Kodi Akazi a Hernia ndi chiyani?
Mwachidule
Nthenda yamkazi imachitika pamene kufooka kwa minofu ya kubulira kumatulutsa matumbo. Chizindikiro choyamba cha nkhanza za chikazi ndizozidziwika bwino m'dera lamapiri kapena kumtunda. Kawirikawiri chinachake chimakula pakapita nthawi, osati chinthu chimene munthu amabadwa nacho.
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. Kawirikawiri amatenga katswiri kuti adziwe mtundu wa nthenda yomwe ilipo ndipo ingangodziwika kuti opaleshoni kamodzi imayamba.
Nkhono ya chikazi ikhoza kukhala yochepa mokwanira kuti ndi peritoneum yokha, kapena chikhomo cha mimba ya m'mimba, imadutsa mu khoma la minofu . Pa milandu yovuta kwambiri, mbali zina za m'matumbo zimatha kudutsa mu dzenje mu minofu.
Zimayambitsa
Kubwereza nthawi zonse kapena kumangokhalira kugwedezeka kuti mukhale ndi mimba kungayambitse nthata, yomwe imatha kuyesa kukodza, nthawi zambiri imachitika ndi mavuto a prostate . Chifuwa chachikulu, kuchokera ku matenda a mapapo kapena kusuta fodya, chingaonjezere mwayi wokhala ndi nthata. Kunenepa kwambiri kungapangitse chiopsezo chokhala ndi nthenda koma kutaya thupi kungalepheretse phokoso kupanga kapena kukula kukula.
Zowopsa
Amayi amtundu wa amayi amapezeka kwambiri mwa amayi, ngakhale amatha kukhala ndi amuna ndi ana. Akazi achikulire ndi amayi omwe ali ochepa kapena ochepa thupi ali pachiopsezo chachikulu chokhazikitsa chikhalidwe cha chikazi.
Zizindikiro
Nthenda yachikazi sidzachiritsa 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. Kuchulukanso kwa m'mimba pazochitika monga kupweteka kuti mukhale ndi mimba kapena kupopera kungapangitse matumbo ambiri kumtunda, kuti hernia akuwoneke kukula kwa kanthaŵi kochepa
Pamene Ndizoopsa
Nthano yomwe imatchulidwira mu "kunja" imatchulidwa ngati nthiti ya ndende. Izi ndizovuta zowopsya za azimayi azimayi komanso pamene chikhomo sichinali chodzidzimutsa, chiyenera kuchitidwa, ndipo chithandizo cha mankhwala chiyenera kufunidwa. Nthenda yotsekera m'ndende ndi yowopsa ngati imakhala "hernia wosweka" kumene minofu yomwe imakhala ndi nthendayi kunja kwa minofu ikufa ndi njala yake. Izi zingayambitse imfa ya minofu yomwe imapyola muyeso.
Chingwe chodabwitsa chingathe kudziwika ndi mtundu wofiira kapena wofiirira wa minofu yowonongeka. Zingakhale zopweteka kwambiri, koma nthawi zonse zimapweteka. Nseru, kusanza, kutsegula m'mimba komanso kutupa m'mimba kungakhalepo.
Chithandizo
Kuchita opaleshoni yachikazi kumachitika kawirikawiri pogwiritsa ntchito anesthesia wambiri ndipo ikhoza kuchitidwa kwa munthu wosachiritsika kapena wodwalayo . 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. Kutsindika kungatsekedwe mwa njira imodzi. Ikhoza kutsekedwa ndi sutures yomwe imachotsedwa pakapita kukaonana ndi dokotalayo, mtundu wina wa guluu womwe umagwiritsidwa ntchito kuti ugwirizane kutsekedwa popanda sutures, kapena mabanki ochepa otchedwa steri-strips.
Kubwezeretsa
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:
- Kusuntha kuchoka pa malo abodza kupita kumalo okhala, kapena kuchokera pamalo okhalapo kuti muime
- Kupopera
- Kukuda
- Kugonjetsa panthawi yamagulu
- Kuthamanga
Kuchokera
> Hernia wachikazi. National Institutes of Health http://www.nlm.nih.gov/medlineplus/ency/article/001136.htm