Inguinal heniya: zvinokonzera, zviratidzo, kurapwa

Protrusion pakati intermuscular mafuta mukati kana pasi ganda parietal peritoneum papepa pamwe yomukati kuremara kubudikidza tsandanyama rukoko ari abdominal rusvingo heniya anonzi. Herniation, sezvinoita mutemo, tichingotarisira kuwedzera kukura. Rakajairika uye kutyisidzira kuomesa - strangulated heniya kuti kunoitika nokuda kwokudzvinyirira donhwe mukati peritoneum, chimbichimbi tsandanyama marwadzo, iyo yakapoteredza protrusion, uye huru chetsoka uye gasi.

Kune mhando dzakawanda hernias, izvo akakamurwa maererano nzvimbo nzvimbo yavo. Hernias vari inguinal, achiine rukuvhute, mumwe heniya chena mutsara mudumbu, chidya, postoperative (ventral) uye diaphragmatic. Inguinal heniya iri zvakananga inguinal canal, femoral - pamwe midziyo guru mukati yehudyu. Achiine rukuvhute heniya inopfuura nomunyika mbudo nzvimbo uye vascular mhete achiine rukuvhute. Diaphragmatic heniya inopfuura nomunyika aperture, uye abdominal - kuburikidza abdominal tsandanyama akaturikidzana.

The kukonzera heniya anoonekwa kamari elasticity kwemasvingo ari abdominal mhango, zvichiita kuti pakuonekwa kuremara. zvinokonzera njodzi kuti inguinal heniya anogona kukonzerwa, muri rinoti iro vawedzere kumanikidzwa mukati peritoneum, uye mutoro uri abdominal pamadziro. Izvi zvinosanganisira kufutisa, chisingaperi chikosoro, vaifanira kuedza panguva defecation kana weti, uremu vachisimudza, pamuviri, kakawanda zvikuru sneezing, simba kubva pakuberekwa abdominal rusvingo. Inguinal heniya iri ndoda nevakawanda vakadzi pane varume, inguinal hernial protrusion mari kusvika 80-90% vose zviitiko paumbwe hernias.

Zviratidzo Zvikuru inguinal heniya - mumwe protrusion iri panowanikwa heniya, kunyanya panguva mumuviri nesimba, pamwe vakarurama mamiriro, uyewo uchiratidza zvakajeka hernial mhete palpation. Varwere hanya marwadzo ari heniya uye dumbu kusanzwa kufamba, uye dyspepsia.

Chirwere inguinal heniya ipfupi kuti ongororo yakaitwa murwere ari akarurama ainyatsokwanisa aumbe cherudo asymmetry ose ari inguinal kumatunhu. Kana pane miganhu yacho abdominal rusvingo, anosarudza pakukura uye chimiro heniya, uyewo yaro kusachinja-chinja.

Nokuti kudzivirirwa yematambudziko, kudzivisa dzokororo ari postoperative nguva, uye kuti kupa vemo compression mugove herniation rinoshandisirwa bhandeji nokuda inguinal heniya.

Pari, nokuti Mabatirwo inguinal heniya kuvhiyiwa, nokuti mapurasitiki Bassini, mapurasitiki uchishandisa PHS, endoscopic heniya kugadziriswa, imwe nzira kuti "chivhariso uye chigamba": anotevera unyanzvi anoshandiswa.

Traditional oparesheni kunosanganisira kuwana abdominal mhango uye mapurasitiki ndeiya yakaita pajira riya Teflon kana polypropylene kudyara posterior parusvingo inguinal mugero.

Plastic musi Bassini - a mapurasitiki pachake munyama. Chaizvoizvo Its mamota pasi munzvimbo vatatu: kwebasa spermatic tambo, pakusikwa inguinal canal, ari kuvhara zviri fascia uye tsandanyama hernial mhete.

Plastic kushandisa PHS - kushandisa zvakaoma-dimensional matatu prosthesis, ina connector nadfastsialnogo podfastsialnogo kurova-rova uye kurova-rova.

The endoscopic heniya ronda paumbwe uchishandisa inokosha chishandiso uye mudziyo rwemberi rusvingo inguinal Canal kuburikidza laparoscopic kuwana.

Kana kushandisa "chivhariso uye chigamba" unyanzvi i.e. "Plug uye chigamba" akaita nguva dzose kuwana inguinal canal, sezvo mutemo, rotanga heniya zai hakuna akaita. Inguinal heniya kunyudzwa mukati "chivhariso" ane obturator polypropylene pajira riya riri muchimiro shuttlecock. Its chakaderedzwa mutengo zvigunwe kurutivi obturator heniya zai uye chawo ndee kuna dzakapoteredza nyama iri majoini dzakawanda. Pakazoti rusvingo rwemberi gwara anova "nama" akasimba muchimiro grid.

Pakusarudza nzira kunobva mhando uye kukura heniya, uyewo zera uye utano murwere.