Ventral hernia kukonza

Ventral hernia kukonza ndi njira yokonzera chophukacho. Hernia yamkati ndi thumba (thumba) lopangidwa kuchokera mkatikati mwa mimba yanu (pamimba) lomwe limadutsa pabowo la khoma la m'mimba.

Ventral hernias nthawi zambiri imachitika pamalo odulidwa akale. Mtundu woterewu umatchedwanso kuti hernia wosakhazikika.

Mwinanso mulandila mankhwala ochititsa dzanzi a opaleshoniyi. Izi zidzakupangitsani inu kugona ndi kumva ululu.

Ngati nthenda yanu ndi yaying'ono, mutha kulandira msana kapena chotupa komanso mankhwala oti musangalale. Mudzakhala ogalamuka, koma opanda ululu.

• Dokotala wanu adzadula pamimba panu.
• Dokotala wanu azipeza chophukacho ndikuchilekanitsa ndimatenda ozungulira. Kenako zomwe zili mu hernia, monga matumbo, zimakankhidwa modekha m'mimba. Dokotalayo amangodula matumbo ngati awonongeka.
• Mitoko yolimba idzagwiritsidwa ntchito kukonzanso dzenje kapena malo ofooka omwe amayambitsidwa ndi nthenda ya hernia.
• Dokotala wanu amathanso kuyika chidutswa cha mauna pamalo ofooka kuti akhale olimba. Thumba limathandiza kuti chophukacho chisabwererenso.

Dokotala wanu amatha kugwiritsa ntchito laparoscope kukonza chophukacho. Iyi ndi chubu chowonda, chowala chomwe chili ndi kamera kumapeto. Amalola dokotalayo kuona mkati mwa mimba yanu. Dokotalayo amalowetsa laparoscope kudzera podulira pang'ono m'mimba mwanu ndikulowetsa zidutswazo kudzera muzidutswa tina tating'ono. Njira zamtunduwu nthawi zambiri zimachiritsa mwachangu, komanso mopanda zopweteka komanso zipsera. Sizitsamba zonse zomwe zingakonzedwe ndi opaleshoni ya laparoscopic.

Ventral hernias ndizofala kwa akulu. Amakonda kukula pakapita nthawi ndipo pakhoza kukhala ochulukirapo.

Zowopsa ndi izi:

• Chuma chachikulu pamimba
• Kukhala wonenepa kwambiri
• Matenda a shuga
• Kukhazikika mukamagwiritsa ntchito bafa
• Kutsokomola kwambiri
• Kukweza kwambiri
• Mimba

Nthawi zina, ma hernias ang'onoang'ono omwe alibe zizindikilo 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. Magazi m'derali amatha kudulidwa (kupotokola). Mutha kukhala ndi nseru kapena kusanza, ndipo dera lotupa limatha kukhala labuluu kapena lakuda chifukwa chakutaya magazi. Izi ndizachipatala mwadzidzidzi ndipo opaleshoni yofunikira imafunika.

Pofuna kupewa vutoli, madokotala ochita opaleshoni amalimbikitsa kuti akonze zotupa za m'mimba.

Pezani chithandizo chamankhwala nthawi yomweyo ngati muli ndi nthenda yomwe sicheperako mukamagona kapena nthenda yomwe simungathe kubwereranso.

Zowopsa zakukonzanso kwa chophukacho nthawi zambiri zimakhala zochepa kwambiri, pokhapokha ngati wodwalayo alinso ndi zovuta zina zamankhwala.

Kuopsa kokhala ndi anesthesia ndi opaleshoni ndi awa:

• Zomwe zimachitika ndi mankhwala
• Mavuto akupuma, monga chibayo
• Mavuto amtima
• Magazi
• Kuundana kwamagazi
• Matenda

Zowopsa zapadera za kuchitidwa opaleshoni yamitsempha yam'mimba ndizovulala m'matumbo (matumbo ang'ono kapena akulu). Izi ndizochepa.

Dokotala wanu adzakuwonani ndikupatsani malangizo.

Anesthesiologist ikambirana zam'mbuyomu zamankhwala kuti musankhe kuchuluka ndi mtundu wa mankhwala ochenjera omwe mungagwiritse ntchito. Mutha kufunsidwa kuti musiye kudya ndi kumwa maola 6 mpaka 8 musanachite opaleshoni. Onetsetsani kuti mwauza dokotala kapena namwino wanu za mankhwala aliwonse, chifuwa, kapena mbiri yakukhala magazi.

Masiku angapo musanachite opaleshoni, mungapemphedwe kuti musiye kumwa:

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

Kukonza kwa chophukacho kumachitika nthawi zambiri kuchipatala. Izi zikutanthauza kuti mwina mupita kunyumba tsiku lomwelo. Ngati chophukacho ndi chachikulu kwambiri, mungafunikire kukhala mchipatala masiku angapo.

Pambuyo pa opaleshoni, zizindikilo zanu zofunika monga kugunda, kuthamanga kwa magazi, komanso kupuma zimayang'aniridwa. Mudzakhala m'malo ochira mpaka mutakhazikika. Dokotala wanu adzakupatsani mankhwala opweteka ngati mukufuna.

Dokotala wanu kapena namwino angakulimbikitseni kuti muzimwa madzi ambiri komanso zakudya zopatsa mphamvu. Izi zidzakuthandizani kupewa kupsinjika m'matumbo.

Bwererani kuntchito. Imani ndikuyenda kangapo patsiku kuti muteteze magazi.

Pambuyo pa opaleshoni, pali chiopsezo chochepa kuti nthendayi ibwererenso. Komabe, kuti muchepetse chiopsezo chotenga chophukacho china, muyenera kukhala ndi moyo wathanzi, monga kukhala wonenepa.

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.

Miller HJ, Novitsky YW. Ventral hernia ndi njira zotulutsira m'mimba. Mu: Yeo CJ, mkonzi. Opaleshoni ya Shackelford ya Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 52.

Webb DL, Stoikes NF, Voeller GR. Tsegulani zotsekemera za chophukacho ndi mauna onlay. Mu: Rosen MJ, mkonzi. Atlas of Abdominal Wall Kukonzanso. Wachiwiri ed. Philadelphia, PA: Elsevier; 2017: mutu 8.