Postoperative hainia na ya afo: mmetụta na ọgwụgwọ

Nsogbu mgbe emeghe usoro ịwa ahụ na-hụrụ infrequently. Otú ọ dị, mgbe ụfọdụ, ha ga-eme. Ọtụtụ mgbe nke a bụ n'ihi na-ezighị ezi na-elekọta onye ọrịa, mụbara emega ahụ, ọdịda nke dọkịta na-atụ aro. Otu n'ime nsogbu na ịzụlite na ndabere nke ịwa ahụ bụ postoperative hainia na ya afo. Ọ na-kpụrụ n'ebe a laparotomy e rụrụ. N'ọnọdụ ka ukwuu, nke hainia mgbe ọrụ na-egosi na linea Alba. O sina dị, o nwere ike ime na mpaghara ọ bụla. Ahụkarị localizations bụ scars mgbe cholecystectomy, mwepụ nke imeju cysts, ịwa ahụ na pelvic akụkụ.

Postoperative hainia nke ihu abdominal mgbidi nke afo - ihe ọ bụ?

Fọrọ nke nta onye ọ bụla maara na hainia bụ a protrusion na ozu n'elu. Ọ nwere ọtụtụ mmiri. Ndị a gụnyere: n'ọnụ ụzọ ámá, ndị hernial nwa na ọdịnaya. Ndị dị otú ahụ a protrusion nwere ike ịdị iche localizations. The kasị inguinal, n'ime eriri na femoral hainia. ha wee na spain. The oghere hainia nwa nwere ike metụtara nanị akụkụ ụfọdụ ọ bụla esịtidem akụkụ. N'ọnọdụ ka ukwuu a bowel anya nko (ma ọ bụrụ na ndị protrusion emi odude ke afo). Na ndị ọzọ ụdị hainia ọdịnaya nwere ike ọgidigi azụ, nwoke genitalia, imeju, na na. D.

Gịnị bụ ihe dị iche protrusion kpụrụ mgbe usoro ịwa ahụ? Isi ihe dị iche bụ n'ihi na omume, ọ bụ mgbe niile n'ịwa ahụ. Postoperative abdominal hainia nwere ike mata site na ọnọdụ na oge nke omume. Nke ọdịnaya nke akpa nwere ike ịbụ otu ihe na maka ụdị ndị ọzọ nke ọrịa. Hernial eje ozi òkè na nke mbepụ e mere arụmọrụ. N'ọnọdụ ka ukwuu, ọ bụ linea Alba onya mgbe append-, cholecystectomy. Onwe Ya e dere ihe hernial nwa anụ ahụ nke ihu abdominal mgbidi - akpụkpọ, muscle na fascia. Ọtụtụ mgbe a diverticulum egosi mgbe oge ụfọdụ gasịrị n'ịwa ahụ.

Iche postoperative hernias

Dabere na size nke herniation na ya orunótu na ihu abdominal mgbidi nwere ọtụtụ ụdị nke ọrịa a. O sina dị, ha niile nwere otu mmepe ihe. N'agbanyeghị nke ụdị, ntopute na-emepe emepe na postoperative oge. Abdominal hainia ọtụtụ mgbe, wepụrụ surgically. Ọ bụ a na-achọpụta ọrịa criterion ventral (postoperative) ntụpọ. Dabere na ebe ndị na-esonụ ụdị nke hernias:

1. Medial.
2. Mpụta.

Ke akpa idaha, na hernial protrusion emi odude ke midline nke afo. O nwere ike ịbụ n'elu, n'okpuru na n'ogo nke alọ mgbanaka. Mpụta hainia dị n'akụkụ nke abdominal mgbidi. Ke adianade do, e nwere a nkewa na left- na nri-kwadoro protrusion.

Dabere na size iche obere, na-ajụ, obosara na nnọọ nnukwu hainia. Ke akpa idaha, nhazi nke afo na-adịghị agbaji. Ọkara na ọtụtụ hainia anya ka gba ọtọ anya. Ha ogide a ịrịba òkè nke ihu abdominal mgbidi. Nnọọ nnukwu protrusions nwere ike ịnwe hernial nwa ọtụtụ akụkụ ahụ ndị (eriri afọ ya, omentum). Ha ogide 2/3 nke ihu abdominal mgbidi.

Gịnị bụ dị iche iche postoperative hainia na-acha ọcha akara nke afo?

Postoperative hainia na-ewe a medial ọnọdụ na ihu abdominal mgbidi. Na nke a, ọ bụ na ebe nke na-acha ọcha akara nke afo. Ndokwa a herniation emee mgbe oke n'ịwa ahụ. Mgbe ụfọdụ, site na a midline mbepụ a na-eme nchọpụta nke ogwugwo pathologies na-apụghị ahụrụ site ụzọ ndị ọzọ.

Midia postoperative abdominal hainia emee n'ihi na adịghị ike nke ihu abdominal mgbidi. Nke a na ebe a na-emi odude nri uru. Na-arụ ịwa ahụ adọ na-acha ọcha akara nke anụ mbepụ na abụba. Nnennen abdominal mọzụlụ ịkwa dị iche iche ntụziaka. Ya mere, ọnya mgbe laparotomy ewe nnọọ ogologo oge. Ọ dị mkpa iji nweta bụghị nanị na e guzobere n'apa guzobere, ma nwekwara Mbelata (mmechi) nke rectus uru.

Akpata hainia ke afo mgbe ịwa ahụ

Nọmalị, mgbe usoro ịwa ahụ ga-etolite a hernial protrusion. Ha dị na-egosi na ndị na-abụghị nnabata nke ngwá ọrụ, na-ezighị ezi ụzọ ndụ mgbe aka (ibu ígwè, oké mmega). Ke adianade do, ventral hainia nwere ike ime onwe ha. Nọmalị, ọ na-akwalite a dịgasị iche iche nke ọrịa na nke ọnyá agwọ nwayọọ nwayọọ karịa na ndị ahụ siri ike. Postoperative hainia ke afo nwere ike ime ka ndị na-esonụ:

1. Ruo ogologo oge tamponade afo. Iji ya malitere n'oge mgbagwoju usoro ịwa ahụ, nakwa dị ka ma ọ bụrụ na e nwere nsogbu. N'etiti arụmọrụ, mgbe nke ahụ na-emepe emepe ventral hainia, bụ: mwepụ nke ihe odide ntụkwasị na gallbladder, hepatectomy. Ọzọkwa, ogologo oge na-agwọ ọrịa nke anụ ahụ pụtara dị ka a n'ihi nke aka na afo (ọbara ọgbụgba, perforation, onya) na eriri afọ (ileus), pelvic akụkụ, na akụrụ ya.
2. Diabetes mere eme. Ọrịa na-arịa ọrịa a na-enwekarị vaskụla nsogbu. N'ihi ya, ọ bụla n'elu ọnya agwọ ogologo na ike, na iche ndị ahụ siri ike.
3. Mebiri nke ịwa ahụ Usoro. Hernia nwere ike ime ma ọ bụrụ na ndị ogbenye-quality ngwa nke na agịga, ike na eri erughị ala, enweghị nkwadebe maka ịwa ahụ.
4. Emerụ ọrịa. Ọ na-adị mgbe a ọrịa nje bụ n'ihi na ndị ogbenye ịdị ọcha, enweghị ọgwụgwọ kwesịrị ekwesị antiseptics onuete.
5. Ibu ibu ndidi.
6. Jụrụ na-eyi a bandeeji mgbe ịwa ahụ.

The ventral hainia nwere ike kpụrụ n'oge dị iche iche. N'ihi na ụfọdụ ọ na-egosi a ụbọchị ole na ole mgbe a wasịrị. N'ọnọdụ ndị ọzọ - na-na-emepe emepe maka ọnwa.

The adakarị picture na postoperative hainia

Postoperative hainia na afo mgbe adịghị ewute ndị ọrịa n'ihi na ha adịghị emetụta izugbe ọnọdụ. Otú ọ dị, ọ bụrụ na ọ na-egosi na ọ dị mkpa ịchọ enyemaka ahụike. Mgbe niile, n'agbanyeghị nke umu na ọnọdụ nke hainia nwere ike ịzụlite oké nsogbu. The kasị dị ize ndụ nke ha na-apị esịtidem akụkụ. Isi mgbaàmà nke na-adịghị mgbagwoju hernias bụ:

1. Ọdịdị nke protrusions (hillocks), nke adahade n'elu elu nke ihu abdominal mgbidi. Ọ nwere ike a dị iche iche size na udi (na-emekarị gburugburu, oval). Nne na-emekarị nwayọọ hainia.
2. Self reposition bulging. Na a obere ego hainia kpamkpam mgbe na-agbanwe agbanwe ahu ọnọdụ ma ọ bụ na ịpị na ya na mkpịsị aka gị.
3. Ọdịdị nke protrusions na a voltaji abdominal mọzụlụ, ụkwara.
4. Soreness na esemokwu banyere uwe.
5. Mgbe ụfọdụ - ọgbụgbọ na vomiting.
6. Mebiri nke bowel (ntachi ma ọ bụ afọ ọsịsa).

adakarị foto nke "nnukwu afo" amalite mgbe ịda iwu herniation. Nke a bụ n'ihi na mkpakọ nke bowel loops na ischemia. Na oké ikpe nke mebiri ozu ata necrosis. Nke a na-esonyere n'oké ihe mgbu, fever, igbu egbu.

Diagnosis nke abdominal hainia

Diagnosis nke ventral hernias dabeere data nnyocha na-enwe ndidi N'ajụjụ ọnụ. Anyị kwesịrị ịchọpụta otú ogologo oge gara aga na ọ e rụrụ ịwa ahụ, ma gwọọ onya ogologo. Ọ bụrụ na onye ọrịa ọdọhọde nke na-egbu mgbu mmụta, nke belata a onwe, nwere ike chọpụtara: postoperative hainia ke afo. Photos of a protrusions nwere ike dị na ahụ ike na akwụkwọ. On ọdịdị a hainia pụrụ iyi a dịgasị iche iche nke etuto ahụ. Ya mere, mgbe ọ bụla protrusion dị mkpa iji lebara na dọkịta na-awa. Naanị na ọ ga-enwe ike ime ka a esi nchoputa bụ ziri ezi.

Ọgwụgwọ nke post-ịkpa hernias n'ụlọ

Mwepụ nke postoperative hainia na afo nwere ike ịbụ naanị na a ruru eru ọkachamara. O sina dị, mgbe ụfọdụ, ọ na-ejisie ike zere n'ịwa ahụ. Conservative ọgwụgwọ nke a hainia a rụrụ n'ụlọ. Nke a na-agụnye: nri, mgbochi afọ ntachi, amachi ahụ exertion na yi a pụrụ iche nkwado ma ọ bụ slimming uwe ime.

Ịwa ahụ mwepụ nke postoperative herniation

N'ọnọdụ ka ukwuu, ịwa ahụ ọgwụgwọ nke postoperative abdominal hainia. Ọ na-eji mgbe ọdịda nke mgbanwe ọrịa, ukwuu protrusions. The egosi n'ihi na mberede ọrụ strangulated hainia. Na nke a, a detoxification na symptomatic ọgwụ, necrectomy, plastik hernial mgbanaka. Ọ na-egosi na-adịghị mgbagwoju elective ịwa ahụ n'oge ọgwụgwọ.

Types of hainia ọrụ na ya afo

Oke nke ịwa ahụ na-adabere na size nke hainia. Na a obere protrusion ozu ẹkenịmde autoplasty. Ọ na-agụnye mmechi nkwarụ onye ọrịa ahụ nke anụ ahụ. Ọ bụrụ na ndị hainia bụ nnukwu, mgbe ahụ, ime ihe a rụrụ n'okpuru general ná Nkụnwụ. Iji weghachi fascia nke ihu abdominal mgbidi, iji pụrụ iche implants - sịntetik ntupu. Ha na-enyere ike n'uru ma belata ohere nlọghachite nke hainia. Ugbu a, a na Usoro bụ ọsọ na obodo nile.

Prevention of postoperative abdominal hernias on

Mgbochi kwesịrị iwere bụghị nanị dọkịta, na-eduzi ịwa ahụ, ma ọrịa. N'ime otu ọnwa mgbe ịwa ahụ ike iweli arọ ihe ma ọ bụ ihe omumu. Ọ na-atụ aro iji zere mmepe nke afọ ntachi. Iji mee nke a, na-eso a nri, ma ọ bụrụ na ọ dị mkpa - na-laxatives. Mgbe laparotomy, jide n'aka na-eyi a bandeeji. Ọ na-enyere wetara uru abdominals mbụ ya ala.