Kodi umbilical chophukacho, zizindikiro, matenda ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zizindikiro za umbilical chophukacho mwa mwana
• Umbilical chophukacho mu mimba
• Ndani ali ndi mwayi wambiri
• Momwe matendawa amapangidwira
• Pamene umbilical chophukacho akhoza kusokoneza
• Momwe mankhwala amachitikira

Chimbudzi chotchedwa umbilical hernia, chomwe chimadziwikanso kuti hernia mu umbilicus, chimafanana ndi kutuluka komwe kumawonekera m'chigawo cha umbilicus ndipo kumapangidwa ndi mafuta kapena gawo la m'matumbo lomwe lakwanitsa kudutsa pamimba. Mtundu wa hernia umapezeka pafupipafupi mwa ana, koma amathanso kupezeka mwa akuluakulu, ndipo amatha kudziwika munthuyo akapanikiza dera lam'mimba akaseka, kukweza, kutsokomola kapena kugwiritsa ntchito bafa kuti achoke, mwachitsanzo.

Nthawi zambiri chophukacho mumchombo sichimangobweretsa kuwoneka kwa zizindikiro, komabe ikakhala yayikulu kwambiri munthuyo amatha kumva kupweteka, kusapeza bwino komanso nseru, makamaka pokweza zolemera, kukakamiza minofu yam'mimba kapena kuyimirira kwa nthawi yayitali nthawi. Ngakhale kuti hernia ya umbilical samaonedwa ngati yayikulu, ndikofunikira kuti izindikiridwe ndikuchiritsidwa kuti zovuta zitha kupewedwa. Dziwani zambiri za hernias.

Zizindikiro zazikulu

Chizindikiro chachikulu ndi chizindikiritso cha umbilical chophukacho ndi kupezeka kwa chotupa m'dera lamchombo chomwe chimatha kupweteketsa komanso kusokoneza. Kuphatikiza apo, nthenda ya hernia ikakhala yayikulu, ndizotheka kuti zizindikilo zina, monga kunyansidwa ndi kusanza, zitha kuwoneka poyesa kuyesera ndikuwonekera kwa zotupa zing'onozing'ono zomwe zimatha kugwedezeka munthuyo ataimirira, koma zomwe zimasowa atagona .

Zizindikiro za umbilical chophukacho mwa mwana

Mwambiri, makanda amakhala ndi zizindikilo zofananira ndi za akulu, ndipo chophukacho chimapezeka makamaka chitsa cha umbilical chitangobadwa. Nthendayi nthawi zambiri imabwerera mwakale yokha mpaka zaka 5, komabe ndikofunikira kuti mwanayo awunikidwe ndi adotolo ngati ali ndi chotupa cha umbilical.

Ngakhale osawonetsa zowawa, ana ayenera kupita nawo kwa adotolo kuti akawone kukula kwa vutoli, chifukwa likakhala lalikulu komanso osachiritsidwa, chophukacho chimatha kukula ndikutsekereka pachipsera cha umbilical, zomwe zimapangitsa kuti mchiberekero cha ndulu, chomwe chitha kuyika khanda moyo pachiwopsezo, wofuna kuchitidwa opaleshoni mwachangu.

Kawirikawiri, mankhwala a umbilical hernia mwa ana amatha kuchitika poyika bandeji kapena bandeji kuti mulowetse mchombo m'mimbamo. Komabe, ngati mchiberekero wa umbilical ndi waukulu kwambiri kapena sukusowa mpaka zaka 5, dokotala wa ana angalimbikitse kuti achite opaleshoni kuti athetse vutoli.

Umbilical chophukacho mu mimba

Chimbudzi cha umbilical pa mimba chimakhala chofala kwambiri kwa amayi omwe anali ndi hernias ali ana, popeza kuwonjezeka kwa kupanikizika mkati mwa mimba ya mayi wapakati kumayambitsa kutseguka m'mimba yam'mimba, yomwe inali yosalimba kale, kulola kuti gawo laling'ono lithuke.

Nthawi zambiri, umbilical hernia siowopsa kwa mwanayo, sikukhudza thanzi la mayi, komanso sikulepheretsa kubereka. Kutengera kukula kwa nthenda ya hernia, dotolo wamkulu kapena wochita opaleshoni yam'mimba amalimbikitsa kuti agwiritse ntchito brace panthawi yapakati ndipo awunika kuthekera kochitidwa opaleshoni kukonzanso nthenda yobereka pambuyo pobereka kapena panthawi yosiya.

Ndani ali ndi mwayi wambiri

Zina mwazinthu zitha kupangitsa kuti mapangidwe a umbilical hernias, monga mbiri ya banja la hernias, cystic fibrosis, cryptorchidism, makanda obadwa msanga, mimba, kunenepa kwambiri, kusintha kwa urethra, dysplasia ya chitukuko cha mchiuno komanso kuyesetsa kwambiri. Kuphatikiza apo, mawonekedwe a umbilical hernia amapezeka kwambiri mwa anyamata akuda ndi ana.

Momwe matendawa amapangidwira

Matenda a umbilical hernia amapangidwa kuchokera pakuwunika zizindikilo zomwe zimaperekedwa ndi munthuyo, kuphatikiza pakuwona ndi kugunda kwa dera la umbilicus. Kuphatikiza apo, adotolo amalimbikitsa kuti apange ultrasound yam'mimba pakhoma kuti awone kuchuluka kwa chophukacho ndikuwona ngati ali ndi zovuta zina.

Pamene umbilical chophukacho akhoza kusokoneza

Chimbudzi cha umbilical sichimakhala chodetsa nkhaŵa, koma ngati chimangika, vuto lotchedwa umbilical hernia m'ndende, lomwe limachitika m'matumbo atagwidwa mkati mwa chophukacho ndipo sichingabwererenso m'mimba, opareshoniyo iyenera kuchitidwa nthawi yomweyo. Chifukwa cha ichi, munthu aliyense yemwe ali ndi nthenda ya umbilical ayenera kuchitidwa opaleshoni kuti amuchotse.

Pakufunika kuchitidwa opareshoniyo chifukwa gawo la m'matumbo lomwe lidakakamira limatha kukhala ndi vuto loyenda magazi, ndikufa kwaminyewa, yomwe imafunika kuchotsedwa. Vutoli limatha kukhudza anthu omwe ali ndi hernias akulu kapena ang'ono mu umbilicus, ndipo sangathe kunenedweratu, ndipo zimatha kuchitika kwa anthu omwe akhala ndi hernia kwa tsiku limodzi kapena kwazaka zambiri.

Zizindikiro zomwe umbilical hernia wamangidwa ndikumva kuwawa kwambiri kwa mchombo komwe kumatha maola angapo. Matumbo amatha kusiya kugwira ntchito ndipo pamimba pamatha kutupa kwambiri. Nsautso ndi kusanza nthawi zambiri zimakhalapo.

Momwe mankhwala amachitikira

Umbilical hernia opareshoni, yomwe imadziwikanso kuti herniorrhaphy, ndiyo njira yothandiza kwambiri yothandizira nthenda ya umbilical ndipo imachitidwa ndi cholinga chothetsa vutoli ndikupewa zovuta, monga matenda am'mimba kapena kufa kwa minofu chifukwa chosintha magazi m'derali.

Kuchita opaleshoni yamtunduwu ndikosavuta, kutha kuchitidwa kwa ana azaka 5 zakubadwa ndipo imapezeka ndi SUS. Herniorrhaphy itha kuchitidwa ndi njira ziwiri:

1. Zojambulajambula, kuti zimachitidwa pansi pa anesthesia ndipo ma tinthu tating'onoting'ono tating'onoting'ono tating'onoting'ono timapangidwa m'mimba kulola kulowa kwa maikolofoni ndi zida zina zamankhwala zofunika kuthana ndi vutoli;
2. Dulani pamimba, zomwe zimachitika pansi pa matenda ochititsa dzanzi ndipo chimbudzi chimapangidwa pamimba kotero kuti chophukacho chimakankhidwira m'mimba kenako khoma lam'mimba limatsekedwa ndi ulusi.

Nthawi zambiri pakuchita opareshoni, adotolo amaika mauna oteteza kapena mauna m'malo mwake kuti ateteze chophukacho kuti chisadzachitikenso ndikulimbitsa khoma lam'mimba. Mvetsetsani momwe kuchira kumakhalira pambuyo pochitidwa opaleshoni.