Postoperative hernia a kan ciki: da illa da kuma magani

Matsalolin bayan bude m hanyoyin da ake lura da infrequently. Duk da haka, wani lokacin da suke faruwa. Sau da yawa wannan shi ne saboda rashin kula da haƙuri, ya karu jiki aiki, gazawar da likita ta shawarwari. Daya daga cikin matsalolin da ci gaba a kan bango na tiyata ne postoperative hernia a kan ciki. An kafa a wuri inda wani laparotomy da aka yi. A mafi yawan lokuta, da hernia bayan da aiki ya bayyana a linea alba. Duk da haka, na iya faruwa a kowane yanki. Hankula localizations ne scars bayan cholecystectomy, da kau da hanta cysts, tiyata a kan pelvic gabobin.

Postoperative hernia na agara na ciki bango na ciki - abin da yake da shi?

Kusan kowa ya san cewa hernia ne protrusion a jiki surface. Yana yana da dama aka gyara. Wadannan sun hada da: ƙofar, da hernial jakar kwai da kuma abinda ke ciki. Irin wannan protrusion iya daban-daban localizations. Mafi na kowa inguinal, cibiyarki da femoral hernia. su ma yana iya zama a cikin kashin baya. A rami hernia jakar kwai za a iya sarrafa duk wani kayan ciki. A mafi yawan lokuta wannan hanji madaukai (idan protrusion aka located a ciki). A sauran iri hernia abinda ke ciki na iya zama laka, namiji genitalia, da hanta, da sauransu. D.

Mene ne bambanci protrusion kafa bayan m hanyoyin? Babban bambancin shi ne saboda abin da ya faru, shi ne ko da yaushe tiyata. Postoperative ciki hernia za a iya gano da wuri da kuma lokaci na abin da ya faru. Da abinda ke ciki na jakar iya zama iri ɗaya a matsayin na sauran siffofin da cutar. Hernial hidima rabo a cikin abin da incision aka sanya sarrafawa. A mafi yawan lokuta, shi ne linea alba tabo bayan append-, cholecystectomy. Kanta yana dauke da hernial jakar kwai nama na agara na ciki bango - fata, tsoka da fascia. More sau da yawa fiye da ba a diverticulum bayyana wasu lokaci bayan tiyata.

Iri na postoperative hernias

Dangane da girman da herniation kuma ta sarrafawa a cikin agara na ciki bango da dama iri da wannan cuta. Duk da haka, duk suka yi daidai da ci gaban dalilai. Ko da kuwa da irin, kumbura tasowa a cikin postoperative zamani. Ciki hernia a mafi yawan lokuta, cire surgically. Yana da wani bincike mai rarrabẽwa ventral (postoperative) lahani. Ya danganta da wurin da wadannan iri hernias:

1. Tsakiya.
2. Kaikaice.

A farkon yanayin, da hernial protrusion aka located a kan midline na ciki. Yana iya zama a sama, kasa da kuma a matakin da cibiyarki zobe. Kaikaice hernia located a gefe na ciki bango. Bugu da kari, akwai wani rabo a cikin left- da dama-gefe protrusion.

Ya danganta da girman rarrabe kananan, matsakaici, da fadi da kuma manya-manyan hernia. A farkon yanayin, da sanyi na ciki da aka ba a karya. Matsakaici da kuma m hernia bayyane zuwa ga tsirara ido. Sun riga sun mamaye wani gagarumin rabo daga cikin agara na ciki bango. Very manyan protrusions iya ƙunsar hernial jakar kwai da dama ciki gabobin (hanjinsu, omentum). Sun zauna 2/3 na cikin agara na ciki bango.

Mene ne daban-daban postoperative hernia da fari layi na ciki?

Postoperative hernia sau da yawa daukan wani tsakiya matsayi a kan agara na ciki bango. A wannan yanayin, shi ne a cikin yankin na fari layi na ciki. Wannan tsari herniation auku bayan m tiyata. A wasu lokuta, ta hanyar wani midline incision aka yi don gane asali m pathologies cewa ba za a iya gano ta ne ta wasu hanyoyin.

Tsakãtsaki ce postoperative ciki hernia auku saboda da wani rauni daga cikin agara na ciki bango. Wannan yanki ne located dama tsokoki. A dauke da fitar m shisshigi a kan farin layi na fata incision an sanya da kitsen. Mike ciki tsokoki turawa a daban-daban kwatance. Saboda haka, rauni bayan laparotomy daukan quite lokaci mai tsawo. Wajibi ne a kai ba ne kawai da samuwar da tabo kafa, amma kuma rage (ƙulli) na rectus tsokoki.

Sanadin hernia a ciki bayan tiyata

Yadda aka saba, bayan da m hanyoyin dole ne su samar da wata hernial protrusion. Su bayyanar nuna ba-sharadi na kayan aiki aiki, da ba daidai ba hanyar rayuwa bayan sa baki (nauyi dagawa, wuce kima motsa jiki). Bugu da kari, ventral hernia iya faruwa da kansa. Yadda aka saba, shi ne ciyar da wani iri-iri cututtuka a wadda raunuka warkar da sannu sannu fiye da a da lafiya mutane. Postoperative hernia a ciki na iya faruwa ga wadannan dalilai:

1. Tsawo tamponade ciki. Don ta koma a lokacin hadaddun m hanyoyin, kazalika idan akwai rikitarwa. Daga cikin ayyukan, bayan da masu tasowa ventral hernia, su ne: kau da appendix da kuma gallbladder, hepatectomy. Har ila yau, tsawon lokaci warkar da nama ya auku a sakamakon shiga tsakani a ciki (na jini, perforation, ulcers) da kuma hanjinsu (ileus), pelvic gabobin, kodan.
2. Ciwon tarihi. Marasa lafiya fama da wannan cuta sau da yawa da jijiyoyin bugun gini rikitarwa. A sakamakon haka, duk wani surface rauni warkar da yawa ya fi tsayi, kuma da wuya, a bambanci ga m mutane.
3. Take hakkin da m dabara. Hernia iya faruwa idan matalauci-ingancin aikace-aikace na da dinki, karfi thread tashin hankali, rashin shiri domin tiyata.
4. Rauni kamuwa da cuta. Yana faruwa a lokacin wani kwayan kamuwa da cuta ne saboda matalauta kiwon lafiya, rashin dace magani magunguna iri iri kabu.
5. Kiba haƙuri.
6. Ƙin ya sa wani bandeji bayan tiyata.

A ventral hernia za a iya kafa a daban-daban sau. Ga wasu shi ya bayyana a 'yan kwanaki bayan tiyata. A wasu lokuta - An tasowa domin watanni.

The asibiti hoto a postoperative hernia

Postoperative hernia a ciki sau da yawa ba a damu da marasa lafiya domin ba su shafi da janar yanayin. Duk da haka, idan ta bayyana wajibi ne don ka nemi taimakon likita. Bayan duk, ko da kuwa da jinsin da kuma wuri na hernia iya ci gaba da tsanani da rikitarwa. Mafi na kowa da kuma kawo hadari na su ne pinching da kayan ciki. Babban bayyanar cututtuka na uncomplicated hernias ne:

1. A bayyanar protrusions (hillocks), wanda lẽƙãwa a kan surface na agara na ciki bango. Yana iya samun daban-daban size da siffar (yawanci zagaye, m). Daidaito ne yawanci m hernia.
2. Kai reposition bulging. Tare da karamin adadin hernia vuya a lokacin da canza jiki matsayi ko latsa a kan shi tare da yatsa.
3. A bayyanar protrusions a wani irin ƙarfin lantarki na ciki tsokoki, da tari.
4. Soreness a gogayya game da tufafi.
5. A wasu lokuta - tashin zuciya da kuma amai.
6. Take hakkin da hanji (maƙarƙashiya ko zawo).

na asibiti hoto na "m ciki" tasowa a lokacin da ƙeta herniation. Wannan shi ne saboda matsawa na hanji madaukai da ischemia. A tsanani lokuta na take hakkin jikuna sha necrosis. Wannan yana tare da ciwo mai tsanani, zazzabi, buguwa.

Ganewar asali da na ciki hernia

Ganewar asali ventral hernias dogara ne a kan data jarrabawa da kuma haƙuri hira. Muna bukatar mu gano yadda dogon da suka wuce da shi da aka za'ayi tiyata, ko warkar da tabo dogon. Idan haƙuri tanã kai ƙãra na m ilimi, wanda rage a kai, za a iya bincikar lafiya: postoperative hernia a ciki. Photos of wadannan protrusions za a iya samu a cikin likita wallafe-wallafe. A bayyanar da wani hernia iya kama wani iri-iri siffofin maruran. Saboda haka, a lokacin da wani protrusion zama dole don magance ga likita. Kawai ya za su iya yin wani bambanci ganewar asali ne daidai.

Jiyya na post-tiyata hernias a gida

Kau da postoperative hernia a ciki ne kawai zai iya zama wani m m. Duk da haka, a wasu lokuta, shi kulawa don kauce wa tiyata. Conservative lura da wani hernia aka yi a gida. Wannan ya hada da: rage cin abinci, anti-maƙarƙashiya, iyakance jiki exertion kuma sanye da takalmin gyaran kafa musamman ko slimming tufafi.

M kau na postoperative herniation

A mafi yawan lokuta, m magani daga postoperative ciki hernia. Ana amfani da bayan gazawar da ra'ayin mazan jiya far, da manyan sikelin protrusions. The alamomi for gaggawa aiki ne strangulated hernia. A wannan yanayin, a detoxification da symptomatic far, necrectomy, robobi hernial zobe. An nuna a uncomplicated zaɓe na tiyata a lokacin da magani.

Iri hernia aiki a kan ta ciki

A zabi na tiyata dogara a kan girman da hernia. Tare da wani kananan protrusion gawarwakin da aka gudanar autoplasty. Ya unshi rufe komawa haƙuri da nasu kyallen takarda. Idan hernia ne manyan, sa'an nan da aiki aka yi a karkashin janar maganin sa barci. Domin mayar da fascia na agara na ciki bango, ta amfani musamman implants - roba raga. Sun taimaka wajen karfafa tsokoki da kuma rage alama na komawa da hernia. A halin yanzu, wannan dabara ne na kowa a duk ƙasashe.

Rigakafin postoperative ciki hernias a kan

M matakan ya kamata a dauka ba kawai likitoci, gudanar da tiyata, amma marasa lafiya. A cikin wata daya bayan tiyata ba zai iya dauke nauyi abubuwa ko motsa jiki. Haka kuma an shawarar don kauce wa ci gaban maƙarƙashiya. Don yin wannan, bi da wani abinci, idan ya cancanta - dauki laxatives. Bayan laparotomy, tabbata a sa wani bandeji. Ya taimaka wajen kawo tsokoki abdominals ga hãlinta na farko.