Hernia nasezinkingeni ezilandela ngemva kokuhlinzwa

hernia postoperative (isibanda ventral) libhekene ukufuduka yezitho zangaphakathi (indlala, amathumbu) ngaphandle odongeni kwamathumbu kule ndawo yesibazi, eyasungulwa ngenxa ukuhlinzwa. Emkhakheni isibanda izicubu kukhona protrusion lwesimila. Lapho isiguli endaweni evundlile, lokhu protrusion iphele.

Uma kwakhiwa umbhunu nasezinkingeni ezilandela ngemva kokuhlinzwa ventral, ngokushesha ngemva okuvela izimpawu zokuqala zokwelapha kuyadingeka ukuze afune usizo udokotela ohlinzayo. Izimpawu zokuqala sengathi isicanucanu, ukuhlanza, ubuhlungu endaweni iqhubu nesisu, okuyinto kuthakwe kokuvivinya umzimba.

Kunezici eziningana okubangela ukuthuthukiswa hernias post-op. Lezi zihlanganisa ukukhuluphala, amasosha omzimba aphansi, ukuvivinya umzimba, ukukhwehlela, ukuhlanza, kanye ukuqunjelwa. Futhi, ningawenzi siqambe amaphutha yezokwelapha ngesikhathi ukusebenza.

Ukuze ukuxilonga hernia nasezinkingeni ezilandela ngemva kokuhlinzwa, isiguli kumelwe ibhekane kuhlolwe ngamehlo ngudokotela futhi eziningi izifundo wezinsimbi (imaging kwezitho besisu,-X-ray Ukuhlola izingxenye ezondile emathunjini nasesiswini, kanye ultrasound ukuhlola kanye herniography). Ukuthwala herniography e ngaphakathi komgodi ongaphakathi kwamathumbu iqondiswa umphenyi okhethekile okungafani.

Mangithi ukuthi hernia nasezinkingeni ezilandela ngemva kokuhlinzwa eba ngezigaba eziningana. Ngesikhathi esigabeni sokuqala isifo zenzeka kumiswa kobuhlungu, kalula ukunciphisa. Endabeni ka ekucindezelekeni okungazelelwe, uthuthumele, ukwakheka inyuka ngobukhulu, futhi ngaleyo ndlela isiguli uyazwelana nathi ebuhlungwini kancane. Ngo inqubo okwandisa ubukhulu ubuhlungu hernia yakhula futhi zibe ukuhlaselwa ezibuhlungu. Lapho wenza umcimbi ukusebenza emathunjini okuphazamisayo ukuthi uvame ukuzibonisa ngesimo nokubhamuka, isicanucanu, ukuqunjelwa, ukuqunjelwa, stasis fecal, ngokwemvelo kubangele ukudakwa. Iziguli ezinalesisifo zijwayele esekhala ukukhathala jikelele nomsebenzi esincishisiwe.

Ngenxa yobukhulu nendawo kwasendaweni hernias post-op zihlukaniswa ngamaqembu eziningana: amancane, aphakathi nendawo, ububanzi futhi omkhulu. hernias Small musa ukushintsha ukuma esiswini. hernias okulingene futhi wenziwa endaweni ebanzi kuthiwa yenziwe yaba yasendaweni ikakhulukazi anterior udonga besisu. Hernias usayizi giant ezibekwe ezindaweni eziningana odongeni kwamathumbu.

hernia postoperative kungabangela eziningi zempilo ezenza ziyabonakala ngesimo ukwephula hernia sac ngenxa yokucinana ihlule. Lesi simo esiyingqayizivele sibangelwa uvame ukuhambisana coprostasia (indle ukubambezeleka emathunjini ezinkulu).

oluphuthumayo lwezokwelapha inikezwe ukungabi khona wamathumbu ukunyakaza, isicanucanu, ukuhlanza, ngegazi kuleli sezinyawo, ukubuyisa, ubuhlungu esiswini, kanye ezimweni lapho akunakwenzeka qondanisa umbhunu e yindawo evundlile isiguli nge ingcindezi emnene esandleni sakhe.

Ngo leso sifo, njengoba nasezinkingeni ezilandela ngemva kokuhlinzwa herniation, ukwelashwa wenziwa nge kokungenela kuhlinzwa. Lokhu arcade kwenziwa kusaqalwa lesi sifo lapho hernia kulula ukunciphisa, ngoba ngokuhamba kwesikhathi iba uhlamvu nevpravimy. Ungenzenjani ukulungisa kungaba kwenziwe ngezithukuthuku kwezicubu lesiguli siqu futhi usebenzisa izinto zokwenziwa. Esimweni sokuqala, indlela kuyinto ukuhlinzwa ngempumelelo kuphela hernia osayizi ezincane (ubukhulu hernial ikhale kuze 5 cm). Ngokuvamile, lolu hlobo lokuhlinzwa wenziwa usebenzisa izinzwa wendawo. Esimeni sesibili, umbhunu ukulungisa usebenzisa anezikhala zokwenziwa, okuyinto sutured esikhundleni besisu odongeni isici. Le ndlela yokwelashwa kuyaphumelela, wenziwa ngaphansi izinzwa jikelele. Recurrences ezingajwayelekile kakhulu.