Hernia: ndi chiyani, zizindikiro ndi momwe angathandizire

Zamkati

• 4. Chidziwitso cha umbilical
• 5. Chikazi chophukacho
• 6. Minofu ya chophukacho
• 7. Thupi laling'ono
• Zimayambitsa chophukacho
• Zizindikiro za Hernia
• Mankhwala akulu a hernia
• 1. Opaleshoni
• 2. Mankhwala
• 3. Kuyang'anitsitsa

Hernia ndi mawu azachipatala omwe amagwiritsidwa ntchito pofotokoza momwe chiwalo chamkati chimayendera ndikumatha kutuluka pansi pa khungu, chifukwa chofooka, komwe kumatha kuchitika mbali iliyonse ya thupi, monga mchombo, pamimba, ntchafu, kubuula kapena msana, mwachitsanzo Mwachitsanzo.

Chimodzi mwazinthu zodziwika bwino kwambiri za chophukacho ndi chotupa cha inguinal, momwe chidutswa chamatumbo chimatha kupyola khoma la m'mimba ndikuwoneka, ngati kakhosi kakang'ono kapena kutupa, pansi pa khungu mdera lapafupi.

Hernia ikawonekera, imafunika kuthandizidwa ndipo chofala kwambiri ndikuchita opareshoni, ndi mankhwala ochititsa dzanzi.

4. Chidziwitso cha umbilical

Chimbudzi chotchedwa umbilical hernia ndikudutsa gawo la m'matumbo kudzera m'mitsempha yam'mimba, yomwe nthawi zambiri imayambitsa kutupa mumchombo. Nthendayi imakhala yofala kwambiri kwa ana kapena ana ndipo nthawi zambiri safuna chithandizo chamankhwala.

5. Chikazi chophukacho

Chikazi chotupa chachikazi chimachitika pamene gawo lina la m'matumbo limatha kupyola minofu yam'mimba, m'dera la ngalande yachikazi, ndikupangitsa kutuluka ntchafu kapena kubuula.

Kuphatikiza apo, chotupa chachikazi chimatha kuyambitsa zowawa zam'mimba, nseru, kusanza kapena kukokana m'mimba, mwachitsanzo.

6. Minofu ya chophukacho

Matenda a hernias amatha kutuluka pamtundu uliwonse wamthupi, koma amapezeka m'miyendo, m'chigawo pakati pa mawondo ndi akakolo. Matenda oterewa amapezeka kwambiri mwa achinyamata komanso achinyamata omwe amachita masewera olimbitsa thupi kwambiri.

7. Thupi laling'ono

Chingwe choterechi chitha kuchitika pakhungu la opareshoni yam'mimba, miyezi kapena zaka pambuyo pa opareshoni, ndipo nthawi zambiri sichimayambitsa zizindikiro, kungotupa pang'ono kapena nodule pachilondacho. Komabe, m'kupita kwanthawi nthenda yotsekemera imatha kuchuluka, ndikupweteketsa m'deralo. Pazochitikazi, opaleshoni ikhoza kuwonetsedwa.

Zimayambitsa chophukacho

Hernia imatha kukhala ndi zifukwa zingapo, koma zomwe zimafala kwambiri ndi izi:

• Kukweza zolemera kumalo ochitira masewera olimbitsa thupi kapena kuntchito;
• Tengani zikwama zolemera kwambiri pafupipafupi;
• Kuchuluka kwa chifuwa;
• Khama kwambiri;
• Pangani mphamvu zambiri kuti muteteze;
• Khalani ndi pakati kangapo munthawi yochepa.

Hernias imatha kuwonekera msinkhu uliwonse, koma imakonda kwambiri achikulire. Kwa ana, hernia wofala kwambiri ndi umbilical hernia, yomwe imawonekera pafupifupi miyezi isanu ndi umodzi yazaka zambiri ndipo imazimiririka payokha zaka pafupifupi 4 zakubadwa.

Zizindikiro za Hernia

Zina mwazizindikiro zomwe zingawonetse kupezeka kwa chophukacho ndi monga:

• Bumpha pakhungu, m'dera lililonse la thupi;
• Kutupa pamalo oyerekeza;
• Ululu m'derali, makamaka mutayesetsa;
• Ululu m'deralo mukamachoka kapena kutsokomola.

Nthawi zina matenda a chophukacho amatha kupangidwa kutengera zizindikilo komanso kupalasa kwam'deralo kuti muwone ngati pali chotupa kapena chotumphukira pakhungu. Komabe, kuti atsimikizire kuti ali ndi vutoli, adokotala atha kufunsa kuti apimidwe ndi ultrasound.

Ngati dera la chophukacho likufufuma, limasintha mtundu kapena ngati kupweteka kuli kwakukulu, tikulimbikitsidwa kupita kuchipatala nthawi yomweyo.

Mankhwala akulu a hernia

Mankhwala a Hernia amadalira mtundu wa hernia ndipo amaphatikizapo:

1. Opaleshoni

Kuchita opaleshoni ya Hernia ndiye njira yabwino kwambiri yothandizira, ndipo imakhala ndi kuyikanso ziwalozo pamalo ake oyenera, kuyika chophimba choteteza ngati kuli kofunikira kuteteza kuti nthendayi isabwerere.

Opaleshoni itha kuchitika ngati:

• Umbilical chophukacho mu akulu;
• Inguinal chophukacho;
• Chikazi chotupa;
• Minofu ya chophukacho;
• Chodziwika bwino chophukacho;
• Dothi la Herniated lomwe silimayenda bwino ndikulimbitsa thupi.

Pazitsamba zobereka, opareshoni imatha kuchitidwa ndi laparoscopy pamavuto akulu kwambiri omwe samasintha pogwiritsira ntchito mankhwala.

Chofunikira ndikuti achite opaleshoni atangodziwitsa nthendayi kuti apewe zovuta monga kupunduka kwa chiwalo chomwe chimachitika nthendayi isabwererenso komweko ndikusunga magazi.

2. Mankhwala

Mankhwala a Hernia, makamaka ma disc a herniated, atha kuphatikizira ochepetsa ululu monga paracetamol kapena dipyrone kapena ma opioid omwe dokotala amakupatsani ngati mukumva kuwawa.

Pakakhala nthenda yobereka, omeprazole kapena esomeprazole itha kugwiritsidwa ntchito, mwachitsanzo, kuchepetsa zizindikilo zoyaka m'mimba ndi Reflux ya gastroesophageal.

3. Kuyang'anitsitsa

Kuyang'anitsitsa kumawonetsedwa mu nthawi ya umbilical hernia kwa ana ndi makanda, chifukwa nthawi zambiri samafuna chithandizo chapadera ndipo amatha kutsatiridwa ndi dokotala.

Kuphatikiza apo, chithandizo cha minyewa ya minyewa ndikupumula kapena kugwiritsa ntchito masokosi ophatikizika omwe adokotala akuwonetsa, opaleshoni ikuwonetsedwa kokha komanso ngati akumva kupweteka