Achiine rukuvhute heniya muvana: kuvhiyiwa uye vapore

Anterior abdominal rusvingo ane vanoverengeka simba makwapa (semuenzaniso, achiine rukuvhute rin'i, ari linea alba, inguinal mhete uye said.), Izvo inogona kuumbwa heniya. Chii? Hernias - the goho zvomukati uye nyama yavo kwomuzvarirwo nzvimbo kuburikidza apertures vakaumba sezvingatarisirwa kana somugumisiro pathological kwendangariro.

The etiology pamusoro achiine rukuvhute heniya

The kakawanda panowanikwa chirwere ichi ndicho 4%. Zvinonzi chirwere, kazhinji pane padariro achangozvarwa.

Sei akaumba munhu achiine rukuvhute heniya? Chikonzero chikuru - kutyora achiine rukuvhute ronda kuporesa mushure nezvokupanduka yacho tambo yakaitika. Kazhinji zvinofanira kuitika achiine rukuvhute mhete kuvhara uye kuvhara zviri ronda zvakakwana. Zvisinei, mashoko STRUCTURAL zviri munzvimbo iyi inobatsira kuti chidzoke herniation.

Achiine rukuvhute mhete tsime iri kuvharwa chete nechepasi, apo akaedzwa, achiine rukuvhute tsinga uye Urinary mutsinga dzinofamba nemukaka. Education Data anodiwa chete panguva padariro embryo kukura, pashure pokuberekwa, ivo ne connective batana tishu.

Kuburikidza pamusoro achiine rukuvhute mhete kunosvika achiine rukuvhute Vienna, izvo, pashure pakuzvarwa uye pasi pakutsiva kubudikidza fibrous tishu. Zvisinei, mumwe Vienna yemanyorero havagoni kupa paumbwe yakadaro paupamhi uye gobvu connective zvinyama mugove sezvo pazasi rin'i. Uyezve, kana paine hypoplasia abdominal fascia, izvo kazhinji tinofanira kusimbisa mhete achiine rukuvhute, aro okumusoro mugove inova nzvimbo inotungamirwa anogona zvakanaka hernias.

Sezvazvakanyorwa vakaumba heniya?

Pathogenesis chero herniation kwakavakirwa zvakatosiyana pakati abdominal rusvingo simba uye yakawedzera kuomesa ari abdominal mhango, uye izvo anokurudzira mbudo nhengo mberi. Utera vari mhete hernial.

Chii pafungidziro yokutonga achiine rukuvhute heniya muvana?

1. Prematurity.
2. Light uremu.
3. Kupera simba.
4. Kupatira.
5. Chikosoro.
6. Wokusagadzikana, kakawanda kuchema.

Clinical mufananidzo uye Diagnostics

Achiine rukuvhute heniya - vakagumisa dzidzo munzvimbo yacho guvhu. Miganhu kunogona siyana zvikuru. Kazhinji enhema chinzvimbo kana mwana akadzikama uye kwete kuchema, heniya kuzvidzora nokupera. Saka zvinobvira palpate ari kukiyiwa mhete achiine rukuvhute.

Kana mwana akagara kana akamira apo iye anodanidzira, nokudaro afunge kuwedzera nevezera ari abdominal mhango, kuti heniya anova anooneka zvakare.

Chero kusagadzikana zvokurwara ichi kunokonzera. Dambudziko huru - zvakakanganisika zvizorwa. Hazvina zvakafanira Zvisinei, kukanganwa nokusingaperi-iripo mukana kukanganisa. Kunyange zvazvo, kana pamusoro pezvatinotaura omphalocele, kuomesa ichi kwava kushoma pakati pavo.

Zvokuita kana mwana heniya?

Sei chinhu achiine rukuvhute heniya nevana? Surgery kana kuchinja nzira - inova zvinodiwa? Edza kunzwisisa.

Pakarepo zvinofanira kucherechedzwa kuti vanenge 60% of dambudziko riri kugadziriswa nekugona nedanho kukura mwana. Zvinosuruvarisa, izvi handizvo zvinoitika nguva dzose.

Iri idambudziko zvakajairika chaizvo - imwe achiine rukuvhute heniya nevana, kurapwa pasina kuvhiya zvinokwanisika uye, uyezve, zvakakodzera Implementation yacho kunenge zvinobudirira. Chokwadi, pane imwe zera.

How kubatwa achiine rukuvhute heniya vana? Operation - haasi chete nzira. Unofanira kutanga yakasiyana zvachose:

1. Daily masaja uye jimunasitikisi. Iva nechokwadi kuti kuisa mwana ari padumbu ake. Zvakanakisisa kuzviita vasati zvokudya. Izvi zvinoitwa nyore kuchaita mbudo kubva ura rinopedza mafuta uye kuvandudza kugaya, uye naizvozvo, mwana uchava shoma kuti kunetseka pamusana intestinal colic. Uyezve, muna asingatani nzvimbo kwakamutsa kuwedzera tsandanyama mataurire Anterior rusvingo abdominal, riri akanakira mishonga achiine rukuvhute hernias. No zvishoma chiito chinoshanda - dzeraundi stroking kumativi guvhu ari Kutenderera negwara.
2. Kugadzira ari heniya zai iri rutapudzo wehurumende. Handizvo kare yakarumbidza chisimbiso varinamire dumbu bhatani kwemazuva mashomanana, kuti zviri heniya anoramba ari abdominal mhango, kwete bulging kunze. Zvisinei, bhendi-aid ruchigona kutsvinyira ganda pamwe kushandiswa kwenguva refu uye kazhinji kukonzera kusanzwa, izvo zvinoreva kuti mwana achava dzose kunetseka. Zvikuru zvokufambisa uye vakasununguka kuti mwana ashandise chaiyo bhandeji, inova kwakavharwa nenyama pebhanhire ane thickening pamberi guvhu. Ndiye nani yakatetepa, saka handidi kuvhiringidza basa mwana famba uye kuongorora nyika, fastens pamwe Velcro, hunogona kungoparara kubviswa uye kusakadzwa, chinogona kudzimwa kana zvakakodzera. Modern matai dzinoitwa kubva hypoallergenic nezvinhu, saka havaiti kutsvinyira ganda, mukusiyana kuti namira purasita.
3. Basa swimming kunobatsirawo kusimbisa tsandanyama ari abdominal rusvingo.

Pazera chii kuvhiyiwa?

Kana nechirwere ane achiine rukuvhute heniya nevana, kurapwa (kuvhiya anyanye) vanofanira kuitwa nenzira yakakodzera nenzira uye pane imwe zera span. Kusvikira 5 makore Somuenzaniso, kushandisa chete kuchinja nzira, sezvataurwa pamusoro apa. Surgery kubvisa imwe achiine rukuvhute heniya nevana rinoitwa pamusoro makore 5 years. Izvi Achitaura akaronga kuvhiya kurapwa. Hatifaniri kumbokanganwa kuti chero heniya, kunyange achiine rukuvhute anogona kutapudzwa, kutanga kudiwa kukurumidza kushanda (Chokwadi, kana toreva rinoraramisa, zera racho haangavi kuverenga).

7 Makore - avhareji yezera apo vakawanda Kuvhiya achiine rukuvhute heniya vana. Unogona, Chokwadi, uye gare gare. Asi zviri nani kugadzirisa dambudziko pamberi payo zvose zvakatanga nezera kuoneka zvido itsva uye mabasa aunofarira, kumbosendeka kuti kwamazuva mashoma vari kuoma chipatara. Uye nguva dzose kushanda iri vambomira kuti nokusingagumi nguva, apo heniya angambova kanganisa pamusoro uye hwakabva duku zvizorwa urema mune upenyu pangozi.

Api Kuvhiya dziripo?

Govera 2 Mapoka akavhiyiwa inoshandiswa pakurapa achiine rukuvhute hernias:

1. Makakatanwa nzira kana kuvharwa hernial omunharaunda munyama (kuvhiyiwa Mayo Sapezhko, LEXER).
2. Kushandisa chakagadzirwa anodyara (afoot) kuvhara abdominal rusvingo kuremara. Kuvhiya inoratidzwa kuti kurapa hernias makuru kukura kupinda vakura, saka munyaya ino, nzira iyi haangavi kunzi.

Achiine rukuvhute heniya muvana: panguva Mayo oparesheni

The incision rinoitwa munyika transverse mirayiridzo inoganhurana guvhu. Cross-cheka maererano rectus abdominis aponeurosis. Hernial zai inovhurwa uye zviri waro kunyudzwa kupinda abdominal mhango, parietal peritoneum machira achiumba bhegi parusvingo, stapled.

Kuti usimbise unyanzvi uye kuitazve kudzivirira akasika duplikatury (kaviri rukoko) aponeurosis, t. E. Its stapled machira kuti pasi akatendeuka pamusoro. Zvadaro, ronda sutured mu akaturikidzana. Saka Duplikatury akaumba mune transverse negwara.

oparesheni iyi rinowanzoshandiswa pashure kuyaruka uye pamberi heniya yakakura.

Mukushanda Sapezhko

Equipment kushanda iri rakafanana nzira Mayo. Musiyano ndechokuti akagerwa nokuita duplikatury kuitwa muna longitudinal negwara. Sezvo zvizorwa nemaonero zvingava zvikuru nemachira kufadza, asi simba, nzira iri muduku oparesheni Mayo. Duplikatury ari transverse mirayiridzo ndoda pasi pokudzora intra-abdominal kumanikidzwa, izvo zvinoreva kuti ngozi dzokororo pashure kwomudzimu Mayo pazasi.

Sei chinhu achiine rukuvhute heniya nevana? Mukushanda Mayo uye Sapezhko - nzira akasarudza kuti vakuru. Yokubvisa heniya kuvana vaduku, kuti nzira inonyanya zvinowanzovapo Lexer.

Achiine rukuvhute heniya muvana makore 7 of zera. Mukushanda Lexer

Under herniation akaita kirisendi serin'i incision. Kuderedza heniya, mhete achiine rukuvhute iri seari pasi chikwama tambo suture iri akasungirirwa uye pakudaro kubvisa hernial mhete. The ronda sutured mu akaturikidzana.

Zvinonzi saka kumboda kurapwa uye achiine rukuvhute heniya muvana. Kushanda ratings izvo zvakanaka zvakakwana (chiduku incision, kutsanya kupora) - LeXeR nzira inorondedzerwa pamusoro. Zvisinei, pari, kuwedzera kukura anogamuchira zvishoma invasive kuvhiyiwa.

Laparoscopic nokubviswa hernias

Ndicho Newest nzira chokubvisa ane achiine rukuvhute heniya, uyewo pakagadzwa pajira riya kudyara, kana zvichidikanwa. Muchiitiko chino, hakurevi chinhu cheka makuru, manipulations zvose zviri kuitwa kuburikidza ponji porusvingo abdominal vachishandisa chaiwo Ezvemutauro.

Nzira iyi ine mukuru kunyatsoshanda, zvakanaka zvizorwa mugumisiro, akurumidze kupora murwere mushure pakuvhiya.

The kurapa

Child pashure pokuvhiyiwa kubvisa imwe achiine rukuvhute heniya vanofanira mukanyatsochengeta murayiro zvose mirayiridzo yose kupinda chiremba kudzivisa matambudziko kana chirwere dzokororo.

1. Kudhayeta, kunyanya mu vhiki yokutanga. Anobvisa zvokudya zvakaoma uye rinorema. Zvatinofarira anopiwa kuti broths, facial uye jellies. Siyanisai zvokudya anogona kuva vhiki rechipiri, asi izvi zvinofanira kuitwa zvishoma nezvishoma.
2. Chengeto maekisesaizi. Vachishingaira mubasa kurovedza kuva kwokutanga pane mwedzi mumwe pashure kuvhiyiwa.
3. Akapfeka postoperative chibooreso kana mwana anotambura kufuta.
4. Massage - zvose vacheche (zvataurwa pamusoro apa).

To muchidimbu

Hatifaniri kukanganwa kuti chete rakakodzera kurapa zvinonyatsoshanda. Mumwedzi mitanhatu upenyu kubata nemunhu achiine rukuvhute heniya chokutanga hachisi muenzaniso nyore pane munguva apo mwana anotanga kukambaira vachishingairira, haadi kuti nhema pamusoro dumbu rake uye anokunda masaja.

Pashure 5 makore kuchinja nokurapwa kuva isashande. Kana iwe kunze ane achiine rukuvhute heniya pazera iri rinofanira kufunga kwomudzimu.