Kodi chotupa chatuluka pamalo omwe munachita opaleshoni? Chingakhale chotupa cha incisional hernia!

Kodi mukukumbukira kuti munachitidwa opaleshoni m'mimba mwanu, kutanthauza kuti, mutachitidwa opaleshoni, nthawi zina mumazindikira kuti bala la bala likuwoneka ngati chotupa chaching'ono chomwe chikutuluka? Kapena kodi izi zachitikira munthu amene mumamudziwa? Nthawi zambiri izi sizikukhudza mtima, koma ndikofunikira kwambiri kudziwa izi. Izi ndi zomwe madokotala amati Inciletional Hernia , kapena mu Chisinhala,

Kodi ichi (Incisional Hernia) n'chiyani? Tiyeni timvetse mosavuta!

Tangoganizani kuti mwachitidwa opaleshoni, kutanthauza opaleshoni, pamimba panu pazifukwa zina. Ikhoza kukhala opaleshoni yomwe imachitika kudzera mu kudula kwakukulu, komwe timatcha laparotomy . Kapena ingakhale opaleshoni yomwe imachitika kudzera mu kudula pang'ono pang'ono (opaleshoni ya laparoscopic) , kapena ingakhale njira yatsopano (opaleshoni ya robotic) .

Kaya opaleshoniyo yachitika bwanji, minofu ya m'mimba imafooka pang'ono opaleshoniyo itatha. Zili ngati kadontho kakang'ono ka nsalu katang'ambika. Kenako, matumbo mkati mwa mimba, kapena zigawo za mafuta m'mimba, zimatuluka kudzera m'minofu yofookayo. Zimatuluka choncho, ndipo zimaoneka ngati chotupa chaching'ono kapena kutupa pansi pa khungu pamalo omwe opaleshoniyo inachitikira. Ichi ndi chomwe timachitcha kuti Inciletional Hernia.

Vutoli ndi lofala kwambiri. Kafukufuku akusonyeza kuti anthu pafupifupi 20 mwa anthu 100 omwe adachitidwa opaleshoni yayikulu ya m'mimba, monga laparotomy, adzakhala ndi hernia. Komanso, hernia iyi imatha kuchitika nthawi yomweyo opaleshoniyo itatha, kapena ingawonekere miyezi ingapo kapena zaka pambuyo pake.

Nthawi zambiri, izi (Incisional Hernias) si vuto lalikulu lachipatala. Komabe, nthawi zina ngati hernia iyi ikukula, ingayambitse mavuto aakulu. Chifukwa chake, ndikofunikira kudziwa izi.

Chithandizo cha nthawi zonse cha izi ndikuchita opaleshoni ina kuti ziwalo za m'mimba zomwe zinatuluka zibwerere m'mimba ndikulimbitsa minofu yofooka.

Kodi zizindikiro za Hernia yodulidwa ndi ziti? Kodi mumaizindikira bwanji?

Ngati hernia ndi yaying'ono, pafupifupi mainchesi awiri (5 cm) mulifupi kapena kutalika, simungazindikire zizindikiro zilizonse. Komabe, ngati hernia ndi yayikulu, mwachitsanzo, yoposa mainchesi 10 (10 cm), mungamve kupweteka. Komanso, chotupa kapena kutupa kungawonekere bwino m'dera la chilonda cha opaleshoni.

Ululu uwu nthawi zina umamveka ngati kupweteka kobaya kwambiri, kapena umamveka ngati kupweteka kwambiri. Ululu uwu ukhoza kukhala woopsa kwambiri makamaka mukanyamula chinthu cholemera, kukhosomola, kapena kuyetsemula.

Maonekedwe otupawo amatha kuonekera kwambiri mukayimirira kapena mukakanikizira minofu ya m'mimba mwanu (mwachitsanzo, mukakakamira mukamadzimbidwa).

N’chifukwa chiyani izi (Incisional Hernia) zimachitika? Kodi ndi zinthu ziti zomwe zimakhudza izi?

Monga tafotokozera kale, chifukwa chachikulu cha kufooka kwa minofu ya m'mimba pambuyo pa opaleshoni ya m'mimba ndi kufooka kwa minofu ya m'mimba. Chiwopsezochi chimakhala chachikulu makamaka pambuyo pa kudula kwakukulu (laparotomy). Komabe, vutoli likhoza kuchitikanso pambuyo pa opaleshoni yochitidwa ndi kudula pang'ono, monga opaleshoni ya laparoscopic kapena robotic.

Pambuyo pa opaleshoni, minofu imeneyi imatenga nthawi kuti ibwererenso, kapena kuchira. Zochita zina ndi matenda ena zimatha kuchedwetsa nthawi yochira ndikuwonjezera chiopsezo cha hernia yodulidwa. Izi zikuphatikizapo:

• Kukhala ndi zochita zambiri mwamsanga mutachita opaleshoni: Izi zikutanthauza kugwira ntchito yolemetsa kapena kuchita zinthu zovutitsa thupi popanda kupuma mokwanira.
• Matenda a shuga: Anthu omwe ali ndi matenda a shuga amachedwa kuchira mabala.
• Kunenepa Kwambiri: Chiwopsezochi chimakhala chachikulu kwa anthu onenepa kwambiri.
• Matenda a m'mapapo: Makamaka kwa anthu omwe ali ndi matenda omwe amayambitsa chifuwa chosatha, monga COPD (Chronic Obstructive Pulmonary Disease) , kutsokomola pafupipafupi kumaika mphamvu pa minofu ya m'mimba.
• Kugwiritsa ntchito mankhwala oletsa chitetezo chamthupi kapena corticosteroids kwa nthawi yayitali.
• Matenda opatsirana pamalo ochitidwa opaleshoni: Kufooka kwa minofu kungachitikenso chifukwa cha zinthu monga matenda a bala.

Kodi chiopsezochi chingachepe bwanji?

Ndipotu, chinthu chabwino kwambiri chomwe mungachite ndi kupatsa thupi lanu nthawi yomwe likufunika kuti lichiritse. Khalani chete kwa masiku angapo mutatha opaleshoni. Pewani kunyamula zolemera kapena kuchita zinthu zolemetsa kwa kanthawi. Ndi bwino kufunsa dokotala wanu wa opaleshoni nthawi yomwe mungayambirenso kuchita zinthu zachizolowezi.

Kodi ndi mavuto otani omwe angabwere chifukwa cha kupweteka kwa msana (Incisional Hernia)?

Ngakhale kuti sizichitika kawirikawiri, nthawi zina chotupa cha m'mimba chingayambitse matenda aakulu. Chimodzi mwa matenda amenewa ndi chotupa cha m'mimba chomwe chimatsekeredwa m'mimba . Apa ndi pamene gawo la m'mimba lomwe lalowa m'mimba limatsekeredwa pakati pa minofu ndipo silingathe kubwerera m'mimba.

Vuto lina loopsa ndi hernia yotsekeka . Pankhaniyi, gawo la m'mimba lotsekeka limakhala pansi pa kupanikizika kwakukulu ndipo magazi amachepa. Izi zikachitika, gawo limenelo la m'mimba limayamba kufa. Mu zamankhwala, timatcha izi (necrosis) .

Hernia yomwe yatsekeredwa m'ndende ndi hernia yomwe yatsekeredwa m'khosi ndi matenda oopsa omwe amafunika chithandizo chadzidzidzi. Pazochitikazi, mutha kumva kupweteka kwadzidzidzi komanso koopsa pamalo pomwe pali hernia, ndipo khungu lomwe lili pamalopo lingasinthe mtundu. Khungu limatha kuyera kenako n’kukhala lakuda. Ngati muli ndi zizindikiro izi, muyenera kupita kuchipatala nthawi yomweyo.

Kodi madokotala amadziwa bwanji ngati muli ndi Incisional Hernia?

Mukapita kukaonana ndi dokotala, choyamba adzakuyesani thupi . Angakuuzeni kuti mukhale pansi, kenako muimirire, kenako adzayang'ana zotupa kapena matuza omwe angakhale akuyenda. Adzakufunsaninso za zizindikiro zina zomwe mungakhale nazo ndikuyesera kudziwa ngati muli ndi vuto monga hernia yomwe yatsekeredwa. Nthawi zina angachitenso CT scan .

Kodi Hernia yodulidwa imachiritsidwa bwanji?

Chithandizo chimadalira zizindikiro zanu. Mwachitsanzo, ngati muli ndi hernia yaying'ono yomwe siipweteka kapena yosasangalatsa, simungafunike chithandizo. Komabe, hernia yodulidwa ikhoza kukula pakapita nthawi. Pamene hernia ikukulirakulira, chiopsezo cha zovuta chimawonjezeka. Chifukwa chake, ngati hernia yanu ndi yayikulu kapena ikuyambitsa zizindikiro, dokotala angakulangizeni opaleshoni yokonzanso hernia .

Opaleshoni iyi ingathe kuchitika ngati njira yochotsera hernia yotseguka kapena ngati njira yochotsera hernia yopangidwa ndi laparoscopic. Mu njira zonsezi, gawo la matumbo kapena minofu mkati mwa hernia imabwezeretsedwa m'mimba kuti ilimbikitse minofu ya m'mimba yofooka. Nthawi zina, kapangidwe kofanana ndi mesh kamagwiritsidwa ntchito kulimbitsa minofu iyi. Izi zimachepetsa chiopsezo cha hernia kubwereranso.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Nthawi yochira imasiyana malinga ndi munthu. Anthu ambiri amatha kubwerera ku zochita zawo zachizolowezi pasanathe masiku angapo. Komabe, aliyense ndi wosiyana, choncho ndi bwino kufunsa dokotala wanu kuti zitenga nthawi yayitali bwanji komanso zomwe angayembekezere.

Kodi ndiyenera kupita kwa dokotala liti nditachita opaleshoni?

Mavuto ang'onoang'ono nthawi zina amatha kuchitika pambuyo pa opaleshoni yokonza hernia yodulidwa. Chifukwa chake, ngati mukumana ndi zotsatirazi, dziwitsani dokotala wanu nthawi yomweyo:

• Ngati bala likutuluka magazi.
• Ngati mukuona zizindikiro za matenda: malungo, madzi otuluka ngati mafinya kuchokera pabala.

Kodi munthu amene ali ndi chotupa cha hernia ayenera kuyembekezera chiyani?

Opaleshoni yokonza hernia yayikulu (yodulidwa) nthawi zambiri imachiritsa vutoli kwathunthu. Komabe, nthawi zina hernia imatha kubwereranso.

Kodi mungakhale ndi Hernia yoduladula kwa nthawi yayitali bwanji?

Ngati hernia yanu sinatsekedwe, mutha kukhala nayo kwa nthawi yayitali. Komabe, hernia yomwe yatsekeredwa ikhoza kukomoka. Ngati zimenezo zitachitika, ikhoza kukhala matenda aakulu omwe angakhale oopsa kwa moyo .

Zingakhale zosayembekezereka kwambiri kukhala ndi hernia yodulidwa pambuyo pa opaleshoni ya m'mimba. Zingakhale zovutitsa kwambiri kuganiza kuti mutachitidwa opaleshoni ya vuto lina, vuto lina lidzabuka. Komabe, vutoli silimafunikira opaleshoni nthawi zonse. Komabe, popeza hernia yayikulu yodulidwa ingayambitse mavuto aakulu, ngati muli ndi chotupa kapena kutupa komwe mudachitidwa opaleshoni, muyenera kuwona dokotala ndikupeza upangiri. Iye adzakuuzani chomwe mungachite bwino.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

• Chotupa cha m'mimba chimachitika pamene mbali zina za m'mimba, monga matumbo, zimatuluka pamalo odulidwawo pambuyo pa opaleshoni ya m'mimba.
• Izi nthawi zambiri sizimakhala zadzidzidzi zazikulu , koma nthawi zina zimakhala zoopsa kwambiri.
• Ngati pali chotupa, kutupa, kapena kupweteka m'dera la chilonda cha opaleshoni, funsani upangiri kwa dokotala.
• Ngati ululu ukuwonjezeka ponyamula zolemera kapena kukhosomola, chimenechonso ndi chizindikiro.
• Hernia yomwe yatsekeredwa m'ndende kapena yopachikidwa ndi vuto lachipatala. Ingayambitse ululu waukulu komanso kusintha mtundu.
• Chithandizo nthawi zambiri chimakhala opaleshoni.
• Kupuma mokwanira mutatha opaleshoni ndikutsatira malangizo a dokotala wanu ndikofunikira kwambiri kuti munthu achire msanga.

Ngati mukufuna kudziwa zambiri za izi, kapena ngati muli ndi nkhawa iliyonse, musazengereze kulankhula ndi dokotala. Khalani ndi thanzi labwino!

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