Chophukacho woyera mzere wa pamimba ndi njira chithandizo

Chophukacho woyera mzere wa pamimba - ndi sioneka ndi zovuta matenda. Maonekedwe a ichi ndi chifukwa chophukacho kwambiri kufooka kwa minofu connective m'dera limeneli la thupi. Chifukwa cha ichi mwachindunji minofu m'mimba mwina mogwirizana, n'kupanga kudula kapena dzenje limene lofufuma kwambiri mbali imodzi ngati ziwalo monga peritoneum, matumbo kapena zopangitsa. chophukacho kumachitika atadziŵa ofooka minofu intraabdominal kuthamanga. Zichiwembu matendawa kwagona zimenezi chophukacho akhoza kwa nthawi yaitali sayambitsa pafupifupi popanda zizindikiro.

Mtundu uwu wa chophukacho ndi kwa 12% ya mitundu yonse ya hernias m'mimba. Matenda kwambiri khalidwe la anthu ndithu wamng'ono (zaka 20-30) ndipo pafupifupi zimachokeradi ana.

Nthawi zambiri matenda izi zimachitika pamimba chapamwamba, ndicho m'dera la mmimba. Chophukacho woyera mzere wa pamimba, zizindikiro:

- chizindikiro chachikulu ndi chopweteka kwambiri protrusion za mzere woyera.

- kuchuluka ululu zolimbitsa thupi;

- pamene palpating pamimba akuona zotanuka ndi anamaliza maphunziro, ndi chopweteka kwambiri kukhudza;

- ziwalo peritoneal lofufuma kwambiri mbali imodzi pansi pa khungu ndi mzere woyera ndi mtengo wa masentimita okha 2-3, angafikire masentimita 10 mu makulidwe.

matenda, chophukacho mzere woyera wa pamimba amayamba ndi zifukwa zambiri, nthawi zina sitingathe kuzilamulira. zifukwa njirazi ndi izi:

- postoperative zipsera;

- propensity kwa chophukacho chifukwa cha zimayambitsa cholowa;

- kunenepa kapena kunenepa;

- katundu thupi yaikulu;

- kudzimbidwa aakulu ;

- kugonjetsedwa, osaneneka chifuwa;

- mimba ndi kubereka zovuta.

Pali njira zothandiza njira kuteteza matenda. Zikuphatikizapo maphunziro magulu minofu onse abdominals, normalization kulemera, kugwilizana ndi chisamaliro pa ntchito katundu thupi, ntchito kulimba kwa mimba ndi kugwira ntchito yachibadwa a dongosolo m'mimba thupi.

Matenda a chophukacho mzere woyera wa pamimba tikhoza kuika opaleshoni. Kuphunzira mosamala zonse m'mimba akutsatiridwa kukhazikitsa matenda, monga gastroscopy ndi x-ray, ultrasound, herniography, CT.

Pali magawo atatu a matenda. Mu sitepe yoyamba (preperitoneal lipoma) m'dera la mzere woyera mu dzenje anapanga ndi kudula mutuluka preperitoneal mafuta, ndipo zinayamba kuwonekera zizindikiro za ululu. Mu gawo lachiwiri (chachikulu) kale anapanga hernial sac. Nkhani za mafuta preperitoneal ndi mbali yaing'ono khoma intestine. Mu njira yachitatu (linakhazikitsidwa) limapezeka komaliza mapangidwe chophukacho, ndipo una awiri kungakhale kwa masentimita 12. Ngakhale matenda chochuluka akupanga chophukacho umodzi si zachilendo kwa mapangidwe hernias ambiri, zomwe zili pafupi wina ndi mnzake.

Chophukacho woyera mzere wa pamimba, mankhwala a matenda:

1. mankhwala Traditional yekha amapereka thandizo kwa madokotala amene ali mu ndondomeko ya ntchito ndi kuchotsa zowonongeka minofu m'mimba ndi minofu connective. Chifukwa kawirikawiri ntchito ziwalo wapadera. Madokotala kuchepetsa ndi oumbidwa zili m'mimba, ndipo kenako mosamala kusoka onse chifukwa yopuma woyera mzere. Pamene opaleshoni chikutha ndi kusiyana konse minofu rectus. Chifukwa connective minofu ndi ofooka kwambiri, kobwereza herniation zimachitika pambuyo opaleshoni pafupifupi 40% milandu.

2. Njira sanali opaleshoni kuletsa chophukacho mzere woyera m'mimba ndi ntchito bandeji wapadera.

kanthu onse kuthetsa chophukacho umalimbana kukatseka kukula kwa malire ake ndi kuteteza kusintha kwa gawo limodzi la matenda ndi mzake. The chikhalidwe chachikulu kukwaniritsa zotsatira zabwino ndi dzuwa la mankhwala.