Ese wabwiwe gushyiramo utwuma mu ibere ryawe? Reka twige kuri iyi utwuma two kubaga!

Nawe ushobora kuba warabwiwe na muganga ko "urushundura" rugomba gushyirwaho kubera hernia cyangwa kugira ngo wongere intege nke mu nda yawe. Ni ibisanzwe kumva ugize ubwoba gato iyo ubyumvise. Ariko iyo uzi neza icyo "urushundura" cyangwa, nk'uko abaganga babyita, ari cyo rushundura rwo kubaga ari cyo n'icyo rukora, ubwoba bwawe n'ibyo ushidikanyaho bizagabanuka cyane. None rero, uyu munsi, reka tuvuge kuri uru rushundura rwo kubaga mu buryo bworoheje.

Iyi mesh yo kubaga ni iki?

Mu magambo make, mesh yo kubaga ni mesh ikoreshwa mu gukomeza ingingo z'umubiri zangiritse cyangwa zangiritse. Ni nk'uko ukoresha igitambaro gishya kugira ngo ukomeze ishaje. Akenshi ikoreshwa mu gusana ahantu hadakomeye mu nda yawe (mu nda) cyangwa mu nda.

Iyi mesh ikunze gukorwa mu bikoresho byakozwe n'abantu, ariko rimwe na rimwe ikorwa mu nyamaswa z'inyamaswa. Umuganga ubaga agukata agashyiramo mesh. Hanyuma, uko umubiri wawe ukira, inyama nshya zikurira ku rushundura. Tekereza nk'igiti gikura ku ruzitiro rw'insinga, cyangwa nk'isima yuzura ikirahure iyo usuka sima. Uku ni ko mesh ikomeza ahantu.

Hari abantu bayita "agace k'inda", kandi kubera ko gakoreshwa kuri hernia, kitwa kandi "agace k'inda".

Udupira two kubaga dukoreshwa iki?

Abaganga bakunze gutanga inama yo kubaga inyunganiramirire niba ufite hernia . Hernia ni ugusohoka kw'urugingo cyangwa ingingo mu mubiri wawe binyuze mu gace gafite intege nke mu mitsi cyangwa izindi ngingo. Tekereza nk'umuyoboro uva mu gace gafite intege nke mu ipine.

Abaganga bashobora gufunga utu duce twangiritse bakoresheje imidomo. Ariko, rimwe na rimwe, uko igihe kigenda gihita, bitewe n'umuvuduko w'imirimo ya buri munsi, imidomo ishobora kongera kurekura. Icyo gihe ni bwo uburyo bwo kubaga bufasha. Butanga imbaraga zidasanzwe ku gace gafunze, bugafasha mu kurinda imitsi yacitse intege kongera kurekura.

Iyi mesh yo kubaga ikozwe n'iki?

Uduce two kubaga dukora mu bikoresho bitandukanye. Ibi bishobora kuba polimeri zikozwe mu buryo bwa sintetike cyangwa biopolimeri . Polymeri zikozwe mu buryo bwa sintetike ni ibintu abantu bakora mu nganda, akenshi biva muri peteroli. Biopolimeri ni ibintu biva mu turemangingo tuzima.

Ibikoresho byakoreshejwe bishobora kuba birimo:

• Polymeri zikozwe mu buryo bwa sintetike zishobora kwinjizamo ibintu - ingeroAside ya Polyglycolic cyangwa polycaprolactone .
• Biologic - kolajeni idakora mu turemangingo ikomoka ku nka cyangwa ingurube.
• Ibikoresho - Uruvange rw'ibi bikoresho bitatu muri ibyo.
• Polymeri zikozwe mu buryo bwa sintetike zidapfa kunyurwa - urugero ni polypropylene . Iyi ni yo ikoreshwa cyane.

Iyi mesh iza mu buryo butandukanye. Zimwe ziraboshywe , izindi ziraboshywe .

Uduti two kubaga dukozwe mu budodo bumwe bufatanye. Dusa n'ishati iboshye. Ubwo bwoko bw'uduti buroroshye kandi bufite imyenge, bigatuma ingingo zikura zigahinduka utwo duti.

Udukingirizo two kubaga dufite imigozi iboshye hejuru, munsi, no hagati mu buryo bwa checkerboard. Ikora nk'insinga zikoreshwa mu gushimangira sima mu mihanda no mu nyubako. Imiterere y'imashini y'udukingirizo two kubaga ni imwe ahantu hose . Ibi bivuze ko buri kare muri utwo dukingirizo ishobora kwihanganira ingano imwe y'umuvuduko n'igitutu.

Umwobo wo kubaga ungana iki?

Ibi biratandukanye bitewe n'ubwoko bw'urushundura rwakoreshejwe.

Iyo ushyizemo akantu kadapfa kwinjiza umubiri wawe , kazakomeza kandi gafatane n'imitsi cyangwa ingingo zawe burundu.

Uduce duto dushobora kwinjizamo si two duhoraho. Uko igihe kigenda gihita, umubiri wawe uzagenda utwongera buhoro buhoro hanyuma ugakura ingingo nshya cyangwa imitsi mu mwanya watwo.

Buri bwoko bw'imiyoboro bufite ibyiza n'ibibi byabwo. Umuganga wawe azahitamo ubwoko bukubereye kandi agusobanurire ibyiza n'ibibi bya buri kimwe. Ushobora kubaza ikibazo icyo ari cyo cyose ufite icyo gihe.

Ni gute umuganga ubaga ashyiramo urushundura rwo kubaga?

Ibi bizatandukana bitewe n'ubwoko bw'ikibagwa cya hernia urimo gukora. Ariko muri rusange, umuganga ubaga aza:

1. Niba ugiye kubagwa ku mugaragaro , hazaba hakozwe icyuho kimwe, gifite uburebure bwa santimetero nke. Bitabaye ibyo, niba ugiye kubagwa laparoscopic cyangwa robotic , hazaba hakozwe icyuho gito.

2. Hanyuma, ingingo ya henisme isubizwa mu mwanya wayo hanyuma agace k'imitsi kacitse intege gafungwa n'imisumari .

3. Hanyuma, kugira ngo agace kakozwe gakomeze cyane , umuyoboro wo kubaga ushyirwa munsi, hagati cyangwa hejuru y'imitsi hanyuma ugashyirwa ku murongo.

4. Amaherezo, icyuho gifungwa nanone hakoreshejwe imidozi.

Umwobo wo kubaga ushyirwa he?

Ibi biterwa n'aho hernia yawe iherereye n'uburemere bwayo. Umuganga ubaga ashobora gushyira urushinge ahantu hakurikira:

• Hagati y'amara yawe n'urukuta rw'inda.
• Hagati y'imitsi y'urukuta rw'inda yawe.
• Inyuma y'urukuta rw'inda yawe.

Muganga wawe azabigusobanurira mu gihe cyo kugisha inama mbere yo kubagwa.

Ni izihe nyungu n'ingaruka mbi zo kubaga mesh?

Akamaro nyamukuru ni uko uburyo bwo kubaga muri rusange ari uburyo bwiza, bufite akamaro kandi bukoreshwa cyane mu kuvura hernia. Nanone, ibyago byo kugaruka kwa hernia nyuma yo gushyirwaho ubwo buryo ni bike cyane.

Ariko, nk'uko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe. Dore ingaruka zishobora guterwa no kubaga :

• Kwandura indwara .
• Uduce two kubaga tudakoresha uburyo bwa synthetic mesh rimwe na rimwe dushobora gucika bigatuma imitsi yongera kwinjira (hernia repetition) .
• Ni gake cyane, urushinge rushyirwa hafi y'ingingo rushobora kwangiza izindi ngingo, nk'amara cyangwa uruhago rw'inkari.
• Urushinge ntirufatanye neza n'imitsi yawe.

Izi ngaruka ni nke cyane . Ariko, mbere yo kubagwa, wowe na muganga wawe mugomba kuganira ku byiza n'ibibi byo kubagwa no kudakoresha mesh. Kenshi na kenshi, umuganga w'inzobere azafata icyemezo cyo gusana hernia no gushyiramo mesh niba ingaruka kuri wewe ziruta ingaruka zo kudasana hernia no kudakoresha mesh. Urugero, niba ufite hernia, ishobora gutera indwara zikomeye nko kuziba amara cyangwa kubyimba amara , bishobora gusaba kubagwa byihutirwa. Ariko, abantu benshi basana hernia bitewe n'ububabare n'ingaruka ku mibereho yabo.

Zimwe mu ngaruka zikunze kugaragara zo kubagwa ni izi:

• Ibibazo byo kugabanya ububabare .
• Kuva amaraso menshi cyane .
• Kubabara mu gihe kirekire cyangwa ububabare mu gice cy’ubuvuzi, bishobora guterwa no kwangirika kw'imitsi.

Bizantwara igihe kingana iki kugira ngo ngire gukira?

Ibi bizatandukana bitewe n'ubwoko bwa hernia, ubukana bwayo, n'ubwoko bw'ukubagwa wakorewe. Ariko ubusanzwe, uzashobora gusubira ku kazi cyangwa ku ishuri mu cyumweru kimwe.Ariko niba ukora akazi gasaba imbaraga nyinshi, cyangwa niba hernia yawe ari nini, ushobora gukenera kuruhuka igihe gito. Umuganga wawe azakubwira ibi.

Guhera umunsi ukurikira kubagwa, ushobora gukora imyitozo yoroshye, nko kugenda n'amaguru, uko ushoboye kose. Ugomba gutegereza byibuze ibyumweru bibiri mbere yo gukora ibintu nko kwiruka, kugendera ku igare, cyangwa koga. Ushobora gutegereza amezi menshi mbere yo gukora imyitozo ikomeye, nko kwiruka mu kirere, gukina siporo, cyangwa guterura ibyuma.

Ni iki nakora kugira ngo igihe cyo gukira nkoresheje uburyo bwo kubaga cyoroshye?

Nyuma yo kubagwa, ushobora gukora ibi bikurikira kugira ngo worohereze gukira:

• Irinde kwihata igihe ugiye mu bwiherero.
• Nywa ibinyobwa byinshi, harimo n'amazi.
• Fata imiti y'ububabare nk'uko muganga wawe yabigutegetse.
• Fata urugendo rugufi buri munsi. Bizatuma amaraso yawe atembera neza kandi byoroshye kwituma no kunyara.

Ni ryari ngomba kujya kwa muganga?

Nyuma yo gushyiramo agakoresho ko kubaga, hita ubonana na muganga niba ufite kimwe muri ibi bimenyetso:

• Ububabare bukomeye .
• Ibimenyetso by'ubwandu : guhindura ibara ry'aho hakorewe isuku (umutuku, umuhengeri, umukara, cyangwa umukara), umuriro, cyangwa amazi asa n'umuhondo asohoka mu isuku.
• Ibimenyetso bya Irritable Arowel Syndrome : Kuribwa mu nda, impiswi, umwuka no kubyimba.

Amaherezo, ikintu cy'ingenzi kurusha ibindi

Ni ibisanzwe kumva ufite ubwoba n'ubwoba igihe ugiye kubagwa hernia. Ariko, ibuka ko mesh yo kubaga ari igikoresho gikoreshwa cyane kandi gifite akamaro mu buvuzi kigabanya amahirwe yo kugaruka kwa hernia. Umuganga wawe azagusobanurira amahitamo meza kandi akugire inama nziza bitewe n'uburwayi bwawe n'ibyo ukunda. Bazakubwira kandi icyo wakwitega mu gihe cyo gukira n'icyo wakora mu gihe habayeho ingorane. Niba ufite ikibazo cyangwa impungenge, ntutindiganye kubaza muganga wawe.

` Udukingirizo two kubaga, hernia, kubaga, utwuma two mu nda, utwuma two mu nda, kubaga, gukira