Uri kunzwa kurwadziwa uku kusinganzwisisike mudumbu mako here? Ngatikurukurei nezve (Rectus Sheath Hematoma)!

Wakambonzwa kurwadziwa mudumbu kamwe kamwe, kwakakomba kunonzwa sebundu mudumbu mako here? Kana kuti wakambova nekukosora kwakaoma wobva waona dota rebhuruu padumbu rako? Kunyangwe zvinhu izvi zvisiri zvakajairika, dzimwe nguva zvinogona kuva zviratidzo zvechirwere chinonzi `(Rectus Sheath Hematoma)` chinoitika mudumbu redu. Saka nhasi, ngatitaurei nezvazvo zvakadzama, nekuti zvakakosha kuziva izvi.

Kutanga, ngationei kuti `(Rectus Sheath)` iyi chii?

Zvichitaurwa zviri nyore, `(Rectus Sheath)` yako ifukidziro yakasimba, ine shinda inokomberedza tsandanyama dziri pamberi pedumbu rako. Kutaura chokwadi, iganda gobvu (rinonziwo `(aponeurosis)`). Mukati mefukidziro iyi mune tsandanyama mbiri huru dzedumbu rako, `(rectus abdominis)` (dzatinowanzodaidza kuti tsandanyama dze "six-pack") uye `(pyramidalis)`.

Fungidzira, iyi `(Rectus Sheath)` ine madziro epamberi (epamberi) nemadziro emusana (ekumashure). Madziro aya akaumbwa nefascia (`(fascia)`) yakafanana neyakakomberedza dzimwe tsandanyama mudumbu mako. Ndizvo:

• "Mhasuru dzekunze dzedumbu" (tsandanyama dzekunze dzedumbu)
• "Mhasuru dzemukati medumbu" (tsandanyama dzemukati medumbu)
• Mhasuru dzedumbu dzakayambuka (cross dust)

"Rectus Sheath" inoumbwa kubva pazvifukidzo zvenyama idzi.

Uyewo, tsinga dzeropa dzepamusoro nedzisina simba, idzo dziri tsinga huru dzeropa dzinopa ropa kutsandanyama dzemudumbu, dzinopfuura nemu `(Rectus Sheath)` iyi. Saka basa guru re`(Rectus Sheath)` iyi nderekudzivirira tsandanyama idzi, tsinga dzeropa, uye nhengo dzakapoteredza dziri mumadziro edumbu.

Asi pane kanhu kadiki. `(Rectus Sheath)` aka haafukidze zviri mukati zvachose. Pamusoro pemhasuru yako ye`(rectus abdominis)` yakafukidzwa ne`(Rectus Sheath)` iyi kumativi ese, kumberi nekumashure. Zvisinei, pane muganho pakati pepamusoro nepasi pemhasuru iyi, iyo inonzi `(arcuate line)`. Mutsetse uyu unenge chikamu chimwe muzvitatu chenzira yekudzika kubva paguvhu rako kuenda panosangana mapfupa ako maviri echiuno pamberi (`(pubic symphysis)`).

Chinhu chakakosha ndechekuti, pasi pemutsara uyu we "arcuate" (mutsara we "arcuate"), chikamu chezasi chemhasuru yako ye "rectus abdominis" chinongofukidzwa ne "Rectus Sheath" (mupendero we "Rectus") kubva kumberi. Hapana `(mupendero we "posterior rectus" (mupendero we "rectus") kubva kumashure! Izvi zvinoreva kuti hapana mupendero wakadaro wekudzivirira chikamu chezasi chemhasuru ye "rectus abdominis"). Yeuka izvi, nekuti izvi zvakakosha kune chirwere che "(Rectus Sheath Hematoma)" chatiri kutaura nezvacho.

Saka chii chinonzi `(Rectus Sheath Hematoma)`?

`(Hematoma)`, muchidimbu, muunganidzwa weropa mukati menyama yako. Zvino, kana `(epigastric arteries)` iri mukati me`(Rectus Sheath)` yatakambotaura nezvayo ikatanga kubuda ropa neimwe nzira, ropa iroro rinogona kuungana munzvimbo iyoyo yedumbu rako. Muunganidzwa uyu weropa unonzi `(Rectus Sheath Hematoma).`

Muchiitiko ichi, kubuda ropa, kunyanya kubva mutsinga dzeropa dziri pasi peepigastric artery, kunogona kunge kwakakomba zvakanyanya. Nekuti, sezvatakambotaura, hapana chifukidziro pasi pemutsetse we arcuate, uye kana ropa rikatanga kuyerera kubva ipapo, hapana nyama inomisa kupararira kweropa. Nokudaro, ropa rakawanda rinogona kuungana.

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

Rectus Sheath Hematoma inowanikwa zvakanyanya muvakadzi kupfuura varume, uye inowanikwawo zvakanyanya muvanhu vane makore anopfuura makumi matanhatu .

Dambudziko iri rakajairika zvakadii?

Rectus Sheath Hematoma chirwere chisingawanzoitiki . Chinongobata 1% kusvika 2% yevarwere vane kurwadziwa mudumbu. Saka, ungasanzwa nezvazvo kakawanda.

Zviratidzo zvacho ndezvipi?

Chiratidzo chinowanzoonekwa chechirwere ichi kurwadziwa mudumbu . Marwadzo aya:

• Unogona kutanga ipapo ipapo.
• Inogona kuva kurwadziwa kwakanyanya, kusingatsungiririki.
• Zvinogonawo kuva kurwadziwa kunogara kuripo.
• Marwadzo anogona kuwedzera kana ukazununguka, kukotama, kana kumanikidza tsandanyama dzemudumbu.

Pamusoro pezvo, dzimwe nguva paunobata dumbu rako, unogona kunzwa chimwe chinhu chakaita sebundu .

Zvimwe zviratidzo zvinogona kuonekwa zvinosanganisira:

• Kusvotwa nekurutsa
• Kupindwa nechando
• Ganda rebhuruu kana maronda (kunyanya mudumbu)
• Anemia (zvinoreva kudzikira kwehuwandu hweropa)
• Kuwedzera kwekurova kwemoyo (tachycardia)
• Kuderera kweropa (hypotension)

Chii chinokonzera izvi?

Chikonzero chikuru che `Rectus Sheath Hematoma` kubuda ropa mu`(Rectus Sheath).` Izvi zvinowanzoitika kana paine rudzi rwekukuvara kumadziro edumbu .

Zvichitaurwa zviri nyore, dambudziko iri rinogona kuitika kana `(epigastric artery)`, tsinga diki dzeropa dzinobva pairi, kana tsandanyama ye`(rectus abdominis)` pachayo ikakuvara. Sezvatakambotaura, tsandanyama dzemudumbu dzinopihwa ropa netsandanyama dzepamusoro nedzisina simba`(epigastric arteries)`. Zvakare, kana `(inferior epigastric artery)` ikakuvara, mamiriro acho anogona kunge akakomba zvishoma, nekuti haina dziviriro iri pasi pe`(arcuate line)`.

Fungidzira, kana ukarohwa zvakananga mudumbu mako, kana ukangoerekana washandisa simba rakawandisa mutsandanyama dzemudumbu (semuenzaniso, kana ukakosora zvakanyanya kwenguva yakareba, kana kana ukamanikidza dumbu rako uchisimudza chimwe chinhu chinorema), iyi `(epigastric artery)` inogona kuputika yotanga kubuda ropa, zvichiita `(hematoma)`.

Ndezvipi zvinhu zvinokonzera njodzi iyi?

Chinhu chikuru chinokonzera `Rectus Sheath Hematoma` kushandiswa kwemishonga inodzivirira kugwinha kweropa (`(anticoagulants)` kana `blood thinners`) . Vanhu vanosvika 70% vanowana `Rectus Sheath Hematoma`` vari kutora imwe mhando yemishonga `(anticoagulant)``. Mishonga iyi inononotsa kubuda ropa, zvichiita kuti zvive nyore kuti `(hematoma)`` ibude.

Chimwe chinhu chikuru chinokonzera njodzi chirwere cheitsvo chisingaperi . Vanhu vanosvika 60% vanowana rectus sheath hematoma vane chirwere cheitsvo chedanho rechitatu kana kupfuura.

Zvimwe zvinhu zvinokonzera njodzi zvinosanganisira:

• Kuvhiyiwa kwedumbu munguva pfupi yapfuura
• Kushandisa mishonga yesteroid kana immunosuppressants
• Kukosora kwakanyanya uye kunoramba kuripo
• Kutora `Antiplatelet therapy` (mushonga unodzivirira maplatelet eropa kuti asaungane pamwe chete)
• Pamuviri
• Zvirwere zvisingaperi, zvakaita seBP uye atherosclerosis (kutetepa kwetsinga dzeropa nekuda kwemafuta ari pamadziro etsinga)

Zvakakosha: Kana uri kutora mishonga inorwisa ropa seizvi, unofanira kungwarira zvikuru kana ukanzwa kurwadziwa mudumbu kamwe kamwe.

Kuongororwa kwechirwere kunoitwa sei?

Dzimwe nguva zvakaoma kuona hematoma yemudumbu, sezvo zviratidzo zvayo zvakafanana nezvemamwe matambudziko emudumbu.

Chiremba wako angangotanga aita bvunzo yeropa kuti aone huwandu hwe hemoglobin yako ne hematocrit. Vanhu vanopfuura hafu vane rectus sheath hematoma vanenge vaine huwandu hwakaderera hwe hemoglobin (zvichireva kuti vane huwandu hushoma hweropa).

Tevere, chiremba wako anogona kuita ultrasound yemadziro edumbu rako. Izvi zvinogona kubatsira kuona kana paine mvura yakaita seropa mukati memadziro edumbu uye kuti hematoma yakakura sei.

Dzimwe nguva, CT scan inogona kuitwa kuti pave nemufananidzo wakarurama uye wakajeka wechirwere chacho. CT scan, kunyanya inoshandisa contrast dye, inogona kuratidza kuti dhayi iri kubuda kupi kubva mutsinga yeropa yakakuvara. Izvi zvinogonawo kubatsira chiremba kuziva kuti kubuda ropa kuri kubva kupi.

Inorapwa sei?

Mashoko akanaka ndeekuti ma hematomas mazhinji emudumbu anoporesa ega uye haadi kurapwa kwakakosha. Kurapa kwechirwere ichi kunowanzo sanganisira:

• Kuisa mapakiti echando (chando kana kuti kudzvanya kunotonhora)
• Zorora
• Kushandisa mishonga inorwadza (`(mishonga inonyaradza marwadzo)`)

Inenge 80% ye rectus sheath hematomas inorapwa nekurapwa kuri nyore seizvi.

Zvisinei, kana kurapwa kuri nyore uku kusingabatsire, kana kuti kana chirwere chacho chakanyanya kuipa, chiremba anogona kushandisa mushonga unonzi ``angioembolization``. Uku hakusi kuvhiyiwa. Kunosanganisira kusanganisa ``angiography`` (nzira yekutora mifananidzo yetsinga dzeropa) uye ``embolization`` (nzira yekuvhara tsinga yeropa), kuti vawane tsinga inobuda ropa uye kuivhara.

Kana nzira iyi ye "angioembolization" ikasabudirira, kuvhiyiwa kungadiwa senzira yekupedzisira. Panguva yekuvhiyiwa, ropa rakaungana (``hematoma``) rinobviswa uye tsinga inobuda ropa inovharwa.

Panguva yekurapwa uye mushure mekurapwa, chiremba wako achaongorora mamiriro ako ezvinhu nekuongororwa kweropa uye kuongororwa neultrasound. Izvi zvinogona kubatsira kuona kudzoka kweropa kana hutachiona.

Chii chichaitika mushure mezvo? Achapora here?

Mazhinji erectus sheath hematomas anongoerekana apera mukati memwedzi miviri kusvika mitatu . Vanhu vazhinji vanowana chirwere ichi vanopora zvakanaka uye havazove nematambudziko akawanda.

Zvisinei, mune dzimwe nguva - kunyanya pakati pevanhu vanotora mishonga inorwisa ropa - chirwere ichi chinogona kuuraya . Zvisinei, hazviwanzoitiki. Zvichienderana nedata razvino, vanhu vasingasviki 2% vanofa neRectus Sheath Hematoma.

Sezvineiwo nechirwere chipi zvacho, kuongororwa kwechirwere nekukurumidza uye kurapwa nekukurumidza zvinowedzera mikana yekupora . Saka, kana uchifunga kuti une zviratidzo zve "Rectus Sheath Hematoma", iva nechokwadi chekutsvaga rubatsiro rwechiremba.

Pakupedzisira, zvinhu zvekurangarira

`(Rectus Sheath)` yako isheya inokosha inodzivirira nhengo, nyama, uye tsinga dzeropa dziri mudumbu mako. Kana madziro ako edumbu akakuvara nenzira ipi zvayo, `(epigastric artery)` inogona kuputika yokonzera `(Rectus Sheath Hematoma)`.

Kazhinji, chirwere ichi hachidi kurapwa kwakanyanya. Zvinhu zviri nyore zvakaita sekuisa aizi, kuzorora, uye kunwa mishonga inoderedza marwadzo zvinogona kubatsira.

Zvisinei, dzimwe nyaya dzinogona kutonyanya kuipa. Kana uine kurwadziwa kwakanyanya mudumbu, kuchenjera kuona chiremba kuti uone kana uchida kurapwa. Usavhunduke, asi zvakakosha kuti iwe nemhuri yako muzive nezvezvinhu izvi.

` Rectus Sheath Hematoma, kurwadziwa kwemudumbu, kubuda ropa mudumbu, epigastric artery, anticoagulants, mudumbu, kurwadziwa kwemudumbu