Umbilical chophukacho ana: opaleshoni konzanso

Zapambuyo m'mimba khoma angapo mawanga ofooka (mwachitsanzo, umbilical mphete, ndi linea alba, inguinal mphete ndipo Al.), Amene akhoza kupangidwa chophukacho. Ndi chiyani icho? Hernias - linanena bungwe ziwalo ndipo zimakhala ochokera m'madera zawo kudzera apertures anapanga mwachibadwa chifukwa cha njira pathological.

The etiology wa chophukacho umbilical

Pafupipafupi zosayembekezereka wa matenda ndi 4%. Iwo matenda, kawirikawiri pa siteji ya ana akhanda.

N'chifukwa chiyani anapanga ndi chophukacho umbilical? Waukulu chifukwa - kuphwanya umbilical bala machiritso pambuyo apanduke chingwe zinachitika. Bwinobwino lizisunga umbilical mphete kutsekedwa ndi kutsekedwa kwathunthu kwa chilonda. Komabe, zochitika structural a m'dera lino amathandiza kuti zikamera herniation.

Umbilical mphete bwino chatsekedwa yekha pansi, pamene anayesedwa, mtsempha wamagazi umbilical ndi ritsa mkodzo. deta maphunziro zofunika yekha pa siteji ya chitukuko embryonic, atabadwa, iwo m'malo mwa wandiweyani connective minofu.

Kudzera pamwamba pa mphete umbilical chimafikira umbilical Vienna, amene pambuyo pa kubadwa ndi pansi m'malo mwa minofu fibrous. Komabe, wina Vienna ambiri sangathe kupereka mapangidwe chotero lonse ndi wandiweyani connective minofu Gawo pansi pa mphete. Komanso, ngati pali hypoplasia m'mimba fascia, chimenenso chimafotokoza ayenera kulimbikitsa umbilical mphete, gawo ake chapamwamba akukhala malo mapangidwe hernias zingakhale zabwino.

Monga anapanga chophukacho?

Pathogenesis herniation aliyense zochokera zikusiyana pakati pa m'mimba mphamvu khoma ndi kuthamanga mu zonse m'mimba, ndipo chimalimbikitsa ziwalo kuchoka kupitirira. Zofooka ndi hernial mphete.

ndi chiyembekezo cha maonekedwe a chophukacho umbilical ana chiyani?

1. Prematurity.
2. Kuwala kulemera.
3. Minofu kuchepa mphamvu.
4. Kudzimbidwa.
5. Chifuwa.
6. M'chikaiko chowakaikitsa, kawirikawiri kulira.

Chipatala chithunzi ndi diagnostics

Umbilical chophukacho - anamaliza maphunziro m'dera la m'michombo lapansi. Makulidwe akhoza zimasiyana kwambiri. Kawirikawiri udindo atagona mwanayo bata osati kulira, chophukacho kudzikonda kusiyiratu. Choncho n'zotheka palpate ndi omasulidwa umbilical mphete.

Pamene mwana wakhala kapena ataima pamene iye akulira, potero n'zothandiza kuwonjezeka kuthamanga mu zonse m'mimba, ndi chophukacho zionekera kachiwiri.

kusapeza aliyense kudwala zimenezi zimachititsa. Waukulu vuto - odzola chilema. Sikuti Komabe, tisaiwale chiopsezo natikhutitsanso siudzalandilidwa ngathi lamulo. Ngakhale ngati tikukamba za omphalocele pakati pawo Vuto uyu ali osowa.

Kodi kuchita ngati chophukacho mwana?

Kodi ndi chophukacho umbilical ana? Opaleshoni kapena njira ndiwofatsa - umene uli bwino? Yesetsani kumvetsa.

Pomwepo tisaiwale kuti pafupifupi 60% ya vutoli anathana payekhapayekha mu njira ya kukula ndi chitukuko cha mwana. Mwatsoka, ili ndi sizichitika nthawi zonse.

Izi ndi vuto sizachilendo - ndi chophukacho umbilical ana, mankhwala popanda opaleshoni n'zotheka ndi Komanso ndi kukhazikitsa moyenera ayamikira mogwira mtima. Kumene, pa msinkhu winawake.

Kodi kuchitiridwa umbilical chophukacho ana? Opaleshoni - si njira yokhayo. Muyenera kuyamba ndi chosiyana:

1. Daily kutikita ndi olimbitsa. Onetsetsani kuika mwanayo pamimba pake. Ndi bwino kuchita izo pamaso kudyetsa. Zimenezi losavuta adzalola kuchoka ku intestine ndi likhazikika pa mpweya ndi bwino chimbudzi, choncho, mwanayo ali ndi mwayi wochepa nkhawa chifukwa cha colic matumbo. Kuwonjezera apo, udindo sachedwa analimbikitsa kuwonjezeka minofu kamvekedwe wa zapambuyo khoma m'mimba, omwe ndi yabwino zochizira hernias umbilical. No sakhala ogwira ntchito - zozungulira stroking padziko Mchombo mu mobwerera malangizo.
2. Kukonza chophukacho sac mu boma kuchepetsa. Si kale tikulimbikitsidwa kuti asindikize pulasitala mimba batani kwa masiku angapo, zolembedwa za chophukacho akhala mu zonse m'mimba, osati oumbidwa kunja. Komabe, gulu-chithandizo amamuchititsa limakhumudwitsa khungu ndi ntchito yaitali ndi zambiri chifukwa kusapeza, kutanthauza kuti adzakhala mwana zonse nkhawa. Zambiri kothandiza ndiponso wabwino kwa mwana ntchito bandeji wapadera, ndilo waistband zotanuka ndi thickening kutsogolo kwa m'michombo lapansi. Iye ali m'malo yopapatiza, kotero sikusokoneza zochita za mwanayo kwa muziyendayenda ndi kufufuza dziko, fastens ndi Velcro, mosavuta anachotsa ndi olema, akhoza achotsa ngati n'koyenera. matayala Modern zopangwidwa kuchokera ku zipangizo hypoallergenic, kotero iwo alibe limakhumudwitsa khungu, mosiyana pulasitala zomatira.
3. Occupation kusambira kumathandizanso kulimbikitsa minofu ya khoma m'mimba.

Pa zaka zimene opareshoni?

Pamene anapezeka ndi chophukacho umbilical ana, mankhwala (opaleshoni makamaka) ayenera kuchitika m'njira yake ndi pa zina zaka chikhatho chimodzi. Mpaka zaka 5 Mwachitsanzo, ntchito kokha njira ndiwofatsa, ngati tatchulazi. Opaleshoni kuti achotse ndi chophukacho umbilical ana amachitidwa pa zaka 5. Izi kulankhula kwa wopita chithandizo opaleshoni. Tisaiwale kuti chophukacho, ngakhale umbilical akhoza chazilala, kupanga kufunika opareshoni mwamsanga (kumene, pamene izo zifika adzapulumuke, malire m'badwo osati kuwerenga).

zaka 7 - avereji pamene ambiri kuchita opaleshoni umbilical chophukacho ana. Mungathe, ndithudi, ndipo kenako. Koma ndi bwino kukonza vuto pamaso onse anayamba ndi zaka kuoneka zokhumba zatsopano komanso zosangalatsa zina, kusiya kaye kuti kwa masiku angapo anakhala ku chipatala n'kovuta kwambiri. Ndipo nthawi zonse ntchito ndi kulephereka kwa nthawi yosatha, pamene chophukacho mungakhoze kungapondereze ndi kusanduka kuchokera yaing'ono zodzikongoletsera chilema mu moyo pachiswe.

Kodi ndi mitundu iti ya opaleshoni zilipo?

Kuonetsetsa 2 magulu ntchito ntchito pa matenda a hernias umbilical:

1. Mavuto ndondomeko pamene anatseka hernial zimakhala m'deralo (opaleshoni Mayo Sapezhko, LEXER).
2. Ntchito amadzala yokumba (gululi) kutseka zopindika khoma m'mimba. Opaleshoni akusonyeza zochizira hernias wa chachikulu mukadzakula, choncho m'nkhani ino, njira imeneyi kudzakuthandizani kukhala.

Umbilical chophukacho ana: pa Mayo opareshoni

ang'ambe thupilo The imagwiridwa mu yopingasa malangizo m'malire m'michombo. Cross-kudula ndi rectus abdominis aponeurosis. Hernial sac lidzatsegulidwa ndipo nkhani zake ndi kumizidwa mu zonse m'mimba, parietal peritoneum mapepala kupanga thumba khoma, stapled.

Kulimbikitsa luso ndi muyambirenso kupewa analenga duplikatury (wachiphamaso wosanjikiza) aponeurosis, T. E. Zake stapled mapepala kotero kuti pansi anatembenuka pamwamba. Kenako, chilonda ndi sutured mu zigawo. Duplikatury Choncho anapanga motsogozedwa yopingasa.

Opaleshoni imeneyi kawirikawiri amagwiritsidwa ntchito pambuyo unyamata ndi pamaso pa chophukacho waukulu.

Ntchito Sapezhko

Zida za ntchito zimenezi zikufanana ndi njira Mayo. kusiyana ndi kuti odulidwa ndi kupanga duplikatury ikuchitika malangizo kotenga. Popeza mfundo zodzikongoletsera maganizo kungakhale azisangalala amasangalala, koma mphamvu, njira imeneyi ndi otsika ntchito Mayo. Duplikatury motsogozedwa yopingasa kuli pansi pa chikoka cha kwapakati pa-m'mimba kuthamanga, kutanthauza kuti chiopsezo zisadzachitikenso pambuyo machitidwe a Mayo pansipa.

Kodi ndi chophukacho umbilical ana? Machitidwe a Mayo ndi Sapezhko - njira yochezera akuluakulu. Kuthetsa ndi chophukacho ana, njira yofala Lexer.

Umbilical chophukacho ana zaka 7 zakubadwa. Ntchito Lexer

Pansi herniation anachita kachigawo woboola pakati ang'ambe thupilo. Kuchepetsa ndi chophukacho, mphete umbilical ndi superimposed pa chikwama chingwe suture ali omangika ndipo potero kuthetsa mphete hernial. chilonda ndi sutured mu zigawo.

Ndi kwenikweni ankachitira ndi umbilical chophukacho ana. Ntchito ya mavoti zabwino zomwe zokwanira (a ang'ambe thupilo yaing'ono, kudya kuchira) - LeXeR njira tafotokozazi. Panopa Komabe, chitukuko kuwonjezeka amalandira opaleshoni asang'ambe.

Laparoscopic kuchotsa hernias

Izi ndi njira zatsopano chifukwa choti chophukacho umbilical, komanso kukhazikitsidwa kwa m'mimba mauna, ngati n'koyenera. Pankhaniyi, sikutanthauza amacheka iliyonse yaikulu, mwai onse ikuchitika mwa puncture a linga m'mimba ntchito zipangizo zapadera.

Njira imeneyi ali ndi dzuwa mkulu, zabwino chifukwa zodzikongoletsera, ayambe mofulumira wodwala pambuyo opaleshoni.

Gawo konzanso

Child pambuyo opaleshoni kuti achotse ndi chophukacho umbilical ayenera mosamalitsa kusunga malangizo onse a dokotala kupezeka kupewa mavuto kapena zisadzachitikenso matenda.

1. Kudya pang'ono, makamaka mu sabata loyamba. Kumatha mwakhama ndi katundu chakudya. Zokonda zapatsidwa kwa broths, timadziti ndi jellies. Kusiyanitsa zakudya akhoza kukhala mu sabata chachiwiri, koma zimenezi ziyenera kuchitidwa pang'onopang'ono.
2. Chiletso thupi. Amatenga nawo mbali pa thupi sitingakayikire kale kuposa mwezi umodzi pambuyo opaleshoni.
3. Kuvala kulimba postoperative Ngati mwana akudwala kwambiri.
4. Kutikita - onse makanda (tafotokozazi).

kuti adzimvera

Tisaiwale kuti yekha chithandizo yake ndi yabwino kwambiri. Mu miyezi isanu ndi imodzi ya moyo kuthana ndi chophukacho umbilical si chitsanzo mosavuta kuposa mu m'badwo pamene mwana wayamba kukwawa mwachangu, iye safuna kugona mimba yake ndi wotsutsana kutikita.

Patapita zaka 5 chithandizo ndiwofatsa kukhala operewera. Pamene inu kupulumutsa ndi chophukacho umbilical pa m'badwo uno ayenera kuganizira ntchito.