Yintoni i-umbilical hernia, iimpawu, isifo kunye nonyango

Umxholo

• Iimpawu eziphambili
• Iimpawu ze-hernia ye-umbilical emntwaneni
• I-hernia ye-umbilical ekukhulelweni
• Ngubani onokubakho
• Uxilongo lwenziwa njani
• Xa i-hernia ye-umbilical inokuba nzima
• Unyango lwenziwa njani

I-hernia ye-umbilical, ekwabizwa ngokuba yi-hernia kwi-umbilicus, iyahambelana nokuqhamka okubonakalayo kwingingqi ye-umbilicus kwaye kwenziwa ngamanqatha okanye yinxalenye yamathumbu akwazileyo ukudlula kwimisipha yesisu. Olu hlobo lwe-hernia luqheleke kakhulu ebantwaneni, kodwa luyenzeka nakubantu abadala, kwaye lunokuqatshelwa xa umntu egxininisa indawo esiswini xa behleka, bephakamisa ubunzima, bekhohlela okanye besebenzisa igumbi lokuhlambela ukuze baphume, umzekelo.

Uninzi lwexesha i-hernia enkabeni ayikhokeleli ekubonakaleni kweempawu, nangona kunjalo xa inkulu kakhulu umntu angaziva iintlungu, ukungonwabi kunye nesicaphucaphu, ngakumbi xa ephakamisa iintsimbi, enyanzelisa izihlunu zesisu okanye emi ixesha elide ixesha. Nangona i-hernia ye-umbilical ingathathelwa ngqalelo, kubalulekile ukuba ichongwe kwaye inyangwe ukuze kuthintelwe iingxaki. Funda ngakumbi malunga nehernias.

Iimpawu eziphambili

Uphawu oluphambili kunye neempawu ezibonisa i-hernia ye-umbilical bubukho be-bulge kwindawo yenkaba enokubangela iintlungu kunye nokuphazamiseka. Ukongeza, xa i-hernia inkulu, kunokwenzeka ukuba ezinye iimpawu, ezifana nesicaphucaphu kunye nokugabha, zinokubonakala xa kusenziwa imizamo kunye nokubonakala kwamaqhuma amancinci anokuchukumiseka xa umntu emile, kodwa athi shwaka xa elele phantsi .

Iimpawu ze-hernia ye-umbilical emntwaneni

Ngokubanzi, iintsana ziba neempawu ezifanayo nezabantu abadala, kwaye i-hernia ibonakala ikakhulu emva kokuwa kwesiphunzi emva kokuzalwa. I-hernia ihlala ibuyela esiqhelweni yodwa kude kube yiminyaka emi-5 ubudala, nangona kunjalo kubalulekile ukuba umntwana avavanywe ngugqirha wabantwana ukuba une-hernia ye-umbilical.

Ngaphandle kokubonisa iimpawu zentlungu, abantwana kufuneka bathathwe baye kugqirha wabantwana ukuvavanya ubuzaza bengxaki, kuba xa inzima kwaye inganyangwa, i-hernia inokukhula kwaye ibambeke kwisibonda se-umbilical, okukhokelela ekuvalelweni kwe-hernia ye-umbilical, enokubeka umntwana ubomi emngciphekweni, ofuna utyando ngokungxamisekileyo.

Ngokwesiqhelo, unyango lwe-umbilical hernia kwiintsana lunokwenziwa ngokubeka i-bandage okanye i-bandage yokucinezela inkaba kwisisu esiswini. Nangona kunjalo, ukuba i-hernia ye-umbilical inkulu kakhulu okanye ayinyamalali de kube li-5, ugqirha wabantwana unokucebisa ukuba enze utyando ukusombulula ingxaki.

I-hernia ye-umbilical ekukhulelweni

I-hernia ye-umbilical ekukhulelweni ixhaphake kakhulu kwabasetyhini ababenama-hernias xa babengabantwana, kuba ukwanda koxinzelelo ngaphakathi esiswini somfazi okhulelweyo kubangela ukuvuleka kwizihlunu zesisu, ezazisele zibuthathaka, zivumela ukuqhekeka kwenxalenye encinci.

Ngokubanzi, i-hernia ye-umbilical ayiyongozi emntwaneni, ayichaphazeli impilo kamama, kwaye ayithinteli ukubeleka. Kuxhomekeke kubukhulu be-hernia, ugqirha ogqirha jikelele okanye ugqirha wesisu unokucebisa ngokusetyenziswa kwe-brace ngexesha lokukhulelwa kwaye uya kuvavanya ukubakho kotyando ukulungisa i-hernia ye-umbilical emva kokubeleka okanye ngexesha le-cearean section.

Ngubani onokubakho

Ezinye izinto zinokuxhasa ukwenziwa kwe-hernias ye-umbilical, enje ngembali yosapho lwe-hernias, i-cystic fibrosis, i-cryptorchidism, iintsana ezisandula ukuzalwa, ukukhulelwa, ukutyeba kakhulu, utshintsho kwi-urethra, i-dysplasia yophuhliso lwenyonga kunye neenzame zomzimba ezigqithileyo. Ukongeza, ukubonakala kwe-hernia ye-umbilical kuxhaphake kakhulu kubafana abamnyama nasebantwaneni.

Uxilongo lwenziwa njani

Ukuxilongwa kwe-hernia ye-umbilical kwenziwa kuvavanyo lweempawu kunye neempawu eziboniswe ngumntu, ukongeza ekujongeni kunye nokubetha kwengingqi ye-umbilicus. Ukongeza, ugqirha unokucebisa ukuba kwenziwe i-ultrasound yodonga lwesisu ukuvavanya ubungakanani be-hernia kunye nokujonga umngcipheko weengxaki.

Xa i-hernia ye-umbilical inokuba nzima

I-hernia ye-umbilical ayiqhelekanga njengesizathu sokukhathazeka, kodwa ukuba iyabambeka, imeko ebizwa ngokuba yi-umbilical hernia kuvalelwa, eyenzeka xa amathumbu ebambeke ngaphakathi kwe-hernia kwaye ingasakwazi ukubuyela esiswini, utyando kufuneka lwenziwe kwangoko. Ngenxa yoku, wonke umntu one-umbilical hernia kufuneka enziwe utyando ukuze ayisuse.

Kukho ukungxamiseka kokwenza utyando kuba indawo yamathumbu exakekileyo inokuba ineengxaki zokuhamba kwegazi, kunye nokufa kwezicubu, ekufuneka zisuswe. Le ngxaki inokuchaphazela abantu abane-hernias ezinkulu okanye ezincinci kwi-umbilicus, kwaye ayinakuqikelelwa, kwaye inokwenzeka kubantu abane-hernia yosuku olunye okanye iminyaka emininzi.

Iimpawu zokuba i-hernia ye-umbilical ibanjiwe ziintlungu ezinzima zenkaba ezihlala iiyure ezininzi. Amathumbu anokuyeka ukusebenza kwaye isisu sinokudumba kakhulu. Isicaphucaphu kunye nokugabha kuhlala kubakho.

Unyango lwenziwa njani

Utyando lwe-hernia umbilical, ekwabizwa ngokuba yi-herniorrhaphy, lolona hlobo lonyango lusebenzayo lwe-hernia ye-umbilical kwaye lwenziwa ngenjongo yokusombulula ingxaki kunye nokuthintela iingxaki, ezinjengokusuleleka ngamathumbu emathunjini okanye ukusweleka kwethishu ngenxa yokutshintsha kwegazi kulo mmandla.

Olu hlobo lotyando lulula, lunokwenziwa ebantwaneni ukusukela kwiminyaka emi-5 ubudala kwaye lwenziwa lufumaneke yi-SUS. I-Herniorrhaphy inokwenziwa ngeendlela ezimbini:

1. IVideolaparoscopy, ukuba kwenziwa phantsi kwe-anesthesia ngokubanzi kunye ne-3 encinci eyenziwe esiswini ukuvumela ukungena kwemakrofoni kunye nezinye izixhobo zonyango eziyimfuneko ukulungisa imeko;
2. Sika esiswini, okwenziwa phantsi kwe-anesthesia ye-epidural kunye nokusikwa kwenziwa esiswini ukuze i-hernia ityhalelwe esiswini kwaye udonga lwesisu luvaliwe ngemithungo.

Ngokwesiqhelo ngexesha lotyando, ugqirha ubeka i-mesh okanye i-mesh yokukhusela endaweni yokuthintela i-hernia ekubeni iphinde yenzeke kwaye yomelele ngakumbi eludongeni lwesisu. Qonda ukuba kunjani ukubuyela kwimeko yesiqhelo emva kotyando.