Inguinal heniya kuvana: pokuvhiyiwa, migumisiro, zvinokonzera

Zvinosuruvarisa munyika yanhasi Pediatrics kazhinji chirwere heniya inguinal vana. Operation dzimwe nguva chete zvinoita nzira kurapwa. Chokwadi, zvokurwara iri rakakura nehanya vabereki. Ndokusaka vakawanda vanofarira mibvunzo pamusoro chii chiri heniya ndedzipiko zvigadziriswe vayo inotungamirwa. Sei ngozi kunogona kuva chirwere uye chii kurapwa kupa mushonga ano? Ndezvipi zvinokonzera chirwere uye sei pamwe kunze zviratidzo? Mhinduro dzemibvunzo iyi ichava dzinonakidza uye richishanda vaverengi vazhinji.

Chii chinonzi heniya?

zvokurwara iri kuonekwa zvakajairika chiremba kuvhiyiwa. An inguinal heniya ari protrusion pamusoro abdominal zviri kunze kuburikidza inguinal mugero. Nhengo dzomukati, zvakadai somunhu loop pamusoro ura duku, kuti ovaries, mukuru omentum, protrude kuburikidza abdominal tsandanyama rusvingo.

Zvinonzi zvokurwara kwakadaro chirwere kakawanda mukono vachangoberekwa, uye nhengo imwe boka rine mikana yakawanda rokusamhanyira vacheche. Kazhinji, kuti heniya kunobvira rokuongorora nokururamisira nekukurumidza - zvinoita sokunge kuzvimba diki iri groin nzvimbo, zvikuru raidudzwa kuti hernial bhegi anova wakarurama. Heniya zvakanaka zvakaipa, kunyanya kana akabatwa chirwere yekare kare yemagwaro. Zvisinei tinofanira zvakare kuongorora zvinokonzera uye zviratidzo chirwere ichi.

The kukonzera inguinal heniya ari mwana

Vabereki vakawanda vanobvunza nei mwana heniya rinooneka. Zvikonzero chaizvoizvo angave akasiyana chaizvo. Heino mazita yakajairika zvinokonzera njodzi:

• Kazhinji anova chikonzero hypoplasia pamusoro abdominal rusvingo.
• Zvinhu Risk zvinosanganisira mupfungwa. Chokwadi, kana tiri kutaura pamusoro mwana, kunetseka hauna ukama kurovedza muviri kana uremu kusimuka. Kana abdominal rusvingo simba protrusion pamusoro abdominal mhango zvingaitika somugumisiro kwazvo vangakosora kana kurutsa.
• Dzimwe nguva heniya mugumisiro abdominal kunotevera, kusanganisira nguva fetus.
• zvokurwara Izvi zvingava nemhaka yokufutisa muvana.

The pathogenesis chirwere

Sezvambotaurwa, pane heniya kunokwanisa kuonekwa mune vakomana kazhinji, nokuda peculiarities ari anatomical pakukura. Pakutanga riri testes fetus neitsvo. Pedyo aberekwa, ivo uchaburukira scrotum, kudhonza chikamu peritoneum. Saka, rudzi muhomwe ari scrotum, iyo inobva connective tishu. Kazhinji homwe vashoma panguva yokuzvarwa. Asi dzimwe nguva, nokuti chero chikonzero ichi haisi kuitika. Pamberi muhomwe kunowedzera mukana wokuti bulging pamusoro nhengo dzomukati.

Uyezve, mashoko inguinal Canal muna vanhurume ari yakareba kupfuura vakadzi, iyo kunowedzerawo mukana herniation. Kana vasikana, havana kuti zvokurwara inobatanidzwa, sezvo mutemo, pamwe neutera ari connective zvinyama, uyewo mumuviri overexertion. Zvinokosha kucherechedza kuti heniya zvinogona vachiberekwa, kana kutanga kukudziridza aberekwa. Miganhu kuonekwe somunhu (kazhinji kurudyi), uye kumativi ose. Dzimwe nguva vana chirwere postoperative inguinal heniya, mune chokwadi kuitazve zviitiko apo zvakakodzera kuitwa nzira zvishoma.

Chii zviratidzo maperembudzi pamwe?

Sazu Tinofanirawo kuziva kuti zviratidzo zviri zvakananga novimba mwero protrusion. Kazhinji, munhu heniya duku, denderedzwa, mativi shaped bhegi dzimwe nguva iri kana suprapubic kana dzokunze parutivi pubic mapfupa. Convexity zvinowanzooneka zvakawanda kuoneka mune akarurama chinzvimbo. Heniya uye kuwedzera vane kuwedzera abdominal kumanikidzwa, kunoitika Somuenzaniso, panguva achizhamba kana kuchema.

dzimwe nguva kunokonzera kurwadziwa paroxysmal hunhu. Soreness anoita mwana mwoyo, kazhinji anochema, anorara havaratidzi. Zviratidzo zvingasanganisirawo kuda kurutsa, kurasikirwa kudya, kurutsa.

Panyaya yevakomana, kuti inguinal heniya anokwanisa kufamba nenzira iri scrotum (anonzi oblique heniya). Muzviitiko zvakadaro, pangava kuwedzera scrotal kuzvimba ari perineum.

Zvino kuti munoziva kuti kuona inguinal heniya vana. The oparesheni haisi kwakakodzera nguva dzose. Zvisinei, kana ukacherechedza zviratidzo yambiro, ipapo mwana anofanira kuratidza chiremba pakarepo. Kwokutanga nechirwere uye kurapwa iri atanga, shoma mukana yematambudziko.

Matambudziko yomuka pamusoro yaitwa heniya

Kutaura zvazviri, imwe inguinal heniya - dambudziko iri rakakura zvakakwana. Kana mwana haana vanokwanisa kubatsira wezvokurapa akanga inopiwa yakafanira protrusion pamusoro abdominal nhengo iri kuramba ichiva raidudzwa. Tikafunga zvokurwara anogona kukanganisa zvakajairika chokubuda ropa, zvinoita kuti kunonoka kana kukura zvisina kunaka kwenhengo dzokubereka nadzo. In vakomana, mugumisiro aigona kuva heniya zvokurwara dzokubereka nadzo.

Kunyange zvakadaro, kupfuura ngozi kuomesa kwakaita inguinal heniya chiri kuramba. Izvi chokuita Achiruma kuti munyama uye nokuvhiringidzirwa ropa kuyerera zvakajairika neimwe nhengo. Uyewo, izvi hwakazara zvinyama necrosis, kuzvimba, chepfu ropa, uye zvichingodaro. D.

Kukanganisa uye ayo zviratidzo

Strangulated heniya - mamiriro acho ezvinhu akaoma, kunyanya kana ari mwana muduku. Muzviitiko zvakadaro, kuvhiya kunokosha. Kutsamwisa strangulated heniya kungawedzera abdominal kumanikidzwa Somuenzaniso, kuti kuchengetwa kana achizhamba simba uye vachichema, panyama nesimba, vangakosora, kurutsa uye zvakafanana. D.

Kuona pamberi rusaruro nyore. Hernial zai hunowedzera convex uye zvakaoma kuti ikabatwa. Palpation kunokonzera marwadzo. Mwana anova kudzikama, kazhinji kuchema, kuridza mhere. Kazhinji, ganda vakapoteredza heniya anova yakatsvukuruka. Pamwe ichi kuuya uye systemic zviratidzo, kunyanya fivha, kuneta, kurasikirwa kudya, kurutsa, hope, kugumbuka. Kana ukaona zviratidzo izvi mwana wako, unofanira pakarepo naye kuchipatara sezvo kushaya unyanzvi hanya kungaita kuti muhombe necrosis, marwadzo kurohwa nehana uye zvichingodaro. D.

Modern nzira nechirwere

Chifungidziro kuvapo kwezvirwere inogona panguva wemauto vaongo-. Hernial zai anova kuoneka wakarurama chinzvimbo, uyewo panguva vangakosora uye vachichema uye t. D. Palpation chiremba anogona kunzwa kuti paumbwe nyoro kwakavharwa nenyama. Panzira, dzimwe nguva heniya zvingava zvakarurama - kuisa nhengo shure mukati. Sezvingatarisirwa, vanofanira kuita nzira nyanzvi, uye kwete zvose amenable kuti evanhu convexity kwakadaro. Kana mukati bhegi rine chikamu paura, unogona kunzwa nevamwe kutinhira inzwi.

Gare gare, sezvo mutemo, akatakurwa Ultrasound abdominal kana pelvic nhengo (nokuda kwevasikana). Chete pashure kuti chiremba anogona kusarudza kana kuvhiyiwa zvinodiwa kubvisa heniya.

Pakadaro, kana chiremba asarudza kuitisa kuvhiyiwa, uwane wezvokurapa kuongororwa kuti zvinosanganisira vakawanda ropa uye weti muedzo erythrocyte sedimentation mwero uye kweropa. Dzimwe nguva anowedzera wakaitwa ergography - X-ray bvunzo yacho ura chaiwo musiyano mumiririri. Kazhinji, yaishandiswa musiyano barium slurry. The nzira yokuziva kuvapo anomalies kana abnormalities huru ura kukura.

Pane inobudirira nzira yokurapwa?

Pakarepo zvinofanira kutaurwa kuti kuchinja kurapa zvinogoneka chete zviitiko apo abnormality yakanga dzakaonekwa mukutanga nezvishoma. Maererano nenhamba, ari achangoberekwa chirwere dzimwe nguva zvinogona kugadziriswa pasina maoparesheni.

Kazhinji, vanachiremba vanoti akapfeka chaiyo chibooreso muhudyu. Ake vaneta pashure heniya raiva vpravlena. Kombiyuta anotsigira abdominal rusvingo uye anobata zvomukati ari protrusion. Kazhinji, groin bhandiji zvaipfekwa masikati. Kunyange zvakadaro, unogona kusara kuti usiku, uye kana mwana Somuenzaniso, vanotambura kuzvirotera chikosoro.

The bhandeji hakusi nzira kuvhiyiwa, asi chete kwenguva pfupi kwazvo. Varwere Little uyewo mishonga dzose masaja uye anokosha jimunasitikisi. Matanho aya akagadzirirwa kusimbisa abdominal rusvingo. Kunyange kana kurapa anopa yakanaka mugumisiro, mamiriro mwana vanofanira kuongororwa kunyatsotevera, sezvo mukuru ndingangokuvara kuitazve mumakore okutanga 4 Makore oupenyu.

Inguinal heniya muvana: kuvhiyiwa

Dzimwe nguva pasina kuvhiya kupindira mune zvirwere zvakadai nyore kuita. nzira iyi raiwanzoitwa pakati pemakore 6-12 mwedzi. Zvairehwa payo rakanaka nyore. Achibatsirwa dzinokosha zvishandiso chiremba anotsaura hernial zai uye abdominal mhango. Muchiitiko chino, unofanira nechokwadi kuti zvomukati vaiva panzvimbo. Surgery inoitwa pasi vakawanda yokutindivadza uye rinovapo maminitsi anenge 30. Ndizvo zviri anoita inguinal heniya. Reviews zvinoratidza kuti nzira rinopa zvibereko zvechokwadi yakanaka.

Sezvingatarisirwa, muchiitiko ichi, zvinokosha kuwana chiremba akanaka. Pasinei chokwadi kuti michina iyi nyaya iri nyore kunzwisisa, chiremba anofanira nhaka zvimwe unyanzvi. Dzimwe nzira bedzi kubatwa inguinal heniya - oparesheni. Mari nzira haisi yakakwirira (kubvira 18 000 kusvika 48 000 rubles.), uye kuipedzera muzvipatara zhinji.

Laparoscopy serimwe rinogona kutsiva renguva nomukondombera kuvhiyiwa

Dzimwe nguva, serimwe rinogona kutsiva zvetsika kuvhiyiwa chiremba anokurudzira muitiro inonzi "laparoscopic inguinal heniya kugadziriswa." Chidobi ose evanhu uyu yakasiyana. Uyu namahwindo oparesheni, iro rinoitwa kushandisa chinokosha michina. Heniya kunoitika kuburikidza ponji duku matatu paganda. Pashure zvinyama iyi rakagadzirwa mapurasitiki pakagadzwa ane unowedzera pajira riya chairo, izvo inobatsira kudzivirira kuitazve mune ramangwana.

Laparoscopy inguinal heniya ine mikana. Zvikurukuru, nzira iri shoma zvinorwadza, uye rokuchinjwa nguva iri hwakatamisirwa mwana nyore zvikuru. Ukuwo, kushanda uku hazvibviri nguva dzose. Somuenzaniso, hazvibviri kugadza bilateral heniya. Sezvo laparoscopy kunoda chaiyo zvokushandisa, rinodhura kwakakwirira, uye kuwana kiriniki kuti anopa basa iri, zviri nyore zvikuru.

Zvinobvira here National kurapwa ane inguinal heniya?

Sezvataurwa pamusoro apa, mushonga ano inopa nzira dzakawanda kugadzirisa dambudziko iri sezvo inguinal heniya vana. Surgery, mapurasitiki, akapfeka bhandeji - zvose zvinobatsira kubata chirwere uye kudzivisa nemigumisiro mune ramangwana. Zvisinei, vamwe vabereki vanofarira mubvunzo kunoreva tsika mushonga inopa chii uye kuti zvakanga zvakakodzera kuzvishandisa.

Pakarepo zvinokosha kuziva kuti musha mishonga vari kuzvidzosera haifaniri kushandiswa strangulated heniya kana vane zvimwe matambudziko. Ukuwo, mukutanga nzendo chirwere anogona kuedza zvimwe Quick kubva chinyakare varapi. Somuenzaniso, zvinonzi vaiona inobudirira daily packs it dzichangobva akagadzirira decoction kuti unovava.

Dzimwe nguva vanachiremba vanokurudzira chakabva anorumanya brine sauerkraut kana raireva heniya machira ake. Uyezve, unogona kutora decoction pakati Mashizha parukato, guzubheri, larch nemakwati, imwe aizomupa Tsvetkov Vasilka. Kamwe zvakare zvinokosha kuyeuka kuti mari idzi havagoni kutsiva munhu dzakazara kurapa, uye kuzvishandisa kurapa mwana chete chiremba mvumo.