Umbilical hernia kukonza

Umbilical hernia kukonza ndi opaleshoni yokonza chimbudzi cha umbilical. Chimbudzi chotchedwa umbilical hernia ndi thumba (thumba) lopangidwa kuchokera mkatikati mwa mimba yanu (m'mimba mwathu) lomwe limadutsa pabowo pakhoma pamimba pamimba.

Mwinanso mulandila mankhwala ochititsa dzanzi (ogona komanso opanda ululu) pa opaleshoniyi. Ngati nthenda yanu ndi yaying'ono, mutha kulandira msana, epidural block, kapena anesthesia yakomweko ndi mankhwala oti musangalale. Mudzakhala ogalamuka koma opanda zowawa.

Dokotala wanu azidula pansi pamimba panu.

• Dokotala wanu adzapeza chophukacho ndikuchilekanitsa ndi minofu yozungulira. Kenako dokotalayo amakankhira mokweza m'mimba mwake m'mimba.
• Mitoko yolimba idzagwiritsidwa ntchito kukonzanso dzenje kapena malo ofooka omwe amayamba chifukwa cha nthenda ya umbilical.
• Dokotala wanu amathanso kuyika chidutswa cha thumba m'malo ofowoka (nthawi zambiri osati mwa ana) kuti akhale olimba.

Chingwe cha umbilical amathanso kukonzedwa pogwiritsa ntchito laparoscope. Iyi ndi chubu chowonda, chowala chomwe chimalola adotolo kuwona mkati mwa mimba yanu. Kukula kudzalowetsedwa kudzera mwa mabala ang'onoang'ono angapo. Zidazi zidzalowetsedwa kudzera munthawi zina.

Ngati mwana wanu akuchitidwa opaleshoniyi, dokotalayo amakambirana mtundu wa mankhwala oletsa ululu omwe mwana wanu adzalandire. Dokotalayo adzafotokozanso momwe opaleshoniyi ichitikire.

ANA

Matenda a umbilical amapezeka kwambiri mwa ana. Chophukacho pobadwa chimakankhira batani kunja. Zimawonetsa zambiri mwana akalira chifukwa cha kulira komwe kumapangitsa kuti nthendayo ituluke.

Kwa makanda, vutoli nthawi zambiri silichiritsidwa ndi opaleshoni. Nthawi zambiri, hernia ya umbilical imachepa ndikutseka yokha mwana akafika zaka zitatu kapena zinayi.

Kukonzekera hernia koyenera kungafunike mwa ana pazifukwa izi:

• Chophukacho ndi chowawa ndipo chimakhala chokhazikika.
• Magazi m'matumbo amakhudzidwa.
• Hernia sanatseke ali ndi zaka 3 kapena 4.
• Cholakwikacho ndi chachikulu kwambiri kapena chosavomerezeka kwa makolo chifukwa cha momwe zimapangitsa mwana wawo kuwonekera. Ngakhale pazochitikazi, adotolo angakulimbikitseni kudikirira mpaka mwana wanu ali ndi zaka zitatu kapena zinayi kuti awone ngati nthendayi yatseka yokha.

ACHIKULU

Matenda a umbilical amakhalanso ofala kwa akulu. Amawonekera kwambiri mwa anthu onenepa kwambiri komanso mwa akazi, makamaka atakhala ndi pakati. Amakonda kukula pakapita nthawi.

Matenda ang'onoang'ono omwe alibe zizindikiro nthawi zina amatha kuwonedwa. Opaleshoni imatha kubweretsa zoopsa zazikulu kwa anthu omwe ali ndi mavuto azachipatala.

Popanda kuchitidwa opareshoni, pamakhala chiopsezo kuti mafuta kapena gawo lina la m'matumbo limakanirira (kutsekeredwa m'ndende) mu chophukacho ndipo sizingatheke kubwereranso. Izi nthawi zambiri zimakhala zopweteka. Ngati magazi mderali atadulidwa (kupotokola), amafunika opaleshoni yofulumira. Mutha kukhala ndi nseru kapena kusanza, ndipo dera lotupa lingasanduke buluu kapena mtundu wakuda.

Pofuna kupewa vutoli, madokotala ochita opaleshoni amalangiza kuti azikonzekera minyewa mwa akuluakulu. Opaleshoni imagwiritsidwanso ntchito pama hernias omwe akukula kapena kuwawa. Opaleshoni amateteza minofu yofooka yam'mimba (fascia) ndikutseka mabowo aliwonse.

Pezani chithandizo chamankhwala nthawi yomweyo ngati muli ndi chophukacho chowawa, kapena chophukacho chomwe sichichepera mukamagona kapena chomwe simungathe kubwereranso.

Kuopsa kochitidwa opaleshoni ya chotupa cha umbilical nthawi zambiri kumakhala kotsika kwambiri, pokhapokha ngati munthuyo ali ndi mavuto ena azachipatala.

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika chifukwa cha mankhwala kapena mavuto ampweya
• Kukhetsa magazi, magazi kuundana, kapena matenda

Kuopsa kwa ma umbilical hernia opaleshoni ndi awa:

• Kuvulala kwa m'matumbo ang'ono kapena akulu (osowa)
• Hernia amabwerera (chiopsezo chochepa)

Dokotala wanu kapena anesthesia (anesthesiologist) adzakuwonani ndikupatsani malangizo kwa inu kapena mwana wanu.

Dokotala wochotsa matenda akambirana za mbiri yanu ya zamankhwala (kapena ya mwana wanu) kuti adziwe kuchuluka ndi mtundu wa mankhwala oletsa ululu omwe mungagwiritse ntchito. Inu kapena mwana wanu mungafunsidwe kuti musiye kudya ndi kumwa maola 6 musanachite opaleshoni. Onetsetsani kuti mumauza wothandizira zaumoyo wanu za mankhwala aliwonse, chifuwa, kapena mbiri yakukhala magazi.

Masiku angapo musanachite opaleshoni, mungapemphedwe kuti musiye kumwa:

• Aspirin kapena nonsteroidal anti-inflammatory drugs (NSAIDs), monga ibuprofen, Motrin, Advil, kapena Aleve
• Mankhwala ena ochepetsa magazi
• Mavitamini ena ndi zowonjezera

Kukonza zambiri za umbilical hernia kumachitika mwachipatala. Izi zikutanthauza kuti mwina mupita kunyumba tsiku lomwelo. Zokonzanso zina zimafunikira kukhala mchipatala kwakanthawi ngati nthendayi ndi yayikulu kwambiri.

Pambuyo pa opareshoni, wothandizira wanu amayang'anira zizindikiro zanu zofunika (kuthamanga, kuthamanga kwa magazi, ndi kupuma). Mudzakhala m'malo ochira mpaka mutakhazikika. Wopezayo amakupatsani mankhwala opweteka ngati mukufuna.

Tsatirani malangizo amomwe mungasamalire mwana wanu kapena mwana wanu pobowola kunyumba. Wothandizira anu azikuwuzani inu kapena mwana wanu mukayambiranso ntchito zanu zachizolowezi. Kwa akuluakulu, izi zikhala m'masabata awiri kapena anayi. Ana atha kubwerera kuzinthu zambiri nthawi yomweyo.

Nthawi zonse pamakhala mwayi woti nthendayi ingabwererenso. Kwa anthu athanzi, chiopsezo chobwerera chimakhala chochepa kwambiri.

Kuchita opaleshoni ya umbilical hernia

• Kubweretsa mwana wanu kuti adzachezere m'bale wanu wodwala kwambiri
• Chisamaliro cha bala la opaleshoni - chotseguka

• Umbilical hernia kukonza - mndandanda

Blair LJ, Kercher KW. Umbilical hernia kukonza. Mu: Rosen MJ, mkonzi. Atlas of Abdominal Wall Kukonzanso. Wachiwiri ed. Philadelphia, PA: Elsevier; 2017: mutu 20.

Carlo WA, Ambalavanan N. Umbilicus. Mu: Kliegman RM, Stanton BF, St. Geme JF, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 105.

Malangoni MA, Rosen MJ. Hernias. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 44.