Mlembi: Judy Howell
Tsiku La Chilengedwe: 27 Kulayi 2021
Sinthani Tsiku: 15 Novembala 2024
Anonim
Hernias ndi Chithunzi - Thanzi
Hernias ndi Chithunzi - Thanzi

Zamkati

Hernia imachitika pomwe chidutswa cha khungu kapena ziwalo zam'mimba (monga matumbo) chimadutsa kudzera pazosanjikiza zakunja zomwe nthawi zambiri zimakhala m'deralo.

Pali mitundu ingapo ya hernia - ndipo ina imatha kukhala yopweteka kwambiri komanso zoopsa zamankhwala.

Pitirizani kuwerenga kuti mudziwe zambiri za hernias, komanso muwone zithunzi za mitundu yodziwika bwino ya hernia.

Hernia ndi chiyani?

Nthawi zambiri, zoteteza kumatenda omwe amatchedwa fascia amakhala ndi ziwalo ndi ziwalo m'malo mwake. Zimakhala ngati chophimba cholimba chakunja kuti minofu izithandizika komanso m'malo mwake.

Koma nthawi zina fascia imatha kukhala ndi mfundo zochepa. M'malo moika minofu mkati, imalola kuti minofuyo iphulike kapena kutuluka kudera lofookalo. Opereka chithandizo chamankhwala amatcha izi hernia.

Hernias sikuti nthawi zonse amafuna chithandizo, komanso nthawi zambiri samapita okha. Nthawi zina wothandizira zaumoyo amalangiza kuchitidwa opaleshoni kuti athetse zovuta zina kuchokera ku hernia.

Chithunzi chodziwika bwino cha hernia

Ndi chiyani

Hernia yosakhazikika imatha kuchitika mutatha kuchitidwa opaleshoni pamimba.


Vutoli limatha kuchitika munthu akakhala ndi vuto lakumimba m'mimba.

Ndikudula kotereku, nthawi zambiri pamakhala kupanikizika kwakukulu pamimba pamimba pamalo amenewo, malinga ndi nkhani yomwe idasindikizidwa munyuzipepala ya BJS Open.

Chingwe chodziwika bwino chimachitika pafupifupi m'mimba, malinga ndi kafukufuku wa 2018 wofalitsidwa munyuzipepala ya Deutsches Arzteblatt International.

Zingayambitse zizindikiro monga:

  • ululu
  • m'mimba kukhumudwa
  • kumverera kosakwanira kwam'mimba

Momwe amathandizidwira

Kuchuluka kwa kutsekeredwa m'ndende (kutsekeredwa modabwitsa kwa minofu) ya chikhodzodzo chosadziwika sikupezeka kulikonse, malinga ndi kuwunika kwa 2018 komwe kutchulidwa kale.

Ngati nthenda yotulutsa khungu ikuyambitsa zizindikilo kapena ikuwoneka kuti ili pachiwopsezo chachikulu chomangidwa, wothandizira zaumoyo nthawi zambiri amalimbikitsa kuchitidwa opaleshoni kuti akonze.

Momwe mungadzisamalire nokha

Ngati dokotalayo ali womasuka kuyang'anira nthenda ya hernia, muyenera kuwadziwitsa nthawi yomweyo ngati muli ndi zizindikilo zomwe zimafotokoza za kupotokola, komwe kungaphatikizepo:


  • kupweteka kwam'mimba
  • nseru zosamveka
  • kulephera kupititsa mafuta kapena matumbo pafupipafupi

Chithunzi cha hernia wa Hiatal

Ndi chiyani

Chotupa choberekera chimachitika pamene gawo lina lakumtunda kwa m'mimba limadutsa pamtambo.

Kawirikawiri, chifundamtima chimasunga m'mimba bwinobwino, koma pamatha kukhala zopindika zomwe zimalola m'mimba kutsetsereka kupita m'mwamba.

Mitundu yosiyanasiyana ya hernia ilipo.

Chofala kwambiri ndi mtundu wa hernia komwe malo am'mimba ndi m'mimba amapita mmwamba kupyola mu diaphragm, malinga ndi Society of American Gastrointestinal and Endoscopic Surgeons.

Mitundu ya hernia imeneyi imayambitsa matenda a reflux a gastroesophageal (GERD).

Momwe amathandizidwira

Ngati munthu ali ndi GERD yoopsa, mavuto akumeza, kapena zilonda zam'mimba pafupipafupi chifukwa cha mtundu wa hernia wobadwa nawo, omwe amawapatsa chithandizo chazaumoyo amatha kuwalimbikitsa kuchitidwa opaleshoni.

Mitundu ina yodzikongoletsera ingafune kukonzedwa chifukwa matumbo kapena gawo lalikulu la m'mimba limadutsa.


Momwe mungadzisamalire nokha

Ngati wothandizira zaumoyo wanu sangakulimbikitseni kuchitidwa opaleshoni yokhudzana ndi nthendayi, mutha kuchitapo kanthu kuti mupewe zizindikiro za Reflux.

Zitsanzo ndi izi:

  • kupewa zakudya zokometsera komanso zonenepa kwambiri
  • kumwa ma antiacids
  • kutenga ma H2 receptor blockers ngati famotidine (Pepcid) kuti achepetse matenda
  • kumwa ma proton pump inhibitors ngati lansoprazole (Prevacid)

Chithunzi chachikazi chachikazi

Ndi chiyani

Chotupa chachikazi chimapezeka m'munsi mwa chiuno, pafupi ndi ntchafu yamkati ndipo nthawi zambiri kumanja kwa thupi.

Nthawi zina wothandizira zaumoyo amatha kuzindikira kuti nthendayi ndi yotupa. Komabe, atayang'anitsitsa, amazindikira malo ake apansi akuwonetsa kuti ndi chotupa chachikazi.

Mtundu wa herniawu siwachilendo, umachitika ochepera pa 3 peresenti ya mitundu yonse ya hernia m'mabungu, malinga ndi.

Azimayi amakhala ndi mtundu wa chophukacho kuposa amuna, mwina chifukwa cha mawonekedwe a m'chiuno mwawo.

Momwe amathandizidwira

Zitsamba zachikazi zimakhala ndi mikwingwirima yambiri, zomwe zikutanthauza kuti minofu imadula magazi kupita m'matumbo omwe amapyola. Malinga ndi StatPearls, kuyerekezera kumayambitsa kusokonekera.

Muthanso kukhala ndi chotupa chachikazi komanso inguinal. Zotsatira zake, othandizira ambiri azaumoyo amalimbikitsa kukonzanso maopareshoni.

Momwe mungadzisamalire nokha

Matenda ena achikazi sangayambitse zizindikiro.

Mukawona kutuluka kwa kubuula kwanu, komwe kumachitika chiberekero chachikazi, lankhulani ndi omwe amakuthandizani.

Ndikofunika kukayezetsa nthenda yachikazi. Ngati nthendayi yadzipachika, ngozi yakufa, malinga ndi nkhani yomwe idasindikizidwa mu nyuzipepala ya Annals of Surgery.

Chithunzi cha hernia wa Epigastric

Ndi chiyani

Matenda a epigastric amapezeka pang'ono pamwamba pa batani la m'mimba ndi pansi pa nthiti.

Hernia ya epigastric imatha kupezeka mwa anthu ambiri, kuphatikiza ana ndi akulu, malinga ndi nkhani yolemba mu Hernia.

Ngakhale mitundu iyi ya hernias siyimayambitsa matenda nthawi zonse, mutha kumva kaphokoso kakang'ono kapena misa yomwe ingamveke kukoma nthawi zina.

Momwe amathandizidwira

Kukonza maopareshoni ndiye "mankhwala" okha owona a chophukacho. Wopereka chithandizo chamankhwala sangalimbikitse nthawi zonse kuchiza nthenda ngati siyimayambitsa matenda ndipo ndi yaying'ono kukula.

Momwe mungadzisamalire nokha

Mutha kuwunika kukula kwa nthenda yanu ndikudziwitsa omwe akukuthandizani ngati zikuwoneka kuti zikukula kapena zikuyamba kuyambitsa zizindikilo.

Pezani chisamaliro chofulumira liti

Funsani thandizo lachipatala ngati muli ndi zizindikiro monga:

  • ululu
  • chifundo
  • mavuto okhala ndimatumbo

Chithunzi cha hernia cha umbilical

Ndi chiyani

Chimbudzi chotchedwa umbilical hernia ndi chotupa chomwe chimapezeka pafupi ndi batani la m'mimba.

Vutoli limapezeka kwambiri mwa ana, nthawi zambiri limatha ndi zaka 4.

Kwa akuluakulu, pafupifupi 90% amapezeka, makamaka chifukwa chotsendereza kapena kukakamira poyenda, malinga ndi American College of Surgeons.

Momwe amathandizidwira

Ngati munthu atha kukankhira chophukacho pomwe chimatuluka (ichi chimatchedwa "chothandizira" chithokomiro), wothandizira zaumoyo sangalimbikitse kuchitidwa opaleshoni kuti akonzenso.

Komabe, njira yokhayo yochiritsira nthenda ndiyo kuchita opaleshoni.

Momwe mungadzisamalire nokha

Yang'anirani chophukacho ndi kukula kwake. Ngati simungathe kukankhira nthendayo kapena ikayamba kukula, uzani wothandizira zaumoyo wanu.

pezani chisamaliro mwachangu liti

Funani chithandizo chamankhwala mwadzidzidzi ngati muli ndi zizindikilo monga kupweteka mwadzidzidzi ndi kusanza chifukwa izi zitha kuwonetsa kuti chophukacho nchodzipachika kapena kumangidwa.

Chithunzi cha hernia wa Inguinal

Ndi chiyani

Hernia ya inguinal imachitika pakakhala gawo lofooka m'munsi mwamimba m'mimba. Nthawi zambiri, mafuta kapena matumbo ang'onoang'ono amatha kuphulika.

Amayi ena amatha kutuluka m'mimba kudzera kukhoma m'mimba. Amuna amatha kukhala ndi chotupa cham'mimba chomwe chimakhudza ma testes kapena scrotum.

Mitundu yambiri ya inguinal hernias imapangidwa kumanja, malinga ndi National Institute of Diabetes and Digestive and Impso Diseases (NIDDK).

Hernia inguinal imafala kwambiri mwa makanda komanso azaka za 75 mpaka 80.

Momwe amathandizidwira

Wopereka chithandizo chamankhwala nthawi zambiri amalimbikitsa kuchitidwa opaleshoni kuti akonze chophukacho. Izi zimachepetsa chiopsezo kuti chophukacho chidzakhadzulidwa ndikuwononga matumbo kapena ziwalo zina zozungulira.

Ngati munthu alibe zizindikiro, wothandizira zaumoyo angalimbikitse kuyang'anitsitsa nthendayi.

Komabe, NIDDK inanena kuti amuna ambiri omwe amachepetsa opaleshoni ya chithokomiro cha m'mimba amatha kukumana ndi zovuta kapena amafunika kuchitidwa opaleshoni pasanathe zaka 5 atakhala ndi zizindikilo.

Momwe mungadzisamalire nokha

Ngati mwasankha kuti musachite opareshoni ya chithokomiro chanu, yang'anani kukula kwake ndikuwuza omwe akukuthandizani ngati mutayamba kumva kuwawa komanso kusasangalala ndi chophukacho.

Pezani chisamaliro chofulumira liti

Funani chithandizo chadzidzidzi ngati muli ndi:

  • kupweteka kwambiri kapena kosalekeza
  • kusanza
  • mavuto opita kuchimbudzi

Kutenga

Hernia imatha kuyambitsa mitundu yosiyanasiyana yazizindikiro.

Zizindikiro zimatha kutuluka pachotupa chaching'ono chomwe mumamva nthawi zina (nthawi zambiri mukayimirira) kupita kudera lomwe limapweteka chifukwa minofu imazungulira kapena kutaya magazi ikamadutsa mu fascia.

Muthanso kukhala ndi chotupa chomwe simungamve, monga chotupa chobadwira m'mimba.

Mitundu yambiri ya hernia ilipo. Nthaŵi zambiri, opaleshoni ndiyo njira yokhayo yothetsera nthendayi.

Osanyalanyaza zizindikiro monga kupweteka kapena nseru zokhudzana ndi chophukacho. Amatha kuwonetsa kuti minofu yanu sikulandila magazi okwanira.

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