Hernia postoperative ngesisu sakhe: imiphumela kanye nokwelashwa

Izinkinga ngemva izinqubo evulekile kuhlinzwa kuyagcinwa kanini. Nokho, ngezinye izikhathi zenzeka. Ngokuvamile lokhu kungenxa ukunakekelwa engafanele nesineke, bandisa inkonzo ngokomzimba, ukwehluleka izincomo udokotela. Enye yezinkinga ukuthi ukuthuthukisa ku isizinda ukuhlinzwa kuyinto hernia nasezinkingeni ezilandela ngemva kokuhlinzwa ngesisu sakhe. Kumiswa It is endaweni lapho laparotomy wawenziwa. Ezimweni eziningi, le hernia ngemuva kokuhlinzwa liyavela alba linea. Noma kunjalo, lesi simo singenzeka kunoma iyiphi indawo. kwasendaweni Abaningi bazizwa njengodade izibazi ngemva cholecystectomy, ukususwa izinhlumba isibindi, ukuhlinzwa ezithweni kwezitho zangasese.

hernia postoperative we anterior udonga besisu esiswini - kuyini?

Cishe wonke umuntu uyazi ukuthi hernia kuyinto protrusion phezu komzimba. It has izingxenye eziningana. Lezi zihlanganisa: esangweni, sac hernial nokuqukethwe. a protrusion Abanjalo bangase kwasendaweni ezahlukene. I inguinal ezivamile, umbhunu enkabeni kanye femoral. nabo bangaba khona kabuhlungu emgogodleni. Sac ingaphakathi hernia kungenziwa yenziwe yaba yasendaweni kunoma izitho zangaphakathi. Ezimweni eziningi lokhu wamathumbu loops (uma protrusion itholakala esiswini). Ngamanye izinhlobo lokuqukethwe hernia kungenzeka umgogodla, zangasese wesilisa, isibindi nokunye. D.

Uyini protrusion umehluko kwakhiwa emva izinqubo kuhlinzwa? Umehluko omkhulu kungenxa nesenzakalo, kuba njalo ukuhlinzwa. Postoperative hernia besisu bungabonakala indawo kanye nesikhathi nesenzakalo. Okuqukethwe isikhwama kungenzeka ngokufanayo nezinye izinhlobo zesifo. Hernial ukhonza ingxenye lapho imbobo senziwa tekusebenta. Ezimweni eziningi, kuba linea alba isibanda ngemva append-, cholecystectomy. Wona iqukethe hernial sac izicubu we anterior udonga besisu - esikhumbeni, muscle and fascia. Ngokuvamile a diverticulum livela isikhathi esithile ngemva kokuhlinzwa.

Izinhlobonhlobo hernias nasezinkingeni ezilandela ngemva kokuhlinzwa

Kuye ngobukhulu we herniation futhi kwasendaweni yayo phezu anterior udonga besisu kukhona izinhlobo eziningana lesi sifo. Noma kunjalo, konke yezizathu ezifanayo ukuthuthukiswa. Kungakhathaliseki uhlobo, iqhubu ekuthuthukiseni esikhathini postoperative. hernia besisu ezimweni eziningi, isuswe surgically. Kuyinto zokuxilonga umbandela ventral (nasezinkingeni ezilandela ngemva kokuhlinzwa) ukukhubazeka. Kuye indawo lezi zinhlobo ezilandelayo hernias:

1. Medial.
2. Lateral.

Esimweni sokuqala, lo protrusion hernial isendaweni umugcamkhatsi esiswini. Kungaba ngenhla, ngezansi futhi ezingeni esiyingini enkabeni. hernia Lateral elise ohlangothini odongeni kwamathumbu. Ngaphezu kwalokho, kukhona ukwahlukana phezu protrusion left- nesokudla emaceleni.

Kuye ngobukhulu ukuhlukanisa hernia amancane, aphakathi nendawo, ububanzi futhi enkulu kakhulu. Esimweni sokuqala, ukucushwa kwe esiswini kuyelelwe bonyana akukafaneli kuphulwe. hernia okulingene futhi wenziwa endaweni ebanzi ebonakalayo ngokubona okubonakala ngeso lenyama. Bona nesikhundla Ingcenye eqakathekileko yomsebenzi wehlelo anterior udonga besisu. Kakhulu ziboya ezinkulu ingaqukatha hernial sac eziningana izitho zangaphakathi (amathumbu, omentum). Akulesi 2/3 of the anterior udonga besisu.

Ngikuphi okuhlukileko hernia nasezinkingeni ezilandela ngemva kokuhlinzwa emgqeni elimhlophe esiswini?

hernia postoperative ngokuvamile kuthatha isikhundla medial phezu anterior udonga besisu. Kulokhu, kubalulekile kule ndawo komugqa elimhlophe esiswini. Lokhu herniation ilungiselelo kwenzeka emva kokuhlinzwa okukhulu. Kwezinye izimo, ngokusebenzisa imbobo umugcamkhatsi kwenziwa ukuxilonga pathologies kuhlinzwa ukuthi ayikwazi ukutholwa ngamanye izindlela.

Median nasezinkingeni ezilandela ngemva kokuhlinzwa hernia besisu kwenzeka ngenxa yobuthakathaka anterior udonga besisu. Le ndawo itholakala imisipha kwesokudla. Lapho efeza ukungenelela kuhlinzwa emgqeni elimhlophe imbobo isikhumba senziwa namanoni. imisipha Straight besisu baphokophelele bacondze etindzaweni letehlukene. Ngakho-ke, isilonda ngemva laparotomy kuthatha Adalberto isikhathi eside. Kuyadingeka ukuba sifinyelele hhayi kuphela kumiswa yesibazi kwakhiwa, kodwa futhi ukwehliswa (Ukuvalwa) kwemisipha rectus.

Izimbangela hernia esiswini emva kokuhlinzwa

Ngokuvamile, ngemva izinqubo kuhlinzwa akumelwe akha protrusion hernial. Umbala wawo ubonisa lokungalandeli umthetho we ukusebenza imishini, indlela engafanele yokuphila ngemva kokungenela (ukuphakamisa izinsimbi ezisindayo, umsebenzi ngokweqile). Ngaphezu kwalokho, umbhunu ventral kungenzeka ngokuzimela. Ngokuvamile, it is kugqugquzelwa ezihlukahlukene izifo lapho amanxeba bungasheshi ezingaphezu kuka kubantu enempilo. hernia postoperative esiswini kungenzeka ngenxa yezizathu ezilandelayo:

1. Isikhathi eside tamponade esiswini. Ukuze wakhe wasebenzisa phakathi nezinqubo eziyinkimbinkimbi kuhlinzwa, kanye uma kwakukhona izinkinga. Phakathi imisebenzi, okwathi ngemva kwalokho ekuthuthukiseni hernia ventral, yilezi: ukususwa ne-appendix gallbladder, hepatectomy. Futhi, yesikhathi eside sokuphulukiswa kwezicubu kwenzeka ngenxa ukungenela esiswini (ukopha, perforation, izilonda) namathumbu (ileus), izitho okhalo, nezinso.
2. Isifo sikashukela umlando. Iziguli ezinalesisifo zijwayele ukuba yezinkinga semithambo. Ngenxa yalokho, yimuphi isilonda ebusweni ukuphulukisa isikhathi eside kakhulu futhi kunzima, ngokungafani nabantu enempilo.
3. Ukwephula inqubo kuhlinzwa. Ungenzenjani kungenzeka uma eliphansi isicelo of the suture, eqinile ngentambo ukungezwani, ukungabi belungiselela ukuhlinzwa.
4. ukutheleleka ukulimaza. Kwenzeka lapho obenesifo kungenxa ukungahlanzeki, ukungabi efanele ukuphathwa antiseptics umphetho.
5. nesineke ukhuluphele.
6. Ukwenqaba ukugqoka ngebhandeshi ngemva kokuhlinzwa.

kungenzeka Kumiswa hernia ventral ngezikhathi ezehlukene. Kwamanye kubonakala emva kokuhlinzwa kwezinsuku ezimbalwa. Kwezinye izimo - okhula izinyanga.

Lwasemtholampilo isithombe hernia nasezinkingeni ezilandela ngemva kokuhlinzwa

hernia postoperative esiswini ngokuvamile akazihluphi iziguli ngoba musa kuthinte isimo jikelele. Nokho, uma kubonakala kudingekile ukuba afune usizo lwezokwelapha. Phela, kungakhathaliseki ukuthi zinhlobo futhi indawo hernia angagcina eziyingozi. Okuvame kakhulu kanti kuyingozi wabo pinching kwezitho zangaphakathi. Izimpawu eyinhloko hernias ayinzima yilezi:

1. Ukubukeka ziboya (hillocks), okuyinto kunqoba kobuso anterior udonga besisu. Kungase ube usayizi ezahlukene nobujamo (ngokuvamile round, okusaqanda). Ukungaguquguquki ngokuvamile hernia omnene.
2. Self misa ezinkulu. Nge inani hernia encane ubalekela lapho ushintsha isikhundla umzimba noma ngokucindezela phezu kwalo ngomunwe wakho.
3. Ukubukeka ziboya ngesikhathi voltage imisipha besisu, ukukhwehlela.
4. Soreness at ngomshikisho mayelana izingubo.
5. Kwezinye izimo - isicanucanu nokuhlanza.
6. Ukwephula wamathumbu (ukuqunjelwa noma isifo sohudo).

isithombe basemtholampilo "esiswini oyingozi" eba lapho herniation umthetho. Lokhu kungenxa kokucindezelwa we izihibe wamathumbu and ischemia. Ezimweni ezimbi kakhulu ukwephula zemizimba ibhekane necrosis. Lokhu kuhambisana sebuhlungwini obunzima, imfiva, ukudakwa.

Ukuxilongwa hernia besisu

Ukuxilongwa hernias ventral kusekelwe idatha luhlolo nenhlolovo nesineke. Sidinga ukuthola kwathiwa kudalo kwenziwe ukuhlinzwa, kungakhathaliseki waphulukisa isibanda eside. Uma isiguli ekhononda lemfundo ubuhlungu, okuyinto ukunciphisa self, kungaba lapho ethola ukuthi unesifo: umbhunu nasezinkingeni ezilandela ngemva kokuhlinzwa esiswini. Izithombe salezi ziboya zingatholakala ku izincwadi zezokwelapha ezisekelwe ekwazisweni. On ukubukeka umbhunu zingase zifane ezihlukahlukene izimila. Ngakho-ke, uma noma iyiphi protrusion kuyadingeka ukubhekana ukuze udokotela ohlinzayo. Kuphela uzokwazi lokwenza ukuxilongwa umehluko ilungile.

Ukwelashwa nokuvikelwa hernias post-op ekhaya

Ukususwa kwezimiso hernia nasezinkingeni ezilandela ngemva kokuhlinzwa ku esiswini kungaba uchwepheshe ofanelekayo. Noma kunjalo, kwezinye izimo, uphatha ukugwema ukuhlinzwa. ukwelashwa okulondoloza ka umbhunu wenziwa ekhaya. Lokhu kuhlanganisa: Ukudla, anti-ukuqunjelwa, nomkhawulo ukuthi ukuzikhandla ngokomzimba futhi egqoke umkaki ekhethekile noma neminye zangaphansi.

ukususwa Steel ka herniation nasezinkingeni ezilandela ngemva kokuhlinzwa

Ezimweni eziningi, impatho kuhlinzwa ka nasezinkingeni ezilandela ngemva kokuhlinzwa hernia besisu. Isetshenziselwa emva ukwehluleka yokwelapha ngoludala, ziboya esikhulu esikalini. I izinkomba umsebenzi oluphuthumayo strangulated umbhunu. Kulokhu, detoxification nokwelulekwa lingaze, necrectomy, epulasitikini hernial indandatho. Lolo thando ungalubonisa ekuhlinzeni ayinzima yokuqokwa ngesikhatsi ukwelashwa.

Izinhlobo operation hernia esiswini wakhe

Kukhethwa ukuhlinzwa incike ubukhulu umbhunu. With imizimba ezincane protrusion labetibambile autoplasty. Luhilela lokuvala ukusilela okwatholakala kwezicubu lesiguli siqu. Uma hernia likhulu ke ukusebenza wenziwa ngaphansi izinzwa jikelele. Ukuze ukubuyisela fascia we anterior udonga besisu, usebenzisa izimila ekhethekile - zokwenziwa anezikhala. Basiza ukuqinisa imisipha kanye unciphise amathuba yokuphindela umbhunu. Okwamanje, le ndlela kuvamile kuwo wonke amazwe.

Ukuvimbela nasezinkingeni ezilandela ngemva kokuhlinzwa hernias besisu ku

Izinyathelo kufanele zithathwe odokotela hhayi kuphela, ukuhlinzwa kokuqhuba, kodwa zonke iziguli. Phakathi nenyanga nje eyodwa emva kokuhlinzwa abakwazi phakamisa izinto ezisindayo noma uvivinye umzimba. It is ibuye Kunconywa ukuba ugweme ukuthuthukiswa ukuqunjelwa. Ukuze wenze lokhu, ukulandela ukudla, uma kunesidingo - ukuthatha laxatives. Ngemva laparotomy, qiniseka ukugqoka ngebhandeshi. Kuyasiza ukuletha imisipha abdominals esimweni saso sangaphambili.