Kodi diaphragmatic hernia, mitundu yayikulu ndi momwe mungachiritsire

Zamkati

• Mitundu yayikulu
• 1. kobadwa nako diaphragmatic chophukacho
• 2. Wopezedwa Diaphragmatic Hernia
• Momwe mungadziwire
• Momwe mankhwalawa amachitikira

Chotupa chofufumitsa chimayamba pakakhala chilema mu diaphragm, yomwe ndi minofu yomwe imathandizira kupuma, komanso yomwe imayambitsa kupatula ziwalo kuchokera pachifuwa ndi pamimba. Kulephera kumeneku kumapangitsa ziwalo zam'mimba kupitilira pachifuwa, zomwe sizingayambitse zizindikiro kapena kuyambitsa zovuta monga kupuma, matenda am'mapapo kapena kusintha kwam'mimba, mwachitsanzo.

Chingwe cha diaphragm chitha kuchitika panthawi yomwe mwana amakula m'mimba mwa amayi, ndikupangitsa kuti azikhala ndi chiberekero chobadwa nacho, koma chitha kupezeka pamoyo wonse, monga kupwetekedwa mtima pachifuwa kapena zovuta za opaleshoni kapena matenda dera. Mvetsetsani momwe hernia amapangidwira.

Kuzindikiritsidwa kwa vutoli kumachitika kudzera mayeso olingalira monga X-rays kapena computed tomography. Chithandizo cha chotupa chotchedwa diaphragmatic hernia chimachitidwa ndi dotolo wamkulu kapena dokotala wa ana, kudzera mu opaleshoni kapena opaleshoni ya kanema.

Mitundu yayikulu

Diaphragmatic chophukacho kungakhale:

1. kobadwa nako diaphragmatic chophukacho

Ndi kusintha kosowa, komwe kumadza chifukwa cha zopindika pakukula kwa chidyacho cha mwana ngakhale ali ndi pakati, ndipo amatha kuwonekera padera, pazifukwa zosamveka, kapena kumalumikizidwa ndi matenda ena, monga ma syndromes amtundu.

Mitundu yayikulu ndi iyi:

• Bochdalek chophukacho: ndi amene amachititsa milandu yambiri yamitsempha yam'mimba, ndipo imakonda kupezeka mdera lakumbuyo komanso mbali ya chifundacho. Ambiri amapezeka kumanzere, ena amawonekera kumanja ndipo ochepa amapezeka mbali zonse;
• Hernia wa Morgani: chifukwa cha chilema m'dera lakunja, kutsogolo kwa chifundacho. Mwa awa, ambiri ali kumanja;
• Matenda opatsirana am'mimba: amawonekera chifukwa chakukula kwakukulu kwa malo omwe pamphapo pamadutsa, zomwe zimatha kubweretsa m'mimba kulowa pachifuwa. Mvetsetsani bwino momwe chotupa chobadwira chimatulukira, zizindikiro ndi chithandizo.

Kutengera kulimba kwake, mapangidwe a chophukacho amatha kuyambitsa mavuto kwa thanzi la mwana wakhanda, popeza ziwalo zam'mimba zimatha kukhala m'mapapo, ndikupangitsa kusintha kwa izi, komanso ziwalo zina monga matumbo, mmimba kapena mtima., mwachitsanzo.

2. Wopezedwa Diaphragmatic Hernia

Zimachitika pakaphwanya chifundacho chifukwa chovulala pamimba, monga pambuyo pangozi kapena kuwonongeka ndi chida, mwachitsanzo, ine chifukwa chakuchita opareshoni pachifuwa kapena ngakhale matenda omwe ali pamalowo.

Mu chithokomiro choterechi, malo aliwonse otsekemera amatha kukhudzidwa, ndipo monga momwe zimakhalira ndi chiberekero, kuphulika kumeneku kumatha kupangitsa zomwe zili m'mimba kudutsa pachifuwa, makamaka m'mimba ndi m'matumbo.

Izi zitha kubweretsa kufalikira kwa magazi m'ziwalo izi, ndipo panthawiyi zimatha kuyika chiwopsezo chachikulu kwa omwe akukhudzidwa ngati sichingakonzedwe mwachangu ndi opareshoni.

Momwe mungadziwire

Pankhani ya hernias yomwe siili yovuta, sipangakhale zizindikiro, choncho imatha kukhala zaka zambiri mpaka itapezeka. Nthawi zina, ndizotheka kukhala ndi zizindikilo monga kupuma movutikira, kusintha kwa m'matumbo, Reflux, kutentha pa chifuwa komanso kugaya bwino chakudya.

Kuzindikira kwa chophukacho chodetsa nkhawa kumachitika poyesa kuyerekezera kwa m'mimba ndi pachifuwa, monga ma x-ray, ultrasound kapena computed tomography, yomwe imatha kuwonetsa kupezeka kwa zosayenera mkati mwa chifuwa.

Momwe mankhwalawa amachitikira

Chithandizo cha chotupa chotchedwa diaphragmatic hernia ndi opaleshoni, yokhoza kubwezeretsanso zomwe zili m'mimba momwe zimakhalira, kuphatikiza pakukonza zolakwika zakulendaku.

Kuchita opaleshoniyo kumatha kuchitidwa mothandizidwa ndi makamera ndi zida zomwe zimayambitsidwa kudzera m'mabowo ang'onoang'ono m'mimba, omwe ndi opaleshoni ya laparoscopic, kapena mwa njira yodziwika bwino, pakagwa chophukacho. Dziwani pomwe opaleshoni ya laparoscopic imawonetsedwa komanso momwe zimachitikira.