Hernia Strangulated: isethulo emitholampilo zinhlobo

hernia Strangulated ubhekwa nezinkinga ezivamile of hernias. Kwezokwelapha, lesi sifo singumbulali emkhakheni ukuhlinzwa oyingozi. Ngokuvamile, phakathi izinkinga neziphathimandla hernia besisu ukuthatha indawo yesine, kanti "phezulu ezintathu" ifomu appendicitis, cholecystitis kanye pancreatitis.

zinhlobo

kwakhiwa Kungani hernia strangulated? Odokotela iyihlanganise ne ukubonakala okuqukethwe ngaphakathi komgodlana hernial onomfutho endaweni okuthiwa "indandatho hernial." Ngo inqubo yokwelapha yesimanje, kuyisiko ukupha abashadayo ukuhlukanisa izinhlobo ezimbili: zamabanga aphansi naphezulu. Kufanele kuqashelwe ukuthi ukhetho sokuqala ngempela ezingavamile. Ngokuvamile, isiguli umbhunu nezici ezithile eziyinhloko strangulated kuwumphumela umzamo omkhulu emzimbeni. Sifo kulokhu lihlotshaniswa nobunzima ezithile. Zonke ezinye izinhlobo afakiwe isigaba sesibili. Phakathi ezivamile kungenziwa ngokuthi umthetho ejwayelekile classical, okuyinto yena, ihlukaniswe izinhlobo ezimbili: nokunwebeka kanye fecal.

sokwephulwa kwe nokunwebeka

hernia Strangulated Leli cala is bakha ngenxa umsebenzi ngokweqile. Kungokwemvelo, Ngakho-ke, ukuthi waphawula ikakhulukazi esemncane phakathi, okungukuthi, labo bayakwazi ukulayisha. Izimpawu zalesi zimi kanje: Isigaba sokuqala libhekene sebuhlungwini obunzima nokuvuvuka endaweni hernia ubudala. Kancane kancane kwandisa ngobukhulu, futhi babe ubuhlungu babulawa. Isiguli ingase futhi ezikhala ngezinhlungu nesicanucanu esibi, okuyinto ngezikhathi sihamba e ukuhlanza futhi sezinyawo nokugcinwa. Encwadini izimo sina ngokukhethekile wenza umcimbi ephelezelwa izimpawu ezifana tachycardia, nomlomo owomile, isisu quin.

izimpawu zendawo

Ngaziphi izizathu, odokotela bavame ukuxilonga "strangulated hernia femoral?" Okokuqala, kubalulekile ukuba banake ubuhlungu. Ngesikhathi indawo lapho kwakukhona khona umbhunu, bakha ukuvuvukala esikhulu, okuyinto kuwo wonke touch iyaphendula ezingemnandi kakhulu.

amafomu atypical

zinhlobo ingasaphathwa ezivamile ezifana hernia strangulated njengoba parietal futhi retrograde. Icala lokuqala siyenzeka ngokuyinhloko inguinal encane, femoral futhi hernias enkabeni. sokwephulwa kwe parietal ubizwa kufanele kubhekwe lo eyingozi kunazo zonke izinhlobo, njengoba yenzeka cishe asymptomatic. I kunazo zonke izinto ezingenzeka akhononde nesineke, kuba buhlungu omnene esiswini. Nokho, ukuntuleka ukwelashwa okufanelekile kulokhu kuholela yokuthi odongeni emathunjini is phansi necrosis, esiswini kungenzeka umgodi ukuthi yena, wenza ukuthuthukiswa peritonitis oyingozi. Uma sokwephulwa kwe retrograde izimpawu ezichazwe ngenhla kunezelwa izici isici ngaphezulu ileus kunokuba umbhunu. sokwephulwa kwe fecal ezimweni eziningi ebonwe asebekhulile. wamathumbu izihibe, bazithola esikhwameni hernial, kancane goba, lapho ithola kwesihlalo, ichichima esiswini. Strangulated ukwelashwa hernia kakhulu zazikuphazamisa emathunjini, okuyinto ejwayelekile iziguli eziningi kulonyaka.