Hernia enkabeni kwabesifazane: Izimpawu kanye Ukwelashwa. Kanjani ukwelapha umbhunu enkabeni besifazane ngaphandle kokuhlinzwa?

hernia enkabeni besifazane kwenzeka kuqhathaniswa njalo, ikakhulukazi uma kuziwa iziguli zesifazane ubudala ovuthiwe. Lesi sifo, okuyinto ngenhlanhla kungenziwa ephelezelwa izimpawu ezahlukene, simele usongo olukhulu empilweni nasenhlalakahleni yabantu besifazane. Yingakho kubalulekile ukuqaphela izimpawu eziyinhloko lesi sifo, njengoba kwandisa amathuba ukuze ukwelashwa esheshayo nengebuhlungu.

Kuyini hernia enkabeni kwabesifazane: isithombe kanye nencazelo

Abanye besifazane, ngoba noma ngabe yisiphi isizathu, ingxenye izibilini ngale odongeni kwamathumbu ngokusebenzisa indandatho enkabeni. Njengomthetho, kuba izingxenye ikholoni noma emathunjini amancane, ngezinye izikhathi indlala noma ezinye izitho. Yileyo indlela hernia enkabeni kwakheka abesifazane. Photo libonisa ukubukeka sac hernial.

Yiqiniso, ukuze uqaphele ukubukeka kwalesi sifo kusaqalwa akulula kangako, kodwa ukuthuthukisa umbhunu kuyabonakala noma ngeso lenyama. Ngo ukuhlinzwa yesimanje ingenye izinkinga ezivamile, ngokuvamile uhlushwa amantombazane ngisho esanda kwenziwa. Uma sikhuluma abesifazane omdala, lo umbhunu ngokuvamile kwakhiwa emva kweminyaka engu-40, ngenxa Ukuwohloka kancane kancane ezicutshini futhi buthakathaka indandatho enkabeni.

Ziyini izimbangela eziyinhloko zalokhu yesifo

Zokwelapha zanamuhla ngokuvamile sitholakale i hernia enkabeni kwabesifazane. Izimpawu zayo zingase zishintshe. Kodwa ngaphambi kokucabangela kubo, kuyafaneleka ukuba simazi nge sezizathu esiyinhloko kumiswa hernia sac:

• yofuzo;
• buthakathaka izicubu izakhi zezinzwa;
• ukukhuluphala ngokweqile, ukukhuluphala ntshashintshe;
• imisipha ampofu we peritoneum, ukungabi bikho kokukhanya besisu;
• emuva-breaking umsebenzi;
• sokukhulelwa nzima, yezinkinga eziphathelene nokubeletha, nokukhulelwa izingane eziningi ngasikhathi;
• Ukudla okungalungile;
• ukuqunjelwa okungamahlalakhona;
• khona izibazi;
• ukwephula sína umsebenzi ipheshana wokugaya ukudla.

Eqinisweni, ingozi likhulu kakhulu. Ngokwesibonelo, umbhunu sitholakale esiningi siye sitholakale kubantu othambekele imikhuba emibi, efana nokubhema nokuphuza utshwala. Futhi avuse umbhunu can ukukhwehlela kwezingxabano ezinobudlova, okuyinto kudala ingcindezi eyengeziwe ebodeni besisu.

hernia enkabeni kwabesifazane: Izimpawu

Esikhathini kusaqalwa hernia isaziso kunzima kakhulu, ngoba engenzi ibakhathaze ezinzima. Kodwa njengoba ukukhula sac hernial kwakhiwa emhlabeni inkaba iqhubu encane okuyinto obonakalayo ikakhulukazi isikhundla uqotho. Diverticulum iba esikufezile ngesikhathi ukuzikhandla ngokomzimba esindayo noma ukudla kakhulu.

Zikhona nezinye izimpawu hernia enkabeni kwabesifazane. Kaningana, iqhubu esiswini sibomvu njengomlilo, kodwa elikhanyayo. Iziguli ngokuvamile esekhala a izinhlungu eqinile ukubelesela ukuthi luqine lapho nokuphakamisa izinto ezisindayo, ukuvivinya umzimba isikhathi eside, bayahleka, ukukhwehlela, sokuzikhulula. Ephambi kwezinduna lezi zimpawu, ngokushesha afune usizo lwezokwelapha.

Kuyini hernia esiyingozi?

hernia enkabeni kwabesifazane - lesi sifo kuyingozi kakhulu. Lapho kwesokunxele isifo ingelashwa igcwele eziyingozi. Okokuqala kuyafaneleka ukuthi ubuhlungu ophikelelayo kakhulu konakalise ukugaya, njengoba hernial sac ukucindezela ku amathumbu. Umphumela lesi sifo ngokuvamile kuba isicanucanu ophikelelayo, ukuhlanza kanye ukuqunjelwa ezingalapheki.

Ngaphezu kwalokho, umbhunu kungaba cindezela eziyimpumelelo nerve futhi imithambo yegazi, okuholela ukuphazamiseka kwezicubu trophism. Ngebanga lalokho, lokhu kungaholela izinqubo necrotic, suppuration futhi sepsis. Enye yezinkinga ezibucayi umbhunu kuyinto peritonitis - yisishiso odongeni kwamathumbu. Lesi simo kuyingozi kakhulu futhi edinga ngokushesha kuhlinzwa. Ngenxa yalokho ukushaqeka noma ukulimala okungenzeka ukopha ku sac hernial, lapho ukusebenza okudingekayo.

izindlela eziyisisekelo uphethwe

Ukuze uqale, udokotela kufanele kwenziwe ukuhlolwa jikelele. hernia enkabeni kwabesifazane kungatholakala by palpation besisu. Kamuva esimisiwe ukuhlolwa eyengeziwe ukunquma nesigaba lesi sifo, hlola kahle hle ukuthi yiziphi izitho abathintekayo, ngabe sokwephulwa kwe kanye necrosis likhona. Ikakhulukazi, kakhulu ulwazi kukhona ultrasound futhi izifundo fluoroscopic futhi gastroscopy. Ngaphezu kwalokho, ngo-inqubo ekuxilongweni imbangela isifo ukuba kutholakale, kusukela ngaphandle ukuqedwa salo ingozi eliphezulu kakhulu kokushelela.

ukuphathwa non-kuhlinzwa ka hernia

Kaningi ehhovisi udokotela ohlinzayo kutholakala ukuthi uphethwe yini "hernia enkabeni kwabesifazane." Ukwelashwa ngaphandle ukuhlinzwa - kungenzeka? Uma lesi sifo itholiwe ngendlela efanele usaqala, therapy olandelanayo kungasiza. Okokuqala ngoba ogulayo ukuba enze ukudla akhethekile engabelwe ekwelapheni ukuqunjelwa. It is ibuye Kunconywa ukuba bangayeki umsebenzi olunzulu ngokomzimba, izinsimbi nokunye. D.

Futhi izifundo ziwusizo massage zokwelapha. Futhi udokotela cishe uyoncoma umzimba ethize ngeke umonakalo isimo sabo sezempilo, kodwa kuyosisiza ukuba siqinise ABS wakho. Ngezinye izikhathi iziguli ebekiwe egqoke plasters akhethekile amabhandeshi, okuyinto ukususa umthwalo kusukela anterior udonga besisu. Mayelana lwemithi kudinga hernia enkabeni kwabesifazane. Ukwelashwa ngaphandle kokuhlinzwa kungenzeka kuphela lapho usaqala, futhi awusebenzi ngaso sonke isikhathi ukukhiqiza umphumela oyifunayo.

Lapho ukusebenza kuyadingeka?

kokungenela Wasebenza kuyadingeka emabangeni kamuva lesi sifo, kanye, uma ukuphathwa olandelanayo ayizange ekhiqizwa imiphumela oyifunayo. Ngemva ukulungiselela ngokungashwampuluzi inqubo, "uvala" hernia enkabeni kwabesifazane. Ukusebenza ulula (ngokungabi bikho eziphula umthetho futhi necrosis), wenziwa ngaphansi izinzwa jikelele. Kukhona izindlela eziningana eziyisisekelo ukuphathwa:

• Lapho amaphaphu gerneoplastike ezizungeze inkaba uqiniswa siqu izicubu lesiguli zezinzwa. Le nqubo liphumelele hernias encane.
• Ezigabeni kamuva lesi sifo wenziwa nenatyazhnaya gerneoplastika ohlinzekela nasekuqiniseni iringi enkabeni ngosizo zokwenziwa izimila.
• Kwezinye izimo kungenzeka ukuthi ukuqhuba laparoscopy kancane koda. Phakathi ukusebenza e odongeni kwamathumbu ukwenza wokubhoboza ezimbili ezincane okuyothi ngalo hernia ivaliwe isitaki ekhethekile. Le nqubo ihlinzeka ukuhlukumezeka ongaphakeme futhi emifushane isikhathi alulame. Ngakolunye uhlangothi, laparoscopy kudinga imishini ekhethekile ngamakhono ayiwo kuhlinzwa, kuze kube manje kwenziwe esibhedlela ngasinye.
• Strangulated hernia enkabeni kwabesifazane - kuyisimo esiphuthumayo ukuthi edinga esiphuthumayo kuhlinzwa. Ngesikhathi inqubo, isiguli kwenza imbobo ogangeni besisu, bese besika indandatho ephula umthetho.

Ngemva kokuhlinzwa, owesifazane kubaluleke kakhulu ukulandela iseluleko sikadokotela, ukugqoka ibhande ekhethekile, nomkhawulo umsebenzi nokudla.

Izibikezelo nezindlela eziyisisekelo zokuvimbela

Ngokwelashwa okufanele futhi ngesikhathi esifanele hernia enkabeni e abesifazane amenable ekhambini eliphelele. Noma kunjalo, amathuba Ukuphinda Kusengenzeka. Njengoba for lokuvikela, iziguli bohlanga ingozi, kutuswa ukuba ulandele ukudla, ngesikhathi ukwelapha amagciwane overgrowth kanye ukuqunjelwa. Futhi, nomthelela omuhle isimo njalo umzimba zabesifazane ekhethekile kuhloswe ngazo ukuqinisa imisipha besisu. Phakathi nenkathi yokukhulelwa, kubalulekile ukuba ukugqoka ngebhandeshi oyosusa umthwalo kusukela esiyingini enkabeni.