Zizindikiro zam'mimba zam'mimba ndi zomwe zimayambitsa

Zamkati

• Zizindikiro zazikulu
• Mwina mavuto a chophukacho m'mimba
• Zomwe zimayambitsa chophukacho m'mimba
• Kuchita opaleshoni ya hernia m'mimba
• Kodi kuchira kuli bwanji?

Mitsempha ya m'mimba imadziwika ndikutuluka kwa chiwalo china m'mimba kutuluka mthupi, chomwe nthawi zambiri sichimayambitsa zizindikiro, koma chimatha kupweteketsa, kutupa ndi kufiyira m'deralo, makamaka pakakola kapena kupotoza ziwalo zomwe mkati mwa chophukacho.

Mitsempha ya m'mimba imadziwika ndikutuluka kwa chiwalo china m'mimba kutuluka mthupi, chomwe nthawi zambiri sichimayambitsa zizindikiro, koma chimatha kupweteketsa, kutupa ndi kufiyira m'deralo, makamaka pakakola kapena kupotoza ziwalo zomwe mkati mwa chophukacho.

Kuchiza kwa hernia m'mimba kumachitika kudzera mu opaleshoni kuti alowetse gawo lachiwalo kumbuyo kwa minofu yam'mimba. Kuchita opaleshoniyi ndikosavuta, osafunikira mankhwala oletsa ululu ndipo, nthawi zambiri, munthuyo amakhala mchipatala tsiku limodzi lokha.

Zizindikiro zazikulu

Kupezeka kwa chophukacho m'mimba kumadziwika chifukwa cha kupezeka kwa chotupa kapena chotupa m'mimba yam'mimba, makamaka m'chigawo chapamwamba pamchombo, mkati mwa mchombo ndi m'mimbamo. Kutupa uku kumapangidwa pamene zomwe zili m'mimba, nthawi zambiri matumbo, zimatha kupezera minofu yam'mimba, ndikupanga thumba la hernial.

Nthawi zambiri, zomwe zili mu hernia sac zimatha kuyenda ndikutuluka momasuka, popanda kuyambitsa zizindikilo, kapena kuyambitsa mavuto pang'ono. Komabe, chikoka chopita kwa ziwalo chimayamba kuchepa, chomwe chimatchedwa kuti ndende kapena chokhomerera chimachitika, chomwe chitha kuwonetsa zizindikilo, monga:

• Kupweteka kwambiri pamalo a chophukacho kapena pamimba;
• Kutupa ndi kufiira pamalo a chophukacho;
• Nseru ndi kusanza.

Matendawa ndi ovuta, ndipo amayenera kuchitidwa opaleshoni posachedwa, chifukwa chowopsa chosowa magazi m'magazi, ndikupangitsa kutupa, kufooka, matenda ndikufa kwamaselo, yomwe ndi necrosis.

Mwina mavuto a chophukacho m'mimba

Ngakhale ma hernias ambiri amangotheredwa pongotengera chophukacho mpaka m'mimba, nthawi zina izi sizingatheke, ndipo zimatha kubweretsa zovuta. Chimodzi mwamavuto akulu ndikubanika kwa chiwalo m'mimba, nthawi zambiri m'matumbo, ndikuchepetsa magazi kuzungulira tsambalo, zomwe zingayambitse necrosis.

Kuphatikiza pa kudzimbidwa, amathanso kukhala otsekeka m'matumbo, momwe matumbo samatha kudutsa dera la hernia, lomwe limatha kuyambitsa nseru ndi kusanza, kuphatikiza kudzimbidwa.

Zomwe zimayambitsa chophukacho m'mimba

Hernia imachitika pakakhala kufooka kwa minofu yam'mimba, yomwe itha kukhala yachibadwa, kapena yomwe imatha kuchitika pambuyo pochulukitsa kupanikizika mkati mwa mimba, monga momwe zimafunikira kuyesetsa kwakuthupi, chifukwa cha kunenepa kwambiri kapena kutenga pakati, mwachitsanzo.

Mitundu yayikulu ya hernia wam'mimba ndi iyi:

• Zowonjezera, m'dera loboola, lomwe ndi mtundu wofala kwambiri. Phunzirani momwe mungazindikire ndi kuchitira chophukacho;
• Epigastric, yomwe ili pamwamba pamchombo, pamphambano pakati pa minofu yam'mimba. Dziwani zambiri za epigastric hernia;
• Umbilical, ndi omwe amapezeka kwambiri mwa makanda, ndipo nthawi zambiri amabwerera m'mbuyo osafunikira opaleshoni mzaka zoyambirira za moyo. Onani zomwe mungachite ngati mchiberekero cha umbilical;
• Zosasintha, zimachitika m'malo mwa opareshoni ina yakale, chifukwa chofooka kwa malo omwe suture amapangidwira.

Kuti azindikire zotupa m'mimba, adotolo amatha kuyeza komwe kumawunika kutupa kwa m'mimba, koma kutsimikizika kumachitika ndikuwunika kwa m'mimba kwa ultrasound.

Kuchita opaleshoni ya hernia m'mimba

Chithandizo chachikulu cha hernias ndikuchita opareshoni, komabe, nthawi zina, amatha kudzidalira okha, monganso tinthu tating'onoting'ono tating'onoting'ono ta mwana, makamaka umbilical.

Kuchita opaleshoniyi kumachitika pamalo ochitiramo opaleshoni, komwe kumapezeka mankhwala opatsirana m'dera kapena msana, ndipo kumatha kuchitika ndikutsegula kwa m'mimba kapena ndi videolaparoscopy, m'njira yomwe imatenga pafupifupi ola limodzi. Chifukwa chake, ziwalo zimakankhidwa ndikubwezeretsedwanso m'mimba, ndipo kutsegula kumatsekedwa ndi suture.

Minofu yam'mimba ikafooka kwambiri, pangafunike kuyika thumba lolimbitsa chitetezo ndikuchepetsa mwayi wopanga chophukacho chatsopano.

Kodi kuchira kuli bwanji?

Nthawi yochita opareshoni yam'mimba ya chophukacho m'mimba nthawi zambiri imachitika ndikuchira mwachangu, ndipo mu masiku 1 mpaka 2 mumatulutsidwa mchipatala. Malangizo ndi awa:

• Kugwiritsa ntchito mankhwala opha ululu kapena oletsa kutupa powawa, operekedwa ndi dokotala;
• Osapanga zoyesayesa monga kuyendetsa kapena kunyamula katundu kwa masiku 7 mpaka 10;
• Bwererani kukakambirana zowunikiranso ndi dotoloyo masiku 7;
• Chitani zochitika zolimbitsa thupi kwambiri, monga masewera, pambuyo pa mwezi umodzi.

Nthawi zambiri, chophukacho chimachiritsidwa ndi opareshoni ndipo chifukwa chake, pamakhala chiopsezo chochepa chobwerera.