Cibiyarki hernia a yara: tiyata da kuma fi

Anterior ciki bango yana da yawan rauni spots (msl, cibiyarki zobe, da linea alba, inguinal zobba da al.), Wanda za a iya kafa hernia. Mene ne wannan? Hernias - fitarwa na gabobin da kyallen takarda daga al'ada wurare ta hanyar apertures kafa ta halitta ko a sakamakon pathological tafiyar matakai.

A etiology na cibiyarki hernia

A aukuwar wannan cuta ne 4%. An kamu, yawanci a mataki na jariri.

Me ya sa aka kafa wani cibiyarki hernia? Babban dalilin - take hakkin cibiyarki rauni waraka bayan Ficewar na igiyar faru. Kullum ya kamata faruwa cibiyarki zobe ƙulli da cikakken ƙulli daga cikin rauni. Duk da haka, tsarin fasali na wannan yanki da taimako zuwa fitowan herniation.

Cibiyarki zobe da aka rufe ne kawai a kasa, inda ya gwada, cibiyarki jijiya da kuma urinary bututu. Ilimi data ake bukata kawai a mataki na amfrayo ci gaba, bayan haihuwa, suna maye gurbinsu da m connective nama.

Ta hanyar saman cibiyarki zobe kara cibiyarki Vienna, wanda, bayan haihuwa kuma ya hõre su maye ta fibrous nama. Duk da haka, wanda Vienna yawanci ba zai iya samar da samuwar irin wannan fadi da kuma m connective nama rabo a matsayin kasa na zobe. Bugu da ƙari, idan akwai hypoplasia ciki fascia, wanda kullum kamata ƙarfafa cibiyarki zobe, ta babba rabo zama wurin da samuwar yiwuwar m hernias.

Kamar yadda aka kafa a hernia?

Pathogenesis wani herniation bisa wani hilafa tsakanin ciki bango ƙarfi, kuma Ya ƙãra matsa lamba a cikin kogon ciki, kuma wanda ya inganta fita gabobin bayan. Kasawan ne hernial zobe.

Mene ne Jigo na bayyanar cibiyarki hernia a yara?

1. Prematurity.
2. Haske nauyi.
3. Muscle rauni.
4. Maƙarƙashiya.
5. Tari.
6. Restlessness, m kuka.

Clinical hoto da kuma bincikowa

Cibiyarki hernia - taso keya ilimi a yankin na cibiya. Girma iya bambanta ƙwarai. Yawancin lokaci a cikin kwance matsayi lokacin da yaro yana a kwantar da hankula da kuma ba ta kuka, hernia kai vuya. Kamar wancan ne, yana yiwuwa ya tausa a bude cibiyarki zobe.

Lokacin da wani jariri da aka zaune, kõ kuwa a tsaye a lokacin da ya kirãye, game da shi, har suka sa wani karuwa a matsa lamba a cikin kogon ciki, da hernia zama a bayyane a sake.

Wani rashin jin daɗi da wannan Pathology sa. Babban matsalar - wani kwaskwarima lahani. Ba lallai ba ne, duk da haka, manta da taba-ba hadarin ƙeta. Ko da yake, idan mun yi magana game da omphalocele, daga gare su, wannan wahala ne rare.

Abin da ya yi idan yaro hernia?

Ta yaya ne wani cibiyarki hernia a yara? Surgery ko ra'ayin mazan jiya hanyoyin - wanda shi ne fin so? Ka yi kokarin fahimtar.

Nan da nan ya kamata a lura da cewa kimanin 60% na matsalar da aka warware da kansa a kan aiwatar da girma da kuma ci gaban da yaro. Abin takaici, wannan ba ko da yaushe haka al'amarin.

Wannan shi ne matukar kowa matsala - wani cibiyarki hernia a yara, magani ba tare da tiyata mai yiwuwa ne, haka ma, tare da dace a aiwatar da shawarwari yadda ya kamata. Hakika, a wani zamani.

Ta yaya za a bi wajen cibiya hernia a yara? Operation - ba kawai hanya. Ya kamata ka fara da wani mabanbanta:

1. Daily tausa da gymnastics. Tabbata a sa jaririn a kan tummy. Shi ne mafi kyau su yi shi kafin a ciyar. Wannan sauki mataki zai ba da damar fita daga hanji settles a kan gas da kuma inganta narkewa, sabili da haka, yaron zai yi kasa zuwa damu game saboda hanji colic. Bugu da ƙari kuma, a cikin yiwuwa matsayi kara kuzari karuwa tsoka sautin na agara na ciki bango, wanda shi ne m domin lura da cibiyarki hernias. Babu kasa tasiri mataki - madauwari stroking a kusa da cibiya a kewaye iri na agogo shugabanci.
2. Kayyade da hernia jakar kwai a rage jihar. Ba haka ba da dadewa shawarar a rufe filastar ciki button for 'yan kwanaki, to da abinda ke ciki na hernia ya zauna a kogon ciki, ba bulging fita. Duk da haka, filasta o ƙarin hangula fata tare da shafe tsawon amfani da kullum sa rashin jin daɗi, wanda ke nufin cewa jariri zai zama kullum damuwa. Yawa ya fi dacewa da kuma mafi dadi ga wani yaro ya yi amfani da musamman bandeji, wanda shine na roba waistband da thickening a gaban cibiya. Shi ne m kunkuntar, don haka ba za ta tsoma baki tare da ayyukan da yaro ya matsar kusa da gano a duniya, fastens da Velcro, za a iya sauƙi cire da kuma sawa, shi za a iya sharewa idan ya cancanta. Modern tayoyin an sanya daga hypoallergenic kayan, don haka ba su hangula fata, da bambanci ga m plaster.
3. Zama iyo kuma taimaka wajen karfafa tsokoki na ciki bango.

A abin shekaru ne wani aiki?

Lokacin da bincikar lafiya tare da wani cibiyarki hernia a yara, magani (tiyata musamman) ya kamata a yi a dace hanya da kuma a wasu shekaru span. Har zuwa 5 shekaru, misali, amfani ne kawai ga ra'ayin mazan jiya hanyoyin, kamar yadda aka ambata a sama. Surgery cire wani cibiyarki hernia a yara da aka yi a kan da shekaru 5 years. Wannan yana magana da wani shirin kaiwa m magani. Bai kamata mu manta da cewa duk wani hernia, ko cibiyarki iya rage, da samar da wani bukatar gaggawa aiki (ba shakka, a lokacin da ta je ceton rayuka, da shekaru iyaka ba zai count).

7 shekaru - da talakawan shekaru a lokacin da mafi yi tiyata cibiyarki hernia yara. Zaka iya, ba shakka, kuma daga baya. Amma shi ne mafi alhẽri a gyara matsalar da shi duka tare da fara shekaru bayyana sabon bukatun da ayukan hutu, to jinkirta cewa ga 'yan kwanaki tsaya a asibiti kuma da wuya. Kuma duk lokacin da aiki da aka dakatarda ga wani m lokaci, yayin da hernia iya taba ƙeta a kan da kuma samo asali daga kananan kwaskwarima aibi a wani rai barazana.

Abin da iri tiyata ne samuwa?

Ware 2 kungiyoyin ayyukan yi amfani da magani na cibiyarki hernias:

1. Tashin hankali hanya a lokacin da rufe hernial gida kyallen takarda (tiyata Mayo Sapezhko, LEXER).
2. Amfani na wucin gadi implants (Grid) don rufe na ciki bango lahani. Surgery aka nuna domin lura da hernias na manyan size a cikin adulthood, don haka, a wannan labarin, wannan hanya ba za a dauke.

Cibiyarki hernia a yara: a Mayo aiki

A incision aka yi a cikin su kẽta shugabanci iyaka cibiya. Cross-yanke da rectus abdominis aponeurosis. Hernial jakar kwai yana buɗe kuma da abinda ke ciki aka nutsa cikin kogon ciki, parietal peritoneum zanen gado ulla wannan jakar bango, stapled.

To ƙarfafa art cutar ta koma dawowa rigakafin halitta duplikatury (biyu Layer) aponeurosis, t. E. Its stapled zanen gado don haka da cewa kasan juya a kan saman. Next, da rauni ne sutured a yadudduka. Duplikatury haka kafa a mai gangara shugabanci.

Wannan aiki ne sau da yawa amfani da bayan samartaka da kuma a gaban hernia ne manyan.

Operation of Sapezhko

Kayan aiki da wannan aiki shi ne kama da hanyar Mayo. A bambanci shi ne, da yanke, da kafa duplikatury da za'ayi a tsaye shugabanci. Tun da kwaskwarima ra'ayi yana iya zama mafi aesthetically m, amma domin ƙarfi, wannan hanya ne na baya aiki Mayo. Duplikatury a mai gangara shugabanci da yawa kasa hõre rinjayar ciki-ciki matsa lamba, wanda ke nufin cewa kasadar komowa bayan aiki na Mayo kasa.

Ta yaya ne wani cibiyarki hernia a yara? Operation of Mayo kuma Sapezhko - hanyoyin fĩfĩta ga manya. Don kawar da hernia a matasa da yara, mafi kowa Hanyar Lexer.

Cibiyarki hernia a yara 7 shekara. Operation of Lexer

Karkashin herniation yi jinjirin wata-dimbin yawa incision. Rage wani hernia, cibiyarki zobe ne superimposed a kan jaka kirtani dinki aka tsaurara kuma, da ita kawar da hernial zobe. The rauni ne sutured a yadudduka.

An don haka m bi da cibiyarki hernia a yara. The aiki na ratings wanda tabbatacce isasshen (a kananan incision, azumi dawo) - LeXeR Hanyar aka bayyana a sama. A halin yanzu, duk da haka, da kara raya sami minimally cin zali tiyata.

Laparoscopic kau na hernias

Wannan shi ne sabuwar hanya domin cire wani cibiyarki hernia, kazalika da kafa raga implant, idan ya cancanta. A wannan yanayin, ba ya bukatar wani babban incisions, duk jan suna da za'ayi ta hanyar da huda na ciki bango amfani da musamman kayan aikin.

Wannan hanya na da babban yadda ya dace, mai kyau kwaskwarima sakamakon, wani m dawo daga mãsu haƙuri bayan tiyata.

The fi zamani

Child bayan tiyata don cire wani cibiyarki hernia kamata tsananin kiyaye duk umarnin da halartar likita don kauce wa matsalolin da ko cuta komawa.

1. Dieting, musamman a cikin makon farko. Gusar da wuya da kuma nauyi abinci. Fĩfĩta aka bai wa broths, juices kuma jellies. Sarrafa rage cin abinci na iya zama a mako na biyu, amma wannan ya kamata a yi a hankali.
2. Ƙuntatawa motsa jiki. Rayayye tafiyar da wasan motsa jiki na iya zama babu a baya fiye da wata daya bayan tiyata.
3. Sanye da wani postoperative takalmin katakon gyaran kafa idan da yaron shan wahala daga kiba.
4. Tausa - duka biyu ga jarirai (aka bayyana a sama).

don takaita

Kada mu manta cewa kawai dace magani ne mafi tasiri. A cikin watanni shida na farkon rayuwar su magance wani cibiyarki hernia ba wani misali sauki fiye da a wani shekaru a lokacin da jariri ya fara ja jiki rayayye, ba ya so ya kwanta a ciki, kuma ya sãɓa tausa.

Bayan shekaru 5 na ra'ayin mazan jiya jiyya zama m. Lokacin da ka ajiye wani cibiyarki hernia a wannan shekaru ya kamata a tunanin game da aiki.