Ithemba yosana kubantwana: kutyando kunye nokuvuselelwa

udonga sobuKristu esiswini lineqela amabala ibuthathaka (umz, isangqa yosana, Alba linea, amakhonkco inguinal kunye al.), yeyiphi abunjwe Ithemba. Yintoni na? Hernias - imveliso amalungu kunye nezihlunu ezivela kwiindawo zabo eziqhelekileyo ngokusebenzisa apertures abunjwe ngokwendalo okanye ngenxa yeenkqubo zophendlo lwezifo.

I-umyalezo we Ithemba yosana

Le rhoqo isenzeko esi sifo-4%. It unesifo, ngokuqhelekileyo kwinqanaba le usana.

Kutheni bakha i Ithemba yosana? Isizathu - ukungathobeli ngenxeba yosana ukuphiliswa emva ukungathobeli ye intambo yenzekile. Ngokwesiqhelo kufuneka kwenzeke Ukuvalwa ring yosana masixole ngokupheleleyo inxeba. Nakuba kunjalo, iimpawu noshowo kule ndawo igalelo herniation kokuhluma.

Enkabeni ring kakuhle ivaliwe kuphela ezantsi, apho kuvavanywa, Umthambo yosana duct womchamo. data Education zifuneka kuphela kwinqanaba lophuhliso osandul, emva kokuzalwa, kokuba indawo izihlunu ashinyeneyo nokuqina.

Ngokusebenzisa phezulu khonkcweni yosana kunabela enkabeni Vienna, leyo, emva kokuzalwa phantsi ozothatha inyama ezinezikhondo. Noko ke, elinye Vienna ngokuqhelekileyo akakwazi ukunika ukuyilwa loo nokuqina inxenye inyama ububanzi esixinene emazantsi ring. Ngaphezu koko, ukuba kukho hypoplasia ifascia esiswini, leyo ngokwesiqhelo kufanele komeleze isangqa yosana, isahlulo ayo aphezulu uba indawo ukuze kwakhiwe hernias ezinokuba evumayo.

Njengokuba kubhaliwe abunjwe Ithemba?

Pathogenesis nayiphi herniation esekelwe ukungangqinelani phakathi esiswini amandla udonga kunye noxinzelelo yandiswe kwisisu, kwaye ikhuthaza amalungu uphume ngaphandle. Ubuthathaka ezi ring hernial.

Yintoni na le ndawo yokuba yimbonakalo Ithemba yosana ebantwaneni?

1. Prematurity.
2. ubunzima Light.
3. Muscle ubuthathaka.
4. Nokuqunjelwa.
5. Khohlo.
6. Mzoli, ukukhala rhoqo.

umfanekiso Clinical uxilongo

Ithemba yosana - rounded imfundo kwingingqi inkaba. Ubukhulu ingahluka kakhulu. Ngokuqhelekileyo sikhundla elele xa umntwana uzolile kwaye bedanduluka, Ithemba self shwaka. Ngoko ke kunokwenzeka ukuba palpate ngekhonkco evuliwe yosana.

Xa usana sele ehleli umi xa athe wakhala, ngaloo Nokumphikisa ukwanda koxinzelelo em- esiswini okanye, Ithemba libonakala kwakhona.

Waziva le ngezifo ibangela. Eyona ngxaki - isici ukuba mhle. Akukho mfuneko ke, bakhohlwe umngcipheko noluhleli lukhona ulwaphulo-mthetho. Nangona, xa sithetha omphalocele, le ingxaki kunqabile phakathi kwabo.

Kufuneka wenze ntoni xa Ithemba umntwana?

Njani na i Ithemba yosana ebantwaneni? Surgery okanye iindlela angqingqwa - leyo bungcono? Zama ukuqonda.

Ngoko nangoko kufanele kuqatshelwe ukuba malunga nama-60% le ngxaki isonjululwe ngokuzimeleyo kule nkqubo yokukhula kunye nophuhliso lo mntwana. Ngelishwa, oku akusoloko kunjalo.

Le yingxaki eqhelekileyo kakhulu - an Ithemba yosana ebantwaneni, unyango ngaphandle utyando lunokwenzeka kwaye, kananjalo, kunye ukuphunyezwa kweengcebiso ngendlela eyiyo. Kakade ke, xa ubudala buthile.

ukuba baphathwe njani Ithemba yosana ebantwaneni? Operation - ayiyondlela kuphela. Kufuneka uqale nge eyahlukileyo ngokupheleleyo:

1. massage Daily nakwimithambo yomzimba. Qiniseka ukuba wosana isisu sakhe. Kungcono wenze phambi lusidla. Eli nyathelo elula kuya kuvumela ephumayo ukusuka emathunjini luhlala kuzo igesi kunye nokuphucula yesisu, kwaye ke ngoko, umntwana uya kuba ngaphantsi ukhathazeke ngenxa yokulunywa emathunjini. Ngaphezu koko, ngo kwindawo uvaleke kwavusa ukwanda kwezihlunu ithoni eludongeni akudala esiswini, oko kukholekileyo ukuba unyango hernias yosana. Akukho kangako inyathelo - stroking lusisazinge macala inkaba niye kwicala langasekunene.
2. Ukulungisa le sac Ithemba wokwehla karhulumente. Hayi kudala kucetyiswa ukuba kutywinwe udaka belly iqhosha iintsuku ezimbalwa, ukuba imixholo Ithemba uhlala kwi I-kwisisu, hayi ewayo. Noko ke, band-aid ithande ukuba ukubacaphukisa ulusu kunye nokusetyenziswa ixesha elide kwaye ibangele ngokubanzi ukungakhululeki, nto leyo ethetha ukuba umntwana uza kuba njalo ukukhathazeka. Kakhulu kakuhle kakhulu kwaye ukhululeke ngakumbi ukuba umntwana ukusebenzisa umhlabelo okhethekileyo, nto leyo ke wamanqe elastic kunye ukuqina phambi inkaba. Yena kunokuba elimxinwa, ngoko ke akuyi kuphazamisana umsebenzi umntwana ukuhambahamba nokuphonononga ihlabathi, wasiqinisa kunye Velcro, kube lula isemzimbeni, oko acinywe xa kuyimfuneko. amasondo Modern zenziwe ngezinto hypoallergenic, ngoko ke musani ukubacaphukisa eluswini, ngokuchaseneyo ngcina udaka.
3. Umsebenzi ukuqubha kunceda ukomeleza izihlunu zodonga esiswini.

Sesikolweni xa engakanani ngobudala na umsebenzi?

Xa kwafunyaniswa ukuba kukho Ithemba yosana ebantwaneni, unyango (utyando ingakumbi) kufuneka lwenziwe ngendlela efanelekileyo kwakunye kweminwe yobudala ethile. Ukuya kutsho kwiminyaka 5, umzekelo, isicelo kuphela iindlela 'endala, njengoko kukhankanyiwe ngentla. Surgery ukususa i Ithemba yosana ebantwaneni yenzelwa phezu kweminyaka engama-5. Oku ethetha unyango ocwangcisiweyo yotyando. Asimele silibale ukuba nayiphi Ithemba, nkqu yosana ukuze kuncitshiswe, ukudala imfuno umsebenzi ongxamisekileyo (Kakade ke, xa kufikwa yokusindisa ubomi, lo umda ubudala akayi ukubala).

iminyaka 7 - iminyaka avareji xa inkoliso wenze utyando yosana Ithemba abantwana. You can, Kakade, yaye kamva. Kodwa ke kubhetele ukulungisa lengxaki phambi kokuba kuqale nge ubudala kuvela izinto ezintsha nangezinto ozithandayo, ukuba xha ukuba kokuhlala iintsuku ezimbalwa esibhedlele ngakumbi nzima ngakumbi. Kwaye lonke ixesha nokusebenza luhlehliswe ixesha elingenammiselo, lo gama i-Ithemba onokuze kuphazamisana yaye bavela isiphako encinane izithambiso kwindawo esisongela ubomi.

Ziziphi iintlobo zotyando ezifumanekayo?

Bekela bucala 2 amaqela imisebenzi esetyenziswa ukunyanga hernias yosana:

1. Inkqubo akhululeke xa ivaliwe izicwili zasekuhlaleni hernial (utyando Mayo Sapezhko, LEXER).
2. Ukusetyenziswa nokufakelwa ngumntu (igridi) ukuvala iziphene eludongeni esiswini. Surgery iboniswa ngenxa yonyango hernias of yobukhulu enkulu ndimdala, ngoko kweli nqaku, le ndlela aziyi kuqwalaselwa.

Ithemba yosana ebantwaneni: lo msebenzi Mayo

Le liqatywe lwenziwa kwi ezinqamlezayo ulwalathiso kumda inkaba. Cross-zisikwe yi-aponeurosis rectus abdominis. sac Hernial ivulwe kwaye imixholo yayo antywiliselwa kwisisu, peritoneum sheets Parietal uyila udonga ingxowa, balidibanise ngesteyipla.

Ukomeleza nothintelo art kunye iphinde duplikatury wadala (maleko kabini) aponeurosis, t. E. Its ngesteyipla amaphepha ukuze emazantsi ivuliwe phezulu. Okulandelayo, inxeba sutured ngokwemaleko. Ngaloo ndlela Duplikatury eqalisiweyo kwicala ezinqamlezayo.

Olu sebenziso idla ngokusetyenziswa emva ekwishumi elivisayo phambi Ithemba mkhulu.

Ukusebenza Sapezhko

Izixhobo lo msebenzi uyafana indlela Mayo. Umahluko kukuba shwaka nokwakha duplikatury kwenziwa kwicala longitudinal. Ekubeni kwindawo ukuhombisa umbono kusenokuba ngakumbi nezamkelekileyo tsakisaka, kodwa amandla, le ndlela na enasilela operation Mayo. Duplikatury kwicala ezinqamlezayo kakhulu ngaphantsi phantsi kweempembelelo xi intra-esiswini, nto leyo ethetha ukuba ingozi ukuphinda emva ukusebenza Mayo ngezantsi.

Njani na i Ithemba yosana ebantwaneni? Nokusebenza Mayo kunye Sapezhko - iindlela ezikhethwayo abadala. Ukuze athintele Ithemba ebantwaneni abancinane, indlela oqhelekileyo Lexer.

Ithemba yosana kubantwana kweminyaka esi-7 ubudala. Ukusebenza Lexer

Phantsi herniation eyenziwa liqatywe iceba-ezimile. Nciphisa Ithemba, isangqa yosana into enyanzeliswa phezu suture isipaji umtya uqinisa ngokwenjenjalo ukuphelisa khonkcweni hernial. Inxeba sutured ngokwemaleko.

Oku kunjalo ngokusisiseko ngayo kwaye Ithemba yosana ebantwaneni. Ukusebenza amanqaku okuhlela leyo ezakhayo ngokwaneleyo (a liqatywe encinane, ukuchacha ekhawulezayo) - indlela LeXeR echazwe ngasentla. Okwangoku ke, uphuhliso ukwanda ufumana uqhaqho kancinane wesibeleko esigqibeleleyo.

nokususwa laparoscopy of hernias

Le yindlela entsha ngenxa yokubulala Ithemba yosana, kwakunye nokusekwa koko iye enemingxuma, xa kukho imfuneko. Kulo mzekelo, ingakufuni naziphi ukusikwa kakhulu, zonke zazo yenziwa ngokusebenzisa okuhlatywa kodonga esiswini usebenzisa izixhobo ezikhethekileyo.

Le ndlela has a kahle eliphezulu, japan elungileyo izithambiso, khona ibuyambo ekhawulezileyo lomguli emva kotyando.

Lesigaba sokuvuselelwa

Umntwana emva kotyando ukuze ususe i Ithemba yosana kufuneka bagcine ngokungqongqo imiyalelo igqirha ukuya ukuphepha iingxaki okanye ukuphinda izifo.

1. Itye, ingakumbi kwiveki yokuqala. Ephelisa ukutya nzima kwaye inzima. Kukhethwa inikwa broths, incindi kunye jellies. Iyantluko ukutya kuba kwiveki yesibini, kodwa oku kufuneka kwenziwe kancinci.
2. Uthintelo umzimba. Ukuthatha inxaxheba umthambo kubakho ngaphambili ngaphezu kwenyanga enye emva kotyando.
3. Linxibe isibiyeli postoperative kwimeko umntwana unesifo utyebile.
4. Massage - zombini kwiimveku (ezichazwe ngasentla).

Ngamafuphi

Asimele silibale ukuba unyango ngexesha kuphela kuyaphumelela. Kwiinyanga zokuqala ezintandathu ubomi ukujongana kunye Ithemba yosana asinto ngumzekelo lula ngakumbi kwixesha xa umntwana eqalisa ukuba ukukhasa ngenkuthalo, yena akafuni kulala esiswini kanye omelana umyalezo.

Emva kweminyaka 5 unyango angqingqwa zibe angasebenzi. Xa Ukugcina Ithemba yosana kule ubudala kumele ukucinga malunga nokusebenza.