Inguinal hernia: haddasawa, cututtuka, magani

Protrusion na intermuscular kitse a ko a karkashin fata na parietal peritoneum takardar tare da ciki lahani ta hanyar tsoka Layer na ciki bango hernia aka kira. Herniation, kamar yadda mai mulkin, an kullum kara a size. Mafi na kowa da kuma barazanar wahala - strangulated hernia cewa ya auku saboda da matsa lamba drop ciki da peritoneum, ba zato tsoka ƙanƙancewa, wanda kewaye protrusion, da kuma babban taro na stool da kuma iskar gas.

Akwai da dama iri hernias, wanda aka raba bisa ga wurin da wuri. Hernias ne inguinal, cibiyarki, a hernia da fari layi na ciki, da cinya, postoperative (ventral) da kuma diaphragmatic. Inguinal hernia aka located kai tsaye a cikin inguinal canal, femoral - tare manyan tasoshin ciki na cinya. Cibiyarki hernia wuce ta fita site da kuma jijiyoyin bugun gini cibiyarki zobe. Diaphragmatic hernia wuce ta budewa, da kuma na ciki - ta hanyar tsoka yadudduka na ciki.

Babban dalilin da hernia an dauki wani low elasticity daga cikin ganuwar kogon ciki, manyan zuwa bayyanar da lahani. Hadarin abubuwan da inguinal hernia za a iya jawo, suna jihohi da kara matsin lamba a ciki da peritoneum, da kaya a kan na ciki bango. Wadannan sun hada da kiba, na kullum tari, da bukatar yin wani kokarin a lokacin defecation ko urination, nauyi dagawa, ciki, m m sneezing, ya raunana daga haihuwa na ciki bango. Inguinal hernia ne da yawa ƙasa da na kowa a cikin mata fiye da a maza, inguinal hernial protrusion adadin zuwa 80-90% na dukkan lokuta da samuwar hernias.

Main bayyanar cututtuka na inguinal hernia - a protrusion a cikin abin da ya faru na hernia, musamman a lokacin da jiki ƙoƙari, tare da karkata zuwa ga gaskiya hali, kazalika da nuna qarara na hernial zobe a kan palpation. Marasa lafiya damu zafi a cikin hernia da ciki da rashin jin daɗi a cikin tafiya, da kuma dyspepsia.

Ganewar asali inguinal hernia an rage zuwa binciken na haƙuri a karkata zuwa ga gaskiya matsayin ta samar da wata misali na jeri na bangaren na cikin inguinal yankuna. Idan akwai protrusions na ciki bango, da aka ƙaddara da size da kuma siffar da hernia, kazalika da ta daidaito.

Ga masu rigakafin rikitarwa, don a hana sake komowa a cikin postoperative zamani, da kuma samar da gida matsawa rabo herniation aiyuka bandeji for inguinal hernia.

A halin yanzu, don lura da inguinal hernias yin amfani da wadannan hanyoyin: tiyata, roba a kan Bassini, roba ta amfani da PHS, endoscopic hernia gyara, da dabara "toshe da kuma faci".

The aiki ya shafi gargajiya damar zuwa kogon ciki da kuma biyu-girma Teflon roba ko propylene raga implant na baya bango na inguinal canal.

Roba a kan Bassini - wani roba nasu kyallen takarda. Its ainihi tafasa saukar zuwa uku matsayi: motsi na spermatic igiyar, halittar inguinal canal, ƙulli daga cikin fascia da tsokoki hernial zobe.

Roba ta amfani da PHS - da amfani da hadaddun uku-girma prosthesis, kunsha na wani connector nadfastsialnogo podfastsialnogo kada kuma kada.

A endoscopic hernia gyara ne da samuwar amfani na musamman kayan aiki da kuma nema da raya bango na inguinal canal ta laparoscopic damar.

Lokacin amfani da "toshe da kuma faci" dabaru Ina nufin "Toshe da faci" yi na yau da kullum damar zuwa inguinal canal, a matsayin mai mulkin, bude hernia jakar kwai ba a yi. Inguinal hernia nutsa cikin "toshe" na obturator propylene raga a cikin wani nau'i na shuttlecock. Its koli nuna wajen obturator hernia jakar kwai da gammonsa da ake gyarawa zuwa da kewaye tsokoki da dama gidajen abinci. Cikinsa da raya bango na tashar zama karfi "faci" a cikin wani nau'i na Grid.

A zabi na hanyar dogara da irin da kuma girman da hernia, kazalika da shekaru da lafiya na haƙuri.