Kodi herniorrhaphy inguinal ndi chiyani ndipo zimachitika bwanji?

Zamkati

• Momwe kukonzekera kuyenera kukhalira
• Kodi opaleshoniyi yachitika bwanji
• 1. Tsegulani herniorrhaphy inguinal
• 2. Inguinal herniorrhaphy ndi laparoscopy
• Kusamalira pambuyo pa opaleshoni
• Zovuta zotheka

Inguinal herniorrhaphy ndi opareshoni yochizira hernia wa inguinal, womwe ndi chotupa m'chiuno chomwe chimayambitsidwa ndi matumbo omwe amasiya khoma lamkati lam'mimba chifukwa chakupumula kwa minofu m'derali.

Kuchita opaleshoniyi kuyenera kuchitika atangotulukira chophukacho, kuti pasakhale kupunduka m'matumbo komwe kumasowa magazi m'magazi kumabweretsa zizindikilo za kusanza komanso kukokana kwambiri. Onani zizindikiro za hernia wa inguinal.

Asanachite herniorrhaphy inguinal, dokotalayo atha kupempha kuyesa magazi ndi kujambula kuti awone momwe thanzi la munthu alili ndipo, kutengera kukula kwa hernia, comorbidities komanso msinkhu wa munthuyo, opareshoni yotseguka kapena makanema iwonetsedwa. Pambuyo pochita opaleshoni, kupumula kwamasiku atatu kumalimbikitsidwa ndipo kuyendetsa galimoto ndi kunenepa kuyenera kupewedwa kwa milungu 4 mpaka 6.

Momwe kukonzekera kuyenera kukhalira

Asanachite herniorrhaphy inguinal, dotolo amatha kuyitanitsa mayeso angapo, monga kuwerengetsa magazi, coagulogram, magazi m'magazi komanso mayeso a impso omwe adzagwiritsidwe ntchito kuwunika momwe munthu aliri.

Dokotala wochita opaleshoniyo awunikiranso thanzi la munthuyo, kuphatikiza pakupeza zambiri zakulemera, kutalika, ziwengo zomwe zingagwiritsidwe ntchito komanso mankhwala omwe amagwiritsidwa ntchito wamba. Zitha kulimbikitsidwa kuti mugwiritse ntchito zingwe zam'mimba ndi magulu kuti mukhale ndi chophukacho mpaka tsiku la opareshoni, popewa kukulirakulira.

Dzulo lisanachitike opareshoniyo, m'pofunika kupewa kuchita zolimbitsa thupi kwambiri ndipo ngati munthuyo atenga mankhwala a anticoagulant, omwe amatanthauza kuti "amawonda" magazi, adokotala amalimbikitsa kuti asiye kumwa musanachite opareshoni. Komanso, tikulimbikitsidwa kuti tisalale kuchokera maola 8 mpaka 12 a inguinal herniorrhaphy.

Kodi opaleshoniyi yachitika bwanji

Inguinal herniorrhaphy itha kuchitidwa m'njira ziwiri kutengera thanzi la munthuyo komanso kuuma kwa chophukacho:

1. Tsegulani herniorrhaphy inguinal

Nthawi zambiri, kutseguka kwa inguinal herniorrhaphy kumachitika pansi pa matenda ochititsa dzanzi, omwe amagwiritsidwa ntchito pamitsempha ya msana ndikuchotsa kutengeka kokha kuchokera kumunsi kwa thupi, komabe, itha kuchitidwanso pansi pa dzanzi. Pochita opaleshoniyi, dokotalayo amadula, wotchedwa chimbudzi, m'dera loboola ndikubwezeretsanso gawo la m'matumbo lomwe lili kunja kwa mimba.

Kawirikawiri, dokotalayo amalimbitsa minofu m'deralo mothandizidwa ndi thumba lopangira, kuti ateteze nthendayi kuti isabwerere kumalo komweko. Zomwe zimapangidwa ndi chinsalu ichi ndizopangidwa ndi polypropylene ndipo zimangoyamwa mosavuta ndi thupi, zomwe zimakhala ndi chiopsezo chochepa chokana.

2. Inguinal herniorrhaphy ndi laparoscopy

Inguinal herniorrhaphy ndi laparoscopy ndi opaleshoni yochitidwa pansi pa anesthesia ndipo imakhala ndi njira yomwe dokotalayo amadulira pang'ono pamimba, amalowetsa kaboni dayokisaidi m'mimba kenako amayika chubu chochepa kwambiri chokhala ndi kamera yolumikizira.

Kuchokera pazithunzi zomwe zimapangidwa pazowunika, dokotalayo amagwiritsa ntchito zida, monga zopalira ndi lumo labwino kwambiri, kuti akonze chophukacho m'chigawo cha inguinal, ndikuyika chinsalu chothandizira kumapeto kwa njirayi. Nthawi yobwezeretsa opaleshoni yamtunduwu imakhala yayifupi kuposa pochita opaleshoni yotseguka.

Anthu omwe amachitidwa opaleshoni ya laparoscopic nthawi zambiri amakhala ndi nthawi yochepa yochira. Komabe, adotolo angaganize kuti opaleshoni ya laparoscopic siyabwino kwambiri ngati nthendayi ndi yayikulu kwambiri kapena ngati munthuyo wachita opaleshoni ya m'chiuno.

Kusamalira pambuyo pa opaleshoni

Pambuyo poti inguinal herniorrhaphy, munthuyo atha kukhala ndi vuto m'chiuno, koma mankhwala ochepetsa ululu amaperekedwa nthawi yomweyo. Nthawi zambiri, munthu amene amachitidwa opaleshoni imeneyi amakhala mchipatala kwa tsiku limodzi kuti awonedwe.

Pofuna kupewa zovuta pakuchita opareshoni, tikulimbikitsidwa kuti mubwerere kuzinthu zodziwika bwino pakatha sabata limodzi, pewani kuyendetsa masiku 5, ndikupangitsa kuti musalimbike kwambiri kapena kuti muchepetse masabata osachepera 4. Kuti muchepetse kusapeza bwino pamalo opaleshoniyi, mutha kuyikapo phukusi pa maola 48 oyamba, kawiri patsiku kwa mphindi 10.

Kuphatikiza apo, adotolo atha kuwonetsa kugwiritsa ntchito zomangira zam'mimba kapena zingwe zoteteza kuti chophukacho chisadzapezekenso mpaka malowo atachira, mtundu ndi nthawi yogwiritsira ntchito nsaluyo zidzadalira kuopsa kwa chikhodzodzo cha inguinal ndi mtundu wa opareshoni zachitika.

Zovuta zotheka

Pambuyo pa opaleshoni ndikofunikira kulabadira zizindikilo za zovuta monga kutuluka magazi ndi kutuluka kwa mabala, chifukwa amatha kuwonetsa matenda. Zovuta zokhudzana ndi kukhazikitsidwa kwa mauna zitha kuchitika, monga kumangiriza, kutsekeka m'matumbo, fibrosis kapena kuvulala ndi misempha yam'mimba, ndipo izi zimadziwika makamaka chifukwa cha kuwonekera kwa malo opareshoni ngakhale patatha sabata limodzi la ndondomeko.

Vuto lina lomwe lingachitike chifukwa cha inguinal herniorrhaphy ndikusunga kwamikodzo, ndipamene munthuyo sangathe kutulutsa chikhodzodzo, komabe, izi zimadalira mtundu wa mankhwala oletsa ululu omwe adagwiritsidwa ntchito komanso njira yomwe adokotala adamuyendera. Onani zambiri zakusungidwa kwamikodzo komanso momwe mankhwala amathandizira.