chophukacho

Kufotokozera kwathunthu kwa matendawa

Izi ndi zamatenda momwe gawo la ziwalo zamkati limachokera m'mimbamo momwe limakhalamo. Imatha kulowa mkatikati, pansi pa khungu, kapena kulowa pakati pa minofu. [3]… Chifukwa cha matendawa, ziwalo zamkati sizichokera kwina, koma kukhulupirika kwawo sikuphwanyidwa.

Matenda owopsawa ndiofala; pafupifupi 20% ya anthu amadwala. Malo owopsawa amaphatikizapo ana asukulu yakusukulu komanso anthu opitilira 50, ndipo amuna amatenga matendawa kwambiri kuposa azimayi.

Gulu la Hernia

Hernias amadziwika malinga ndi malo omwe amapangidwira:

  1. 1 Zowonjezera… Fomuyi imapezeka mu 66% ya odwala. Monga lamulo, ndizochepa mwa akazi. Mwa amuna, ngalande inguinal ndiyotakata, kotero kukakamizidwa kwamkati mwamimba nthawi zambiri kumakwiyitsa nthenda. Komanso, chophukacho inguinal akhoza kukhala owongoka ndi oblique. Chingwe cha oblique chimakhala pansi pa khungu ndipo chimadutsa ngalande ya inguinal ndipo imatha kukhala yobadwa nayo. Chingwe chowongoka nthawi zambiri chimafotokozedwa mbali ziwiri. Mtundu uwu wa hernia ungangopezedwa;
  2. 2 Zachikazi… Ziwopsezo zachikazi zimayambukiridwa ndi amayi patatha zaka 40. Ali ndi zaka 40 mpaka 60 mwa akazi, mphete yachikazi imafooka ndikuwonjezeka. Chikazi chachikazi chimapangidwa pang'onopang'ono, pomwe gawo lina lamatumbo kudzera mumtsinje wachikazi limapitilira malire am'mimba;
  3. 3 Mchombo… Fomuyi imayamba makamaka mwa amayi omwe abereka kangapo, pamenepa m'mimba, m'mimba kapena m'matumbo mwake mumakhala thumba la hernial, lomwe limapezeka m'chiuno cha umbilical;
  4. 4 Hernia wa mzere woyera wamimba… Mzere woyera wa pamimba umaimiridwa ndi ulusi wa tendon. Ngati chophukacho sichituluka m'mabowo ndi zingwe za ulusi, ndiye kuti chimawoneka chobisika. Nthawi zambiri, nthenda yamtunduwu imayamba mwa omwe ali ndi zilonda zam'mimba, cholecystitis, kapena khansa yam'mimba;
  5. 5 Wothandizira… Imakhala yakomweko kudera la chilonda chomwe chidapangidwa pambuyo pa opareshoni. Chidwi chodziwika bwino chimapezeka mwa anthu 31% omwe achita opaleshoni pamimba.

Zomwe zimayambitsa hernias

Pakusintha kwa anthu, chimango chotanuka chinapangidwa kuchokera ku minofu ndi ulusi wa tendon, womwe umakonza ziwalo zamkati ndikulimbana ndi kupsinjika kwa m'mimba. Chophukacho chimapangidwa chifukwa cha zolakwika mu zotanuka, zomwe zingayambitse izi:

  • kuphwanya kukhathamira kwa minofu ya minofu chifukwa chakutha kwa thupi kapena ukalamba;
  • kuwonjezeka kwadzidzidzi kwa kuthamanga kwa m'mimba;
  • suppuration mu anterior m'mimba khoma;
  • kunenepa kwambiri;
  • kunyamula mwana;
  • kobadwa nako zolakwika m'mimba khoma;
  • zakudya zopanda thanzi komanso moyo wopanda thanzi;
  • zochotsa zolemera;
  • matenda aakulu opuma;
  • kudzimbidwa kwa nthawi yayitali;
  • kulira pafupipafupi, kosalamulirika m'makanda;
  • zoopsa m'mimba;
  • zobereka zambiri;
  • chibadwa;
  • suture kutupa pambuyo opaleshoni;
  • chitetezo chochepa;
  • Zolakwitsa za opaleshoni nthawi ya opareshoni;
  • kutaya msanga;
  • pafupipafupi sneezing pa chifuwa.

Zizindikiro za Hernia

Ngakhale kuti mitundu yonse ya hernia ili ndi zizindikilo zawo, pali zizindikiritso zambiri:

  1. 1 ululu mukatsokomola kapena mukuchita masewera olimbitsa thupi;
  2. 2 nseru ndi retching;
  3. Kutuluka kwa 3 kwamkati mwa ziwalo zamkati, komwe kumatha kuwonedwa kuchokera kunja kowonekera, makamaka poyimirira ndikukhala. Wodwala akadwala, kutuluka kumazimiririka;
  4. Kuvuta kapena kukodza pafupipafupi
  5. 5 kupweteka m'mimba kapena pamimba;
  6. 6 kusapeza poyenda;
  7. Kumverera kolemetsa m'mimba.

Zovuta ndi chophukacho

Vuto loopsa kwambiri komanso lofala kwambiri la chophukacho ndi kuphwanya lamulo. Zitha kupsa mtima ndikumangika kwamphamvu kwa minofu yam'mimba, momwe zomwe zili mchikwama cha hernial zimapanikizika. Kuphwanya malamulo kungayambitsenso zovuta za cicatricial.

Matumbo ang'onoang'ono ataphwanyidwa, ndowe zimadziunjikira, kuyenda kwa magazi kumasokonezeka, matumbo amakhala ochepa thupi, omwe amakumana ndi zotsekeka m'matumbo. Chiwalo chilichonse chomwe chili mchikwama chake chatsekedwa, kuzungulira kwa magazi kumasokonezeka, ndipo limba silingagwire bwino ntchito.

Kuchiza msanga kwa nthenda kumatha kubweretsa zovuta:

  • hernia wosalamulirika;
  • kuchepa kwa ndowe m'matumbo;
  • magazi;
  • peritonitis;
  • kuledzera kwa thupi;
  • aimpso kulephera;
  • kutupa kwa ziwalo zamkati zoyandikana.

Matenda a Hernia

Pazifukwa zopewera, ndikofunikira kuyimitsa chopondapo, komanso kuyesetsa kuti musakweze zolemera. Chifukwa chachikulu chowonekera cha hernias wa umbilical ndi inguinal chimawerengedwa kuti ndi khoma lopanda m'mimba, chifukwa chake muyenera kulimbikitsa atolankhani apansi. Kuti muchite izi, muyenera kuchita masewera olimbitsa thupi olimbitsa thupi, kupopera atolankhani tsiku lililonse ndikuchita "njinga". Kusambira bwino kumalimbitsa minofu yam'mimba. Nthawi yomweyo, ndikofunikira kuti musachite mopitirira muyeso ndikuphatikiza zolimbitsa thupi moyenera ndi kupumula.

Kunenepa kwambiri kuyenera kupewedwa, ndipo ngati mukufuna kuchepetsa thupi, yesetsani kuzichita pang'onopang'ono, m'malo mongochepetsa thupi.

Pa nthawi yobereka komanso pobereka, azimayi amafunika kuvala bandeji, kulimbitsa thupi, kupewa kudzimbidwa komanso kuchiza chifuwa munthawi yake.

Mu makanda obadwa kumene, ndikofunikira kusamalira bwino mchombo sabata yoyamba atabereka, ndikofunikira kupewa kupewa kukulunga mopindika komanso osamuponya mwanayo. Pofuna kupewa mawonekedwe a umbilical hernia, kudya mopitirira muyeso kuyenera kupewedwa, chopondapo chiyenera kuyang'aniridwa ndipo mwanayo ayenera kuyikidwa pamimba 2-3 patsiku kuti aphunzitse minofu yam'mimba.

Odwala omwe achita opaleshoni pamimba amayenera kupewa kutembenuka ndikuthwa kwa thupi, kuvala bandeji kwa mwezi umodzi pambuyo pa opareshoni ndipo osayesa kukweza zinthu zolemetsa.

Chithandizo cha Hernia ngati mankhwala

Kugwiritsa ntchito bandeji kapena mavalidwe akunja kumatha kuyimitsa kwakanthawi kukula kwa chophukacho. Ng'ombe iliyonse imatha kuchiritsidwa ndi opaleshoni. Komanso, mtundu uliwonse wa chophukacho umafuna njira yake yochiritsira.

kuchokera nthenda ya umbilical akhoza kuthetsedwa ndi laparoscopy. Laparoscopic hernioplasty imagwiridwa pansi pa anesthesia yakomweko. Dokotalayo amadula thumba la hernial ndikuyika chiwalo chotuluka m'malo mwake. Pambuyo pake, kuyika mauna kumayikidwa akuluakulu, ndipo mphete ya mchombo imasokedwa mwa ana.

Njira ina yochitira opaleshoni ingakhale laser vaporization… Njira imeneyi imathandizira kuti kutchinga kusatuluke popanda opaleshoni yachikhalidwe. Ubwino wa njirayi ndikusowa kwa mabala akulu ndi zipsera ndikuchira mwachangu.

Herniology yamakono imaphatikizapo njira zambiri zothetsera nthenda, ndipo aliyense wa iwo ali ndi zovuta zake komanso zabwino zake. Njira yogwiritsira ntchito imasankhidwa ndi dokotala, akuyang'ana kuopsa kwa matendawa, msinkhu wa wodwalayo komanso kusagwirizana ndi zipangizo.

Zothandiza mankhwala chophukacho

Pofuna kupewa chophukacho, chakudyacho chiyenera kukhazikika popewa kudzimbidwa.

Pambuyo pa opaleshoniyi, muyenera kutsatira chakudya. Ndikofunika kukonda msuzi wa grated, chimanga, msuzi wopanda mafuta, mazira owiritsa. Musanachite opareshoni komanso panthawi yakukonzanso, musanadye, muyenera kutenga supuni yamafuta azitsamba kapena supuni 2 za oatmeal, njira yosavuta iyi ithandizira kukhazikitsa matumbo ntchito.

Mutatha kudya, ndibwino kuti musagone, tikulimbikitsidwa kuyenda mumsewu kapena kuchita zina mozungulira nyumbayo. Akatswiri azaumoyo amalimbikitsa kuti muzidya zakudya zazing'ono pafupipafupi kasanu ndi kamodzi patsiku. Zakudya zolimba ziyenera kutayidwa, kapena zakudya zolimba ziyenera kuchepetsedwa mukamaphika. Masana, m'pofunika kumwa madzi osakaniza a alkaline amchere, omwe amachepetsa acidity.

Zofunikira:

  1. Msuzi wofooka 1;
  2. 2 mkaka;
  3. Phala 3, kupatula mpunga ndi semolina;
  4. 4 mapeyala ndi raspberries;
  5. 5 nsomba;
  6. 6 tofu tchizi;
  7. Zipatso ndi masamba zosakhazikika za 7;
  8. 8 jellies zipatso;
  9. Mazira 9 ophika owiritsa;
  10. Zolemba 10;
  11. 11 nsomba;
  12. 12 nyama yowonda.

Mankhwala achikhalidwe a chophukacho

Odwala ndi chophukacho mu preoperative nthawi ayenera kulimbikitsa thupi ndi kuyesa kuchedwetsa chitukuko cha chophukacho ntchito zotsatirazi wowerengeka azitsamba:

  • konzani decoction kuchokera khungwa laling'ono la thundu… Kuti muchite izi, tsanulirani 20 g wa zopangira mu 200 ml ya madzi otentha, kuphika kwa mphindi 5, kuziziritsa, kusefa ndi kumwa supuni imodzi iliyonse. katatu patsiku;
  • imwani tsiku lililonse khofi wamtengo ndi kuwonjezera uchi;
  • monga wothandizila antispasmodic watsimikizira bwino msuzi wa masamba a belladonna, yomwe ingasinthidwe ndi ufa kapena tincture. Mlingo uyenera kukhala wocheperako, chifukwa chomeracho ndi chakupha.[1];
  • decoction wa therere wosalala chophukacho amachepetsa bwino matenda omwe amapezeka akamakweza zolemera. Kuti muchite izi, tsanirani 50 g wa zopangira zatsopano ndi lita imodzi ya madzi otentha, kunena ndi kumwa 4 rada patsiku, 1 / galasi;
  • monga wothandizira wakunja awonetsa zotsatira zabwino malo osambira a paini… Muthanso kupanga kukulunga kwa thupi kutenthedwa ndi madzi ofunda a nthambi zapaini;
  • ndi umbilical chophukacho mwa ana, thunthu wokutira udzu wokutira;
  • sungunulani viniga ndi madzi mu chiyerekezo cha 1: 1 ndi zotsatira zake, yambani kutsuka thupi[2];
  • zotsatira zabwino zochiritsira zitha kupezeka ndi sauerkraut compress, Masamba a kabichi kapena nsalu yonyowa mu brine iyenera kugwiritsidwa ntchito pa bulge ndikusunga mphindi 20-30.

Zakudya zowopsa komanso zowopsa za chophukacho

Mu nthawi ya postoperative, zakudya zotsatirazi ziyenera kuchotsedwa pachakudya:

  • zakumwa zoledzeretsa, tiyi wamphamvu ndi khofi;
  • maswiti;
  • wowawasa, wonenepa, wosuta, zakudya zamchere;
  • msuzi wamphamvu;
  • nsomba zamafuta ndi nyama;
  • zokometsera msuzi ndi zonunkhira;
  • zakumwa za kaboni;
  • mafuta anyama ndi margarine;
  • zakudya zachangu;
  • theka-malinga mankhwala;
  • bowa.

Ngati ndi kotheka, chepetsani kugwiritsa ntchito zinthu zotere:

  • nandolo ndi nyemba zina;
  • zinthu zophika buledi;
  • mphesa;
  • mitundu yonse ya kabichi;
  • kuchepetsa kudya mchere
Kusindikizanso kwa zinthu

Kugwiritsa ntchito chinthu chilichonse popanda chilolezo cholemba kale sikuletsedwa.

Malamulo achitetezo

Oyang'anira sakhala ndiudindo pakayesedwe kalikonse kogwiritsa ntchito chinsinsi, upangiri kapena zakudya, komanso sikutsimikizira kuti zomwe zanenedwa zikuthandizani kapena kukuvulazani. Khalani anzeru ndipo nthawi zonse muzifunsira kwa dokotala woyenera!

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!

Chakudya cha matenda ena:

Siyani Mumakonda