Groin: thunthu, matenda zotheka ndi mankhwala. inguinal chophukacho

Inguinal dera - mmodzi wa m'madera kwambiri munthu aliyense, chimene, zosachepera zina thupi poyera kuti mitundu yonse ya matenda. Mmodzi wa matenda ambiri - ndi inguinal chophukacho. Atengeke matenda makamaka amuna ndi anyamata, chifukwa zina anatomical.

Kaswili. Zimasiyananso Kapangidwe ka crotch chachimuna ndi chachikazi

Kuti timvetse tanthauzo la m'dera groin, muyenera chimatanthauza malire ake. Kumbali ya thunthu, dera inguinal ndi triangular mu mawonekedwe ndipo delimited m'munsi ndi kunja mitsempha inguinal, mkati m'mphepete lakunja kwa rectus abdominis minofu, ndi pamwamba pa mzere kukopedwa pakati kutsogolo chapamwamba spines iliac.

An anatomical kapangidwe kwambiri ndi ngalande inguinal. Malowa ali pamtunda pansi pa dera inguinal, pafupi ndi pamwamba pa mitsempha inguinal. Inguinal ngalande ndi danga la masentimita 5-7. Amuna malo awa apatsira chingwe spermatic ndi akazi mitsempha wozungulira chiberekero. Inlet inguinal ngalande - chabe inguinal mphete, ndi linanena bungwe - kwambiri inguinal mphete.

Iwo ayenera kumvetsa kuti groin malo amuna ndi akazi zoti mosiyana. Kuwonjezera kusiyana kapangidwe ka m'njira inguinal, chinthu chofunika kwambiri ndi khungu. Mu akazi ndi zosakwana anthu. Kusintha yogawa tsitsi la mtundu uncharacteristic zingasonyeze zosiyanasiyana matenda endocrine.

Musaiwale za kusiyana kwambiri kapangidwe ka ziwalo zoberekera za amuna ndi akazi.

The groin ndi dongosolo ina yofunika - ndi lymph mfundo. Amazikolezera ndi ntchito zosiyanasiyana za matenda, koma kumva paokha. Kuti tichite zimenezi, kuchotsa crease inguinal ndi perpendicular kwa mitsempha inguinal anayamba palpate. Pang'ono anawonjezera lymph mfundo mu groin ndi amaona ponseponse.

Kugonjetsedwa ndi sabweretsa chisoni kukulitsa a mwanabele mwina zimasonyeza chosaopsa kapena zilonda zotupa (khansa). Panopa, khansa testicular ndi khalidwe kwa anthu achinyamata tsopano m'badwo wa pakati pa zaka 15-45. Mu akazi, chimodzi mwa zinthu zambiri imfa - khansa ya n'kuwasanganiza lapansi. khansa khomo lachiberekero kale pa msinkhu achikulire - pambuyo zaka 65.

Zimayambitsa matenda mu groin ndi

Kawirikawiri matenda athu akuyamba ndi ululu. Nazonso ndi groin. Place wa zomverera zosasangalatsa zikuonetsa kudwala yeniyeni.

Ululu mu groin lamanja kapena lamanzere mwina zimasonyeza matenda angapo. Izi zikhoza kukhala zotsatira za njira yotupa monga adnexitis, proctitis, endometritis, pachimake appendicitis, parametritis. Pamene ambiri a iwo akhoza anawonjezera inguinal lymph mfundo.

adnexitis

Izi yotupa ndi nthenda chiberekero ndi thumba losunga mazira, lomwe ndi zotsatira za matenda kudzera m'magazi kapena kudzera thirakiti maliseche. Chifukwa cha groin matenda amai akhoza kukhala gwero la zowawa. Pamodzi ndi chizindikiro ichi limatuluka kutentha mtima, kusokoneza msambo, nthawi zina purulent kukha kuoneka woyera. Cacikulu chithunzi zikhoza kukhala zofanana ndi appendicitis pachimake.

pachimake appendicitis

Mu appendicitis pachimake, ndi chipatala proctitis angakhale ofanana adnexitis, Komanso isanafalikire mu kumanja. Ichi ndi chifukwa cha zinthu zenizeni za kumapeto kapena zinachitikira proctitis, mbali ya zotupa za rectum. Pakuti appendicitis ndi ambiri ululu mu groin kumanja.

parametritis

Ndi purulent kutupa minofu lozungulira chiberekero. Monga adnexitis, ndi opatsirana. Matendawa amaganizira kuvulala zoopsa, pambuyo pake matenda ndi wothandizila opatsirana. Kuvulala Pankhaniyi akhoza kuchita mimba, uterine chubu chophukacho, zosiyanasiyana za phukusi la mankhwala. Malinga ndi kupingasa, ndi mphamvu ya kugonjetsedwa, ndi malungo mkazi, mutu ndi zina zotero. D.

Matenda amene opatsirana pogonana

Kupitiriza mutu wa matenda opatsirana, n'kosatheka kukumbukira matenda, matenda opatsirana pogonana. Mu nthawi yathu, komabe simunataye awo zoyenerera, chinzonono, chindoko, chlamydia, ureoplazmoz ndi ena ambiri. Matendawa akhoza kusonyeza malungo, kuyabwa, redness mu groin, ndi zizindikiro zina, malingana tizilomboto lapansi.

zinthu zina

Koma si matenda onse okhudza khungu ndi ziwalo groin, kodi opatsirana mwa kugonana. Ena anayambitsa ndikatha kumfunsafunsa matenda, amene satsatira malamulo a ukhondo, kapena matenda angayambe kudzera tsiku ndi tsiku. Chitsanzo cha wotereyo matenda chili takuphazi - matenda amene khungu bowa infestation. Infection ndi ambiri kumachitika pamene ntchito chopukutira wamba, mu malo osambira, bafa m'makola mwawo, pa nsalu.

Amachititsa redness mu groin ndi

Redness mu groin si nthawi zonse chizindikiro cha matenda. Zifukwa akhale thupi lawo siligwirizana anachititsa ufa molondola osankhidwa kapena detergents ena. Wina wa zifukwa ambiri ndi mkwiyo pambuyo depilation obisika m'deralo. Pofuna kupewa redness ndi vesicles ayenera sanakonzekere ndondomeko, ntchito mankhwala khungu.

Anthu, malo groin akhoza kufiira chifukwa cha kuvala zovala zamkati wovuta, nthawi zambiri zipangizo osauka khalidwe. Nthawi zambiri vutoli nkhawa anthu m'chilimwe, m'nyengo yotentha. Redness akhoza kukhala ku zazing'ono popanda kusokoneza erythema kuti kwambiri kuyabwa, ndi zotupa kwambiri ndi vesicles. zodabwitsazi limodzi ndi fungo zosasangalatsa kwambiri zosasangalatsa.

Akazi akhoza kusokoneza kuipa wofanana ndi amuna, koma Pamlingo wamng'ono. nthawi zambiri groin akazi chofiira chifukwa cha neurodermatitis. Chifukwa cha matenda ndi mavuto ndi chapakati mantha dongosolo. Komanso, pofuna kupewa redness, akazi ayenera kutsatira ukhondo kwambiri okhwima wapamtima. Redness akhoza chifukwa cha psoriasis. Kafukufuku amasonyeza chizolowezi apamwamba kuti psoriasis mu akazi blondes.

Redness m'dera groin - m'malo pafupipafupi vuto pakati pa ana, makamaka mu m'badwo wa chaka chimodzi. The zifukwa - mwadzidzidzi kusintha matewera, thewera, mwana anakulunga amphamvu, kotero kuti pali kutenthedwa, ndi wovuta, osati lolingana kukula kwa zovala mwana. Musaiwale za thupi lawo siligwirizana kuti ingayambe ndi minofu sopo zosafunika, nyambo, ngakhale mkaka.

Chophukacho. Kodi ndi kuti?

Ndithu vuto wamba - ndi chophukacho. Kodi chophukacho inguinal? Izi protrusion ziwalo mu M'mimbamo wa ngalande inguinal. matenda zambiri amakonda munthu chifukwa cha lotayirira connective minofu mphete inguinal, komanso chifukwa wamkulu zachiphamaso inguinal mphete pafupifupi kawiri kuposa mu akazi.

Hernias akhoza kukhala obadwa nawo ndi zinazake. ndi chophukacho inguinal, kobadwa nako zotani? Ndi khalidwe la anyamata msanga amene amaganizira mochedwa testicular prolapse. Komabe ndikofunikira kusiyanitsa chophukacho mwachindunji ndi oblique. Oblique akudutsa mu mkati inguinal mphete ndi ngalande inguinal amathamanga limodzi oblique, ndilo chake, ndi nalo dzina lake. Direct inguinal chophukacho aumbike mwa mphete kunja inguinal chokhudzana ndi kufooka kwa mpanda m'mimba. hernias kobadwa nako kungakhale oblique, molunjika kapena inguinal-scrotal, ndipo anapeza makamaka molunjika.

Matendawa zingabweretse ululu mu groin kumanzere, moto kumanzere kapena m'dera groin, ndipo pamene wokhudza malo chowawa munthu akhoza kumva protrusion kapena "kwerani." protrusion kukula angakhale osiyana kukula mazira zinziri kuti chidwi kwambiri, malingana ndi kufooka kwa mpanda ndi njira akuthamanga.

Nkosafuna protrusion mu magawo koyamba mwina nthawi kutha ndipo amaoneka lokha pa masewera olimbitsa thupi kapena pambuyo pawo. Hernial sac angaoneke ndi kutha malingana ndi udindo wa thupi. Ngati mukukayikira kuti chophukacho inguinal amamva ululu groin lake lamanzere pamene onetsetsani kukaonana ndi dokotala kupewa mavuto. Zingachitike tingaone stagnation wa ndowe, tingayambe matumbo kutsekeka, kutupa machende, ndi kutukusira kwa chophukacho kwambiri. Koma vuto loopsa kwambiri ndi chophukacho khosi, zomwe zina Umapha wodwala.

Pamene pamwambapa anafotokoza makhalidwe thereto akhoza kujowina zizindikiro zotsatirazi:

• kukhalapo kwa magazi m'manyi;
• mobwerezabwereza kusanza chiyambi chapakati (pambuyo kusanza akubwera mpumulo);
• kuwonjezereka lakuthwa mu odwala.

Izi zikusonyeza ndi chophukacho khosi. Ngati m'dera groin amapereka zizindikiro zotsatirazi, muyenera kukumbukira zotsatirazi: Musamuwuze kuwongola zili hernial, muyenera itanani ambulansi kwa hospitalization yomweyo.

matenda a chophukacho

Maziko a matenda - zoona. Nthawi zina m'pofunika kuchita zili chophukacho ultrasound kapena herniography - X-ray Kupenda chophukacho a. Mu anthu, m'pofunika kuchita masiyanidwe matenda a femoral chophukacho (chophukacho ndi m'munsimu mitsempha inguinal) ndi varicocele (hydrocele).

chophukacho chithandizo

Bwino chithandizo ndi chiopsezo cha mavuto zimadalira wodwala - liwiro iye anapita ku chipatala, ndi bwino kwa iyeyo. vuto ndi kuti ambiri a matenda si nkhawa, kuyambira mapangidwe miyeso kakang'ono ndipo amaoneka nthawi pa anthu samapereka tcheru.

Chithandizo nthawi zonse opaleshoni. Imachitika opareshoni kuchotsa ndi chophukacho inguinal amuna ndi akazi pansi pa dzina la chophukacho kukonza, komanso herniography. Pa opaleshoni, madokotala dissect chophukacho ndipo amayang'anitsitsa matupi pali. Ngati iwo ali bwino, anabwerera, ndipo limbikitsa khoma m'mimba. Ngati ziwalo kuonongeka, ischemic, iwo imvera kuchotsa. Pa opaleshoni, dokotalayo chofunika kuti aone zili hernial mbali zotsatirazi:

• mtundu;
• pamaso pulsations;
• peristaltic kuyenda.

Tsopano chophukacho kukonza kawirikawiri amagwiritsidwa ntchito maukonde wapadera kuti kuchepetsa chiopsezo cha matenda oyamba ndi kupewa hernias mobwerezabwereza. Nthawi zina, opaleshoni kuti achotse ndi chophukacho amuna kapena akazi ndipo umachitika popanda wowopsa "mabala" - kupyolera opaleshoni laparoscopic. Mlungu woyamba pambuyo kufunika kupewa ntchito zakudya gasi n'kupanga, ndi miyezi 3-4 pafupi ndi kupewa kuchita masewera olimbitsa thupi kwambiri.