Postoperative heniya

Postoperative heniya (vanga ventral) inozivikanwa ne misha yose zvomukati (the shwanu, ura) kunze abdominal rusvingo munzvimbo chivara, iyo yakaumbwa somugumisiro kuvhiyiwa. Munzvimbo vanga rinenge pane bundu protrusion. Kana murwere ari chinjikira chinzvimbo, protrusion ichi nokupera.

Kana vakaumba postoperative ventral heniya, pakarepo pashure panowanikwa wokutanga zvekuchipatara zviratidzo zvakakodzera kutsvaka rubatsiro nachiremba. Zviratidzo zvokutanga kuonekwe sezvo kuda kurutsa, kurutsa, marwadzo ari kuzvimba nzvimbo uye dumbu, izvo chakaiswa mumuviri nesimba.

Pane zvinhu zvinoverengeka kukonzera kukura post-kushanda hernias. Izvi zvinosanganisira kufutisa, pasi kutapata, kurovedza muviri, vangakosora, kurutsa, uye kupatira. Uyewo, regai ushe kubva yokurapa zvikanganiso panguva oparesheni.

Kuti rokuongorora postoperative heniya, murwere aifanira kuva kutarisana vaongo- nachiremba uye nhamba yezvidzidzo paku (kuri pamusoro abdominal nhengo, X-ray kuongorora matete zvikamu ura uye dumbu, uyewo Ultrasound Diagnostics uye herniography). Nokuti akatakura herniography mune iri abdominal mhango raitongwa chaiwo achisiyanisa pomutumwa.

Ndikati kuti postoperative heniya ikabuda mumatanho dzakawanda. Panguva Danho rokutanga chirwere kuitika nyarara inotungamirwa, zviri nyore kuderedza. Kana pakarepo zvinetso, ukapisa murwi, inotungamirwa kunowedzera kukura, uye nokudaro murwere anonzwa kurwadziwa shoma. Mukuita kuwedzera kukura heniya marwadzo kwakawedzera uye kuva anorwadza kurwisa. Kana jamming intestinal anokangaidza kushanda kuti kunowanzoratidzwa muchimiro belching, kuda kurutsa, bloating, kupatira, fecal stasis, izvo muropa kudhaka. Varwere chirwere ichi kazhinji chokunyunyuta pamusoro vakawanda kuneta uye kuderedzwa basa.

Akapiwa kukura uye nzvimbo yacho localization pakati post-kushanda hernias dzinoiswa kupinda akawanda mapoka: diki, unosvikirwa, rakafara hombe. hernias Small handishanduki chimiro mudumbu. Svikiro uye yakakura hernias vari vemunyika kunyanya pamusoro Anterior abdominal rusvingo. Hernias hofori kwemavara inoiswa akawanda dzakakwirira abdominal rusvingo.

Postoperative heniya kunogona kukonzera nhamba yematambudziko kuti zvinozarurwa muchimiro kukanganisa kuti heniya zai somugumisiro compression nokuda tishu. Fani iyi kunowanzoguma coprostasia (faeces kunonoka huru ura).

Emergency kurapwa inopiwa pasina bowel kufamba, kuda kurutsa, kurutsa, neropa riri pachituru, flatulence, kurwadziwa mudumbu, uyewo muzviitiko apo hazvibviri kutwasanudza imwe heniya iri chinjikira chinzvimbo murwere nyoro pamusoro rwake.

In chirwere chakadai, sezvo postoperative herniation, kurapwa rinoitwa ane kuvhiya kupindira. Izvi zvakanakisisa mukutanga nzendo chirwere kana heniya zviri nyore kuti kuderedza, nekuti pamusoro nguva yava nevpravimy hunhu. Heniya kugadzira anogona kuitwa tichiregeredza murwere pachake munyama uye kushandisa chakaita zvokugadzirwa zvokuvakisa. Muchiitiko chokutanga, nzira unoshanda chete kuvhiyiwa heniya diki hukuru (dhayamita hernial kungorira kusvika 5 cm). Kakawanda, kwakadai Kuvhiya rinoitwa kushandisa vemo yokutindivadza. Kana yechipiri, heniya kugadzirisa achishandisa chakaita zvokugadzirwa pajira riya, icho sutured panzvimbo abdominal rusvingo kuremara. nzira iyi yokurapa zvakawanda inoshanda, zvinonzi rinoitwa pasi zvavo yokutindivadza. Recurrences hadziwanzowaniki chaizvo.