Inguinal chophukacho ana: opaleshoni, zotsatira, zimayambitsa

Mwatsoka, Pediatrics lero zambiri matenda chophukacho inguinal ana. Opaleshoni ndi zina Zimatheka njira mankhwala. Kumene, kudwala ichi ndi nkhawa yaikulu kwa makolo. N'chifukwa chake ambiri amachita chidwi ndi mafunso pa zimene ndi chophukacho ndipo kodi njira ya mapangidwe ake. Koopsa akhoza kukhala matenda ndi zimene mankhwala kupereka mankhwala amakono? Kodi chimayambitsa matenda ndi mmene limodzi ndi zizindikiro kunja? Mayankho a mafunso amenewa adzakhala chidwi ndi zothandiza owerenga ambiri.

Kodi chophukacho?

kudwala Izi ankaona kuti zofala opaleshoni Dokotala. An chophukacho inguinal ndi protrusion wa nkhani m'mimba kupyola ngalande inguinal. ziwalo, monga kuzungulira za m'mimba pang'ono chabe, mazira, wamkulu omentum, protrude mwa m'mimba minofu khoma.

Akuti kudwala amenewa amawapeza kaŵirikaŵiri mwana wamwamuna, ndipo ndinu gulu ndi ngozi ya kuchuluka obadwa nthawi yawo isanakwane. Nthawi zambiri, chophukacho n'zotheka oterewa mwachilungamo msanga - zikuwoneka ngati chotupa kakang'ono m'dera groin, m'pamenenso kutchulidwa thumba hernial amakhala woongoka. Chophukacho bwino ankachitira, makamaka ngati anapezeka pa siteji oyambirira. Komabe ayenera apitirize kupeza zimayambitsa ndi zizindikiro za matenda.

Zimayambitsa waukulu chophukacho inguinal mwana

Makolo ambiri amafunsa za chifukwa mwanayo chophukacho akuwonekera. The zifukwa Ndipotu mosiyana kwambiri. Nawu mndandanda wa zinthu chiopsezo ambiri:

• Nthawi zambiri chimakhala chifukwa hypoplasia a linga m'mimba.
• Zifukwa monga nkhawa thupi. Kumene, ngati tikulankhula mwana, maganizo si zokhudzana zolimbitsa thupi kapena zitsulo. Pamene m'mimba khoma kufooka protrusion wa zonse m'mimba kumachitika chifukwa cha kukhosomola kwambiri kapena kusanza.
• Nthawi zina chophukacho chifukwa cha zoopsa m'mimba, kuphatikizapo nyengo chitukuko yoopsa.
• kudwala Izi zikhoza kukhala chifukwa cha kulemera owonjezera ana.

The pathogenesis matendawa

Monga tanenera kale, ndi chophukacho amawapeza zambiri anyamata, chifukwa peculiarities wa chitukuko anatomical. Poyamba inali mu testes impso yoopsa. Pafupi kubadwa, iwo ukutsika mu scrotum, akumadzandikoka mbali ya peritoneum lapansi. Choncho, mtundu wa mthumba mwa scrotum, amene zochokera minofu connective. Bwinobwino mthumba atachuluka ndi nthawi ya kubadwa. Koma nthawi zina, chifukwa chirichonse izi sizikuchitika. Pamaso pa thumba la kumachititsa wa oumbidwa a ziwalo.

Komanso, m'njira inguinal amuna ndi wautali kwambiri kuposa akazi, amenenso kumaonjezera ngozi ya herniation. Pamene atsikana, iwo ndi kudwala amagwirizana, monga ulamuliro, ndi kufooka kwa minofu connective, komanso mopambanitsa thupi. Dziwani kuti chophukacho kungakhale kobadwa nako kapena kuyamba kukhala atabadwa. Protrusions angaoneke ngati wina (makamaka yabwino), ndipo kumbali zonse. Nthawi zina ana amapezeka postoperative inguinal chophukacho Ndipotu milandu muyambirenso pamene bwino imachitika ndondomeko ndi kochepa.

Kodi zizindikiro za matenda limodzi ndi?

Sazu komanso Dziwani kuti zizindikiro ndi mwachindunji amadalira mlingo wa protrusion. Nthaŵi zambiri, chophukacho ndi ang'ono, chowulungika, triangular mphako thumba zina ili kapena mbali suprapubic kapena kunja kwa fupa obisika. Convexity zambiri amakhala noticeable zambiri mu malo woongoka. Chophukacho ndipo ukuwonjezeka ndi kuwonjezeka mu kuthamanga m'mimba, amene amapezeka Mwachitsanzo, pamene kufuula kapena kulira.

nthawi zina amayambitsa kupweteka paroxysmal khalidwe. Soreness zimapangitsa mwana nkhawa, nthawi zambiri amalira, amagona bwino. Zizindikiro akhoza mulinso nseru, kusowa chilakolako kusanza.

Pankhani anyamata, ndi chophukacho inguinal ndi amasamukira motsogozedwa scrotum ndi (kutchedwa chophukacho oblique). Zikatero, pangakhale kuwonjezeka scrotal kutupa mu perineum lapansi.

Tsopano inu mukudziwa momwe kudziwa chophukacho inguinal ana. opaleshoni Sikuti milandu onse. Komabe, ngati inu mungazindikire machenjezo, ndiye mwana ayenera yomweyo zikusonyeza opaleshoni. The kale matenda ndi chithandizocho anayamba, chindichepere imabwera zosokonezeka.

Zovuta akuwuka pa maziko a chophukacho

Ndipotu, ndi inguinal chophukacho - vuto ndi aakulu mokwanira. Ngati mwana si thandizo kuchipatala oyenerera inaperekedwa m'njira chifukwa protrusion ziwalo m'mimba likupitirirabe kutchulidwa. Against maziko a kudwala akhoza kusokoneza yachibadwa magazi, imbaenda akuchedwa kapena chitukuko molakwika ziwalo. Anyamata, chifukwa angakhale chophukacho kudwala cha ziwalo zoberekera.

Komabe, vuto yoopsa kwambiri chophukacho inguinal ndi kukana ake. Zimenezi chikugwirizana ndi kukanikiza pakati pa zimakhala ndi kusokonezeka kwa otaya yachibadwa magazi chiwalo makamaka. Poyankha zimenezi ndi zinadzala ndi minofu necrosis, kutupa, poyizoni m'magazi, ndi zina zotero D..

Siudzalandilidwa ngathi lamulo ndi zizindikiro zake

Khosi chophukacho - vuto ndi ovuta, makamaka ngati ndi mwana wamng'ono. Zikatero, opaleshoni m'pofunika. Zoyambitsa khosi chophukacho achuluke kuthamanga m'mimba, mwachitsanzo, kuti ananena pamene kufuula mwamphamvu ndi kulira, zofuna kukhetsa thukuta, kutsokomola, kusanza ndi zina zotero. D.

Kudziwa pamaso pa tsankho chabe. Hernial sac umakhala otukukira kunja zovuta kukhudza. Palpation amayambitsa kupweteka. Mwana amakhala wosakhazikika, nthawi zambiri amalira, kukuwa. Nthawi zambiri khungu padziko chophukacho amakhala utoto. Pamodzi ndi izi kubwera ndi zokhudza zonse zizindikiro, makamaka malungo, kutopa, kusafuna kudya, kusanza, kugona, irritability. Ngati inu mungazindikire zizindikiro zimenezi mwana wanu, muyenera yomweyo naye kuchipatala ngati kusalandira chithandizo aluso kungachititse kuti necrosis chachikulu, ululu mantha ndi zina zotero. D.

njira zamakono za matenda

Akuganiza pamaso pa matenda akhoza kukhala pa kuyendera onse. Hernial sac zionekera mu malo olungama, komanso pa kutsokomola ndi kulira ndi T. D. Palpation dokotala akhoza kumva mapangidwe zofewa zotanuka. Mwa njira, nthawizina chophukacho kungakhale lamanja - kuika ziwalo m'kati. Mwachibadwa, ayenera kugwira ndondomeko katswiri, ndipo si onse amenable otere mpheto convexity. Ngati mkati mwa thumba lili mbali ya matumbo, mungathe kumva lenileni kugunda phokoso.

Kenako, monga ulamuliro, yotengekatengeka ultrasound m'mimba kapena ziwalo m'chiuno (atsikana). Pokhapokha kuti dokotala akhoza kuona ngati opaleshoni chofunika kuchotsa chophukacho.

Zikatero, ngati katswiri waganiza kuchita opaleshoni, ndi zambiri zachipatala Kupenda monga magazi ambiri kuyesedwa mkodzo kwa erythrocyte mlingo sedimentation ndi magazi clotting. Nthawi zina Komanso unachitikira ergography - X-ray mayeso a intestine ndi wapadera wothandizira mosiyana. Monga ulamuliro, ntchito ngati kusiyana barium slurry. Ndondomeko kudziwa pamaso pa anomalies kapena kuvutika mu lalikulu chitukuko intestine.

Kodi pali njira zothandiza ya mankhwala?

Mwakucimbidza ayenera ananena kuti mankhwala ndiwofatsa n'chotheka milandu kumene chosayenerera anali wapezeka mu magawo oyambirira. Malinga ndi kafukufuku, matenda wakhanda zina kudzudzulidwa popanda popanga munthu opaleshoni.

Nthawi zambiri, madokotala amalangiza kuvala wapadera kulimba groin. ankavala wake pambuyo chophukacho anali vpravlena. chipangizo ichi kuthandiza khoma m'mimba ndi nayo ziwalo za protrusion lapansi. Monga ulamuliro, groin bandeji ankavala masanasana. Komabe, tingathe anachoka usiku, ndipo ngati mwanayo Mwachitsanzo, akudwala chifuwa usiku.

The bandeji si njira ina opaleshoni, koma muyeso wosakhalitsa. odwala pang'ono komanso mankhwala kutikita zonse ndi olimbitsa wapadera. njira zimenezi zakonzedwa kulimbitsa mpanda m'mimba. Ngakhale ngati mankhwala amapereka zotsatira zabwino, boma la mwana ayenera kusamala kwambiri, monga Mwina mkulu wa muyambirenso pa zaka 4 a moyo.

Inguinal chophukacho ana: opaleshoni

Nthawi zina popanda mphuno matenda sitingapeze kuchita. Ndondomeko zambiri anachita zaka zapakati pa miyezi 6-12. Mfundo yaikulu ya fanolo yosavuta. Mothandizidwa ndi zipangizo wapadera dokotala alekanitsa sac hernial ndi zonse m'mimba. Pankhaniyi, muyenera kuonetsetsa kuti ziwalo anali mu malo. Opaleshoni imachitika pogonekedwa ndi mankhwala ambiri ndi kumatenga za 30 minutes. Ndicho chimene machitidwe a chophukacho inguinal. Reviews amasonyeza kuti ndondomeko amapereka zotsatira zabwino kwenikweni.

Mwachibadwa, mu nkhani iyi, ndi yovuta kupeza dokotala wabwino. Ngakhale kuti luso mu nkhani iyi ndi osavuta, dokotala uyenera kukhala maluso ena. Nthawi zina njira yokhayo imene ankachitira inguinal chophukacho - opareshoni. mtengo wa ndondomeko si kwambiri (kwa rubles 18 000 mpaka 48 000.), ndipo amathera izo mu zipatala zambiri.

Laparoscopy monga njira ina opaleshoni zokula mokwanira

Nthawi zina, monga njira ina opaleshoni miyambo dokotala akuonetsa ndondomeko amatchedwa "laparoscopic inguinal chophukacho kukonza." Njira ya mpheto izi zimasiyana kwambiri. Iyi ndi ntchito chatsekedwa, yomwe ikuchitika ntchito zipangizo zina zapadera. Chophukacho kumachitika mwa puncture atatu ting'onoting'ono pakhungu. Pambuyo minofu chimenechi zopangidwa pulasitiki ndi unsembe wa wapadera ikuthandizira mauna, amene kumathandiza muyambirenso m'tsogolo.

Laparoscopy inguinal chophukacho ali ubwino wake. Makamaka, njirayi ndi zochepa kwambiri ndipo nthawi konzanso ndi anasamutsa kwa mwana zosavuta. Komano, mtundu uwu ntchito si zotheka milandu onse. Mwachitsanzo, n'zosatheka kusankha chophukacho amgwirizano. Popeza laparoscopy amafuna zipangizo zina zapadera, mtengo wake ndi apamwamba, ndi kupeza chipatala umene opambana msonkhano uwu, ndi kovuta kwambiri.

Kodi n'zotheka chithandizo mitundu ndi chophukacho inguinal?

Monga tanena mankhwala amakono amapereka njira zingapo kuthetsa vuto limeneli inguinal chophukacho ana. Opaleshoni, pulasitiki, kuvala bandeji - zonse amathandiza kulimbana ndi matenda ndi kupewa zotsatira zoipa m'tsogolo. Komabe, makolo ena amaganizira funso la chimene zikutanthauza a mwambo umafuna mankhwala komanso ngati anali oyenera kugwiritsa ntchito iwo.

Mwakucimbidza Dziwani kuti kunyumba azitsamba ali Mulimonsemo si ntchito mu khosi chophukacho kapena mavuto ena. Komano, mu magawo oyambirira a matenda yesani ena a maphikidwe kuchokera asing'anga. Mwachitsanzo, amaona mapaketi ogwira tsiku la mwatsopano anakonza decoction wa chowawa.

Nthawi zina madokotala amalangiza kuchita compresses brine sauerkraut kapena ntchito kwa chophukacho mapepala ake. Komanso, inu mukhoza kutenga decoction wa masamba a mkandankhuku, jamu, makungwa larch, ndi kulowetsedwa wa Tsvetkov Vasilka. Apanso ndi ofunika kukumbukira kuti ndalama izi singagwire zonse kunachitika mankhwala, ndi kuwagwiritsa ntchito pofuna kuchiza mwana ndi chilolezo dokotala.