Postoperative heniya ari mudumbu rake; zvinokonzerwa uye kurapwa

Matambudziko pashure rakavhurika maoparesheni zvinochengetwa Kazhinji. Zvisinei, dzimwe nguva zvaitika. Kazhinji ichi ndicho nokuda kuchengetwa emunhu murwere, ikawanda kurovedza muviri, kukundikana chiremba audzwa. Mumwe yematambudziko zvinokura pamusoro pakanyorwa Kuvhiya riri postoperative heniya ari mudumbu rake. Zvinonzi akaumba panzvimbo imwe laparotomy chakaitwa. Kazhinji, kuti heniya avhiyiwa anooneka pasi linea alba. Kunyange zvakadaro, anogona kuitika chero nzvimbo. Typical localizations vari mavanga pashure cholecystectomy, kubviswa chiropa cysts, kuvhiya pamusoro pelvic zvomukati.

Postoperative heniya of Anterior abdominal rusvingo mudumbu - chii?

Anenge munhu wose anoziva kuti heniya ari protrusion pamusoro muviri pamusoro. Rine wandei zvinoriumba. Idzi dzinosanganisira: gedhi, hernial zai rayo mukati. protrusion kwakadaro vangava localizations zvakasiyana. The inonyanya inguinal, achiine rukuvhute uye femoral heniya. Naivowo ngavave vari nomuzongoza. The mhango heniya zai anogona vemunyika chero zvomukati. Muzviitiko zvizhinji bowel ichi muzvishwe (kana protrusion iri mudumbu). Mune dzimwe mhando heniya mukati angava musana, varume nhengo dzokubereka nadzo, chiropa, uye zvichingodaro. D.

Musiyano protrusion aumba pashure maoparesheni? Musiyano chikuru imhaka kuwanikwa, nguva dzose kuvhiyiwa. Postoperative abdominal heniya vangazivikanwa ne nzvimbo uye nguva chiitiko. Zviri bhegi angava akafanana nedzimwe mhando chirwere. Hernial anoshanda mugove umo incision yakaitwa operative. Kazhinji, ndiyo linea alba vanga pashure append-, cholecystectomy. Pacharo rine hernial zai rinenge riri Anterior abdominal rusvingo - ganda, tsandanyama uye fascia. Kazhinji kacho munhu diverticulum rinowanika imwe nguva pashure kuvhiyiwa.

Mhando dzakasiyana-siyana postoperative hernias

Zvichienderana kukura herniation wayo localization pamusoro Anterior abdominal rusvingo marudzi vanoverengeka chirwere ichi. Kunyange zvakadaro, vose vane kukura zvikonzero. Pasinei mhando, anobuda kukura postoperative munguva. Abdominal heniya kazhinji, kubviswa surgically. Zviri yokuongororwa chokuratidza ventral (postoperative) kuremara. Zvichienderana nzvimbo zvinotevera mhando hernias:

1. Medial.
2. Lateral.

Muchiitiko chokutanga, kuti hernial protrusion iri pamusoro midline ari mudumbu. Zvinogona kumusoro, pasi uye panguva ufanane achiine rukuvhute mhete. Lateral heniya iri parutivi abdominal rusvingo. Uyezve, pane kupesana kurutivi left- uye zvakarurama madziro protrusion.

Zvichienderana saizi kusiyanisa diki, unosvikirwa, huru kwazvo heniya. Muchiitiko chokutanga, kuti configuration mudumbu haina kuputswa. Svikiro uye zvakawanda heniya chaioneka chinoabatsira. Anogara mugove chinokosha pamusoro Anterior abdominal rusvingo. Very miganhu huru ingasanganisira hernial zai akawanda zvomukati (paura, omentum). Anogara 2/3 of Anterior abdominal rusvingo.

Chii chakasiyana postoperative heniya chena mutsara mudumbu?

Postoperative heniya kazhinji zvinotora medial nechinzvimbo pamusoro Anterior abdominal rusvingo. Muchiitiko chino, zviri munzvimbo yacho chena dzinza mudumbu. Urongwa uhwu herniation kunoitika pashure muhombe kuvhiyiwa. Mune zvimwe zviitiko, kuburikidza midline incision zvinoitwa rokuongorora zvomusejari pathologies zvisingagoni kuonekwa nedzimwe nzira.

EvaMedhia postoperative abdominal heniya kunoitika kuchikonzerwa nekuneta ari Anterior abdominal rusvingo. Nzvimbo iyi iri zvakanaka tsandanyama. Paaiita zvomusejari kupindira pamusoro chena mutsetse ganda incision unoitwa namafuta. Straight abdominal tsandanyama kuda kwakasiyana-siyana. Naizvozvo, vanga pashure laparotomy anotora chaizvo kwenguva refu. Zvakakosha kuwana kwete chete paumbwe chivara kuumbwa, asiwo rutapudzo (kuvhara) ari rectus netsandanyama.

VaBennett heniya mudumbu pashure kuvhiyiwa

Kazhinji, mushure maoparesheni havafaniri kuumba hernial protrusion. pakuonekwa kwavo kunoratidza vasiri zvaidiwa pamusoro midziyo oparesheni, isiri nzira youpenyu pashure kupindira (uremu vachisimudza, kunyanya muviri). Uyezve, ventral heniya kunogona kuitika vakazvimiririra. Kazhinji, zviri anosimudzirwa siyana zvirwere umo maronda kuporesa zvishoma nezvishoma pane vanhu hwakanaka. Postoperative heniya mudumbu anogona kuitika nokuda kwezvikonzero zvinotevera:

1. Refu tamponade dumbu. Kwaari akarwawo panguva yakaoma maoparesheni, uyewo kana paiva matambudziko. Pakati kushandiswa, pashure kusimukira ventral heniya, muri: nokubviswa okuwedzera uye gallbladder, hepatectomy. Uyewo, nguva refu nokuporesa zvinyama kunoitika pamusana Kupindira mudumbu (ropa, perforation, maronda) uye ura (ileus), pelvic zvomukati, neitsvo.
2. Diabetes kare. Varwere vanenge chirwere ichi kazhinji vascular matambudziko. Somugumisiro, chero pose ronda kuporesa yakareba uye zvakasimba, mukusiyana vanhu utano kuti.
3. Kutyora kuvhiya unyanzvi. Heniya zvingaitika kana murombo-unhu kushanda ari suture, simba shinda Makakatanwa, kushaya kugadzirira kuvhiyiwa.
4. Wound chirwere. It kunoitika kana noutachiona imhaka murombo utsanana, kushaya kurapwa antiseptics musono.
5. Vakafuta murwere.
6. Kuramba kupfeka bhandeji pashure kuvhiyiwa.

The ventral heniya ingangoumbwa panguva dzakasiyana. Nokuti vamwe zvinoratidzika mazuva mashomanana pashure kuvhiyiwa. Mune zvimwe zviitiko - iri kutanga kwemwedzi.

The kunotoda mune postoperative heniya

Postoperative heniya mudumbu kazhinji hazvisi kunetsa varwere nokuti vasakanganise zvayo ezvinhu. Zvisinei, kana zvichiratidzika zvakakodzera kutsvaka rubatsiro. Pashure pezvose, pasinei kwemarudzi uye nzvimbo yacho heniya zvingamuka zvakakomba matambudziko. Vakawanda uye ngozi kwavari ari kusunga zvomukati. The chikuru zviratidzo nyore hernias ndiwo:

1. Chimiro dzakawanda (hillocks), rinokwira pamusoro pemvura Anterior abdominal rusvingo. Zvinogona kuva zvakasiyana ukuru uye chimiro (kazhinji kumativi, denderedzwa). kazhinji kusachinja-chinja pane munyoro heniya.
2. Self reposition bulging. Shoma heniya nokupera kana kuchinja muviri nechinzvimbo kana chinokutsimbirirai nomunwe wako.
3. Chimiro dzakawanda panguva voltage abdominal tsandanyama, kukosora.
4. Soreness pa kukweshera pamusoro nguo.
5. Mune zvimwe zviitiko - svoto uye kurutsa.
6. Kutyora bowel (kupatirwa kana manyoka).

mashoko navanachiremba mufananidzo "rikwanise dumbu" anovandudza kana kukanganisa herniation. Izvi imhaka compression pamusoro bowel muzvishwe uye ischemia. In kwazvo Muzviitiko kutyora miviri achiona necrosis. Izvi pamwe irwadziwe, fivhiri, kudhaka.

Chirwere kubva abdominal heniya

Chirwere pamusoro ventral hernias hunobva Data kuongororwa uye anoshivirira uchibvunzurudzwa. Tinofanira kuziva kuti kare kare zvakanzi pavaiita pokuvhiyiwa, kana aporeswa vanga refu. Kana murwere anonyunyuta okurwadziwa dzidzo, izvo kuderedza anozvidzora, inogona akaonekwa: postoperative heniya mudumbu. Photos of miganhu izvi zvinogona kuwanikwa mumabhuku zvokurapa. On nezve heniya anogona kufanana zvakasiyana anomera. Naizvozvo, kana ani protrusion zvakakodzera kutaura kuna chiremba. Chete achakwanisa kuita differential chirwere akarurama.

Mabatirwo post-kushanda hernias pamusha

Kubviswa postoperative heniya pamusoro dumbu kunogona chete kuva vakakodzera mukoti. Kunyange zvakadaro, mune zvimwe zviitiko, Rinotarisira kudzivisa kuvhiyiwa. Kuchinja mabatiro ane heniya rinoitwa kumba. Izvi zvinosanganisira: zvokudya, Anti kupatira, pokugumira mumuviri nesimba uye akapfeka anokosha chibooreso kana slimming andapeni.

Kuvhiya Kubviswa postoperative herniation

Kazhinji, kuvhiya Mabatirwo postoperative abdominal heniya. Rinoshandiswa pashure kukundikana kuchinja kurapa, pamwero miganhu. The zvairatidza amburenzi oparesheni iri strangulated heniya. Muchiitiko chino, mumwe detoxification uye kurapa symptomatic, necrectomy, mapurasitiki hernial rin'i. It kunoratidzwa nyore zvokuwedzera kuvhiya panguva kurapwa.

Mhando heniya kushanda paari dumbu

Pakusarudza Kuvhiya kunoenderana kukura heniya. Aine miviri protrusion duku akabata autoplasty. Kunosanganisira wokugumisa kuremara murwere pachake munyama. Kana heniya riri guru, ipapo oparesheni rinoitwa pasi zvavo yokutindivadza. In kuti azodzikamisa fascia ari Anterior abdominal rusvingo, vachishandisa anokosha anodyara - chakaita zvokugadzirwa pajira riya. Vanobatsira kusimbisa tsandanyama uye kuderedza mukana wokuti dzokororo ine heniya. Pari, chidobi ichi kwakazara munyika dzose.

Kudzivirira postoperative abdominal hernias pamusoro

Matanho anofanira kutorwa vanachiremba kwete chete, kuitisa kuvhiyiwa, asi varwere. Mwedzi mumwe chete pashure vavhiyiwa havagoni kusimudza inorema zvinhu kana muviri. Zvinonzi Dzakamukurudzirawo kudzivisa kukura kupatira. Kuti aite izvi, vanotevera zvokudya, kana zvakakodzera - kutora laxatives. Mushure laparotomy, iva nechokwadi kuti kupfeka bhandeji. Zvinobatsira kuuya tsandanyama abdominals yaro wakare.