena. Lolu cingo lusekela ama odongeni kwamathumbu bese ubamba izibilini protrusion. Njengomthetho, imbilapho ngebhandeshi ezigugile nasemini. Noma kunjalo, kungenziwa kwesokunxele for the night futhi, uma ingane, isibonelo, uhlushwa ukukhwehlela ebusuku.

Ibhandishi akuyona esikhundleni ukuhlinzwa, kodwa kuphela sinqumo sesikhashana. iziguli Little futhi linqume massage njalo futhi yokuzijwayeza ekhethekile. Lezi zinqubo zenzelwe ukuqinisa odongeni kwamathumbu. Ngisho noma ukwelashwa kunikeza yi emihle, isimo ingane kudingeka ngeso lokhozi, njengoba awokuthi lokubuya kwesifo ngesikhathi kuqala 4 iminyaka yokuphila.

hernia Inguinal ezinganeni: ukuhlinzwa

Ngezinye izikhathi ngaphandle kokungenela kuhlinzwa yezifo ezifana abanakukwazi ukwenza. Ngokuvamile le nqubo kwenziwa abaneminyaka ephakathi kwengu-izinyanga 6-12. Khulumela ke lilula. Ngosizo amathuluzi akhethekile udokotela ehlukanisa sac hernial futhi ngaphakathi komgodi ongaphakathi kwamathumbu. Kulokhu, udinga ukuqinisekisa ukuthi izitho zangaphakathi babesendaweni. Ukuhlinzwa olwenziwa ngaphansi izinzwa jikelele futhi ihlala cishe imizuzu engu-30. Yilokho ukusebenza uhlelo hernia inguinal. Izibuyekezo abonisa ukuthi inqubo linikeza imiphumela emihle ngempela.

Ngokwemvelo, kulesi simo, kubalulekile ukuthola udokotela ohlinzayo omuhle. Naphezu kweqiniso lokuthi ubuchwepheshe kuleli cala lilula, udokotela ubenawo amakhono athile. Ngezinye izikhathi ukuphela kwendlela ukuthi iphathwa hernia inguinal - ukusebenza. izindleko inqubo akuyona okusezingeni eliphezulu ngakho (kusuka 18 000 kuya ku-48 000 ruble.), bese usisebenzisa ezibhedlela eziningi.

Laparoscopy esikhundleni ukuhlinzwa wequbula

Ngezinye izikhathi, njengoba elinye ithuba ukuhlinzwa bendabuko udokotela uncoma Inqubo ebizwa ngokuthi i "laparoscopic inguinal hernia ukulungisa." Technique yalesi ukuxhaphaza yehluke. Lona umsebenzi avaliwe, okuyinto eyenziwa usebenzisa imishini ekhethekile. Ungenzenjani kwenzeka ngokusebenzisa ezintathu wokubhoboza ezincane esikhumbeni. Ngemva kwalokhu izicubu nayo eyenziwe ngepulasitiki ne ukufakwa anezikhala okhethekile gcizelela, okuyinto kusiza ukuvimbela lokubuya kwesifo esikhathini esizayo.

Laparoscopy hernia inguinal kunezinzuzo zako. Ngokuyinhloko, le nqubo ingaphansi kuyashaqisa, futhi isikhathi nokuvuselelwa udluliselwa ingane lula kakhulu. Ngakolunye uhlangothi, lolu hlobo operation akunakwenzeka kuzo zonke izimo. Ngokwesibonelo, akunakwenzeka ukuba amise hernia zamazwe amabili. Njengoba laparoscopy kudinga imishini ekhethekile, izindleko zayo liphakeme, futhi uthole umtholampilo enikeza le sevisi, kunzima kakhulu.

Kungenzeka yini ukuba ukuphathwa kazwelonke i hernia inguinal?

Njengoba kushiwo ngenhla, ezokwelapha zesimanje inikeza izindlela eziningana ukuxazulula le nkinga njengoba hernia inguinal ezinganeni. Ukuhlinzwa, plastic, egqoke ngebhandeshi - konke kusiza ukuba babhekane nalesi sifo futhi ugweme nemiphumela ebuhlungu esikhathini esizayo. Nokho, abanye abazali abanesifiso sokwazi lokho kusho imithi misebenzi futhi ukuthi kwakufaneleka ukuba uwasebenzise.

Ngokushesha kuyafaneleka ukuthi amakhambi ekhaya noma kunjalo akufanele isetshenziswe hernia strangulated noma ube nezinye izinkinga. Ngakolunye uhlangothi, kuzo lapho kusaqalwa zesifo Ungazama ezinye izindlela kusuka abelaphi bendabuko. Ngokwesibonelo, lokho kubhekwa njengokuzijabulisa amaphakethe ngempumelelo nsuku zonke decoction asanda walungisa umhlonyane.

Ngezinye izikhathi odokotela batusa ukwenza licindezele brine sauerkraut noma isetshenziswa umbhunu amashidi wakhe. Ngaphezu kwalokho, ungakwazi ukuthatha decoction amaqabunga ejikijolweni, ugqumugqumu, amagxolo larch, i ukumnika ka Tsvetkov Vasilka. Nakulokhu futhi kuyafaneleka ukukhumbula ukuthi lezi zimali ngeke esikhundleni yokwelapha agcwele, bese usebenzisa ukuba aphathe umntwana ngoba kuphela ethole imvume kadokotela.