Yintoni i-inguinal herniorrhaphy kwaye yenziwa njani?

Umxholo

• Kufuneka ukuba amalungiselelo abe njani
• Lwenziwa njani utyando
• 1. Vula i-herniorrhaphy yangaphakathi
• 2. Inguinal herniorrhaphy yi-laparoscopy
• Unonophelo emva kotyando
• Iingxaki ezinokwenzeka

I-herniorrhaphy ye-Inguinal lunyando kunyango lwe-hernia ye-inguinal, eyindawo ebusayo ebangelwa yinxalenye yamathumbu ishiya udonga lwangaphakathi lwesisu ngenxa yokuphumla kwezihlunu kule ndawo.

Olu tyando kufuneka lwenziwe kwakamsinya nje ukuba kufunyaniswe i-hernia ye-inguinal, ukuze kungabikho kukrwitshwa kwamathumbu apho kukho ukunqongophala kokuhamba kwegazi emathunjini okukhokelela kwiimpawu zokugabha kunye neekram. Jonga ukuba zintoni iimpawu ze-hernia enguinal.

Phambi kokwenza i-herniorrhaphy ye-inguinal, ugqirha wotyando unokucela uvavanyo lwegazi kunye nemifanekiso yokuvavanya imeko yezempilo yomntu kwaye, ngokuxhomekeke kubungakanani be-hernia, comorbidities kunye nobudala bomntu, kuya kwenziwa utyando oluvulekileyo okanye lwevidiyo. Emva kwenkqubo yotyando, ukuphumla kweentsuku ezintathu kuyacetyiswa kwaye ukuqhuba kunye nokuzuza ubunzima kufuneka kuthintelwe iiveki ezi-4 ukuya kwezi-6.

Kufuneka ukuba amalungiselelo abe njani

Ngaphambi kokwenza i-herniorrhaphy ye-inguinal, ugqirha unokuyalela uthotho lweemvavanyo, ezinje ngokubala igazi, i-coagulogram, iswekile yegazi kunye novavanyo lomsebenzi wezintso oluya kusetyenziswa ukuvavanya iimeko zempilo yomntu.

Ingcali ye-anesthesiologist iya kwenza uvavanyo lwempilo yomntu, ukongeza ekuqokeleleni ulwazi malunga nobunzima, ukuphakama, i-aleji enokubakho kunye namayeza asetyenziswa ngokufanayo. Kunokucetyiswa ukuba kusetyenziswe imitya yesisu kunye neebhendi ukugcina i-hernia ye-inguinal kude kube ngumhla wotyando, kuthintelwe ukuwohloka kwemeko.

Kusuku olungaphambi koqhaqho, kuyimfuneko ukunqanda ukwenza imisebenzi yomzimba enzima kakhulu kwaye ukuba umntu uthatha iyeza elithile lokuthintela isifo, elinikezela "igazi" elincinci, ugqirha ucebisa ukuba uyeke ukulithatha ngaphambi kotyando. Ukongeza, kucetyiswa ukuba ukhawuleze ukusuka kwi-8 ukuya kwi-12 yeeyure ze-inguinal herniorrhaphy.

Lwenziwa njani utyando

I-herniorrhaphy ye-Inguinal inokwenziwa ngeendlela ezimbini kuxhomekeke kwimpilo yomntu kunye nobunzima be-hernia:

1. Vula i-herniorrhaphy yangaphakathi

Kwiimeko ezininzi, i-herniorrhaphy ye-inguinal evulekileyo yenziwa phantsi kwe-anesthesia ye-epidural, esetyenziselwa imithambo-luvo yomqolo kwaye isuse ubuntununtunu kuphela kumazantsi omzimba, nangona kunjalo, inokwenziwa phantsi kwe-anesthesia yendawo. Kolu tyando, ugqirha wotyando usika, obizwa ngokuba kukusikwa, kwindawo yokuqaqamba kwaye uphinde avelise indawo yamathumbu engaphandle kwesisu.

Ngokubanzi, ugqirha womzimba womeleza imisipha kwindawo ye-groin ngoncedo lwe-mesh eyenziweyo, ukuthintela i-hernia ukuba ingabuyeli kwindawo enye. Izinto zeli canvas zenziwe nge-polypropylene kwaye ifunxwa ngokulula ngumzimba, ngomngcipheko ophantsi kakhulu wokwaliwa.

2. Inguinal herniorrhaphy yi-laparoscopy

I-herniorrhaphy ye-Inguinal yi-laparoscopy ngotyando olwenziwa phantsi kwe-anesthesia ngokubanzi kwaye inendlela apho ugqirha esenza utyando oluncinci esiswini, wazisa icarbon dioxide kwisisu esiswini emva koko ubeke ityhubhu ebhityileyo enekhamera yevidiyo edibeneyo.

Ukusuka kwimifanekiso eveliswe kwakhona esweni, ugqirha osebenzisa izixhobo, ezinje ngesikere kunye nesikere esihle kakhulu, ukulungisa i-hernia kwingingqi ye-inguinal, ukubeka iscreen senkxaso ekupheleni kwenkqubo. Ixesha lokubuyisela kolu hlobo lotyando luye lube mfutshane kunolwenziwa ngotyando.

Abantu abenziwa utyando lwe-laparoscopic ngokubanzi bafumana ixesha elincinci lokufumana kwakhona. Nangona kunjalo, ugqirha unokugqiba ukuba utyando lwe-laparoscopic ayisiyiyo eyona nto ifanelekileyo ukuba i-hernia inkulu kakhulu okanye ukuba umntu uye wahlinzwa.

Unonophelo emva kotyando

Kanye emva kwe-herniorrhaphy ye-inguinal, umntu unokufumana ukungathandeki kwindawo ye-groin, kodwa amayeza okuphelisa iintlungu aya kwenziwa kwangoko emva kwenkqubo. Uninzi lwexesha, umntu ofumana olu tyando ulaliswa esibhedlele ngokomyinge wosuku olu-1 lokujongwa.

Ukuthintela iingxaki ezivela kutyando, kuyacetyiswa ukuba ubuyele kwimisebenzi yesiqhelo emva kweveki enye, thintela ukuqhuba iintsuku ezi-5, okwenza ukuba kungafuneki ukuba wenze umgudu ogqithisileyo womzimba okanye ukutyeba ubuncinci iiveki ezi-4. Ukuphelisa ukungahambi kakuhle kwindawo yoqhaqho, unokufaka ipakethi yomkhenkce kwiiyure zokuqala ezingama-48, kabini ngemini imizuzu eli-10.

Ukongeza, ugqirha usenokubonisa ukusetyenziswa kwemitya esuswini okanye imitya ukukhusela i-hernia ekuphindeni ivele de isiza siphiliswe ngokupheleleyo, imodeli kunye nexesha lokusetyenziswa kwezihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana kuya kuxhomekeka kubukrakra behernia yenguinal kunye nohlobo lotyando yenziwe.

Iingxaki ezinokwenzeka

Emva kotyando kuyimfuneko ukuba banikele ingqalelo iimpawu iingxaki ezifana ukopha kunye nokuphuma ukusika, njengoko kusenokubonisa usulelo. Iingxaki ezinxulumene nokubekwa kwemingxunya zinokubakho, ezinjengokubambelela, ukuvaleka kwamathumbu, i-fibrosis okanye ukudibana nokwenzakala kwimithambo-luvo ye-groin, kwaye oku ikakhulu kuchongwa kukubonakala kwentlungu kwindawo yotyando nasemva kweveki enye Inkqubo.

Enye ingxaki enokuthi yenzeke ngenxa ye-inguinal herniorrhaphy kukugcina umchamo, kulapho umntu engakwaziyo ukukhupha isinyi ngokupheleleyo, nangona kunjalo, le meko ixhomekeke kuhlobo lwe-anesthesia ebisetyenzisiwe kunye nendlela eya kugqirha. Jonga ngakumbi ukuba yintoni ukugcinwa komchamo kunye nokuba unyango lwenziwa njani.