Ithemba Postoperative kwi esiswini sakhe; imiphumela kunye nonyango

Iingxaki emva iinkqubo ezivulekileyo zotyando kuyagcinwa kungeyonto ayenza rhoqo. Noko ke, maxa wambi kokuba zenzeke. Amaxesha amaninzi oku kubangelwa kukhathalelo ngokungafanelekanga yomguli, bandisa umsebenzi emzimbeni, ukusilela iingcebiso kagqirha. Enye iingxaki ephuhlisa kwisiqalo yotyando yi Ithemba postoperative kwi esiswini sakhe. It senziwa kwindawo apho laparotomy lwenziwa. Kwiimeko ezininzi, ezi Ithemba emva kokuba umsebenzi kubonakala phezu alba linea. Noko ke, oko kunokuthi kwenzeke kuyo nayiphi na indawo. kwendawo kamabonwakude ke amanxeba emva cholecystectomy, ukususwa cysts zesibindi, utyando kwi amalungu zangasese.

Ithemba Postoperative zodonga akudala esiswini ye esiswini - yintoni na?

Phantse wonke umntu uyazi ukuba Ithemba yeyona Buze phezu komzimba. It inamacandelo eziliqela. Ezi ziquka: isango, sac hernial kunye neziqulatho zayo. Loo Buze unokuba kwendawo eyahlukileyo. Eyona inguinal eqhelekileyo, Ithemba yosana kunye femoral. nabo babe kwalapho. Le sac uvuleke Ithemba ukuba yenzelwe ukuba naliphi na ibhunga zangaphakathi. Kwiimeko ezininzi oku kwamathumbu iziporo (ukuba Buze ise esisu). Kwezinye iintlobo imixholo Ithemba inokuba umnqonqo, esini eyindoda, isibindi, njalo-njalo. D.

Yintoni Buze umahluko emva utyando? Umahluko iphambili ngenxa ukwenzeka, oko kusoloko uqhaqho. Ithemba Postoperative esiswini bungabonakala indawo kunye nexesha nasisihlo. Imixholo bag isenokuba enye nezinye iintlobo esi sifo. Hernial ukhonza nesabelo apho liqatywe kwenziwa zokusebenza. Kwiimeko ezininzi, oko ke linea alba kukuqulungana emva append-, cholecystectomy. Ngokwayo iqulethe sac inyama hernial eludongeni akudala esiswini - eluswini, izihlunu kunye ifascia. kaninzi ngaphezu akukho diverticulum livela ixesha elithile emva kotyando.

Imihlobo hernias postoperative

Ngokuxhomekeka kubukhulu herniation zalapha yayo phezu kodonga akudala esiswini iindidi ezininzi kwesi sifo. Kunjalo, bonke babe yezizathu zophuhliso efanayo. Enoba uhlobo, uPienaar ukuphuhlisa kwithuba postoperative. Ithemba besisu kwiimeko ezininzi, yasuswa intsumpa. It is a bemfuno ventral diagnostic (postoperative) iziphene. Kuxhomekeka indawo ezi ntlobo zilandelayo hernias:

1. Medial.
2. Lateral.

Kwimeko yokuqala, lo Buze hernial ukwakweli osembindini ka esiswini. Kunokuba ngaphezulu, ngezantsi, okanye kwi kumphakamo ring yosana. Ithemba lateral ibekwe ecaleni kodonga esiswini. Ukongeza, kukho qheke kwi Buze left- nasekunene-macala.

Kuxhomekeke kwisayizi ukwahlula Ithemba amancinci, aphakathi, ububanzi elikhulu kunene. Kwimeko yokuqala, uqwalaselo esiswini akukho kwaphulwa. Ithemba Medium and enkulu alibonakali ngeliso lenyama. Asezikhundleni inxalenye ebalulekileyo eludongeni sobuKristu esiswini. Kakhulu lunamaqoqo ezinkulu inokuba liqulathe amalungu hernial sac eziliqela yangaphakathi (amathumbu, omentum). Asezikhundleni 2/3 eludongeni sobuKristu esiswini.

Yintoni Ithemba eyahlukileyo postoperative omhlophe umgca esiswini?

Ithemba Postoperative udla isikhundla medial phezu kodonga sobuKristu esiswini. Kulo mzekelo, oku kummandla omhlophe umgca esiswini. Le herniation lungiselelo kwenzeka emva kotyando omkhulu. Kwezinye iimeko, ngokusebenzisa liqatywe umgca kwenziwa ukuxilonga ezimbi zotyando ukuba ayikwazi ukubonwa zezinye iindlela.

NamaMedi, Ithemba postoperative esiswini kwenzeka ngenxa yobuthathaka eludongeni sobuKristu esiswini. Le ndawo ibekwe izihlunu tye. Ekwenzeni zongenelelo zotyando phezu emhlophe kumgca we-liqatywe sikhumba senziwe kunye namanqatha. kwizihlunu zesisu ngqo ukutyhala kumacala ahlukeneyo. Ngoko ke, isilonda emva kokuba laparotomy kuthatha ixesha elide. Kuyimfuneko ukuphumeza kuphela ukuyilwa kwesiva kwakhiwa, kodwa nokunciphisa (ukuvalwa) kwemisipha rectus.

Oonobangela Ithemba esiswini emva kotyando

Ngokwesiqhelo, emva kokuba iinkqubo zotyando kufuneka ibe Buze hernial. imbonakalo yazo ibonisa non-ukuthotyelwa yokusebenza izixhobo, ngendlela engalunganga yobomi emva ngoncedo (nokuphakamisa ubunzima, umthambo kakhulu). Ukongeza, Ithemba ventral kungenzeka ngokuzimeleyo. Ngokuqhelekileyo, oko ezikhuthazwa ezahlukeneyo kwezifo apho ndiyipholise ngokucothayo amanxeba kunokuba kubantu abasempilweni. Ithemba Postoperative kwi esisu zingenzeka ngenxa yezi zizathu zilandelayo:

1. tamponade esisu ixesha elide. Ukuze wakubo ngexesha iinkqubo ezintsonkothileyo zotyando, kwakunye ngokungathi kukho iingxaki. Phakathi imisebenzi, emva koko ekuphuhliseni Ithemba ventral, zezi: ukususwa isihlomelo kunye senyongo, hepatectomy. Kwakhona, ixesha elide ukuphiliswa inwebu kwenzeka ngenxa yokungenelela kwi esiswini (ukopha, perforation, izilonda) kunye namathumbu (ileus), amalungu zangasese, nezintso.
2. imbali Diabetes. Izigulane nokubandezeleka kulo isifo babe neengxaki nemithambo. Ngenxa yoko, ukuphilisa ixesha elide kakhulu yaye kunzima nayiphi nenxeba umphezulu, ngokwahlukileyo kubantu abasempilweni.
3. Ukophulwa buciko yotyando. Ithemba kunokwenzeka ukuba isicelo ihlwempu-umgangatho le suture, eyomeleleyo kwempixano intambo, ukunqongophala kwamalungiselelo uqhaqho.
4. usulelo nxeba. Oku kwenzeka xa igciwane kubangelwa nococeko amahlwempu, ukunqongophala olufanelekileyo ebulala zonyango umthungo.
5. isigulane amavila.
6. Ukwala ukuba banxibe umhlabelo, emva kotyando.

Le Ithemba ventral ukuba abunjwe ngamaxesha ahlukeneyo. Abanye kubonakala kwiintsuku nje ezimbalwa emva kotyando. Kwezinye iimeko - liphuhlisa iinyanga.

Lo mfanekiso kwezonyango Ithemba postoperative

Ithemba Postoperative esiswini ke kaninzi imkhathaza izigulane kuba kuchaphazela imeko jikelele. Nakuba kunjalo, ukuba oko kuyimfuneko kubonakala ukuba ufune uncedo lonyango. Emva koko, kungakhathaliseki ukuba iintlobo kunye nendawo Ithemba lisenokuba iingxaki ezinzulu. Eqhelekileyo kakhulu kwaye iyingozi kubo ngozipho izibilini. Iimpawu eziphambili hernias ayinzima zezi:

1. Imbonakalo lunamaqoqo (hillocks), ngaphezu eludongeni akudala esiswini ezinyukayo. Oku usenokuba ubukhulu ezahlukeneyo kunye nemilo (idla ngeenxa zonke, elimbhoxo). Ukungaguquguquki ngokuqhelekileyo Ithemba wobulali.
2. Self misa equmbile. Ekubeni Ithemba imali encinci liyalahleka xa ukutshintsha omzimba okanye nokucofa ngomnwe wakho.
3. Imbonakalo lunamaqoqo kwi ombane kwizihlunu esiswini, isikhohlela.
4. Kwindawo efakwe kuyo ukuxabana ngayo iimpahla.
5. Kwezinye iimeko - isicaphucaphu nokugabha.
6. Ukophulwa wamathumbu (ukuqhina okanye isifo sorhudo).

umfanekiso kwe "esisu etsolo" kuphuhlisa xa herniation lwentengiso. Oku kungenxa ucinezelo semigaqo kwamathumbu kunye ischemia. Kwiimeko kakhulu zokugxojwa imizimba baye necrosis. Oku ihamba iintlungu eziqatha, ifiva, ukunxila.

Uxilongo lwe Ithemba esiswini

Uxilongo lwe hernias ventral lusekelwe zeemviwo idatha ndlebe nomonde. Kufuneka ufumanise okuyiphatha Kwakude phandle utyando, nokuba baphiliswe amabala elide. Ukuba isigulane ikhalazela zemfundo kabuhlungu, leyo ukunciphisa noziqulathe, ukuba unesifo: Ithemba postoperative esiswini. inokufumaneka iifoto ezi lunamaqoqo kuncwadi zonyango. On ukubonakala Ithemba ukuze sifane ezahlukeneyo yamathumba. Ngoko ke, xa nayiphi na Buze Kuyimfuneko ukuba ilungiswe lo gqirha. Kuphela kuya kuba nako ukwenza uphethwe umahluko ichanekile.

Unyango lwe hernias post-operative ekhaya

Ukususwa Ithemba postoperative osesiswini inokuba uchwepheshe ofanelekayo kuphela. Noko ke, kwezinye iimeko, iyakwazi ukuphepha uqhaqho. unyango Conservative of a Ithemba kwenziwa ekhaya. Oku kuquka: ukutya, anti-ukuqhina, nciphisa amandla omzimba efake isibiyeli ekhethekileyo okanye elwe sangaphantsi.

nokususwa zoqhaqho herniation postoperative

Kwiimeko ezininzi, unyango zoqhaqho Ithemba postoperative esiswini. Oku kusetyenziswa emva ukusilela unyango endala, lunamaqoqo omkhulu. Le zibonisa ukuba umsebenzi esiphuthumayo strangulated Ithemba. Kulo mzekelo, utshwala egazini kunye nonyango kwangumqondiso, necrectomy, isangqa iiplastiki hernial. Oku kuboniswa kutyando gingxi abakhethwayo ngexesha unyango.

Types of operation Ithemba esiswini wakhe

Ukhetho zotyando kuxhomekeke kubungakanani Ithemba. Ekubeni imizimba Buze amancinci agcinwe autoplasty. Oku kubandakanya wokuvala isiphako yesigulana emzimbeni wakhe. Ukuba Ithemba mkhulu, ngoko ke umsebenzi lwenziwa phantsi Ukubulawa jikelele. Ukuze ukubuyisela ifascia eludongeni akudala esiswini, esebenzisa ukuxilongwa ezikhethekileyo - mesh zokwenziwa. Banceda ukomeleza izihlunu nokunciphisa amathuba ukuphinda Ithemba. Okwangoku, le nqubo eqhelekileyo kuwo onke amazwe.

Uthintelo hernias postoperative esiswini ku

amanyathelo azizithintelo kufuneka oogqirha kuphela, eqhuba utyando, kodwa izigulane ezithathiweyo. Ingekapheli inyanga enye emva kotyando akakwazi ukuphakamisa izinto ezinzima okanye ukuzilolonga. Kukwacetyiswa kwakhona ukuba siphephe kuphuhliso kwesisu. Ukwenza oku, landela ukutya, ukuba kuyimfuneko - ukuthatha laxatives. Emva laparotomy, qiniseka ukuba banxibe umhlabelo. Kuyanceda ukuba izihlunu abdominals ukuya kwimo yazo yangaphambili.