Ib qho hnoos qeev tshwm sim thaum thaj tsam ntawm koj cov leeg phab ntsa, daim nyias nyias, lossis cov ntaub so ntswg uas tuav koj lub cev nruab nrog cev nyob hauv qhov chaw tsis muaj zog lossis tsim lub qhov. Thaum qhov chaw tsis muaj zog ua loj txaus, ib feem ntawm lub cev nruab nrog cev pib xau tawm. Yog li, hnoos qeev yog sib piv, ib lub hnab nrog lub qhov me me los ntawm cov ntsiab lus, zoo li hauv lub raj mis lossis lub raj mis, khiav tawm. Vim tias nws muaj qhov ua rau sib txawv, nws yog ib qho tseem ceeb kom paub yuav tshuaj xyuas hernia kom tsis txhob muaj teeb meem ntxiv.
cov kauj ruam
Txoj Kev 1 ntawm 2: Paub Qhov Sib Txawv Ntawm Hom Hernias
Kauj Ruam 1. Txheeb ib ncig lub plab, plab, lossis hauv siab
Kev hnoos qeev tuaj yeem cuam tshuam rau thaj chaw sib txawv ntawm koj lub cev hauv ntau txoj kev, txawm hais tias hnoos qeev hauv lossis ib ncig ntawm thaj tsam plab tuaj yeem yog hom feem ntau. Cov hom no suav nrog:
- Hiatal, uas cuam tshuam rau lub plab sab sauv. Hiatus yog qhov qhib hauv lub diaphragm uas cais thaj tsam hauv siab los ntawm lub plab. Muaj ob hom hnoos qeev hiatal: zawv zawg los yog paraesophageal. Lawv tshwm sim ntau zaus hauv poj niam dua li txiv neej.
- Epigastric tshwm sim thaum cov txheej txheem me me ntawm cov rog raug yuam los ntawm lub plab phab ntsa nruab nrab ntawm lub mis pob txha thiab ntaws. Koj tuaj yeem muaj ntau dua ib qho hnoos qeev tib lub sijhawm. Txawm hais tias nws feem ntau tsis muaj tsos mob, kev phais yuav tsim nyog los kho qhov teeb meem.
- Qhov xwm txheej tshwm sim thaum kev saib xyuas tsis txaus tom qab phais lub plab ua rau muaj qhov txhaws los ntawm qhov caws pliav phais. Hauv ntau qhov xwm txheej, lub ntsej muag phais raug teeb tsa tsis raug thiab cov hnyuv tawm los ntawm nws, ua rau mob plab.
- Umbilicals muaj qhov tshwm sim ntau dua ntawm cov menyuam yaus.
Kauj Ruam 2. Paub hom uas cuam tshuam rau thaj tsam puab tais
Hernias kuj tuaj yeem cuam tshuam rau lub puab tais, lub plab, lossis tus ncej puab thaum cov hnyuv txav tawm ntawm qhov chaw, ua rau tsis xis nyob thiab qee zaum mob qog hauv cov cheeb tsam no.
- Inguinal: cuam tshuam rau puab tais, thiab tshwm sim thaum ib feem ntawm txoj hnyuv me ua rau lub plab hauv plab. Feem ntau, yuav tsum tau phais, vim tias muaj teeb meem tuaj yeem ua rau muaj xwm txheej txaus ntshai.
- Femoral: cuam tshuam rau lub puab tsaig sab saud, tsuas yog hauv qab lub puab tsaig. Thaum nws yuav tsis ua rau mob, nws zoo li pob ntawm koj tus ncej puab. Zoo li hiatal, femoral hernias muaj ntau dua rau poj niam dua li txiv neej.
- Perineal: tshwm sim thaum cov ntaub so ntswg tawm sab nrauv qhov quav. Hom hnoos qeev no tsawg heev hauv tib neeg thiab feem ntau tsis meej pem nrog hemorrhoids.
Kauj Ruam 3. Kawm paub lwm hom hernias
Hernias tuaj yeem cuam tshuam rau lwm qhov ntawm lub cev ntxiv rau lub plab thiab puab tais. Tshwj xeeb, cov hauv qab no tuaj yeem nthuav qhia teeb meem kev noj qab haus huv rau tib neeg:
- Disc herniation: Qhov no tshwm sim thaum lub disc hauv koj lub nraub qaum hloov thiab pib zaws cov hlab ntsha. Cov discs nyob ib ncig ntawm tus txha nqaj qaum yog cushioning, tab sis lawv tuaj yeem raug tshem tawm los ntawm kev raug mob lossis mob, ua rau muaj pob txha.
- Intracranial hernias: tshwm sim hauv lub taub hau. Lawv tshwm sim thaum lub paj hlwb, kua dej, thiab cov hlab ntshav raug rub tawm ntawm lawv txoj haujlwm ib txwm muaj hauv pob txha taub hau. Tshwj xeeb tshaj yog thaum lawv tshwm sim nyob ze thaj tsam ntawm lub paj hlwb, lawv yuav tsum tau kho tam sim.
Txoj Kev 2 ntawm 2: Txheeb Xyuas Cov tsos mob
Kauj Ruam 1. Txheeb xyuas cov tsos mob lossis cim qhia tau
Hernias tuaj yeem tshwm sim los ntawm ntau qhov sib txawv. Thaum lawv tshwm sim, lawv yuav lossis tsis mob. Nrhiav cov tsos mob no, tshwj xeeb tshaj yog rau hernias nyob hauv cheeb tsam plab lossis hauv puab tais:
-
Koj pom o o qhov mob nyob qhov twg. Qhov o feem ntau yog nyob ntawm qhov chaw xws li tus ncej puab, plab lossis puab tais.
Txheeb rau Hernia Step 4Bullet1 -
Qhov o yuav los yog yuav tsis mob; bulging thiab tsis mob hernias feem ntau.
Txheeb rau Hernia Step 4Bullet2 -
Cov pob uas ua kom tiaj tus thaum koj nias rau lawv xav tau kev kho mob; cov pob uas tsis tiaj tus thaum nias xav tau kev kho mob tam sim.
Txheeb rau Hernia Step 4Bullet3
-
-
Koj tuaj yeem ntsib qhov mob uas txawv ntawm qhov hnyav mus rau qhov tsis xis nyob. Cov tsos mob tshwm sim yog qhov mob tshwm sim thaum muaj kev tawm dag zog lub cev. Yog tias koj hnov mob thaum ua cov haujlwm hauv qab no, koj yuav muaj tus mob hernia:
Txheeb rau Hernia Step 4Bullet4 -
Nqa khoom hnyav.
Txheeb rau Hernia Step 4Bullet5 -
Hnoos lossis txham.
Txheeb rau Hernia Step 4Bullet6
-
-
*Qoj lossis siv koj tus kheej hauv qee txoj kev.
Txheeb rau Hernia Step 4Bullet7 - Koj qhov mob hnyav zuj zus mus txog hnub kawg. Hernia mob feem ntau mob hnyav tom qab hnub ntawd, lossis tom qab koj tau sawv ntsug ntev.
Kauj Ruam 2. Tham nrog kws kho mob kom paub tseeb tias kuaj mob
Qee tus hernias yog cov kws kho mob hu ua "nyam" lossis "strangulated," lub ntsiab lus tias lub cev hauv cov lus nug poob nws cov ntshav los lossis thaiv txoj hlab ntws. Cov hernias no xav tau kev kho mob tam sim.
- Teem caij nrog koj tus kws kho mob. Qhia tag nrho koj cov tsos mob.
- Muaj kev kuaj lub cev. Koj tus kws kho mob yuav tshuaj xyuas yog tias thaj tsam loj dua thaum koj nqa, khoov, lossis hnoos.
Kauj Ruam 3. Paub tias dab tsi ua rau koj muaj kev pheej hmoo ntawm muaj quav quav
Vim li cas qhov teeb meem no cuam tshuam rau ntau lab tus tib neeg? Qhov ua rau muaj ntau yam. Nov yog qee qhov ntawm cov xwm txheej uas ua rau muaj kev pheej hmoo:
-
Kev tshuaj ntsuam genetic predisposition: Yog tias ib leeg ntawm koj niam koj txiv muaj tus kab mob hernias, koj yuav muaj peev xwm txhim kho ib yam nkaus.
Txheeb rau Hernia Step 6Bullet1 -
Hnub Nyoog: Koj tau laus dua, koj muaj feem yuav muaj teeb meem no ntau dua.
Txheeb rau Hernia Step 6Bullet2 -
Cev xeeb tub: Thaum cev xeeb tub, leej niam lub plab nthuav dav, ua rau muaj kev pheej hmoo ntawm ntuav.
Txheeb rau Hernia Step 6Bullet3 -
Kev poob phaus sai: Cov neeg uas poob phaus tam sim ntawd yog nyob hauv pab pawg txaus ntshai.
Txheeb rau Hernia Step 6Bullet4 -
Kev rog: Cov neeg rog rog ntau dua yuav tsim hernias piv rau cov uas hnyav ib txwm.
Txheeb rau Hernia Step 6Bullet5 -
Mob hnoos ntev: hnoos ua rau muaj kev nyuaj siab ntau thiab ua rau lub plab mob, ua rau muaj menyuam hauv plab.
Txheeb rau Hernia Step 6Bullet6
Lub tswv yim
- Koj tuaj yeem tiv thaiv tus mob hernia hauv ntau txoj kev. Piv txwv li, koj tuaj yeem siv cov txheej txheem nqa qhov hnyav kom raug, poob phaus (yog tias koj rog dhau) lossis ntxiv cov fiber ntau thiab kua rau koj cov zaub mov kom tsis txhob cem quav.
- Tib txoj kev kho mob hernia yog phais. Koj tus kws kho mob yuav ua qhov phais lossis phais phais laparoscopic. Laparoscopic phais ua rau mob tsawg dua, phais phais me dua, thiab lub sijhawm rov zoo dua.
- Yog tias koj qhov quav me me thiab koj tsis muaj tsos mob, tom qab ntawd koj tus kws kho mob tuaj yeem saib xyuas nws kom tiv thaiv nws kom tsis txhob mob ntxiv.
Cov ntawv ceeb toom
- Txiv neej yuav tsum mus ntsib kws kho mob yog tias muaj teeb meem tso zis. Nws tuaj yeem yog cov tsos mob ntawm kev mob hnyav dua, xws li cov qog nqaij hlav loj.
- Ib qho hnoos qeev tuaj yeem dhau los ua qhov xwm txheej ceev thaum qhov chaw tsis muaj zog, lossis qhov txhab, ua kom loj dua thiab pib zawm cov nqaij thiab txiav tawm cov ntshav. Hauv qhov xwm txheej ntawd, yuav tsum tau phais sai.
