Mucheche weHerniated

Nechipfuva chemuviri, nhengo dzomukati, dziri munzvimbo ye retroperitoneal, inofamba uye inopinda mudumbu remuviri. Inogona kupfurikidza kuburikidza nekuzaruka kwakasiyana, iyo inoumbwa nekuda kwekusanzwisisika mumashure endoperative kana mutsvuku. Inoumbwa nemhando ipi neipi inosanganisira zvikamu zvitatu zvikuru: bhegi inozadza mvura yayo uye zvakananga nzvimbo iyo inowira.

Zvinokonzera uye zviratidzo zvesimba romudumbu

Chikonzero chikuru chekusimbiswa kwemunda wake ndiko kukanganisa kwemuviri mukati memudumbu. Dzimwe nguva mavara ari munzvimbo ye retroperitoneal inova isina kuchena mushure mekuita pamuviri, kuparara kwemagetsi kana zvimwe zvirwere. Dzimba dzakaoma uye dzisina simba dzedumbu dzomukati dzinoita kuti chimiro chemhepo chisvike uye chikwanise kubhadhara zvayo. Somugumisiro, nhengo dzomukati dzakaoma.

Kuisa kune chitarisiko chemuviri wepamuviri ndezvizvi zvinotevera:

Chiratidzo chikuru chemuviri wake wemudumbu ndiko kuonekwa mu peritoneum yemukomana muduku. Chirwere chinogona kuva chinorwadza, asi kazhinji hachibvumiri murwere. Sezvo mutemo, kurwadziwa kwakanyanya kunowanikwa mumatambudziko asina hanya. Zvakanakisisa kuona kuburitswa kwekugara nekumira. Iko kunoonekwa kunyange kana misimba yemudumbu inowanzoomesera - kana uchikanganiswa, somuenzaniso.

Vamwe varwere, kusanganisira avo vane mishonga inoshandiswa mushure mekuita mushure, kunyange vasati vasvika pakuonekwa kwechikafu chinoshungurudzika mukurwadziwa mukati mekumera, midline yechipfuva, mumutsara kana oval fossa yehudyu. Manzwiro asina kufadza akadaro anokurudzirwa nekukanganiswa, kushungurudza kana kusimudza kuyerwa.

Zvichienderana nemhando yechinetso, zvimwe zviratidzo zvinogona kuchinja. Saka, somuenzaniso, kurapwa kwetsika yemutsara wakachena wemuviri kunogona kudiwa apo zviratidzo zvose zvinorondedzerwa pamusoro apa zvinowanikwa:

Kurapa kwechibereko chemuviri

Iyo nzira chete inoshanda inoshanda yekurwisa chirwere ndeyekuvhiya. Zvakakosha kunzwisisa kuti hazvibviri kuporesa mutsara. Ichi ndicho chisingachinjiki chechirwere chekuchinja. Nokufamba kwenguva, uwandu hwechiremera chinoputika chinongowedzera. Zvinosuruvarisa kuti iyo neoformation haigoni kumira payo kana kuparara, zveshungu.

Basa racho harina kupfuura maawa mashomanana, uye zuva rinotevera mushure mokunge murwere anowanzobudiswa. Kubviswa kwokutanga kwemuviri wepamuviri, matambudziko mashoma kuti atarisana nawo. Dambudziko guru nderokuti nhengo dze peritoneum dzinotambanudza tambo dzakapoteredza. Gare gare, panguva yekushanda nemhaka yeizvi, zvinetso zvinogona kubuda.

Vamwe varwere zvekudzorera nhengo yemudumbu inosunga bhanji. Rinogona kunyatsotsigira nhengo uye kubvisa kusuruvara kusingafadzi, asi, chokwadi, kunyange izvozvi chigoni hachigone kurapa chirwere. Nyanzvi dzinokurudzirawo kushandisa mabhandi kuitira kuti vagone kupora mushure mekuvhiyiwa.

Nzira yakanakisisa yekudzivirira pfuma yake ndeyekuita muviri nguva dzose (kuenzanisa, zvepanyama). Kunyange iyo mari yakareruka inotsigira muviri nemutauriri, kusimbisa mitsipa uye kudzivirira maviri ekuderera.