umbilical hernia

General tsananguro yechirwere

Umbilical hernia chirwere chechirwere chine hunhu hunoputika munzvimbo yemubilical. Muchiitiko ichi, chidimbu chemukati uye omentum chinodzingwa kuburikidza nemudumbu wedumbu nekuremara mumadziro edumbu remudumbu kupinda muguvhu.

Nekuda kwemaatomical maficha, umbilical hernia inzvimbo inotungamira pakati pemamwe marudzi ehurwere.^[3].

Types

• zvisingachinjiki uye zvinoderedzwa;
• postoperative, kuberekwa kana kushungurudzika;
• zvekunze nekunze.

Chirwere chakapihwa chinogona kuzviratidza muvana nevakuru, asi chinowanzoitika kune vacheche nevakadzi vanodarika makore makumi matatu ekuberekwa nekuda kwekushomeka kwerukuvhute panguva yekusununguka nepamuviri.

Iko kubuda munzvimbo yeguvhu kunosanganisira zvinotevera zvimiro zveatomical:

1. 1 hernial gedhi;
2. 2 hernial sac;
3. 3 hernial zvemukati, sekutonga, ndiwo ura zvishwe.

Zvinokonzera

• kufutisa;
• connective zvinyama dysplasia;
• kwenguva refu kukanganiswa kwekukosora kunoenderana;
• kushaya simba kwerumambo;
• kusarongeka kwemajini kutetepa kwemadziro emudumbu;
• kuwanda kwepamuviri uye kubereka;
• kusimudza zvinhu zvinorema;
• mashandiro munzvimbo ye peritoneal;
• nguva diki pakati pepamuviri;
• kurongeka kuzvimbirwa;
• ascites - dumbu rine mvura;
• unopinza kuchinja muviri uremu;
• kushungurudzika mumimba;
• kusakwana kwekuita kwemuviri, semhedzisiro iyo mhasuru dzedumbu renharaunda dzinorasa toni;
• prostate adenoma;
• kurovedza muviri kwakanyanya;
• urethra zvokurwara;
• kuwedzerwa mudumbu kumanikidza.

Izvo zvinogadzira zvinhu zvekuonekwa kweiyo umbilical hernia inosanganisira:

1. 1 vanoputa vane chikosoro chisingaperi;
2. 2 vaimbi vanoridza zviridzwa zvemhepo;
3. 3 vanhu vane mabasa anehukama nebasa rakaomarara remuviri;
4. 4 vatambi weightlifters.

Mune vacheche, umbilical hernia inogona kukura nekuda kwekugara uchichema, rickets, prematurity uye pathologies panguva yekuzvitakura.

zviratidzo

Umbilical hernia yemudumbu inogona kuongororwa nezviratidzo zvinotevera:

• murwere anogara achirwara;
• kurwadziwa mudumbu panguva yekukosora, kuedza kwemuviri, kusimudza zviyereso;
• kutaridzika kwekuumbika kwekuumbika munzvimbo yeguvhu yeyakagadzikana kusimba, iyo inonyangarika kana wakarara kumusana;
• mutsvina yakasviba ine hutumbu hwakaputika;
• kuwedzera gasi kuumbwa;
• kuwedzera kwehukuru hwemhete yemubilical;
• kupatirwa;
• kuvhiringidza kwekudya kwekudya;
• kurutsa;
• kurasikirwa nenzara;
• kupindwa nechando.

Matambudziko

Kana iwe ukasabvunza chiremba nenguva yakakodzera, kukanganisa kweiyo umbilical hernia, iyo yakazara nemhedzisiro inotevera:

1. 1 kurwadziwa kwakanyanya mudumbu;
2. 2 kazhinji kukurudzira kurutsa;
3. 3 kushanduka kweganda munzvimbo yekufambisa;
4. 4 mu supine chinzvimbo, kubuda haku nyangarika;
5. 5 kuvhara mumatumbo;
6. 6 kutyorwa kweropa uye, semhedzisiro, tishu necrosis;
7. 7 manyoka akavhenganiswa neropa;
8. 8 coprostasis - kuunganidza tsvina mumatumbo;
9. 9 kushaya simba;
10. 10 kurutsa nemusanganiswa weropa;
11. 11 dikita rinorema.

Zviratidzo zvepamusoro zvinoratidza chakakomba mamiriro uye zvinokonzeresa kutyisidzira kwete chete kune hutano, asi zvakare kune hupenyu hwemurwere, sezvo iwo azere neparitonitis, inotapukira inotyisa kutyisa uye coma.

dziviriro

Kudzivirira kwembilical hernia kunosanganisira:

• kurovedza muviri zvine mwero nguva dzose kuti tsandanyama dzako dzemudumbu dzigone;
• kudzivirira kuoneka kwehuremu hwakawandisa;
• kuomerera pamitemo yezvokudya zvine utano, kudzivirira kupatira;
• usatendera kurema kusimudza;
• pfeka bhutsu yemapfupa kubva pamwedzi yekutanga yekuzvitakura;
• kurega kusvuta;
• kurapwa nenguva

Kurapa mune zvakanyanya mushonga

Kana iwe ukawana bundu muguruva, saka unofanirwa kubvunza chiremba anovhiya. Kutanga, chiremba anoitisa kuongororwa kunoonekwa kwemurwere munzvimbo yakamira, achiongorora inguinal uye echikadzi nzvimbo kuti abvise hernias munzvimbo idzi.

Icho chokwadi ndechekuti zviratidzo zvembilical hernia zvakafanana nezviratidzo kune mamwe mamota, nekudaro, kuti umise kuongororwa kwakanaka, munhu anofanirwa kuita bvunzo dzinotevera:

1. 1 X-ray yemudumbu;
2. 2 fibrogastroscopy, iyo inoratidza mamiriro ematumbu;
3. 3 herniography - nerubatsiro rweyakasiyana mumiriri, iyo inokutendera iwe kuti utarise ese ma nuances eiyo umbilical hernia;
4. 4 Ultrasound kuongororwa kwe hernial kuumbwa. - inoratidza hukuru hwekuumbwa kwembilical uye zviri muhomwe.

Mushure mekuona kuongororwa, chiremba anosarudza nzira yakakwana yekurapa. Kune nzira dzekuchengetedza uye dzekuvhiya:

• kupindira kwekuvhiya kunogona kuve kwemhando mbiri: yekutanga mhando inosanganisira kudzikiswa kwenhengo dzemukati mudumbu, mushure meizvozvo herial orifice inosonwa uye inosimbiswa uchishandisa tension hernioplasty; nenzira yechipiri, nhengo dzemukati dzakaiswawo, asi rusvingo rwe peritoneal rwunosimbiswa nekusona mune mesh yakakosha, iyo inozokura pamwe chete nemaviri ari pedyo. Umbilical hernia kugadzirisa inowanzoitwa pasi peanesthesia yemuno. Iko kune zvakare laparoscopic nzira, mune iyo umbilical hernia inoraswa zvisingaite, iyi nzira inoonekwa seyakanyanya kupfava maererano nerehabilitation. Zvisinei, kuvhiya akavhiyiwa muukweguru murwere, pamuviri, zvakakomba matambudziko zvemwoyo. Kupindira kwekuvhiya kunokurudzirwa panguva yechando mwaka. Mushure mekuvhiya, zororo remubhedha kumusana rinoratidzwa kwemazuva akati wandei. Kuchengetedza seams, bhandeji rinofanira kupfekwa kwemwedzi 1 - 1,5, kudzamara nyama yemhasuru yadzoreredzwa zvachose;
• nzira yekuchengetedza inosanganisira kupfeka bhandeji rinosimbisa mhasuru toni. Varwere vane umbilical hernia vanoratidzwa physiotherapy kurovedza neyakareruka seti yekurovedza muviri: kusundira-kumusoro, kukombama, squats. Mhedzisiro yakanaka inowanikwa nekukwiza nechiedza stroking yenzvimbo yakakanganiswa munzira yakatarisa nguva, iyo inochinja pamwe nekurira. Maitiro aya anoitirwa kusimbisa mhasuru corset yemudumbu, inofanirwa kuitiswa nekungwarira kwakanyanya.

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!