Nthenda yosasintha imachitika pamene kufooka kwa minofu ya mimba kumalola kuti minofu ya mimba iwononge kupyolera mu minofu. Nthendayi imawoneka ngati chiwombankhanga pansi pa khungu ndipo ikhoza kukhala yopweteka kapena yosavuta kukhudza.
Pankhani ya chitsimikizo chosavuta, kufooka kwa minofu kumayambitsidwa ndi mankhwala opanga opaleshoni.
Kujambula chithunzi chowonekera bwino: pa opaleshoni, kutengeka kumapangidwa m'misungo yomwe imapanga mimba. Pazifukwa zina, minofuyo siimachiza, choncho mpata umatsegula ngati minofu imakhazikika ndi kumasulidwa pazochita. Mmalo mwa phokoso lopanda kanthu, lolimba la minofu, muli ndi kachigawo kakang'ono ka minofu kamene kali ndi kusiyana kochepa mmenemo.
Patapita kanthawi, ziphuphu zamkati zikuzindikira kuti pali njira yopulumukira kupyola mu minofu ndipo amayamba kuyendayenda pang'onopang'ono, mpaka atha kumverera pansi pa khungu. Nthenda yosadziwika ndi yochepa yokwanira kuti pokhapokhaum, kapena chigoba cha m'mimba, imadutsa. Zikakhala zovuta kwambiri ziwalo za ziwalo zikhoza kudutsa mu dzenje mu minofu, koma izi sizikhala zofala kwambiri.
Mwachidule
Mbiri ya ma opaleshoni ambiri a m'mimba ingapangitse chiopsezo cha chosowa chosasinthika, monga chombo chilichonse chimapereka mpata watsopano wopanga mapangidwe. Ngati nthenda ikukula m'mimba ndipo wodwalayo sanachite opaleshoni, sizomwe zimakhala zovuta.
Wodwala amene amatha kuchitidwa opaleshoni m'mimba, amakhala ndi pakati, kapena amachita nawo ntchito zomwe zimapangitsa mphamvu ya m'mimba (ngati kukweza katundu) imakhala pangozi yowopsa kwambiri.
Kuwombera kumakhala kofooka, ndipo kumakhala kovuta kwambiri kwa nthendayi, pamene kuli kuchiritsidwa. Ngakhale mankhwala osokoneza bongo angapangitse kapena kukulitsa miyezi kapena zaka pambuyo pochita opaleshoni, amatha kukhala miyezi 3 mpaka 6 atatha opaleshoni.
Kudziwa
Mankhwala osokoneza bongo angaoneke ngati akuwonekera ndi kutha, omwe akutchulidwa kuti "reducible" hernia. Nthendayi siingatheke kupatula ngati wodwalayo akuchita nawo ntchito yomwe imapangitsa kupanikizika kwa m'mimba monga kukhwima, kukunkha, kukakamiza kukhala ndi thupi, kapena kukweza chinthu cholemera.
Kuwoneka kwa nthenda kumapangitsa kuti zikhale zovuta kupeza, zomwe zimafuna kuti pasakhale kuyesedwa kunja kwa kuunika kwa thupi ndi dokotala. Dokotala akhoza kukupemphani kuti mufufuze kapena kupirira pansi kuti muwone hernia pamene ili "kunja."
Kuyesedwa kawirikawiri kumachitika kuti mudziwe kuti dera la thupi limathamanga bwanji. Ngati nthendayi ndi yayikulu yokwanira kulola kuti chiwerengero cha mimba ya m'mimba chizitha kupyolera, kuyesa kungafunike.
Chithandizo
Chovala chosakanikirana chingakhale chochepa chokwanira kuti opanga opaleshoni ndiyo kusankha, osati chofunikira. Ngati nthendayi ikuluikulu, imayambitsa kupweteka, kapena ikukula mofulumira, opaleshoni ikhoza kutonthozedwa.
Chinthu china ndikumangirira, chovala chofanana ndi lamba wolemera kapena lamba, chomwe chimagwiritsidwa ntchito nthawi zonse kukanikiza.
Kodi Kusakanizidwa kwa Hernia N'koopsa?
Nthano yomwe imatchulidwira mu "kunja" imatchulidwa ngati nthiti ya ndende.
Ngakhale kuti chikhomo chokhala m'ndende sichingakhale chodzidzimutsa, chithandizo chamankhwala chiyenera kufunidwa, chifukwa chikhoza kukhala mwachangu mwamsanga.
Nthenda yotsekera m'ndende imakhala yowopsa pamene imakhala "chingwe chophwanyika," kumene minofu yomwe imatuluka kunja ikusowa ndi magazi ake. Popanda kuonongeka, nthendayi yosokonezeka ingayambitse imfa ya minofu yomwe ikukulirakulira.
Chingwe chodabwitsa chingathe kudziwika ndi mtundu wofiira kapena wofiirira wa minofu yowonongeka. Zingakhale zopweteka kwambiri, koma sizimakhala zopweteka nthawi zonse. Nseru, kusanza, kutsegula m'mimba, ndi kutupa m'mimba kungakhalepo.
Ganizilani izi ngati nthenda yofanana ndi kuyimira chingwe kuzungulira chala chanu mpaka icho chimasanduka wofiirira ndi kuvulaza ndiye simungathe kuchotsa chingwe. Nthenda yowopsya ndi yodzidzimutsa yachipatala ndipo imafuna kuthandizira mwamsanga kuti zisawonongeke m'mimba ndi matenda ena.
Kodi Pali Njira Zambiri Zopangira Opaleshoni Zopangira Hernia?
Chosowa chachinyengo chikhoza kuchitidwa opaleshoni ngati:
- Iyo ikupitiriza kukulitsa patapita nthawi
- Ndi lalikulu kwambiri
- Icho chimakhala chosasuntha
- Nkhuku imakhalabe ngakhale pamene wodwalayo ali womasuka kapena atagona
- The hernia amachititsa ululu
Zina mwazochitikazi, chisankho choti muchitire opaleshoni chili kwa inu. Mungafunikire opaleshoni ngati simukumva bwino kapena mukudandaula za momwe hernia amawonera, mwachitsanzo. Ndi bwino kukambirana za opaleshoni kuti mupeze tsatanetsatane ndi kumvetsetsa ndondomeko ndi momwe zimawonekera.
Opaleshoni
Kuchita opaleshoni kwachisawawa kumachitika kawirikawiri pogwiritsa ntchito anesthesia komanso kumachitidwa ndi matenda osapatsirana. Kuchita opaleshoni kumagwiritsidwa ntchito pogwiritsa ntchito njira ya laparoscopic , pogwiritsa ntchito zochepa zazing'ono kusiyana ndi mwambo wambiri, komanso waukulu, wotseguka . Kuchita opaleshoni kumachitidwa ndi dokotala wamkulu opaleshoni kapena katswiri wa kacon-rectal .
Akachipatala ataperekedwa, opaleshoni imayambira ndi kuthamanga kumbali zonse. Laparoscope imalowetsedwa mu chombo chimodzi, ndipo chombo china chimagwiritsidwa ntchito pa zipangizo zina zopangira opaleshoni. Dokotala wa opaleshoni ndiye amalekanitsa gawo la mimba ya m'mimba yomwe imatulutsa minofu. Izi zimatchedwa "hernia sac". Dokotalayo akubwezeretsa ku malo ake abwino ndipo amayamba kukonzanso vuto la minofu.
Ngati kachilombo kameneka kamakhala kochepa kamodzi kokha kamakhala kotsekedwa kutsekedwa. Sutures idzakhalabe mmalo mwamuyaya, kuteteza mimbayo kubwerera. Chifukwa cha zovuta zazikulu, dokotalayo angaganize kuti kusuta sikokwanira. Pachifukwa ichi, mzere wamatabwa udzagwiritsidwa ntchito pobisa dzenje. Manda ndi yosatha ndipo amalepheretsa kubereka, ngakhale kuti vutoli likutseguka.
Ngati njira yogwiritsira ntchito ikugwiritsidwa ntchito ndi zilema zazikulu (pafupifupi kukula kwa kotala kapena zazikulu), mwayi wowonjezeredwa ukuwonjezeka. Kugwiritsira ntchito matope m'zinthu zazikuluzikulu ndizoyeso za mankhwala, koma sizingakhale zoyenera ngati wodwalayo ali ndi mbiri yakukana zopanga opaleshoni kapena chikhalidwe chomwe chimalepheretsa kugwiritsa ntchito manda.
Meshati ikakhala pamalo kapena minofu yathyoledwa, laparoscope imachotsedwa ndipo incision ikhoza kutsekedwa. Chombocho chimatsekedwa ndi sutures omwe amachotsedwa pa ulendo wotsatira ndi dokotalayo, pomwe padzakhala mawonekedwe apadera a glue kuti chitsulo chidzatseke. Mabhandolo amtengo wapatali otchedwa steri-strips angagwiritsidwenso ntchito.
Kubwezeretsa
Odwala ambiri odwala amatha kubwerera kuntchito yawo yachilendo mkati mwa masabata awiri kapena anayi. Mimba idzakhala yachikondi, makamaka sabata yoyamba. Panthawi imeneyi, incision iyenera kutetezedwa pa ntchito yomwe imapangitsa mphamvu ya m'mimba pogwiritsa ntchito khama koma kupanikizika pang'ono pazitsulo. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi vutoli, monga momwe amadziwiritsira ntchito zovuta zowonjezera ndipo akhoza kukhala pachiopsezo china pa malo osokoneza bongo.
Ntchito zomwe panthawi yomwe incision iyenera kutetezedwa ndi izi:
- Kuchokera pa malo okhala
- Kupopera
- Kukuda
- Kugonjetsa panthawi yamagulu. Lankhulani ndi dokotala wanu opaleshoni ngati mutapatsidwa opaleshoni pambuyo pa opaleshoni , chochepetserani chotsitsa chikhoza kulamulidwa.
- Kuthamanga
- Kutulutsa zinthu zolemetsa
Zambiri mwazolembedwa ndizo ntchito zomwe mudzakhala mukuchita tsiku lililonse, kotero kupewa zonsezi sizingatheke. Komabe, ndibwino kuti muwachite mosamala kuti muteteze mavuto ena. Onetsetsani kuti mukhale ndi mwayi wolankhulana ndi dokotala ngati mukuganiza kuti chinachake chalakwika.
> Zotsatira:
> Ma Institutes of Health. Opaleshoni ya Inguinal ya Hernia. 2015.