hernia

General tsananguro yechirwere

Ichi chirwere chiri chikamu chemuviri wemukati chinosiya mhango iyo yaanogara. Inogona kubuda mukati memukati mhiri, pasi peganda, kana munzvimbo iri pakati pemhasuru. [3]… Nekuda kwechirwere ichi, nhengo dzemukati dzakatamiswa zvishoma, asi hunhu hwavo hahwukanganwi

Ichi chirwere chine njodzi chakajairika; vanenge 20% yevanhu vanotambura nazvo. Nzvimbo yenjodzi inosanganisira vechikoro uye vanhu vanodarika makumi mashanu, uye varume vanokwanisa kubatwa nechirwere ichi kupfuura vakadzi.

Hernia kupatsanura

Hernias anosiyana zvichienderana nenzvimbo yekuumbwa kwavo:

  1. 1 Inguinal… Fomu iri rinoonekwa mu66% yevarwere. Sezvo mutemo, hazviwanzo muvakadzi. Mune varume, inguinal canal yakafara, saka kuwanda kwemukati-mudumbu kumanikidza kunowanzo kumutsa hernia. Nekudaro, inguinal hernia inogona kutwasuka uye oblique. Iyo oblique hernia inoumba pasi peganda uye inopfuura nepakati peiyo inguinal canal uye inogona kuve yekuzvarwa. Hernia yakatwasuka inowanzo kutsanangurwa pamativi maviri. Iyi fomu yehernia inogona kuwanikwa chete;
  2. 2 Zvechikadzi… Hemukadzi hernias anotapurwa nevakadzi mushure memakore makumi mana. Pazera remakore makumi mana kusvika makumi matanhatu muvakadzi, mhete yechikadzi inoderera uye inowedzera muhukuru. Chechikadzi hernia inoumbwa zvishoma nezvishoma, nepo chikamu chemuura kuburikidza neyechikadzi canal ichienderera kupfuura miganho yemudumbu mudumbu;
  3. 3 Guvhu… Fomu iri rinowanzoitika mumadzimai akazvara kanoverengeka, apa mudumbu, ura hudiki kana hombe hungave zvirimo muhari yemhezi, inoiswa munzvimbo yerukuvhute;
  4. 4 Hernia yemutsetse chena wedumbu… Mutsetse muchena wedumbu unomiririrwa netambo dzetendon. Kana iyo hernia isinga pfuure nepakati pemakomba uye zvipenga zvefibisi, zvinoonekwa seyakavanzika. Kazhinji kazhinji, iyi mhando yehernia inokura mune varwere vane peptic ulcer, cholecystitis, kana kenza yemudumbu;
  5. 5 Vanoshanda… Inoiswa munzvimbo yechironda yakaumbwa mushure mekuvhiya. Incisional hernia inoitika mu31% yevanhu vakavhiyiwa nhengo dzemudumbu.

Zvinokonzera hernias

Mukuita kwekushanduka-shanduka muvanhu, yakagadziriswa furemu kubva kumhasuru uye tendon fibers, iyo inogadzirisa nhengo dzemukati uye inopokana nepakati-padumbu kumanikidza. Hernia inoumbwa semhedzisiro yekukanganisa mune yakasununguka furemu, iyo inogona kumutsa zvinotevera zvinhu:

  • kukanganisa kwekusimba kwemasuru tishu nekuda kwekuderera kwemuviri kana kukwegura;
  • kuwedzera kamwe kamwe mudumbu-kumanikidza;
  • kuwedzera mukati mekunze kwemadziro emudumbu;
  • kuneta;
  • kutakura mwana;
  • kuberekwa kusagadzikana mudumbu mudumbu;
  • kudya zvisina kunaka uye mararamiro asina kunaka;
  • kusimudza masimbi;
  • chirwere chisingaperi chekufema;
  • kwenguva refu kupatira;
  • kazhinji, kuchema kusingadzorwi muvacheche;
  • kushungurudzika mumimba;
  • kubereka kwakawanda;
  • kusarongeka kwemajini;
  • suture kuzvimba mushure mekuvhiyiwa;
  • kudzivirirwa kwakadzika;
  • kukanganisa kwechiremba panguva yekuvhiya;
  • kutsanya kuonda;
  • kugara uchikwenya panguva yekusagadzikana.

Hernia zviratidzo

Kunyangwe hazvo chokwadi chekuti mhando dzese dzehernia dzine zviratidzo zvadzo, pane zviratidzo zvakajairika:

  1. 1 kurwadziwa kana kukosora kana panguva yekurovedza muviri;
  2. 2 kusvotwa uye kugadzirisa zvakare;
  3. 3 idenderedzwa protrusion yenhengo dzemukati, idzo dzinogona kuonekwa kubva kunze zvichioneka, kunyanya kana wakamira uye wakagara. Kana murwere ari muchinzvimbo chepamusoro, kubuda kwacho kunonyangarika;
  4. 4 Zvakaoma kana kugara uchiita weti
  5. 5 kurwadziwa mugomba kana mudumbu;
  6. 6 kusagadzikana uchifamba;
  7. 7 kunzwa kwekuremerwa mudumbu mudumbu.

Matambudziko pamwe hernia

The kupfuura ngozi uye zvakajairika kuomesa ari heniya ndiko kukanganisa. Inogona kutsamwiswa nekusimba kwakasimba kwemhasuru dzemudumbu, umo izvo zviri muhomwe yeherial zvinomanikidzwa. Kukanganisa kunogona zvakare kukonzera cicatricial zvinokanganisa.

Kana ura hudiki hukanganiswa, tsvina inoungana, kutenderera kweropa kunovhiringidzika, ura hunowedzera kuonda, hwakazara nekudzivirira kwemukati. Kana chero nhengo iri musherial sac ichisungwa, kufamba kweropa kunovhiringidzika, uye iyo nhengo haigone kushanda zvakajairika.

Kungoerekana kurapa hernia kunogona kutungamira kune zvakakomba mhedzisiro:

  • kusadzora hernia;
  • kumira kwemarara mumatumbo;
  • kubuda ropa;
  • peritonitis;
  • kudhakwa kwemuviri;
  • itsvo kutadza;
  • kuzvimba kwenhengo dzemukati dzakavakidzana.

Hernia prophylaxis

Nezvinangwa zvekudzivirira, zvakakosha kuti ugadzikise chigaro, uye zvakare edza kusasimudza zviyereso. Chikonzero chikuru chekuonekwa kwembilical uye inguinal hernias inoonekwa seyakarembera pamadziro mudumbu, saka iwe unofanirwa kusimbisa iyo yekuzasi yekudhinda. Kuti uite izvi, iwe unofanirwa kuita gymnastics inovandudza hutano, pombi yekudhinda mazuva ese uye ita iro rekushandisa "bhasikoro". Kushambira zvakanaka kunosimbisa mhasuru dzemadziro edumbu. Panguva imwecheteyo, zvakakosha kuti usapfuure uye kunyatso sanganisa kurovedza muviri nekuzorora.

Kufutisa kunofanira kudzivirirwa, uye kana ukaronga kuonda, saka edza kuzviita zvishoma nezvishoma, pane kukurumidza kudzikira huremu.

Panguva yekusununguka uye mushure mekusununguka, vakadzi vanofanirwa kupfeka bhandeji, kuita kugwinya, kudzivirira kuzvimbirwa uye kubata chikosoro munguva.

Muvacheche vachangozvarwa, zvakakosha kuti unyatsochengeta guvhu muvhiki yekutanga mushure mekusununguka, zvinofanirwa kudzivirira kuputira zvakanyanya uye kusakanda mwana kumusoro. Kudzivirira kutaridzika kweumbilical hernia muvacheche, kudya kwakanyanya kunofanira kudzivirirwa, chigaro chinofanira kuongororwa uye mwana anofanira kuiswa padumbu rake 2-3 pazuva kuti adzidzise mhasuru dzemudumbu.

Varwere vakavhiyiwa nhengo dzemudumbu vanofanirwa kudzivirira kutendeuka kwakapinza uye kusendeka kwemuviri kudivi, kupfeka bhandeji kwemwedzi mushure mekuvhiyiwa uye usaedze kusasimudza zvinhu zvinorema.

Hernia kurapwa mune yepamutemo mushonga

Kushandisa bhandeji kana kupfeka kwekunze kunogona kungomisa kwenguva pfupi kukura kweiyo hernia. Chero hernia inogona kurapwa chete nekuvhiya. Uyezve, imwe neimwe mhando yehernia inoda nzira yayo yekurapa.

From umbilical heniya inogona kubviswa ne laparoscopy. Laparoscopic hernioplasty inoitwa pasi peanesthesia yemuno. Chiremba anovhiya bhegi reheni uye anoisa nhengo inobuda panzvimbo. Mushure meizvozvo, yekuisa mesh inoiswa kune vanhu vakuru, uye ruzha rweguvhu rakaiswa muvana.

Imwe nzira yekuvhiya sarudzo inogona kunge iri Laser vaporization… Iyi nzira inoita kuti zvikwanise kubvisa kubuda pasina kuvhiyiwa kwechinyakare. Kubatsira kweiyi nzira kusavapo kwekucheka kukuru uye mavanga uye kupora nekukurumidza.

Yemazuva ano herniology inosanganisira akawanda mahekeni ekugadzirisa matekinoroji, uye yega yega ine zvayakanakira nezvakanakira. Nzira yekuvhiya inosarudzwa nachiremba, achitarisa kuomarara kwechirwere, zera remurwere uye kusashivirira kwemunhu pazvinhu.

Zvigadzirwa zvinobatsira hernia

Kuitira kudzivirira hernia, chikafu chinofanirwa kuve chekutarisa pakudzivirira kukura kwekuzvimbirwa.

Mushure mekuvhiya, iwe unofanirwa kutevedzera kune chikafu. Izvo zvinodikanwa kupa sarudzo kune grated soups, zviyo, yakaderera-mafuta broth, mazai akabikwa. Usati waita oparesheni uye panguva yekuvandudza, usati wadya, unofanirwa kutora chipunu chemafuta emiriwo kana 2 mashupuni eoatmeal, nzira iri nyore ichabatsira kugadzirisa ura.

Mushure mekudya, zvirinani kusaenda kunorara, zvinokurudzirwa kufamba munzira kana kuita chimwe chinhu kutenderedza imba. Nutritionists vanokurudzira kudya zvidiki zvidiki nguva dzese kanokwana ka6 pazuva. Chikafu chakasimba chinofanirwa kuraswa, kana chikafu chakaomarara chinofanira kupfaviswa panguva yekubika. Pakati pezuva, zvakakosha kunwa isina-kabhoni alkaline maminera emvura, ayo anoderedza acidity.

Zvinokurudzirwa zvigadzirwa:

  1. 1 isina simba mabhuti;
  2. 2 zvigadzirwa zvemukaka;
  3. 3 porridge, kunze kwemupunga uye semolina;
  4. 4 mapeari uye raspberries;
  5. 5 hove;
  6. 6 tofu chizi;
  7. 7 michero isina kugadzikana nemiriwo;
  8. 8 michero jellies;
  9. 9 yakabikwa mazai akanyoroveswa;
  10. 10 compotes;
  11. 11 hove dzegungwa;
  12. 12 nyama yakaonda.

Chivanhu mishonga yehernia

Varwere vane hernia mune preoperative nguva vanofanirwa kusimbisa muviri uye kuyedza kunonotsa kukura kweiyo hernia vachishandisa zvinotevera mishonga yevanhu.

  • gadzirira decoction kubva wechidiki oak kuhukura… Kuti uite izvi, dururira 20 g yemidziyo mbishi mu200 ml yemvura irikufashaira, bika kwemaminetsi mashanu, inotonhorera, firita uye unwe kapu imwe imwe neimwe. katatu pazuva;
  • kunwa zuva nezuva kofi yemukoma pamwe nekuwedzera huchi;
  • seantispasmodic mumiriri yakazviratidza kwazvo belladonna jisi remashizha, iyo inogona kutsiviwa nehupfu kana tincture. Maitiro anofanira kunge ari mashoma, sezvo simiti ine chepfu.[1];
  • decoction yemiriwo weyakareruka hernia inogadzirisa zvakakwana kurwadziwa kwechirwere kunoitika kana uchisimudza zviyereso. Kuti uite izvi, dururira 50 g yezvinhu zvitsva zvakagadzirwa neine litita yemvura inodzika, simbirira uye unwe 4 rada pazuva, 1 / girazi;
  • semumiriri wekunze aratidza mhedzisiro paini mabhati… Unogona zvakare kugadzira kudziya kwemuviri kumonera kubva pane inodziya decoction yemapaini matavi;
  • ine umbilical hernia muvana, trunk uswa guruva decoction kuputira;
  • nyungudika vhiniga nemvura muchiyero che1: 1 uye mhinduro inoguma, kurumidza kusuka muviri[2];
  • yakanaka yekurapa mhedzisiro inogona kuwanikwa pamwe sauerkraut compress, Mashizha ekabichi kana jira rakanyoroveswa mu brine rinofanirwa kuiswa kune iyo bulge uye inochengetwa kwemaminetsi makumi maviri nemakumi matatu.

Zvokudya zvine njodzi uye zvinokuvadza zvehernia

Mune nguva yekuvhiya, izvo zvinotevera zvekudya zvinofanirwa kusabviswa zvachose kubva mukudya:

  • zvinwiwa zvinodhaka, yakasimba tii nekofi;
  • zvihwitsi;
  • anovava, ane mafuta, anopfungaira, ane munyu
  • broth akasimba;
  • hove yakakora nenyama;
  • zvinonhuwira sauces uye zvinwiwa;
  • zvinwiwa zvine kabhoni;
  • mafuta enguruve nemargarini;
  • chikafu chekutenga;
  • semi-yakapera zvigadzirwa;
  • howa.

Kana zvichibvira, deredza kushandiswa kwezvinhu zvakadaro:

  • pizi nedzimwe nyemba;
  • bhekari zvigadzirwa;
  • mazambiringa;
  • mhando dzese dzekabichi;
  • kuderedza munyu kunwa
Kudhindazve zvinhu

Kushandiswa kwechinhu chero chipi zvacho pasina mvumo yedu yakanyorwa kare kunorambidzwa

Mitemo yekuchengetedza

Iwo manejimendi haakonzere chero kuyedza kushandisa chero nzira yekubikisa, kuraira kana chikafu, uye zvakare haivimbise kuti iyo yakatarwa ruzivo ichakubatsira kana kukukuvadza iwe pachako. Iva akangwara uye gara uchitsvaga chiremba akakodzera!

Chenjerera!

Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!

Chikafu cheimwe hosha:

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