Kodi Hernias Amamva Kuwawa?
Zamkati
- Mitundu ya hernias
- Kodi hernias imapweteka?
- Inguinal chophukacho
- Zolemba zachikazi
- Zolemba za umbilical
- Zolemba za Hiatal
- Chidwi chodziwika bwino
- Zovuta
- Mumamuthandiza bwanji chophukacho?
- Opaleshoni yotseguka
- Opaleshoni yowopsa pang'ono
- Zosankha zina
- Tengera kwina
Zizindikiro za Hernia, kuphatikizapo kupweteka, zimatha kusiyanasiyana kutengera mtundu wa hernia womwe muli nawo. Nthawi zambiri, hernias ambiri samakhala ndi zizindikilo, ngakhale nthawi zina malo ozungulira hernia amatha kukhala ovuta.
Muthanso kumva mapasa nthawi ndi nthawi kapena kukoka. Pamene nthenda yanu ikukula, kusasangalala kumakulanso.
Mitundu ya hernias
Hernias imakhudza chiwalo chakumbuyo kapena gawo la thupi lomwe limakankhidwa kudzera mu minofu kapena minofu. Mitundu yofala kwambiri ndi iyi:
- Inguinal chophukacho. Omwe amapezeka kwambiri mwa amuna, izi zimachitika m'matumbo kapena, kawirikawiri, chikhodzodzo chimafikira kubowola kudzera mumtsinje wa inguinal.
- Chikazi chophukacho. Ngakhale ndizocheperako, ma hernias achikazi nthawi zambiri amasokonezeka ndi ma inguinal hernias chifukwa amapezeka m'dera lomwelo pazifukwa zofananira. Komabe, izi zimakhudzana ndi zotupa zomwe zimawonekera pamunsi pamimba, kubuula, m'chiuno, kapena ntchafu.
- Chala cha Hiatal. Izi zimachitika gawo la m'mimba likamalowa m'chifuwa kudzera m'mitsempha yotseguka.
- Chingwe cha umbilical. Omwe amapezeka kwambiri mwa makanda, izi zimachitika gawo la m'matumbo limakankhira m'mimba kudzera pamimba.
- Chidwi chodziwika bwino. Mwa iwo omwe amachitidwa opaleshoni yam'mimba, 33% amayamba kudwala nthenda yotupa. Zomwe zimadziwikanso kuti ventral hernias, izi zimayamba pamene minofu yotseka ndi minofu sizimangirananso kwathunthu, kulola nyumba zamkati kutuluka kudera lofooka.
Kodi hernias imapweteka?
Inguinal chophukacho
Chizindikiro chofala kwambiri cha chikhodzodzo chotchedwa inguinal hernium ndi chotupa m'mimbamo, chomwe chitha kuwonekera popanda chenjezo chifukwa cha kupsyinjika kwambiri, monga:
- kunyamula katundu
- kuyetsemula mwamphamvu, monga chifuwa
- kutsokomola kosatha, monga kusuta
- kupanikizika mukakodza kapena poyenda
- kuchuluka kuthamanga mkati m'mimba
Izi zimayamba kuwonekera pamalo owongoka ndipo zimatha kupweteketsa kapena kukhumudwitsa m'makhungu anu pamene:
- kugwada
- kukweza
- kukhosomola
- kuseka
Zizindikiro zina ndizo:
- kutentha kapena kupweteka m'dera la chotupacho
- kutengeka kwakukulu pakukweza kwanu
- kupanikizika, kukhudzidwa, kapena kufooka m'mimba mwanu
- kutupa ndi kusasangalala kuzungulira machende ngati kutuluka kumatsikira kumtunda
Zolemba zachikazi
Matenda azimayi, makamaka ang'onoang'ono kapena apakatikati, sangakhale ndi zizindikiro zilizonse. Komabe, zazikuluzikulu zimatha kupweteketsa kapena kusokoneza mukaimirira, kukweza zinthu zolemetsa, kapena ngati zikuwonekera pa ntchafu kapena mchiuno.
Zolemba za umbilical
Kwa ana omwe ali ndi ma umbilical hernias, mphukira imatha kuwonekera ndikulira kapena kutsokomola. Izi nthawi zambiri sizimapweteka ana, koma ma umbilical hernias akuluakulu amatha kupweteketsa m'mimba.
Zolemba za Hiatal
Matenda a Hiatal amakonda kukhala ocheperako kotero kuti pamakhala mwayi woti musawamve nkomwe. Komabe, zikuluzikulu zimatha kupangitsa kuti kutsegula mu diaphragm yanu kukhale kokulirapo, zomwe zimakupangitsani kutengeka ndi ziwalo zina zomwe zimafikira pachifuwa.Izi zitha kumva ngati kutentha pa chifuwa.
Zizindikiro zina ndizo:
- kuthamanga m'mimba, kuphatikiza kufinya kapena kupindika
- kupweteka pachifuwa
- asidi reflux chifukwa cha kuchuluka kwa asidi m'mimba posungira
- kuvuta kupuma kapena kumeza
- kudzimbidwa
Kusungidwa kwa asidi m'mimba kungathenso kuyambitsa zilonda zam'mimba, zomwe zimatha kutulutsa magazi ndikupangitsa magazi kukhala ochepa.
Chidwi chodziwika bwino
Hernias osadalira amadalira kukula kwa kapangidwe kake. Nthawi zambiri amakula pakadutsa milungu itatu mpaka miyezi isanu ndi umodzi pambuyo pochita izi koma amatha kuchitika nthawi iliyonse.
Kutupa kapena kutuluka pamalo obowoleza ndichizindikiro chofala kwambiri koma ngati mnofu wambiri kapena matumbo agundika pamalo ofowoka, zimatha kupweteketsa kwambiri minofu ikataya magazi. Izi ndizadzidzidzi zachipatala ndipo zimafunikira chisamaliro mwachangu.
Zovuta
Hernias amatha kukhala ndi zovuta zingapo ngati sangasamalidwe, monga:
- kupanikizika kwa minofu kapena minofu yozungulira
- kutsekeredwa m'ndende kapena wopachika
- kulepheretsa matumbo
- kufa minofu
Chingwe chotsekeredwa chimachitika ngati chophukacho chatsekedwa m'makoma am'mimba, zomwe zingayambitse matumbo kapena kupinimbira.
Nthendayi ikapotola, zikutanthauza kuti magazi amayenda m'matumbo atadulidwa. Izi ndizowopseza moyo ndipo zimafunikira kukonza mwachangu.
Zizindikiro za mavutowa ndi monga:
- malungo
- kupweteka mwadzidzidzi komwe kumafalikira pang'onopang'ono
- nseru kapena kusanza
- chotupa chomwe chimasanduka mtundu wakuda, monga wofiira kapena wofiirira
- kulephera kupititsa mpweya kapena kupanga matumbo
Mumamuthandiza bwanji chophukacho?
Opaleshoni ndi njira yodziwikiratu yothanirana ndi hernias akulu kapena opweteka. Dokotala wanu amathanso kulangiza kuchitidwa opaleshoni ngati njira yodzitetezera, kuti muwonetsetse kuti palibe zovuta pambuyo pake. Zosankha zopangira opaleshoni zimayamba kuchokera ku opareshoni yocheperako mpaka kutsegula opareshoni.
Opaleshoni yotseguka
Opaleshoni yotseguka imaphatikizapo kudula pang'ono, kukankhira minofu yomwe imatulukiranso mthupi lanu ndikuteteza makulidwe kuti thupilo lisamenyenso.
Izi nthawi zambiri zimafuna kuti dokotalayo alimbitse malo a herniated ndi mauna. Minofu ikakhala pamalo oyenera, chekecho chimatsekedwa ndi zoluka kapena zolimba.
Njirayi imagwiritsidwa ntchito ndi anesthesia wamba, anesthesia wamba, kapena sedation.
Kupuma ndikulimbikitsidwa, komabe, muyenera kuyendayenda kuti mulimbikitse kufalitsa koyenera ndikuwongolera kuchira. Samalani kuti musadzipanikizire nokha, chifukwa mwina atha kukhala milungu ingapo mpaka mutha kubwerera kumagwiridwe anu anthawi zonse.
Kutengera ndi malo omwe mwakhala mukukumana ndi matendawa, dokotala wanu azikupatsani malangizo achindunji pazomwe mungachite komanso nthawi yomwe mungayambireko kuchita masewera olimbitsa thupi.
Opaleshoni yowopsa pang'ono
Opaleshoni yochepa kwambiri, yomwe imadziwikanso kuti laparoscopy, imakhudza pang'ono pang'ono. Mpweya umagwiritsidwa ntchito kupangira malo okhudzidwawo, zomwe zimapangitsa kuti dotoloyu azitha kuwona zochiritsira.
Chubu china chokhala ndi kamera yaying'ono kenako chiziikidwa chimodzi mwazomwe zingadulidwe, enawo atakhala ngati malo olowera zida za dokotalayo.
Njirayi imagwiritsidwa ntchito ndi anesthesia wamba. Omwe amayenera kuchitidwa opaleshoni yocheperako samakumana ndi zovuta zochepa pambuyo pa op, komanso kuchepa pang'ono.
Muthanso kubwereranso kuzinthu zolimbitsa thupi msanga kuposa omwe achita opaleshoni yotseguka.
Zosankha zina
Njira ina ndikudikirira kudikirira, komwe mumangodikirira kuti muwone ngati matenda anu a hernia atha kapena akuipiraipira.
Thumba la hernia kapena binder m'mimba lingathandizenso. Izi ndizothandizidwa kuti zithandizire nthenda m'malo mwake ndikupewa kuti isakule kwambiri.
Maburashi sangakhale othandiza nthawi zonse ndipo atha kubweretsa mavuto ena, chifukwa chake lankhulani ndi dokotala wanu za njirayi musanayilandire.
Tengera kwina
Ngakhale mitundu yambiri ya hernia samaonedwa ngati yowopsa, sichimakhala bwino payokha ndipo imatha kubweretsa zoopsa pamoyo ngati singalandire chithandizo.
Lankhulani ndi dokotala ngati mukuganiza kuti mukukumana ndi zizindikilo zilizonse za hernia. Amatha kukupatsani yankho logwirizana ndi vuto lanu.
Muyenera kupita kuchipatala mwachangu ngati mukukumana ndi zizindikiro zilizonse za chophukacho chomwe chimakhwinyidwa kapena kutsekeredwa m'ndende, monga chotupa chopweteka kwambiri ndipo ngati chotupacho ndi chofiira kapena chofiirira.