Periomphalic heniya muvana

Periomphalic heniya ari nezvevakafa muviri womunhu, sezvamakaropafadzwa zvomukati akadai bowel muzvishwe, internet mafuta, omentum, peritoneum kuti anongoerekana vanhu achiine rukuvhute mhete. The chirwere kazhinji inozadziswa vana kana vakwegura. Kashoma chirwere periomphalic heniya.

zvikonzero

Pane zvinhu zvinoverengeka kuti ndiyo chikonzero chacho. Heano mamwe acho:

1. Great muviri pamusoro womunhu.
2. Kwakadaro zvinetso pathological akafanana kupatirwa. Kana zvimwe bowel chirwere.
3. Kukosora chisingaperi hunhu.
4. Kufuta, kufutisa.
5. Kuvhiya Kupindira ari mumuviri womunhu.
6. Kukuvara achiine rukuvhute mapazi.

Kana isu kutaura nevana, kwakadaro chirwere sezvo periomphalic heniya ndiyo vachiberekwa zvechadenga muviri. Izvi imhaka inotungamirwa emunhu ari fascia. Kana mwana nguva dzose kuchema, ipapo mukana paraumbikalnoy heniya. Panguva kuchema mwana abdominal tsandanyama epfungwa. Izvi zvinobatsira kuti heniya. Nhengo dzomukati anobuda ari guvhu.

Features achiine rukuvhute heniya

Pasinei chokwadi kuti chirwere ichi chinozivikanwa uye vakadzidza mushonga, haana kuzarura matanho chokudzivirira vari kutora nzvimbo, zvinoita kuti kudzivirira chiitiko chacho. Kuvapo heniya mumuviri womunhu kunomuita tsika Kusagutsikana, uyewo kutambura. Kana heniya, munhu:

1. kuona vanorwara;
2. pane ngozi yematambudziko itsva pamuviri.

unhu chiitiko

Kune kuratidzwa inoverengeka hernias mumuviri:

1. Heniya kungava noutsinye. Pakuzvarwa, mwana aripo protrusion idenderedzwa hunhu. Zvinonzi vemunyika pa nzvimbo achiine rukuvhute tambo.
2. Uyezve vawana unhu imwe heniya. Iye rinowanikwa muviri vakadhakwa nechitarisiko zvinokonzera parinowanika.

Also rakakamurwa zvakananga uye oblique.

Kana paraumbikalnaya yakananga heniya, murwere ane fascia transverse hunhu. The Chikonzero parinowanika iri rive dete. With chirwere ichi hernial voga nharaunda dziri mune achiine rukuvhute mhete. In Kana apo heniya aine oblique hunhu, kuti nhengo protrude pamusoro kana pazasi payo. Saka hernial zai aumbwa munzvimbo pakati fascia uye chena aitevedzana mudumbu. Ipapo mapindiro zvakananga kuburikidza achiine rukuvhute mhete kune subcutaneous tishu.

Uyezve, kuti kuderedza heniya yakakamurwa uye nevpravlyaemye. Kana iwe kuderedza heniya, chirwere haisi pasi nezvengozi dzakadai jamming. A nevpravlyaemye dzinoratidzwa nechitarisiko yematambudziko ngozi.

Ndezvipi zviratidzo mumuviri anoratidza kuvapo chirwere?

Paraumbikalnaya heniya muvana kunoratidzwa chakaremara, riri munzvimbo pamberi peritoneum. Nechirwere ichi zvikuru nyore pasina chero matambudziko. Heniya kuona, izvozvo tumiti vari guvhu kana pedyo napedyo naye. The heniya iri mufanidziro apo mwana pamire, kureva nenzira wehunyambiri chinzvimbo. Kana achireva nhema, kuti protrusion chisingaoneki.

Uyewo, kana mu muviri pane heniya, rin'i achiine rukuvhute Runonzwika. Sezvo chiri kunzi suo kuti heniya. Kana pane protrusion, rin'i achiine rukuvhute anowedzera. Pane zviitiko apo hernial kuva rakamanikana mamiriro. With chirwere ichi panguva mwana inongogara dzichitambudzwa kusanzwa. Sezvo anonzwa mwoyo, anochema uye kapriznyachaet. mamiriro ichi mwana kunogona kukonzera mikuru matambudziko.

Uyewo, pane nhamba imwe heniya anooneka vakadzi vavo mangwanani thirties. Nechirwere anotevera unhu:

1. Size.
2. Sei akaratidza heniya.
3. Pane yakatesvera panyanga dzacho kana kwete.
4. Possible matambudziko.

Kana pane matambudziko, pane kushoma, ipapo murwere ane fivha uye kurwadziwa. Nokuti kurapa hernias chete matambudziko anoitika kuvhiya kupindira kushandiswa mumuviri womunhu.

Kana pasina mapiyona matanho anotorwa, kuti necrosis anogona kuitika.

mashandiro

Dzimwe kana munhu periomphalic heniya, kuvhiya zvinoitwa. Tapota ziva kuti uchishandisa nzira hairevi varwere pasi pemakore 5 years. Chikonzero ichi ndechokuti kusvika 5 apfuura, heniya anogona kupawo yayo, pasina kuvhiya. Kuti izvi zviitike, mwana ushandiswe rinokosha masaja. chiito Its nechinangwa kusimbisa rusvingo pamberi peritoneum. mwana anopiwawo chinokosha muviri pamwe muviri chaizvoizvo. Action maekisesaizi nechinangwa kuwedzera ropa kuparadzirwa munzvimbo zvomukati. Izvi anobvisa mukana kurega kunotanga.

In zvakawanda akura kurapwa imwe kuburikidza masaja uye jimunasitikisi haambovi zvinozoita mumuviri. Matambudziko anogona kutanga. Ipapo muviri tembiricha dzevanhu rinobuda, pane kurwadziwa. Akapfeka chibooreso uyewo haritauri unodikanwa zvabuda. Achiri anogona kutanga tsandanyama atrophy.

Heniya Treatment ari muchipatara

Kana isu kutaura pamusoro Mabatirwo hernias mune vakuru, kakawanda basa kwaari kuvhiyiwa. Asati Paaiita murefu kushanyira kuchipatara, maaiita rinokosha ongororo.

1. Chokutanga, murwere itungamirirwe kudzidza achishandisa Ultrasound. Kunoitawo kuti kuona mhando protrusion uye localization nharaunda.
2. Achibatsirwa maekisirei vagara vandifungira sei dzomunyika dzevanhu nhengo riri hernial zai.
3. Uyewo akaongorora mamiriro zvomukati sezvo gastroduodenoscopy. Nzira iyi inoita kuti vakwanise kuona kana ushe vamwe pathological pezvakaitwa kwevanhu nhengo dzomukati.

Uyezve, munhu madikanwa munhu Anogamuchidza pamusoro ropa uye weti kudzidza murabhoritari. Izvi zvinokosha kuitira kudzivirira kuzvimba mumuviri.

Heniya kuburikidza Kuvhiya inonzi heniya kugadziriswa. Musimboti anoita kuti murwere sutured hernial. Izvi zvinoitwa vachishandisa wechisikigo nyama dzomuviri kana chinokosha mambure zviri yakagadzirwa chakaita zvokugadzirwa nezvinhu.

Kana kana kuti kuvhiya kudyara mumuviri rinoshandiswa Kwabviswa dzokororo ine herniation. Maererano neizvi, vanachiremba vakawanda vanoti kuita oparesheni uchishandisa chakaita zvokugadzirwa zvinhu.

Heniya kugadzira ane zvainovhiringidzawo ayo. Ivo vane ukama kuti pane mukana wokuti nokubviswa guvhu. Uyewo, nzira iyi Kuvhiya kunosanganisira yakareba kupora kwacho. The kupora nguva wemuviri gore rimwe. Panguva iyi, murwere haagoni kusimudza masimbi uye kuita chero mutoro.

Zvinotarisirwa kuti chirwere kuti heniya

Zvinofanira akati kuti kana munhu vakatanga kufungidzira kuti muviri wake aripo heniya, anofanira, sezvo kukumbira yezvokurapa jeri nokukurumidza. Chokwadi kuti mukutanga nzendo chirwere, zvinokwanisika kuti vadzivise nokushanda uye kushandisa kuchinja nzira kurapwa.

Contraindications kuti Step

For kuvhiya kupindira kungava contraindications. Idzi dzinosanganisira:

1. Nguva gestation mwana womukadzi.
2. Mamiriro muviri murwere, kureva kuvapo kwezvirwere umo hazvibviri kuita oparesheni.
3. Age kurambidzwa.
4. Kusembura chero abnormalities.

Panyaya iyi, vanhu yakatarwa akapfeka chifukidziro uye kukamurwa kurovedza muviri. Saka, matanho vari kutorwa kubvisa Achiruma.

Chii code iri ICD-10 periomphalic heniya?

ICD-10 ndicho mureza gwaro chizvidavirire zvirwere munyika yedu. Mumwe zvokurwara ine bumbiro rayo. Ndechipi heniya periomphalic remitemo iri ICD-10? ruzivo Izvi pachena iripo. Code ICD-10 chirwere ichi - K42.0.

Komorowski akati?

Periomphalic heniya muvana rinowanzoshandiswa chirwere. In maonero Dr. Komarovsky kana anoona mwana rinofanira kupa nguva yake, saka iye akasiya. Kana asingadi, uchafanira kushandisa kuvhiyiwa.