Mankhwala a Chinguinal a Chithandizo
Nthenda ya inguinal imakhalapo pamene kufooka kwa minofu kumapangitsa kuti matumbo awonongeke. Chizindikiro choyamba cha nthenda yamagetsi kawirikawiri chimakhala chidziwitso chosadziwika m'dera lamapiri. Nthenda ya inguinal ikhoza kupezeka pa kubadwa kapena kukhala ndi nthawi yambiri.
Zingakhale zovuta kudziwa ngati nthendayi ndi chilakolako chachikazi kapena nthenda ya inguinal. Iwo amasiyanitsa okha ndi malo awo poyerekeza ndi linguinal ligament.
Nthenda yam'mimba yamtunda yomwe ili pamwamba pa mitsempha yotchedwa inguinal ligament ndi nthenda ya inguinal; pansi pa ligament, ndi chilakolako chachikazi . Nthawi zambiri amatenga katswiri kuti adziwe mtundu wa nthenda yomwe ilipo, ndipo chikhalidwe chenichenicho cha mchere sichidziwika mpaka opaleshoni ikuyamba.
Nthenda ya inguinal ikhoza kukhala yochepa kwambiri moti peritoneum yokha, kapena chipinda cha m'mimba, imadutsa pamtambo . Pa milandu yovuta kwambiri, mbali zina za m'matumbo zimatha kudutsa mu dzenje mu minofu.
Zimayambitsa
Nthenda ya inguinal imayambitsidwa ndi kufooka mu minofu ya groin. Zikhoza kukhalapo pakubalidwa chifukwa cha vuto laling'ono la minofu kapena lingathe kupitirira nthawi. Kubwereza mobwerezabwereza kuti mukhale ndi thupi loyambitsa ubweya kungayambitse chovuta, monga momwe chingathe kuyendetsa kukodza, nthawi zambiri kumachitika ndi mavuto a prostate . Chifuwa chachikulu, matenda a m'mapapo kapena kusuta fodya, chingathandizenso kuthandizira. Kunenepa kwambiri kungapangitse mwayi wokhala ndi nthonso.
Kwa odwala ena, kutaya thupi kungalepheretse nthata kuti ikhale yopanga kapena kukula.
Ndani Ali Pangozi?
Mankhwala a inguinal amadziwika kwambiri mwa amuna, ngakhale alipo pakubereka ana mpaka asanu mwa ana asanu. Azimayi akhoza kukhalanso ndi hernias, koma amayi apakati ali ndi chiopsezo chachikulu chokhala ndi hernia.
Maonekedwe ndi Chithandizo
Nthenda ya inguinal singathe kuchiritsa yokha ndipo imafuna opaleshoni kukonzekera. Poyamba, hernia ikhoza kukhala katsamba kakang'ono pamphepete mwa mbeu koma ikhoza kukula kwambiri pakapita nthawi. Zingawoneke kuti zikukula ndikukhalanso ndi zosiyana. Kuwonjezeka kwa m'mimba pa nthawi ya ntchito, monga kuyesayesa kuti mukhale ndi pathupi kapena kupopera, kungapangitse matumbo ambiri kumalo ake, kuti hernia akuwonekere kukula kwa kanthawi.
Kodi Ndi Nthawi Yovuta Kwambiri?
Nthano yomwe imatchulidwira mu "kunja" malo imatchulidwa kuti "nthiti". Ichi ndi chizoloŵezi chofala cha inguinal hernias, ndipo pamene chikhomo cha ndende sichiri chodzidzimutsa, chiyenera kuchitidwa, ndipo chithandizo chamankhwala chiyenera kufunidwa. Nthenda yotsekera m'ndende ndi yowopsa pamene imakhala " chosowa chophwanyika ," komwe minofu yomwe imakhala ndi minofu kunja kwa minofu ikusowa ndi magazi ake. Izi zingayambitse imfa ya minofu yomwe imapyola muyeso.
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 komanso kutupa m'mimba kungakhalepo.
Opaleshoni
Kuchita opaleshoni ya chinayi kumagwiritsidwa ntchito pogwiritsa ntchito anesthesia wambiri ndipo ikhoza kuchitidwa kwa odwala kapena odwala matenda opatsirana . Kuchita opaleshoni kumachitidwa ndi dokotala wamkulu wa opaleshoni kapena katswiri wa kaconi .
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. Minofuyi imatchedwa " hernia sac ." Dokotalayo akubweranso kachilombo ka hernia kumalo ake abwino m'kati mwa thupi, ndiye akuyamba kukonzanso vuto la minofu.
Ngati kachilombo kameneka kamakhala kochepa, 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. Kutsekemera kumatha kutsekedwa mwa njira zingapo: Ikhoza kutsekedwa ndi sutures yomwe imachotsedwa potsatira kuyendera ndi dokotalayo, gulu lamtundu wapadera wa guluu omwe amagwiritsidwa ntchito kuti agwiritse ntchito kutsekedwa popanda sutures kapena bandage zing'onozing'ono zotchedwa "ster-strips."
Kupezanso Opaleshoni
Odwala ambiri odwala amatha kubwerera kuntchito yawo yachilendo mkati mwa masabata awiri kapena anayi. Derali lidzakhala labwino, makamaka sabata yoyamba. Panthawi imeneyi, incision iyenera kutetezedwa pa ntchito yomwe imapangitsa mphamvu ya m'mimba pogwiritsa ntchito khama koma kupanikizika pang'ono pazitsulo.
Ntchito zomwe zimasonyeza kuti incision iyenera kutetezedwa ndi izi:
- Kusunthira kuchoka pamalo abodza kupita kumalo okhalapo kapena kuchokera pamalo okhalapo kuti muime
- Kupopera
- Kukuda
- Kulira
- Kugonjetsa panthawi yamagulu
- Kuthamanga
Mawu Ochokera
Ngati muli ndi nthenda yoyamba, chithandizo choyamba kuchipatala ndi kukambirana ndi dokotala wina opaleshoni yemwe amakonzanso nthawi zonse mankhwala a herinas. Kuchita opaleshoni kungakhale kosayenera, malinga ndi momwe kulili, zizindikiro zomwe zilipo, thanzi la wodwala komanso zoopsa zomwe wodwalayo akukumana nacho.
Kwa odwala ena omwe ali ndi zizindikiro zochepa, vuto la opaleshoni silingapindule kwambiri phindu la njirayi, pamene ena angaone kuti njirayi ndi yofunika kwambiri.
Chitsime:
Hernia. National Institutes of Health.http: //www.nlm.nih.gov/medlineplus/ency/article/000960.htm