Heniya chena rwonzi mudumbu uye nzira kurapwa

Heniya chena mutsetse mudumbu - ane achinyengera uye kunzwisisa chirwere. The pakuonekwa izvi nokuda kuti heniya yakawandisa simba pamusoro connective zvinyama munharaunda iyi muviri. Nemhaka iyi rakananga abdominal tsandanyama anogona diverge, pova yakachekwa kana buri mukati umo kuzvimba zvakadai zvomukati sezvo peritoneum, bowel kana mumasero. A heniya kunoitika kana chavakaona kusimba zvinyama intraabdominal kumanikidzwa. Chivande chirwere chiri pakuti rakadaro heniya zvinogona kwenguva refu nguva haakonzeri anenge asina zviratidzo.

mhando iyi heniya zviri 12% vose akasiyana abdominal hernias. chirwere ichi chinonyanya hunhu hwevanhu chaizvo muduku (makore 20-30) uye akapotsa hariwaniki vana.

Kakawanda chirwere ichi kumbowanikwa chokumusoro mudumbu, kureva munzvimbo mudumbu. Heniya chena rwonzi mudumbu, zviratidzo:

- chikuru chiratidzo zvinorwadza chaizvo protrusion pamusoro chena mutsetse.

- yakawedzera marwadzo panguva yechiitwa;

- kana palpating mudumbu anonzwa kwakavharwa nenyama uye vakagumisa dzidzo, zviri kurwadza chaizvo kuti ikabatwa;

- peritoneal nhengo anobuda pasi ganda uye chena mutsetse ane mwero masendimita 2-3 chete, unogona kusvika 10 masendimita ari ukobvu.

chirwere ichi, heniya chena mutsara mudumbu kunokonzerwa zvakawanda, dzimwe nguva atisingakwanisi. zvikonzero izvi zvinosanganisira:

- postoperative mavanga;

- propensity kuti heniya kunokonzerwa nhaka zvinokonzera;

- kufutisa kana kufuta;

- rinorema chaiko nesimba;

- chisingaperi kupatira ;

- nemishonga, hysterical chikosoro;

- pamuviri uye zvakaoma kusununguka.

Pane nzira inobudirira yokudzivisa nzira kudzivirira chirwere ichi. Izvi zvinosanganisira kudzidzisa tsandanyama mapoka ose abdominals, normalization kurema, pawakaperera zvakanaka panguva rinorema kurovedza muviri, kushandiswa chibooreso kuti pamuviri uye zvinoitika nokushanda kwenhengo dzomuviri zvomudumbu hurongwa.

The chirwere pakati heniya chena mutsara mudumbu anogona kuisa chiremba. Kunyatsodzidza abdominal mhango vari kunze kumisa nechirwere, akadai gastroscopy uye x-mwaranzi, Ultrasound, herniography, CT.

Kune matanho matatu chirwere ichi. In danho rokutanga (preperitoneal lipoma) munzvimbo yacho chena rwokuyera yakaumbwa mugomba uye mutswe makabuda preperitoneal mafuta, uye vanotanga kuratidza zviratidzo marwadzo. Mune Danho rechipiri (chepuraimari) kare kuumbwa hernial zai. Zviri preperitoneal mafuta uye chikamu chiduku ura rusvingo. In danho rechitatu (kuumbwa) rinowanika rwokupedzisira inotungamirwa heniya, uye gomba dhayamita inogona kusvika masendimita 12. Kunyange zvazvo unorema zvirwere vanoumba kuroora heniya Hazvishamisi kuti paumbwe dzakawanda hernias, izvo dziri pedyo nepedyo.

Heniya chena rwonzi mudumbu, pakurapa chirwere:

1. mushonga Traditional chete inopa rubatsiro kune vanachiremba vanovhiya vari mubishi hwokushanda kubvisa hunenge abdominal tsandanyama uye connective tishu. Nokuti ichi aiwanzoshandisa chinokosha prostheses. Doctors kuderedza bulging abdominal mukati, uye ipapo kunyatsoongorora kusona vose zvichiguma chena mutsetse hwatsvuka. Kana oparesheni iyi yabviswa uye zvose kusiyana rectus netsandanyama. Nekuti connective zvinyama simba chaizvo, idzokororo herniation kuitika mushure vavhiyiwa kusvika 40% nyaya.

2. non-kuvhiya nzira kudzivisa heniya chena mutsetse mudumbu iri kushandisa rinokosha bhandeji.

chiito All kubvisa heniya zvainanga zvokurega kuwedzera nemiganhu yayo uye kudzivisa kuchinja kubva pavaipfuura chirwere kune mumwe. Mukuru zvimiso kuwana mugumisiro wakanaka ndiwo kunyatsoshanda ari kurapwa.