Inguinal chophukacho: zimayambitsa, zizindikiro, chithandizo

Protrusion wa intermuscular mafuta kapena pansi pa khungu la parietal peritoneum pepala pamodzi ndi chilema lamkati kudzera minofu wosanjikiza wa m'mimba khoma chophukacho amatchedwa. Herniation, monga ulamuliro, mowirikiza kukula kukula. Ambiri ndi kuopseza Vuto - khosi chophukacho kuti kumachitika chifukwa dontho kuthamanga mkati peritoneum ndi, mwadzidzidzi minofu chidule, amene anazungulira protrusion, ndi pamodzi chopondapo ndi gasi.

Pali mitundu ingapo ya hernias, amene anagawa malinga ndi malo malo awo. Hernias ndi inguinal, umbilical, ndi chophukacho mzere woyera wa pamimba, ntchafu, postoperative (ventral) ndi diaphragmatic. Inguinal chophukacho ili mwachindunji mu ngalande inguinal, femoral - pamodzi ziwiya lalikulu mkati mwa ntchafu. Umbilical chophukacho umadutsa malo kuchoka ndi mtima umbilical mphete. Diaphragmatic chophukacho umadutsa kabowo, ndipo m'mimba - kudzera zigawo m'mimba minofu.

Chinthu chachikulu chomwe chophukacho imatengedwa ndi elasticity otsika mpanda wa zonse m'mimba, zikubweretsa kuoneka chilema. Zifukwa kuti inguinal chophukacho akhoza zidzayambike, ali limati omwe amaonjezera kuthamanga mkati peritoneum, ndi katundu pa khoma m'mimba. Zikuphatikizapo kunenepa, chifuwa aakulu, kufunika kuchita khama pa defecation kapena pokodza, zitsulo, mimba, kawirikawiri kwambiri sneezing, wofooka chibadwire khoma m'mimba. Inguinal chophukacho ndi zochepa wamba mu akazi kusiyana ndi amuna, inguinal hernial protrusion kuchuluka kwa 80-90% milandu onse mapangidwe hernias.

zizindikiro zazikulu za chophukacho inguinal - ndi protrusion mu zosayembekezereka wa chophukacho, makamaka pa nthawi ya khama thupi, ndi kaimidwe woongoka, komanso umboni wosatsutsika wakuti mphete hernial pa palpation. Odwala nkhawa ululu mu chophukacho ndi pamimba kusapeza kuyenda, ndipo dyspepsia.

Matendawa inguinal chophukacho yafupika kwa kafukufuku wa wodwalayo mu malo olungama kupanga chizindikiro cha asymmetry a zigawo inguinal. Ngati pali protrusions a linga m'mimba, Mzimuyo kukula ndi mawonekedwe a chophukacho, monga komanso kugwirizana kwake.

Pakuti kupewa mavuto, kuteteza zisadzachitikenso mu nthawi postoperative, ndi kupereka m'dera psinjika gawo herniation ntchito bandeji kwa chophukacho inguinal.

Panopa, chifukwa mankhwala a inguinal chophukacho opaleshoni, chifukwa pulasitiki Bassini, pulasitiki ntchito PHS, endoscopic chophukacho kukonza, njira ya "pulagi ndi chigamba": Njira zotsatirazi ntchito.

ntchito Traditional kumafuna kupeza zonse m'mimba ndi pulasitiki ooneka enieni mauna Teflon kapena polypropylene analili zapambuyo khoma la ngalande inguinal.

Pulasitiki pa Bassini - pulasitiki mwini zimakhala. Kwenikweni ake inali malo atatu: kayendedwe ka chingwe spermatic, kulengedwa kwa ngalande inguinal, ndi kutsekedwa kwa fascia ndi minofu hernial mphete.

Pulasitiki ntchito PHS - kugwiritsa ntchito zovuta atatu azithunzi omwe tikunena prosthesis, wopangidwa mwa cholumikizira nadfastsialnogo podfastsialnogo khumudwitsidwa ndi khumudwitsidwa.

The endoscopic chophukacho kukonza ndi mapangidwe ntchito chida chapadera ndi chipangizo chamagetsi kumbuyo mpanda wa ngalande inguinal kupyolera mwayi laparoscopic.

Pamene ntchito "pulagi ndi chigamba" njira i.e. "Pulagi ndi chigamba" anapanga mwayi zonse kwa ngalande inguinal, monga ulamuliro, kutsegula chophukacho sac si anachita. Inguinal chophukacho kumizidwa mkati "pulagi" wa obturator polypropylene mauna mu mawonekedwe a shuttlecock a. akuloza ake pamwamba cha obturator chophukacho sac ndi maziko ake chili kuti zimakhala ozungulira mu mfundo zingapo. Mmene kumbuyo mpanda wa njira kulimba "chigamba" mu mawonekedwe a gululi a.

Kusankha njira zimadalira mtundu ndi kukula kwa chophukacho, komanso monga msinkhu ndi thanzi la wodwalayo.