Umbilical chophukacho akuluakulu: ndemanga opareshoni, Zizindikiro ndi Chithandizo

Pamene kuchipatala amatanthauza wodwala ndi chophukacho umbilical, nthawi zambiri zochuluka Ndi bwino kuchotsa ake ndi opaleshoni. Koma anthu ambiri ali ndi mantha ndi kukokera kwa wotsiriza, poganiza kuti zonse kuthetsa yokha. Ndipotu, muchisiye mantha ndi nkhawa kudzakuthandizani kudziwa zimene tingachite ndi chophukacho umbilical akuluakulu, ndemanga opareshoni, zokhudza kumene ikuchokera, chifukwa chake n'kofunika kuchita ndi oopsa bwanji yomweyo.

ndi chophukacho umbilical Kodi

Mwachibadwa, kumene kukhudzana tendon ndi ulusi minofu, iwo zogwirizana, koma nthawi zina m'michombo, pakuti zifukwa zina, si kwambiri pafupi wina ndi mnzake, ndiyeno mphete umbilical pansi ndipo ukuwonjezeka. Analandira achilendo hernial kuti kulola ziwalo m'mimba opanikizika mkati lofufuma kwambiri mbali imodzi kuchokera kupitirira, musayambe chophukacho umbilical. Kawirikawiri ndi omentum wamkulu kapena mbali ya intestine pa. Iwo zili sac hernial, wopangidwa mwa chigoba cha peritoneum lapansi.

Pa chiyambi cha matenda ali ndi chophukacho umbilical ang'ono ndi zovuta kuchepetsa mu, koma pang'onopang'ono chifukwa cha adhesions, chophukacho sac ndi spliced kuti zimakhala ndi pafupi, ndipo ndi zosatheka mkati chophukacho lapansi. Ndipo pa nthawi, mphete umbilical ikaponda kuti chophukacho sac zingachitikenso ndi m'mimba.

Umbilical chophukacho akuluakulu: Zizindikiro, Chithandizo

Pamene chophukacho ndi laling'ono, alibe nkhawa. Kumene, nthawi zina pamakhala wosasangalala, koma iwo momveka sizikukhudzana ndi khalidwe la moyo, ndiponso kuchuluka pang'ono m'dera la m'michombo si wowopsa, makamaka amuna.

Pang'onong'ono adhesions, chophukacho Zimakhala zovuta kwambiri kuchepetsa wonse, ndi ululu ndi ubwenzi yaitali, kukhosomola, zofuna kukhetsa thukuta.

Kenako, ngati mankhwala si wonyamulidwa, wodwala wayamba Musiyeni kudzimbidwa, pali mavuto ndi pokodza, kawirikawiri kunyansidwa ndi kusanza angagwe. imeneyi ndi zinadzala ndi mavuto oopsa, ndi kukokera ndi ulendo dokotala wa sikuthandiza.

dokotala Mosakayikira amati opaleshoni monga njira ina kulibe, ngakhale ambiri akuyembekeza kuti ali ndi chophukacho lamanja, kuchotsa muyaya. Koma zimenezi n'zosatheka, ndipo kokha kukhala okhoza kuthetsa dokotalayo.

Mwina kuonekera m'njira zosiyanasiyana umbilical chophukacho akuluakulu. Ndemanga za matenda zosiyanasiyana. Anthu amene ali musakhale kotero lalikulu ndipo alibe nkhawa, zidzakhala bwino. Koma odwala ena amadandaula kobwereza mumamva kupweteka amene sangathe kuchotsa othetsa ululu ngakhale amphamvu.

Zimayambitsa chophukacho umbilical

Nthawi zambiri, matenda anayamba chifukwa chifooke khoma kutsogolo ndi peritoneum umbilical mphete. Chinthu china chimene - kufinya amphamvu mkati zonse m'mimba. Pamene pali zifukwa ziwiri ndi chophukacho akufotokozera mofulumira, ndipo zinthu ndi yoopsa ndipo amafuna chithandizo mwamsanga.

Zifukwa kuti mphete umbilical akhoza kumasuka, motere:

• Asamapereke, ndi kufooka minofu.
• Features a minofu connective akangobadwa.
• Kugwiritsa chidzalo.
• Rapid kuwonda.
• Mimba (zambiri akufotokozera mu yobereka kenako).
• Adhesions ndi sutures pambuyo opaleshoni.
• mwakayakaya m'mimba.

Kuonjezera kuthamanga intrauterine chifukwa cha:

• Kubadwa, limodzi ndi zosokonezeka.
• Great thupi yaikulu.
• Pafupipafupi kudzimbidwa.
• Yaitali kukhosomola.

diagnostics

Childs, kukhalapo kwa dokotala matenda matenda mwamsanga mokwanira. Zizindikiro zake kulitchula. Doctor mapanga sikani wodwala ndi kutsimikizira ngati pali ululu m'mimba pa kutsokomola, zofuna kukhetsa thukuta. Ikuyendera wodwala, izo amadziwa ngati mphete umbilical kukodzedwa. Ndi kukhazikitsidwa kwa mudziwe zambiri mankhwala X-ray za m'mimba, duodenum, ultrasound protrusions gastroscopy. Adzaika herniography - ndi oyamba mu zonse m'mimba mwa nthumwi Mosiyana, zomwe zingathandize kufufuza chophukacho.

Pamene pali kukayikirana kuti panali umbilical chophukacho - akulu - zizindikiro, chithandizo anatsimikiza yekha ndi dokotala, kapena mwina kusakaniza ndi ena, ndipo mwina kungakhale matenda aakulu kwambiri.

Umbilical chophukacho ndi mimba

Ndi kuwonjezeka m'kupita kwa chiberekero ndi kuthamanga ukuwonjezeka m'mimba, kotero ndi chophukacho umbilical - chodabwitsa mu akazi apakati ndi pafupipafupi ndithu. Koma opaleshoni si bwinobwino chofunika, monga matenda ndi mwachilungamo chete. Ichi ndi chifukwa kuti kuwonjezeka kuthamanga kumachitika pang'onopang'ono, ndipo chiberekero ili pakati pa zipata chophukacho sac ndi mabungwe zimawalepheretsa sankatha tsitsi.

Makamaka opaleshoni pa mimba limakhudza anthu ake. Choncho, dokotala akuonetsa kuvala psinjika hosiery ndi nsalu. Iwo amasankhidwa kwenikweni pansi pa utsogoleri wake.

Dokotala yemweyo adzasunga wodwala ndipo atabadwa, ndipo kudziwa nthawi ya opaleshoni. Nthawi zambiri kumachitika pamene minofu m'mimba pambuyo anatambasula kubwezeretsedwa, monga ena a thupi la mkaziyo.

Amayi ena amene ali woyembekezera wakhala anapezeka ndi "umbilical chophukacho" (akuluakulu) pa ntchito ndemanga anasiya zabwino kwambiri. Ena madokotala pa pempho lawo amachotsa ang'ono zodzikongoletsera zopindika kugwirizana ndi kunyamula mwana. wotuluka A ali yosalekerera njira ndi mabala yonyansa ndi kulembalemba thupi chofunika kwambiri kwa mkazi.

zosokonezeka zotheka

Exacerbations angayambe pa siteji iliyonse ya zikamera wa chophukacho a. The owopsa siudzalandilidwa ngathi lamulo yake, ndi osauka makope ndi thupi zimakhala anayamba kufa. Kawirikawiri izi zimachitika okalamba, chifukwa zinthu izo amakonzedwa incrementally pa moyo wawo.

Mwina kuyamba kutukusira kwa thupi, yomwe inali mu sac hernial, nthawi zambiri matumbo kuzungulira kapena omentum. Pa nthawi yomweyo afika mbali ya peritoneum, amene angapereke kwa chitukuko mofulumira peritonitis.

Kawirikawiri mavuto chikwiyire ponyamula chinthu cholemera kapena kwambiri zolimbitsa thupi. Koma izo zimachitika kuti ngakhale kuseka, kutsokomola kapena sneezing atha kutumikira ngati amapereka kwa onongani. Violation akhoza kulimbikitsa defecation kuwonjezera kukakamiza chophukacho ndi kungadzutse kutupa.

Zizindikiro siudzalandilidwa ngathi lamulo lake:

• Zinaoneka kupweteka kwambiri mu mphete umbilical.
• Sikutheka kuti ndikuwongolereni chophukacho mu zonse m'mimba, ngati pamaso zinachitika mosavuta.
• Hernial sac amakhala otentha ndipo mwamphamvu.
• Ngati kutupa amphamvu amapezeka kuledzera onse pamodzi ndi mutu, nseru, kusanza, kupweteka kwa m'malo olumikizirana mafupa ndi kutsikira kumbuyo, malungo.
• Pamene jamming matumbo zizindikiro kuzungulira monga kutsekeka m'matumbo.

Ngati zizindikiro zimenezi kuoneka, n'chofunikira kwambiri kupeza nthawi yomweyo dokotala.

chophukacho opareshoni

Opaleshoni kuti achotse ndi chophukacho umbilical amatchedwa chophukacho kukonza pa matupi ake kukhazikitsa zimabwerera zonse m'mimba ndi hernial mphamvu matenda sanabwerere kachiwiri.

Ndi bwino kuchita pamene chophukacho sanabadwe anafika chachikulu. Ndiye zosokonezeka zidzakhala zochepa, ndipo nthawi konzanso akudutsa popanda vuto. Ndi mgwirizano umenewu, ndi amene anapezeka ndi chophukacho umbilical. Akuluakulu, amakambirana ntchito basi kutsimikizira view iyi: Aliyense amene anapita ku chipatala nthawi, iwo akunena kuti iwo kumva bwino, ndi kukonzanso protrusion chinachitika.

Opaleshoni alowererepo ndi contraindicated matenda zovuta mtima, matenda aakulu, matenda pachimake ndi mimba.

Mmene chimaposa chithunzi matenda zimadalira kusankha njira ya opaleshoni. Pulasitiki hernial mphete zingatenge malo mothandizidwa ndi minofu wodwala yekha, ndipo amadzala kupanga nthawi zina pamene gululi a. Endoprosthesis ntchito pamene hernial kwambiri kukodzedwa, ndi mphete umbilical kwambiri wofooka. Kawirikawiri njira imeneyi iyesedwa yolungama ndi postoperative zisadzachitikenso zimachokeradi.

The sangathe njira zachikhalidwe cha chophukacho kukonza - nthawi yaitali ndinachira, anakhala kungakhale kwa chaka, ngati chophukacho linali lalikulu kapena pa siudzalandilidwa ngathi lamulo.

Kodi umbilical chophukacho akuluakulu pambuyo opaleshoni? chithunzi chili m'munsichi chikusonyeza bwino imachitika chophukacho kukonza ndipo izo zikuwoneka ngati mimba, ngati kuitana kwa dokotala anali yake.

Ngati munakonza opareshoni, ndi chophukacho zazing'ono, dokotala anu angawauze ndi laparoscopy. Pankhaniyi mabala, sikuti ndi chilichonse chimachitika ndi punctures ochepa. Njira imeneyi ndi watsopano ndi kothandiza kwambiri. The chikhalidwe chachikulu - ndi chophukacho sayenera lalikulu.

limathandiza kuti musabise n'zochepa, kukhazikitsa ndi zambiri mofulumira kuposa ndi opaleshoni lotseguka, ndi zipsera si kuwoneka. Ichi ndi chifukwa chakuti minofu ozungulira zambiri zochepa maganizo amachepetsa chiopsezo njira postoperative zomatira.

Kodi bwino ndi chophukacho umbilical akuluakulu? Reviews pambuyo opaleshoni makamaka positive. Pafupifupi odwala onse akuti m'kati, ngakhale mankhwala oletsa ululu pamalopo ntchito, ululu wapadera sadamve, ndipo ngakhale anayankhula kwa dokotala wa.

Pali anthu amene matenda ndidabweranso zifukwa zosiyanasiyana: chifukwa cha mantha chonyansa, zitsulo, kukhosomola. Pa reoperation ambiri kuwadziwitsa kuika prosthesis.

konzanso

Pamene ine kuchotsedwa umbilical chophukacho akuluakulu, mankhwala pambuyo opaleshoni mipita zina m'chipatala. Kudzuka pabedi, mukhoza kukhala tsiku lotsatira, ndipo ngati zonse zitayenda bwino, mwamsanga mukhoza kupita kunyumba. Pamene panali ena mavuto ndi siudzalandilidwa ngathi lamulo ndi kutupa, pali kufunika jekeseni wa mankhwala ndi zilowerere mu chipatala yaitali kuposa n'kofunika.

Kuti matenda sanabwerere, ndi kuchepetsa kuthamanga pa mfundo adakali ofooka, Ndi bwino pambuyo opaleshoni kuvala bandeji wapadera.

Ngati umbilical chophukacho kuchita zotsatira opindulitsa pa kuchira, koma iwo ayenera kukhala wololera komanso kutsatira alili. Kuyenda ndi kuthamanga tatsimikiza pambuyo masabata awiri. A zitsulo ndi masewera olimbitsa thupi analola mwezi, ndipo izo ziyenera kukhala mosamalitsa metered katundu.

mphamvu postoperatively

Mosamala chidwi chakudya ungabwere chophukacho umbilical akuluakulu pambuyo opaleshoni. The zakudya ayenera kukhala odekha, ndipo pali anthu zinthu zimene zingachititse kuti kudzimbidwa ndi gassing, contraindicated chifukwa zingachititse kwambiri pa matumbo ya.

Mafuta nyama, nsomba, nyama ndi marinades - izi ndi zakudya ayenera kwina chakudya. Kumaphatikizaponso bowa, nyemba, bulauni mkate, mikate yisiti mtanda, kirimu ayisikilimu, olimbika yophika mazira.

Phala yopangidwa ndi ufa chimanga, mapira ndi ngale balere ndi bwinoko kumeneko, komanso zoumba, apricots zouma, mpendadzuwa mbewu ndi mtedza. Masamba monga radish ndi radish, tomato, kabichi, anyezi ndi adyo, tsabola ndi biringanya - zoipa kwambiri kuteteza kukhulupirika kwa china chotulutsa lapansi.

peristalsis matumbo achuluke, ndi kuchuluka kwa kuwonjezeka fecal kwambiri, ngati kudya kwambiri zakudya zomwe zili CHIKWANGWANI, koma M'pofunikanso kupewedwa. Koma pa nthawi yomweyo chofunika kwa matumbo bwino kayendedwe, choncho m'pofunika ntchito, koma mosamala. Nthochi, mapichesi, maapulo, mphesa - zipatso tiyeni kudikira mpaka sutures ndi kuchotsedwa, komanso wakuda tiyi, khofi, madzi, kvass ndi mowa.

Kumene, zakudya zolimba kwambiri, koma kumathandiza kuti ayambe mofulumira ndi kupirira ndithu weniweni. Isanafike kuchotsa sutures, tiyenera kudya soups yekha otsika-mafuta, theka-masamba pureed soups, ochepa monga chimanga, kanyumba tchizi, nyama zakudya kapena nsomba, steamed, yophika dzira kapena mazira scrambled, pang'ono crackers. Bwino kumwa tiyi ofooka, ndi zipatso ndi mabulosi odzola. Izi zakudya wopepuka kudzakuthandizani njala anu, ndi matabwa postoperative ndi wawo.

Zimaonekeratu kuti pamene pali chophukacho umbilical akuluakulu, za opaleshoni mayankho bwanji kuti mankhwala m'mbuyomo anayamba, ndipo mu nkhani iyi, phukusi la dokotala, ndipo zotsatira zake zimakhala zambiri m'tsogolo ndipo patapita nthawi, matenda kukhala zosavuta kuiwala muyaya.