Koj lub qhov quav puas raug zawm caj dab? Nws yog dab tsi? Puas txaus ntshai? Cia peb nrhiav seb!

Tej zaum koj twb tau hnov ​​txog 'hernia' lawm, puas yog? Qee zaum peb hnov ​​tias ib tug ntawm peb cov txheeb ze lossis cov phooj ywg tau muaj ib qho. Feem ntau, thaum peb hnov ​​txog hernia, qee tus neeg xav tias nws tsis yog ib qho teeb meem loj. Txawm li cas los xij, hernias kuj muaj ib sab txaus ntshai, thiab qhov ntawd yog thaum hernia dhau los ua 'strangulated'. Hnub no, peb yuav tham txog dab tsi tshwm sim thaum hernia dhau los ua strangulated, uas yog hais txog kev kho mob, thaum muaj (strangulated) hernia tshwm sim. Qhov no tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim, vim qhov no yog qhov xwm txheej ceev uas tuaj yeem cuam tshuam rau lub neej.

Dab tsi yog qhov strangulated hernia?

Hais yooj yim xwb, mob hernia yog thaum cov nqaij hauv peb lub plab, qee zaum yog cov hnyuv, tawm los ntawm qhov chaw tsis muaj zog hauv phab ntsa plab. Nws zoo li lub pob me me thaum saib los ntawm sab nraud, thiab koj tuaj yeem hnov ​​​​​​nws. Qee zaum koj tuaj yeem thawb lub pob no rov qab los, lossis nws yuav rov qab mus rau hauv nws tus kheej.

Tiam sis, qhov mob hernia no raug thaiv, uas txhais tau tias cov ntshav ntws mus rau qhov chaw tawm ntawm cov ntaub so ntswg, tshwj xeeb tshaj yog rau ib feem ntawm txoj hnyuv, nres . Koj paub, txhua cov ntaub so ntswg hauv peb lub cev xav tau oxygen kom muaj sia nyob, thiab cov pa oxygen ntawd raug nqa los ntawm cov ntshav. Yog li thaum cov ntshav ntws nres, cov ntaub so ntswg ntawd tsis tau txais oxygen. Tom qab ntawd cov ntaub so ntswg ntawd pib tuag . Cov kws kho mob hu qhov no (Necrosis) . Qhov kev tuag ntawm cov ntaub so ntswg no tuaj yeem ua rau muaj ob qho xwm txheej txaus ntshai heev:

1. (Gangrene ): Qhov no txhais tau tias cov nqaij lwj.

2. (Kab mob Sepsis ): Qhov no txhais tau tias cov kab mob tau kis thoob plaws lub cev thiab lub cev cov kab ke pib ua haujlwm tsis zoo.

Ob yam mob no muaj kev phom sij rau lub neej. Tiam sis, tsis yog txhua tus mob hernias raug kaw zoo li no. Nws yuav siv sijhawm ntev rau qhov ntawd tshwm sim. Peb mam li tham txog seb qhov ntawd tshwm sim li cas rau ib pliag.

Yuav ua li cas koj thiaj paub tseeb tias tus mob hernia raug kaw? Cov tsos mob yog dab tsi?

Yog tias koj muaj ib qho hernia thiab xav tias nws raug strangulated, saib xyuas cov tsos mob no:

• Ib lub pob nyob rau hauv plab lossis qhov chaw mos ua rau mob heev. Tej zaum koj yuav tsis muaj peev xwm muab tso rau hauv ua ntej, tab sis koj yuav tsis muaj peev xwm ua li ntawd tam sim no.
• Xeev siab thiab ntuav tab tom los.
• Mob plab los yog qhov chaw mos heev. Qhov mob no maj mam nce ntxiv thiab tsis ploj mus.
• Xim tawv nqaij hloov pauv qhov chaw uas muaj pob. Qhov chaw ntawd yuav liab, ntshav, lossis tsaus dua li qub.

Qhov tseem ceeb tshaj plaws: Yog tias koj muaj ib qho ntawm cov tsos mob no, koj yuav tsum mus rau tsev kho mob tam sim ntawd yam tsis tas nkim sijhawm.

Yuav siv sijhawm ntev npaum li cas rau tus mob hernia kom raug kaw?

Qhov no yog ib qho xwm txheej txaus ntshai heev. Ib feem ntawm txoj hnyuv uas daig hauv lub hernia tuaj yeem poob nws cov ntshav thiab pib tuag hauv plaub teev xwb. Yog vim li cas kev kho mob sai sai thiaj li tseem ceeb heev.

Vim li cas tus mob hernia thiaj li daig li no? Yog vim li cas?

Ua ntej, cia peb nkag siab tias hernia tsim li cas. Peb lub plab muaj ib phab ntsa ua los ntawm cov leeg nqaij. Qee qhov ntawm phab ntsa no tuaj yeem qaug zog. Tom qab ntawd, cov nqaij hauv lub plab, qee qhov ntawm txoj hnyuv, thiab lwm yam, thawb tawm los ntawm qhov chaw qaug zog ntawd. Qhov ntawd yog qhov peb hu ua hernia. Tom qab ntawd, nws zoo li ib lub pob los ntawm sab nraud.

Tam sim no, qee zaum qhov hernia uas tau tawm los no tsis tuaj yeem rov qab mus rau hauv thiab tuaj yeem daig rau hauv qhov chaw tsis muaj zog ntawd. Qhov no hu ua (Incarcerated Hernia) . Thaum lub sijhawm no, cov ntshav tseem ntws, yog li nws tsis yog teeb meem loj. Txawm li cas los xij, thaum qhov hernia raug kaw no maj mam loj hlob, qhov siab ntawm cov leeg nqaij plab tuaj yeem nias cov hlab ntsha uas mus rau cov nqaij hauv hernia. Ib yam li thaum koj nias lub yeeb nkab dej nyuaj dhau, cov dej tsis ntws. Thaum ntawd cov ntshav ntws tsis ntws kiag li, thiab hernia dhau los ua ib qho mob txaus ntshai hu ua "strangulated hernia."

Xav txog seb, txiv ntxawm Sumanapala hauv peb lub zos muaj ib qho hernia hauv nws lub qhov ncauj txij li thaum nws tseem yog menyuam yaus. Nws tsis tau ua tib zoo saib xyuas nws. Nws xav tias, "Nws yog li ntawd xwb." Nws kuj ua haujlwm hnyav. Muaj ib hnub, nws mob plab tsis taus thiab pib ntuav. Qhov chaw uas lub qog nyob ntawm nws lub plab tau hloov liab thiab mob. Thaum ntawd cov kws kho mob hais tias, "Lub hernia tau daig thiab yuav tsum tau phais sai sai." Hmoov zoo, nws raug coj mus rau tsev kho mob sai sai, yog li nws thiaj li dim. Tab sis yog tias nws lig me ntsis ... Kuv tsis tuaj yeem xav txog.

Tus kws kho mob yuav kuaj mob hernia li cas kom raug?

Thaum koj mus rau tsev kho mob, tus kws kho mob yuav kuaj koj lub cev ua ntej. Lawv yuav nug koj txog koj cov tsos mob thiab tej yam mob uas koj tau muaj yav dhau los. Tom qab ntawd lawv yuav ua qee qhov kev kuaj mob, xws li:

Kev kuaj mob los kuaj mob

• Kev suav cov ntshav tag nrho (CBC) thiab Kev Ntsuas Metabolic Basic (BMP) : Cov no xyuas seb muaj pes tsawg cov qe ntshav dawb hauv koj cov ntshav (los xyuas seb puas muaj kab mob) thiab lwm yam tseem ceeb hauv koj cov ntshav.
• CT Scan (Computed Tomography - CT scan) : Qhov no tuaj yeem pom tseeb qhov mob ntawm lub hernia, seb qee qhov ntawm txoj hnyuv puas raug thaiv lossis puas tsuaj.
• Kev kuaj mob plab Ultrasound : Qhov no kuj tseem tuaj yeem muab qee lub tswv yim ntawm hernia thiab cov ntaub so ntswg ib puag ncig.

Koj kho tus mob hernia strangulated li cas?

Txoj kev kho mob tseem ceeb thiab tsuas yog kho rau tus mob hernia uas raug zawm caj pas yog phais . Feem ntau, nws hu ua phais kho hernia qhib .

Hauv qhov no, tus kws phais yuav ua ib qho kev phais me me rau qhov chaw uas muaj hernia thiab ua tib zoo muab cov nqaij uas raug kaw rov qab rau hauv lub plab. Tom qab ntawd, thaj chaw uas tsis muaj zog hauv phab ntsa plab raug kaw nrog cov xov. Qee zaum, cov qauv zoo li daim ntaub mesh raug siv los txhawb cov leeg.

Txawm li cas los xij, yog tias qhov hernia raug kaw thiab ib feem ntawm txoj hnyuv tsis muaj ntshav txaus thiab puas tsuaj thiab tuag, ces qhov hnyuv uas puas lawm yuav tsum tau muab tshem tawm.Tej zaum koj yuav tau phais plab me me los yog phais plab hnyuv loj . Qhov no yog ib qho kev phais loj.

Puas muaj teeb meem ntawm kev phais mob hernia?

Ib yam li lwm yam kev phais mob, kev phais kho qhov mob hernia uas raug zawm caj pas muaj qee qhov kev pheej hmoo, lossis teeb meem. Txawm li cas los xij, cov no tsis tshwm sim rau txhua tus.

• Kev puas tsuaj rau cov hlab ntsha, lwm yam kabmob, lossis cov nqaij mos ze ntawm thaj chaw phais.
• Hematoma (ntshav sib sau ua ke hauv qab daim tawv nqaij) ntawm qhov chaw phais.
• Cov kua dej sib sau ua ke hauv qab daim tawv nqaij ntawm qhov chaw phais (Seroma).
• Kev kis kab mob ntawm qhov chaw phais .

Yog tias muaj tej yam zoo li no tshwm sim, cov kws kho mob yuav muab kev kho mob tsim nyog.

Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab phais?

Koj yuav tsum tau nyob hauv tsev kho mob ob peb hnub tom qab phais. Lub sijhawm uas siv los kho qhov mob hernia uas raug zawm caj pas yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm koj tus mob thiab qhov xwm txheej ntawm kev phais.

Feem ntau koj yuav rov qab ua tau koj tej dej num txhua hnub li ob peb hnub tom qab phais mob hernia. Txawm li cas los xij, kev nqa khoom hnyav yuav raug txwv rau ib ntus. Yog tias kev nqa khoom yog qhov tseem ceeb rau koj tej dej num txhua hnub, nrog koj tus kws phais tham txog qhov ntawd. Nws yuav qhia koj tias nws yuav siv sijhawm ntev npaum li cas los nqa khoom hnyav.

Txawm li cas los xij, zoo li kuv tau hais ua ntej lawm, yog tias koj tau phais kom tshem ib feem ntawm txoj hnyuv uas puas lawm, nws yuav siv sijhawm txog rau lub lis piam kom rov zoo. Koj tus kws kho mob yuav piav qhia rau koj txog yam uas yuav tsum tau xav txog, yam uas yuav tsum ua, thiab yam uas yuav tsum tsis txhob ua thaum koj rov zoo.

Yog tias koj muaj mob hernia uas raug strangulated, koj yuav xav li cas?

Feem ntau cov mob hernia uas tau raug kaw hauv tsev loj cuj yuav zoo tom qab phais. Txawm li cas los xij, nws muaj peev xwm ua rau mob hernia rov qab los. Yog tias koj tau phais mob hernia ua ntej thiab muaj cov tsos mob ntawm mob hernia dua, mus ntsib kws kho mob tam sim ntawd. Yog tias kuaj pom thiab kho mob sai sai, nws tuaj yeem tiv thaiv kom tsis txhob raug kaw.

Tus nqi ntawm ib tus neeg uas muaj mob hernia strangulated yuav muaj sia nyob li cas?

Qhov no yuav zoo li txaus ntshai, tab sis nws yog ib qho tseem ceeb kom paub qhov tseeb. Thaum koj tau txais kev kho mob sai npaum li cas, koj yuav muaj feem ciaj sia ntau npaum li ntawd. Tab sis qhov ntawd tuaj yeem sib txawv nyob ntawm koj txoj kev noj qab haus huv, hnub nyoog, thiab seb koj puas yuav tsum tau muab ib feem ntawm koj txoj hnyuv tshem tawm.

Yog tias tsis kho, qhov mob no yuav txaus ntshai heev. Yog tias tus mob strangulated hernia ua rau sepsis (tus kab mob uas kis thoob plaws lub cev) lossis gangrene (kev tuag ntawm cov ntaub so ntswg), nws tuaj yeem ua rau tuag taus.

• Yog tias muaj kab mob gangrene los ntawm kev kis kab mob, kev tuag tuaj yeem tshwm sim hauv 48 teev .
• Kab mob Sepsis yog ib qho kev ua xua ntau dhau ntawm peb lub cev rau kev kis kab mob. Yog tias tsis kho, nws tuaj yeem ua rau muaj kab mob sepsis hnyav.Yog tias muaj ib qho mob, uas yog, septic shock, tshwm sim, kev tuag tuaj yeem tshwm sim hauv 12 teev .

Yog vim li ntawd kuv thiaj hais dua thiab dua, yog tias koj muaj cov tsos mob ntawm tus mob hernia uas raug zawm, mus rau tsev kho mob yam tsis muaj kev ncua sijhawm .

Puas yuav tiv thaiv tau tus mob hernia kom tsis txhob raug kaw?

Yog, nws tiv thaiv tau! Qhov no yog xov xwm zoo tshaj plaws. Yog tias koj xav tias koj muaj mob hernia, nrog kws kho mob tham txog nws. Nws yuav kuaj koj thiab qhia koj seb koj puas xav tau phais. Qee cov mob hernias tsis raug kaw sai sai, tab sis qee qhov yuav raug kaw ntau dua. Yog li ntawd, nws yog qhov zoo tshaj plaws los nrhiav kev qhia ntawm kws kho mob. Tom qab ntawd lub hernia tuaj yeem kho tau ua ntej nws raug kaw lossis raug zawm caj dab.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj mob hernia, nco ntsoov mus ntsib kws kho mob kom tham txog kev kho mob.

Txawm li cas los xij, yog tias koj xav tias koj lub hernia raug zawm, txhais tau tias koj muaj cov tsos mob no, mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws tam sim ntawd. Los yog hu rau 1990 (tus xov tooj xwm txheej ceev).

• Mob tam sim ntawd, mob hnyav heev.
• Kev hloov xim ntawm daim tawv nqaij nyob ib puag ncig lub pob hauv plab lossis qhov chaw mos (thawj zaug nws daj ntseg, tom qab ntawd nws tsaus dua lossis liab/ntshav).

Thaum kawg, qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Kab mob hernia yooj yim yog ib qho uas pom ntau heev thiab feem ntau, nws tsis txaus ntshai heev. Txawm li cas los xij, kab mob hernia uas raug zawm caj pas yog ib qho mob ceev heev uas tsis tshua muaj tab sis txaus ntshai heev, uas yuav ua rau tuag taus.

Yog koj xav tias koj muaj mob hernia, tsis txhob yig los tham nrog kws kho mob txog qhov no. Tsis txhob tsuas zaum ntawd xav tias, "Qhov ntawd yog dab tsi?" Koj tus kws kho mob yuav piav qhia rau koj tias koj tus mob hernia yuav raug kaw li cas thiab koj tuaj yeem ua dab tsi los tiv thaiv nws. Kev ua sai sai tuaj yeem cawm koj txoj sia.

Hernia , Hernia Raug Ncab, Kev Ncab Txoj Hnyuv, Kev Phais Hernia, Kev Kho Mob Thaum Muaj Xwm Ceev, Mob Plab