Postoperative chophukacho pa mimba yake: zotsatira ndi mankhwala

Zovuta pambuyo njira yotseguka opaleshoni ali anaona infrequently. Komabe, nthawi zina zimachitika. Nthawi zambiri izi ndi chifukwa chisamaliro zosayenera wodwala, kuchuluka zolimbitsa thupi, kulephera kwa malangizo dokotala. Chimodzi mwa mavuto amene kukhala pa maziko a opaleshoni ndi postoperative chophukacho pa mimba yake. Iwo aumbike mwa malo laparotomy ndi chitachitidwa. Nthawi zambiri, chophukacho pambuyo opaleshoni limapezeka pa linea alba. Komabe, angayambe m'dera lililonse. localizations ambiri zipsera pambuyo cholecystectomy, kuchotsa cysts chiwindi, opaleshoni ziwalo m'chiuno.

Postoperative chophukacho wa zapambuyo khoma m'mimba ya pamimba - ndichiyani?

Pafupifupi aliyense akudziwa kuti chophukacho ndi protrusion padziko thupi. Iwo ali zigawo zingapo. Zikuphatikizapo: chipata, sac hernial ndi nkhani yake. Chotero protrusion amatha kukhala ndi localizations osiyana. The inguinal ambiri, umbilical ndi femoral chophukacho. iwonso akakhale mwa msana. M'mimbamo chophukacho sac akhoza isanafalikire ziwalo aliyense mkati. Nthawi zambiri matumbo izi zingwe zopota (ngati protrusion ndi ili mu pamimba). Mu zina zili chophukacho kungakhale msana, mwamuna maliseche, chiwindi, ndi zina zotero D..

ndi kusiyana protrusion anapanga pambuyo popanga munthu opaleshoni chiyani? Chachikulu kusiyana ndi chifukwa zosayembekezereka, ndi nthawizonse opaleshoni. Postoperative chophukacho m'mimba tingaone ndi malo ndi nthawi ya zosayembekezereka. Nkhani za thumba mwina mofanana zina matendawa. Hernial akutumikira gawo limene ang'ambe thupilo linapangidwa ntchito. Nthawi zambiri, ndi linea alba chilonda pambuyo append-, cholecystectomy. Lokha lili hernial sac minofu ya zapambuyo khoma m'mimba - khungu, minofu fascia. nthawi zambiri ndi diverticulum limapezeka pafupifupi nthawi pambuyo opaleshoni.

Zosiyanasiyana hernias postoperative

Malinga ndi kukula kwa herniation ndi kutanthauzira ake zapambuyo khoma m'mimba muli mitundu yambiri ya matenda. Komabe, iwo ali ndi zifukwa chitukuko chomwecho. Kaya mtundu, lofufuma kwambiri mbali imodzi osauka, pa nthawi postoperative. M'mimba chophukacho nthawi zambiri, kuchotsedwa opaleshoni. Ndi matenda muyezo ventral (postoperative) zopindika. Malinga ndi malo a mitundu zotsatirazi hernias:

1. Medial.
2. Ofananira.

Mbali yoyamba, ndi protrusion hernial ili pa midline wa pamimba. Zimakhala pamwamba, pansipa ndi pa mlingo wa mphete umbilical. Ofananira chophukacho ili pa mbali ya khoma m'mimba. Komanso, pali kusiyana pa left- ndi ufulu amaganiza protrusion.

Malinga ndi kukula kusiyanitsa yaing'ono, sing'anga lonse ndi lalikulu kwambiri chophukacho. Mbali yoyamba, kasinthidwe m'mimba si wosweka. Sing'anga ndi yaikulu chophukacho kuoneka apoyera. Iwo amakhala mbali yaikulu ya zapambuyo khoma m'mimba. Kwambiri protrusions lalikulu anyamula hernial sac ziwalo zambiri mkati (matumbo, omentum). Iwo amakhala 2/3 la zapambuyo khoma m'mimba.

Kodi osiyana postoperative chophukacho mzere woyera wa pamimba?

Postoperative chophukacho pamafunika udindo medial pa zapambuyo khoma m'mimba. Pankhaniyi, ndi m'dera la mzere woyera wa pamimba. Izi herniation dongosolo zikadzatha opaleshoni yaikulu. Nthawi zina, kupyolera midline ang'ambe thupilo zachitika matenda pathologies opaleshoni kuti sangathe kuonedwa ndi njira zina.

Apakatikati postoperative m'mimba chophukacho kumachitika chifukwa kufooka kwa zapambuyo khoma m'mimba. m'dera ili minofu bwino. Pogwira zikunena opaleshoni pa mzere woyera wa ang'ambe thupilo khungu wopangidwa ndi mafuta. Molunjika minofu m'mimba akukankha mu madera osiyana. Choncho, bala pambuyo laparotomy chimaonetsa nthawi yaitali. M'pofunika kukwaniritsa osati mapangidwe wa pachilondacho wayamba kuoneka anapanga, komanso kuchepetsa (kutsekedwa) minofu rectus.

Zimayambitsa chophukacho pamimba pambuyo opaleshoni

Mwachibadwa, pambuyo popanga munthu opaleshoni sayenera kupanga protrusion hernial. maonekedwe awo limasonyeza sanali kugwilizana zida opaleshoni, njira yolakwika ya moyo pambuyo alowererepo (zitsulo thupi kwambiri). Komanso, ventral chophukacho kumachitika paokha. Mwachibadwa, izo zimathandiza mwa zosiyanasiyana matenda amene mabala kuchiritsa pang'onopang'ono kusiyana ndi anthu athanzi. Postoperative chophukacho m'mimba zikhonza kukhalapo pa zifukwa zotsatirazi:

1. Yaitali tamponade pamimba. Kwa iye anadza pa njira zovuta opaleshoni, komanso ngati panali mavuto. Mwa ntchito, ndipo kenako osauka ventral chophukacho, ali: kuchotsa zakumapeto ndi ndulu, hepatectomy. Komanso, nthawi yaitali machiritso minofu kumachitika chifukwa cha kanthu m'mimba (magazi, perforation, zilonda) ndipo matumbo (ileus), ziwalo m'chiuno, impso.
2. mbiri shuga. Odwala matenda kawirikawiri ndi mavuto mtima. Chifukwa cha zimenezi, aliyense bala padziko kuchiritsa yaitali ndipo kwambiri, mosiyana ndi anthu athanzi.
3. Kulakwila njira ya opaleshoni. Chophukacho angagwe ngati osauka kwambiri ntchito suture, ndi amphamvu ulusi nkhawa, kusowa pokonzekera opaleshoni.
4. Chilonda matenda. Kumachitika pamene tizilombo toyambitsa chifukwa ukhondo osauka, kusowa moyenera mankhwala antiseptics msoko.
5. Onenepa mtima.
6. Kukana kuvala bandeji pambuyo opaleshoni.

The chophukacho ventral ungadzakhazikitsidwe pa nthawi zosiyanasiyana. Kwa ena zikuoneka masiku angapo pambuyo opaleshoni. Nthawi zina - kusiyana kwa miyezi ingapo.

The matenda chithunzi mu chophukacho postoperative

Postoperative chophukacho m'mimba kawirikawiri sakhala Musiyeni odwala chifukwa iwo alibe bwanji chikhalidwe ambiri. Komabe, ngati zikuoneka zofunika kuchipatala. Ndipotu, kaya mitundu ndi malo chophukacho ya khateyo mavuto aakulu. Ambiri ndi owopsa kwa iwo kukanikiza pakati pa ziwalo. Zizindikiro zazikulu za hernias wopepuka ndi:

1. Maonekedwe a protrusions (hillocks), lomwe likutuluka pamwamba pa zapambuyo khoma m'mimba. Mwina ndi kukula osiyana ndi mawonekedwe (zambiri kuzungulira, chowulungika). Malamulowo zambiri wofatsa chophukacho.
2. Self muyike pena oumbidwa. Ndi ping'ono chophukacho Mwamsanga pamene kusintha malo thupi kapena kukanikiza pa izo ndi chala chanu.
3. Maonekedwe a protrusions pa voteji minofu m'mimba, kutsokomola.
4. Soreness pa mikangano za zovala.
5. Nthawi zina - kunyansidwa ndi kusanza.
6. Kuphwanya matumbo (kudzimbidwa kapena m'mimba).

chithunzi matenda a "pamimba pachimake" akufotokozera pamene siudzalandilidwa ngathi lamulo herniation. Ichi ndi chifukwa psinjika wa matumbo zingwe zopota ndi ischemia. Zikavuta cha kuphwanya matupi kukumana necrosis. Izi limodzi ndi ululu, malungo, kuledzera.

Matenda a chophukacho m'mimba

Matenda a hernias ventral zachokera deta kuona ndi kuyankhulana mtima. Tiyenera kupeza yaitali bwanji zapitazo izo zinachitikadi opaleshoni, kaya anachiritsidwa chilonda yaitali. Ngati wodwala anadandaula za maphunziro opweteka, amene kuchepetsa ndi kudzikonda, akhoza matenda: postoperative chophukacho m'mimba. Photos of protrusions amenewa amapezeka mu mabuku zachipatala. Maonekedwe a chophukacho akhoza amafanana zosiyanasiyana zotupa. Choncho, pamene protrusion aliyense ndikofunikira kuti akonze kwa dokotala wa. iye yekha adzatha kupanga matenda masiyanidwe ndi zolondola.

Chithandizo cha positi-ntchito hernias kunyumba

Kuchotsa chophukacho postoperative pa mimba zitha kukhala katswiri oyenerera. Komabe, zina, amalowerera kupewa opaleshoni. chithandizo ndiwofatsa wa chophukacho ndi imagwiridwa kunyumba. Izi zikuphatikizapo: chakudya, odana ndi kudzimbidwa, chepetsani yaikulu thupi ndi kuvala kulimba wapadera kapena slimming kabudula.

Opaleshoni kuchotsa herniation postoperative

Nthawi zambiri, chithandizo opaleshoni ya postoperative chophukacho m'mimba. Izo ntchito pambuyo kulephera kwa mankhwala ndiwofatsa, lalikulu protrusions lonse. The zikuonetsa ntchito mwadzidzidzi ndi khosi chophukacho. Pankhaniyi, ndi detoxification ndi symptomatic mankhwala necrectomy, mapulasitiki hernial mphete. Imasonyezedwa mu wopepuka opaleshoni voti pa chithandizo.

Mitundu ya ntchito chophukacho pa mimba yake

Kusankha opaleshoni zimadalira kukula kwa chophukacho lapansi. Ndi matupi ang'onoang'ono protrusion unachitikira autoplasty. Kumafuna kutseka chilema wodwalayo zimakhala mwini. Ngati chophukacho waukulu, ndiye opaleshoni imagwiridwa pogonekedwa ndi mankhwala ambiri. Pofuna kubwezeretsa fascia wa zapambuyo khoma m'mimba, ntchito amadzala wapadera - mauna kupanga. Amathandiza kulimbikitsa minofu ndi kuchepetsa mosavuta zisadzachitikenso wa chophukacho. Panopa, njira imeneyi ndi m'mayiko onse.

Kupewa hernias postoperative m'mimba pa

zodzitetezera ayenera kumwedwa madokotala osati, kuchita opaleshoni, koma odwala. Patangopita mwezi umodzi pambuyo opaleshoni ngakhale kunyamula zinthu zolemera kapena thupi. Izo analimbikitsanso kupewa chitukuko cha kudzimbidwa. Kuti tichite zimenezi, kutsatira zakudya, ngati n'koyenera - kutenga mankhwala ofewetsa tuvi. Pambuyo laparotomy, onetsetsani kuti kuvala bandeji. Zimathandiza kubweretsa minofu abdominals boma poyamba.