Esi sifo sinamagama amaninzi. Unokuva malunga ne-hernia yomgca omhlophe njengesisu somlomo we-lipoma okanye i-epigastric hernia. Ukuxilongwa kwesi sifo kwimeko yesigulane, xa kuthe kwintambo ye-tendon ye-midline yesisu, kuqhutywe imisebenzi eyenziwa yiyo izitho zangaphakathi. Kukholelwa ukuba ukubonakala komnxeba omhlophe kumgca wesisu kunamathuba amaninzi kumadoda, kodwa ngokwenene isifo asiqhelekanga ngesondo esifanelekileyo.
Iimbangela zelayini ezimhlophe ezimhlophe zesisu
Umgca wesisu omhlophe ngumgca omncinci wamathambo, ophakathi kweengcambu zesisu esiswini kwimiba ye-pubic eya kwinkqubo ye-xiphoid ye-sternum. Ubukhulu bayo abuyi ngaphezu kwamatentimitha amathathu. Xa izicubu ezinxibelelwano zibuthathaka, umgca omhlophe uyaba mncinci, izikhala zeendlela ezahlukeneyo zenziwe kuyo. Ukungafani kwemisipha phakathi kwesisu kuthiwa i-diastasis. Ngokuxhomekeke kwisilinganiselo se-diastase, umgca omhlophe wesisu ungakhula ukuya kwi-10 cm.
Ukuthetha ngokuthe ngqo, i-tissue ye-tissue eyanciphayo iyona nto imbangela enkulu ye-hernia yomgca omhlophe wesisu. Imiba eyahlukahlukeneyo inokubangela ukuba:
- ubuhlwempu;
- u bunzima;
- ukuqhenywa rhoqo;
- ukukhwehlela ixesha elide;
- ukuhamba ngokugqithiseleyo ngokomzimba;
- phezulu ;
- ubukho beempawu zangemva.
Kula mabhinqa, i-hernia emathunjini emhlophe ngezinye izikhathi ivela emva kokukhulelwa.
Iimpawu zecala elimhlophe lomzimba
Iyakwamkelwa ukuhlukanisa iintlobo ezininzi ze-hernias ngokuxhomekeka kwindawo yazo:
- i-suprapubic;
- iipodgus;
- perianopic.
Kukho iimeko xa ingxaki ingabonakali, kodwa ngokuphindaphindiweyo i-hernia ibonakale ivakalelwa kwinqanaba lokuqala. Iimpawu eziqhelekileyo zengxaki zikhutshwa kunye nentlungu kwisisu esisentla. Ngokuqhelekileyo, ukukhathazeka kwenzeka xa kuhlanjululwa, nangona ezinye izigulane zikhalaza neentlungu ezenzeka kuzo kwindawo ekhululekile. Iintlungu zidla ngokuphindaphindiweyo kwi-scapula, hypochondrium, ngasemva.
Ukwenza i- ultrasound kwaye ukhangele ukuba i-hernia yomgca omhlophe wesisu sele ikhulile, ilandela kwaye ngeempawu ezinjalo:
- ukupheka kwentliziyo rhoqo;
- ukukhutshwa;
- isicefe
- ukuhlanza;
- gesi;
- ukulibaziseka;
- Iimvumba zegazi emanzini.
Ngokuqhelekileyo, izitho ezinobunzima zingaphinda ziphinde zibuyele kwi-peritoneum (ukuba azinzi ngokwabo). Ukuba akunakwenzeka ukubuyisela ukukhutshwa kwisayithi, oku kungabonisa ukuphulwa kwe-hernia - enye yeengxaki ezinobungozi. Kukho ukuphulwa komthetho ukuba indawo yokuphuma kwilungu langaphakathi lifakwe, kwaye ngelo xesha igalelo layo legazi liyayeka. Ngale ngxaki, iingcali kufuneka zidibaniswe ngoko nangoko.
Unyango lwe-hernia yomgca omhlophe wesisu
Ukuxilongwa ngokuchanekileyo kwe-hernia, indlela ye-radiographic isetyenziswa. Ukuba ukuxilongwa kuqinisekiswa, i-herniography ingenziwa - uvavanyo olongezelelweyo lwe-radiopaque lwe-hernia.
Ukunyanga ingxaki efanayo
Ukuxubulisa i-stretti, izicubu zendawo kunye neeprothes zokwenziwa zingasetyenziselwa. Njengoko umkhuba ubonisile, ukusetyenziswa kwezicubu zendawo akuhlali kusetyenziso-ngokuqhelekileyo kukho ukubuyela kwakhona. Kwimeko yeprothemesi, yonke into ilula kakhulu - i-mesh ekhethekileyo ifakwe kwiifomthi ezifakela zonke iiphene zethuthi.