Ngoba ama-hernias ahlukile. Kwabafana, isibonelo, ama-hernias atholakala kaningi kaningi kunamantombazane, lokhu kungenxa yezici zomzimba zesakhiwo somzimba wazo. Yini enye i-hernia ehlanganisa? Njengomthetho, izakhi ezilandelayo zihlukaniswa kulo: i-portal ye-hernial, i-sac hernial kanye ne-hernial contents. Igama lezinhlobo ezithile ze-hernias ngokuvamile lihambisana nendawo yabo.
I-hernia yombilical
Ngokungafani nabantu abadala abathola ama-hernias ahlukahlukene ngokuzikhandla ngokomzimba, ezinye izingane zizalwa nalesi sifo. Futhi nakuba ama-mummies amaningi akholelwa ukuthi i-hernia emntwaneni ibonakala ngenxa yokuthi izinkabazi azizange ziboshiwe kahle esibhedlela sokubeletha, empeleni kungukubonakaliswa kokungakwazi ukuzalwa kwengane. Ngosuku lwesine lwesihlanu ngemva kokubeletha, umntwana unensika yomzimba. I-ring embilical iqukethe izingxenye ezimbili: kusukela engxenyeni engezansi lapho imithwalo ye-artificial embilical ne-pass urinary pass, futhi engenhla - lapho i-veinlical vein ikhona khona. Uma lesi sitsha singakaze siphelele, i-hernia yomzimba yenziwa.
I-hernia ye-umbilical ilula ukubona lapho ingane ikhala. Ngobuthakathaka bemisipha yomzimba noma ubude obukhulu phakathi kwemisipha yesisu emzimbeni eyenza i-ring engavamile emisipha, ngokukhala okukhulu nokukhathazeka, ingcindezi ye-intraperitoneal ikhuphuka, izingane zingase zihlakulele ne-hernia embilical. Endaweni yenkabazana kukhona ukuvuvukala, futhi ngalesi sikhala kufika isikhwama sempilo. I-hernia ye-umbilical iqhutshwa ngaphansi kwesikhumba njengebhola elithambile. Qinisekisa ukugcina ithrekhi yobuningi bayo. Lapho umntwana ehlisa phansi, igulane noma i-omentum eyangena esikhwameni sesisu ngokuvamile ibuyela endaweni.
Ekuzalweni, cishe wonke umntwana unesici esincane sokungena komlomo. I-hernia ye-umbilical ijwayele ukuvalwa okuzenzakalelayo. Esikhathini sokuthuthukiswa nokukhula kwengane, udonga lwangaphakathi lwesisu lomzimba luyaqina, futhi i-hernia embilical izodlula ngokwayo. Kulesi simo, ubukhulu benkinga ye-ring yambilical kubalulekile: uma ububanzi bayo bungaphezu kuka-1.5 cm, lo mkhakha ungavalwa ngokuzimela, kaningi kwenzeka eminyakeni emithathu yokuphila. Uma i-ring yambilical ibanzi ububanzi obukhulu, i-hernia yomdlana idinga ukuqapha ingane kusukela ohlinzayo wengane ukuze inqume amaqhinga okwelapha.
I-hernia inguinal
Ama-hernias angama-inguinal ajwayelekile futhi, njengoba umthetho, evame kakhulu kubafana. Cishe kusukela ngenyanga yesithupha yokuphila kwe-intrauterine yengane, amakholomu avela emgodini wesisu ngokusebenzisa umsele ongasetshenziswa. Khona-ke le tube kufanele ivaliwe, ngenxa yalokho, ukukhulumisana phakathi kwesigxobo esiswini kanye ne-scrotum yeka. Uma lokhu kungenzeki, njengoba ingcindezi ye-intra-esiswini ivela enkonzweni yangasese engavulwanga ye-peritoneum, okuqukethwe komgudu wesisu kungashiya. Lona yi-hernia engalindelekile. Emantombazaneni emgodini wegciwane lesiswini ungene emanqeni noma emithanjeni yesisu. I-inguinal hernia yimizimba evamile futhi iyenzeka ezinganeni ezingaphezu kuka-5%, kodwa ezinsana zangaphambi kokuzalwa zivela izikhathi ezingu-3-5 kaningi kunabantwana abahlala njalo. Ngomntwana okhulayo nokukhala okukhulu, insimu enjalo iyabonakala nakakhulu. Ama-hernias angama-inguinal wesayizi encane cishe ayibangeli ubuhlungu futhi angene kalula emgodini wesisu. Kodwa-ke, uma uqaphele ukushaywa komntwana, lokhu kuyisizathu sokuxhumana nodokotela ohlinzayo wezingane.
Nini kudokotela?
Abazali kufanele bakhumbule ukuthi ukuhlukunyezwa okukhulu kakhulu kwe-hernia inguinal ukuphulwa kwayo. Futhi uma ubona izimpawu ezilandelayo emntwaneni wakho, lokhu yisizathu esisheshayo sokubiza i-ambulensi.
i-hernial protrusion yaqina;
- ingane ihlanza ngokuphindaphinda, futhi wenqaba ukudla;
- ngokuthinta "ukuqhuma" okulukhuni ku-groin, ingane iphendula ngokukhala.
Kungani i-hernia yenzeka?
Kunezici ezibangela ukuvela kwe-hernias.
- ubuthakathaka obubuthakathaka bodonga lwangaphakathi lwesisu kubantwana;
- izinga eliphakeme lamafutha omntwana;
- ukulimala kwodonga lwangaphakathi lwesisu;
- ukudlula ngokomzimba, ngenxa yokuphakamisa okunzima;
- Izibazi zokuthutha;
- Kunzima ukuchama noma ukuhlukumeza.
Ungenzi umuthi wokwelapha!
Kungenzeka ukuthi uzwile ukuthi abaningi ugogo baphulukisa i-hernia ezinganeni ezincane. Abanye bavele bahlebezele ngabo, futhi nge-hernia embilical akenzi lutho olulimazayo. Ama-hernias anjalo aqiniswa yiwo ngokwawo. Futhi ugogo akanalutho ngalokhu. Kodwa nge-hernia inguinal isimo siyinkimbinkimbi kakhulu. Ezinye izici zibhoboza isikhumba saso ngezandla zazo esikhumbeni futhi, kanye ne-hernia, izakhiwo zensimu ye-spermatic kulaba bafana zonakalisiwe, okuholela ekusaneni.
Zonke izinto eziphathelene ne-hernias kufanele zenziwe kuphela ochwepheshe-ohlinzayo wengane. Nguye kuphela ongakwazi ukulungisa ukunyakaza kwe-hernia. Uma isilonda semvelo siphulukiswa ngokujwayelekile, udokotela uzosunduza i-hernia, afake nge-swab yekotini, enze amapulangwe amabili aqondile eduze kwenkaba futhi abambe ndawonye ne-plaster ekhethekile yokunamathisela. Ngakho shiya kuyadingeka izinsuku ezingu-3-4. Udokotela angakufundisa indlela yokwenza kahle lokhu ukuphathwa, futhi ungakwenza ngokwakho ekhaya. Lokhu ukwelashwa kuthatha izinyanga ezingu-3-4. Uma inganiki umphumela oyifunayo, kungenzeka ukuthi udokotela uzonikeza enye indlela.
Ukuqinisa imisipha yomzimba
Ukuqinisa imisipha yangaphakathi yesisu nengane, kuyadingeka ukuba wenze ukuvocavoca. Isibonelo, faka inkomba yakho yomunwe ezandleni zengane, ukuze ibambe iminwe yayo lapho ilala phansi ngemuva, bese iphakamisa kancane kancane ukuze ihlale phansi. Noma, futhi, lapho ingane ilele ngemuva, imilenze eqondile emathangeni amadolo aphakamise kahle bese ucindezela ngokumelene nesisu, ukuze uzizwe unqabile. Ngokuvamile ubeka ingane emathunjini ngaphambi kokudla, kule ndawo, i-crumb iphakamisa ikhanda, ihambisa izingalo nemilenze, ngaleyo ndlela ihlukumeze imisipha yomzimba. Futhi yenza i-masjik elula yesisu, ngokungahambisani ne-clockwise, iqukethe ukushayisana nokugxila kancane kumzansi. Izingane ezindala zingahle zinconywe nge-squat ngokusekelwa kwezandla zombili, bese kuthi omunye. Kudingekile ukugqugquzela ukukhishwa kwesisu kusukela emuva futhi ngokuphambene nalokho. Uma kungenzeka, hamba nomntwana echibini. Ukubhukuda kuthuthukisa imisipha hhayi nje ngesisu. Kodwa lokhu kungukuthi lapho isilonda esisodwa siphelile kahle. Futhi khumbula ukuthi zonke lezi zivivinyo kudingeka zenziwe, kuphela emva kokubuyisela i-hernia nokuzilungisa nge-adhesive plaster.
Futhi qiniseka ukuthi konke kuzokwenza ngaphandle kokungenelela kokuhlinzwa.