plab hernia yog ib yam kab mob. Qhov no pathology feem ntau tshwm sim nrog tib zaus tsis hais hnub nyoog li cas. Tus kab mob no muaj ntau yam sib txawv, nrog rau qhov no, txhua tus neeg yuav tsum paub meej tias qhov pathology no tshwm sim nws tus kheej li cas thiab yuav tsum ntsuas dab tsi.
Cov ntaub ntawv tseem ceeb
A hernia ntawm plab yog suav hais tias yog ib tug kab mob. Nws yog tus cwj pwm los ntawm prolapse ntawm cov kabmob ntawm lub plab mog ncaj qha mus rau ntawm lub plab mog. Nws tseem tuaj yeem prolapse los ntawm hernial orifice. Nyob rau hauv lub rooj vag hernial nkag siab cov clearings uas tsim nyob rau hauv cov phab ntsa ntawm lub plab mog. Xws li deformation tej zaum yuav yog los ntawm ntuj tsim, tab sis nws kuj tuaj yeem tshwm sim los ntawm kev raug mob, tom qab kev phais.
Raws li kev txheeb cais, kwv yees li tsib feem pua ntawm cov pej xeem raug kev txom nyem los ntawm hernia ntawm kab dawb ntawm lub plab. Feem ntau qhov no pathology yog kuaj nyob rau hauv cov txiv neej. Lawv tsuas suav txog ntau npaum li yim caum feem pua ntawm cov neeg mob. Qhov seem nees nkaum feem pua yog pom nyob rau hauv cov poj niam thiab cov me nyuam. Herniatau muab faib ua ob peb hom, nyob ntawm cov hauv qab no:
- Qhov chaw. Piv txwv li, sab nraud thiab sab hauv hernia raug cais.
- Localization ntawm hernia. Nyob ntawm qhov kev ntsuas no, tej zaum yuav muaj qhov mob plab ntawm lub plab, paraumbilical, inguinal, ventral, femoral, lumbar, obturator, thiab lwm yam.
- Raws li cov txheej txheem ntawm kev ua txhaum cai, strangulation thiab obturation yam txawv.
- Nyob ntawm qhov ntim, qhov ua tiav lossis tsis tiav yog faib.
- Tsis tas li ntawd, muaj cov tshwj xeeb ntawm hernia, piv txwv li, congenital thiab wandering.
Ua rau hernia
plab hernia yeej tsis tshwm sim. Rau nws tsim, ntau yam yuav tsum ua rau lub cev ib zaug. Yog li, cov laj thawj zoo yog cov hauv qab no:
- Tus neeg mob muaj ib qho kev pheej hmoo ntawm tus kab mob no.
- Kev muaj lub cev tsis muaj zog hauv cov leeg.
- Nyob zoo.
- Kev cuam tshuam ntawm kev phais thiab kev qaug zog ntawm lub cev.
Tej zaum yuav muaj lwm yam ua rau tuaj yeem ua rau muaj kev nce siab hauv plab. Cov no yog cov hauv qab no:
- Nyob rau hauv lub cev tsis tu ncua.
- Ntau tshaj.
- Cov tsos mob ntawm cov qog ncaj qha rau ntawm lub cev sab hauv ntawm lub plab mog.
- Kev hnoos tas li. Qhov xwm txheej no muaj feem cuam tshuam txog kev muaj kab mob ntsws uas tshwm sim nyob rau hauv daim ntawv mob ntev.
- Cov tsos mob ntawm qhov tso zis.
- Ua rau cem quav tas mus li.
- Nqa tus me nyuam nrog rau kev yug me nyuam.
- Muaj qee yam kab mob, xws li tuberculosis, cirrhosis, txiv neej prostate o, tuag tes tuag taw, polio, thiab lwm yam.
Tom ntej no, peb yuav pom tias cov tsos mob twg tuaj yeem nrog cov tsos mob ntawm lub plab.
Cov tsos mob ntawm tus kab mob yog dab tsi
Cov tsos mob ntawm plab hernia tuaj yeem sib txawv. Cov neeg mob no ib txwm muaj kev tsis xis nyob. Hauv qhov no, cov tsos mob xws li mob, qhov muag pom kev ntawm qhov tsim tuaj yeem pom. Nws feem ntau pom thaum tus neeg mob nyob rau hauv txoj hauj lwm kab rov tav. Lwm cov cim qhia ntawm kev txhim kho ntawm cov kab mob no tuaj yeem tshwm sim hauv daim ntawv ntawm cov tsos mob hauv qab no:
- Nyob zoo ib tsoom niam txiv kwv tij phooj ywg sawv daws.
- Tshuaj mob tso zis.
- Cov tsos mob ntawm ntau yam plab zom mov. Piv txwv li, cov kab mob no feem ntau nrog rau tsam plab, thiab, ntxiv rau, cov tsos mob xws li raws plab, cem quav, ntuav, xeev siab thiab belching tas li.
Yog tias cov tsos mob saum toj no ntawm lub plab hnyuv, koj yuav tsum tau mus ntsib kws kho mob sai sai. Tus kws kho mob yuav tsum ntsuas tus neeg mob tus mob thiab ua qhov kev kuaj xyuas tsim nyog.
kab mob plab plab
kab dawb ntawm lub plab yog ib txoj kab ntsug ntsug uas pib ntawm cov txheej txheem xiphoid ntawm lub sternum thiab hla mus rau thaj tsam umbilical. Nws xaus ntawm pubic joint (pelvic part).
Davleeg txheej nruab nrab yog 2-3 hli, thiab nws qhov dav tshaj plaws mus txog 20 hli. Ib qho hernia ntawm kab dawb ntawm lub plab tshwm sim thaum cov pob txha ntawm cov leeg sib txawv ntawm qib ntawm lub plab.
Nyob rau hauv thaj tsam ntawm xws li formations, lub protrusion ntawm omentum thiab plab hnyuv loops tshwm sim. Qhov dav ntawm qhov sib txawv tuaj yeem ncav cuag ob peb centimeters.
theem ntawm kev loj hlob ntawm hernia ntawm kab dawb ntawm lub plab:
- YKev tsim ntawm preperitoneal lipoma.
- Kev hloov pauv ntawm lipoma rau hauv lub hnab hernial.
- Kev tsim ntawm hernia ntawm kab dawb ntawm lub plab.
Diagnostics
Cov tsos mob ntawm plab hernia tuaj yeem txawv heev. Tab sis feem ntau cov tsos mob yog cov tsos ntawm ib tug protrusion nyob rau hauv lub plab mog. Nyob rau tib lub sijhawm, qhov mob yuav tshwm sim thaum palpation. Raws li txoj cai, qhov mob ntawm qhov kev kuaj pom muaj ntau yam cim. Feem ntau lawv rub lossis mob.
Yog tias muaj kev xav tias muaj kab mob hernia ntawm kab dawb ntawm lub plab, koj yuav tsum hu rau tus kws kho mob sai sai. Txhawm rau txheeb xyuas qhov pathology no, tus neeg mob tau pw ntawm nws nraub qaum, tom qab ntawd nws tau hais kom ua pa tob. Raws li txoj kab ntawm lub plab, koj tuaj yeem pom me me tubercle. Yuav kom kuaj tau qhov tseeb, koj yuav tsum tau kuaj xyuas. Raws li txoj cai, daim ntawv ntsuam xyuas muaj cov txheej txheem hauv qab no:
- Kev ua zaub mov noj.
- X-rays.
- Ua herniography. Cov txheej txheem no muaj nyob rau hauv cov txheej txheem ntawm kev qhia tus neeg sawv cev sib txawv.
- kuaj ultrasound.
Txhua txoj hauv kev saum toj no pab tus kws kho mob ua qhov tseeb, tom qab ntawd tus neeg mob tau muab tshuaj kho mob plab plab rau cov poj niam thiab txiv neej.
kho mob hernia
Kev kho mob ncaj qha nyob ntawm hom kab mob, thiab, ntxiv rau, ntawm qhov chaw. Piv txwv li, yog tias tus neeg mob tau kuaj pom tias muaj tus mob ventral hernia, ces nws yuav tsum tau muab tshem tawm nrog kev phais.
kev kho mob
Txoj kev kho mob no yog ua los txhawm rau zam qhov tshwm sim ntawm cov teeb meem, thiab, ntxiv rau, kev loj hlob ntawm neoplasm. Ua tsaug rau qhov kev kho mob no, cov tsos mob ntawm tus kab mob no txo qis. Siv conservative kev kho mob nyob rau hauv relation mus rau cov neeg mob uas nruj me ntsis contraindicated nyob rau hauv kev siv ntawm kev phais kev cuam tshuam. Yog li, kev saib xyuas kev noj qab haus huv muaj cov kev kho mob hauv qab no:
- Administration of drug therapy.
- Kev nqis tes los tshem tawm qhov ua rau ua rau muaj zog hauv plab.
- Tus neeg mob ua raws li kev noj zaub mov nruj.
- Kev ua haujlwm tsis tu ncua ntawm ntau yam gymnastic ce.
- Ntau daim ntaub qhwv tshwj xeeb rau cov neeg mob.
- Kev kho mob massages.
Surgery
Cov kws kho mob hais tias tsuas yog ib hom kab mob hernia tuaj yeem ploj ntawm nws tus kheej. Peb tab tom tham txog qhov mob plab hnyuv uas tshwm sim hauv cov menyuam yaus hnub nyoog qis dua tsib xyoos. Lwm hom kab mob no ib txwm yuav tsum tau kho. Txoj kev kho mob yuav tsum tau ua ncaj qha nyob ntawm qhov loj ntawm hernia thiab cov kab mob dav dav.
Yog thawj cov tsos mob tshwm sim, koj yuav tsum mus ntsib kws kho mob sai li sai tau. Thaum tus neeg mus ntsib kws kho mob sai, nws qhov kev rov zoo yuav zoo dua, thiab qhov tshwm sim ntawm cov teeb meem tshwm sim yuav txo qis mus rau zero.
Yuav ua li cas rau hernia ntawm kab dawb ntawm plab?
Nws raug tshem tawm los ntawm hernioplasty. Muaj peb txoj kev xaiv rau kev ua haujlwm:
- kev ua haujlwm ncab. Raws li ib feem ntawm qhov kev cuam tshuam no, lub hernia raug tshem tawm tag nrho, thiab lub qhov uas qhov kev ua haujlwm tau ua yog nruj ntawm nws tus kheej siv nws tus kheej cov ntaub so ntswg.
- Txoj haujlwm tsis muaj zog kom tshem tawm lub plab plab. Nyob rau hauv rooj plaub no, implants ua los ntawm polypropylene mesh yog siv los kaw lub qhov.
- ua haujlwm ua ke. Raws li ib feem ntawm nws qhov kev siv, mesh thiab tus neeg mob tus kheej cov ntaub so ntswg siv.
Feem ntau hauv kev kho mob, cov kws kho mob siv cov txheej txheem ua ke. Qhov zoo ntawm kev ua haujlwm zoo li no yog tias cov ntaub so ntswg tsis ncab thaum lub sijhawm nws, thiab cov propylene mesh tsim lub plhaub tiv thaiv, uas ua rau nws muaj peev xwm tiv taus ib qho load.
Kev phais mob hernia ntawm kab dawb ntawm lub plab yuav txawv.
Laparoscopy feem ntau tshwm sim rau cov poj niam. Hom txheej txheem no tsis cuam tshuam nrog loj incisions. Nyob rau hauv cov ntaub ntawv no, nws yog txaus los ua ib tug incision mus txog tsib millimeters ntev. Txhawm rau tsim qhov chaw ua haujlwm rau cov neeg mob, cov pa roj carbon dioxide raug txhaj rau hauv peritoneum. Cov kws kho mob ces muab tshuajib lub cuab yeej uas nruab nrog lub teeb nyem thiab lub koob yees duab yees duab.
Koj tuaj yeem rov qab sai npaum li cas tom qab tshem tawm lub plab?
Kev rov qab los ntawm cov neeg mob tom qab kev phais
Lub sijhawm tom qab phais cuam tshuam nrog kev rov ua kom tag nrho lub cev. Lub sijhawm no, nws yog ib qho tseem ceeb uas yuav tsum xav txog kev noj zaub mov kom raug. Nyob rau hauv cov kev tshwm sim uas ib tug hernia ntawm kab dawb ntawm lub plab mog tshwm sim, lub lag luam yog ua urgently. Nyob rau tib lub sijhawm, koj tsis tuaj yeem noj dab tsi kiag li hnub ua ntej nws.
Tam sim ntawd tom qab tshem tawm ib qho hernia ntawm lub plab ntawm kab dawb, tus neeg mob yuav tsum tsis txhob noj dab tsi rau ob hnub. Txhawm rau kom tsis txhob muaj lub cev qhuav dej, tus neeg mob tau tso cai kom ntub daim di ncauj. Tom qab ob hnub (yog tias tus neeg mob tus mob tau ruaj khov), koj tuaj yeem maj mam pib noj.
Nyob rau hauv thawj ob peb lub lis piam tom qab kev phais kom tshem tawm lub plab hnyuv, koj tsuas yog yuav tsum noj cov zaub mov ua kua hauv daim ntawv ntawm cov cereals ntawm cov dej, cov kua zaub muaj roj tsawg, kua zaub, zaub mashed thiab lwm yam. Xws li cov neeg mob tuaj yeem haus dej thiab compotes nkaus xwb, lawv tseem tso cai rau cov tshuaj yej ntsuab. Nyob rau hauv cov kev tshwm sim hais tias qhov chaw ntawm qhov incision pib mob, ces koj yuav tsum tau xyuas nws cov tsos ntawm tus kab mob. Txhawm rau kom tsis txhob kis kab mob, cov tshuaj tua kab mob yog siv. Ntawm lwm yam, cov neeg mob tau muab tshuaj kho mob los ntawm qhov ncauj.
Tom qab tus neeg mob tawm lawm, nws yuav tsum mus rau tus kws kho mob hnav khaub ncaws tsis pub dhau kaum hnub. Yog tias muaj qee yam tsis raug, tus kws kho mob yuav tuaj yeem paub txog qhov muaj qhov tsis zoo nyob rau txhua lub sijhawm thiab siv cov kev ntsuas tsim nyog rauzam kev nyuaj.
Lub plab tom qab tshem tawm ntawm hernia yuav tsis rov qab los sai sai.
Cov nqaij plab yuav tsum tau muab sijhawm kom rov zoo. Raws li ib feem ntawm qhov no, ib qho kev tawm dag zog lub cev yuav tsum raug cais tag nrho rau ob peb lub hlis. Qhov nruab nrab, lub sij hawm postoperative tom qab tshem tawm hernia kav li ntawm ib mus rau plaub lub hlis. Tom qab kev phais rau hernia ntawm kab mob plab, cov neeg mob yuav tsum hnav ntaub qhwv.
Lwm yam kev kho mob hernia
Nws tsis tuaj yeem kho hernia ntawm lub plab nrog kev pab ntawm pej xeem txoj kev. Tab sis tom qab ua haujlwm, lawv pab cov neeg mob rov zoo dua. Txhawm rau kho qhov txhab, ib qho decoction ntawm chamomile yuav tsum tau siv. Raws li ib feem ntawm kev kho dua ntawm kev zom zaub mov, infusions ntawm sage, calendula lossis mint yog siv.
Yog tias kuaj pom muaj hernia ntawm lub plab nyob rau hauv cov menyuam yaus hnub nyoog qis dua tsib xyoos, ces koj tuaj yeem sim nrog zaws. Massage txav ua rau nws muaj peev xwm ntxiv dag zog rau lub nplhaib ntawm lub plab, tiv thaiv lub cev prolapse.
Thaum kawg ntawm lub sijhawm ua haujlwm, nws raug nquahu kom ua cov haujlwm tshwj xeeb. Yuav ua li cas yuav tsum tau ua? Qhov no yuav tsum tau qhia los ntawm tus kws kho mob. Gymnastics tuaj yeem pab cov menyuam yaus thiab. Nrog rau kev tawm dag zog ntxiv, qee tus neeg mob tuaj yeem zam kev phais tom qab.
plab hernia: siv daim ntaub qhwv
Thaum siv cov ntaub qhwv ntsej muag, yuav tsum ua raws li cov cai hauv qab no:
- Cov ntaub qhwv yuav tsum hnav hauvdag txoj hauj lwm.
- Yog hais tias lub brace raug pom zoo ua ntej kev phais, lub protrusion yuav tsum tau thawb rau hauv lub plab nrog maj mam nias.
- Npau suav muab tso rau hauv thaj chaw ntawm lub hernia.
- Cov ntaub qhwv qhwv ib ncig ntawm lub cev, tom qab ntawd nws tau kho nrog cov nplaum nplaum.
- Ib daim ntaub qhwv kom raug yuav tsum haum rau lub cev, nias lub hernial tsim. Tawm tsam keeb kwm yav dhau los no, cov ntaub qhwv yuav tsum tsis txhob nyem lub cev ntau dhau lossis ua rau tsis xis nyob.
Txhawm rau tiv thaiv kev pheej hmoo ntawm tus kab mob no, koj yuav tsum siv cov kev tiv thaiv tshwj xeeb. Txhawm rau tiv thaiv hernia, cov poj niam cev xeeb tub yuav tsum hnav ntaub qhwv. Nws yog ntshaw kom siv nws tom qab yug me nyuam nyob rau hauv cov kev tshwm sim hais tias lub plab tsis txo qis. Thaum lub cev hnyav dhau lawm, txhua yam kev ntsuas yuav tsum tau ua kom txo qhov hnyav. Piv txwv li, kev tawm dag zog me ntsis yuav ntxiv dag zog rau koj cov leeg nqaij. Nws tseem ceeb heev uas yuav tau saib xyuas koj cov zaub mov. Hauv qhov no, nws yuav tsum raug sau tseg tias tib neeg kev noj haus yuav tsum sib npaug.
Nyob rau lub sijhawm tom qab phais, nws yog ib qho tseem ceeb uas yuav tsum ua raws li tus kws kho mob cov lus pom zoo, ua raws li kev noj zaub mov tshwj xeeb thiab zam kev ua kom lub cev ntau dhau. Nws yog tsis yooj yim sua kom tawm hauv lub hernia tsis tuaj yeem saib xyuas thiab tsis kho nws, vim tias muaj teeb meem loj tuaj yeem tshwm sim. Yog li, ib tug yuav tsum to taub tag nrho cov txaus ntshai ntawm tej yam tshwm sim. Cov kauj ruam yuav tsum tau ua los kho cov hernia ntawm thawj kos npe.
dawb plab hernia hauv me nyuam
Raws li tus naj npawb ntawm cov kab mob tsis tshua muaj hauv cov menyuam yaus.
Qhov kev pheej hmoo ntawm tus kab mob no nce ntxiv tom qabtsib xyoos, tab sis feem ntau tus kab mob no tshwm sim rau cov neeg laus.
Pathology ua rau muaj kev txom nyem rau tus menyuam thiab tsis tuaj yeem txhim kho asymptomatically.
Txoj kev kho mob ntawm hernia ntawm kab dawb ntawm lub plab hauv cov menyuam yaus tsuas yog kho nrog kev kuaj mob ntxov ntawm pathology thiab tsis muaj kev nyiam rau kev loj hlob sai.
Txoj kev kho tshuaj yog ua los txhawm rau tshem tawm cov tsos mob ntxiv.
Tus me nyuam yuav tau txais tshuaj kho mob, tshuaj tiv thaiv kab mob tsim nyog rau nws lub hnub nyoog.
Cov tshuaj zoo li no tsis cuam tshuam rau hernia, tab sis txo tus mob.
Tsis yog kev phais txoj kev kho kab mob:
- kho lub cev;
- kub;
- massage treatments;
- Nyob zoo ib tsoom phooj ywg;
- hernia txo;
- khoom noj kom raug;
- noj tshuaj.
Huab cua thiab tiv thaiv
Nrog rau kev hnav khaub ncaws tsis tu ncua, ntau tus neeg mob tswj kom tsis txhob muaj kev loj hlob ntawm protrusion. Tab sis nws tsis tuaj yeem tshem tus neeg ntawm hernia tag nrho. Kuj tseem muaj kev tiv thaiv kom kov yeej tus kab mob no, thiab tiv thaiv nws txoj kev loj hlob. Nws yog tsim nyog los txo cov load exerted nyob rau hauv lub plab mog. Yog li, nws yog ib qho tseem ceeb heev uas yuav tsum tsis kam nqa ntau yam hnyav. Yog hais tias ib tug neeg txoj hauj lwm yog txuam nrog xws loads, ces nws yog zoo dua mus nrhiav lwm yam.
Hernias tuaj yeem tshwm sim vim cem quav tas li. Yuav kom coj lub rooj zaum rov zoo li qub, koj yuav tsum taukoj yuav tsum kho koj cov zaub mov. Cov ntawv qhia zaub mov ntawm txhua tus neeg yuav tsum muaj cov zaub mov laxative, fiber ntau thiab qaub mis nyuj. Yog tias qhov teeb meem hauv daim ntawv cem quav tsis ploj, koj tuaj yeem haus cov tshuaj laxative hauv chav kawm.
Txoj cai tseem ceeb yog kev tawm dag zog tsis tu ncua. Kev ua neej nyob sedentary yuav tsum raug cais tawm tag nrho. Yog tias tsis ua raws li cov lus qhia no, lub plab phab ntsa yuav xoob heev thiab emaciated. Qhov tshwm sim ntawm qhov kev puas tsuaj no tsuas yog nce ntxiv. Tab sis tsis txhob hnov qab tias kev ua si kis las thiab kev ntxhov siab ntawm lub cev yuav tsum nyob nruab nrab.
Yog tias koj ntsib cov tsos mob tsis zoo lossis pob khaus, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd. Tus kws kho mob tshwj xeeb yuav ua qhov kev ntsuam xyuas tsim nyog thiab ua qhov kev kuaj mob kom raug, sau tshuaj kho kom tsim nyog.
