Inguinal Ungenzenjani: izimbangela, izimpawu, ukwelashwa

Protrusion fat intermuscular noma ngaphansi kwesikhumba parietal peritoneum ishidi kanye isici kwangaphakathi ngokusebenzisa ungqimba imisipha ye besisu odongeni hernia libizwa. Herniation, njengoba umthetho, njalo anda ubukhulu. Okuvame kakhulu kanti okusongela inkinga - hernia strangulated ukuthi kwenzeka ngenxa ingcindezi iconsi ngaphakathi peritoneum, ngokuzumayo imisipha, okuyinto azungeze protrusion, futhi umbuthano omkhulu sezinyawo negesi.

Kunezinhlobo eziningana hernias, okuyinto zihlukaniswe ngokuvumelana esikhundleni indawo yabo. Hernias kukhona inguinal, enkabeni, umbhunu emgqeni elimhlophe esiswini, ethangeni, nasezinkingeni ezilandela ngemva kokuhlinzwa (ventral) kanye diaphragmatic. hernia Inguinal itholakala ngqo ku -canal inguinal, femoral - kanye imikhumbi emikhulu ngaphakathi kwethanga. hernia enkabeni sidlula indawo phuma bese semithambo indandatho enkabeni. hernia Diaphragmatic sidlula beso, futhi besisu - ngokusebenzisa besisu imisipha izingqimba.

Isizathu esikhulu hernia kuthathwa njengesibikezelo esiyiso kuyaqina ongaphakeme kwezindonga ngalo ingaphakathi lesisu, esiholela ekuveleni yokungafaneleki. Izinto ezibangela ukuthi hernia inguinal kungenziwa kwabangela, kukhona uthi okuyinto kwandise ingcindezi yokufuna ngaphakathi peritoneum, futhi umthwalo odongeni kwamathumbu. Lezi zihlanganisa ukukhuluphala, ukukhwehlela okungamahlalakhona, isidingo ukwenza umzamo ngesikhathi sokuzikhulula noma ukuchama, ukuphakamisa izinsimbi ezisindayo, ukukhulelwa, njalo sneezing okukhulu, buthaka kusukela ekuzalweni udonga besisu. hernia Inguinal kakhulu ukubuyeka ezivamile kubantu besifazane kunabesilisa, inguinal hernial protrusion lemali 80-90% azo zonke amacala kumiswa hernias.

izimpawu eziyinhloko hernia inguinal - a protrusion e okuvela umbhunu, ikakhulukazi ngesikhathi ukuzikhandla, ne ukuma aqonde, kanye egqame bha indandatho hernial ku palpation. Iziguli ukhathazekile ubuhlungu hernia nokuphatheka kabi esiswini ukuhamba futhi dyspepsia.

Sifo hernia inguinal kuyehla kube inhlolovo isiguli sesimweni uqotho ukwakha umfanekiso asymmetry ka izifunda inguinal. Uma kukhona ziboya odongeni besisu, inquma usayizi kanye ukuma umbhunu, kanye nokuvumelana yayo.

Ukuze kuvikelwe izinkinga ngemva kokuhlinzwa, ukuvimbela Ukuphinda esikhathini postoperative, futhi ukuhlinzeka wendawo kokucindezelwa ingxenye herniation ngebhandeshi isicelo hernia inguinal.

Okwamanje, i- ekwelapheni inguinal hernia ukuhlinzwa, ngoba plastic Bassini, plastic usebenzisa PHS, endoscopic hernia ukukhanda, inqubo "ipulaki and patch": asetshenziselwa Izindlela ezilandelayo.

ukusebenza kwesiko kuhilela ukufinyelela ngaphakathi komgodi ongaphakathi kwamathumbu kanye plastic ntathu anezikhala Teflon noma polypropylene nolwelwesi posterior udonga umsele inguinal.

Plastic ku Bassini - ngepulasitiki kwezicubu siqu. essence yayo yangempela izikhundla ezintathu: ukuhamba intambo spermatic, ukudalwa umsele inguinal, kuvalwe fascia nemisipha hernial indandatho.

Plastic usebenzisa PHS - ukusetshenziswa okuyinkimbinkimbi sokwenziwa ngakuthathu, ehlanganisa isixhumi nadfastsialnogo podfastsialnogo ichopho futhi lesi sembozo ibone.

I endoscopic hernia ukulungisa Ukwakheka usebenzisa ithuluzi akhethekile Zikagesi kususwa udonga lwangemuva umsele inguinal ngokusebenzisa ukufinyelela laparoscopic.

Uma usebenzisa "ipulaki and patch" amasu isb "Plug futhi patch" wenza ukufinyelela njalo siya emseleni inguinal, njengoba umthetho, kokuvula sac hernia is hhayi lwenziwa. hernia Inguinal egxilile ngaphakathi "plug" ka obturator polypropylene anezikhala ngesimo a shuttlecock. nokukhomba zayo isihloko maqondana sac obturator hernia futhi isisekelo salo eqondiswa kwezicubu ezizungezile emalungwini eziningana. Kulokhu kususwa udonga lwangemuva isiteshi buyaqina "patch" ngesimo grid.

Kukhethwa indlela lincike ohlotsheni kanye nosayizi umbhunu, kanye ubudala noma impilo yabo isiguli.