Umbilical Hernia

Zamkati

• Kodi hernia umbilical ndi chiyani?
• Nchiyani chimayambitsa hernias wa umbilical?
• Kodi zizindikiro za hernia umbilical ndi ziti?
• Momwe madotolo amadziwira umbilical hernias
• Kodi pali zovuta zina zokhudzana ndi umbilical hernias?
• Kodi ma hernia a umbilical angakonzedwe?
• Asanachite opaleshoni
• Pa opaleshoni
• Kuchira pa opaleshoni
• Zoopsa za opaleshoni
• Kodi chiyembekezo chamtsogolo cha umbilical hernias ndi chiani?

Kodi hernia umbilical ndi chiyani?

Chingwe cha umbilical chimalumikiza mayi ndi mwana wake ali m'mimba. Zingwe za makanda za ana zimadutsa pabowo lochepa pakati pa minofu yam'mimba yam'mimba. Nthawi zambiri, dzenje limatsekedwa atangobadwa. Hernia ya umbilical imachitika pomwe zigawo zam'mimba sizilumikizana kwathunthu, ndipo matumbo kapena ziwalo zina kuchokera mkati mwamimba zimatuluka kudzera pamalo ofooka kuzungulira batani. Pafupifupi 20 peresenti ya ana amabadwa ndi hernia ya umbilical.

Matenda a umbilical nthawi zambiri samapweteka ndipo samayambitsa vuto lililonse. Pafupifupi 90 peresenti ya ma hernias a umbilical pamapeto pake adzatha okha, malinga ndi a Johns Hopkins Medicine. Ngati chiberekero cha umbilical sichitseka nthawi yomwe mwana ali ndi zaka 4, zidzafunika chithandizo.

Nchiyani chimayambitsa hernias wa umbilical?

Chimbudzi chotchedwa umbilical hernia chimachitika pomwe kutsegula kwa minofu yam'mimba yomwe imalola kuti umbilical kudutsa isaleke kutseka kwathunthu. Matenda a umbilical amapezeka kwambiri mwa makanda, koma amathanso kupezeka kwa akulu.

Ana aku Africa-America, makanda asanakwane, ndi ana obadwa atatsika pang'ono ali pachiwopsezo chachikulu chotenga mitsempha ya umbilical. Palibe kusiyana pakati pa anyamata ndi atsikana, malinga ndi Cincinnati Children's Hospital Center.

Chingwe cha umbilical mwa achikulire nthawi zambiri chimachitika pakapanikizika kwambiri pagawo lofooka la minofu yam'mimba. Zomwe zingayambitse zikuphatikizapo:

• kukhala wonenepa kwambiri
• mimba pafupipafupi
• mimba zapakati pambiri (kukhala ndi mapasa, mapasa atatu, ndi zina zambiri)
• madzimadzi owonjezera m'mimbamo
• opaleshoni m'mimba
• kukhala ndi chifuwa chosalekeza, cholemera

Kodi zizindikiro za hernia umbilical ndi ziti?

Matenda a umbilical amatha kuwoneka mwana wanu akulira, kuseka, kapena kukakamira kusamba. Chizindikiro cha telltale ndikutupa kapena kotupa pafupi ndi umbilical. Chizindikiro ichi sichingakhalepo mwana wanu atamasuka. Matenda ambiri a umbilical sakhala opweteka kwa ana.

Akuluakulu amathanso kulandira mitsempha ya umbilical. Chizindikiro chachikulu ndichofanana - kutupa kapena kutupa pafupi ndi malo amchombo. Komabe, umbilical hernias imatha kubweretsa mavuto komanso kukhala yopweteka kwambiri kwa akulu. Chithandizo cha opaleshoni nthawi zambiri chimafunikira.

Zizindikiro zotsatirazi zitha kuwonetsa vuto lalikulu lomwe limafunikira chithandizo chamankhwala:

• mwanayo akumva kuwawa
• mwana mwadzidzidzi amayamba kusanza
• mphukira (mwa ana ndi akulu) ndiyofatsa kwambiri, yotupa, kapena yopindika

Momwe madotolo amadziwira umbilical hernias

Dokotala amamuyesa kuti adziwe ngati khanda kapena wamkulu ali ndi chotupa cha umbilical. Dokotala adzawona ngati chophukacho chingabwezeretsedwe m'mimbamo yam'mimba (yochepetsedwa) kapena ngati yatsekedwa m'malo mwake (mndende). Chophukacho chomwe chili mndende ndichovuta kwambiri chifukwa gawo lomwe latsekedwa litha kulandira magazi (opotokola).Izi zitha kupangitsa kuwonongeka kosatha kwa minofu.

Dokotala wanu akhoza kutenga X-ray kapena kupanga ultrasound pamimba kuti muwonetsetse kuti palibe zovuta. Akhozanso kuyitanitsa mayeso amwazi kuti awone ngati ali ndi matenda kapena ischemia, makamaka ngati m'matumbo mwatsekedwa kapena pakhosi.

Kodi pali zovuta zina zokhudzana ndi umbilical hernias?

Zovuta za umbilical hernias sizimachitika kawirikawiri mwa ana. Komabe, zovuta zina zimatha kuchitika kwa ana komanso akulu ngati umbilical wamangidwa.

Matumbo omwe sangabwezeretsedwe kudzera m'makoma am'mimba nthawi zina samapeza magazi okwanira. Izi zimatha kupweteka komanso kupha minofu, yomwe imatha kubweretsa matenda owopsa kapena kufa kumene.

Mimbulu ya m'mimba yokhudzana ndi matumbo opunduka imafuna kuchitidwa opaleshoni mwadzidzidzi. Lumikizanani ndi dokotala wanu kapena pitani kuchipinda chodzidzimutsa nthawi yomweyo ngati matumbo atsekeka kapena kupunduka.

Zizindikiro za mimbulu ya umbilical yopachika ndi monga:

• malungo
• kudzimbidwa
• kupweteka kwambiri m'mimba ndi kufatsa
• nseru ndi kusanza
• chotupa m'mimba
• kufiira kapena kusintha kwina

Kodi ma hernia a umbilical angakonzedwe?

Kwa ana aang'ono, ma umbilical hernias nthawi zambiri amachira popanda chithandizo. Kwa akuluakulu, opaleshoni nthawi zambiri amalimbikitsidwa kuti awonetsetse kuti palibe zovuta zomwe zimachitika. Asanasankhe opaleshoni, madokotala nthawi zambiri amadikirira mpaka nthenda:

• zimakhala zopweteka
• ndi yayikulu kuposa theka la inchi m'mimba mwake
• sichepera mkati mwa chaka chimodzi kapena ziwiri
• sichitha pofika nthawi yomwe mwana wazaka zitatu kapena zinayi
• amatsekedwa kapena kutseka matumbo

Asanachite opaleshoni

Muyenera kusala kudya asanachitike opaleshoni, malinga ndi malangizo a dokotalayo. Koma mwina mutha kupitiriza kumwa zakumwa zomveka bwino mpaka maola atatu musanachite opaleshoni.

Pa opaleshoni

Kuchita opaleshoniyo kumatha pafupifupi ola limodzi. Dokotalayo amapanga timbewu tating'onoting'ono pafupi ndi batani lamimba pamalo pomwe panali chotupacho. Kenako adzakankhira minofu ya m'mimba kubwerera kukhoma la m'mimba. Mwa ana, amatseka kutsegula ndi maulusi. Mwa akuluakulu, nthawi zambiri amalimbitsa khoma la m'mimba ndi mauna asanatseke ndi zomata.

Kuchira pa opaleshoni

Nthawi zambiri, opaleshoniyi imachitika tsiku limodzi. Zochita sabata yamawa kapena apo ziyenera kuchepetsedwa, ndipo simuyenera kubwerera kusukulu kapena kugwira ntchito nthawi imeneyi. Malo osambira masiponji akuti mpaka masiku atatu atadutsa.

Tepi yothandizira pa incision iyenera kugwa yokha. Ngati sichoncho, dikirani kuti achotsedwe pamsonkhano wotsatira.

Zoopsa za opaleshoni

Zovuta ndizosowa, koma zimatha kuchitika. Lumikizanani ndi dokotala mukawona izi:

• matenda pachilonda
• kubwereza kwa chophukacho
• mutu
• dzanzi miyendo
• nseru / kusanza
• malungo

Kodi chiyembekezo chamtsogolo cha umbilical hernias ndi chiani?

Ambiri mwa ana amatha kuthana nawo ali ndi zaka 3 kapena 4. Ngati mukuganiza kuti mwana wanu ali ndi chotupa cha umbilical, lankhulani ndi dokotala wa ana. Funsani chisamaliro chadzidzidzi ngati mwana wanu akuwoneka kuti akumva kuwawa kapena bulge yatupa kwambiri kapena yasintha mtundu. Akuluakulu omwe ali ndi chotupa pamimba ayeneranso kukaonana ndi dokotala.

Kuchita opaleshoni ya Hernia ndi njira yosavuta komanso wamba. Ngakhale maopaleshoni onse ali ndi zoopsa, ana ambiri amatha kubwerera kwawo kuchokera kuchipatala cha ma hernia umbilical mkati mwa maola ochepa. Chipatala cha Mount Sinai chimalimbikitsa kudikirira patatha milungu itatu kuti achite opaleshoni kuti achite masewera olimbitsa thupi. Sizingatheke kuti nthenda ya hernia ibwererenso ikachepetsedwa bwino ndikutseka.