Ithemba Inguinal kubantwana: utyando, iziphumo, okubangela

Ngelishwa, e iPediatrics namhlanje sivame ukuxilongwa inguinal abantwana Ithemba. Umsebenzi ke ngamanye amaxesha ndlela kuphela konyango. Kakade ke, lo ngezifo yinkxalabo enkulu kubazali. Yiyo loo nto abaninzi banomdla imibuzo malunga yintoni Ithemba kwaye yintoni na ezisebenza nokubunjwa kwayo. Njani yingozi inokuba isifo kwaye unyango zinika amayeza namhlanje? Zintoni izinto ezibangela izifo kunye nendlela oko kukhatshwa imiqondiso yangaphandle? Iimpendulo zale mibuzo ziya kuba 'umdla yaye iluncedo kubafundi abaninzi.

Yintoni Ithemba?

Le ngezifo ithathwa ngokuba eqhelekileyo kutyando ezingabantwana. An Ithemba inguinal i Buze le imixholo esiswini ngaphandle nge emjelweni inguinal. amalungu yangaphakathi, ezifana ndzhendzheleko ye emathunjini amancinci, zamaqanda, omentum omkhulu, ezivelileyo eludongeni kwezihlunu esiswini.

Kuthiwa loo ngezifo banesifo rhoqo ngakumbi kubelekwa into eyindoda, uze ube kwiqela kunye nengozi eyonyukileyo abantwana ngaphambi kwexesha. Kwiimeko ezininzi, loo Ithemba kunokwenzeka ukuxilonga ngobulungisa ngokukhawuleza - kukhangeleka ngathi ukufukuka encinane kwindawo nasemiphakathweni, i ucaca ngakumbi ingxowa hernial iba tye. Ithemba wamphatha kakuhle, ingakumbi xa kwafunyaniswa kwibakala lokuqala. Nangona kunjalo kufuneka bazame nangakumbi izizathu iimpawu zesi sifo.

Eyona eziphambili ezibangela Ithemba inguinal emntwaneni

Abazali abaninzi bebuza kutheni Ithemba umntwana ibonakala. Izizathu enyanisweni inokuba nomahluko kakhulu. Nalu uluhlu lwe ubungozi ziqhelekileyo:

• Kaninzi iba unobangela hypoplasia eludongeni esiswini.
• Imiba yomngcipheko iquka uxinzelelo emzimbeni. Kakade ke, xa sithetha malunga nomntwana, uxinezeleko akazalani umsebenzi ngokwasemzimbeni okanye nokuphakamisa ubunzima. Xa esiswini udonga ubuthathaka Buze le kwisisu ekunokwenzeka ngenxa ekhohlela kakhulu okanye ukugabha.
• Ngamanye amaxesha Ithemba sisiphumo trauma esiswini, kuquka ixesha Palsy.
• Le ngezifo inokuba ngenxa umzimba ebantwaneni.

Le Pathogenesis kwesifo

Njengoko sele kukhankanyiwe, Ithemba efunyaniswe ene kakhulu emakhwenkweni, ngenxa awohluke kophuhliso yokwakheka. Ekuqaleni ise amatyhalarha kwizintso Palsy. Kufuphi bezalwa, kwabahle baya samatyhalarha, nibaphanga yinxalenye peritoneum. Ngoko ke, kukho uhlobo nepokothwana isingxobo samatyhalarha, nto leyo esekelwe phezu kwizicwili. Ngokwesiqhelo pocket ayegqunyelelwe ngexesha lokuzalwa. Kodwa ngamanye amaxesha, ngenxa yaso nasiphi na isizathu oku akwenzeki. Ubukho kwipokotho kwandisa amathuba equmbile ngamalungu zangaphakathi.

Ukongeza, emjelweni inguinal kumadoda lide kakhulu ngaphezu koko ngabafazi, nayo leyo kwandisa ingozi herniation. Njengoko for girls, baye ke ngezifo esidityaniswe, njengoko umthetho, kunye lububuthathaka kwizicwili, kwakunye overexertion emzimbeni. Kubalulekile ukuphawula ukuba Ithemba inokuba enaso, okanye uqale ukuphuhlisa emva kokuzalwa. Lunamaqoqo zingavela njengenye (idla ekunene), kwaye macala omabini. Ngamanye amaxesha abantwana abafunyenwe Ithemba postoperative inguinal, kwiimeko iphinde enyanisweni xa kuqhutywa kakuhle nkqubo sakugcina.

Zeziphi iimpawu zesi sifo ihamba?

Sazu Kananjalo kubalulekile ukuba siqaphele ukuba iimpawu baxhomekeke ngqo kwi iqondo Buze. Ngokuqhelekileyo, Ithemba yeyona encinane, okweqanda, ibhegi olunxantathu ezime maxa wambi ibekwe okanye kwicala suprapubic okanye olungaphandle ithambo zikawonke wonke. Convexity udla buqapheleke kwindawo tye. Ithemba kunye nokwandiswa kunye nokwanda koxinzelelo esiswini, olwenzeka, umzekelo, ngexesha wamemeza okanye ukukhala.

ngamanye amaxesha yenza kakhulu iintlungu paroxysmal umlinganiswa. Bomzimba kwenza umntwana nexhala, udla ngokukhala, Ulala ephaphama. Iimpawu kwakhona iquka isicaphucaphu, ukungabi namdla, ukugabha.

Xa kufikwa amakhwenkwe, lo Ithemba inguinal unako ukuba kwicala samatyhalarha (ebizwa ngokuba Ithemba elibhalwe ngokumileyo). Kwiimeko ezinjalo, kubekho ukwanda scrotal ukudumba kwi perineum.

Ngoku uyazi ukuba ukujonga indlela Ithemba inguinal ebantwaneni. Olu tyando kuyimfuneko kuzo zonke iimeko. Kodwa ke, ukuba uphawula iimpawu isilumkiso, ngoko ke umntwana kufuneka ngoko nangoko ukubonisa ugqirha. I ngaphambili ukuba afunyaniswe isifo kwaye afumane unyango iqalwa, ukuba nokwenzeka ngaphantsi kwe iingxaki.

Iingxaki evela kwi yangasemva Ithemba

Enyanisweni, i-Ithemba inguinal - ingxaki inkulu ngokwaneleyo. Ukuba umntwana ukuba uncedo lwezonyango abafanelekayo ezinikiweyo ziya kwaziswa Buze amalungu esiswini uya ucaca ngakumbi. Ngokuchasene imvelaphi leengxaki kuthi kuphazamisane ukuhamba kwegazi oqhelekileyo, nto leyo ekhokelela ekulibazisekeni okanye uphuhliso ngokungafanelekanga amalungu. Xa amakhwenkwe, isiphumo abe ngezifo Ithemba kwinkqubo zokuzala.

Sekunjalo, lo bunzima eziyingozi Ithemba inguinal na ukuphika wayo. Le meko edibene ngozipho izicwili kunye nokuphazamiseka yokumpompoza kwegazi eziqhelekileyo ilungu elithile. Ngenxa yoko, le meko igcwele izihlunu necrosis, nangokurhala, Ityhefu igazi, njalo-njalo. D.

Lwentengiso kunye neempawu zayo

Ithemba Strangulated - imeko kakhulu, ingakumbi ukuba umntwana omncinci. Kwiimeko ezinjalo, uqhaqho kuyimfuneko. Ukubangela Ithemba strangulated wande uxinzelelo esiswini, umzekelo, ukuba waphawula xa wamemeza eyomeleleyo kunye belila, amandla omzimba, ukukhohlela, ukugabha kunye like. D.

Ukumisela ubukho ucalucalulo nje. sac Hernial uba khaxa ngakumbi yaye kunzima ukuya ngaphandle kwebala. Ngokucofa ebangela ubuhlungu. Lo mntwana uba Ndandingonwabanga, udla ngokukhala, ukumemeza. Ngokufuthi, inwebu le Ithemba uba bubomvu. Kunye nale beze systemic iimpawu, ingakumbi ifiva, ukudinwa, ukungabi namdla, ukugabha, ukozela, ukuba nochuku. Ukuba uphawula ezi mpawu xa umntwana wakho, kufuneka ngoko nangoko amse esibhedlele nokungabikho yokhathalelo abanezakhono kungakhokelela necrosis omkhulu, ukothuka iintlungu njalo njalo. D.

iindlela Modern loxilongo

Usola ukubakhona kwezifo kunokuba ngexesha ukuhlolwa jikelele. sac Hernial kuyabonakala kwindawo tye, kwakunye nangexesha ukukhohlela ekhala kunye t. D. Ngokucofa Ugqirha va ukuze kwakhiwe elastic ezithambileyo. Hi ndlela leyi, ngamanye amaxesha Ithemba isenokuba ilungelo - ukubeka amalungu emva ngaphakathi. Ngokuqhelekileyo, kufuneka enze yingcali inkqubo, kwaye bonke efanele loo convexity nokuqhathwa. Ukuba ngaphakathi wengxowa iqulethe yinxalenye amathumbu, uyakwazi uve isandi wokuwa eyahlukileyo.

Kamva, njengokuba umthetho, ithwalelwe ultrasound esiswini okanye amalungu zangasese (for girls). Kuphela emva koko ugqirha nga endlaka ukuba kotyando efunekayo ukususa Ithemba.

Xa kunjalo, ukuba ingcali igqibe ukuqhuba utyando, axilongwe eneenkcukacha oluquka igazi jikelele kunye novavanyo umchamo ngenqanaba neentlenge erythrocyte kunye ekunqandeni negazi. Maxa wambi isebe kubanjwa ergography - iimviwo X-ray yethumbu kunye arhente ezikhethekileyo umahluko. Njengomgaqo, esetyenziswa njenge oluludaka umehluko barium. Inkqubo ukufumanisa ubukho mgaqweni okanye ukungaqheleki kuphuhliso Amathumbu amakhulu.

Ingaba zikhona iindlela ezisebenzayo unyango?

Ngoko nangoko ke kufuneka kuthiwe nothomalaliso endala kunokwenzeka kuphela kwiimeko apho ezingaqhelekanga kubonakele ku usaqala. Ngokutsho manani, kwi isifo kuzalwa ngamanye amaxesha mayilungiswe ngaphandle utyando.

Lidla oogqirha bacebisa onxibe isibiyeli nasemiphakathweni okhethekileyo. inxitywa kwakhe emva Ithemba kwaba vpravlena. Le fowuni ixhasa udonga esiswini kwaye ubambe amalungu angaphakathi Buze. Njengomgaqo, kumphakatho umhlabelo ezinxitywa ngexesha lasemini. Noko ke, oko kusala nobusuku, ukuba umntwana lowo, umzekelo, ubunzima ukhohlokhohlo zasebusuku.

Walisusa ayikho enye indlela utyando, kodwa ngumlinganiselo wexeshana kuphela. izigulane Little kwakhona amisele yokuthanjiswa rhoqo nakwimithambo ezizodwa. Le nkqubo yenzelwe ukomeleza udonga esiswini. Nokuba unyango unika iziphumo ezidibanisayo, imeko umntwana kufuneka ukuba ibekwe esweni ngokusondeleyo, njengoko amathuba eliphezulu kokuwela ngexesha kwiminyaka yokuqala 4 yobomi.

Ithemba Inguinal kubantwana: utyando

Ngamanye amaxesha ngaphandle ungenelelo zoqhaqho kuzo izifo ezifana nje ayikwazi ukukwenza. Le nkqubo yenziwa phakathi kweminyaka iinyanga 6-12. Umongo walo pretty elula. Ngoncedo izixhobo ezikhethekileyo gqirha esahlula sac hernial kunye kwisisu. Kulo mzekelo, kufuneka ukuba kuqinisekiswe ukuba amalungu zangaphakathi kuloo ndawo. Surgery olwenziwe phantsi zomzimba jikelele kwaye ithatha malunga nemizuzu engama-30. Nantso into kukusebenza kukho Ithemba inguinal. Ukuphonononga zibonisa ukuba inkqubo inika iziphumo ezilungileyo ngokwenene.

Ngokwendalo, kulo mzekelo, kubaluleke kakhulu ukufumana yingcibi elungileyo. Ngaphandle kokuba ubuchwepheshe kule meko lilula, ugqirha kufuneka babe izakhono ezithile. Maxa wambi kuphela indlela ngayo Ithemba inguinal - umsebenzi. ixabiso le nkqubo ayikho phezulu (ukusuka engange-18 000 ukuya kuma-48 000.), kwaye sisisebenzise kwizibhedlele ezininzi.

Laparoscopy njengendlela eyenye utyando evuthuza-ngokupheleleyo

Maxa wambi, njengoko njengenye indlela utyando yemveli ugqirha lithethelela ukuba inkqubo ebizwa ngokuba 'wokulungisa laparoscopy Ithemba inguinal. " Technique yale entamo eyahlukileyo kakhulu. Lo ngumsebenzi closed, oluqhutywa ngokusebenzisa izixhobo ezizodwa. Ithemba kwenzeka ngokusebenzisa okuhlatywa ezincinane ezintathu esikhumbeni. Emva kwale inyama kwakhona eyenziwe ngeplastiki kunye lofakelo enemingxuma ekhethekileyo ukomeleza leyo inceda ukuthintela iphinde kwixesha elizayo.

Ithemba Laparoscopy inguinal zinezibonelelo yayo. Ingakumbi, le nkqubo ingaphantsi buhlungu, kwaye ixesha kwimo idluliselwa kusana lula kakhulu. Kwelinye icala, olu hlobo msebenzi akwenzeki kuzo zonke iimeko. Umzekelo, akunakwenzeka ukuba amisele Ithemba mazwe. Ekubeni laparoscopy ifuna izixhobo ezikhethekileyo, ixabiso layo iphezulu, wayifumana kliniki inikela le nkonzo, kuba nzima kakhulu.

Ngaba kunyango lesizwe i Ithemba inguinal kunokwenzeka?

Njengoko kukhankanyiwe ngasentla, amayeza mihla inikeza iindlela ezininzi ukusombulula le ngxaki njengokuba Ithemba inguinal ebantwaneni. Surgery, iplastiki, enxibe umhlabelo - zonke kuyanceda ukumelana nesi sifo kwaye uphephe nesohlwayo kwixesha elizayo. Noko ke, abanye abazali anomdla umbuzo oko kuthetha-NMMU amayeza emveli kunye nokuba kubalulekile ukuzisebenzisa.

Ngoko nangoko ke kubalulekile ukuqaphela ukuba mayeza ekhaya nawaphi na kwenzeka ingasetyenziswa Ithemba strangulated okanye ezinye iingxaki. Kwelinye icala, xa nisaqala zesi sifo ungazama ezinye zokupheka amaxhwele. Umzekelo, loo nto ithathwa imiqulu esebenzayo mihla le decoction esandul ilungisiwe ngumhlonyane.

Ngamanye amaxesha oogqirha bacebisa ukwenza Oluma anetyuwa sauerkraut okanye ukuya Ithemba sheets ayo. Ukongeza, uyakwazi decoction lwe amagqabi equnubeni, gooseberry, amaxolo larch, i ukumnika Tsvetkov Vasilka. Kwakhona kubalulekile ukukhumbula ukuba ezi mali ibuyiswe kwanonyango yinxalenye, kwaye sebenzisa ukuba ukunyanga nomntwana kuphela ngemvume kagqirha.