Postoperative hernia

Postoperative hernia (ventral, cicatric hernia) yog ib qho teeb meem ntawm kev phais mob rau ntawm cov kabmob ntawm qhov kabmob plab thiab sab nraud ntawm qhov chaw me me. Nws yog ib yam kabmob xws li protrusion hauv thaj chaw caws pliav. Tshaj tawm hernia protrusion vim qhov tseeb tias cov leeg nqaij ntawm lub plab phab ntsa yog sib cais kom cov ntu ntawm lub plab los yog plab hnyuv siab plab hnyav pib tawm tsam ntawm qhov chaw tsis muaj zog hauv cov kab mob plab.

Ua rau postoperative hernia txoj kev loj hlob

Cov tsos mob ntawm tus mob hernia tuaj yeem cuam tshuam los ntawm:

• thaum muaj xwmtxheej ceev, uas tsis muaj kev npaj ua ntej tsimnyog ntawm cov kabmob ntawm txoj hnyuv;
• muaj kev puas ntsoog rau cov khoom siv khiav hauj lwm;
• lub caij tamponade los yog kua qaub ntawm lub plab;
• ua txhaum ntawm tus neeg mob txoj haujlwm rov qab ua haujlwm (lub cev ua kom muaj zog, tsis kam hnav cov ntaub qhwv, tsis ua raws li kev noj zaubmov, thiab lwmyam);
• rog;
• kev txhim kho mob ntsws dej los yog hlab hnyuv tom qab phais tas;
• kev mob kab mob, nrog los ntawm kev hloov hauv cov qauv ntawm cov ntaub so ntswg, thiab lwm yam.

Feem ntau, tom qab mob plab hernias yog ua tom qab phais tas ntawm:

• appendicitis ;
• plab hnyuv txhuam;
• perforated gastric ulcer;
• umbilical hernia;
• hlav zes qe menyuam;
• uterine myomas, lwm yam.

Cov tsos mob ntawm tus mob hernia tom qab

Cov tsos mob thiab cov cim tseem ceeb ntawm kev ua mob hernia ntawm kab plab menyuam:

• cov tsos ntawm cov protrusion raws txoj kab ntawm cov caws pliaj;
• qhov mob thiab ua kom muaj tus kab mob ntxiv thaum lub sij hawm straining, abrupt movements, lifting of lights;
• qhov mob cramping hauv cheeb tsam ntawm hernia (nyob rau theem lig);
• tsam plab ntawm cov hnyuv;
• cem quav ;
• xeev siab;
• dysuric phenomena;
• irritation thiab inflammatory hloov nyob rau hauv daim tawv nqaij nyob rau hauv cheeb tsam ntawm hernial protrusion.

Ntaus hom kab mob hernia:

1. Ntawm qhov chaw:

• medial (nruab nrab, nruab nrab nruab nrab, nrab nruab nrab);
• lateral (sab qis, sab qaum).

• me me (txog li 4 cm);
• nruab nrab (5 - 15 cm);
• loj (15 - 25 cm);
• Ntev ntev (26 - 35 cm);
• giant (ntau tshaj 40 cm).

• ntau yam;
• ib leeg.

• ib qho chamber;
• multi-chamber.

• thawj;
• recurrent.

Kev kho mob ntawm kev kho mob hernia los ntawm kev siv tshuaj

Kev kho mob ntawm postoperative hernia tsis muaj phais (conservative methods) raug tso cai tsuas yog thaum muaj teeb meem loj rau kev phais mob. Cov kev kho tsis yog phais muaj xws li hauv qab no:

• lub sijhawm teem ntawm kev siv txoj hlua txhawb nqa;
• ua raws li kev noj haus tshwj xeeb;
• tsis suav kev ua ub ua no;
• kev tiv thaiv ntawm cem quav.

Qhov tsuas radical txoj kev kom tshem tau ntawm ventral hernia yog kev phais - hernioplasty. Cov txheej txheem ntawm kev phais mob yog xaiv nyob ntawm seb qhov chaw nyob thiab qhov me me ntawm qhov hernial protrusion, muaj cov txheej txheem ntawm cov kab mob hauv plab thiab hernial cov plaub hau. Hauv kev ua haujlwm tom qab, tus neeg mob yuav tsum ua raws li cov lus pom zoo rau:

• noj zaub mov;
• hnav ib txoj phuam;
• kev qoj ib ce;
• normalizing luj;
• li niaj zaus muab khi ntawm txoj hnyuv.

Kev kho mob ntawm kev kho mob hernia ntawm cov neeg pej xeem

Kev kho mob ntawm ib tug hernia nrog ib tug compress ntawm nettle:

1. Grind lub nplooj ntawm cov tub ntxhais hluas nettle nyob rau hauv ib tug blender.
2. Muab lub gruel rau ib tug cabbage nplooj.
3. Lub resulting tsim yuav tsum tau mus thov rau hernial protrusion thiab tuav rau tsawg kawg 3 teev, qhwv nyob rau hauv ib tug handkerchief.

Kev kho mob ntawm tus mob no:

1. Ib tug tablespoon ntawm tshuaj ntsuab nyom yuav tsum tau muab tso rau hauv ib lub raj mis thermos.
2. Ncuav ib khob ntawm dej npau npau.
3. Txhog rau 2 teev, ntws.
4. Haus tag nrho cov pluav rau plaub pluas zaub ib nrab ib teev ua ntej noj mov.