Inguinal Hernia: akpata, mgbaàmà, ọgwụgwọ

Protrusion nke intermuscular abụba ke ma ọ bụ n'okpuru anụ nke parietal peritoneum mpempe akwụkwọ ọnụ na n'ime ntụpọ site na muscle oyi akwa nke abdominal mgbidi hainia a na-akpọ. Herniation, dị ka a na-achị, na-mgbe niile na-aba ụba size. Kacha ọsọ na egwu sikwuoro - strangulated hainia na emee ya ruru ka nsogbu dobe n'ime peritoneum, mberede muscle mkpi, nke oyụhọ protrusion, na a nnukwu nnọkọ nke stool na gas.

E nwere ọtụtụ ụdị nke hernias, nke na-ekewa dị ka ebe bụ nke ha na ọnọdụ. Hernias bụ inguinal, n'ime eriri, a hainia na-acha ọcha akara nke afo, apata, postoperative (ventral) na diaphragmatic. Inguinal hainia na-emi odude na na inguinal kanaal, femoral - tinyere nnukwu arịa n'ime ụkwụ. Alọ hainia agabiga ụzọ ọpụpụ saịtị na vaskụla alọ mgbanaka. Diaphragmatic hainia agabiga aperture, na abdominal - site na abdominal muscle n'ígwé.

Isi kpatara nke hainia a na-ewere a ala ekwedo nke mgbidi na abdominal uji eze, na-eduga na ọdịdị nke ntụpọ. Ihe ize ndụ ihe na inguinal hainia nwere ike triggered, bụ na-ekwu, nke ịmụba nrụgide n'ime peritoneum, na ibu na abdominal mgbidi. A na-agụnye ibu oké ibu, ala ala ụkwara, mkpa ka i mee mgbalị n'oge defecation ma ọ bụ urination, ibu ígwè, afọ ime, Ugboro ufiop Nje ebelatawo si nwa abdominal mgbidi. Inguinal hainia nnọọ obere ọsọ ke inyom karịa mmadụ, inguinal hernial protrusion ego na 80-90% niile ikpe nke e guzobere hernias.

Main mgbaàmà nke inguinal hainia - a protrusion na omume nke hainia, karịsịa n'oge ahụ mgbalị, na ziri ezi postcho, nakwa dị ka a doro anya nke na-egosi hernial mgbanaka palpation. Ọrịa na-eche ihe mgbu na hainia na afo erughị ala na-eje ije, na dyspepsia.

Diagnosis inguinal hainia na-ebelata ka nnyocha e mere na onye ọrịa na ziri ezi ọnọdụ na-etolite a yiri nke asymmetry nke ndị inguinal mpaghara. Ọ bụrụ na e nwere protrusions nke abdominal mgbidi, na-ekpebi size na udi nke a hainia, nakwa dị ka ya anọgidesi.

N'ihi mgbochi nke nsogbu, iji gbochie nlọghachite na postoperative oge, na maka inye obodo mkpakọ òkè herniation etinyere bandeeji maka inguinal hainia.

Ugbu a, maka ọgwụgwọ nke inguinal hainia usiakidem, maka plastic Bassini, plastic iji PHS, endoscopic hainia idozi, a Usoro nke "plọg na patch": The-esonụ usoro na-eji.

Omenala ọrụ na-agụnye ohere ka abdominal oghere na plastic akụkụ ntupu Teflon ma ọ bụ polypropylene ịkụbanye posterior mgbidi nke inguinal kanaal.

Plastic on Bassini - a plastic nke arọ. Ya kachasi mkpa Juda ala atọ ọnọdụ: ije nke spermatic ụdọ, ihe e kere eke nke inguinal kanaal, mkpachi nke fascia na uru hernial mgbanaka.

Plastic iji PHS - ojiji nke mgbagwoju atọ akụkụ prosthesis, esịnede a njikọ nadfastsialnogo podfastsialnogo flaapu na flaapu.

The endoscopic hainia idozi bụ guzobere iji a pụrụ iche ngwá ọrụ na ngwa oru n'azụ mgbidi nke inguinal kanaal site a laparoscopic ohere.

Mgbe na-eji a "plọg na patch" usoro i.e. "Ikwunye na patch" mere mgbe ohere ka inguinal kanaal, dị ka a na-achị, na-emeghe hainia nwa na-adịghị rụrụ. Inguinal hainia mikpuru n'ime "ikwunye" nke obturator polypropylene ntupu n'ụdị a shuttlecock. Ya onu ire nrụaka kwupụta obturator hainia nwa na ya isi bụ ofu na gburugburu anụ ahụ na ọtụtụ nkwonkwo. Ebe n'azụ mgbidi nke ọwa na-esiwanye ike "patch" n'ụdị nke a okporo.

Oke nke usoro-adabere na ụdị na size nke hainia, nakwa dị ka afọ na ahụ ike nke onye ọrịa.