Cov txheej txheem ntawm kev kho mob tom qab phais inguinal hernia hauv cov txiv neej yog suav tias yog ib feem tseem ceeb ntawm lub sijhawm tom qab kho. Los ntawm nws tus kheej, ib tug hernia tsis yog ib tug zoo tshwm sim. Thaum pib, inguinal hernias tshwm sim raws li lub pob hauv puab tais. Cov ntsiab lus ntawm cov kab mob pathological tuaj yeem yog cov kab mob hauv plab: qhov ntau dua omentum, peritoneum, plab hnyuv. Vim qhov xwm txheej ntawm tus qauv anatomical, hernia tshwm sim ntau zaus hauv cov txiv neej dua li poj niam.
Inguinal Canal
Cov kwj dej inguinal hauv cov txiv neej yog qhov chaw zoo li qhov nruab nrab ntawm cov leeg nqaij ntawm lub plab. Feem ntau, nws muaj cov spermatic qaum thiab cov hlab ntsha xaus. Nrog rau kev txhim kho ntawm cov kab mob pathological, cov kwj dej inguinal pib nthuav dav, nrog rau kev tsim ntawm ib qho ncaj los yog oblique inguinal hernia.
Hmoov tsis zoo, cov kab mob no muaj ntau niaj hnub no. Yog li ntawd, nws yuav tsis yog superfluous rau ib tug tub hluas kom paub, yam tsawg kawg nkaus nyob rau hauv cov nqe lus, yuav ua li cas ib tug inguinal hernia yog kho nyob rau hauv cov txiv neej.
Hernia Therapy
Muaj ntau txoj hauv kev los kho qhov tsis zoo ntawm lub cev. Tab sis kuj tseem muaj txoj hauv kev los daws qhov teeb meem, suav nrog txoj kev ua haujlwm. Txawm li cas los xij, kev kho mob phais tseem ua tau zoo tshaj plaws. Feem ntau, laparoscopy ntawm ib qho inguinal hernia yog ua rau cov txiv neej.
Kev tshem tawm hernia yog ua raws li kev siv tshuaj loog hauv zos lossis hauv zos. Nyob rau hauv cov chav kawm ntawm kev phais manipulations, lub hernial sac raug tshem tawm, lub inguinal kwj dej yog ntxiv dag zog rau, yas phais yog ua los ntawm cov leeg nqaij los yog dag polypropylene grafts (lub thiaj li hu ua "mesh"). Nyob rau hauv rooj plaub ntawm kev ua tiav ntawm qhov kev cuam tshuam ua haujlwm tau zoo, cov txheej txheem rov qab pib dua. Tom qab kev ua haujlwm ntawm inguinal hernia hauv cov txiv neej, qee qhov kev kho kom rov zoo thiab kev tiv thaiv kev tiv thaiv tau muab los tswj tus neeg mob li qub. Qhov no suav nrog lub sijhawm tus neeg mob sab nraud, noj zaub mov, kho kev tawm dag zog.
Nyob ntawm txheej txheem rov qab
Lub sijhawm ntawm lub sijhawm rov qab los yog nyob ntawm ntau yam, lub ntsiab ntawm qhov yog xaiv hom tshuaj loog. Nrog kev siv tshuaj loog hauv zos, kev rov zoo sai dua, thiab yog tias tus neeg mob tsis muaj teeb meem, qee lub tsev kho mob tuaj yeem tso tus neeg mob mus tsev tom qab ob peb teev.
Nyob rau hauv lub neej yav tom ntej, kev kho mob tom qab phais, cov neeg mob tau txais kev saib xyuas sab nraud. Lawv ib txwm tuaj rau ntawm tus kws kho mob lub chaw ua haujlwm, qhov chaw hnav khaub ncaws. Tus kws kho mob tshwj xeeb saib xyuas cov chav kawm ntawm lub sijhawm postoperative, thaum muaj teeb meem, siv sijhawmKev ntsuas tsim nyog los daws lawv.
Yog tias vim li cas tus neeg mob yuav tsum tau ua raws li kev siv tshuaj loog, lub sijhawm pib ntawm kev kho mob yuav txuas ntxiv mus. Hauv qhov no, tus neeg mob siv sijhawm 3-5 hnub hauv tsev kho mob. Tom qab kev ua haujlwm kom tshem tawm cov neoplasm zoo li no hauv cov txiv neej, cov kws kho mob tau mloog zoo rau qhov muaj qhov o, qhov xwm txheej ntawm tus neeg mob, thiab muaj teeb meem. Yog hais tias lub qhov txhab nyob rau hauv qhov chaw ntawm lub phais suture mob, tshuaj kho mob.
Rehabilitation tom qab inguinal hernia phais rau cov txiv neej nyob rau hauv lub chaw kho mob sab nraud
Lub sijhawm tus neeg mob sab nraud tom qab kev phais tshem tawm ntawm tus kab mob hernia hauv cov txiv neej kav ntev, raws li txoj cai, ob peb lub lis piam. Lub sijhawm no, nws yog ib qho tseem ceeb heev uas yuav tsum tau ua raws li kev noj zaub mov, pw tsaug zog, noj tshuaj thiab ua tib zoo ua kom lub cev muaj zog thiab ua si lub cev.
Cov txheej txheem rov qab los feem ntau mus yam tsis muaj teeb meem, yog tias tus neeg mob mus ntsib tus kws kho mob raws sijhawm thiab ua raws nws cov lus pom zoo. Tus kws kho mob saib xyuas cov kev kho mob, muab cov lus pom zoo kho mob, yog tias muaj teeb meem, mus pw hauv tsev kho mob lossis sau ntawv kho mob ntxiv rau kev rov zoo tom qab phais inguinal hernia.
Tus neeg mob yuav tsum paub dab tsi?
Nyob rau hauv thawj lub lim tiam tom qab kev phais kom txiav tawm qhov inguinal hernia, ib tug txiv neej yuav muaj mob nyob rau hauv lub postoperative suture, thiab qhov no yog suav tias yog ib txwm. Txhawm rau tshem tawm qhov mob ntau dhau, tus neeg mob yuav tsum noj cov tshuaj tua kab mob uas tus kws kho mob tau sau tseg. Daim ntawv teev npe tseem ceebcov lus pom zoo kom ua raws li tus neeg mob tom qab kev phais:
- koj tsis tuaj yeem nqa ntau dua 5 kg - koj yuav tsum tau nce lub cev muaj zog maj mam, tom qab 7 hnub tom qab ua haujlwm;
- ua ib chav kawm ntawm kev kho lub cev lub cev ua haujlwm raws li kev pom zoo ntawm tus kws tshaj lij;
- yog tias tus neeg mob tau teem sijhawm hnav ntaub qhwv, ces yuav tsum tau yuav txoj siv tawv tshwj xeeb tom qab phais;
- Ua tib zoo saib xyuas kev tu cev ntawm cov kab mob tom qab phais, uas tau ua tiav hauv tsev kho mob raws li kev saib xyuas ntawm tus kws kho mob tam sim tom qab kev phais kom tshem tawm cov hernia;
- ua raws li kev noj haus, uas yuav tsum sib npaug, raws plab thiab cem quav tsis tso cai.
Nws yog ib qho tseem ceeb uas nws yog qhov zoo tshaj rau noj me me, 4-5 zaug ib hnub. Kev noj zaub mov yuav tsum muaj cov protein ntau, uas muaj nyob rau hauv qhov xav tau ntim hauv cov khoom noj siv mis, nqaij qaib, nceb, thiab ntses. Vim muaj cov ntsiab lus ntawm cov protein nyob hauv cov zaub mov, cov txheej txheem ntawm cov ntaub so ntswg rov tshwm sim sai dua tom qab kev phais kom tshem tawm hernia hauv puab tais.
Thaum muaj kev lag luam siv polypropylene mesh cog, nws tsis pom zoo kom hnav cov ntaub qhwv.
Muaj teeb meem tom qab phais
Qhov tshwm sim tsis zoo ntawm kev ua haujlwm hernia nyob rau hauv lub puab tsaig hauv cov txiv neej txhim kho vim tus yam ntxwv ntawm tus neeg mob thiab tsis ua raws li cov kev cai kho mob hauv lub sijhawm tom qab phais. Nyob rau hauv tsawg zaus, xws li ib tug tshwm sim yuav provoked los ntawm cov kws phais neeg ua yuam kev (iatrogenicteeb meem).
Iatrogenic cov teeb meem suav nrog qee qhov kev kho mob tsis zoo.
- Kev raug mob rau lub phev qaum. Qhov tshwm sim no tshwm sim los ntawm kev tsis saib xyuas ntawm tus kws phais neeg ua haujlwm, thaum cov noob qes raug puas tsuaj thaum lub sij hawm cov ntaub so ntswg resection thiab extraction ntawm hernial sac. Nyob rau hauv lub neej yav tom ntej, qhov no tuaj yeem ua rau cov txiv neej tsis muaj zog, tsis muaj cov spermatogenesis thiab cov tshuaj hormonal, uas ua rau cov qog nqaij hlav atrophy thiab irreversible infertility.
- Tus kab mob kis. Nws yog ib qho teeb meem txaus ntshai heev, vim nws tuaj yeem cuam tshuam qhov tshwm sim ntawm sepsis. Hauv cov xwm txheej zoo li no, cov tshuaj tua kab mob tau muab tshuaj.
- Kev raug mob rau qee ntu ntawm txoj hnyuv thaum phais.
- Ntshav, uas feem ntau ua rau muaj ntau yam mob hnyav.
Lwm yam tshwm sim
Tej zaum yuav muaj lwm yam teeb meem tom qab kev phais inguinal hernia vim muaj lwm yam laj thawj, tsis suav nrog kev saib xyuas kev kho mob.
- Cov hlab ntsha sib sib zog nqus ntawm qhov qis qis (feem ntau tshwm sim hauv cov txiv neej hnub nyoog laus thiab cov neeg mob sedentary). Qhov no pathological tshwm sim yog nrog los ntawm qhov mob nyob rau hauv lub plab mog cov leeg, ceg qaug zog. Txhawm rau tiv thaiv qhov tshwm sim, cov tshuaj tiv thaiv coagulants thiab thrombolytics tau muab.
- Dropsy testis. Nws tuaj yeem yog ob qho tib si ib sab thiab tsim los ntawm ob sab. Pathology pom tau yooj yim heev, txij li qhov nce hauv lub scrotum tau pom, thiab qhov noyuav tsum tau phais tshiab.
- o ntawm cov noob qes, uas feem ntau pom tom qab kev phais kho mob thiab nrog rau qhov mob ntawm lub qog.
- Rov tsim kho hernial o vim kev ua txhaum ntawm kev tswj hwm los ntawm tus neeg mob thaum lub sijhawm kho. Qhov no yog kev txhawb nqa los ntawm kev ua lub cev muaj zog, nqa hnyav, txav nrawm.
- Kev nkag mus ntawm cov kab mob kis mus rau thaj tsam ntawm kev phais tom qab phais.
- Hematoma tsim. Txhawm rau zam qhov teeb meem zoo li no, tom qab kev phais tam sim ntawd, cov dej khov yuav tsum tau siv rau thaj chaw suture.
Txhawm rau tiv thaiv qhov tshwm sim ntawm cov teeb meem, tus neeg mob raug pom zoo kom ua raws li kev txwv tsis pub noj, ua raws li cov lus pom zoo kho mob.
Cov kev kho mob thiab kev tawm dag zog lub cev (LFK) yog qhov muaj txiaj ntsig zoo tom qab kev phais inguinal hernia hauv cov txiv neej.
Lub cev ua haujlwm hauv lub sijhawm tom qab phais, kev kho mob
Kev tawm dag zog lub cev tsis suav nrog rau ib hlis tom qab ua haujlwm. Tsis tas li ntawd, tus neeg mob tuaj yeem muab cov kev tawm dag zog maj mam los kho cov leeg ntawm lub puab tsaig thiab lub plab, nrog rau kev tawm dag zog thaum sawv ntxov.
kev tawm dag zog kom raug yog qhov tseem ceeb.
Thaum xub thawj, cov chav kawm yuav tsum ua raws li kev saib xyuas ntawm tus kws tshaj lij lossis tus kws qhia, ua raws li lawv cov lus pom zoo. Tsis muaj ib qho xwm txheej twg koj yuav tsum tshaj qhov pib ntawm kev tso cai thaum lub sij hawm kho mob tom qab inguinal hernia phais hauv cov txiv neej, vim qhov no tuaj yeem ua rau muaj kev phom sij rau kev noj qab haus huv thiab ua rau muaj teeb meem tsis zoo. Kev kho lub cev kab lis kev cai yuav tsum pab cov txheej txheemkev zam txim ntau dua li ua rau muaj teeb meem tom qab phais tas.
Cia muab ob peb yam kev tawm dag zog los ntawm txoj kev kho mob lub cev rau hernia.
- Zaum saum lub rooj zaum, nthuav koj ob txhais ceg xub pwg dav sib nrug kom tswj koj tus kheej qhov sib npaug. Tsa koj sab tes xis thiab ua kom qeeb qaij mus rau sab xis, tom qab ntawd ua tib yam nrog koj sab laug tes. Koj yuav tsum ua 10-15 repetitions ntawm txhua sab. Qhov no yuav pab ntxiv dag zog rau cov leeg nqaij hauv plab.
- Puag rau hauv pem teb, ncab koj txhais tes raws lub cev, nias koj sab nraub qaum rau hauv pem teb. Tuav ib lub pob me me ntawm koj ob txhais ceg. Ua 10-15 ceg nce mus rau qhov siab ntawm 15-20 cm ntawm hauv pem teb. Qhov no yuav ua rau nws muaj peev xwm ntxiv dag zog rau cov leeg ntawm cov xovxwm qis.
- Ua 10-15 rov ua dua ntawm qhov kev tawm dag zog zoo "mill": pib txoj hauj lwm nrog ko taw xub pwg dav sib nrug, qaij nyob rau hauv lub kaum sab xis nrog rau hauv pem teb, viav koj txhais caj npab alternated, thaum sim mus txog tus ntiv taw nrog ntiv tes ntawm koj sab xis sab laug taw, thiab cov ntiv tes ntawm sab laug mus rau ntiv taw ntawm sab xis ko taw.
- Nyob rau hauv qhov chaw pib ntawm lub rooj zaum nrog lub nraub qaum ncaj hauv qhov chaw zaum, rub koj lub hauv caug mus rau hauv siab thiab plab 10-15 zaug. Qhov kev tawm dag zog no ntxiv dag zog rau cov leeg plab.
Nws yuav tsum nco ntsoov tias txhua qhov kev tawm dag zog tau ua tiav tshwj xeeb hauv daim ntaub qhwv.
Kev noj qab haus huv tom qab tshem tawm hernia hauv pliaj hauv cov txiv neej
Thaum lub sijhawm kho kom rov zoo, koj yuav tsum ua raws li cov cai yooj yim thaum xaiv zaub mov. Kev noj zaub mov noj nws tus kheej tom qab kev ua haujlwm yuav tsum sib npaug, suav nrog cov khoom tsim nyog thiab kab kawm. Noj zaub mov me me ntau zausntu. Lub ntsiab tseem ceeb ntawm kev noj haus uas yuav ua rau tus neeg mob rov zoo tom qab txiav tawm hernia yog cov protein. Yog li ntawd, nyob rau lub sijhawm kho, tus neeg mob yuav tsum haus cov tsev cheese, cov khoom noj siv mis, buckwheat porridge, qe, nqaij qaib, ntses tais diav, zaub.
Khoom noj khoom haus tom qab inguinal hernia phais hauv cov txiv neej yog tsom rau kev ua haujlwm ntawm lub plab zom mov, cov khoom noj uas ua rau cem quav, raws plab, thiab flatulence tsis raug tso cai. Thaum xub thawj, cov kws tshaj lij tau sau cov khoom noj tshwj xeeb, qhia txog cov khoom noj xws li cov kua zaub uas muaj roj tsawg, nyias nyias, ntses boiled, qos yaj ywm thiab nqaij.
Yuav ua li cas cais tawm?
Yuav tsum tsis suav nrog kev noj haus:
- sweets;
- legumes;
- fruit;
- khoom noj ntsim, nqaij haus;
- khob cij, qab zib pastries;
- Yyogurt, khoom siv mis nyuj.
Nws yog txwv tsis pub haus luam yeeb thiab haus cawv tom qab ua haujlwm. Kas fes thiab dej qab zib yuav tsum tau siv ceev faj.
Post-Surgery Patch
Kev rov qab los tom qab kev phais kom tshem tawm hernia hauv puab tais feem ntau yog nyob ntawm kev txhawb nqa kev kho mob thiab tsis muaj menyuam. Suture thaj ua rau thaj kom ruaj ntseg tuav cov ntaub so ntswg puas, tiv thaiv cov seams los ntawm qhib, tiv thaiv kab mob thiab ya raws. Impregnation ntawm cov nplaum nplaum txhawb qhov txhab kho thiab smoothes nti. Tus neeg mob rov zoo dua tom qab kev phais.
Sterile postoperativeLub thaj yog thov ncaj qha mus rau lub seam. Nws tuaj yeem yog gel lossis bactericidal. Ib txwm yob-on nplaum plaster rau ntawm ntaub, ntawv thiab txhob lo lo ntxhuav hauv paus tuaj yeem siv los kho qhov hnav khaub ncaws. Cov thaj ua rau thaj ua rau thaj tsam zoo rau ntawm daim tawv nqaij, tso cua kom dhau mus, tsis txhob ntub, thiab tshem tawm yooj yim thiab tsis mob.
Tom qab ua haujlwm, thaj chaw tsis muaj dej tsis muaj dej uas muaj cov tshuaj tua kab mob thiab tshuaj tua kab mob yog siv rau cov suture. Los ntawm sab nraud, nws zoo li ib daim ntaub so ntswg soaked hauv tshuaj, framed nrog ib tug nplaum muaj pes tsawg leeg. Qhov luaj li cas ntawm thaj yog xaiv 5 cm ntau tshaj li lub postoperative suture. Cov nplaum nplaum yuav tsum muab tso rau ntawm daim tawv nqaij thiab tsis txhob kov lub qhov txhab.
Kev kho mob tom qab phais
Thawj hnub ntawm kev saib xyuas suture yog nqa tawm hauv tsev kho mob qhov chaw ua haujlwm. Tus kws kho mob txhua hnub tshem tawm cov ntaub qhwv tsis muaj menyuam, uas yog thawj zaug saturated nrog ichor, kho cov seam nrog ci ntsuab (iodine tsis siv, muab tshuaj tsis haum), tom qab ntawd nws rov siv cov ntaub qhwv thiab kho nws nrog plaster. Lub sijhawm no, tus neeg mob tsis pom zoo kom ntxuav, kom dej tsis nkag rau thaj tsam qhov txhab.
Yog tias lub sijhawm rov qab zoo thiab tsis muaj teeb meem tsis zoo, hnub 5 tom qab kho qhov txhab nrog peroxide thiab ci ntsuab, tus kws tshaj lij tuaj yeem tshem tawm cov ntaub qhwv. Nyob rau theem no, tus neeg mob tuaj yeem ua luam dej, tab sis nws tseem tsis tau pom zoo kom ntub cov seam. Tom qab cov txheej txheem dej, koj yuav tsum tau me ntsis blot lub seam cheeb tsam nrog sterile gauze, thiab ces, soaking ib tug paj rwb swab nyob rau hauv ib tug daws ntawm ci ntsa iab ntsuab los yog cawv,kho cov npoo ntawm qhov txhab nrog nws.
Seams tom qab ob peb hnub, nws raug nquahu kom pib ntxuav nrog xab npum, uas muaj cov tshuaj tua kab mob. Tom qab ntawd, lub seam yog wetted nrog gauze, tab sis tsis muaj dab tsi ua tiav yog tias qhov no tsis tsim nyog
Cov tawv nqaij suture feem ntau yog tshem tawm los ntawm hnub 7-14, yav tas los kho nws nrog dej cawv. Ib tug neeg raug tso tawm rau kev kho mob sab nraud, pom zoo kom tsis txhob ntub cov suture kom zoo, kho nws nrog cawv lossis fucorcin ib hnub ib zaug. Txhawm rau kom kho tau sai, nws raug tso cai siv cov tshuaj pleev xim dej, xws li Levomekol, Bepanten, Dioxyzol.
Txhawm rau kho cov seam hauv tsev, koj yuav tsum yuav 3% hydrogen peroxide, sterile gauze, ci ntsuab, cawv, paj rwb swabs, thiab daim ntawv pab. Ib daim ntaub qhwv qub tuaj yeem muab txau nrog peroxide los pab tshem tawm. Tom qab ntawd, nrog kev pab ntawm paj rwb swab nrog cawv, cov npoo ntawm lub qhov txhab raug kho, tib yam yog ua tiav siv cov xim ntsuab ci ntsa iab. Tsuas yog tom qab ntawd siv cov hnav khaub ncaws tsis huv tshiab. Lub thaj rau qee qhov yuav pab txo qis qhov kev pheej hmoo ntawm cov teeb meem thaum lub sijhawm rov kho dua tom qab phais inguinal hernia hauv cov txiv neej.
