Chilichonse Chimene Mukufuna Kudziwa Zokhudza Hernia

Zamkati

• Zizindikiro za chophukacho
• Kuchira kwa Hernia
• Hernia amachititsa
• Matenda a Hernia
• Kuchita opaleshoni ya Hernia
• Kuchira
• Mitundu ya Hernia
• Inguinal chophukacho
• Chala cha Hiatal
• Chingwe cha umbilical
• Ventral chophukacho
• Chithandizo cha Hernia
• Mankhwala a Hernia kunyumba
• Zochita za Hernia
• Hernia m'makanda
• Mimba ya Hernia
• Zovuta za Hernia
• Kupewa kwa Hernia

Hernia imachitika pamene chiwalo chimadutsa pamitsempha kapena minofu yomwe imayika m'malo mwake. Mwachitsanzo, matumbo amatha kupyola malo ofooka m'makoma am'mimba.

Matenda ambiri amapezeka m'mimba pakati pa chifuwa ndi m'chiuno, koma amathanso kuoneka kumtunda ndi kubuula.

Hernias ambiri sawopseza moyo nthawi yomweyo, koma samachoka paokha. Nthawi zina amatha kuchitidwa opaleshoni kuti ateteze zovuta zowopsa.

Zizindikiro za chophukacho

Chizindikiro chofala kwambiri cha chophukacho ndi chotupa kapena chotupa m'deralo. Mwachitsanzo, pankhani ya chophukacho, mutha kuwona chotupa mbali zonse ziwiri za mafupa anu a pubic pomwe kubuula kwanu ndi ntchafu zanu zimakumana.

Mutha kupeza kuti chotupacho chimasowa mukamagona pansi. Muli ndi mwayi wokhudzidwa ndi hernia kudzera mukugwirana mutayimirira, kuwerama, kapena kutsokomola. Kusasangalala kapena kupweteka m'dera lozungulira chotupacho kungakhaleponso.

Mitundu ina ya hernia, monga hernias wobadwa nayo, imatha kukhala ndi zizindikilo zowonekera bwino. Izi zitha kuphatikizira zinthu monga kutentha pa chifuwa, vuto kumeza, ndi kupweteka pachifuwa.

Nthawi zambiri, hernias samakhala ndi zizindikilo. Simungadziwe kuti muli ndi chophukacho pokhapokha chikuwonekera panthawi yoyezetsa thupi kapena kuchipatala pakagwa vuto losagwirizana.

Kuchira kwa Hernia

Ndikofunika kuzindikira zizindikilo za hernia ndikuwona dokotala ngati mukukayikira kuti muli nawo. Chophukacho chosachiritsidwa sichitha mwa icho chokha. Dokotala wanu amatha kuyesa henry yanu ndikuwona momwe angathandizire.

Hernias imatha kubweretsa zovuta zomwe zimawopseza moyo. Ndikofunika kuti mupeze chithandizo chadzidzidzi ngati mukumva zizindikiro monga kusuta kapena kusanza, malungo, kapena kupweteka mwadzidzidzi.

Chithandizo cham'mbuyomu komanso kusintha kwa moyo kumatha kuchepetsa zizindikilo. Komabe, opaleshoni ndiyo njira yokhayo yothanirana ndi nthenda. Pali mitundu yosiyanasiyana ya maopareshoni omwe angapangidwe kuti akonze ma hernias, ndipo dotolo wanu akhoza kukulangizani za omwe ali oyenera matenda anu.

Zomwe zimachitika pakuchulukitsa opaleshoni ya hernia nthawi zambiri zimakhala zabwino kwambiri, koma zimadalira mtundu wa chophukacho, zizindikiritso zanu, komanso thanzi lanu. Nthawi zina, chophukacho chimatha kubwereranso pambuyo pokonzanso.

Hernia amachititsa

Hernias amayamba chifukwa cha kufooka kwa minofu ndi kupsyinjika. Kutengera zomwe zimayambitsa, chophukacho chimatha kukula msanga kapena kwakanthawi.

Zina mwazomwe zimayambitsa kufooka kwa minofu kapena kupsinjika komwe kumatha kubweretsa chophukacho ndi monga:

• chikhalidwe chobadwa chomwe chimachitika pakukula m'mimba ndipo chimakhalapo kuyambira chibadwire
• kukalamba
• kuwonongeka kwa kuvulala kapena kuchitidwa opaleshoni
• kutsokomola kapena matenda osokoneza bongo (COPD)
• masewera olimbitsa thupi kapena kunyamula zolemera zolemera
• mimba, makamaka kukhala ndi pakati kangapo
• kudzimbidwa, komwe kumapangitsa kuti ukhale wovuta mukamayenda m'matumbo
• kukhala wonenepa kwambiri kapena wonenepa kwambiri
• madzimadzi pamimba, kapena ascites

Palinso zinthu zina zomwe zingapangitse chiopsezo chanu chokhala ndi hernia. Zikuphatikizapo:

• mbiri yaumwini kapena yabanja ya hernias
• kukhala wamkulu
• mimba
• kukhala wonenepa kwambiri kapena wonenepa kwambiri
• kudzimbidwa kosalekeza
• chifuwa chachikulu (mwina chifukwa chakuchulukirachulukira m'mimba)
• cystic fibrosis
• kusuta (komwe kumafooketsa minofu yolumikizana)
• kubadwa msanga kapena ndi kulemera kochepa

Matenda a Hernia

Kuti mudziwe matenda anu, dokotala wanu ayambe kukuyesani. Pakuyesa uku, dokotala wanu amatha kumva kuti pali chotupa m'mimba mwanu kapena kubuula komwe kumakula mukamaimirira, kutsokomola, kapena kupsyinjika.

Dokotala wanu atenga mbiri yanu yazachipatala. Atha kukufunsani mafunso osiyanasiyana, kuphatikiza zinthu monga:

• Ndi liti pamene munazindikira koyamba?
• Kodi mwakumana ndi zizindikilo zina?
• Kodi mukuganiza kuti panali china chake makamaka chomwe chimapangitsa kuti zichitike?
• Ndiuzeni pang'ono za moyo wanu. Kodi ntchito yanu imakhudza kunyamula zolemetsa? Kodi mumachita masewera olimbitsa thupi kwambiri? Kodi muli ndi mbiri yakusuta fodya?
• Kodi muli ndi mbiri yamwini kapena banja lanu?
• Kodi mwachitidwapo maopareshoni m'mimba kapena m'mimba?

Dokotala wanu adzagwiritsanso ntchito mayeso ojambula kuti awathandize. Izi zitha kuphatikizira zinthu monga:

• m'mimba ultrasound, yomwe imagwiritsa ntchito mafunde omveka kwambiri kuti apange chithunzi cha kapangidwe kathupi
• CT scan, yomwe imaphatikiza ma X-ray ndi ukadaulo wamakompyuta kuti apange chithunzi
• Kujambula kwa MRI, komwe kumagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kuti apange chithunzi

Ngati mukukayikira nthenda yoberekera, dokotala wanu atha kugwiritsa ntchito mayeso ena omwe angawalole kuyesa komwe muli m'mimba mwanu:

• Gastrografin kapena barium X-ray, yomwe ndi zithunzi zingapo za X-ray zamagawo anu am'mimba. Zithunzizi zajambulidwa mukamaliza kumwa madzi okhala ndi diatrizoate meglumine ndi diatrizoate sodium (Gastrografin) kapena yankho lamadzi la barium. Zonsezi zimawoneka bwino pazithunzi za X-ray.
• Endoscopy, yomwe imaphatikizapo kulumikiza kamera yaying'ono yolumikizidwa ndi chubu pakhosi panu ndikum'mimba ndi m'mimba.

Kuchita opaleshoni ya Hernia

Ngati chophukacho chikukula kapena chikupweteka, dokotalayo angaone kuti ndi bwino kuchitadi opaleshoni. Amatha kukonzetsa chophukacho mwa kusoka kabowo m'mimba kotsekedwa panthawi yochita opaleshoni. Izi zimachitika kawirikawiri ndikung'ambika dzenje ndi mauna opangira opaleshoni.

Hernias ikhoza kukonzedwa ndi opaleshoni yotseguka kapena laparoscopic. Opaleshoni ya laparoscopic imagwiritsa ntchito kamera yaying'ono ndi zida zopangira ma miniaturized kukonza nthendayi pogwiritsa ntchito pang'ono chabe. Zimakhalanso zosavulaza minofu yoyandikana nayo.

Pochita opaleshoni yotseguka, dokotalayo amatumbula pafupi ndi malo a chophukacho, kenako ndikukankhira minofu yomwe imabwerera m'mimba. Kenako amasoka malowo kuti atseke, nthawi zina amalimbitsa ndi mauna opangira opaleshoni. Pomaliza, amatseka thupilo.

Sizitsamba zonse zomwe zimafunikira opaleshoni ya laparoscopic. Ngati nthenda yanu imafuna kukonzanso opareshoni, dotolo wanu azigwira nanu ntchito kuti mudziwe mtundu wanji wa opaleshoni yomwe ingakuthandizeni kwambiri.

Kuchira

Pambuyo pa opaleshoni yanu, mutha kumva ululu kuzungulira malo opangira opaleshoni. Dokotala wanu azikupatsirani mankhwala othandizira kuti muchepetse vutoli mukamachira.

Onetsetsani kuti mwatsatira mosamalitsa malangizo a dokotala wanu okhudza kusamalira mabala. Lumikizanani nawo mwachangu mukawona zizindikiro zilizonse za matenda monga malungo, kufiira kapena ngalande patsamba, kapena kupweteka komwe kumangokulira mwadzidzidzi.

Pambuyo pokonza nthenda ya hernia, simungathe kuyendayenda mozungulira kwa milungu ingapo. Muyenera kupewa ntchito iliyonse yovuta. Kuphatikiza apo, muyenera kupewa kukweza zinthu zolemera kuposa mapaundi 10 panthawiyi. Izi ndizolemera pafupifupi galoni la mkaka.

Opaleshoni yotseguka nthawi zambiri imafunikira njira yotalikirapo yochira kuposa ma laparoscopic. Dokotala wanu azikudziwitsani nthawi yomwe mungabwerere kuzolowera.

Mitundu ya Hernia

Pali mitundu yambiri ya hernias. Pansipa, tiwunika zina mwazofala kwambiri.

Inguinal chophukacho

Inguinal hernias ndi mtundu wofala kwambiri wa chophukacho. Izi zimachitika m'matumbo mukamadutsa m'malo ofowoka kapena kung'ambika pansi pamimba pamimba, nthawi zambiri mumtsinje wa inguinal. Mtundu uwu umakhalanso wofala mwa amuna.

Ngalande inguinal imapezeka m'miyendo yanu. Amuna, ndi malo omwe chingwe cha umuna chimadutsa kuchokera pamimba kupita pamatumbo. Chingwechi chimagwira machende. Kwa amayi, ngalande ya inguinal imakhala ndi minyewa yomwe imathandizira kuti chiberekero chikhale m'malo mwake.

Matendawa amapezeka kwambiri mwa amuna chifukwa machende amatsikira mumtsinje wa inguinal atangobadwa kumene. Ngalayi ikuyenera kutsekedwa kumbuyo kwawo. Nthawi zina ngalandeyi siyitseka bwino, kusiya malo ofowoka. Dziwani zambiri za hernias a inguinal.

Chala cha Hiatal

Chotupa choberekera chimachitika pamene gawo lina la m'mimba mwanu limatuluka kudzera pachikopa m'chifuwa mwanu. Chidacho ndi kachilombo kamene kamakuthandizani kupuma mwa kutengeka ndikukoka mpweya m'mapapu. Imalekanitsa ziwalo m'mimba mwako ndi zomwe zili m'chifuwa mwako.

Nthendayi imakhala yofala kwambiri kwa anthu azaka zopitilira 50. Ngati mwana ali ndi vutoli, nthawi zambiri amayamba chifukwa cha vuto lobadwa nalo.

Matenda a Hiatal nthawi zambiri amachititsa kuti m'mimba mukhale Reflux, ndipamene m'mimba muli kutayikira kumbuyo kum'mero, ndikupangitsa kuyaka. Pezani zambiri zamatsenga obadwa kumene.

Chingwe cha umbilical

Matenda a umbilical amatha kuchitika mwa ana ndi makanda. Izi zimachitika pamene matumbo awo amatuluka kukhoma pamimba pafupi ndi batani lawo. Mutha kuwona zotupa mkati kapena pafupi ndi batani la mwana wanu, makamaka akulira.

Hernia ya umbilical ndiyo mtundu wokhawo womwe nthawi zambiri umatha wokha pamene minofu yam'mimba imakhala yolimba, makamaka nthawi yomwe mwana amakhala ndi 1 kapena 2 wazaka. Ngati chophukacho sichinapitirire ndi zaka 5, opaleshoni ingagwiritsidwe ntchito kukonza.

Akuluakulu amathanso kukhala ndi ma hernias a umbilical. Izi zitha kuchitika chifukwa chobanidwa pamimba chifukwa cha zinthu monga kunenepa kwambiri, mimba, kapena madzimadzi m'mimba (ascites). Dziwani zambiri za umbilical hernias.

Ventral chophukacho

Chotupa chotchedwa ventral hernia chimachitika minofu ikamatuluka ndikutseguka m'mitsempha yam'mimba mwanu. Mutha kuzindikira kuti kukula kwa chotupa chamkati kumachepetsa mukamagona pansi.

Ngakhale kuti hernia wam'mimba amatha kupezeka kuyambira pakubadwa, imapezeka kwambiri nthawi ina m'moyo wanu. Zomwe zimachitika pakapangidwe kazitsamba zam'mimba zimaphatikizapo zinthu monga kunenepa kwambiri, zovuta komanso kutenga mimba.

Ventral hernias amathanso kuchitika pamalo opangira opaleshoni. Izi zimatchedwa kuti hernia wosakhazikika ndipo zimatha kuchitika chifukwa cha mabala a opaleshoni kapena kufooka kwa minofu yam'mimba pamalo opaleshoniyi. Pitirizani kuwerenga kuti mudziwe zambiri za hernias ya ventral.

Chithandizo cha Hernia

Njira yokhayo yochiritsira nthenda ndikumakonza maopareshoni. Komabe, ngati mukufuna opaleshoni kapena ayi zimadalira kukula kwa nthenda yanu komanso kuopsa kwa matenda anu.

Dokotala wanu angafune kungoyang'anira nthenda yanu pazovuta zomwe zingachitike. Izi zimatchedwa kudikirira kudikira.

Nthawi zina, kuvala katondo kumathandiza kuchepetsa zizindikilo za chophukacho. Ichi ndi chovala chamkati chothandizira chomwe chimathandiza kuti nthendayo ikhale m'malo mwake. Muyenera nthawi zonse kukaonana ndi dokotala kuti atsimikizire kuti katemera akukwanira bwino musanagwiritse ntchito.

Ngati muli ndi chophukacho choberekera, mankhwala owonjezera pa-counter ndi mankhwala omwe amachepetsa asidi m'mimba angakuthandizeni kuti mukhale osasangalala komanso kuti mukhale ndi matenda. Izi ndizophatikiza ma antiacids, H-2 receptor blockers, ndi ma proton pump inhibitors.

Mankhwala a Hernia kunyumba

Ngakhale mankhwala apakhomo sangachiritse nthenda yanu, pali zinthu zina zomwe mungachite kuti muthandizidwe ndi zizindikilo zanu.

Kuchulukitsa kudya kwanu kumathandizira kuchepetsa kudzimbidwa komwe kumatha kuyambitsa zovuta m'matumbo, zomwe zitha kukulitsa chophukacho. Zitsanzo zina za zakudya zamtundu wapamwamba zimaphatikizapo mbewu zonse, zipatso, ndi ndiwo zamasamba.

Kusintha kwa zakudya kumathandizanso kuzizindikiro za nthenda yobereka. Yesetsani kupewa zakudya zazikulu kapena zolemetsa, musagone pansi kapena kugwada mukatha kudya, ndikusunga thupi lanu moyenera.

Pofuna kupewa asidi reflux, pewani zakudya zomwe zingayambitse, monga zakudya zonunkhira komanso zakudya zopangidwa ndi phwetekere. Kuphatikiza apo, kusiya ndudu kungathandizenso.

Zochita za Hernia

Kuchita masewera olimbitsa thupi kumatha kulimbikitsa minofu kuzungulira chophukacho ndikuthandizira kuchepa thupi, ndikuthandizira kuchepetsa zizindikilo.

Anafufuza zotsatira za pulogalamu yochita masewera olimbitsa thupi kwa anthu onenepa kwambiri omwe amayenera kuchitidwa opaleshoni yotulutsa chophukacho. Zinawonedwa kuti anthu omwe amaliza pulogalamu yochita masewera olimbitsa thupi anali ndi zovuta zochepa pambuyo pochitidwa opaleshoni.

Ndikofunika kukumbukira kuti mitundu ina ya masewera olimbitsa thupi, monga kukweza kapena kuchita masewera olimbitsa thupi pamimba, imatha kukulitsa mavuto m'dera la hernia. Izi zitha kupangitsa kuti chophukacho chikule kwambiri. N'chimodzimodzinso ndi masewera olimbitsa thupi omwe achita mosayenera.

Ngati muli ndi chophukacho, ndibwino nthawi zonse kukambirana zolimbitsa thupi ndi dokotala kapena wothandizira. Amatha kugwira ntchito limodzi nanu kuti akudziwitseni zoyenera kuchita komanso momwe mungazigwirire bwino kuti mupewe kukhumudwitsa nthenda yanu.

Hernia m'makanda

Pakati pa ana amabadwa ndi umbilical hernia. Hernia yamtunduwu imakhalanso yofala kwa ana omwe amabadwa masiku asanakwane kapena obadwa ochepa.

Matenda a umbilical amapezeka pafupi ndi batani la m'mimba. Amapanga pamene minofu yozungulira bowo lomwe linasiyidwa ndi umbilical silitseka bwino. Izi zimapangitsa gawo lina la m'matumbo kutuluka.

Ngati mwana wanu ali ndi nthenda ya umbilical, mutha kuiwona kwambiri akulira kapena kutsokomola. Nthawi zambiri, ma umbilical hernias mwa ana samva kupweteka. Komabe, pamene zizindikiro monga kupweteka, kusanza, kapena kutupa pamalo a hernia zikuchitika, muyenera kupita kuchipatala mwadzidzidzi.

Onani dokotala wa ana anu mukawona kuti mwana wanu ali ndi chotupa cha umbilical. Mavitamini a umbilical amatha pamene mwana ali ndi zaka 1 kapena 2. Komabe, ngati sichidzatha pofika zaka 5, opareshoni itha kugwiritsidwa ntchito kukonzanso. Dziwani zambiri za kukonza umbilical hernia.

Mimba ya Hernia

Ngati muli ndi pakati ndikuganiza kuti muli ndi hernia, onetsetsani kuti mwaonana ndi dokotala wanu. Amatha kuwunika ndikuwona ngati angayambitse zoopsa zilizonse zathanzi.

Nthawi zambiri, kukonza kwa chophukacho kumatha kudikirira mpaka akabereka. Komabe, ngati chophukacho chaching'ono chomwe chimakhalapo musanakhale kapena nthawi yomwe mayi ali ndi pakati chikuyamba kukulira kapena kuyambitsa mavuto, opareshoni atha kulangizidwa kuti ayikonzenso. Nthawi yomwe mumakonda kuchita izi ili m'kati mwa trimester yachiwiri.

Hernias omwe adakonzedwa kale atha kubweranso ali ndi pakati pambuyo pake. Izi ndichifukwa choti kutenga pakati kumabweretsa mavuto pamimba yam'mimba yomwe mwina idafooka chifukwa cha opaleshoni.

Hernias ikhozanso kupezeka potsatira kubisala, komwe kumatchedwanso C-gawo. Pa nthawi yobereka, munthu amatumbulidwa pamimba ndi chiberekero. Kenako mwanayo amaperekedwa kudzera muzinthuzi. Hernia wosakhazikika nthawi zina imatha kupezeka pamalo oberekera. Pezani zambiri za hernias zomwe zimachitika pambuyo posiya kubereka.

Zovuta za Hernia

Nthawi zina nthenda yosachiritsidwa imatha kubweretsa zovuta zomwe zingakhale zovuta. Hernia yanu imatha kukula ndikupangitsa zizindikiro zina. Zitha kupanganso kupanikizika kwambiri pamatumba oyandikira, omwe angayambitse kutupa ndi kupweteka kumadera oyandikana nawo.

Gawo lina la matumbo anu limathanso kulowa mumtambo wamimba. Uku kumatchedwa kumangidwa. Kutsekeredwa m'ndende kumatha kusokoneza matumbo anu ndikupweteketsani kwambiri, nseru, kapena kudzimbidwa.

Ngati gawo lomwe latsekeka la matumbo anu silitenga magazi okwanira, kupota kumachitika. Izi zitha kupangitsa kuti m'mimba matumbo mutenge kachilombo kapena kufa. Hernia wopundidwa ndiwowopseza moyo ndipo amafunikira chithandizo chamankhwala mwachangu.

Zizindikiro zina zomwe zingasonyeze kuti muyenera kupita kuchipatala mwadzidzidzi ku hernia ndizo:

• chotupa chomwe chimasintha mtundu kukhala wofiira kapena wofiirira
• ululu womwe umakula mwadzidzidzi
• nseru kapena kusanza
• malungo
• osakhoza kupititsa mafuta kapena kukhala ndi matumbo

Kupewa kwa Hernia

Simungalepheretse chophukacho nthawi zonse kukula. Nthawi zina mkhalidwe wobadwa nawo kapena opaleshoni yam'mbuyomu umalola kuti chophukacho chichitike.

Komabe, mutha kusintha zina ndi zina pamoyo wanu kuti muteteze nthenda ya hernia. Izi zimathandizira kuchepetsa kuchuluka kwamavuto omwe mumayika mthupi lanu.

Nawa maupangiri ochepa opewera nthenda:

• Lekani kusuta.
• Onani dokotala wanu mukamadwala kuti mupewe chifuwa chosalekeza.
• Sungani thupi lanu lathanzi.
• Yesetsani kuti musavutike mukuyenda m'mimba kapena mukakodza.
• Idyani zakudya zowonjezera zokwanira kuti muteteze kudzimbidwa.
• Chitani masewera olimbitsa thupi omwe amathandiza kulimbitsa minofu yam'mimba mwanu.
• Pewani kunyamula zolemera zolemera kwambiri kwa inu. Ngati mukuyenera kukweza china cholemera, pindani mawondo anu osati m'chiuno kapena kumbuyo kwanu.