Strangulated heniya: kunotoda mharidzo uye mhando

Strangulated heniya ichaongororwa chimwe chezvinhu zvakafanana matambudziko ose hernias. Mukurapa, hosha iri mumunda rikwanise kuvhiyiwa. Kazhinji, pakati nematambudziko abdominal heniya zviremera kutora nzvimbo wechina, ukuwo "pamusoro matatu" chimiro appendicitis, cholecystitis uye pfungwa nomuviri zvemwana asati.

mhando

Sei akaumba strangulated heniya? Vanachiremba vachiwadzana pamwe pakuonekwa zviri hernial zai iri compressed mune inonzi "mhete hernial." In mushonga ano, itsika kusiyanisa mhando mbiri: nesekondari. Zvinofanira kucherechedzwa kuti tsanangudzo yokutanga ndiyo iri zvisinganyanyi kuitika. Kazhinji, murwere ane kubatwa chikuru strangulated heniya imhaka muviri nesimba guru. Chirwere ichi nyaya kwakabatana zvimwe zvinetso. zvimwe zvose mhando vanobatanidzwa muchikwata che yechipiri. Pakati rakajairika anganzi chaiwo dzenhoroondo kukanganisa, izvo zvinozoita rakakamurwa kaviri: kwakavharwa nenyama uye fecal.

kwakavharwa nenyama kukanganisa

Strangulated heniya Izvi zvakare kuumbwa somugumisiro kunyanya muviri. Ndezvomuzvarirwo, saka, kuti kuchengetwa kunyanya vaduku uye pakati zera, kureva, vaya vanokwanisa vapinze. Zviratidzo izvi ndiwo sezvinotevera: Danho rokutanga kunoratidzwa kurwadziwa uye kuzvimba munharaunda yekare heniya. Zvishoma nezvishoma kunowedzera kukura, uye asingachaiti kurwadziwa. Murwere kunogona chokunyunyuta pamusoro zvikuru kuda kurutsa, izvo nguva nenguva inopfuura vari kurutsa uye chetsoka chengetedzo. Zvikurukuru zvakakomba ezvinhu jamming achiperekedzwa zviratidzo zvakadai tachycardia, muromo yakaoma, dumbu asymmetric.

omunharaunda zviratidzo

On chii chikonzero, vanachiremba kazhinji rokuongorora "strangulated femoral heniya?" Chekutanga, zvinokosha kuti unyatsoteerera marwadzo. Panzvimbo paiva heniya, akaumba kuzvimba guru, panguva dzose kubata anopindura zvikuru hachifadzi.

atypical siyana

Ndoda zvakafanana mhando strangulated heniya akadai parietal uye retrograde. nyaya yokutanga vakachengeta zvikurukuru inguinal diki, femoral uye achiine rukuvhute hernias. Parietal kukanganisa ari zvakarurama vaiona kupfuura ngozi pakubhadhara zvose, sezvo inokudziridza kushanda asymptomatic. Zvakanaka kuti anogona vanotsutsumwa pamusoro murwere, zviri munyoro kurwadziwa mudumbu. Zvisinei, kushaya kurapwa iri nyaya zvinotungamirira chokuti rusvingo intestinal iri pasi necrosis, ari dumbu chingava buri kuti, uyewo, chinokurwadzai pave rikwanise peritonitis. Kana retrograde kukanganisa zviratidzo pamusoro apa anowedzerwa zvinhu zvakawanda mamirire ileus kupfuura heniya. Fecal kukanganisa kakawanda kuchengetwa vakwegura. bowel zvishwe, akawana pachavo vari hernial mubhegi, zvishoma nezvishoma vanobwembura, ipapo uchingounganidza pachituru, mudumbu unozvimba. Strangulated heniya kurapwa yekudyidzana zvaikanganisa intestinal, izvo kwese varwere vazhinji munguva ino.