Zizindikiro zimapezeka ndi kuchiritsidwa kwa umbilical hernia kwa akuluakulu zimafunika ngati pali ziphuphu za ziwalo za m'mimba kudzera mu mphete ya umbilical. Izi sizowopsa kwambiri, zomwe zimapezeka mu 6-10 peresenti ya anthu. Monga momwe chiwonetsero chikuwonetsera, amayi amakhala otengeka kwambiri, ngakhale kuti amuna omwe ali ndi matendawa nthawi zambiri amatembenukira kuchipatala.
Ndi zizindikiro ziti za umbilical hernia munthu wamkulu?
Poyambira pakupangidwa kwa hernia, nthawi zambiri zimatchulidwa kuti:
- kunenepa kwambiri;
- mimba;
- kuvulaza m'mimba;
- ascites ;
- mawonekedwe aakulu a kudzimbidwa;
- kuyesetsa kwakukulu;
- mofulumira kukhala ndi zotupa;
- kuchepa kwakukulu kulemera;
- kufooka kwapakati pa ziwalo zogwirizana mu umbilical ring m'dera.
Kuti mumvetsetse kuti njira zamakono za mankhwala a umbilical hernia kwa akuluakulu zimafunika, ndizotheka zizindikiro zambiri. Kuuma kwawo kumadalira zinthu zosiyanasiyana:
- kukula kwa maphunziro;
- kunyalanyaza kwake;
- thanzi la wodwalayo;
- Kukhalapo kwa ma adhesion mu peritoneum.
Monga lamulo, mawonetseredwe oyambirira a matendawa ndi ochepa chabe mu nthata. Nthawi zambiri kawirikawiri amaoneka ngati ali ndi mimba, choncho amayi amtsogolo sangathe kuwamvetsera. Mapangidwe atsopanowa angakonzedwe mosavuta, ndipo pamalo apamwamba amawoneka okha. Pakapita nthawi, timapepala timapanga, ndipo zimakhala zovuta kuti tithetse vutoli. Komabe, zizindikiro zina zingakhalebebepo. Koma odwala ena panthawiyi amayamba kudandaula za kupweteka m'mimba ndi chifuwa, nkhawa, nthawi yayitali.
Pazovuta kwambiri, pali zolakwika za umbilical hernias, zomwe akuluakulu angakhale nazo zizindikiro monga:
- mphunzitsi;
- chisokonezo;
- kusanza;
- kukhalapo kwa mitsempha ya magazi mu chopondapo;
- mdima wa khungu mu umbilical dera;
- kudzimbidwa ;
- mavuto okhwima.
Kuchiza kwa umbilical hernia kwa akuluakulu
Amakhulupirira kuti nthendayi ikhoza kuchiritsidwa kokha mwa kuchotsedwa opaleshoni. Otsatira ena a njira zina zothandizira ena, amalimbikitsa njira zawo zokonza. Koma akatswiri a madokotala samalimbikitsa kuti aziwunika momwe angakhalire okha. Chifukwa ngakhale kuti vutoli ndilo, vutoli limakhala lovuta kwambiri. Ndipo mapetowa ndi olemetsa kwambiri, ndipo sizovuta kumenyana nawo.
Pali njira zingapo zofunika kuchotsera maphunziro:
- pamene atambasula hernioplasty, mphete ya umbilical imatsekedwa ndi m'mphepete mwa aponeurosis mu zigawo ziwiri;
- Zida zopangira pulasitiki zimagwiritsa ntchito zipangizo zapadera;
- mwambo wa laparoscopy.
Contraindicated mankhwala opaleshoni ya umbilical hernia mwa akuluakulu ndi:
- matenda opatsirana mu mawonekedwe osatha;
- zovuta zopweteka;
- kusamba;
- mimba;
- kuperewera kwa mtima kapena mapulaneti;
- immunodeficiency states.
Kuchiza kwa umbilical hernia kwa akuluakulu ndi mankhwala ochiritsira
Pali njira zambiri zothandizira. Kuti ziwathandize kwambiri, zigwiritseni ntchito mofanana ndi mankhwala achikhalidwe:
- Mafuta opangidwa ndi mafuta a camphor akugwiritsidwa ntchito mwachindunji ku bulge. Kuphatikiza pa chigawo chachikulu mu zokonzedwa, muyenera kuwonjezera pini chingamu, kusungunuka, kenako kenaka mu keke.
- Osati njira yabwino kwambiri, koma yogwira mtima - kugwiritsa ntchito thola pa bulbu yonyowa.
- Ambiri amatamanda msuzi wa cornflower. Ziyenera kumwa mowa 400 ml tsiku mwezi.
- N'zosavuta kukonzekera mankhwala kuchokera ku oatmeal. Muyenera kuphika phala wandiweyani kwambiri, likhale loziziritsa pang'ono, kenaka mupange mkate m'kati ndikugwirizanitsa ndi pulogalamu ya usiku.