Nthenda yamtunduwu imachitika pamene kufooka kwa minofu kuzungulira umbolicus, kapena mimba ya mimba, imalola minofu ya mimba kuyenda kupyolera mu minofu. Mtambo wa umbilical, kapena chingwe chimene chimapereka zakudya kuchokera kwa mayi mpaka mwana, chimadutsa m'mimba mwa mimba, kumapanga malo omwe mimba imatha kupanga mosavuta.
Nthenda ya umbilical ndi yaing'ono yokwanira kuti peitoneum yokha, kapena chikhomo cha mimba, imayenda pakhoma.
Pazirombo zoopsa, zigawo zina za m'mimba zimatha kudutsa mu dzenje mu minofu.
Ndani Ali pangozi kwa Heriya ya Umbilical?
Mankhwala a umbilical amapezeka nthawi yoberekera ndipo amaoneka ngati akuwoneka ndi kutha, omwe amatchedwa "reducible" hernia. Nthendayi silingakhoze kuoneka kupatula ngati wodwala akulira, kukakamiza kukhala ndi kayendedwe ka m'mimba kapena ntchito ina imene imapangitsa mphamvu ya m'mimba. Kuwoneka kwa nthenda kumapangitsa kuti zikhale zovuta kupeza, zomwe zimafuna kuti pasakhale kuyesedwa kunja kwa kuunika kwa thupi ndi dokotala.
Pamene umbilical hernias alipo munthu wamkulu, nthawi zambiri amatha opaleshoni m'deralo, panthawi yomwe ali ndi mimba, kapena omwe ali olemera kwambiri. Mosiyana ndi ana, akuluakulu salinso akukula kotero kuti chidziwitso chamadzimadzi sichidzichiritsa pazinthu zambiri.
Bokosi la m'mimba, kapena umbilicus, nthawi zambiri limagwiritsidwa ntchito ngati malo oyika zipangizo pa opaleshoni ya laparoscopic chifukwa chivundicho chimabisika m'makutu a khungu.
Pachifukwa ichi, chosowa chosasinthika chingapangidwe chomwe chimawoneka ngati chosowa cha umbilical.
Umbilical Hernia Chithandizo
Kwa ana ambiri, chithandizo cha umbilical chimadzichiritsa. Kawirikawiri ana "amachokera" mu nthata ali ndi zaka zitatu, pamene minofu ya m'mimba imalimbikitsa ndi kukula ndi mwanayo.
Nthawi zina, opaleshoni ikhoza kukhala yofunikira.
Kodi Umbilical Hernia Surgery Ndi Liti?
Nthenda ingafunike opaleshoni ngati:
- Amalephera kuchiritsa ali ndi zaka zinayi kapena zisanu okha
- Ndizokulu ndipo siziyembekezereka kuchiritsa palokha
- Icho chimakhala chosasuntha
- Wodwala ndi wamkulu
Kodi Umbilical Hernia Ndi Yotani?
Nthano yomwe imatchulidwira mu "kunja" malo imatchulidwa ngati "ndende" yomwe ili mu ndende. Ngakhale kumangidwa kovuta sikumangokhala kovuta, ziyenera kuchitidwa, ndipo chithandizo chamankhwala chiyenera kufunidwa. Nthenda yotsekera m'ndende ndi yosavuta pamene imakhala "chosowa chophwanyika" kumene minofu yomwe minofu yomwe ili 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 sizimakhala zopweteka nthawi zonse. Nseru, kusanza, kutsegula m'mimba komanso kutupa m'mimba kungakhalepo.
Opaleshoni ya Umbilical Hernia
Kuchita opaleshoni ya umbilical kawirikawiri kumachitidwa pogwiritsa ntchito anesthesia wambiri ndipo ikhoza kuchitidwa kwa wodwalayo kapena wodwalayo. Chisamaliro chapadera chiyenera kutengedwa kuti akonzekere bwino ana opaleshoni .
Kamvedwe ka anesthesia ndipo wodwala akugona, opaleshoni imayamba ndi kutsekemera pansi pa batani la umbilicus kapena m'mimba. Katemera akayamba kulumikizidwa, gawo la mimba ya m'mimba yomwe ikuyenda kupyolera mu minofu ilipatali. Izi zimatchedwa "hernia sac". Dokotalayo akubweranso kachilombo ka hernia kupita pamimba, pamalo ake abwino.
Ngati kachilombo kameneka kamakhala kochepa, kamakhala kotsekedwa kutsekedwa. Sutures idzapitirirabe mpaka kalekale, kuteteza mimbayo kubwerera mmbuyo.
Chifukwa cha zilema zazikulu, dokotalayo angaganize kuti suturing si njira yokwanira yokonzetsera dzenje mu minofu.
Pachifukwa ichi, mzere wamatabwa udzagwiritsidwa ntchito pobisa dzenje mu minofu. Tangoganizani momwe mawotchi opangira opaleshoni amagwiritsidwa ntchito pazenera kuti agwirizane ndi dzenje ndikugwiritsidwa ntchito m'malo. 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 ndizomwe amachiza, koma sizingakhale zoyenera ngati wodwala ali ndi mbiri yakukana zopaleshoni kapena zochitika zina zomwe zimalepheretsa kugwiritsa ntchito mzere wofiira.
Meshini ikadali pomwepo kapena minofu yathyoledwa, chombocho chikhoza kutsekedwa. Nthawi zambiri amawombera m'mimba mwachindunji. Kotero, pamene icho chachiritsidwa, icho sichinaoneke. Kuwombera kumakhala kotsekedwa ndi sutures omwe amachotsedwa pa ulendo wotsatira ndi dokotala.
Kuchokera ku Opaleshoni ya Umbilical Hernia
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.
Ntchito zomwe zimasonyeza kuti incision iyenera kutetezedwa ndi izi:
- Kuchokera pa malo okhala
- Kupopera
- Kukuda
- Kugonjetsa panthawi yamagulu
- Kuthamanga
Zotsatira
> Opaleshoni ya Umbilical Hernia. National Institutes of Health http://www.nlm.nih.gov/medlineplus/ency/article/002935.htm.